JPH0340995Y2 - - Google Patents

Description

[Detailed description of the invention] (Field of industrial application) The present invention relates to an improvement of an obstetrics and gynecology examination room.

(Prior Art) As shown in Fig. 5, a conventional obstetrics and gynecology examination room includes a plurality of patient introduction rooms a for waiting or changing patients, and adjacent to the introduction rooms a. The introduction room a and the examination area b are separated by a curtain c which is open at the bottom and can be opened and closed up and down, and each partition has an introduction room a and an examination area. A plurality of examination tables d... are installed spanning the areas b and d. In such an examination room, the patient gets on the examination table d in the introduction room a,
The patient waits with his groin area facing the examination area b from under the curtain c. Then, the doctor moves around the patients waiting on each examination table d, sequentially examining their groin areas from the examination area b side. At this time, since the patient's upper and lower body are separated by the curtain c, the patient does not have to face the doctor directly, and the patient's sense of shame is halved and the patient can undergo the examination with less nervousness.

(Problem that the invention aims to solve) However, in the above-mentioned examination room, multiple (usually 2 or 3) examination tables are required for each doctor, which increases the installation cost. The problem was that a large amount of space had to be secured.

The present invention was developed in view of the above, and aims to provide a new obstetrics and gynecology examination room that allows efficient examination using a single examination table and saves space.

(Means for Solving the Problems) The configuration of the present invention for achieving the above object will be explained based on the attached embodiment drawings. Fig. 1 is a plan view showing an example of the examination room of the present invention, Fig. 2 is a plan view showing another embodiment, Fig. 3 is a side view of the examination table adopted in the invention, and Fig. 4 is Fig. 3. It is a longitudinal enlarged view of the line part.
That is, the obstetrics and gynecology examination room R of the present invention includes a plurality of patient introduction rooms 1 for waiting and changing patients...
It is composed of an examination area 2 adjacent to and communicating with the introduction room 1, and an obstetrics and gynecology examination table 3 installed in the examination area 2 and rotatable around a vertical axis. This is a summary.

The examination room R of the present invention is constructed by dividing a part of a hospital building, etc. into a rectangular shape (however, not only a rectangle but also a circle or other polygonal shape is possible), and one side of the examination room R. A plurality of patient introduction chambers 1 are arranged adjacent to each other, and the introduction chambers 1 are provided with entrances and exits 11 that can be accessed from the outside, such as a patient waiting room or a passage. In Figures 1 and 2, one side of the rectangular examination room R is the patient introduction area, and the center is the partition wall 1.
2 to form two patient introduction rooms 1 and 1', and the other part is an examination area 2 that communicates with each of the introduction rooms 1 and 1'. Of course, the invention is not limited to these, and for example, three or more patient introduction rooms (including three or more) may be arranged adjacently, or the other side of the rectangular examination room R in the example (Figs. 1 and 2) may be arranged. In the lower part of the figure), two patient introduction rooms similar to the above may be provided, or similar patient introduction rooms may be provided adjacent to each other so as to surround the examination area 2, or furthermore, the examination area 2 may be It is not excluded that two introduction chambers are placed facing each other.

Further, the partition wall 12 is not limited to this,
Simple curtains, screens, and other partitioning materials (not shown)
It is also possible to replace it with Furthermore, in the illustrated example, the introduction rooms 1 and 1' and the examination area 2 are separated by curtains 13 and 13' that can be opened and closed to the left and right, but
This also does not exclude partitioning with partition walls with entrances and exits, simple screens, or other partitioning materials.
In addition, the inside of each introduction chamber 1, 1' is further partitioned by another simple curtain 14, 14', and the entrance 11, 1' is further partitioned.
It is also desirable to take care that waiting patients will not be seen from the outside even if 1' is opened carelessly.

When the two patient introduction chambers 1 and 1' are arranged adjacent to each other in parallel as shown in FIGS. It is preferable to install it at a position close to each other and approximately equidistant from both introduction chambers 1 and 1'. When arranging three introduction rooms adjacent to each other as described above, they cannot be placed equidistant from each other, but at least they should be placed in a position where patients invited from the introduction room can board as quickly as possible. It is hoped that

In addition, the examination table 3 is designed to be able to rotate around its axis at least between the examination position A by the doctor (the position indicated by the solid line in the figure) and the position B where the patient gets on and off (the position indicated by the dotted chain line). In the illustrated example, a rotation range of 180° to 240° is sufficient. When adopting the above-mentioned arrangement other than those shown in FIGS. 1 and 2, the examination table 3 should be installed as close as possible to any introduction room, and
It goes without saying that the rotation range should be appropriately set accordingly. For example, when placing the introduction room 1 so as to surround the examination area 2,
It is also necessary that the examination table 3 be able to rotate through 360 degrees.

(Function) The procedure for examining patients in the examination room of the present invention will be briefly described with reference to FIGS. 1 and 2. First, after having the patient wait in the patient introduction rooms 1 and 1' and changing their clothes,
A patient in either of the introduction rooms 1, 1' is seated on the examination table 3 according to instructions from a doctor in the examination area 2.
At this time, the examination table 3 is oriented in advance to a position B where the patient can easily get on it, and after the patient is seated, it is rotated to the examination position A by the doctor. That is, in the case of Fig. 1, the examination table 3 is oriented sideways or diagonally upward (not shown) so that the front side of the examination table 3 is closest to either the left or right introduction chamber 1, 1'; (when) rotated to examination position A oriented along the center line, and in Figure 2 the introduction chamber 1,
Position it vertically so that its front faces are approximately equidistant from each other, and rotate it 180 degrees to obtain examination position A as described above. If the front of the examination table 3 is oriented obliquely upward as described above, it will be closer to the introduction chambers 1 and 1', making it easier for patients to get on and off the table.

When the examination is completed, the examination table 3 is rotated to the original position B, the patient is lowered, and the patient is returned to the introduction room 1.
Thereafter, a patient waiting in another introduction room 1' is instructed to sit on the examination table 3, and the examination table 3 is rotated to the examination position A in the same manner as described above, and the examination is performed.
In the case of Fig. 1, the examination table 3 is rotated 180 degrees from position B, where the previous patient was dropped off, and its front is placed in the other introduction room 1' in a position where the waiting patient can easily sit.
Turn to B′.

During this medical examination, another patient is invited to the introduction room 1 in place of the previously examined patient and kept on standby. In this way, patients are always waiting in each introduction room 1, 1', and patients are invited into the examination area 2 alternately from these introduction rooms 1, 1'.
A smooth examination is performed on the examination table 3. In particular, in obstetrics and gynecology examinations, due to the special nature of the examination, it takes time to change the patient's clothes, and due to the unique sense of shame, if there is only one introduction room for changing and waiting, it is difficult to change the clothes during changing and examinations. The room will be occupied by one patient, which takes time and prevents a smooth examination.However, if there are at least two patient introduction rooms as in the present invention, the patient in one introduction room 1 can be examined. While the procedure is being carried out, another patient can wait to change clothes in the other introduction room 1', and the vacant time of the examination table 3 is reduced, so that an efficient examination can be performed. Moreover, since the examination table 3 is rotatable around its axis, it is possible to set the examination table 3 at the appropriate position B for getting on and off the patient.
It is possible to freely rotate between B' and examination position A, and the patient does not have to face the doctor when getting on and off, which alleviates the patient's sense of shame.

(Example) Next, an example will be described. Figures 3 and 4
The figure shows an example of the examination table 3 adopted in this invention.
The medical examination table 3 consists of a base 4 and a medical examination table 5 supported on the base 4 so as to be rotatable around its vertical axis, vertically movable, and tiltable. Examination table 5
This is a chair type in which a seat plate 51 and a back plate 52 are integrated, and the back plate 52 is constructed on a mounting base 55 via a tilting mechanism 53 and a lifting mechanism 54.

The mounting base 55 has a rotating means 4 mounted on the base 4.
0, and has a substantially perpendicular upright portion 551 on its rear upper surface. The rotating means 40 includes two types of rolling bearings 41..., 42... provided on the lower surface of the mounting base 55, and a motor 43 capable of forward and reverse rotation. That is, a cylindrical support leg 550 whose axis is perpendicular is fixed to the lower surface of the mounting base 55, and a plurality of bearings 41 that rotate within a vertical plane are spaced apart along the circumferential direction around the support leg 550. has been done. The bearings 41 are disposed on the upper surface of a cylindrical support 44 that protrudes coaxially with the support leg 550 from the upper surface of the base 4, and carry the entire load on the mounting base 55. It rolls on the upper surface of 44. On the other hand, on the distal side of the lower surface of the mounting base 55, a plurality of bearings 42 that rotate in a horizontal plane are spaced apart along the circumferential direction, and the bearings 42 are in contact with the outer peripheral surface of the support 44. , and restricts the mounting base 55 from rotating coaxially with the support base 44. Furthermore, a motor 43 having a drive wheel 42' fixed to its drive shaft is disposed on the mounting base 55, and the rotational driving force of this motor 43 in either the forward or reverse direction causes the bearings 42 to move against the outer circumferential surface of the side part of the support 44. Rolling and rolling of the bearings 41 against the upper surface of the support base 44 is performed, thereby making the medical examination table 5 freely rotatable around its axis. When such a rotation means 40 is adopted, the orientation angle of the examination table 3 can be adjusted arbitrarily (up to 360°).
Since the patient can change the position, the patient can get on and off at the positions B and B' without having to worry about the line of sight of the doctor, etc., and the feeling of embarrassment or nervousness can be halved.
Note that the same function can be obtained even if the motor 43 is placed on the base 44 side.

A base side of a parallel link mechanism serving as the elevating mechanism 54 is pivotally attached to the upright portion 551 of the mounting base 55 via pins 541, 541 spaced apart from each other. The swinging side of the parallel link mechanism 54 is pivotally connected to a swinging support member 531, and the upper end of the swinging support member 531 is pivoted to the back surface of the back plate 52. can be tilted back and forth about this pivot point 532.

The parallel link mechanism 54 has one end pivotally attached to the mounting base 55, and the other end of the parallel link mechanism 54.
The first portion is connected to the upper side 542 or a pin on the swinging side (in the illustrated example, it is connected to the upper side 542).
The device swings up and down within a vertical plane with the base side as a fulcrum by the expansion and contraction of the expansion/contraction means 543 (for example, a hydraulic cylinder or a screw shaft driven by a motor), and this vibration causes the above-mentioned examination The platform 5 substantially moves up and down.

The tilting mechanism 53 includes the swinging support member 531 and a second telescoping means (same as above) 533 whose one end is pivotally connected to the swinging support member 531 and the other end is pivotally connected to the lower surface of the back plate 52. and the telescoping means 533
Due to the expansion and contraction of the medical examination table 5, the swing support member 531
The device is intended to be tilted back and forth using a pivot point 532 as a fulcrum.

A pair of knee rests 511, 511 are provided on the left and right sides of the front end of the seat plate 51, and the positions of the knee rests 511, 511 can be freely adjusted forward and backward, and the thighs can be held spread at an angle appropriate for a medical examination according to the body shape of the patient. It is done like this.

As shown in FIG. 3, the examination table 3 with the above configuration is designed to allow patients to get on and off with the back plate 52 erected and the seat plate 51 at the lowest position. It's easy and the shame is halved. Then, during the medical examination, the rotation means 4
0, operate the lifting mechanism 54 and the tilting mechanism 53,
The back plate 52 is tilted and set at an appropriate position for medical examination.

Furthermore, the operations of the rotating means 40, the lifting mechanism 54, and the tilting mechanism 53 are performed systematically based on programming inputted in advance into a control means (not shown). To explain this using Fig. 1 as an example, when examining a patient in the introduction room 1 on the left side of the drawing, for example, if switch No. 1 is turned on, the examination table 3 will be set as shown in Fig. 3. In this state, it rotates as indicated by arrows X or Z and is placed at the appropriate position B for getting on and off the patient. In this state, seat the patient and
When the switch is turned on, the examination table 3 tilts and rises, rotates 90 degrees (120 degrees) as shown by arrow X, and is installed at examination position A so that its front face faces the doctor. After the checkup, turn on the No. 1 switch again.
When turned ON, the examination table 3 rotates 90 degrees (same as above) as shown by arrow X while lowering and undulating, and returns to the original position B, where the patient is lowered. Then, when switch No. 3 is turned ON, the examination table 3 remains in the state shown in Fig. 3 and rotates 180 degrees (~240 degrees) as shown by arrow Z to position B, where patients can easily get on and off from the introduction chamber 1' on the right side. ’. Now, when another patient is seated and switch No. 4 is turned on, the examination table 3 rotates 90 degrees (to 120 degrees) as shown by arrow Y while rising and tilting, and is placed in examination position A as described above, and is placed in the examination position A. When the rear switch No. 5 is turned on, the examination table 3 returns to its original state. By repeating such switch operations, the above-mentioned medical examination can be carried out smoothly. In the case of Fig. 2, the appropriate position B for getting on and off the patient is located at the intersection of both introduction chambers 1 and 1', so it is sufficient to have two types of switches, and these switches should be operated as appropriate. The examination table 3 rises and tilts while rotating 180 degrees as shown by the arrow from position B for getting on and off the patient to examination position A, and from examination position A to position B, the examination table 3 lowers and rises and falls. All you have to do is program it so that it rotates 180 degrees. It goes without saying that the other arrangement configurations mentioned above can have similar functions by incorporating programming suitable for them. It goes without saying that such operations can also be performed individually by providing a manual control mechanism.

In the embodiment, an example was shown in which the examination table 3 had the functions of rotation, elevation, and tilting, but since the purpose of the present invention can be achieved as long as there is at least a rotation mechanism, other functions can be adjusted as necessary. will be added as appropriate. Also, the first
By arranging a plurality of examination rooms R as the minimum unit as shown in Figures and Figure 2 adjacent to each other and making each examination area 2 communicate with each other through simple partitions, etc., it is possible to create a large-scale obstetrics and gynecology hospital. is also applicable.

(Effects of the invention) As mentioned above, the obstetrics and gynecology examination room of this invention has 1
A single examination table enables efficient examination of a large number of patients, and is extremely useful as it allows for low cost and space saving.

[Brief explanation of drawings]

Fig. 1 is a plan view showing an example of the examination room of the present invention, Fig. 2 is a plan view showing another embodiment, Fig. 3 is a side view of the examination table adopted in the invention, and Fig. 4 is Fig. 3. FIG. 5, which is an enlarged longitudinal sectional view of the lined portion, is a plan view showing a conventional medical examination room. Explanation of symbols: 1...Patient introduction room, 2...Examination area, 3...Examination table, 4...Base, 5...Examination table, 51...Seat board, 52...Back board.

Claims (1)

[Scope of claim for utility model registration] 1. A plurality of patient introduction rooms 1 for waiting and changing patients, examination areas 2 adjacent to and connected to the introduction rooms 1, and installations within the examination areas 2. An obstetrics and gynecology examination room comprising one obstetrics and gynecology examination table 3 that is rotatable around a vertical axis. 2 The two patient introduction rooms 1 are arranged adjacent to each other 1, 1', and the examination table 3 is located between these two introduction rooms 1, 1'.
The obstetrics and gynecology examination room according to claim 1, which is located close to 1' and at approximately the same distance from both. 3. A utility model in which the obstetrics and gynecology examination table 3 comprises a base 4 and an examination table 5 supported on the base 4 so as to be rotatable around its vertical axis, capable of being raised and lowered, and tilted. The obstetrics and gynecology examination room according to claim 1. 4. The obstetrics and gynecology examination room according to claim 3, wherein the examination table 5 is chair-shaped, with a seat plate 51 and a back plate 52 integrated. 5. The obstetrics and gynecology examination room according to claim 3 or 4, wherein the examination table 5 is tilted at the same time as it is rotated.