JP5469885B2 - Incubator - Google Patents

Description

  The present invention relates to an incubator for providing a suitable physiological environment for a newborn who cannot adjust body temperature or the like by his / her own power to protect and nurture the newborn.

  The incubator is provided with a newborn accommodation room that provides a suitable physiological environment for the newborn. In the closed type incubator, not only the temperature but also the humidity and oxygen concentration are controlled in the neonatal chamber enclosed by the side walls and the ceiling. Even in an open type incubator, a side wall is provided in the newborn chamber to prevent falling of the newborn in the newborn chamber, heat insulation, etc., and a bed in the newborn chamber is provided by a heat ray radiation source disposed above the newborn chamber. The temperature of the table and the body temperature of the newborn baby are controlled. In addition, there is a switchable incubator in which the ceiling of the newborn housing chamber is separated from the side wall and can be switched at any time between a closed type incubator and an open type incubator by raising and lowering the ceiling.

  On the other hand, newborns with hyperbilirubinemia are subjected to phototherapy with a phototherapy device, and the newborns accommodated in the neonatal accommodation chamber of the incubator are subjected to phototherapy in the accommodated state. In order to perform phototherapy for such a newborn baby, conventionally, a phototherapy device is positioned directly above the newborn chamber using a stand (for example, Patent Document 1), or phototherapy is performed via a suction cup. The container was placed on the ceiling of the newborn accommodation room (for example, Patent Document 2). That is, conventionally, a phototherapy device is not built in the incubator, and the incubator and the phototherapy device are separate from each other.

JP-A-9-206390 Japanese Patent Laid-Open No. 11-76434

  However, if the incubator and the phototherapy device are separate from each other as in the above-mentioned Patent Documents 1 and 2, prior to phototherapy, the newborn is properly irradiated with light so that the newborn in the neonatal chamber is properly irradiated. Since it is necessary to position the phototherapy device at an appropriate position with respect to the storage chamber every time, the work of a treatment person such as a doctor or a nurse is complicated. Further, it is necessary to move the phototherapy device prior to this treatment so that the phototherapy device does not interfere with treatments other than phototherapy. In addition to the power source for the incubator, a power source for the phototherapy device is also required, which increases the construction cost of the medical facility.

  Furthermore, since the ceiling of the newborn container is generally curved, even if a phototherapy device separate from the incubator is placed on the ceiling of the newborn container, the entire phototherapy device is placed in the newborn container. It cannot be in close contact with the outer surface of the ceiling. As a result, the light beam from the phototherapy device is not only in the incubator in which the newborn infant that is the subject of the phototherapy is accommodated, but also to the treatment person performing the phototherapy and the newborn in the incubator near the incubator. Easier to reach after reflection on the outer surface of the ceiling of the newborn chamber. For this reason, it is necessary to perform sufficient work to prevent the adverse effects of light on these treatment personnel and the eyes of newborns. Therefore, an object of the present invention is to provide an incubator that requires less work for the operator when the newborn baby in the incubator is subjected to phototherapy or treatment other than phototherapy, and does not increase the cost of constructing a medical facility. .

  In the incubator according to the first aspect, the light therapy light source is fixed to the outer surface of the ceiling of the newborn housing chamber. For this reason, prior to phototherapy, it is not necessary to position the phototherapy light source at an appropriate position with respect to the neonatal chamber every time. Further, it is not necessary to move the light therapy light source prior to this treatment so that the light therapy light source does not hinder the treatment other than the light therapy. Moreover, since the electric power supplied to the incubator can be supplied also to the light therapy light source, a power source only for the light therapy light source is unnecessary.

  Further, in the phototherapy light source, the region other than the portion facing the outer surface of the ceiling of the newborn accommodation chamber is shielded from light. For this reason, the light from the light therapy light source is applied to the outer surface of the ceiling of the newborn accommodation room up to the newborn in the incubator in the vicinity of the incubator in which the treatment person who performs phototherapy or the newborn subject to phototherapy is accommodated. Therefore, it is possible to reduce the work for preventing the adverse effect of the light rays on the eyes of the treatment person and the newborn and the like.

  In the incubator according to claims 2, 4 and 5, since the desired spectral irradiance by the light therapy light source can be set by the illuminance setting adjustment unit, the light beam having the spectral irradiance corresponding to the symptoms of the newborn is given to the newborn. Can be irradiated. In addition, the illuminance setting adjustment unit adjusts the spectral radiance of the light therapy light source to the spectral radiance corresponding to the most recently set desired spectral irradiance. There is no need to set the irradiance every time in the illuminance setting adjustment unit.

  In the incubator according to claims 3, 4, and 5, if the desired spectral irradiance by the light treatment light source is not set by the illuminance setting adjusting unit, the illuminance setting adjusting unit sets the predetermined spectral irradiance to the desired spectral irradiance. Change to illuminance. For this reason, when using the light source for phototherapy, the treatment person does not necessarily need to set the spectral irradiance by the illuminance setting adjustment unit.

  In the incubator according to claim 6, the illuminance meter is disposed in the neonatal chamber and is connected to the illuminance setting adjustment unit, and the light therapy light source is set so that the output of the illuminance meter is equal to the desired spectral irradiance. The irradiance setting adjustment unit adjusts the spectral radiance of the light. For this reason, even if the actual spectral irradiance in the newborn accommodation chamber by the light therapy light source fluctuates for some reason from the desired spectral irradiance, the light treatment with the desired spectral irradiance is automatically performed.

  In the incubator according to claim 7, when the ceiling of the newborn container is raised or lowered in the switchable incubator, the light source for phototherapy is changed to a spectral radiance corresponding to a desired spectral irradiance in each of these states. The irradiance setting adjustment unit adjusts the spectral radiance of the light. For this reason, even if the switching type incubator is switched between the closed type incubator and the open type incubator, it is not necessary for the treatment person to set a desired spectral irradiance by the light therapy light source at the illuminance setting adjustment unit every time.

  In the incubator according to claims 8 to 10, since the irradiation range adjusting unit for adjusting the irradiation range by the light therapy light source is provided, only the necessary range of the light therapy can be irradiated by the light therapy light source. . For this reason, it is difficult for the light therapy light source to reach the newborn in the incubator in the vicinity of the incubator in which the newborn who is the subject of phototherapy or the newborn who is the subject of phototherapy is accommodated. And the work to prevent the adverse effects of light on the eyes of newborns and the like.

  In the incubator according to the eleventh aspect, the irradiation range setting unit can set the desired irradiation range by the light source for phototherapy, and the irradiation range adjustment unit can be set based on the most recently set desired irradiation range. Operate. For this reason, it is not necessary for the treatment person to adjust the irradiation range every time when using the light source for phototherapy.

  In the incubator according to the twelfth aspect, if the desired irradiation range is not set by the irradiation range setting unit, the irradiation range setting unit sets the predetermined irradiation range as the desired irradiation range. For this reason, when using the light source for phototherapy, the treatment person does not necessarily need to set the irradiation range in the irradiation range setting unit.

  In the incubator according to claim 13, when the ceiling of the neonatal chamber is raised or lowered in the switchable incubator, the irradiation range by the light therapy light source is adjusted to the desired irradiation range in each state. The part adjusts. For this reason, even if the switching type incubator is switched between the closed type incubator and the open type incubator, it is not necessary for the treatment person to set the irradiation range by the light therapy light source at the irradiation range setting unit every time.

  In the incubator according to claim 1, it is not necessary to position the light therapy light source at an appropriate position with respect to the neonatal chamber prior to the light therapy, and the light therapy light source is moved prior to the treatment other than the light therapy. There is little work to prevent the adverse effects of light on the eyes of the newborn in the incubator in the vicinity of the incubator where the newborn who is the subject of phototherapy or the newborn who is the subject of phototherapy is stored. Therefore, it is possible to reduce the work of the operator when performing phototherapy or treatment other than phototherapy on the newborn in the incubator. In addition, since a power source only for the light source for phototherapy is unnecessary, the construction cost of the medical facility does not increase.

  In the incubator according to the second, fourth, and fifth aspects, since the newborn can be irradiated with light having a spectral irradiance corresponding to the symptoms of the newborn, optimal light therapy can be applied to the newborn. In addition, since it is not necessary for the treatment person to set the desired spectral irradiance with the illuminance setting adjustment unit every time the light therapy light source is used, the work of the treatment person is further reduced when performing light treatment on the newborn in the incubator. It's okay.

  In the incubator according to claims 3, 4 and 5, the treatment person does not necessarily need to set the spectral irradiance at the illuminance setting adjustment unit when using the light source for phototherapy, so that the newborn baby in the incubator is subjected to phototherapy. In some cases, the operator's work may be further reduced.

  In the incubator according to claim 6, even if the actual spectral irradiance in the neonatal housing chamber by the light therapy light source fluctuates from the desired spectral irradiance for some reason, the light therapy with the desired spectral irradiance is automatically performed. Therefore, it is possible to further reduce the work of the operator when performing phototherapy on the newborn in the incubator.

  In the incubator according to claim 7, even if the switching type incubator is switched between the closed type incubator and the open type incubator, the treatment person sets the desired spectral irradiance by the light therapy light source at the illuminance setting adjustment unit every time. Since it is not necessary to set, it is possible to further reduce the work of the operator when performing phototherapy on the newborn in the incubator.

  In the incubator which concerns on Claims 8-10, the light ray from a light source for phototherapy reaches to the newborn in the incubator in the vicinity of the incubator where the treatment person who performs phototherapy or the newborn who is the subject of phototherapy is accommodated. Since it is difficult to reach and there is little work to prevent the adverse effects of light on the proctor and the eyes of newborns, there is less work for the proctor when performing phototherapy on the newborn in the incubator. Good.

  In the incubator according to the eleventh aspect, since it is not necessary for the treatment person to adjust the irradiation range every time when the light source for phototherapy is used, the work of the treatment person is further reduced when performing phototherapy on the newborn in the incubator. Good.

  In the incubator according to the twelfth aspect, the treatment person does not necessarily set the irradiation range in the irradiation range setting unit when using the light source for phototherapy. Therefore, when the phototherapy is performed on the newborn in the incubator, Less work is required.

  In the incubator according to claim 13, even if the switching type incubator is switched between the closed type incubator and the open type incubator, the treatment person needs to set the irradiation range by the light therapy light source at the irradiation range setting unit every time. Therefore, it is possible to further reduce the work of the operator when performing phototherapy on the newborn in the incubator.

It is front sectional drawing of the ceiling in the incubator of Example 1 of this invention, and its vicinity part. It is a front view of the incubator common to each Example of this invention in the state of a closed type incubator. It is a front view of the incubator common to each Example of this invention in the state of an open type incubator. The incubator of Example 1 of this invention which is in the state of a closed type incubator and is under light treatment or illumination is shown, (a) is a front view, (b) is a side view. The incubator of Example 1 of this invention which is under light treatment or illumination in the state of an open type incubator is shown, (a) is a front view, (b) is a side view. It is a fragmentary sectional side view of the light source for phototherapy and the light source for illumination in the incubator of Example 1 of this invention, and those vicinity parts. It is a partial top view of the light source for phototherapy in the incubator of Example 1 of this invention, the light source for illumination, and those vicinity parts. It is a partial front sectional view of the light source for phototherapy and the light source for illumination in the incubator of Example 1 of the present invention, and those neighborhood parts. It is a top view of the aperture mechanism in the incubator of Example 1 of the present invention. It is a top view which shows operation | movement of the aperture mechanism in the incubator of Example 1 of this invention, (a) is a state with a large opening, (b) is a state with a small opening. It is a partial sectional side view of the light source for phototherapy or the light source for illumination in the incubator of Example 1 of this invention. It is a fragmentary sectional side view of the light source for phototherapy and the light source for illumination in the incubator of Example 2 of this invention, and those vicinity parts. It is a partial top view of the light source for phototherapy in the incubator of Example 2 of this invention, the light source for illumination, and those vicinity parts. It is a partial front sectional view of the light source for phototherapy and the light source for illumination in the incubator of Example 2 of the present invention, and their vicinity. It is a bottom view of the light source for phototherapy in the incubator of Example 3 of the present invention. It is a partial expanded bottom view of the light source for phototherapy in the incubator of Example 4 of this invention.

  Hereinafter, embodiments of the present invention applied to a switchable incubator will be described with reference to FIGS. 2 and 3 show incubators common to the respective embodiments in the state of a closed type incubator and an open type incubator, respectively. In this incubator 11, a wheel 13 and a support column 14 are attached to a gantry 12, and a base 15 is supported on the support column 14. A control mechanism (not shown) such as temperature and humidity is provided in the base 15, a newborn storage chamber 16 is provided on the base 15, and a drawer 17 for storage is attached below the base 15. Yes. The pedestal 12 is also provided with a pedal 18 for adjusting the height of the base 15 and the like along the column 14. A bed 21 (FIGS. 4 and 5) is disposed in the newborn chamber 16.

  A pair of left and right treatment doors 23 located on the left and right sides of the newborn 22 (FIGS. 4 and 5) on the bedtop 21, a foot treatment door 24 located on the foot side, and a head treatment wall located on the head side. 25 are provided as side walls of the newborn accommodation chamber 16. The transparent ceiling 26 of the newborn chamber 16 is separated from these side walls. The left and right treatment door 23 is provided with a transparent wall surface 27, and a pair of left and right hand entrance windows (not shown) and a pair of left and right hand entrance doors 28 for opening and closing these hand entrance windows are provided on the wall surface 27. Is provided. A pair of left and right columns 31 are also attached to the gantry 12. Another pair of left and right struts 32 (FIG. 3) are nested in the pair of left and right struts 31 so that each strut 32 can slide in each strut 31.

  The ceiling 26 and the infrared heater 33 of the newborn housing chamber 16 are supported by one and the other of the pair of left and right columns 32, respectively. Can be raised and lowered independently of each other. This raising / lowering is performed by a doctor, a nurse, or the like giving an operation instruction to a drive mechanism such as an electric motor (not shown). An operation / display panel 34 is attached to one of the left and right support columns 31, and the phototherapy device on / off switch 35, illumination light on / off switch 36, and illuminance setting are attached to the operation / display panel 34. A switch 37 and an irradiation range setting switch 38 are provided. The support 31 is also provided with a protector 41 that prevents the infrared heater 33 from colliding with a wall surface (not shown) of the room.

  FIG. 1 shows a ceiling 26 and its vicinity in the incubator 11 according to the first embodiment of the present invention. A support arm 42 is attached to one of the left and right support columns 32, and the ceiling 26 is suspended from a support shaft 43 of the support arm 42. A pair of elastic supports 44, 45 are attached to the support arm 42, and the elastic supports 44, 45 press the ceiling 26, thereby rotating the ceiling 26 around the support shaft 43 within a predetermined angular range. Restricted to As the structure of the elastic supports 44 and 45, for example, a structure in which a rubber hemispherical pressing portion is attached to the tip of the compression coil spring is conceivable. In the vicinity of the elastic support 44, a light treatment light source 46 and an illumination light source 47 (FIGS. 6 and 7) are fixed to the outer surface of the ceiling 26, and the support arm 42, the light treatment light source 46, the illumination light source 47, and the like. Is covered with an opaque cover 48.

  6 to 8 show the light treatment light source 46 and the illumination light source 47 and their vicinity. The light treatment light source 46 and the illumination light source 47 are arranged in the left-right direction of the newborn baby 22 on the bed table 21, and each has one light source unit 51. Both the light treatment light source 46 and the illumination light source 47 are fixed to the outer surface of the ceiling 26 via the diaphragm mechanism 52. The light treatment light source 46 and the illumination light source 47 are displaced from the center of the bed 21 in the neonatal chamber 16, and the light treatment light source 46 and the illumination light source 47 are centered on the center of the bed 21. In order to perform irradiation, the light source units 51 of the light treatment light source 46 and the illumination light source 47 are inclined with respect to the outer surface of the ceiling 26.

  As shown in FIG. 9, the aperture mechanism 52 includes a gear 53, a rack 54, and an actuator 55. When the actuator 55 is actuated, the rack 54 is linearly driven, and the gear 53 is rotated by the linear drive. By this rotation, the opening 56 in the aperture mechanism 52 is shown as shown in FIGS. The size of is adjusted. A worm may be used in place of the rack 54. In this case, the gear 53 is rotated by rotational driving of the worm. A stepping motor may be used instead of the actuator 55. The size of the opening 56 in the aperture mechanism 52 is controlled by position detection by a linear potentiometer (not shown) or an encoder (not shown).

  The light shielding guide cover 57 of the light source unit 51 is fixed on the diaphragm mechanism 52, and the LED 62 fixed to the substrate 58 and covered with the diffusing lens 61 as shown in FIG. Has been placed. A diffusion lens 63 other than the diffusion lens 61 is also disposed in the light shielding guide cover 57. In the light treatment light source 46 and the illumination light source 47, a region other than the portion facing the outer surface of the ceiling 26, that is, a region other than the opening 56 of the diaphragm mechanism 52 is shielded from light. As shown in FIGS. 4 and 5, an illuminance meter 64 is disposed in the vicinity of the newborn baby 22 on the upper surface of the bedtop 21. The illuminometer 64 measures both the spectral irradiance as a radiation amount and the illuminance as a photometric amount, and outputs these measured values to the operation / display panel 34.

In the incubator 11 of the first embodiment as described above, when the newborn baby 22 housed in the newborn housing room 16 has hyperbilirubinemia and the newborn baby 22 is subjected to phototherapy, the operation / display panel The phototherapy device on / off switch 35 is turned on, and the illuminance setting switch 37 is pressed. Since the illuminance setting screen (not shown) is displayed on the operation / display panel 34 by this pressing, the illuminance setting of the light therapy light source 46 is selected on this illuminance setting screen, and the illuminance of the displayed light therapy light source 46 is displayed. On the setting screen, a desired spectral irradiance (unit: μW / cm ² / nm) at a predetermined distance (for example, 30 cm) from the light therapy light source 46 is set. The latest set value is stored in the operation / display panel 34.

  Note that the desired spectral irradiance may be set at a stage such as high, low, high, medium, low, etc. instead of being directly set as a numerical value. Further, instead of the phototherapy device on / off switch 35, the illuminance setting switch 37, and the illuminance setting screen displayed on the operation / display panel 34, the phototherapy device on / off and the spectral irradiance are sequentially set. A dial may be used.

  According to the above setting, the operation / display panel 34 adjusts and stores the power supplied to the LED 62 of the light source unit 51 of the light therapy light source 46, specifically the voltage, current, pulse duty factor, and the like. The light therapy light source 46 is adjusted so that a spectral radiance corresponding to a desired spectral irradiance is obtained. If the desired spectral irradiance setting by the light therapy light source 46 has not yet been set and the desired spectral irradiance setting value by the light therapy light source 46 is not stored in the operation / display panel 34, the operation / display panel 34 The display panel 34 adjusts the spectral radiance of the light therapy light source 46 by setting the predetermined spectral irradiance to a desired spectral irradiance.

The spectral irradiance required for phototherapy is 35 μW / cm ² / nm or more, but the light emitted from the phototherapy light source 46 contains a large amount of ultraviolet components, causing damage to the eyes of the newborn 22. there is a possibility. For this reason, an eye mask is attached to the newborn baby 22 during phototherapy, and the above-mentioned predetermined spectral irradiance is set to 10 μW / cm ² / nm or less in consideration of forgotten wearing. Further, even when the stored set value is 10 μW / cm ² / nm or more, the spectral radiance of the light therapy light source 46 is gradually increased from the spectral radiance corresponding to the spectral irradiance of 10 μW / cm ² / nm or less. To increase.

  The operation / display panel 34 automatically adjusts the spectral radiance of the light therapy light source 46 so that the spectral irradiance output from the illuminometer 64 becomes equal to the desired spectral irradiance. Accordingly, when the state of the incubator 11 is changed from the state of the closed type incubator shown in FIGS. 2 and 4 to the state of the open type incubator shown in FIGS. In this case, the operation / display panel 34 emits the spectral radiation of the light source 46 for phototherapy until the spectral irradiance output from the illuminometer 64 becomes equal to the desired spectral irradiance. Increase brightness automatically. Conversely, when the state of the incubator 11 is changed from the open incubator state to the closed incubator state, the operation / display panel 34 automatically reduces the spectral radiance of the light therapy light source 46.

  In order to set a desired irradiation range of light emitted from the light source 46 for phototherapy, the irradiation range setting switch 38 of the operation / display panel 34 is pressed. Since the irradiation range setting screen (not shown) is displayed on the operation / display panel 34 by this pressing, the irradiation range setting of the light therapy light source 46 is selected on the irradiation range setting screen, and the displayed light therapy light source is displayed. A desired irradiation range is set on the irradiation range setting screen 46. When the desired irradiation range by the light therapy light source 46 is changed, the operation / display panel 34 operates the diaphragm mechanism 52.

  For the irradiation range by the light therapy light source 46, the latest set values in the closed incubator state and the open incubator state are stored in the operation / display panel 34. For this reason, when the state of the incubator 11 is changed between the state of the closed type incubator and the state of the open type incubator, the irradiation range by the light therapy light source 46 is also automatically changed. If the setting value of the desired irradiation range by the phototherapy light source 46 is not stored in the operation / display panel 34, the operation / display panel 34 is in the closed incubator state and the open incubator state, respectively. The irradiation range of the light source 46 for phototherapy is adjusted by setting the predetermined irradiation range to a desired irradiation range.

  On the other hand, when illumination is necessary to perform phototherapy or other treatment on the newborn baby 22 on the bed table 21, the illumination lamp on / off switch 36 of the operation / display panel 34 is turned on, and the illuminance setting switch 37 is pressed. Since the illuminance setting screen (not shown) is displayed on the operation / display panel 34 by this pressing, the illuminance setting screen of the illuminating light source 47 is displayed by selecting the illuminance setting of the illuminating light source 47 on the illuminance setting screen. Then, a desired illuminance (unit: lx) at a predetermined distance (for example, 30 cm) from the illumination light source 47 is set. The latest set value is stored in the operation / display panel 34.

  The desired illuminance may be set at a stage such as high, low, high, medium, low, etc. instead of being directly set as a numerical value. Further, instead of the illumination lamp on / off switch 36, the illumination setting switch 37, and the illumination setting screen displayed on the operation / display panel 34, a dial for sequentially setting the illumination lamp on / off and illumination is used. May be.

  The operation / display panel 34 adjusts the power supplied to the LED 62 of the light source unit 51 of the illumination light source 47, specifically, the voltage, current, pulse duty factor, etc. according to the above settings, and stores the desired The illumination light source 47 is adjusted so that the luminance corresponding to the illuminance is obtained. If the desired illuminance setting by the illumination light source 47 has not yet been set and the desired illuminance setting value by the illumination light source 47 is not stored in the operation / display panel 34, the operation / display panel 34 is the default. The luminance of the illumination light source 47 is adjusted to a desired illuminance (approximately 600 lx).

  The operation / display panel 34 automatically adjusts the luminance of the illumination light source 47 so that the illuminance output from the illuminometer 64 is equal to the desired illuminance. Accordingly, when the state of the incubator 11 is changed from the state of the closed type incubator shown in FIGS. 2 and 4 to the state of the open type incubator shown in FIGS. In this case, the operation / display panel 34 automatically increases the luminance of the illumination light source 47 until the illuminance output from the illuminometer 64 becomes equal to the desired illuminance. Conversely, when the state of the incubator 11 is changed from the state of the open type incubator to the state of the closed type incubator, the operation / display panel 34 automatically reduces the luminance of the illumination light source 47.

  In order to set a desired irradiation range of light emitted from the illumination light source 47, the irradiation range setting switch 38 of the operation / display panel 34 is pressed. As a result of this pressing, an irradiation range setting screen (not shown) is displayed on the operation / display panel 34. Therefore, the irradiation range setting of the illumination light source 47 is selected on this irradiation range setting screen, and the displayed illumination light source 47 is displayed. A desired irradiation range is set on the irradiation range setting screen. When the desired irradiation range by the illumination light source 47 is changed, the operation / display panel 34 operates the diaphragm mechanism 52.

  As for the irradiation range by the illumination light source 47, the latest set values in the state of the closed type incubator and the state of the open type incubator are stored in the operation / display panel 34. For this reason, when the state of the incubator 11 is changed between the state of the closed type incubator and the state of the open type incubator, the irradiation range by the illumination light source 47 is also automatically changed. If the setting value of the desired irradiation range by the illumination light source 47 is not stored in the operation / display panel 34, the operation / display panel 34 is a predetermined value in each of the closed incubator state and the open incubator state. The irradiation range of the illumination light source 47 is adjusted by setting the irradiation range to a desired irradiation range.

  In the incubator 11 of the first embodiment described above, as shown in FIGS. 6 and 7, the light treatment light source 46 and the illumination light source 47 are arranged in the left-right direction of the newborn baby 22 on the bed 21. However, the light treatment light source 46 and the illumination light source 47 may be arranged in the height direction of the newborn 22 on the bed 21. Further, the illumination light source 47 is not necessarily provided.

  12-14 has shown the light source 46 for phototherapy and the light source 47 for illumination in the incubator 11 of Example 2 of this invention, and those vicinity parts. In the second embodiment, the illuminance adjustment and irradiation range adjustment of the light therapy light source 46 and the illumination light source 47 are performed manually instead of automatically. Therefore, the illuminance meter 64 is not disposed on the upper surface of the bed 21, and the diaphragm mechanism 52 for the light treatment light source 46 and the diaphragm mechanism 52 for the illumination light source 47 include a gear 53, a rack 54, and an actuator 55. Is not provided, and the operation / display panel 34 is not provided with the irradiation range setting switch 38. Instead, the throttle mechanism 52 is provided with an adjustment lever 65, and an opening 66 is provided in the cover 48 for projecting the adjustment lever 65 from the inside of the cover 48 to the foot side of the newborn baby 22 on the bed 21. Yes.

  In the incubator 11 of Example 2 as described above, the desired spectral irradiance by the light therapy light source 46 and the desired illuminance by the illumination light source 47 are set by the operation / display panel 34, and the most recent set values and The state of the incubator 11 when these settings are made, that is, whether it is a closed type incubator or an open type incubator is stored in the operation / display panel 34. The operation / display panel 34 adjusts the spectral radiance of the light therapy light source 46 and the brightness of the illumination light source 47 according to the above settings. If the desired spectral irradiance by the phototherapy light source 46 and the set value of the desired illuminance by the illumination light source 47 are not stored in the operation / display panel 34, the predetermined spectral irradiance corresponding to the state of the incubator 11 or The illuminance is set to a desired spectral irradiance or illuminance.

  Therefore, when the state of the incubator 11 is changed between the state of the closed type incubator and the state of the open type incubator, the spectral radiance of the light therapy light source 46 and the luminance of the illumination light source 47 are operated and displayed. Automatically adjusted by panel 34. However, in order to adjust to the desired spectral irradiance or illuminance when the actual spectral irradiance or illuminance in the neonatal chamber 16 fluctuates for some other reason, the desired spectral radiation by the phototherapy light source 46 is used. It is necessary to reset the illuminance or the desired illuminance by the illumination light source 47 on the operation / display panel 34.

  In order to adjust the irradiation range of the light emitted from the light treatment light source 46 and the illumination light source 47, as shown by the solid line and the alternate long and short dash line in FIG. By manually rotating the adjusting lever 65, the size of the opening 56 in the aperture mechanism 52 is adjusted as shown in FIGS. Therefore, when the state of the incubator 11 is changed between the state of the closed type incubator and the state of the open type incubator, the irradiation range by the light treatment light source 46 and the illumination light source 47 also varies. Therefore, it is necessary to adjust the irradiation range by the light therapy light source 46 and the illumination light source 47 by manually rotating the adjustment lever 65.

  In the incubator 11 of Example 2 described above, as shown in FIGS. 12 and 13, the light treatment light source 46 and the illumination light source 47 are arranged in the horizontal direction of the newborn 22 on the bed 21. However, the light treatment light source 46 and the illumination light source 47 may be arranged in the height direction of the newborn 22 on the bed 21. In this case, the adjustment lever 65 for the light therapy light source 46 or the adjustment lever 65 for the illumination light source 47 located on the head side of the newborn baby 22 on the bed 21 has the shape of the cover 48 shown in FIGS. The shape may be changed so as to protrude from the cover 48 to the head side of the newborn baby 22 or to the left and right sides of the newborn baby 22. Further, the illumination light source 47 is not necessarily provided.

  Further, in the incubator 11 of the above-described first embodiment, both the illuminance adjustment and the irradiation range adjustment in the light treatment light source 46 and the illumination light source 47 are automatically performed, and in the incubator 11 of the second embodiment, the light treatment light source. 46 and the illumination light source 47 are both manually adjusted for illuminance and irradiation range adjustment, but either the light treatment light source 46 or the illumination light source 47 is automatically adjusted for illuminance or irradiation range adjustment. Others may be performed manually.

  FIG. 15 shows a light therapy light source 46 in the incubator 11 according to the third embodiment of the present invention. The illumination light source 47 may have the structure and function shown in FIGS. 6 to 8 of the first embodiment or the structure and function shown in FIGS. 12 to 14 of the second embodiment. In the third embodiment, the light therapy light source 46 includes a plurality of light source units 67a to 67g, the light source units 67a to 67f emit light beams having a frequency for phototherapy, and the light source unit 67g includes light source units 67a to 67g. A light beam having a frequency related to the complementary color is emitted from the light beam emitted from 67f. Therefore, the newborn 22 is irradiated with white light at the time of phototherapy, and the treatment person can easily observe the newborn 22.

  The diffusion angle by the diffusion lens 63 of the light source unit 67g is larger than the diffusion angle by the diffusion lens 63 of the light source units 67a to 67f so that the light source unit 67g irradiates the same range as the light source units 67a to 67f. When the illuminance setting switch 37 or the like is operated to adjust the desired spectral irradiance by the light therapy light source 46, the power supplied to the LEDs 62 of the plurality of light source units 67a to 67g is uniformly adjusted. Instead, the number of the light source units 67a to 67g to be turned on among the plurality of light source units 67a to 67g is adjusted. For example, only the light source units 67a, 67c, 67e, and 67g are turned on and the light source units 67b, 67d, and 67f are turned on. Turns off.

  In the light therapy light source 46 having the plurality of light source units 67a to 67g, the irradiation range cannot be adjusted by the diaphragm mechanism 52, but the number of the light source units 67a to 67g to be turned on among the plurality of light source units 67a to 67g is set. The irradiation range can be adjusted by adjusting. The direction in which the light treatment light source 46 and the illumination light source 47 are arranged may be the left-right direction or the height direction of the newborn 22 on the bed 21.

  The light source unit 67g among the plurality of light source units 67a to 67g may be the illumination light source 47. In this case, when the illuminance setting switch 37 or the like is operated to adjust the desired illuminance by the illumination light source 47, the power supplied to the light source unit 67g as the illumination light source 47 is adjusted. Contrary to the third embodiment, the illumination light source 47 has a plurality of light source units 67a to 67g or 67a to 67f, and the light therapy light source 46 has only a single light source unit 51 or 67g. May be. Further, the illumination light source 47 is not necessarily provided.

  In the third embodiment, since the irradiation range of the light therapy light source 46 cannot be adjusted by the diaphragm mechanism 52 as described above, the diaphragm mechanism 52 for the light therapy light source 46 is not provided. However, in order to align the height from the outer surface of the ceiling 26 with the light treatment light source 46 and the illumination light source 47, the height is the same as the diaphragm mechanism 52 for the single light source unit 51 of the illumination light source 47. In addition, a pedestal (not shown) in which a region other than the portion facing the outer surface of the ceiling 26 is shielded is provided between each of the light source units 67 a to 67 g and the outer surface of the ceiling 26.

  FIG. 16 shows the LED 62 of the single light source unit 51 of the light therapy light source 46 in the incubator 11 according to the fourth embodiment of the present invention. The illumination light source 47 may have the structure and function shown in FIGS. 6 to 8 of the first embodiment or the structure and function shown in FIGS. 12 to 14 of the second embodiment. In the fourth embodiment, the LED 62 of the single light source unit 51 of the light treatment light source 46 has a plurality of LED chips 68a to 68g, and the LED chips 68a to 68f emit light having a frequency for light treatment. The LED chip 68g emits a light beam having a frequency complementary to the light beams emitted from the LED chips 68a to 68f. Therefore, the newborn 22 is irradiated with white light at the time of phototherapy, and the treatment person can easily observe the newborn 22.

  When the illuminance setting switch 37 or the like is operated to adjust a desired spectral irradiance by the light treatment light source 46, the power supplied to each of the plurality of LED chips 68a to 68g of the light treatment light source 46 is uniform. The number of LED chips 68a to 68g to be lit is adjusted among the plurality of LED chips 68a to 68g. For example, only the LED chips 68a, 68c, 68e, and 68g are lit and the LED chip 68b, 68d and 68f are turned off.

  In the light treatment light source 46 having the plurality of LED chips 68a to 68g, the irradiation range cannot be adjusted by the diaphragm mechanism 52, but the number of the LED chips 68a to 68g to be lit is selected from among the plurality of LED chips 68a to 68g. The irradiation range can be adjusted by adjusting. The direction in which the light treatment light source 46 and the illumination light source 47 are arranged may be the left-right direction or the height direction of the newborn 22 on the bed 21.

  The LED chip 67g among the plurality of LED chips 67a to 67g may be the illumination light source 47. In this case, when the illuminance setting switch 37 or the like is operated to adjust the desired illuminance by the illumination light source 47, the power supplied to the LED chip 67g as the illumination light source 47 is adjusted. Contrary to the fourth embodiment, the illumination light source 47 has a plurality of LED chips 68a to 68g or 68a to 68f, and the light treatment light source 46 has only a single LED 62 or LED chip 68g. May be. Further, the illumination light source 47 is not necessarily provided.

  In the incubator 11 according to the fifth embodiment of the present invention, the light therapy light source 46 includes a plurality of light source units 67a to 67g as shown in FIG. 15, and each of them is shown in FIG. Each of the LEDs 62 of the light source units 67a to 67g has a plurality of LED chips 68a to 68g. The illumination light source 47 shares the light therapy light source 46 and the light source units 67a to 67g, and any one LED chip in any one of the plurality of light source units 67a to 67g, or a plurality of light source units 67a to 67g. A plurality of LED chips in any one of the light source units 67a to 67g, a single LED chip in each of the plurality of light source units of the plurality of light source units 67a to 67g, or a plurality of light sources The plurality of LED chips in each of the plurality of light source units among the units 67a to 67g.

  When the phototherapy device on / off switch 35 is turned on, among the LED chips 68a to 68g of all the light source units 67a to 67g, the LED chips 68a to 68g as the light therapy light source 46 are turned on. The When the illuminance setting switch 37 or the like is operated in order to adjust the desired spectral irradiance by the light treatment light source 46, all of the light source units 67a to 67g including the LED chips 68a to 68g as the light treatment light source 46 are operated. The number of light source units 67a to 67g to be turned on is adjusted. In the light therapy light source 46 having the plurality of light source units 67a to 67g, the irradiation range cannot be adjusted by the diaphragm mechanism 52, but the number of the light source units 67a to 67g to be turned on among the plurality of light source units 67a to 67g is set. The irradiation range can be adjusted by adjusting.

  When the illumination lamp on / off switch 36 is turned on, the LED chips 68a to 68g as the illumination light source 47 among all the LED chips 68a to 68g of all the light source units 67a to 67g are turned on. When the illuminance setting switch 37 or the like is operated to adjust the desired illuminance by the illumination light source 47, the number of the light source units 67a to 67g to be turned on if the plurality of light source units 67a to 67g are the illumination light source 47. Is adjusted, and if the plurality of LED chips 68a to 68g of the single light source units 67a to 67g are the illumination light source 47, the number of LED chips 68a to 68g to be lit is adjusted, and the single LED chips 68a to 68g are adjusted. If 68g is the illumination light source 47, the power supplied to the LED chips 68a to 68g is adjusted.

  In order to adjust the irradiation range by the illumination light source 47, if the plurality of light source units 67a to 67g are the illumination light source 47, the number of the light source units 67a to 67g to be turned on is adjusted, and the single light source unit 67a is adjusted. The number of LED chips 68a to 68g to be lit is adjusted if the plurality of LED chips 68a to 68g of ~ 67g are the illumination light source 47, but the single LED chips 68a to 68g are the illumination light source 47. If so, the irradiation range cannot be adjusted. Note that the illumination light source 47 is not necessarily provided.

  In the incubator 11 according to the sixth embodiment of the present invention, as shown in FIGS. 6 to 8 or FIGS. 12 to 14, the light treatment light source 46 and the illumination light source 47 are both only one light source unit 51. Although not provided, as shown in FIG. 16, each LED 62 of each light source unit 51 of the light treatment light source 46 and the illumination light source 47 has a plurality of LED chips 68a to 68g. ing. When the illuminance setting switch 37 or the like is operated to adjust a desired spectral irradiance by the light therapy light source 46 or a desired illuminance by the illumination light source 47, each of the light therapy light source 46 and the illumination light source 47 is operated. Of the LED chips 68a to 68g, the number of LED chips to be lit is adjusted. The irradiation range by the light therapy light source 46 or the illumination light source 47 is automatically or manually adjusted by the diaphragm mechanism 52.

  In the incubator 11 of Embodiment 7 of the present invention, as shown in FIG. 15, the light therapy light source 46 has a plurality of light source units 67a to 67g, and each of the light source units 67a to 67g has a plurality of light source units 67a to 67g. The LED 62 has one LED chip. The illumination light source 47 has a single light source unit 51, and as shown in FIG. 16, the LED 62 has a plurality of LED chips 68a to 68g. When the illuminance setting switch 37 or the like is operated to adjust the desired spectral irradiance by the phototherapy light source 46, the number of the light source units 67a to 67g to be lit is adjusted.

  When the illuminance setting switch 37 or the like is operated to adjust the desired illuminance by the illumination light source 47, the number of LED chips 68a to 68g to be lit is adjusted. The irradiation range of the light therapy light source 46 or the illumination light source 47 is also adjusted by adjusting the number of light source units 67a to 67g to be lit or the number of LED chips 68a to 68g to be lit. Contrary to the seventh embodiment, in the light therapy light source 46, the LED 62 of the single light source unit 51 has a plurality of LED chips 68a to 68g, and the illumination light source 47 includes a plurality of light source units 67a to 67g. Each LED 62 may have one LED chip.

  In the incubator 11 according to the eighth embodiment of the present invention, as shown in FIG. 15, each of the light therapy light source 46 and the illumination light source 47 has a plurality of light source units 67a to 67g. Each of the LEDs 62 of the light source units 67a to 67g has one LED chip. When the illuminance setting switch 37 or the like is operated to adjust the desired spectral irradiance by the light therapy light source 46 or the desired illuminance by the illumination light source 47, the number of light source units 67a to 67g to be turned on is adjusted. The irradiation range by the treatment light source 46 or the illumination light source 47 is also performed by adjusting the number of light source units 67a to 67g to be turned on.

  In the incubator 11 according to the ninth embodiment of the present invention, the illumination light source 47 has a plurality of light source units 67a to 67g as shown in FIG. 15, and each of them is shown in FIG. Each LED 62 of the light source units 67a to 67g has a plurality of LED chips 68a to 68g. The light therapy light source 46 shares the illumination light source 47 and the light source units 67a to 67g, and any one LED chip in any one of the plurality of light source units 67a to 67g, or a plurality of light source units 67a to 67g. It is a plurality of LED chips in any one light source unit among the light source units 67a to 67g, or any one LED chip in each of the plurality of light source units among the plurality of light source units 67a to 67g.

  When the phototherapy device on / off switch 35 is turned on, among the LED chips 68a to 68g of all the light source units 67a to 67g, the LED chips 68a to 68g as the light therapy light source 46 are turned on. The When the illuminance setting switch 37 or the like is operated to adjust a desired spectral irradiance by the light treatment light source 46, the light source unit 67a that is turned on if the plurality of light source units 67a to 67g are the light treatment light source 46. If the number of LED chips 68a to 68g of the single light source units 67a to 67g is the light therapy light source 46, the number of LED chips 68a to 68g to be turned on is adjusted If the LED chips 68a to 68g are the light therapy light source 46, the power supplied to the LED chips 68a to 68g is adjusted.

  In order to adjust the irradiation range of the light treatment light source 46, the number of the light source units 67a to 67g to be turned on is adjusted if the plurality of light source units 67a to 67g are the light treatment light source 46, so that a single light source is provided. If the plurality of LED chips 68a to 68g of the units 67a to 67g are the light therapy light source 46, the number of the LED chips 68a to 68g to be turned on is adjusted, but the single LED chips 68a to 68g are used for the light therapy. If the light source 46 is used, the irradiation range cannot be adjusted.

  When the illumination lamp on / off switch 36 is turned on, the LED chips 68a to 68g as the illumination light source 47 among all the LED chips 68a to 68g of all the light source units 67a to 67g are turned on. When the illuminance setting switch 37 or the like is operated to adjust the desired illuminance by the illumination light source 47, the light source units 67a to 67g including the LED chips 68a to 68g as the illumination light source 47 are turned on. The number of the light source units 67a to 67g is adjusted. In the illumination light source 47 having the plurality of light source units 67a to 67g, the irradiation range cannot be adjusted by the diaphragm mechanism 52, but the number of the light source units 67a to 67g to be turned on among the plurality of light source units 67a to 67g is adjusted. By doing so, the irradiation range can be adjusted.

  In the above embodiment, the present invention is applied to a switching type incubator, but the present invention can also be applied to a closed type incubator.

  INDUSTRIAL APPLICABILITY The present invention can be used for manufacturing an incubator for providing a suitable physiological environment for a newborn who cannot adjust body temperature by his / her own power and protecting and nurturing the newborn.

11 Incubator 16 Newborn Containment Room 23 Left Right Treatment Door (Side Wall)
24 Foot treatment door (side wall)
25 Head treatment wall (side wall)
26 Ceiling 34 Operation / display panel (illuminance setting adjustment unit, irradiation range setting unit)
46 Light source for phototherapy 52 Aperture mechanism (irradiation range adjustment unit)
64 Illuminance meter 67a-67g Light source unit (light source element)
68a-68g LED chip (light source element)

Claims (12)

Comprising a light therapy light source fixed to the outer surface of the ceiling of the neonatal chamber ;
In the phototherapy light source, a region other than a portion facing the outer surface is shielded from light,
Comprising an illuminance setting adjustment unit capable of setting a desired spectral irradiance by the light source for phototherapy,
The illuminance setting adjustment unit is configured to adjust the spectral radiance of the light treatment light source to the spectral radiance corresponding to the desired spectral irradiance set most recently,
When the setting of the spectral irradiance is not made, the illuminance setting adjustment unit is configured to set a predetermined spectral irradiance to the desired spectral irradiance,
A light source for illumination that is fixed to the outer surface of the ceiling of the newborn chamber and is provided separately from the light treatment light source;
In the illumination light source, a region other than a portion facing the outer surface is shielded from light,
The illuminance setting adjustment unit is configured to be able to set a desired illuminance by the illumination light source,
The illuminance setting adjustment unit is configured to adjust the luminance of the illumination light source to a luminance corresponding to the desired illuminance for the illumination light source set most recently,
When the illuminance setting for the illumination light source is not set, the illuminance setting adjustment unit is configured to set a predetermined illuminance for the illumination light source to the desired illuminance for the illumination light source. An incubator characterized by being made . Comprising a post attached to the incubator base;
The incubator according to claim 1, further comprising an infrared heater supported by the support and provided separately from the light treatment light source and the illumination light source. The luminance setting adjusting unit, according to claim 1, 2 or, characterized in that it is configured so as to adjust the spectral radiance of the phototherapy light source by adjusting the power supplied to the light therapy light source The incubator as described in 3 . The light treatment light source has a plurality of light source elements,
The luminance setting adjusting unit is characterized by being configured so as to adjust the spectral radiance of the phototherapy light source by adjusting the number of the light source elements are turned on with one of the plurality of light sources elements The incubator according to claim 3 . An illuminance meter is provided which is arranged in the newborn accommodation chamber and connected to the illuminance setting adjustment unit,
Claim 1, wherein said desired spectral irradiance said as the output of the luminometer equals, the spectral radiance of the light therapy light source for the illumination setting adjusting section is configured so as to adjust The incubator as described in any one of -4 . The ceiling is separable from the side wall of the newborn chamber ;
It said ceiling is capable raisable a and lowered,
When the ceiling makes the rising and the falling, the spectral radiance corresponding to the desired spectral irradiance at these elevated state and decreasing state, the spectral radiance of the light therapy light source for the illumination setting adjusting unit It is comprised so that it may adjust, The incubator as described in any one of Claims 1-5 characterized by the above-mentioned. The incubator according to any one of claims 1 to 6 , further comprising an irradiation range adjusting unit that adjusts an irradiation range of the light source for phototherapy. The irradiation range adjustment unit has a diaphragm mechanism provided in the optical path of the light treatment light source,
Incubator according to claim 7, characterized in that it is constructed such that the irradiation range is adjusted by the size of the aperture of the diaphragm mechanism is adjusted. The light treatment light source has a plurality of light source elements,
The irradiation-area adjusting unit, according to claim 7, characterized in that it is configured so as to adjust the irradiation range by adjusting the number of the light source elements are turned on with one of the plurality of light sources elements Incubator. Comprising an irradiation range setting unit as possible out to set the desired the irradiation range,
The said irradiation range setting part is comprised so that the said irradiation range adjustment part may be act | operated based on the said desired irradiation range set most recently, The Claim 7, 8 or 9 characterized by the above-mentioned. Incubator. Said desired on the settings, such have been made Itoki range of irradiation, the irradiation range setting unit, according to claim 10, characterized in that it is configured so as to default irradiation range to the desired irradiation range Incubator. The ceiling is separable from the side wall of the newborn chamber ;
It said ceiling is capable raisable a and lowered,
When the ceiling makes the rising and the falling, to the desired irradiation range in these raised position and lowered position, the irradiation range by the phototherapy light source for the irradiation range adjustment unit is configured so as to adjust incubator of claim 10 or 11, characterized in that.

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