JP2021007608A - Remote operationalization system for medical or dental x-ray or radiation irradiation apparatus - Google Patents

Abstract

To enable wireless operation of conventional wired X-ray imaging operation via a cord in an existing medical or dental X-ray or radiation imaging apparatus.SOLUTION: There is provided a remote operationalization system for a medical or dental X-ray or radiation imaging apparatus, the system comprising an electromagnetic valve actuator for performing push action wirelessly, a wireless camera, and a monitor display.SELECTED DRAWING: Figure 3

Description

The present invention is a wireless operation in order to enable wireless operation of wired X-ray irradiation or irradiation via a conventional cord in an existing medical or dental X-ray (roentgen) / irradiation device. For medical or dental use, which consists of an electromagnetic valve actuator (electromagnetic valve actuator) that pushes with an X-ray or a radio camera and a monitor display for monitoring the condition of a patient in a room where an X-ray or irradiation device is installed. The present invention relates to a remote control system for an X-ray or irradiation device.

Currently, X-rays and radiation are widely used for examinations and treatments for medical and dental purposes. The most common X-ray or radiation irradiation device used in hospitals, clinics or dental clinics is an X-ray or radiation irradiation device for examinations using X-rays or radiation.
When taking pictures using a medical or dental X-ray or irradiation device, a doctor, a dentist or a doctor, a dentist, usually uses a picture device installed indoors to press a push button of a hand switch provided outdoors. It is performed by a radiological dentist who receives instructions from the doctor and operates while looking at the patient's condition from a small window (peep window).

However, it is temporally and physically inefficient for a doctor or dentist to irradiate X-rays or radiation for another patient by stopping the examination and treatment of the patient in the medical field. There is a strong need for more efficient operations performed by doctors, dentists or doctors, medical radiologists instructed by dentists, while observing the patient's condition.
In addition to X-rays, various radiations such as gamma rays, beta rays, and positron rays are used as radiation used for medical or dental examinations. What is the remote control system of the present invention? It can also be used for an irradiation device that uses various types of radiation. The irradiation in the present invention also includes an MRI examination. That is, the remote-controlled system of the present invention is intended to be applied to all medical or dental X-ray or radiation irradiation devices as described above.
Therefore, the medical or dental X-ray or radiographing apparatus to which the remote control system of the present invention is applied includes a digital X-ray imaging apparatus, a head X-ray standard radiograph (Cephalo) imaging apparatus, and a panoramic X-ray imaging apparatus. , CT, MRI, PET and the like, and a combination machine thereof and the like.

So far, a device capable of performing X-ray photography by wireless operation has been developed (Patent Document 1). However, the invention of Patent Document 1 incorporates a receiving device inside the main body of the dental X-ray imaging device, and it is necessary to replace the entire imaging device with existing equipment, and the device is wired via an existing cord. It is not possible to make the X-ray imaging operation wireless.
On the other hand, a control device of a type attached to switch the operating state of a device having a push switch for manually switching has already been developed (Patent Document 2). The invention of Patent Document 2 includes a receiving means and an actuator that moves in the direction of pushing a push button of a push button, and can wirelessly switch the operating state of a device including a push switch that is manually switched by a simple installation work. Although it is a control device, the switching operation is a single operation of pressing the push button once and then returning it, and since it only turns on and off the power of the device, X-ray photography requires a certain period of hold (long press operation). Not suitable for use in.

In addition, a remote medical system has been developed that enables remote control of medical facilities in various places by specialists at remote control centers and homes (Patent Document 3). However, this system is intended to enable the operations performed in the facility to be operated by specialists outside the facility, and to enable the wired equipment in the facility to be wirelessly operated in the facility. It's not a thing.

Akira Jinkai No. 49-80672 Microfilm Japanese Patent No. 4872106 Japanese Unexamined Patent Publication No. 2004-8126

An object of the present invention is to provide a system for wirelessly operating an operation of irradiating a wired X-ray or radiation via a conventional cord in an existing medical or dental X-ray or radiation irradiation device. That is.

The above problems can be solved by the following remote control system.
(1) A remote control system for a medical or dental X-ray or irradiation device equipped with a solenoid valve actuator that performs a push operation wirelessly and a wireless camera and a monitor display.
(2) The above-mentioned remote control system in which the operating portion of the solenoid valve actuator is rod-shaped.
(3) The above-mentioned remote control system in which the tip of the operating portion of the solenoid valve actuator is wide.
(4) The above-mentioned remote control system in which the wireless camera is a Wifi camera.
(5) The above-mentioned remote control system in which the remote controller for operating the solenoid valve actuator is an infrared type.
(6) The above-mentioned remote control system provided with a foot switch for a remote controller for operating a solenoid valve actuator.
(7) The above-mentioned remote control system equipped with a plurality of wireless cameras.
(8) The above-mentioned remote control system in which an alarm sound is generated during irradiation.
(9) The above-mentioned remote control system equipped with a wired or wireless microphone and a speaker.

The remote control system of the present invention directly utilizes a wired medical or dental X-ray or irradiation device via an existing cord, and is used as a medical treatment instructed by a doctor, a dentist or a doctor, or a dentist. A dentist can wirelessly operate X-rays or irradiation while observing the patient's condition. Therefore, in facilities that are currently using wired medical or dental X-rays or radiation irradiation equipment, it is low with only a few additions of equipment and simple construction without changing the basic power supply wiring. It is possible to operate the X-ray or radiation irradiation wirelessly at a cost, and the efficiency of the X-ray or radiation irradiation can be greatly improved.

This is an example of a circuit diagram of a solenoid valve actuator used in the remote control system of the present invention. It is a three-view view of an example of the solenoid valve actuator used in the remote control system of this invention. It is a conceptual diagram of the remote control system of the X-ray or radiation irradiation apparatus for medical use or dentistry of this invention. It is a photograph of the installation example of the solenoid valve actuator used in the remote control system of this invention. It is a photograph in operation of the solenoid valve actuator used in the remote control system of this invention. It is outside the X-ray imaging room in which the solenoid valve actuator used in the remote control system of the present invention is installed. It is a photograph of an example of a remote controller used in the remote control system of the present invention. It is a panoramic / cephalo / CT multifunction device provided in the X-ray imaging room of the embodiment. This is a dental X-ray apparatus provided in the X-ray imaging room of the embodiment. This is an example of a camera used in the remote control system of the present invention. This is an example of the display screen of the monitor display of the remote control system of the present invention.

X-rays are a type of radiation in a broad sense and are most widely used for medical or dental purposes. Therefore, in the following, X-rays are mainly used as representatives of medical or dental X-rays and irradiation. The shooting will be described.
The remote control system of the present invention comprises a solenoid valve actuator that pushes by wireless remote control operation, and a wireless camera and a monitor display for observing the imaging state of a patient in an X-ray imaging room. The solenoid valve actuator is attached to the upper part of the push button of the existing X-ray imaging device via a cord, and the tip portion is set so as to push down the push button of the hand switch when the solenoid valve actuator operates.
As the structure of the operating part of the solenoid valve actuator, a rod-shaped one having a tip protruding from the main body is used, and a wide tip portion, for example, a T-shaped one can operate a plurality of devices. Especially preferable. It is also possible to provide an adapter having various shapes at the tip.
The stroke of the operating part of the solenoid valve actuator is not particularly limited as long as the push button of the hand switch of the existing X-ray machine can be pressed and released, but for example, the stroke is about 3 cm to 15 cm. An example of a circuit relating to a preferred solenoid valve actuator and a solenoid valve actuator are shown in FIGS. 1 and 2, respectively.
When installing the solenoid valve actuator, firmly fix the holder part of the hand switch of the existing X-ray machine to the wall surface, etc., and the stroke of the operating part of the solenoid valve actuator and the stroke of the push button (push distance) above it. It is necessary to install it in an appropriate position in consideration of.
The ones shown in FIGS. 1 and 2 are solenoid valve actuators that operate with AC (alternating current), but solenoid valve actuators that operate with DC (direct current) can also be used.

The remote controller for operating the solenoid valve actuator of the present invention is not particularly limited as long as it can transmit signals wirelessly such as infrared rays and radio waves, but many infrared type remote controllers are commercially available and easily available. It is particularly preferable from the viewpoint of. As the operation button of the remote controller, not only the normal manual operation but also a foot switch can be provided so that it can be operated with the foot. The receiver (receiver) that receives infrared rays and radio waves from the remote controller may be provided separately from the solenoid valve actuator, or may be integrated with the solenoid valve actuator and built into the solenoid valve actuator.

In medical or dental X-ray photography, the X-ray irradiation time (exposure time) differs depending on the irradiation site and device, so it is necessary to hold for a certain period of time. Since the actuator in the system of the present invention is a solenoid valve actuator, it operates immediately in conjunction with the operation on the remote controller side, and has excellent response. The actuator in the system of the present invention operates immediately by a push button operation, can be held (long press operation) for a certain period of time, continues to operate while the long press is held, and when the button is released (pressed). Use either the type that operates to stop the operation immediately (if stopped) or the type that operates immediately by the first push button operation and is in the operating state as it is, and operates to stop the operation immediately by the next push button operation. can do.

As the wireless camera used in the present invention, a camera having various wireless transmission functions can be used, but a camera with a built-in Wifi (Wifi camera) is preferable. If the condition of the patient in the X-ray imaging room can be observed, the number of pixels is not particularly limited, but those having 1 million pixels or more can be easily obtained on the market. Specific commercial products include, for example, a wireless camera (Maspro Denkoh model WHC7M2-C) (full high-definition pixel count of 2 million pixels) and the like.

The wireless camera used in the present invention can be used by one unit by devising the installation location, but it is preferable to use two or more units because a plurality of viewpoints can be used. For example, if four units are installed, the irradiation angle can be set from various angles, so that the positioning can be performed with higher accuracy than the positioning that relies only on the viewpoint of the operator. In addition, since monitoring during shooting (during irradiation) can be performed from multiple directions, the monitoring is dramatically improved from the viewpoint of safety as compared with monitoring only from the peephole.

The monitor display used in the present invention is not particularly limited as long as it can display an image from a wireless camera, but in addition to using a monitor display set with a camera, a personal computer, a smartphone, or a tablet computer. Any (tablet) etc. can be used.
When two or more wireless cameras are used, the display by each camera can be displayed by switching screens or split screen.

It is also possible to make an alarm sound during imaging (that is, make the alarm sound only while the switch is pressed) so that it can be confirmed that the X-ray imaging device is operating.
Further, in order to give an instruction to the patient in the X-ray imaging room, a wired or wireless microphone may be installed near the operator, and a speaker may be installed in the X-ray imaging room. The microphone can be built into other devices in the X-ray imaging room, such as a wireless camera, and can be operated while listening to the sound on the monitor side, for example, by the microphone built into the monitor display. it can. In addition, it is very useful to operate while performing two-way communication using a transceiver or an income. In particular, if a doctor who performs X-ray photography, a dentist or a doctor, a radiological technologist who receives instructions from the dentist, or other staff members wear the income, the operation can be carried out extremely efficiently.

FIG. 3 shows a conceptual diagram of a remote control system for a medical or dental X-ray or radiation irradiation device of the present invention.

Hereinafter, the present invention will be described in detail with reference to FIG. 3, but the present invention is not limited to the aspect of this figure.

A to C of FIG. 3 are a hand switch (push button) (C) connected to the existing X-ray imaging room (A), X-ray imaging device (B), and X-ray apparatus by wire, respectively.
The remote control system of the present invention shown in FIG. 3 includes an electromagnetic valve actuator (1) equipped with a receiver for receiving infrared rays and radio waves from a remote controller (2), and a Wifi camera (3) installed in an X-ray imaging room. ), The monitor (4) for displaying the captured image of the Wifi camera.

Although FIG. 3 shows an example in which the X-ray apparatus and the push button of the hand switch connected to the X-ray apparatus are one, for example, a digital X-ray apparatus and a panoramic X-ray apparatus are provided. The remote control system of the present invention can be used without any problem even in a facility equipped with a plurality of X-ray apparatus, such as when a dental CT, a cephalo, or a combination machine thereof is provided.
When remotely controlling such a plurality of X-ray imaging devices, it is natural that a plurality of actuators can be used, but the tip of the operating portion of the actuator is made wide, for example. , It is possible to press the push buttons of a plurality of hand switches installed in close proximity so that shooting can be performed only with the device used. As the tip of the actuator operation, various types of adapters can be prepared depending on the shape of the push button of the hand switch of the existing X-ray imaging apparatus.
Further, as already described, it is possible to monitor from a plurality of viewpoints by using a plurality of wireless cameras.
Further, in the remote control system of the present invention, after all the preparations for irradiation are made with the existing X-ray or irradiation device, only the operation of pressing the hand switch connected by wire to the device is performed by infrared rays or radio waves from the remote controller. Since the electromagnetic valve actuator is equipped with a built-in or separate receiver to receive the radio waves, there is no concern that the X-ray or irradiation device will malfunction unexpectedly.

The operation of actually using the remote control system of the present invention will be described in detail below.

Since the X-ray imaging room used in the embodiment is equipped with a panoramic / cephalo / CT compound machine (FIG. 8) and a dental X-ray apparatus (FIG. 9) as dental X-ray apparatus, each hand The holders of the push buttons (P and D) of the switch are fixed to the wall, and the holders of the push buttons (P and D) of each device provided outside the X-ray room are firmly fixed. The actuator (FIG. 2) of the present invention was attached to the upper part of the held push buttons (P and D) at a distance of about 4 cm (FIG. 4). A wide adapter was provided at the tip of the moving portion of the actuator so that both P and D buttons could be pushed in (Fig. 4).
In the embodiment, a receiver for receiving a signal from the remote controller (FIG. 7) is separately provided above the actuator of the present invention (upper part of FIG. 6, next to the lamp in use). The outside of the X-ray imaging room is shown in FIG.
A camera is installed inside the X-ray imaging room (Fig. 10), and the state of the room can be monitored by a monitor display (Fig. 11). The operation of the panoramic / CT multifunction device and the dental X-ray device in the X-ray imaging room is the same as before.

Hereinafter, the case of performing imaging with a dental X-ray apparatus will be described, but the same can be performed when using a panorama / CT multifunction device. According to the instructions of the dentist, the medical staff guides the patient to the dental X-ray machine and positions it in the affected area (the area to be imaged). The dentist monitors the position on the display using a camera installed in the X-ray imaging room (Fig. 11), and if it is necessary to reset the position, for example, use the income or correct the position on site. be able to. If there is no problem with the positioning, notify the fact and let the staff leave the X-ray photography room.
After the staff goes out and confirms that there is no problem with the position, the dentist pushes the remote switch of the remote control (Fig. 10). As a result, the actuator lowers and pushes down both the P and D buttons (FIG. 5). In this embodiment, since the panorama / CT multifunction device is not switched on, X-rays are irradiated by the dental X-ray apparatus to perform imaging. After the end of shooting (the end of shooting can be confirmed by the buzzer of the shooting device or a signal from the staff), when the remote switch is pushed again, the actuator returns to the original neutral position (Fig. 4). When shooting a plurality of images, the same operation may be repeated from the positioning.
After the filming is complete, staff will guide the patient to the doctor's office or waiting room.

In the above embodiment, the case where the dentist performs dental X-ray photography has been described, but the same can be performed when the doctor performs medical X-ray photography. The X-ray or radiation irradiation device can be applied to any device operated by a wired push button, and can be implemented in the same manner.

As described above, in the imaging by X-ray or irradiation using the remote control system of the present invention, the patient's position can be seen from a bird's-eye view, and not only can the imaging be performed with higher accuracy than the conventional imaging, but also medical treatment can be performed. Since the doctor (dentist) inside can perform X-ray or irradiation without moving the place, the examination and treatment in the clinic or the dental clinic can be remarkably streamlined.

Claims (9)

A remote control system for medical or dental X-ray or radiation irradiation devices equipped with a solenoid valve actuator that performs push operation wirelessly and a wireless camera and monitor display. The remote control system according to claim 1, wherein the operating portion of the solenoid valve actuator is rod-shaped. The remote control system according to claim 1 or 2, wherein the tip of the operating portion of the solenoid valve actuator is wide. The remote control system according to any one of claims 1 to 3, wherein the wireless camera is a Wifi camera. The remote control system according to any one of claims 1 to 4, wherein the remote controller for operating the solenoid valve actuator is an infrared type. The remote control system according to any one of claims 1 to 5, further comprising a foot switch for a remote controller for operating a solenoid valve actuator. The remote control system according to any one of claims 1 to 6, further comprising a plurality of wireless cameras. The remote-controlled system according to any one of claims 1 to 7, wherein an alarm sound is generated during irradiation. The remote-controlled system according to any one of claims 1 to 8, further comprising a wired or wireless microphone and a speaker.