Ophthalmologic examination vehicle

Abstract

To provide an ophthalmologic examination vehicle capable of performing a plurality of ocular function examinations and capable of easily securing a space for treatment.SOLUTION: An ophthalmologic examination vehicle 100 includes a driving seat room 103 in a vehicle body 101, and an examination room 110 is formed at a back of the driving seat room 103. In the examination room 110, a main table 120 is provided behind the driving seat room 103 through a medical worker zone 123, and a medical machine / instrument M1 is arranged on a machine / instrument carriage 124 that slidably moves on the main table 120. Also, in the examination room 110, a sub-table 130 is provided along a vehicle side face 105b, and a medical machine / instrument M2 and non-face to face type medical devices HM1 and HM2 are arranged on the sub-table 130. The non-face to face type medical devices HM1 and HM2 are arranged so that an eyepiece part S is oriented to a central part side in a width direction of the vehicle body 101 with the vehicle side face 105b as a backdrop.SELECTED DRAWING: Figure 8

Description

[Technical field]

[0001] The present invention relates to an ophthalmic medical vehicle that is equipped with equipment for performing ophthalmic examinations or treatments and functions as a mobile medical vehicle for performing ophthalmic medical treatments outside a hospital. [Background technology]

[0002] Conventionally, there have been optometry vehicles that are equipped with ophthalmic function testing equipment for testing ophthalmic function outside of a hospital. For example, the following Patent Document 1 discloses an optometry vehicle equipped with ophthalmic function testing equipment in the vehicle cabin behind the driver's seat and passenger seat. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Utility Model Registration No. 3075167

[0004] However, in the eye examination vehicle disclosed in Patent Document 1 above, the eye function testing equipment and seats for the subjects are arranged along the direction of travel of the eye examination vehicle, so taking into account the path of the subjects, only one eye function testing device can be installed in the vehicle, which results in the problem that it is not possible to perform a single eye function test and it is also difficult to provide treatment or procedures based on the test results.

[0005] The present invention has been made to address the above-mentioned problems, and its object is to provide an ophthalmic treatment vehicle that can perform multiple eye function tests while making it easier to secure space for treatment. Summary of the Invention

[0006] In order to achieve the above-mentioned object, the present invention features an ophthalmology medical vehicle comprising a vehicle body formed in a box shape and having wheels, an examination room formed within the vehicle body where medical professionals such as doctors or nurses perform ophthalmic examinations, and a non-face-to-face medical device which has an eyepiece unit that allows a patient undergoing ophthalmology treatment to present their eye to the medical professional without facing the patient, thereby performing at least an eye examination, wherein the non-face-to-face medical device is positioned with its back to the side of the vehicle body in the examination room, with the eyepiece unit facing towards the center of the width of the vehicle body.

[0007] According to the features of the present invention configured in this way, the non-face-to-face medical device, which has an eyepiece that allows the patient in an ophthalmic examination to face the eye of the medical staff without facing the patient, is arranged in the examination room with its back to the side of the vehicle body and its eyepiece facing the center of the width of the self-propelled vehicle, so that multiple non-face-to-face medical devices can be arranged along the front-to-rear direction of the vehicle body and an empty space extending along the front-to-rear direction of the vehicle body can be secured. As a result, the ophthalmic examination vehicle according to the present invention can perform multiple eye function tests and also easily secure space for treatment or procedures.

[0008] Another feature of the present invention is that, in the ophthalmic treatment vehicle, the vehicle body is a self-propelled vehicle having a driver's seat and a driver's compartment formed in the width direction of the vehicle body, and the examination room is formed behind the driver's seat within the vehicle body.

[0009] According to this, the ophthalmic medical vehicle is configured as a self-propelled vehicle having a driver's seat in the vehicle body and a driver's seat compartment formed in the width direction of the vehicle body, and the examination room is formed behind the driver's seat compartment in the vehicle body, and the ophthalmic medical vehicle is formed integrally with the self-propelled vehicle. Therefore, the examination room of the ophthalmic medical vehicle can be easily moved by itself, and the usability of the examination room can be improved by utilizing the equipment such as the power source, power source, air conditioner, and lighting equipment provided in the self-propelled vehicle.

[0010] Another feature of the present invention is that the ophthalmological medical vehicle further comprises, in the driver's compartment, an examination room power supply for supplying power to the examination room.

[0011] According to this, the ophthalmology medical vehicle is equipped with an examination room power supply within the driver's seat space that supplies electricity to the examination room, making it possible to improve the ease of use of electricity in the examination room without using space within the examination room.

[0012] Another feature of the present invention is that the ophthalmic care vehicle further comprises a medical staff zone in which medical staff are positioned at the front of the ophthalmic care vehicle within the examination room, and a main table facing the medical staff zone for providing medical services to patients, and the non-face-to-face medical device is positioned at the rear of the ophthalmic care vehicle relative to the main table.

[0013] According to this, the ophthalmology vehicle is equipped with a medical staff zone where medical staff are located at the front of the ophthalmology vehicle in the examination room, and a main table located opposite the medical staff zone for providing medical services to patients, and the non-face-to-face medical device is located at the rear of the ophthalmology vehicle relative to the main table, so that patients can face the medical staff by facing the front of the ophthalmology vehicle, and can easily have their eyes examined or treated using the non-face-to-face medical device by turning to the side of the vehicle.

[0014] Another feature of the present invention is that the ophthalmology vehicle further comprises a medical staff entrance / exit provided on at least one of the left and right sides of the ophthalmology vehicle in the left-right direction relative to the medical staff zone, for medical staff to enter and exit the examination room.

[0015] According to this, the ophthalmology vehicle is provided with a medical staff entrance / exit provided on at least one of the left and right sides of the medical staff zone for medical staff to enter and exit the examination room, so that medical staff can easily enter and exit the examination room. In this case, it is preferable that the medical staff entrance / exit is provided on the side close to the medical staff zone on both the left and right sides of the ophthalmology vehicle.

[0016] Another feature of the present invention is that the ophthalmic treatment vehicle further includes a sub-table for supporting a non-face-to-face medical device in a loaded state, and the sub-table is provided along the side of the ophthalmic treatment vehicle, with its upper surface being flush with and connected to the upper surface of the main table.

[0017] According to this, the ophthalmology medical vehicle is equipped with a sub-table that supports the non-face-to-face medical device in a placed state, and the upper surface of this sub-table is connected flush with the upper surface of the main table and is provided along the side of the ophthalmology medical vehicle, so that the patient can face the medical staff and the non-face-to-face medical device at approximately the same eye level, making it easier to receive medical services. In addition, the medical staff can easily move the non-face-to-face medical device on the sub-table onto the main table for use or maintenance.

[0018] Another feature of the present invention is that the ophthalmic examination vehicle further comprises an instrument cart that supports medical instruments for examining or treating a patient's eyes and slides on the main table or sub-table.

[0019] According to this, the ophthalmic examination vehicle is provided with a machine / instrument cart on which medical machines and instruments for examining or treating a patient's eyes are placed and which slides on the main table or sub-table, so that the medical machines and instruments can be easily moved on the main table or sub-table. In this case, it is preferable that the ophthalmic examination vehicle is provided with spherical or cylindrical rollers on the machine / instrument cart side or the table side.

[0020] Another feature of the present invention is that in the ophthalmic examination vehicle, at least one of the main table and the sub-table is further provided with a locking mechanism for locking or unlocking the machine / instrument cart.

[0021] According to this, in the ophthalmology treatment vehicle, at least one of the main table and sub-table is equipped with a locking mechanism for fixing or unlocking the machinery and instrument cart, so that the machinery and instrument cart, i.e., the medical machinery and instruments placed on this machinery and instrument cart, can be temporarily fixed on the main table and / or sub-table.

[0022] Another feature of the present invention is that the ophthalmic examination vehicle further comprises a patient entrance / exit for patients to enter and exit the examination room at the rear end of the vehicle body.

[0023] According to this, the ophthalmology medical vehicle has a patient entrance / exit for patients to enter / exit the examination room at the rear part of the vehicle body, so that patients can easily enter / exit the examination room without reducing the installation space of the non-face-to-face medical device. In this case, it is preferable that the examination room is equipped with a slope or an electric lifter for raising / lowering wheelchairs or people into / from the examination room.

[0024] Another feature of the present invention is that the ophthalmic medical vehicle further includes a maintenance opening on a side surface of the vehicle for accessing the rear surface of the non-face-to-face medical device.

[0025] According to this, the ophthalmology vehicle is equipped with a maintenance opening on the side of the vehicle for accessing the rear of the non-face-to-face medical device, so that even if the non-face-to-face medical device is placed with its back to the side of the ophthalmology vehicle, maintenance can be performed from outside the vehicle without changing the position or orientation of the non-face-to-face medical device.

[0026] Another feature of the present invention is that the ophthalmic medical vehicle is further provided with a treatment device for treating the patient's eyes.

[0027] According to this, the ophthalmology mobile is equipped with a treatment device for treating the patient's eyes, so that in addition to eye examinations, eye treatment can also be performed. [Brief description of the drawings]

[0028] [Figure 1] 1 is a left side view showing an outline of the external configuration of an ophthalmology vehicle according to the present invention. FIG. [Diagram 2] 2 is a plan view showing a schematic external configuration of the ophthalmology medical vehicle shown in FIG. 1. [Diagram 3] 3 is an enlarged, partially cutaway plan view showing mainly the configuration of an examination room inside the ophthalmology medical vehicle shown in FIG. 2 with the machine and instrument cart located at the standby position and with the left and right side doors both open. FIG. [Figure 4] 3 is an enlarged, partially cutaway plan view showing mainly the configuration of an examination room inside the ophthalmology medical vehicle shown in FIG. 2 with the instrument cart in the use position and the right side door open. FIG. [Diagram 5] 2 is a partially cutaway enlarged side view showing mainly the configuration of an examination room inside the ophthalmology medical vehicle shown in FIG. 1 with a side door and a back door both open. FIG. [Figure 6] FIG. 5 is a plan view showing the outline of the external configuration of a machine / instrument cart on which the medical machine / instrument shown in FIGS. 2 to 4 is placed. [Figure 7] FIG. 7 is a side view showing a state in which the machine / tool ​​cart shown in FIG. 6 is fixed on a main table or a sub table. [Figure 8] 4 is a partially cutaway enlarged plan view showing a state in which a patient is about to use a non-face-to-face medical device inside the ophthalmology medical vehicle shown in FIG. 3. [Figure 9] FIG. 11 is an enlarged, partially cutaway side view showing mainly the configuration of an examination room inside an ophthalmologic treatment vehicle according to a modified example of the present invention with a side door open. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0029] Hereinafter, an embodiment of the ophthalmic medical vehicle according to the present invention will be described with reference to the drawings. FIG. 1 is a left side view showing the outline of the external configuration of the ophthalmic medical vehicle 100 according to the present invention. FIG. 2 is a plan view showing the outline of the external configuration of the ophthalmic medical vehicle 100 shown in FIG. 1. FIG. 3 is a partially cutaway enlarged plan view showing mainly the configuration of the examination room 110 in the interior of the ophthalmic medical vehicle 100 shown in FIG. 2 with the machine and instrument cart 124 in the standby position and the left and right side doors 112a, 113a open. FIG. 4 is a partially cutaway enlarged plan view showing mainly the configuration of the examination room 110 in the interior of the ophthalmic medical vehicle 100 shown in FIG. 2 with the machine and instrument cart 124 in the use position and the right side door 112a open. FIG. 5 is a partially cutaway enlarged side view showing mainly the configuration of the examination room 110 in the interior of the ophthalmic medical vehicle 100 shown in FIG. 1 with the side door 113a and the back door 114a open. In this embodiment, the forward or backward direction of the ophthalmic medical vehicle 100 is the "front-rear direction", and the width direction of the ophthalmic medical vehicle 100 perpendicular to the front-rear direction is the "left-right direction".

[0030] (Configuration of the ophthalmology medical vehicle 100) This ophthalmic medical vehicle 100 is a vehicle for going to places other than hospitals that do not have medical facilities (for example, the home of patient K, a nursing home, an accident or disaster site, a public facility such as a station or a community center, or a commercial facility) to provide medical services such as ophthalmic examination, diagnosis, or treatment. This ophthalmic medical vehicle 100 is equipped with a vehicle body 101.

[0031] The vehicle body 101 is a box-shaped vehicle that travels carrying people and equipment necessary for ophthalmic examination, and is equipped with a driver's seat 103 and an examination room 110 inside the vehicle, and is equipped with four wheels 102 on the outside of the vehicle. In this embodiment, the vehicle body 101 is a self-propelled vehicle that employs a reciprocating engine (not shown) as a prime mover for self-propelling. In this case, the vehicle body 101 is configured as a four-wheel drive vehicle in which the four wheels 102, each made of a tire, are each rotated and driven by a prime mover.

[0032] The driver's seat compartment 103 is an interior space including a driver's seat 103a where a driver who drives the vehicle body 101 sits and a passenger seat 103b provided on the side of the driver's seat 103a where a passenger sits, and is formed extending in the width direction at the frontmost part of the interior space of the vehicle body 101. In this case, in this embodiment, the driver's seat compartment 103 is arranged such that the driver's seat 103a is disposed on the right side in the vehicle width direction and the passenger seat 103b is disposed on the left side in the vehicle width direction.

[0033] Between the driver's seat 103a and the passenger seat 103b, a space between the seats 104 is formed, which is a gap large enough for people to move between the driver's compartment 103 and the examination room 110, and a power source 107 for the examination room is provided in part of the space between the seats 104. The driver's compartment 103 can be accessed through front doors 106a and 106b provided on the left and right vehicle sides 105a and 105b of the vehicle body 101, respectively.

[0034] The examination room power supply 107 is a battery equipped with an outlet for supplying power to devices requiring power, such as the medical machines and instruments M1, M2 and the non-face-to-face medical devices HM1, HM2, used in the examination room 110. This examination room power supply 107 is charged by receiving power from a household power supply (100V or 200V) or a generator or battery mounted on the vehicle body 101, as well as from a solar panel (not shown).

[0035] The examination room 110 is an interior space in the vehicle where a medical professional D such as a doctor or nurse provides ophthalmologic medical services to a patient K, and is formed behind the driver's compartment 103. The examination room 110 has a flat floor 111, and a medical professional entrance / exit 112, a maintenance opening 113, and a patient entrance / exit 114 are provided in the surrounding walls. In this case, a step 111a is formed in the part of the floor 111 facing the medical professional entrance / exit 112, which descends in a stepped manner from the floor 111 and serves as an entrance to the floor 111.

[0036] An item storage section 111b is formed under the floor in a portion of the floor surface 111 facing the maintenance opening 113. Furthermore, a window provided in the examination room 110 is provided with an openable curtain (not shown) for blocking outside light and for maintaining privacy within the examination room 110.

[0037] The medical staff entrance 112 is an opening mainly for medical staff D to enter and exit the examination room 110, and is formed on the vehicle side surface 105a of the vehicle body 101. In this embodiment, the medical staff entrance 112 is formed on the same vehicle side surface 105a as the front door 106a of the driver's compartment 103 in the vehicle body 101, immediately behind and adjacent to this front door 106a. This medical staff entrance 112 is blocked by a side door 112a so as to be freely opened and closed.

[0038] The side door 112a is configured as a sliding door that slides along the front-rear direction of the vehicle body 101, and configures a part of the vehicle side surface 105a. This side door 112a is provided with an opening / closing window 112b that can be raised and lowered by manual operation, and is configured so that the examination room 110 can be connected or blocked to the outside (outside the vehicle) through this opening / closing window 112b as well.

[0039] The maintenance opening 113 is an opening mainly for performing maintenance of the non-face-to-face type medical devices HM1, HM2, and is formed on the vehicle side surface 105b of the vehicle body 101. In this embodiment, the maintenance opening 113 is formed on the same vehicle side surface 105b as the front door 106b of the driver's compartment 103 in the vehicle body 101, immediately behind and adjacent to this front door 106b. This maintenance opening 113 is closed by a side door 113a so as to be freely opened and closed.

[0040] The side door 113a is configured as a sliding door that slides along the front-rear direction of the vehicle body 101, and configures a part of the vehicle side surface 105b. This side door 113a is provided with an opening / closing window 113b that can be raised and lowered by manual operation, and is configured so that the examination room 110 can be connected or blocked to the outside (outside the vehicle) through this opening / closing window 113b as well.

[0041] The patient entrance 114 is an opening mainly for the patient K to enter and exit the examination room 110, and is formed on the rear surface of the vehicle body 101. In this embodiment, the patient entrance 114 is formed as an opening in almost the entire portion above the bumper on the rear surface of the vehicle body 101. This patient entrance 114 is closed by a back door 114a so as to be freely opened and closed.

[0042] The back door 114a is configured as a flip-up door that flips up from the upper edge of the back surface of the vehicle body 101 as a base end. The back door 114a constitutes the portion of the back surface of the vehicle body 101 above the bumper, and essentially constitutes the back surface of the vehicle body 101.

[0043] The driver's seat compartment 103 and the examination room 110 are covered by a single common roof 115 that extends in the front-rear direction of the vehicle body 101. That is, the roof 115 constitutes the ceiling of the driver's seat compartment 103 and the examination room 110. Lighting (not shown) is provided on the surface (i.e., the ceiling) of the examination room 110 of this roof 115. In addition, a movable roof 116 is provided on the roof portion of the examination room 110.

[0044] The movable roof 116 is a component for increasing the height of the ceiling in the examination room 110, and is configured as a flip-up plate-like body whose front side flips up from the base end near the rear end of the roof 115. In this case, the movable roof 116 is provided with a cover sheet 116a that closes the openings on the front side and both the left and right sides when flipped up. This cover sheet 116a is configured from a resin sheet material that is opaque but has optical transparency. In this case, a mesh section that can be opened and closed is formed in part of the cover sheet 116a to ensure ventilation between the inside of the examination room 110.

[0045] In the examination room 110, a main table 120, a sub-table 130, and an electric lifter 140 are mainly provided.

[0046] The main table 120 is a desk placed between the medical staff D and the patient K, and is formed at a position adjacent to the side door 112a so as to extend toward the side door 113a. That is, the main table 120 is provided so as to extend in the vehicle width direction of the vehicle body 101. In this embodiment, the main table 120 is formed so as to extend from a position adjacent to the side door 112a, beyond the space between the seats 104, to a position slightly overlapping the passenger seat 103b.

[0047] Moreover, the main table 120 is disposed at a distance from the driver's seat compartment 103 via a predetermined space, and a medical staff zone 123 consisting of the predetermined space is formed between the main table 120 and the driver's seat compartment 103. Moreover, the upper surface of the main table 120 is formed as a smooth flat surface, and a first cart positioning portion 121a, a first cart locking portion 121b, a second cart positioning portion 122a, and a second cart locking portion 122b are formed on this flat surface. Moreover, the main table 120 is configured so that the height of the upper surface can be raised and lowered by operation by the medical staff D.

[0048] The first cart positioning unit 121a, the first cart locking unit 121b, the second cart positioning unit 122a and the second cart locking unit 122b are units for fixing the position of the machine / instrument cart 124 on the main table 120. Among these, the first cart positioning unit 121a and the first cart locking unit 121b have a function of fixing the machine / instrument cart 124 at a use position on the main table 120. Here, the use position is a position on the main table 120 where the medical machine / instrument M1 placed on the machine / instrument cart 124 is used.

[0049] The first cart positioning portion 121a is a portion for positioning the machine / instrument cart 124 at the use position, and is configured with a protrusion against which the machine / instrument cart 124 abuts. In this embodiment, the first cart positioning portion 121a is configured with three rectangular parallelepiped resin pieces aligned in a row in the width direction at the edge portion on the patient K side of the main table 120, approximately in the center in the width direction of the vehicle body 101. In this case, metal plates are attached to the three resin pieces of the first cart positioning portion 121a, and the machine / instrument cart 124 can be temporarily fixed by magnetic force.

[0050] The first carriage locking portion 121b is configured with two bottomed holes having female threads into which the lock bolts 128 that pass through the machine / tool ​​carriage 124 are threadably fitted.

[0051] On the other hand, the second cart positioning unit 122a and the second cart lock unit 122b have a function of fixing the machine / instrument cart 124 at a standby position on the main table 120. Here, the standby position is a position where the medical machine / instrument M1 placed on the machine / instrument cart 124 is kept on standby on the main table 120 without being used.

[0052] The second cart positioning portion 122a is a portion for positioning the machine / instrument cart 124 at the standby position, and is configured with a protrusion against which the machine / instrument cart 124 abuts. In this embodiment, the second cart positioning portion 122a, like the first cart positioning portion 121a, is configured with three rectangular parallelepiped resin pieces arranged in a row in the width direction of the vehicle body 101 on the side door 112a side, which is an edge portion on the patient K side of the main table 120. In this case, metal plates are attached to the three resin pieces of the second cart positioning portion 122a, and the machine / instrument cart 124 can be temporarily fixed by magnetic force.

[0053] The second carriage locking portion 122b, like the first carriage locking portion 121b, is configured with two bottomed holes having female threads into which the lock bolts 128 that pass through the machine / equipment carriage 124 are screwed.

[0054] The medical staff zone 123 is a space in the examination room 110 for a medical staff D to provide medical services to a patient K, and is formed between the driver's seat compartment 103 and the main table 120, extending in the width direction of the vehicle body 101. In this case, the medical staff zone 123 is formed extending from the side door 112a to the space between the seats 104.

[0055] 6 and 7, the machine / instrument cart 124 is a component that movably mounts the medical machine / instrument M1 on the main table 120, and is made of a metal, resin, or wood material formed into a plate shape. The machine / instrument cart 124 is provided with ball casters 125, abutment parts 126, and lock bolt penetration parts 127.

[0056] The ball casters 125 are components for facilitating movement of the machine / instrument cart 124 on the main table 120, and are configured with metal balls that freely rotate while protruding downward from the underside of the machine / instrument cart 124. In this embodiment, four ball casters 125 are provided on the underside of the machine / instrument cart 124. As a result, the machine / instrument cart 124 is disposed in a floating state above the upper surface of the main table 120. In this embodiment, the machine / instrument cart 124 is disposed on the upper surface of the main table 120 with a gap between the machine / instrument cart 124 and the upper surface of the main table 120 that is large enough to allow wiring of the medical machine / instrument M1 to pass through.

[0057] The abutment portion 126 is a portion that is attracted by magnetic force to the first carriage positioning portion 121a and the second carriage positioning portion 122a, and is composed of magnet pieces. The abutment portion 126 is provided on the underside of the machine / tool ​​carriage 124 with three magnet pieces at intervals corresponding to the first carriage positioning portion 121a and the second carriage positioning portion 122a, respectively.

[0058] The lock bolt penetration portion 127 is a portion through which the lock bolt 128 passes and is held down by the lock bolt 128. In this embodiment, the lock bolt penetration portion 127 is configured by forming a through hole in each of two transparent resin plates through which the lock bolt 128 passes. In this case, the two resin plates that configure the lock bolt penetration portion 127 are affixed with an adhesive to the side surfaces of the machine / tool ​​cart 124 so as to face the first cart locking portion 121b and the second cart locking portion 122b, respectively.

[0059] The lock bolt 128 is a part for fixing the machine / tool ​​cart 124 onto the main table 120, and is configured by forming a male thread on the outer circumferential surface of a metal rod body.

[0060] The medical device M1 is a device used by a medical professional D when taking a medical interview, examining, testing, treating, or administering medical treatment to a patient K. In this embodiment, the medical device M1 is configured as an ophthalmic laser treatment device, but it may be configured as other devices, for example, a microscope that allows a magnified view of the patient K's eye, as well as various eye function testing devices (for light perception, visual acuity, refraction, color vision, visual field, convergence, strabismus, intraocular pressure, eye movement, etc.).

[0061] In other words, the medical machine / instrument M1 includes a face-to-face ophthalmic device that is placed between a medical professional D and a patient K who face each other, and a non-face-to-face medical device that is used when the medical professional D does not face the patient K. In addition to face-to-face ophthalmic devices and non-face-to-face ophthalmic devices, the medical machine / instrument M1 also includes medical or non-medical tools or instruments that the medical professional D uses when interviewing, examining, or treating the patient K.

[0062] The sub-table 130 is a desk arranged along the vehicle side surface 105b in the examination room 110. In this embodiment, the sub-table 130 is formed to extend from a portion facing the side door 113a to a portion facing the wheel house of the rear wheels. In this case, the upper surface of the sub-table 130 is formed at the same height as the upper surface of the main table 120, and is arranged so that the upper surfaces of the sub-tables are flush and connected in a T-shape. As a result, the sub-table 130 forms the left end of the medical staff zone 123 in the vehicle width direction in front of the main table 120, and also forms the left end of the patient zone 131 formed behind the main table 120 in the vehicle width direction.

[0063] The patient zone 131 is an area where patient K (including attendants) receiving medical services in the examination room 110 is located, and is formed on the rear side of the vehicle body 101 via the main table 120 from the medical staff zone 123. A part of the sub-table 130 faces this patient zone 131. The upper surface of the sub-table 130 is configured as a smooth flat surface, on which third cart positioning units 132a and third cart lock units 132b are respectively formed, and on which the non-face-to-face medical devices HM1, HM2 and the personal computer PC are respectively placed.

[0064] The third cart positioning unit 132a and the third cart locking unit 132b, like the second cart positioning unit 122a and the second cart locking unit 122b, have a function of fixing the machine / instrument cart 133 at a standby position on the sub-table 130. Here, the standby position is a position where the medical machine / instrument M2 placed on the machine / instrument cart 133 is kept on standby on the sub-table 130 without being used.

[0065] The third carriage positioning portion 132a and the third carriage locking portion 132b are configured similarly to the second carriage positioning portion 122a and the second carriage locking portion 122b, and therefore a description thereof will be omitted. In this embodiment, the third carriage positioning portion 132a and the third carriage locking portion 132b are formed on the sub-table 130 on an extension line of the main table 120 extending in the vehicle width direction.

[0066] The machine / instrument cart 133, like the machine / instrument cart 124, is a component that movably places the medical machine / instrument M2 on the sub-table 130 and the main table 120, and is made of a metal, resin, or wood material formed into a plate shape. Like the machine / instrument cart 124, the machine / instrument cart 133 is provided with ball casters 134, abutting parts 135, and a lock bolt penetration part 136, but their description will be omitted. Also, the lock bolt 137 that penetrates the lock bolt penetration part 136 of the machine / instrument cart 133 and is screwed into the sub-table 130 is similar to the lock bolt 128, so its description will be omitted. Also, in FIG. 3, the machine / instrument cart 133 is omitted in order to show the third cart positioning part 132a and the third cart lock part 132b.

[0067] The medical device M2 is similar to the medical device M1. In this embodiment, the medical device M2 is configured as a fundus examination device, but it is not limited to this.

[0068] As described above, the non-face-to-face medical devices HM1 and HM2 are various eye function testing devices (such as light perception, visual acuity, refraction, color vision, visual field, convergence, heterophoria, intraocular pressure, or eye movement) that are used when the medical worker D does not face the patient K. In this case, the non-face-to-face medical devices HM1 and HM2 are configured with an eyepiece S that the patient K places on the eye to be examined. In this embodiment, the non-face-to-face medical device HM1 is configured as a visual acuity testing device, and the non-face-to-face medical device HM2 is configured as a corneal endothelium testing device.

[0069] These non-face-to-face medical devices HM1 and HM2 are placed on the sub-table 130 so as to face the patient zone 131. That is, the non-face-to-face medical devices HM1 and HM2 are arranged in the examination room 110 with their backs to the vehicle side surface 105b of the vehicle body 101, with the eyepiece unit S facing the center of the vehicle body 101 in the width direction.

[0070] The personal computer PC is a computer device used by the medical staff D, and is placed on the sub-table 130 so as to face the medical staff zone 123. The personal computer PC can also be placed on the medical equipment carts 124, 133 as the medical equipment M1, M2.

[0071] The electric lifter 140 is a mechanical device for the patient K or medical staff D to enter and exit the examination room 110, and is configured such that a platform large enough for the patient K to ride in a wheelchair can electrically move up and down between the floor surface 111 of the examination room 110 and the road surface on which the vehicle body 101 is parked. This electric lifter 140 is provided at the rear end of the examination room 110 facing the back door 114a. The electric lifter 140 can also be used by the patient K standing alone on the platform without using a wheelchair, or by positioning the platform at a height intermediate between the floor surface 111 and the road surface and using it like a staircase.

[0072] (Operation of Ophthalmology Medical Vehicle 100) Next, the operation of the ophthalmic treatment vehicle 100 thus configured will be described. First, the medical staff D drives the ophthalmic treatment vehicle 100 to move it to a location where medical services are to be provided. In this case, the medical staff D positions the machine / instrument cart 124 at the second cart positioning portion 122a and the second cart locking portion 122b, which are standby positions on the main table 120, and then fixes the machine / instrument cart 124 to the main table 120 using the lock bolt 128.

[0073] Furthermore, the medical staff D positions the machine / instrument cart 133 at the third cart positioning section 132a and the third cart lock section 132b, which are the standby positions on the sub-table 130, and then fixes it to the sub-table 130 in advance using the lock bolt 137. The driver of the ophthalmologic treatment vehicle 100 does not necessarily have to be the medical staff D, and any person who has a general driver's license will suffice.

[0074] Next, the medical worker D provides the medical service after completely parking the ophthalmic treatment vehicle 100 at the place where the medical service is to be provided. Specifically, the medical worker D guides the patient K to the patient zone 131 in the examination room 110 using the electric lifter 140, and then moves into the medical worker zone 123 to start the examination (see FIG. 5). In this case, the medical worker D interviews the patient K, examines him / her, or performs a medical treatment.

[0075] Here, when the medical worker D interviews the patient K, the medical worker D can do so face-to-face via the main table 120 (see FIG. 3). When the medical worker D performs various medical tests on the patient K, the medical worker D can perform the test using the non-face-to-face medical device HM1 or the non-face-to-face medical device HM2 with the patient K facing the sub-table 130 side (the vehicle side surface 105b side) as shown in FIG.

[0076] Furthermore, when performing a medical procedure on a patient K, the medical worker D can use the medical device M1 or the medical device M2 to perform treatment or examination (see FIG. 4). In this case, the medical worker D moves and positions the medical device M1 or the medical device M2 to the first carriage positioning portion 121a and the first carriage locking portion 121b, which are the use position on the main table 120, and then fixes it to the main table 120 using the lock bolt 137.

[0077] In this case, the medical staff D can easily move on the main table 120 or the sub-table 130 because the ball casters 125, 134 are provided on the undersides of the machine and instrument carts 124, 133. In these cases, the medical staff D can set the movable roof 116 to a required height as needed. Naturally, the medical staff D can also move into the patient zone 131 to care for the patient K as needed.

[0078] Next, when the medical worker D has finished examining the patient K, he or she uses the electric lifter 140 to have the patient K exit the examination room 110. Then, when there is a new patient K, the medical worker D guides the new patient K into the examination room 110 in the same manner as described above. When there is no new patient K, the medical worker D stores the electric lifter 140 in the examination room 110, fixes the machine and instrument carts 124, 133 to their respective standby positions, and drives the ophthalmology treatment vehicle 100 to withdraw, thereby completing the provision of medical services.

[0079] Next, the medical worker D can perform maintenance on the medical equipment M2 and the non-face-to-face type medical devices HM1, HM2 placed on the sub-table 130. Specifically, the medical worker D can perform maintenance on the medical equipment M2 and the non-face-to-face type medical devices HM1, HM2 while positioned in the medical worker zone 123 or the patient zone 131. The medical worker D can also perform maintenance on the medical equipment M2 and the non-face-to-face type medical devices HM1, HM2 while positioned in the medical worker zone 123 or the patient zone 131. The medical worker D can also perform maintenance on the medical equipment M2 and the non-face-to-face type medical devices HM1, HM2 from outside the vehicle body 101 by opening the side door 113a or the opening / closing window 113b (see FIG. 3 or FIG. 5).

[0080] As can be understood from the above operation description, according to the above embodiment, the non-face-to-face medical devices HM1, HM2, which have an eyepiece S that faces the eye of a patient K in an ophthalmic examination without facing the medical worker D, are arranged in the examination room 110 with the eyepiece S facing the center of the width of the vehicle body 101, with the vehicle side surface 105b of the vehicle body 101 at its back, so that multiple non-face-to-face medical devices HM1, HM2 can be arranged along the front-to-back direction of the vehicle body 101, and an empty space extending along the multiple non-face-to-face medical devices HM1, HM2 in the front-to-back direction of the vehicle body 101 can be secured as a patient zone 131. As a result, the ophthalmic treatment vehicle 100 according to the present invention can perform multiple eye function tests and also easily secure a space for treatment or procedure.

[0081] Furthermore, the present invention is not limited to the above-described embodiment, and various modifications are possible without departing from the scope of the present invention. In the description of each modification, the same reference numerals are used to designate the same parts as those in the above-described embodiment, and redundant description will be omitted.

[0082] For example, in the above embodiment, the ophthalmic treatment vehicle 100 is configured as a self-propelled vehicle equipped with a reciprocating engine as a prime mover. However, the ophthalmic treatment vehicle 100 can be configured as a self-propelled vehicle that is self-propelled by a prime mover other than a reciprocating engine, such as an electric motor. Also, as shown in Fig. 9, the ophthalmic treatment vehicle 200 can be configured as a trailer that is not self-propelled but is pulled by another self-propelled vehicle, a person, or an animal.

[0083] Specifically, the ophthalmologic treatment vehicle 200 is provided with a box-shaped vehicle body 201 that travels while carrying people and equipment necessary for ophthalmologic treatment. This vehicle body 201 is provided with two wheels 202, but cannot travel by itself, and is towed by a self-propelled vehicle such as an automobile. For this reason, the vehicle body 201 is provided with a coupling device 203 for detachably coupling to a towing vehicle T, which is a self-propelled vehicle, on the front side in the traveling direction, and is provided with two wheels 202, which are tires, on the rear side in the traveling direction. Inside the vehicle body 201, an examination room 210, which is configured in the same manner as the examination room 110, is formed.

[0084] The ophthalmic treatment vehicle 200 configured in this manner can be moved freely by the towing vehicle T, and by detaching the towing vehicle T, ophthalmic treatment can be continued even if the towing vehicle T is withdrawn and only the ophthalmic treatment vehicle 200 is left at the installation location. Therefore, one or more ophthalmic treatment vehicles 200 can be operated using existing automobiles. Furthermore, the ophthalmic treatment vehicle 200 configured in this manner can be manufactured at low cost.

[0085] In the above embodiment, the ophthalmic treatment vehicle 100 is configured as a four-wheel drive vehicle with four driven wheels 102. However, it goes without saying that the ophthalmic treatment vehicle 100 may be a two-wheel drive vehicle, such as a front-wheel drive or rear-wheel drive. In addition, the number of wheels 102 provided on the vehicle body 101 may be four or more or three or less, and crawlers (crawlers) may be used instead of tires.

[0086] In the above embodiment, the non-face-to-face medical devices HM1 and HM2 are configured as devices that perform an eye function test on patient K. However, the non-face-to-face medical devices HM1 and HM2 only need to have a function for performing an eye function test on patient K, and may also be devices that perform eye treatment in addition to performing an eye function test. Furthermore, the non-face-to-face medical devices HM1 and HM2 only need to include at least one eye function testing device that performs an eye function test on patient K, and one of the non-face-to-face medical devices HM1 and HM2 may be a device that performs only eye treatment, or the non-face-to-face medical devices HM1 and HM2 may further include another eye function testing device or treatment device.

[0087] In the above embodiment, the ophthalmic medical vehicle 100 is configured to include the main table 120 and the medical devices M1 and M2. However, the ophthalmic medical vehicle 100 can be configured to omit at least one of the main table 120 and the medical devices M1 and M2. That is, the ophthalmic medical vehicle 100 can be configured to omit the main table 120 and the medical devices M1 and M2.

[0088] In the above embodiment, the ophthalmology vehicle 100 has a medical staff entrance 112 behind the front door 106a on the vehicle side 105a facing the medical staff zone 123. That is, the medical staff entrance 112 is provided immediately behind the front door 106a of the driver's compartment 103. However, the medical staff entrance 112 can be provided in a location other than the rear of the front door 106a on the vehicle side 105a, for example, behind the front door 106b or on the vehicle side 105a, 105b behind the side doors 112a, 113a. The medical staff entrance 112 can also be an opening that is opened and closed by the front doors 106a, 106b or the back door 114a.

[0089] In the above embodiment, the ophthalmic treatment vehicle 100 is provided with the maintenance opening 113 behind the front door 106b on the vehicle side surface 105b. However, the ophthalmic treatment vehicle 100 may be configured without the maintenance opening 113. The maintenance opening 113 may also be provided on the vehicle side surface 105a instead of or in addition to the vehicle side surface 105b.

[0090] In the above embodiment, the patient entrance 114 is provided at the rear end of the vehicle body 101. However, the patient entrance 114 may be provided at a location other than the rear end of the vehicle body 101, for example, on the vehicle side surfaces 105a, 105b. The patient entrance 114 may also be used as the medical staff entrance 112.

[0091] In the above embodiment, the ophthalmic treatment vehicle 100 is configured to include the sub-table 130. However, the ophthalmic treatment vehicle 100 can also be configured without the sub-table 130. In this case, the non-face-to-face medical devices HM1, HM2 can be placed directly on the floor surface 111. Also, the sub-table 130 does not necessarily have to be formed at the same height as the main table 120, and the upper surface can be formed at a different height relative to the upper surface of the main table 120.

[0092] In the above embodiment, the main table 120 and the sub-table 130 are installed on the floor surface 111. However, the main table 120 and the sub-table 130 may be configured to support the medical machines and instruments M1, M2 and the non-face-to-face medical devices HM1, HM2. Therefore, the main table 120 and the sub-table 130 may be configured, for example, as a hanging shelf with the top plate on which the medical machines and instruments M1, M2 and the non-face-to-face medical devices HM1, HM2 are placed, suspended from the ceiling of the examination room 110, or as a shelf fixed to the vehicle side surfaces 105a, 105b.

[0093] In the above embodiment, the medical machines and instruments M1, M2 are arranged on the machine carts 124, 133 and configured to be slidable on the main table 120 and / or the sub-table 130. However, the medical machines and instruments M1, M2 can also be placed directly on the main table 120 and / or the sub-table 130. In other words, the ophthalmologic examination vehicle 100 can also be configured without the machine carts 124, 133.

[0094] Further, the machine / tool ​​carts 124, 133 are configured to include the butt sections 126, 135 and the lock bolt penetration sections 127, 136, respectively. However, the machine / tool ​​carts 124, 133 may be configured to omit the butt sections 126, 135 and the lock bolt penetration sections 127, 136, respectively. In these cases, it goes without saying that the first cart positioning section 121a, the first cart lock section 121b, the second cart positioning section 122a, the second cart lock section 122b, the third cart positioning section 132a, the third cart lock section 132b, and the lock bolts 128, 137 are unnecessary. In other words, the main table 120, the sub-table 130, and the machine / tool ​​carts 124, 133 may be configured to omit the locking mechanism that temporarily fixes the machine / tool ​​carts 124, 133 on the main table 120 and / or the sub-table 130.

[0095] In the above embodiment, the non-face-to-face type medical devices HM1, HM2 are directly placed on the sub-table 130. However, the non-face-to-face type medical devices HM1, HM2 can also be placed on a machine / instrument cart configured similarly to the machine / instrument carts 124, 133 so as to be slidable on the main table 120 and / or the sub-table 130.

[0096] In the above embodiment, the machine / tool ​​carts 124, 133 are configured to include the spherical ball casters 125, 134. However, the machine / tool ​​carts 124, 133 may be configured to include cylindrical or columnar rollers instead of or in addition to the ball casters 125, 134 so as to slide on the main table 120 and / or the sub-table 130. The machine / tool ​​carts 124, 133 may also be configured to omit the ball casters 125, 134 and slide directly on the main table 120 and / or the sub-table 130.

[0097] In the above embodiment, the ophthalmic examination car 100 is configured to include the first carriage positioning unit 121a, the first carriage locking unit 121b, the second carriage positioning unit 122a, the second carriage locking unit 122b, the third carriage positioning unit 132a, the third carriage locking unit 132b, and the lock bolts 128, 137. However, the ophthalmic examination car 100 can also be configured to omit the first carriage positioning unit 121a, the first carriage locking unit 121b, the second carriage positioning unit 122a, the second carriage locking unit 122b, the third carriage positioning unit 132a, the third carriage locking unit 132b, and the lock bolts 128, 137.

[0098] In the above embodiment, the examination room power supply 107 is arranged inside the driver's compartment 103. However, the examination room power supply 107 can be arranged inside the examination room 110 instead of or in addition to the driver's compartment 103. The ophthalmic treatment vehicle 100 can also be configured to omit the examination room power supply 107 and receive power from a battery in the vehicle body 101 or an external power supply at the destination of the ophthalmic treatment vehicle 100.

[0099] In the above embodiment, the ophthalmic treatment vehicle 100 is configured to include the movable roof 116 and the electric lifter 140. However, the ophthalmic treatment vehicle 100 may be configured to omit the movable roof 116 and the electric lifter 140. [Explanation of symbols]

[0100] D: medical staff, K: patient, M1, M2: medical equipment, HM1, HM2: non-face-to-face medical device, S: eyepiece, PC: personal computer, 100: Ophthalmology medical vehicle; 101: Vehicle body; 102: Wheels; 103: Driver's seat; 103a: Driver's seat; 103b: Passenger seat; 104: Space between seats; 105a, 105b: Vehicle side; 106a, 106b: Front door; 107: Power supply for examination room; 110: examination room, 111: floor, 111a: step, 111b: item storage section, 112: entrance / exit for medical staff, 112a: side door, 112b: opening / closing window, 113: maintenance opening, 113a: side door, 113b: opening / closing window, 114: patient entrance / exit, 114a: back door, 115: roof, 116: movable roof, 116a: covering sheet, 120...main table, 121a...first cart positioning portion, 121b...first cart locking portion, 122a...second cart positioning portion, 122b...second cart locking portion, 123...medical worker zone, 124...machine instrument cart, 125...ball caster, 126...butting portion, 127...lock bolt penetration portion, 128...lock bolt, 130...sub-table, 131...patient zone, 132a...third cart positioning portion, 132b...third cart lock portion, 133...machine instrument cart, 134...ball caster, 135...butt portion, 136...lock bolt penetration portion, 137...lock bolt, 140…Electric lifter 200...ophthalmology medical vehicle, 201...vehicle body, 202...wheels, 203...coupler.

Claims

1. A vehicle body having wheels and formed in a box shape; A consultation room formed within the vehicle body where a medical professional such as a doctor or a nurse performs ophthalmic examinations; a non-face-to-face medical device having an eyepiece part by which the patient of the ophthalmic treatment places the eye of the medical worker in a non-face-to-face manner to perform at least an examination of the eye; The non-face-to-face medical device includes: An ophthalmological treatment vehicle, characterized in that the eyepiece unit is arranged in a direction facing the center of the vehicle body in the width direction with the vehicle side of the vehicle body facing away from the vehicle side in the examination room.

2. In the ophthalmology vehicle according to claim 1, The vehicle body includes: The vehicle is configured as a self-propelled vehicle having a driver's seat and a driver's seat room formed in the width direction of the vehicle body, The examination room is An ophthalmic treatment vehicle, characterized in that the vehicle body is formed behind the driver's seat.

3. The ophthalmology vehicle according to claim 2, further comprising: An ophthalmology medical vehicle comprising an examination room power supply provided within the driver's seat for supplying power to the examination room.

4. The ophthalmology vehicle according to claim 1, further comprising: a medical staff zone in which the medical staff is located at a front side of the ophthalmology medical vehicle in the examination room; a main table disposed opposite the medical staff zone for providing medical services to the patient; The non-face-to-face medical device includes: The ophthalmologic examination vehicle is characterized in that it is disposed rearward of the ophthalmologic examination vehicle with respect to the main table.

5. The ophthalmology vehicle according to claim 4, further comprising: An ophthalmological medical vehicle characterized in that it is equipped with a medical staff entrance / exit located on at least one of the left and right sides of the ophthalmological medical vehicle in the left-right direction relative to the medical staff zone, allowing the medical staff to enter and exit the examination room.

6. The ophthalmology vehicle according to claim 4, further comprising: a sub-table for supporting the non-face-to-face type medical device in a placed state; The sub-table is: An ophthalmic treatment vehicle, characterized in that an upper surface of the main table is flush with and connected to an upper surface of the main table and is provided along the side surface of the vehicle.

7. The ophthalmology vehicle according to claim 6, further comprising: An ophthalmology medical vehicle comprising a medical instrument cart which supports medical instruments for examining or treating the patient's eyes and slides on the main table or the sub-table.

8. The ophthalmology vehicle according to claim 7, further comprising: At least one of the main table and the sub-table is An ophthalmic treatment vehicle comprising a locking mechanism for locking or unlocking the machine / instrument cart.

9. The ophthalmology vehicle according to claim 1, further comprising: An ophthalmology medical vehicle characterized in that a patient entrance / exit for the patient to enter and exit the examination room is provided at the rear end of the vehicle body.

10. The ophthalmology vehicle according to claim 1, further comprising: An ophthalmological medical vehicle, comprising a maintenance opening on a side of the vehicle for accessing a rear surface of the non-face-to-face medical device.

11. The ophthalmology vehicle according to claim 1, further comprising: An ophthalmology medical vehicle characterized in that it is equipped with a treatment device for treating the patient's eyes.

Images