JP5246909B2 - Medical examination table device, examination dress used with this medical examination table device, endoscope, endoscope auxiliary tool, and medical examination table system provided with this medical examination table device - Google Patents

Description

The present invention relates to a medical examination table apparatus suitable for medical use, in particular, urology and gynecology, an examination dress used with the medical examination table apparatus , an endoscope, an endoscope auxiliary tool, and the medical use The present invention relates to a medical examination table system including an examination table apparatus .

  Medical examinations and examination tables (hereinafter referred to as “examination tables”) used in obstetrics and gynecology or urology departments are to sit on the examination table, raise the patient's legs, open their legs, and It was a system that was exposed and examined, examined or treated in that state.

Although an examination table that can be rotated to a seatable position has been developed (Patent Document 1), cleaning is performed at the seatable position to get on and off the subject, but it is rotated to a supine position during the examination. It was a configuration to let you.
Japanese Patent Laid-Open No. 2001-120610

  However, in the conventional examination table or treatment table, it takes time to change the subject, it takes time to prepare the examination table, the subject is fixed on the examination table, and the feet are not stable on the floor. However, there were problems such as feeling great anxiety, feeling fear and feeling shame.

  There was no examination table that could be examined while the subject was sitting.

The present invention was made in view of the problems of the examination table used in such conventional obstetrics and gynecology and urology, and its purpose is to prepare and change the subject easily and take time. First of all, it is possible to use the medical examination table device and the medical examination table device, which can stabilize the feet on the floor, relieve the anxiety and fear of the subject, and ease the shame of the subject. An object of the present invention is to provide a medical examination table system including the examination clothes, an endoscope, an endoscope auxiliary tool, and a medical examination table device .

The medical examination table device according to the present invention comprises: a seat surface on which a subject sits provided with a seat surface opening at a substantially central position; a leg portion formed around the seat surface at a lower portion of the seat surface; A chair-type medical examination table having an examination opening provided in a part of a leg; a space communicating the seating face opening and the examination opening; and an edge portion that covers the seating face; A bag-like bottom portion housed in a space communicating the seat surface opening and the inspection opening; and an insertion portion for inserting a treatment instrument formed at a portion where the bag-like bottom portion faces the inspection opening. A bag-shaped inspection table cover is provided.
The insertion portion of the inspection table cover is a slit, a hole with a lid, or an easily cut, and further, the inspection table cover is placed from the inspection opening at a position facing the inspection opening of the bag-shaped bottom. It is preferable that a pulling traction tool is attached.

It is preferable that the said leg part is a barrel shape with the intermediate part of the height direction bulging outward.
It is preferable that the leg portion has a bottom portion serving as a bottom surface of the space, and the bottom surface is a slope that smoothly falls from the seat surface opening toward the inspection opening. The inspection opening is usually formed on the rear side.

The seating surface may be horizontal, but is preferably inclined forward and downward. The subject can easily take a forward leaning posture.
A raised portion or backrest protruding upward is formed on the rear portion of the seating surface. It becomes easy to determine the position where the subject is seated.

It is preferable that a boundary portion between the seat surface and the leg portion forms a constricted portion recessed inward. It becomes easy to stop the inspection table cover.
You may form the said seat surface so that attachment or detachment with respect to the said leg part is possible.
A lighting device may be provided in the space of the medical examination table.

  In a preferred embodiment, the endoscope inserted from the examination opening is inserted into the space of the medical examination table, and the flexible part or the bending part is bent in a direction in which the distal end hard part faces the seat opening. A supporting endoscope support tool is provided. Positioning of the endoscope is facilitated and the burden on the operating doctor is reduced.

  It is characterized in that it is a test wear worn by a subject in the examination of the medical examination table, and has a skirt shape that covers the medical examination table when seated. It is preferable that the inspection clothes have a winding skirt shape, and a mark indicating the wearing position is attached to the waist and a hook-and-loop fastener is attached.

  An invention related to an endoscope used together with a medical examination table has a distal end rigid portion and a rigid portion connected to an operation portion, and is curved in a predetermined direction in advance between the distal end rigid portion and the rigid portion. The curved portion is provided.

  Preferably, the bending portion is formed of two or more portions that can be bent independently. The bending portion may be connected to the distal end hard portion, and a flexible portion may be provided between the bending portion and the hard portion. The bending portion may be connected to the distal end rigid portion, and the rigid portion connected to the bending portion may be bent with the same curvature as the bending portion. It is preferable that a grip extending in a direction opposite to the bending portion is provided on the operation portion.

  Furthermore, the invention relating to an endoscope used with a medical examination table according to another aspect includes a distal end rigid portion and a rigid portion connected to the operation portion, and is provided between the distal end rigid portion and the rigid portion. Provided with a flexible portion, slidably provided with respect to the rigid portion, and provided with a slide guide having a bent portion with a tip portion curved in a predetermined direction. When the slide guide slides, the bent portion It is characterized in that the bending state of the flexible portion changes.

  In the endoscope, it is preferable that the distal end rigid portion is provided with an open leg arm that can be operated to open a leg and is normally closed. More practically, the open leg arm is a half-cylinder cylinder whose rear end portion is pivotally connected to the distal end rigid portion via a hinge, and which covers the distal end rigid portion when closed. Each tip has an opening through which the end surface of the tip hard portion is exposed. There are various drive means for the leg arm, but it is opened / closed by a cable connected to the rear end portion thereof, and is opened / closed by expansion / contraction of a balloon disposed between the end rigid portions.

In another embodiment, the open leg arm is connected to the tip of the pipe, and a protrusion is formed on the inner surface of the open leg arm. The open leg arm is configured such that the pipe is covered at least on the hard end of the tip. The projection is closed when protruding from the distal end hard portion, and the projection is opened by sliding from the corner portion of the distal end hard portion to the outer peripheral surface when the pipe is drawn into the distal end rigid portion.
The open leg arm is mounted so as to cover the distal end hard part, and a protrusion is fixed to the distal end part of the wire drawn out from the inside of the large diameter part behind the distal end hard part. A recess is formed to accommodate the protrusion, and when the wire is pulled, the protrusion protrudes from the recess, and the protrusion presses in the opening direction while sliding on the inner peripheral surface of the open leg arm to open the leg. The configuration.

  In still another embodiment, a donut-shaped balloon is attached to the distal end rigid portion of the distal end of the curved portion, and the balloon expands when air is supplied and has a larger diameter than the distal rigid portion. It formed so that it might become.

  A sheath and a shaft slidably inserted into the sheath may be provided, and at least a pair of open leg arms opened and closed by relative movement of the sheath and the shaft may be provided between the sheath and the shaft. .

An invention relating to an endoscope auxiliary tool that assists when an endoscope used in any of the medical examination table devices described above is inserted into a body cavity has a tapered cylindrical shape when closed and a shaft at the rear end. A pair of half-tapered cylindrical members that are supported and opened and closed; and a pair of handles for opening and closing the tip-ends of the half-tapered tubular members, the tip parts of the pair of half-tapered cylindrical members Is characterized in that a hole through which an endoscope passes is formed.
In a preferred embodiment, the handle is formed along a longitudinal direction of the pair of half-tapered cylindrical members .

In the invention relating to the medical examination table system having the subject room in which any of the medical examination table devices described above is housed, the subject room has a floor supported at a predetermined height, The medical examination table device is fixed to the floor, and the floor or wall is provided with an examination window that matches the examination opening of the medical examination table. It has been.

In a preferred embodiment, the medical examination table has the inspection opening at the rear part, the medical examination table is fixed with the rear part applied to the rear wall, and an examination window that matches the examination opening is formed on the rear wall. Is provided. It is preferable that a leaning member capable of leaning a patient seated on the medical examination table is provided in the subject room in front of the medical examination table. Furthermore, the leaning member can be composed of a pair of cushions on which the patient can wear elbows and a display provided between the cushions.

Since the examination table is a chair type, the change time of the subject and the preparation time of the examination table are shortened.
Since the subject's legs are on the floor, the posture of the subject is stabilized.
Since the subject's body is not restrained, anxiety and fear are alleviated.
The examination table cover keeps the examination table clean and shortens the preparation time.
Since the examiner cannot be seen from the subject, the shame of the subject is reduced.
Since a gun grip type grip is provided in the endoscope operation section, it is easy to insert horizontally or upward.
Since the endoscope guide is provided on the examination table, the insertion becomes easy. Since the endoscope is supported by the endoscope guide, the burden on the examining doctor during the examination is reduced.
Since the auxiliary tool is provided with a through hole or the like, the endoscope can be easily inserted.
Since the endoscope can be supported at the same time with the hand holding the opening / closing handle of the auxiliary tool, operation and insertion are facilitated.
Since the examination table and examination room are unitized, installation is easy.

  Embodiments of the present invention will be described below with reference to the accompanying drawings. FIG. 1 is a side view showing an embodiment of an inspection table system according to an embodiment of the present invention. This inspection table system includes a unit inspection room 10 in a private room style installed in a building. The examining doctor D performs examinations, examinations, and the like in the examining doctor's room 100 provided outside the unit examination room 10 and behind the unit examination room 10. By separating the subject and the examining doctor D, the shame of the subject can be eased.

  The unit examination room 10 is formed such that the floor 12 of the subject room 11 is higher than the floor of the building where it is installed. This is a private room surrounded by a wall 14 (front wall 14 a, rear wall 14 b, left and right side walls 14 c) surrounding the floor 12 and the ceiling 13. Thus, a chair-type medical examination table 20 is installed on the floor 12. The ceiling 13 may not be provided, but is preferably provided in order to protect privacy.

Although not shown in detail in the front wall 14a, a door for a subject is provided, and a staircase 15 is disposed on the outside of the subject door as an elevating means. The subject moves up and down the stairs 15 and enters and exits the unit examination room 10 through the subject door 11a. The subject door 11a is provided at a position biased to the left or right of the front of the unit examination room. If the subject door 11a is a slide door or an accordion door, the standing space can be saved.
The stairs 15 may be slopes, or the stairs 15 and slopes may be provided side by side. When the subject examination room 11 of the unit examination room 10 is wide, a staircase 15 or a slope may be provided in the subject examination room 11.

  A chair-type medical examination table 20 is disposed in the subject room 11 of the unit examination room 10 in close contact with the rear wall 14b so that the subject is seated toward the front wall 14a. Furthermore, the front wall 14a is equipped with a video camera 16a through which a doctor or nurse can observe the state of the subject and a microphone 16b through which the subject's voice can be heard. The video camera 16a and the microphone 16b are connected to a display and a speaker arranged in an examination doctor room 100 that is usually provided behind the unit examination room 10. In addition, although not shown in figure, a lighting fixture is provided in the ceiling 13 grade | etc., And an air conditioner and a ventilator are also provided.

  A leaning plate 30 is provided between the front wall 14a and the chair-type medical examination table 20 so that the subject can lean forward and lean against the elbow. The leaning plate 30 is fixed to the floor 12 in front of the chair-type medical examination table 20 with a space that allows the subject to sit on and separate from the chair-type medical examination table 20, and is perpendicular to the floor 12. A narrow base 31a extending to the front wall 14a and a wide elbow rest 31b extending in the direction toward the front wall 14a. The subject P seated on the seat 21 wears his elbow on the elbow rest 31b. It is formed so that it can be leaned against. This elbow rest 31b is provided with an elbow rest cushion 32 so that the subject can easily touch the elbow and the pressure is dispersed. A pair of the elbow rest cushions 32 are provided so as to be separated from the subject's shoulder width, and a monitor display 33 is provided between the pair of elbow rest cushions 32 (see FIG. 2). On the monitor display 33, the procedure on the subject side in the examination, the examination, the examination stage, or the instructions of the doctor are displayed, or an image that the subject can feel at ease is displayed.

  Furthermore, the elbow rest 31b has a video camera that can shoot the face of the subject, a microphone that can pick up the subject's voice, music that gives instructions to the subject and can be relaxed by the subject. A speaker that can be flowed may be provided.

  The elbow rest 31b may be provided with a pillow cushion above the elbow rest cushion 32 so that the subject can place the frontal head. Particularly in the case of a configuration in which a pillow cushion is provided, the subject P is placed on the pillow cushion with the head resting on the pillow cushion, such as by denting the elbow rest 31b or providing an opening. The monitor display 33 is arranged at a position sufficiently away from the eyes.

  It is preferable that the leaning plate 30, particularly the elbow rest 31b, can be adjusted in height, front-rear position, and angle manually or electrically according to the physique of the subject.

  The chair-type medical examination table 20 has a seat surface 21 supported by a barrel-shaped leg portion 22, and a space 24 inside the leg portion 22 from a seat surface opening 21 a opened at a substantially center of the seat surface 21. In addition, the inspection opening 23 at the rear of the space 24 and the inspection window 14d opened in the rear wall 14b are communicated (see FIG. 5). The examination doctor D is outside the unit examination room 10 and examines the affected area of the subject P through the examination window 14d from the outside of the rear wall 14b, and the examination instrument such as the endoscope 120 from the examination window 14d. The patient P is inspected, examined, and treated through the inspection opening 23, the space 24, and the seat surface opening 21a (see FIG. 5).

  An endoscope holder 40 that holds the endoscope 120 is provided in the space 24 of the chair-type medical examination table 20. The endoscope holder 40 includes a support leg 41 supported by an inclined bottom surface 24 c (see FIG. 6) in the space 24, and an endoscope receiver 42 connected to the distal end portion of the support leg 41. . The support leg 41 is preferably pivot-bearing, for example, so that it can be tilted in any direction with respect to the inclined bottom surface 24c and rotated about its axis. The support leg 41 and the endoscope receiver 42 are preferably connected so as to be freely oriented and changeable in angle by, for example, a universal joint. Further, the support leg 41 is preferably self-supporting so as to return to the upright state even if tilted in any direction, but the endoscope receiver 42 may be supported by the examination table cover 50.

  As a configuration in which the lower end portion of the support leg 41 is pivot-bearing, for example, a recess capable of pivotally supporting the tip end portion of the support leg 41 is provided on the inclined bottom surface 24c. Or you may provide the protrusion which prevents that the lower end part of the support leg 41 moves to a U shape. A suction cup may be attached to the tip of the support leg 41 so that the suction cup is attracted to the inclined bottom surface 24c. The inclined bottom surface 24c is preferably provided with a mark that serves as a guide for positioning for sucking the suction cup.

  The endoscope receiver 42 is curved and arranged in a J shape so that the endoscope inserted from the inspection opening 23 can be guided toward the seat opening 21a. The endoscope receiver 42 may be a pipe into which an endoscope can be inserted, or a half pipe shape into which an endoscope can be placed. Further, the endoscope receiver 42 is fixed to the endoscope, the support leg 41 is connected to the endoscope receiver 42 at the time of inspection, and the tip end portion of the support leg 41 is mounted so as to be pivotally supported on the inclined bottom surface 24c. It is good.

  In this embodiment, the support leg 41 is the support leg 41 that stands on the inclined bottom surface 24c. However, the support leg 41 may be a horizontal support leg that is hooked like a clothesline by providing engagement portions on the left and right inner surfaces that regulate the space 24.

  The chair-type medical examination table 20 is equipped with a removable examination table cover 50. The inspection table cover 50 has a bag shape that is detachably covered so as to cover the seat surface 21. The inspection table cover 50 supports an endoscope receiver 42 at the bottom, and the endoscope 120 is supported via the endoscope receiver 42. It has a hole 51 through which it can be inserted. By providing the detachable examination table cover 50, the chair-type medical examination table 20 can be always kept clean and the cleaning and preparation time can be shortened.

  A subject P who undergoes an examination in the unit examination room 10 wears a skirt-like examination dress 60, and sits on the seat surface 21 so as to cover the chair-type medical examination table 20. Since the subject's feet, affected area, and the like are hidden by the examination clothes 60, shame and the like are less likely to occur.

  The examination window 14d is formed to have a predetermined height and a height that is easy to use when the examination doctor D sits on the chair 103. Various examination devices, instruments, and tools are placed in the examination room 100. In the figure, the endoscope processor device 111, the endoscope monitor display 112, and the like are placed, and can be freely moved by a caster. A possible endoscope carriage 110 and endoscope 120 connected to an endoscope processor unit 111 are shown. In the endoscope 120, a universal cord 127 extends from the operation unit 125, and a connector 128 provided at a distal end portion of the universal cord 127 is detachably connected to a connector 111 a of the endoscope processor device 111.

  The endoscopic monitor display 112 for displaying the video imaged by the electronic endoscope is preferably arranged so that the position thereof can be adjusted in the vicinity of either the top, bottom, left, or right of the examination window 14d. May arrange a separate monitor display as such. Further, a monitor display for displaying an image of the subject room 11 may be provided in the vicinity of the examination window 14d or displayed on the endoscope monitor display 112.

FIG. 3 shows the rear wall 14 b of the subject room 11. The rear wall 14b is provided with two doors 17a and 17b through which hospital staff can go in and out for inspection and the like. At the top of the chair-type medical examination table 20, a small door 17a that can check the state of the chair-type medical examination table 20, etc. A large door 17b through which hospital staff such as nurses can enter and exit is provided.
Since the floor 12 is set at a position higher than the floor surface 101 of the examining doctor's room 100, a step or a staircase is arranged outside the large door 17b so that hospital staff can easily enter and exit the subject room 11. It is preferable to be able to do so.

  The subject room 11 is enclosed by walls 14a to 14c and cut off from the outside, but instead of the walls, pillars are set up on the squares of the floor 12, the beams are passed, and the pillars are enclosed by curtains, accordion curtains, etc. But you can.

  Another embodiment related to the arrangement of the subject room 11 is shown in FIG. In this embodiment, a shelf is integrally formed on the front wall 14a, and a monitor display 331, a camera 16a, a speaker 16c, and the like are installed on the shelf. Further, under this shelf, a cushion on which an examinee can put an elbow and lean or hold it may be formed so that it can be used by being pulled out from a storage position stored under the shelf.

"Installation"
The unit inspection chamber 10 having the above configuration can be installed alone, but a plurality of units may be arranged in, for example, a horizontal row, or may be arranged in two rows with the inspection openings facing each other. Alternatively, the unit inspection chamber 10 (the floor surface thereof) may be formed in a fan shape, and a plurality of units may be arranged in a fan shape.

  When the unit examination rooms 10 are arranged in a line, a plurality of examination doctors D can examine and inspect without interfering with each other, and when arranged in two rows or in a circle, the examination doctor D The distance traveled is reduced.

  Details of elements constituting the medical examination table system will be described with reference to FIGS.

"Chair-shaped medical examination table"
5 to 7 are views showing an embodiment of the chair-type medical examination table 20. 5A is a front view, FIG. 5B is a right side view, FIG. 5C is a rear view, and FIG. 5D is a plan view. FIG. 6 is a longitudinal sectional view taken along a cutting line IV-IV in FIG. 5A, and FIG. 7 is a rear view relating to another embodiment of the chair-type medical examination table.

  The chair-type medical examination table 20 includes a seat surface 21 on which the subject P is seated and a leg portion 22 that supports the seat surface 21. The seat surface 21 has a planar U shape having a seat surface opening 21a, and is formed to have a width and a depth that allow the subject P to open and sit. A ridge 21b extending upward is formed at the left and right rear ends of the seat surface 21, and the space between the left and right ridges 21b is open. The raised portion 21b is a measure of the position at which the subject sits on the seating surface 21.

The leg portion 22 has a barrel shape that covers the front surface below the seat surface 21 and both left and right side surfaces, and forms a bulging portion 22a in which the middle portion in the height direction (upper and lower middle portions) bulges most. The bulging portion 22a protrudes outward from the outer contour of the seating surface 21 in plan view. Since the subject sits deeply between the positions touching the raised portion 21b on the seat surface 21, the bulged portion 22a is sandwiched between both legs, so that the subject takes an open leg posture naturally, and with respect to the seat surface opening 21a. You can sit so that the affected area is located.
The rear part of the leg part 22 is open, and an inspection opening 23 is formed by the seat surface 21 and the open part of the rear part of the leg part 22.

  A space 24 that connects the seat opening 21a and the inspection opening 23 is formed inside the chair-type medical examination table 20, and the space 24 passes through a gentle curved surface 24b from the front upright surface 24a. It has an inclined bottom surface 24c that descends rearward. Although not shown, both side surfaces 24d of the space 24 are also slopes that gently descend from the seat surface 21 toward the inclined bottom surface 24c. The rear end edge portion of the inclined bottom surface 24 c constitutes the lower end edge portion of the inspection opening 23.

  A constricted portion 22 b that is recessed in a groove shape is formed on the outer peripheral surface of the boundary portion between the seat surface 21 and the leg portion 22. The constricted portion 22b functions as an engaging portion that stops an examination table inspection table cover that is put on the chair-type medical examination table 20.

  Moreover, although not shown in figure, in order to improve stability, the bottom part of the leg part 22 forms the flange part or several leg part extended outward, for example, a flange part and the floor 12 are fixed by bolting, for example. . In another embodiment, a flange portion that extends outward from the rear end surface of the leg portion 22 (the outer periphery of the end portion that restricts the inspection opening 23) is provided, and the flange portion is brought into close contact with the rear wall 14b, and the rear wall 14b is secured by a bolt or the like. It may be fixed to.

The chair-type medical examination table 20 (the seat surface 21 and the leg portion 22) is preferably formed of a material that is resistant to chemicals, hardly contaminated with dirt, and easy to clean, such as synthetic resin or ceramic. The surface may be processed with a fluororesin. In the illustrated embodiment, the seat surface 21 and the leg portion 22 are integrally formed of ceramic.
It is preferable to provide a heater 25 on the upper surface of the seating surface 21 by pasting or embedding, etc., which promotes familiarity of the inspection table cover and enables sterilization. The heater 25 is turned on / off and the temperature is adjusted by operating a switch provided in the examination room 100.

  Although the seating surface 21 in the illustrated embodiment is horizontal, as shown by the alternate long and short dash line in FIG. 5B, in other embodiments, the rear surface of the seating surface 21 may be raised to form an inclined surface that is lowered forward. When the inclined surface is lowered forward, the subject is inclined forward and the affected part is easily directed to the inspection opening 23. Further, the tilt angle may be adjustable.

  Although the inspection opening 23 has a slit shape with an open top, as shown in FIG. 7, the protruding portion 21b1 may be connected in a bridge shape to form a hole.

  Moreover, it may replace with the protruding part 21b and may form a backrest. By tilting the backrest forward, the patient can naturally lean forward. Further, the backrest may be formed so that the angle can be adjusted.

  A footrest for placing a foot when sitting on a chair-type medical examination table 20 may be provided. By providing a footrest, the patient does not get lost in the position of the foot. If the footrest is made into a slipper shape, the feet will not wobble and the subject will feel secure. Preferably, the position of the footrest can be adjusted so that the foot can be placed at a position that matches the physique of the patient.

  Furthermore, an elbow rest may be provided on both sides of the chair-type medical examination table 20. The subject can put his / her hand on the elbow rest when sitting and standing up, and can easily take a forward leaning posture by placing the elbow on the elbow rest and supporting the body during the examination.

8 to 10 show still another embodiment of a chair-type medical examination table.
The embodiment shown in FIG. 8 is characterized in that the seating surface 211 is detachably attached to the leg portion 221. In this embodiment, the seat surface 211 is removed, the inspection table cover is placed on the seat surface 211, the rim portion of the inspection table cover is wound around the seat surface 211, and then the seat surface 211 is attached to the leg portion 221. Since the inspection table cover 50 can be sandwiched between the seat surface 211 and the legs 221, the inspection table cover 501 can be securely fixed.

  The rear end portion of the seat surface 211 and the leg portion 221 is provided with a notch 211c that facilitates positioning of the seat surface 211 and the leg portion 221 and a protrusion 221c into which the notch 211c is fitted. The operation of positioning and covering 221 is easy. Other configurations of the seat surface 211 and the leg portion 221 are the same as those of the seat surface 21 and the leg portion 22.

  In the embodiment of the seating surface shown in FIG. 9, the rear bulging portion 212a is formed separately from the seating surface 212 and the leg portion 222, and is pivotally connected to the seating surface 212 or the leg portion 222 by a hinge. Thus, the inspection opening 232 is formed so as to rotate in the direction of wide opening. Since the rear part of the medical examination table 20 can be greatly opened, operations such as cleaning are facilitated.

  FIG. 10 shows an embodiment in which a lighting device is mounted in the space 24 of the medical examination table 20. In this embodiment, a concave portion for embedding a lighting fixture is formed in the inclined bottom surface 24c, and the lighting fixture 26 including a fluorescent tube as a light emitting element is embedded in the concave portion. The lighting fixture 26 and its wiring are also sealed, and the space between the lighting fixture and the recess is also sealed.

  Since the lighting device 26 is provided in the space 24, even if the subject sits on the seating surface 21 and the seating surface opening 21a is blocked, the portion that covers the seating surface opening 21a is illuminated by the lighting device. Can be easily inspected.

As the illumination means, a plurality of LEDs, organic EL, or inorganic EL may be provided as light emitting elements on any one or a plurality of surfaces forming the space 24.
In still another embodiment, an LED, organic EL, or inorganic EL as a light emitting element is provided inside the inspection table cover. The LED, organic EL or inorganic EL and their wiring are insulated by waterproofing.

"Inspection table cover"
Another embodiment of the inspection table cover will be further described with reference to FIGS. 11 to 14. The examination table cover covers the portion of the chair-type medical examination table 20 that comes into contact with the subject to maintain cleanliness, covers the space 24, and further has an opening on the examination opening 23 side. Yes.

  The inspection table cover 501 shown in FIG. 11 is an inspection table cover when the endoscope holder 40 is not used. The inspection table cover 501 has a folded portion 511 that covers the seat surface 21, and has a bag shape with the bottom 521 facing the inspection opening 23. The folded portion 511 covers the seat surface 21 and the raised portion 21b, and the folded portion 511 is fitted into the constricted portion 22b. In this embodiment, in order to prevent the inspection table cover 501 from being displaced, fixtures 531 are attached to the front edge portion and the rear edge portion of the inspection table cover 501.

  A slit 541 (FIG. 12A), a lid 551 or a valve, and a seal that can be easily peeled off in order to insert an endoscope or the like into the bottom 521 of the examination table cover 501 facing the examination opening 23 An opening that can be opened by being squeezed by a hole, a string or the like that is sealed with is formed. You may form the raw material or cut | interruption which can penetrate easily, without providing a slit etc. Further, the slit 541 may be closed with rubber so that it can be opened elastically, and the lid 551 may be a door, a shutter, a sliding door, a double door, or the like. The bottom 521 may be formed to be transparent or translucent around the slit 541 and the like.

  A traction tool 561 for pulling out the inspection table cover 501 is attached to the outer surface of the bottom 521 of the inspection table cover 501. A pair of traction tools 561 are preferably provided across the slit 541 or the lid 551, but only one traction tool 561 may be provided so as to straddle the slit 541 or the lid 551.

The inspection table cover 501 may be formed of a hard member at a portion that comes into contact with the seat surface 21, and may be formed of a soft member at a portion accommodated in the space 24. Easy to attach to and detach from the inspection table.
A plurality of ribs approaching from the seat opening 21 a toward the inspection opening 23 may be provided on the bag-shaped inner surface of the inspection table cover 501. Emissions are easier to collect.

  FIG. 13 shows another embodiment of a structure for mounting the examination table cover on the chair-type medical examination table 20. This embodiment has a purse string structure in which the string 512a is passed through the opening edge of the folded portion 512 of the inspection table cover 502 and fastened to the constricted portion 22b. Instead of the string 512a, rubber may be passed, and the constricted portion 22b may be tightened by the elastic force of the rubber.

  A seat surface opening cover for closing the seat surface opening 21a may be provided separately from the inspection table cover. The seat surface opening cover is formed of a material that can be easily passed through an endoscope or the like, or a slit or the like is formed.

  FIG. 14 shows an embodiment in which the discharge reservoirs 503 a and 523 a are provided in the inspection table cover 503. The figure shows a first discharge portion reservoir 503a formed as a bulging portion bulging (outward) toward the inclined bottom surface 24c at a position facing the inclined bottom surface 24c when mounted on the inspection table, Although the second discharge reservoir 523a hanging from the bottom 523 facing the opening 23 is shown, only one may be provided.

  The first waste reservoir 503a is preferably provided with a lid 503b that prevents the waste contained in the first waste reservoir 503a from exiting. Further, a suction device (suction nozzle) is inserted into the first discharged material reservoir 503a from the slit 543, and the accumulated discharge portion is sucked. It is preferable to provide a fixing device 503c for fixing the suction device near the slit 543 or the slit.

The second discharge reservoir 523a bulges outward from a hole formed below the slit 543 and hangs down. The discharged material flowing down in the inspection table cover 503 falls from the hole to the second discharged material reservoir 523a and accumulates.
The inspection table cover 503 is formed in a cylindrical shape so that the first and second discharged material reservoirs 503a and 523a become the bottom (lowest part).

"Inspection"
An embodiment of the inspection clothes 60 is shown in FIG. The inspection garment 60 is formed in a wound skirt shape, and the waist portion 61 is provided with a mark 61a at the front position so that the position when wearing is easily understood. A hook-and-loop fastener 61b is attached so that it can be wound and easily stopped. The inspection clothes 60 are worn so that the rear side is opened.

  A hook 63a is attached to the inner lower portion of the inspection suit 60 as a fixture. On the other hand, the medical examination table 20 is equipped with a fixture 63b that engages the hook 63a. The subject P wearing the test clothes 60 sits on the medical examination table 20 with the hems 62a and 62b on the rear side of the test clothes 60 open, and hooks the hooks 63a on the fixtures 63b. This hook eliminates the possibility of the inspection clothes 60 being displaced or opened. Note that the hook 63a and the fixture 63b need not be provided.

  It is preferable to make the right and left easy to understand by making the left and right colors of the matching portions of the skirts 62a and 62b of the inspection suit 60 different from each other or by attaching arrows or the like. Further, if the hems 62a and 62b are made heavy, the hems 62a and 62b are likely to fall on the floor 12 when sitting.

  FIG. 16 shows another embodiment of the inspection clothes. This inspection suit 601 is formed with a perforated portion 621 on the rear side with a material that is easy to perforate. When the examinee P wears the test garment 601 and sits on the seating surface 21, the holed portion 621 is formed so as to be positioned in the seating surface opening 21 a of the seating surface 21. The inspecting doctor D inspects the perforated portion 621 with an inspection instrument such as an endoscope.

  Other embodiments of the inspection garment include those made entirely of a stretchable material, those pleated, and those made of a tearable material at the rear. In any of the inspection clothes, it is preferable to mark the waist part or the like so that the direction and positioning at the time of wearing are easy. The inspection gown may be of a style that is wound, worn or worn.

"Indoor structure"
Another embodiment of the subject room 11 of the unit examination room 10 is shown in FIG. In this embodiment, instead of the leaning plate 30, a bed 70 is arranged in front of the chair-type medical examination table 20. The presence of the bed 70 in front of the medical examination table 20 makes it easier for the subject to take a forward bending posture spontaneously and spontaneously.
Further, the corner portion of the upper surface 71 where the bed 70 faces the chair-type medical examination table 20 is projected to form a tilted portion 72, and the facing surface below the tilted portion 72 is recessed to form a constricted portion 73. The constriction 73 secures a place for the subject's feet to be stabilized.

Further, if the bed 70 is formed so as to be movable up and down, the height of the upper surface 71 can be adjusted to set the height so that the subject can be easily folded. It is more preferable if the distance between the bed 70 and the medical examination table 20 can be adjusted.
The bed 70 only needs to be long enough for the subject sitting on the chair-type medical examination table 20 to fall down. There is no need to have a length that can be used.

  Another embodiment using a bed is shown in FIGS. In this embodiment, the examination opening 231 of the chair-type medical examination table 201 is provided on the bed 701 side (front side), and the bed 701 and the seat surface 211 are brought into contact with each other. Thus, a space 702 communicating with the inspection opening 231 is provided under the bed 701, and examination and inspection are performed from this space and the inspection opening. Examining doctor D can inspect from the front. Since the subject does not have to take a forward leaning posture, the examination can be performed in an easy posture.

  A constricted portion 703 is provided between the bed 701 and the seat surface 211. This constricted portion 703 can be inspected.

"Endoscope"
An embodiment of an endoscope suitable for this examination table system will be described with reference to FIGS. 20 and 21. FIG.

  The endoscope 120 shown in FIG. 20 includes a distal end rigid portion 121, first and second curved portions 122 and 123, a rigid portion 124, and an operation portion 125 from the distal end portion of the insertion portion in the body, and the operation portion 125 has a gun grip. A type grip 126 is fixed. Further, a universal cord 127 extends from the operation unit 125 (see FIG. 1), and a connector 128 provided at a distal end portion of the universal cord 127 is detachably connected to a connector 111a of the endoscope processor device 111.

  The first and second curved portions 122 and 123 are curved in advance so that the distal end rigid portion 121 faces in a substantially orthogonal direction with respect to the rigid portion 124 so that each can be independently curved from this curved state. Is formed. The first and second bending operation levers 122a and 123a for bending the first and second bending portions 122 and 123 are connecting portions between the operation portion 125 and the grip 126, and can be operated with the thumb or the index finger. Is provided. Further, two operation buttons 129a are provided on the front surface of the grip 126 at a position where the index finger can be operated with the grip 126 held, and two operations buttons 129a are also provided in the vicinity of the first and second bending operation levers 122a and 123a. A button 129b is provided. These operation buttons 129a and 129b are used for camera operation of the endoscope 120 and the like.

  Since the endoscope 120 includes first and second curved portions 122 and 123 that are curved in advance, the endoscope holder 40 is not necessary, and it is possible to perform an examination in an easy posture from the examination window 14d. It was. Furthermore, in this embodiment, since the two first and second curved portions 122 and 123 are provided, the degree of freedom in determining the direction of the distal rigid portion 121 is increased, and the examining doctor D can operate more freely. .

  The bending portion may be only the portion corresponding to the first bending portion 122, and the portion corresponding to the second bending portion 123 may be a curved rigid portion. Alternatively, the one bending portion may be only the portion corresponding to the first bending portion 122, and the portion corresponding to the second bending portion 123 may be a flexible portion that is curved in advance. Alternatively, the first and second bending portions may be a single bending portion.

  Another embodiment of the endoscope is shown in FIGS. The endoscope includes a distal end rigid portion 131, a flexible portion 133, a rigid portion 134, an operation portion 135, and a grip 136 from the distal end side. In this embodiment, a pipe having a semicircular cross section and having a bent portion 141a at the tip and having a J-shape as a whole is slidably mounted on the rigid portion 124 of the endoscope. It is. One end of a large-diameter fixed outer guide 142 having a gap between the operating portion 125 and the rigid portion 124 is fixed, and the in-slide guide 141 is inserted into the gap between the fixed outer guide 142 and the rigid portion 124 so as to be able to advance and retract. Has been. A bent portion 141a at the tip of the in-slide guide 141 regulates the flexible portion 133 of the endoscope.

  The in-slide guide 141 is pulled by the wire 143. By pulling the wire 143 by operating the lever 137 of the operation unit 135, the in-slide guide 141 moves forward and backward, and the bending state of the flexible portion 133 is increased. Can be adjusted. FIG. 21A shows a natural state in which the in-slide guide 141 is extended most, and FIG. 21B shows a state in which the in-slide guide 143 is most contracted. In this embodiment, by contracting the in-slide guide 143, the distal end rigid portion 131 and the flexible portion 133 protrude from the distal end of the in-slide guide 141, the flexible portion 133 is curved, and the distal end rigid portion 131 faces in an arbitrary direction. .

  Since the endoscope of this embodiment includes the in-slide guide 141, the endoscope holder 40 becomes unnecessary.

  The extension and contraction of the in-slide guide 141 has the simplest configuration in which the examining doctor D moves back and forth by hand. In this case, it is preferable to provide a stopper member that fixes the in-slide guide 141 so as not to move carelessly. For example, a stopper is provided between the in-slide guide 141 and the fixed outer guide 142 to stop the in-slide guide from moving. When adjusting the slide, the stopper is released and the in-slide guide is slid to complete the adjustment. After that, set the stopper and fix it so that the guide in the slide does not move.

  Further, a bending portion may be provided between the distal end rigid portion 131 and the flexible portion 133 so that the bending operation can be performed.

  The distal end rigid portion 121 (131) preferably has a spherical shape shown in FIG. 22A, and the image guide 121a and the light guide 121b face the spherical surface. Although not shown, the image guide 121a and the light guide 121b are guided through the distal end rigid portion 121, the first and second curved portions 122 and 123, the rigid portion 124, and the operation portion 125, and are further universally connected from the operation portion 125. The inside of the cord 127 is guided to the endoscope processor device 111. Although details are not shown, illumination light from a light source provided in the endoscope processor device 111 is guided to the light guide and emitted from the hard tip portion to illuminate the subject, as is well known. An illuminated image of the subject is captured by an image guide, converted into a video signal by an image sensor provided in the operation unit, input into the endoscope processor device 111, and subjected to predetermined video processing. Is displayed on the endoscope monitor display 112.

  The configuration of the illumination system and the imaging system of the endoscope 120 is not limited to this, and a known configuration can be applied.

  FIGS. 23A and 23B show an example of an endoscope distal end portion 151 provided with an enlargement mechanism. The leg arm 152 has a cylindrical shape that covers the endoscope distal end portion 151 when closed (FIG. 23B), and is placed on the endoscope distal end portion 151 at the circumferential center position of the rear end portion. It is pivotally supported by a flexible member, and is formed so as to be opened and closed by a wire 153 connected to the rear end portion so that the diameter of the front end portion is expanded.

  Each open leg arm 152 has a half-cylinder shape that covers the endoscope distal end portion 151 in a cylindrical shape when closed, and each distal end portion is rounded and the endoscope distal end portion 151. Has an opening 152a through which is exposed.

"Endoscope diameter expansion structure"
Next, an embodiment of the diameter expansion structure of the endoscope distal end will be described with reference to FIGS.

  The endoscope shown in FIGS. 24A and 24B uses a balloon 156 as a driving means for driving the opening arm 155 to open. The open leg arms 155 are composed of at least a pair, and the rear end portion of each open leg arm 155 is connected to the endoscope front end portion 151 by a flexible hinge, and the endoscope front end portion 151 is cylindrical in a closed state. It is formed so as to be wrapped. A balloon 156 is arranged between the leg arms 155 and the endoscope distal end 151, and the leg 155 is opened by inflating the balloon 156. The balloon 156 is connected to an air pipe guided through the endoscope, and air is sent into the air pipe from an air pump in the endoscope processor device and inflated to open the leg opening arm 155. (FIG. 24B). When the air in the balloon 156 is extracted and contracted, the open leg arm 155 is closed (FIG. 24A). In addition, it is preferable that the hinge that connects the open leg arm 155 and the endoscope distal end portion 151 elastically urges the open leg arm 155 in a direction in which the open leg arm 155 is always closed.

  In the embodiment shown in FIGS. 25A and 25B, a pair of open leg arms 161 are formed by vertically dividing the distal end portion of the pipe 162 so that the distal end portion 151 of the endoscope can be inserted into the pipe 162. Inserted. The open leg arm 161 is provided with a protrusion 161 a on the inner side in the vicinity of the connecting portion with the pipe 162. By retracting the endoscope tip 151 from the protrusion 161a, the open leg arm 161 is closed (FIG. 25A), and by projecting the endoscope tip 151 beyond the protrusion 161a, the endoscope tip 151. The protrusion 161a is pushed by the outer peripheral surface of the arm, and the open leg arm 161 is opened (FIG. 25B). The examiner D can manually open and close the leg arm 161 by moving the pipe 162 with respect to the endoscope by hand.

  The embodiment shown in FIGS. 26A and 26B is another embodiment in which a pair of open leg arms 165 is driven to open by a wire 166. At least the rear end portions of the pair of open leg arms 165 are connected to the endoscope distal end portion 151 via a hinge so that the endoscope distal end portion 151 is wrapped in a cylindrical shape with the open leg arm closed. (FIG. 26B). A wire 166 housed in the endoscope distal end portion 151 protrudes between the open leg arm 165 and the endoscope distal end portion 151. A pyramidal protrusion 166a is fixed to the distal end portion of the wire 166, and a recess 165a capable of accommodating the protrusion 166a is provided on the inner surface of the distal end portion of the open leg arm 165. Although not shown, the other end of the wire 166 is guided to the operation portion of the endoscope and wound around the shaft (pulley) of the operation dial.

  When the operation dial is operated and the wire 166 is pulled, the protrusion 166a comes out of the recess 165a and pushes while sliding the inner surface of the open leg arm 165 to open the open leg arm 165 (FIG. 26B). When the operation dial becomes free, the wire 166 is pulled out, and the open leg arm is closed (FIG. 26A).

  The endoscope shown in FIG. 27 (A) is an embodiment in which a donut-shaped balloon 171 is fitted to the endoscope distal end portion 151 instead of an open leg arm. The donut-shaped balloon 171 is supplied with air to be inflated and exhausted to be deflated.

  FIG. 27B shows an embodiment in which a donut-shaped balloon 175 is provided on the forceps 176 protruding from the distal end portion 151 of the endoscope. The forceps 176 is an air pipe, and air is sucked and exhausted from the forceps 176.

  28 and 29 show an embodiment of a magnifying forceps used in an endoscope having a forceps opening. In this embodiment, a shaft 184 is inserted into the sheath 183 and the pantograph attached to the distal end of the sheath 183 is opened and closed by inserting and removing the shaft 184 from the distal end of the sheath 183.

  One end of each of the pair of L-shaped links 182 is connected to the distal end surface of the sheath 183 by a shaft 183a across the center. On the other hand, one end of a pair of leg arms 181 is connected to the tip of the shaft 184 via a shaft 181a. Thus, the front end portion of the link 182 is connected to the front end side of the shaft 181a of the leg arm 181 via the shaft 182a, thereby forming a four-bar link having the shaft 184 as a slider.

  With this configuration, when the shaft 184 is pulled into the sheath 183, the pair of open leg arms 181 is closed (FIG. 28A), and when the shaft 184 is projected from the sheath 183, the open leg arm 181 is opened (FIG. 28 (FIG. 28 (A)). B)).

  This expansion forceps is inserted into the forceps channel of the endoscope 185 with the open leg arm 181 closed, and is used by protruding from the distal end portion (FIG. 29).

"Endoscope aids"
An embodiment of an endoscope auxiliary tool that is particularly useful when the endoscope holder 40 is not used will be described with reference to FIGS. 30 (A), (B), and (C). The endoscope auxiliary tool 190 is formed with a hole 192 through which the endoscope is inserted at the distal end portion of a pair of half-tapered cylindrical portions 191 that are tapered when closed, and further has a half-tapered cylindrical shape. The handle 193 for opening and closing the portion 191 is characterized by being provided in parallel with the half-tapered tubular portion 191 so that the handle 193 can be held together with the endoscope with one hand.

  A hole 192 through which an endoscope can be inserted is formed at one tip end of the pair of half-divided tapered cylindrical portions 191. The pair of half-tapered cylindrical portions 191 are fixed to the distal end portions of the pair of handles 193 on the inner surface on the large-diameter portion side. The pair of handles 193 are pivotably connected by a shaft 194 in the middle of the pair, and when the pair of handles 193 is gripped, that is, when the interval between the handles 193 is narrowed, the tips of the pair of half-tapered cylindrical portions 191 are When the handle 193 is opened, the pair of half-tapered cylindrical portions 191 are linked so as to close.

  Further, the pair of handles 193 are provided at positions that are biased to one side with respect to the center line when the pair of half-tapered cylindrical portions 191 are combined so that the endoscope can be easily passed through the hole 192.

  It is preferable to form the entire half-tapered cylindrical portion 191, at least the tip of the half-tapered cylindrical portion 191, with a transparent member. This is because the visual field is secured through the assisting device. Instead of the holes 192, semicircular cutouts that are substantially circular when combined may be provided at the opposing portions of the tip portions of the pair of half-tapered tubular portions 191. According to this configuration, the endoscope can be positioned at the center of the pair of halved tapered portions 191. The notch may have a diameter smaller than that of the endoscope when combined.

1 is a side view illustrating a part of an embodiment of a medical examination table system to which the present invention is applied. It is a figure which shows the back wall in the unit test room of the medical examination table system. It is a front view showing an embodiment of a leaning board provided in the unit inspection room. It is a side view showing other embodiments of the unit inspection room. An embodiment of a chair type medical examination table equipped in the unit examination room is shown, (A) is a front view, (B) is a side view, (C) is a rear view, and (D) is a plan view. . FIG. 6 is a longitudinal sectional view taken along a cutting line IV-IV in FIG. It is a rear view of 2nd Embodiment of the chair type medical examination stand of this invention. It is a side view which shows 3rd Embodiment of the chair type medical examination stand, (A) is a figure which shows the state which removed the seat surface, (B) is a figure which shows the state which mounted | wore the seat surface. is there. It is a side view showing a fourth embodiment of the chair-type medical examination table. It is a longitudinal section showing a fifth embodiment of the chair type medical examination table. It is a figure which shows 2nd Embodiment of the test stand cover covered on the medical examination table of the chair type, (A) is a longitudinal cross-sectional view, (B) is a top view. (A) is a diagram showing the back surface of the second embodiment, (B) is a diagram showing the back surface of the third embodiment, and (C) is a diagram showing the back surface of the third embodiment. It is a top view which shows 4th Embodiment. It is a top view which shows 5th Embodiment of the test stand cover put on the chair type medical test stand. 6A and 6B show a sixth embodiment of an examination table cover to be put on the chair-type medical examination table, in which (A) is a longitudinal sectional view and (B) is a rear view. It is a figure which shows 1st Embodiment of the test clothes used with the medical examination table system of this invention. It is a rear view which shows 2nd Embodiment of the test clothes used with the medical examination table system. It is a side view showing other embodiments of a unit inspection room of the present invention. It is a side view which shows further another embodiment of the unit test | inspection room and chair type medical examination stand of this invention. FIG. 19 is a plan view of the chair-type medical examination table shown in FIG. 18. It is a side view which shows embodiment of the endoscope used with the medical examination table system of this invention. The other embodiment of the endoscope used with the medical examination table system is shown, and (A) and (B) are figures showing different states, respectively. It is a figure which shows embodiment of the front-end | tip part of the endoscope. FIG. 2A is a cross-sectional view showing an open state, and FIG. 2B is a perspective view showing a closed state, showing the structure of the distal end portion provided with an enlargement mechanism at the distal end portion of the endoscope. It is a figure which shows 2nd Embodiment of the expansion mechanism, Comprising: (A) is a closed state, (B) is a figure which shows the state which opened. It is a figure which shows 3rd Embodiment of the expansion mechanism, Comprising: (A) is a closed state, (B) is a figure which shows the state which opened. It is a figure which shows 4th Embodiment of the expansion mechanism, Comprising: (A) is a closed state, (B) is a figure which shows the state which opened. (A) is a figure which shows 5th Embodiment of the same expansion mechanism, (B) is a figure which shows 6th Embodiment. It is a figure which shows embodiment of the forceps which has the same expansion mechanism, Comprising: (A) is a closed state, (B) is a figure which shows the state which opened. It is a figure shown in the state which applied the embodiment to the endoscope and was opened. The embodiment of the endoscope auxiliary tool used with the medical examination table system of the present invention is shown, (A) is a figure showing an open state, (B) is a figure showing a tip part, and (C) is a use state. FIG.

Explanation of symbols

10 unit examination room 11 subject room 12 floor 14 wall 14a front wall 14b rear wall 14d examination window 15 stairs 17a 17b door 20 medical examination table 21 seating surface 21a seating surface opening 21b raised portion 22 leg portion 22a bulging portion 22b Constriction portion 23 Inspection opening 24 Space 24c Inclined bottom surface 25 Heater 26 Lighting fixture 30 Rest plate 31a Base portion 31b Elbow rest portion 33 Monitor display 40 Endoscope holder 41 Support leg 42 Endoscope receiver 50 Inspection table cover 51 Hole 60 61 waist part 61a mark 61b hook-and-loop fastener 601 inspection dressing 621 drilling part 100 examination doctor room 120 endoscope 121 distal end rigid part 122 first bending part 123 second bending part 124 rigid part 125 operation part 126 grip 131 distal end rigid part 133 possible Flexible part 134 Hard part 141 Slide inner guide 142 Fixed outer guide 51 Endoscope end portion 155 Open leg arm 156 Balloon 161 Open leg arm 162 Pipe 165 Open leg arm 165a Recess 166 Wire 166a Protrusion 171 Donut type balloon 181 Open leg arm 182 Link 183 Sheath 184 Shaft 191 Half-divided cylindrical portion 192 Hole 193 Handle 201 Medical examination table 211 Seat surface 211c Notch 212 Seat surface 212a Swelling part 221 Leg part 221c Projection part 222 Leg part 231 Examination opening 501 Examination table cover 551 Lid 561 Towing tool 502 Examination table cover 503 Examination table cover 503a 1st discharge part pool 523a 2nd discharge pool 503b Lid 512 Folding part 512a String 521 Bottom

Claims (33)

A seating surface on which the subject sits, with a seating surface opening in the approximate center;
Legs formed around the seat surface at the bottom of the seat surface;
An inspection opening provided in a part of the leg;
A chair-type medical examination table having a space communicating the seat surface opening and the examination opening; and
An edge covering the seat;
A bag-like bottom portion accommodated in a space communicating the seat opening and the inspection opening;
A bag-like examination table cover, comprising: an insertion portion for inserting a treatment instrument, wherein the bag-like bottom portion is formed at a portion facing the examination opening;
A medical examination table device characterized by comprising: The medical examination table apparatus according to claim 1,
The insertion portion of the inspection table cover is a slit, a hole with a lid, or an easily cut, and further, the inspection table cover is placed from the inspection opening at a position facing the inspection opening of the bag-shaped bottom. A medical examination table with a pulling traction tool. The medical examination table apparatus according to claim 1 or 2,
The said leg part is a medical examination stand apparatus which is the barrel type which the intermediate part of the height direction expanded outward. The medical examination table apparatus according to any one of claims 1 to 3,
The said leg part has a bottom part used as the bottom face of the said space, The said bottom face is a medical examination stand apparatus which is a slope which falls smoothly toward the said test | inspection opening from the said seat surface opening. In the medical examination table device according to any one of claims 1 to 4,
The inspection opening is a medical inspection table device formed on the rear side. The medical examination table device according to any one of claims 1 to 5,
The medical examination table device in which the seating surface is inclined horizontally or forwardly. In the medical examination table device according to any one of claims 1 to 6,
A medical examination table device in which a protruding portion or a backrest protruding upward is formed on a rear portion of the seat surface. The medical examination table device according to any one of claims 1 to 7,
The medical examination table device in which a boundary portion between the seat surface and the leg portion is a constricted portion recessed inward. In the medical examination table device according to any one of claims 1 to 8,
The medical examination table device , wherein the seating surface is detachably formed with respect to the leg portion. The medical examination table apparatus according to any one of claims 1 to 9,
A medical examination table apparatus in which a lighting device is mounted in a space of the medical examination table . The medical examination table apparatus according to any one of claims 1 to 10,
An endoscope for supporting an endoscope inserted through the inspection opening in a space of the medical examination table by bending a flexible portion or a bending portion in a direction in which a distal end hard portion faces the seat surface opening. A medical examination table device provided with a support. A test garment worn by a subject in an examination using the medical examination table apparatus according to claim 1 , wherein the examination gown is a skirt shape that covers the medical examination table when seated. The inspection clothing according to claim 12, wherein the inspection clothing is in a wound skirt shape, and a waist portion is marked with a mark indicating a wearing position and a hook-and-loop fastener is attached. An endoscope used together with the medical examination table device according to any one of claims 1 to 11 ,
It has a tip hard part and a hard part connected to the operation part,
An endoscope in which a bending portion that is previously curved in a predetermined direction is provided between the distal end rigid portion and the rigid portion. 15. The endoscope according to claim 14, wherein the bending portion includes two or more portions that can be bent independently. 15. The endoscope according to claim 14, wherein the bending portion is connected to the distal end rigid portion, and a flexible portion is provided between the bending portion and the rigid portion. The endoscope according to claim 14, wherein the bending portion is connected to the distal end rigid portion, and the rigid portion connected to the bending portion is bent with the same curvature as the bending portion. An endoscope used together with the medical examination table device according to any one of claims 1 to 11 ,
It has a tip hard part and a hard part connected to the operation part,
A flexible part is provided between the tip hard part and the hard part,
Wherein a slidable with respect to the rigid portion, the slide guide is provided with a bent portion which distal end portion is curved in a predetermined direction,
An endoscope in which the bending state of the flexible portion is changed by the bent portion when the slide guide slides. The endoscope according to any one of claims 14 to 17,
An endoscope in which a grip extending in a direction opposite to the bending portion is fixed to the operation portion. The endoscope according to any one of claims 14 to 19,
The endoscope in which the distal end rigid portion is provided with an open leg arm that can be operated to open a leg and is normally closed. The endoscope according to claim 20, wherein
The open leg arm is a half-divided cylindrical shape in which a rear end portion is rotatably connected to a distal end rigid portion via a hinge and becomes a tubular shape that covers the distal end rigid portion when closed, The distal end portion is an endoscope having an opening through which an end surface of the distal end hard portion is exposed. The endoscope according to claim 20 or 21,
The open leg arm is an endoscope that is driven to open and close by a cable connected to a rear end thereof. The endoscope according to claim 20 or 21,
The open leg arm is an endoscope that is opened and closed by inflation and contraction of a balloon disposed between the distal end rigid portion. The endoscope according to claim 20 , wherein
The open leg arm is connected to the tip of the pipe, and a protrusion is formed on the inner surface of the open leg arm. The open leg arm includes a pipe that covers at least the hard end of the tip. An endoscope which is closed in a protruding state and opens when the pipe is drawn into the distal end hard part and slidably contacts the outer peripheral surface from the corner of the distal end hard part. The endoscope according to claim 20 , wherein
The open leg arm is mounted so as to cover the distal end hard portion, and a protrusion is fixed to the distal end portion of the wire drawn out from the large-diameter portion behind the distal end hard portion, and on the inner surface near the distal end portion of the open leg arm. Is formed with a recess for accommodating the protrusion, and when the wire is pulled, the protrusion protrudes from the recess, and the protrusion presses in the opening direction while being in sliding contact with the inner peripheral surface of the open leg arm. Endoscope to let you. The endoscope according to any one of claims 14 to 19,
An endoscope in which a donut-shaped balloon is attached to the distal rigid portion , and the balloon expands to have a larger diameter than the distal rigid portion when air is supplied. An endoscope used together with the medical examination table device according to any one of claims 1 to 11 ,
A sheath and a shaft slidably inserted in the sheath are provided, and at least a pair of leg arms that are opened and closed by relative movement of the sheath and the shaft are provided between the sheath and the shaft. Endoscope. An endoscope assisting tool for assisting in inserting an endoscope used in the medical examination table device according to any one of claims 1 to 11 , into a body cavity,
A pair of half-tapered tubular members that are tapered when closed, pivotally supported at the rear end and opened and closed;
A pair of handles for opening and closing the tip of the half-tapered tubular member;
An endoscope auxiliary tool in which a hole through which an endoscope passes is formed at a distal end portion of the pair of half-tapered cylindrical members. The endoscope auxiliary tool according to claim 28,
The handle is an endoscope auxiliary tool that is formed along a longitudinal direction of the pair of half-tapered cylindrical members . A medical examination table system having a subject room in which the medical examination table device according to any one of claims 1 to 11 is accommodated,
The subject room is isolated from the outside by a floor supported at a predetermined height, a wall surrounding the floor, and a door, and the medical examination table device is fixed to the floor, and the floor Alternatively, the medical examination table system is provided with an examination window on the wall that matches the examination opening of the medical examination table. The medical examination table system according to claim 30,
Said medical inspection table has the inspection opening in the rear, said medical inspection table is fixed by abutting the rear in the rear wall, medical inspection window consistent with the inspection opening in said rearward wall is provided Inspection table system. The medical examination table system according to claim 31,
A medical examination table system in which a leaning member capable of leaning a patient seated on the medical examination table is provided in the subject room in front of the medical examination table. The medical examination table system according to claim 32,
The leaning member is a medical examination table system including a pair of cushions on which a patient can wear an elbow and a display provided between the pair of cushions .