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JP6006540B2 - Medical chair - Google Patents
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JP6006540B2 - Medical chair - Google Patents

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JP6006540B2
JP6006540B2 JP2012136052A JP2012136052A JP6006540B2 JP 6006540 B2 JP6006540 B2 JP 6006540B2 JP 2012136052 A JP2012136052 A JP 2012136052A JP 2012136052 A JP2012136052 A JP 2012136052A JP 6006540 B2 JP6006540 B2 JP 6006540B2
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medical chair
backrest
seat portion
chair
patient
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JP2014000146A (en
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崇 渡邉
崇 渡邉
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株式会社ホワイトベース
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Description

本発明は、口腔内治療等を必要とする患者を保持する医療用チェアに関する。   The present invention relates to a medical chair that holds a patient in need of oral treatment or the like.

口腔内やその近傍の治療は、患者をリクライニングチェア(医療用チェア)に委ねさせ、リクライニングチェアのバックレスト部の傾角やヘッドレスト部の傾角を調整して、患者を着座状態または仰臥状態にしてなされることが多い。このようなリクライニングチェアに関する記載が例えば下記の特許文献にある。   Treatment in and around the oral cavity is done by leaving the patient to a reclining chair (medical chair) and adjusting the tilt angle of the backrest part and headrest part of the reclining chair so that the patient is seated or supine. Often. The description regarding such a reclining chair is, for example, in the following patent document.

特開2009−22495号公報JP 2009-22495 A

特許文献1は、ヘッドレスト部(安頭台)を傾動させて患者の頭頂部を下方にしたときにも、患者の頸椎を圧迫しないように切り欠きを設けたヘッドレスト部を有する歯科治療椅子を提案している。   Patent Document 1 proposes a dental treatment chair having a headrest portion provided with a notch so as not to compress the patient's cervical spine even when the headrest portion (antodai) is tilted and the patient's top of the head is lowered. doing.

このような歯科治療椅子を用いて患者の頭頂部を下方にすれば、相対的に口腔部分が上向くため、歯科治療等がし易くなる。もっとも、この歯科治療椅子のように、単に患者の頭部を傾動させるだけでは、上顎歯列の内奥側などを目視で直接観察することは依然として難しい状況にあった。つまり、従来の医療用チェアを用いている限り、術者に無理な姿勢を強いることなく、上顎歯列の内奥側などの術野を明視することはできなかった。   If such a dental treatment chair is used to lower the patient's top of the head downward, the oral cavity portion is relatively upward, which facilitates dental treatment and the like. However, as in this dental treatment chair, it is still difficult to directly visually observe the inner lining of the maxillary dentition simply by tilting the patient's head. In other words, as long as a conventional medical chair is used, the surgical field such as the inner back side of the maxillary dentition cannot be clearly seen without forcing the operator to take an unreasonable posture.

本発明はこのような事情に鑑みて為されたものであり、従来の医療用チェアは異なり、医師等の術者が無理な姿勢をしなくても比較的容易に、患者の口腔内の上奥部分等の術野を明視できるようになる医療用チェアを提供することを目的とする。   The present invention has been made in view of such circumstances. Unlike conventional medical chairs, it is relatively easy for a surgeon such as a doctor to perform an operation on the oral cavity of a patient. An object of the present invention is to provide a medical chair capable of clearly viewing the surgical field such as the back.

本発明者はこの課題を解決すべく鋭意研究し、試行錯誤を重ねた結果、患者の上半身を保持している背部(バックレスト部)を水平状態よりもさらに傾動させることを思い付き、この着想に基づき以降に述べる本発明を完成するに至った。   As a result of extensive research and trial and error, the inventor has come up with the idea that the back (backrest) holding the patient's upper body can be tilted further than the horizontal state. Based on this, the present invention described below has been completed.

すなわち本発明の医療用チェアは、臀部を保持するシート部と、上半身を保持するバックレスト部と、頭部を保持するヘッドレスト部と、を備える医療用チェアであって、前記バックレスト部は、該シート部をほぼ水平な状態としたまま、該シート部とは独立して水平位置からさらに下方へ傾動し得ると共に該水平位置から下方へ傾動する最大傾角が4〜10°であり、前記ヘッドレスト部は、該バックレスト部とは独立して該バックレスト部に対してさらに下方へ傾動可能であり、さらに、該シート部をほぼ水平な状態としたまま該シート部の座面高さを調整する昇降装置を備えることを特徴とする。 That medical chair of the present invention includes a seat for holding the buttocks, and the backrest portion for holding the upper half of the body, and the headrest portion for holding the head, a medical chair comprising said backrest portion The maximum tilt angle of 4-10 ° can be tilted further downward from the horizontal position independently of the seat portion while keeping the seat portion in a substantially horizontal state. The headrest portion can be tilted further downward with respect to the backrest portion independently of the backrest portion, and the seat surface height of the seat portion can be increased while keeping the seat portion substantially horizontal. An elevating device for adjustment is provided .

本発明の医療用チェアはバックレスト部が水平位置よりもさらに下方へ傾動するため、その医療用チェア上に仰臥した患者の口腔内、特に上顎内奥部等を術者は目視により容易に観察できるようになる。従って本発明の医療用チェアによれば、術者や患者に負担を強いることなく、これまで観察が困難であった術野の明視が可能となる。   Since the backrest portion of the medical chair of the present invention tilts further downward than the horizontal position, the operator can easily visually observe the oral cavity of the patient who is supine on the medical chair, particularly the inner deep part of the upper jaw. become able to. Therefore, according to the medical chair of the present invention, it is possible to clearly see the operative field, which has been difficult to observe so far, without imposing a burden on the operator or patient.

なお、バックレスト部が水平位置より下方へ傾動しているか否かは、バックレスト部の
側面の中央上下端部を連結した直線と水平線を比較して判断する。また水平位置(水平線)は、医療用チェアを設置する床面と平行な位置(平行線)とする。本明細書でいうバックレスト部の最大傾角の測定も同様に行う。
Note that whether or not the backrest portion is tilted downward from the horizontal position is determined by comparing a straight line connecting the upper and lower central ends of the side surface of the backrest portion with a horizontal line. The horizontal position (horizontal line) is a position (parallel line) parallel to the floor on which the medical chair is installed. The measurement of the maximum inclination angle of the backrest portion in the present specification is performed in the same manner.

本発明の一実施例である歯科矯正用チェアが傾動する様子を示す斜視図である。It is a perspective view which shows a mode that the orthodontic chair which is one Example of this invention tilts. その歯科矯正用チェア上に患者が仰臥している様子を示す模式図である。It is a schematic diagram which shows a mode that the patient is lying on the orthodontic chair.

上述した本発明の構成要素に、本明細書中から任意に選択した一つまたは二つ以上の構成要素を付加し得る。いずれの実施形態が最良であるか否かは、対象、要求性能等によって異なる。   One or two or more components arbitrarily selected from the present specification may be added to the above-described components of the present invention. Which embodiment is the best depends on the target, required performance, and the like.

本発明の医療用チェアは、少なくともシート部とバックレスト部を備える。バックレスト部は、シート部と独立して傾動していてもよいし、シート部と連動して傾動してもよい。バックレスト部が傾動しても、シート部の座面がほぼ水平であると、患者の身体が安定的に保持されて好ましい。   The medical chair of the present invention includes at least a seat portion and a backrest portion. The backrest portion may be tilted independently of the seat portion, or may be tilted in conjunction with the seat portion. Even if the backrest portion is tilted, it is preferable that the seat surface of the seat portion is substantially horizontal because the patient's body is stably held.

本発明者の調査研究によれば、バックレスト部が水平位置に対して下方に傾動する最大傾角は3〜10°さらには4〜8°であると好ましい。最大傾角が過小では明視できる術野範囲が狭くなり、最大傾角が過大では患者の負担が増えるので好ましくない。   According to the inventor's research, the maximum tilt angle at which the backrest portion tilts downward with respect to the horizontal position is preferably 3 to 10 °, and more preferably 4 to 8 °. If the maximum tilt angle is too small, the range of the operative field that can be clearly seen becomes narrow, and if the maximum tilt angle is too large, the burden on the patient increases.

本発明の医療用チェアは、バックレスト部やシート部の他に、バックレスト部の上方先端側に設けられるヘッドレスト部、シート部の下方先端側に設けられるレッグレスト部、さらにレッグレスト部の下方先端側に設けられるフットレスト部などを有してもよい。   The medical chair of the present invention includes, in addition to the backrest portion and the seat portion, a headrest portion provided on the upper front end side of the backrest portion, a legrest portion provided on the lower front end side of the seat portion, and further below the legrest portion. You may have a footrest part etc. which are provided in the front end side.

バックレスト部の先端側に設けるヘッドレスト部は、バックレスト部に対して下方へ傾動するとより好適である。バックレスト部の傾動とヘッドレスト部の傾動が協働することにより、口腔内奥部の術野も明視が容易となり、適切な治療をより効率的に行えるようになる。   It is more preferable that the headrest portion provided on the front end side of the backrest portion is tilted downward with respect to the backrest portion. By the cooperation of the tilting of the backrest part and the tilting of the headrest part, the surgical field in the back part of the oral cavity can be easily seen and appropriate treatment can be performed more efficiently.

本発明の医療用チェアは、さらにシート部の座面高さを調整する昇降装置を有すると好適である。これにより患者と術者の相対位置を容易に変更でき、術者が無理なく適切な術野を明視できるようになる。   It is preferable that the medical chair of the present invention further includes an elevating device that adjusts the seat surface height of the seat portion. As a result, the relative position between the patient and the operator can be easily changed, and the operator can clearly see the appropriate operative field.

本発明の医療用チェアは、術野の明視範囲の拡張に用いられる限り、治療の種類や分野を問わないが、口腔内の治療、特に歯科治療用に好適である。   The medical chair of the present invention is suitable for treatment in the oral cavity, particularly dental treatment, regardless of the type or field of treatment as long as it is used for extending the clear vision range of the surgical field.

なお、バックレスト部等の傾動や所定角度での固定は、周知のリクライニング機構やその改良機構を用いて容易に実現できる。   Note that tilting of the backrest or the like and fixing at a predetermined angle can be easily realized by using a well-known reclining mechanism or an improved mechanism thereof.

本発明の医療用チェアに係る一例である歯科矯正に用いる歯科矯正用チェアCを図1に、その歯科矯正用チェアCに患者が仰臥している様子を図2に示した。この歯科矯正用チェアCは、ヘッドレスト部11と、バックレスト部12と、シート部13と、レッグレスト部14とからなる。   FIG. 1 shows an orthodontic chair C used for orthodontics, which is an example of the medical chair of the present invention, and FIG. 2 shows a patient lying on the orthodontic chair C. FIG. The orthodontic chair C includes a headrest portion 11, a backrest portion 12, a seat portion 13, and a legrest portion 14.

バックレスト部12の上方先端側に取り付けられたヘッドレスト部11は、バックレスト部12に対して所望の傾角で固定できるよう傾動可能にリンクされている。バックレスト部12は、その下方先端側にあるシート部13に対して所望の傾角で固定できるよう傾動可能にリンクされている。シート部13の下方先端側に取り付けられたレッグレスト部14も、シート部13に対して所望の傾角で固定できるよう傾動可能にリンクされている。   The headrest portion 11 attached to the upper front end side of the backrest portion 12 is linked so as to be tiltable so that it can be fixed to the backrest portion 12 at a desired inclination angle. The backrest portion 12 is linked so as to be tiltable so that the backrest portion 12 can be fixed at a desired tilt angle with respect to the seat portion 13 on the lower tip side. The legrest part 14 attached to the lower front end side of the seat part 13 is also linked so as to be tiltable so that it can be fixed to the seat part 13 at a desired inclination angle.

具体的にいうと、バックレスト部12は、シート部13に対して水平位置から下方へθ=6°傾斜できるようになっている。つまり本実施例では、バックレスト部12の最大傾角(θ)を6°とした。またヘッドレスト部11もバックレスト部12に対して水平よりも下方へ傾斜できるようになっている。   More specifically, the backrest portion 12 can be inclined by θ = 6 ° downward from the horizontal position with respect to the seat portion 13. That is, in this embodiment, the maximum inclination angle (θ) of the backrest portion 12 is 6 °. Further, the headrest portion 11 can also be inclined downward relative to the backrest portion 12 from the horizontal.

また歯科矯正用チェアCは、シート部13の座面高さを自在に調整できるエレベータ22(昇降装置)を、ベース21とシート部13との間に備える。   The orthodontic chair C includes an elevator 22 (lifting device) between the base 21 and the seat portion 13 that can freely adjust the seating surface height of the seat portion 13.

術者は、患者を歯科矯正用チェアC上に仰臥させ、エレベータ22でシート部13の座面高さを調整し、バックレスト部12を水平よりも下方へリクライニングさせる。さらにヘッドレスト部11の向きも調整する。このようにヘッドレスト部11の傾動、バックレスト部12の傾動およびシート部の昇降を協働させることにより、術者に無理な姿勢を強いることなく、患者の上顎歯列の内奥等の術野をより広く明視できるようになる。   The surgeon lies the patient on the orthodontic chair C, adjusts the seat surface height of the seat portion 13 with the elevator 22, and reclines the backrest portion 12 downward from the horizontal. Furthermore, the direction of the headrest part 11 is also adjusted. Thus, by coordinating the tilting of the headrest part 11, the tilting of the backrest part 12, and the raising and lowering of the seat part, the surgical field such as the inner back of the patient's maxillary dentition without forcing the surgeon into an unreasonable posture. Can be seen more widely.

なお、バックレスト部12の傾角が水平から10°以下の6°程度なら、歯科矯正用チェアCから患者がずり落ちることもない。また歯科治療の場合、患者を一定の姿勢にさせたまま長時間保持することは殆どない。従って、患者の頭頂部が上半身に対して短時間だけ少し低くなっても患者に大きな負担がかかることはない。むしろ、従来は直視困難であった術野が本実施例の歯科矯正用チェアCにより明視できるようになったため、的確な治療を効率的に行うことができ、従来よりも遥かに患者および術者の負担軽減が可能となった。   In addition, if the inclination angle of the backrest part 12 is about 6 °, which is 10 ° or less from the horizontal, the patient does not slide down from the orthodontic chair C. In the case of dental treatment, the patient is rarely held for a long time with a fixed posture. Therefore, even if the patient's top of the head becomes a little lower than the upper body for a short time, there is no significant burden on the patient. Rather, the surgical field, which was difficult to view directly in the past, can now be clearly visualized by the orthodontic chair C of the present embodiment, so that accurate treatment can be performed efficiently, and the patient and the surgery can be performed far more efficiently than before. The burden on the person can be reduced.

C 歯科矯正用チェア(医療用チェア)
11 ヘッドレスト部
12 バックレスト部
13 シート部
14 レッグレスト部
C orthodontic chair (medical chair)
11 Headrest part 12 Backrest part 13 Seat part 14 Legrest part

Claims (5)

臀部を保持するシート部と、
半身を保持するバックレスト部と、
頭部を保持するヘッドレスト部と
を備える医療用チェアであって、
前記バックレスト部は、該シート部をほぼ水平な状態としたまま、該シート部とは独立して水平位置からさらに下方へ傾動し得ると共に該水平位置から下方へ傾動する最大傾角が4〜10°であり、
前記ヘッドレスト部は、該バックレスト部とは独立して該バックレスト部に対してさらに下方へ傾動可能であり、
さらに、該シート部をほぼ水平な状態としたまま該シート部の座面高さを調整する昇降装置を備えることを特徴とする医療用チェア。
A sheet portion for holding the buttock;
A backrest portion for holding the upper half of the body,
A headrest for holding the head ;
A medical chair comprising:
The backrest portion can be tilted further downward from the horizontal position independently of the seat portion while keeping the seat portion substantially horizontal, and has a maximum tilt angle of 4 to 10 tilting downward from the horizontal position. ° and
The headrest part can tilt further downward with respect to the backrest part independently of the backrest part,
Furthermore, a medical chair comprising an elevating device that adjusts the seating surface height of the seat portion while keeping the seat portion in a substantially horizontal state .
さらに、前記シート部をほぼ水平な状態としたまま、該シート部とは独立して水平位置から下方へ傾動し得るレッグレスト部を備える請求項1に記載の医療用チェア。The medical chair according to claim 1, further comprising a legrest portion that can be tilted downward from a horizontal position independently of the seat portion while the seat portion is in a substantially horizontal state. 前記最大傾角は、4〜8°である請求項1または2に記載の医療用チェア。The medical chair according to claim 1 or 2, wherein the maximum inclination angle is 4 to 8 °. 歯科治療用である請求項1〜のいずれかに記載の医療用チェア。 The medical chair according to any one of claims 1 to 3 , which is used for dental treatment. 歯科矯正用である請求項4に記載の医療用チェア。 The medical chair according to claim 4 , which is used for orthodontics .
JP2012136052A 2012-06-15 2012-06-15 Medical chair Active JP6006540B2 (en)

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Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4047758A (en) * 1976-02-23 1977-09-13 Kenneth Jack Whitehill Adjustable dental recliner
IT1220388B (en) * 1988-05-31 1990-06-15 Castellini Spa ARMCHAIR FOR MEDICAL USE, IN PARTICULAR FOR DENTAL USE
JPH08299387A (en) * 1995-05-11 1996-11-19 Koito Ind Ltd Chair
JP4644776B2 (en) * 2008-05-09 2011-03-02 株式会社亘陽 Medical chair bed

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