Ophthalmic surgical vehicle

Abstract

To provide an ophthalmic surgical vehicle that allows a patient requiring eye treatment to undergo eye surgery without going to a hospital.SOLUTION: An ophthalmic surgical vehicle 100 includes a driver's cabin 103 in a vehicle body 101 that is constituted by a self-propelled vehicle having wheels 102. A surgical room 110 is formed behind the driver's cabin 103. The surgical room 110 includes: a medical personnel zone 121 formed behind the driver's cabin 103; and a surgical bed 120 which is positioned behind the medical personnel zone 121 and on which a patient K lies in a supine position. Additionally, a medical personnel entrance 112 is provided on the right side of the medical personnel zone 121 in the surgical room 110, and an ophthalmic microscope 130 is arranged adjacently to a side door 113a on the left side. A power supply 140 for a surgical room and an ophthalmic surgical device 150 are arranged behind the ophthalmic microscope 130.SELECTED DRAWING: Figure 3

Description

[Technical field]

[0001] The present invention relates to an ophthalmic surgery vehicle that is equipped with equipment for performing ophthalmic surgery and functions as a mobile surgery vehicle for performing ophthalmic surgery 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, the eye examination vehicle disclosed in the above Patent Document 1 is a vehicle that can test eye function but cannot perform eye surgery. Therefore, in the past, there was a problem that patients who required eye treatment had to go to a hospital in person to undergo surgery.

[0005] The present invention has been made to address the above-mentioned problems, and its object is to provide an ophthalmic surgery vehicle that allows patients requiring eye treatment to undergo eye surgery without having to go to a hospital. Summary of the Invention

[0006] In order to achieve the above-mentioned objective, the present invention is characterized in that it comprises a vehicle body formed in a box shape having wheels, and an operating room formed within the vehicle body in which medical personnel such as doctors or nurses perform ophthalmic surgery, the operating room comprising an operating table on which a patient undergoing ophthalmic surgery lies supine, and an ophthalmic microscope which allows the medical personnel to magnify and observe the condition of the patient's eye.

[0007] According to the features of the present invention configured in this manner, the ophthalmic surgery vehicle has an operating room in which ophthalmic surgery is performed formed inside a box-shaped vehicle body having wheels, and the operating room is equipped with an operating table on which the patient undergoing ophthalmic surgery lies on his or her back, and an ophthalmic microscope that allows medical personnel to observe the condition of the patient's eye under magnification.Therefore, patients requiring eye treatment can receive eye surgery by simply moving the operating room to the patient's side, without having to go to a hospital.

[0008] Another feature of the present invention is that, in the ophthalmic surgery 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 operating room is formed behind the driver's compartment within the vehicle body.

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

[0010] Another feature of the present invention is that the ophthalmic surgery vehicle has a microscope mounting portion for fixedly mounting an ophthalmic microscope to at least one of the floor, wall, and ceiling of the surgery room.

[0011] According to this, the ophthalmic operating vehicle has a microscope mounting portion for fixedly mounting the ophthalmic microscope to at least one of the floor, wall, and ceiling in the operating room, thereby allowing the ophthalmic microscope to be used stably and preventing the ophthalmic microscope from moving inadvertently while moving in the operating room, which would cause damage to the ophthalmic microscope or its surrounding objects.

[0012] Another feature of the present invention is that in the ophthalmic operating vehicle, the ophthalmic microscope comprises a vehicle mounting part that is attached to the microscope mounting part, a first arm extending from the vehicle mounting part, a second arm extending while being movably connected to the first arm, and a head part that has an eyepiece through which the medical staff looks and is movably connected to the second arm.

[0013] According to this, in an ophthalmic operating vehicle, the ophthalmic microscope is equipped with a vehicle mounting part that is attached to the microscope mounting part, a first arm extending from the vehicle mounting part, a second arm extending while being movably connected to the first arm, and a head part that has an eyepiece through which medical personnel look and is movably connected to the second arm, so that the head part can be freely displaced within the operating room, facilitating surgical procedures or maintenance work on the ophthalmic microscope.

[0014] Another feature of the present invention is that in the ophthalmic surgery vehicle, the ophthalmic microscope is equipped with an air purifier on at least one of the first arm and the second arm for purifying the air in the operating room.

[0015] According to this, the ophthalmic surgery vehicle has an air purifier for purifying the air in the operating room on at least one of the first arm and the second arm of the ophthalmic microscope, so that there is no need to provide a separate installation space for the air purifier in the operating room, and the indoor space of the operating room can be efficiently used. In addition, the position or posture of the air purifier can be changed as desired, so that convenience can be improved when in use or when not in use. In addition, the air purifier can be further freely changed in position or posture by being movably attached to the first arm or the second arm. Here, the air purifier can be composed of a filter that can capture fine dust particles, bacteria, or viruses in the air, or an electric device that can decompose them.

[0016] Another feature of the present invention is that the ophthalmic surgery vehicle further includes a medical staff zone in which medical staff are positioned at the front of the ophthalmic surgery vehicle in the operating room, and the operating table is positioned at the rear of the ophthalmic surgery vehicle relative to the medical staff zone.

[0017] According to this, the ophthalmic surgery vehicle is equipped with a medical staff zone where medical staff are located at the front of the ophthalmic surgery vehicle within the operating room, and the operating table is located at the rear of the ophthalmic surgery vehicle relative to the medical staff zone.By using the operating room in the longitudinal direction (front-to-back direction) of the vehicle, it is possible to make it easier for medical staff to perform medical procedures on patients and also to make effective use of the operating room.

[0018] Another feature of the present invention is that the ophthalmic surgery vehicle further comprises a medical staff entrance / exit provided on at least one of the left and right sides of the ophthalmic surgery vehicle in the left-right direction relative to the medical staff zone, for allowing medical staff to enter and exit the operating room.

[0019] According to this, the ophthalmic surgery vehicle is provided on at least one of the left and right sides of the ophthalmic surgery vehicle relative to the medical staff zone in the left-right direction of the ophthalmic surgery vehicle, so that medical staff can easily enter and exit the operating room. In this case, it is preferable that the medical staff entrance and exit are provided on the side closest to the medical staff zone on both the left and right sides of the ophthalmic surgery vehicle.

[0020] Another feature of the present invention is that in the ophthalmic operating vehicle, the medical staff zone and the operating table are provided on one of the left and right sides in the left-right direction of the ophthalmic operating vehicle, and the ophthalmic microscope is provided on the opposite side of the ophthalmic operating vehicle from the side on which the medical staff zone and the operating table are provided in the left-right direction of the ophthalmic operating vehicle.

[0021] According to this, the ophthalmic operating vehicle has a medical staff zone and an operating table on one of the left and right sides in the left-right direction of the ophthalmic operating vehicle, and an ophthalmic microscope on the opposite side to the side on which the medical staff zone and the operating table are located. Therefore, the left and right weight balance of the ophthalmic operating vehicle can be brought closer to a balanced state by the medical staff in the medical staff zone, the operating table, and the patient on the operating table with respect to the ophthalmic microscope, which is a heavy object, making it easier for the medical staff to work.

[0022] Another feature of the present invention is that, in the ophthalmic surgery vehicle, the ophthalmic microscope is provided facing the side surface of the vehicle in the ophthalmic surgery vehicle.

[0023] According to this, since the ophthalmic microscope is provided facing the side surface of the ophthalmic surgery vehicle, the operating room can be effectively utilized. Also, the ophthalmic surgery vehicle can prevent the ophthalmic microscope from moving or tilting significantly due to contact with the side surface of the medical vehicle when traveling on rough roads or in the event of a traffic accident.

[0024] Another feature of the present invention is that the ophthalmic surgery vehicle further comprises a maintenance opening on a side of the vehicle for accessing the rear of the ophthalmic microscope.

[0025] According to this, the ophthalmic surgery vehicle is provided with a maintenance opening on the side of the vehicle for accessing the back of the ophthalmic microscope, so that even if the ophthalmic microscope is positioned with its back to the side of the ophthalmic surgery vehicle, maintenance can be performed from outside the vehicle without changing the position or posture of the ophthalmic microscope.

[0026] Another feature of the present invention is that in the ophthalmic operating vehicle, the operating room is equipped with an air curtain device that sprays an air flow into an opening opening to the outside to prevent outside air from flowing into the operating room, and an air flow blocking curtain that is installed on the inside of the operating room relative to the air curtain device to prevent air flow from flowing into the inside of the operating room.

[0027] According to this, the ophthalmic operating vehicle is equipped with an air curtain device that sprays an air flow into an opening in the operating room that opens to the outside, thereby preventing outside air from flowing into the operating room, and an air flow blocking curtain that is installed on the inside of the operating room in relation to the air curtain device and prevents the air flow from flowing into the operating room.Therefore, it is possible to prevent air from flowing in and out between the operating room and the outside, and to prevent the air flow sprayed out by the air curtain device from flowing into the operating room. [Brief description of the drawings]

[0028] [Figure 1] 1 is a left side view showing an outline of the external configuration of an ophthalmic surgery vehicle according to the present invention. FIG. [Diagram 2] 2 is a plan view showing a schematic external configuration of the ophthalmic surgery vehicle shown in FIG. 1. [Diagram 3] 3 is an enlarged plan view, partially broken away, mainly showing the configuration of an operating room within the interior of the ophthalmic operating car shown in FIG. 2. [Figure 4] 2 is a partially cutaway enlarged side view showing mainly the configuration of an operating room inside the ophthalmic operating vehicle shown in FIG. 1 with a side door open. FIG. [Diagram 5] 3 is an explanatory diagram showing the outline of the external configuration of the ophthalmic microscope in the ophthalmic surgery vehicle shown in FIG. 2, as viewed from the rear side of the ophthalmic surgery vehicle. [Figure 6] FIG. 11 is an enlarged, partially broken, side view showing mainly the configuration of an operating room within an interior of an ophthalmic operating vehicle according to a modified example of the present invention with the side door open. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0029] Hereinafter, an embodiment of the ophthalmic surgery car according to the present invention will be described with reference to the drawings. FIG. 1 is a left side view showing an outline of the external configuration of the ophthalmic surgery car 100 according to the present invention. FIG. 2 is a plan view showing an outline of the external configuration of the ophthalmic surgery car 100 shown in FIG. 1. FIG. 3 is a partially cutaway enlarged plan view showing mainly the configuration of the operating room 110 in the room of the ophthalmic surgery car 100 shown in FIG. 2. FIG. 4 is a partially cutaway enlarged side view showing mainly the configuration of the operating room 110 in the room of the ophthalmic surgery car 100 shown in FIG. 1 with the side door 113a open. In this embodiment, the forward or backward direction of the ophthalmic surgery car 100 is the "front-rear direction", and the width direction of the ophthalmic surgery car 100 perpendicular to the front-rear direction is the "left-right direction".

[0030] (Configuration of the ophthalmic surgery vehicle 100) This ophthalmic surgery 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 perform ophthalmic surgery (hereinafter sometimes referred to as "ophthalmic surgery"). This ophthalmic surgery vehicle 100 has a vehicle body 101.

[0031] The vehicle body 101 is a box-shaped vehicle that travels carrying people and equipment necessary for ophthalmic surgery, and is equipped with a driver's seat 103 and an operating room 110 inside the vehicle, and is configured 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 rotationally 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] In addition, a partition wall 104 is formed between the driver's seat compartment 103 and the operating room 110 to separate the operating room 110 from the driver's seat compartment 103. This partition wall 104 is made of fiber reinforced resin, and a U-shaped fixing hook 104a is provided on the operating room 110 side. The driver's seat compartment 103 can be accessed through front doors 106a and 106b provided on left and right vehicle side surfaces 105a and 105b of the vehicle body 101, respectively.

[0034] The operating room 110 is an interior space in the vehicle where medical personnel D1, D2 such as doctors or nurses perform ophthalmic surgery on a patient K, and is formed behind the driver's compartment 103. This operating room 110 has a flat floor 111, and is provided with a medical personnel entrance / exit 112, a maintenance opening 113, and a patient entrance / exit 114 in the surrounding walls. In this case, a step 111a is formed in the part of the floor 111 facing the medical personnel entrance / exit 112, descending in a stepped manner from the floor 111 to serve as an entrance / exit to the floor 111.

[0035] Further, a microscope attachment section 111b consisting of four through holes is formed in the vicinity of the maintenance opening 113 in the floor surface 111. Furthermore, an item storage section 111c is formed under the floor in a section of the floor surface 111 facing the maintenance opening 113. Note that no windows are provided in the operating room 110 for introducing outside light into the operating room 110, but lighting devices (not shown) are provided appropriately on the ceiling or walls. Furthermore, no ventilation openings or air vents for ventilation between the operating room 110 and the outside are provided in the operating room 110.

[0036] The medical staff entrance 112 is an opening for medical staff D1, D2 to enter and exit the operating 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 the front door 106a. The medical staff entrance 112 is closed by a side door 112a that can be opened and closed freely. The side door 112a is configured by 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.

[0037] The maintenance opening 113 is an opening mainly for performing maintenance of the ophthalmic microscope 130, 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 the front door 106b. The maintenance opening 113 is closed by a side door 113a so as to be freely opened and closed. The side door 113a is configured by 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.

[0038] The patient entrance 114 is an opening mainly for the patient K to enter and exit the operating 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.

[0039] The back door 114a is configured as a so-called double door that opens at the center in the left-right direction with both left and right ends as base ends on the back of the vehicle body 101. The back door 114a constitutes the part above the bumper on the back of the vehicle body 101, and essentially constitutes the back of the vehicle body 101.

[0040] The driver's cab 103 and the operating room 110 are covered by a single common roof 115 that extends in the front-rear direction of the vehicle body 101. In other words, the roof 115 constitutes the ceiling of the driver's cab 103 and the operating room 110.

[0041] The operating room 110 is mainly equipped with an operating table 120, an ophthalmic microscope 130, an operating room power supply 140, an ophthalmic surgical device 150, an electric lifter 160, and air curtain devices 170a and 170b.

[0042] The operating table 120 is a table on which the patient K undergoing ophthalmic surgery is supported, and can support the patient K in a seated or supine position. In this case, the operating table 120 seats the patient K facing the rear of the vehicle body 101, and lies on the patient's back with the patient's head facing the driver's compartment 103 and the patient's feet facing the back door 114a. The operating table 120 can also adjust the height of the patient K who is seated or lying on his / her back in a stepless manner.

[0043] The operating table 120 is disposed in the operating room 110 to the right of the center in the vehicle width direction of the vehicle body 101. The operating table 120 is also disposed away from the driver's seat compartment 103 via a predetermined space, and a medical staff zone 121 consisting of the predetermined space is formed between the operating table 120 and the driver's seat compartment 103.

[0044] The medical staff zone 121 is a space in the operating room 110 where the medical staff D1 provides medical treatment to the patient K, and is formed between the driver's seat 103 and the operating table 120, extending in the width direction of the vehicle body 101. In this case, the medical staff zone 121 is formed extending from the side door 112a to the center in the width direction of the vehicle body 101. In addition, a hand sterilizing device 122 and an indoor air purifier 123 are each arranged in this medical staff zone 121.

[0045] The hand disinfection device 122 is a mechanical device that mainly discharges disinfectant liquid for disinfecting the hands of medical workers D1 and D2. This hand disinfection device 122 is provided adjacent to the entrance 112 for medical workers.

[0046] The indoor air purifier 123 is a mechanical device for purifying the air in the operating room 110. In this embodiment, the indoor air purifier 123 is configured to include a filter capable of collecting fine dust particles, bacteria, or viruses in the air, and a fan that draws in the air in the operating room 110 and sends it to the filter.

[0047] The ophthalmic microscope 130 is a mechanical device for magnifying and observing or recording the condition of the eye of a patient K when a medical worker D1 performs ophthalmic surgery on the patient K. Specifically, as shown in FIG. 5, the ophthalmic microscope 130 is mainly configured with a leg 131, a support 132, a first arm 133, a second arm 136, and a head 137.

[0048] The legs 131 are components for supporting the support column 132 and for fixing the entire ophthalmic microscope 130 onto the floor surface 111, and are formed along the floor surface 111. Specifically, the legs 131 are composed of four metal rods extending radially from the central axis of the support column 132. In this case, the legs 131 are fixed by screwing each rod into a microscope mounting portion 111b formed on the floor surface 111 via a bolt 131a. In other words, the legs 131 correspond to a vehicle mounting portion according to the present invention.

[0049] The support pillar 132 is a component that rotatably supports the first arm 133, and is configured as a metallic cylindrical body extending in the vertical direction. In this case, one end (lower in the figure) of the support pillar 132 is fixedly connected to the leg 131, and the other end (upper in the figure) of the support pillar 132 is connected to the first arm 133 so that it can rotate about an axis line extending in the vertical direction as a rotation axis. A workbench 132a is provided in the vertical middle of the support pillar 132.

[0050] The workbench 132a is configured in a box shape made of wood and has a function of placing or storing not only a control device and a video recorder that process image information captured by the head unit 137 described later, but also machines and instruments, trays, writing utensils, etc. used by the medical workers D1 and D2 in medical procedures. This workbench 132a is attached to the support 132 facing the medical worker zone 121.

[0051] The first arm 133 is a component that rotatably supports the second arm 136, and is configured as a metal rod extending horizontally. In this case, one end of the first arm 133 is connected to the upper end of the support 132 so as to be rotatable within a horizontal plane. The second arm 136 is connected to the upper surface of the tip of the first arm 133, and a pinpoint air cleaner 135 is provided on the lower surface of the tip. In addition, a fixing belt 134 for connecting the first arm 133 to a fixing hook 104a provided on the partition wall 104 is detachably hung on the first arm 133.

[0052] The fixing belt 134 is made of a long resin belt, and has hooks (not shown) at both ends for hooking onto the fixing hooks 104a, and a buckle (not shown) for adjusting the length at the middle. The fixing belt 134 can be hung around the support 132, the first arm 133, or the second arm 136 and connected to the fixing hook 104a to stabilize the ophthalmic microscope 130. Note that FIG. 3 shows a state in which the fixing belt 134 is hung between the fixing hook 104a and the first arm 133. Also, FIG. 4 shows a state in which the fixing belt 134 is removed.

[0053] The pinpoint air purifier 135 is a mechanical device for partially purifying the air in the operating room 110. In this embodiment, the pinpoint air purifier 135 is configured to include a filter capable of collecting fine dust particles, bacteria, or viruses in the air, and a fan that draws in and sends the air in the operating room 110 to the filter. The pinpoint air purifier 135 is attached to the first arm 133 via a mounting fixture 135a whose direction and posture can be freely changed. In FIG. 5, the direction in which the purified air is blown out is indicated by a dashed arrow.

[0054] Second arm 136 is a component that rotatably supports head portion 137, and is configured as a metal rod extending horizontally. In this case, one end of second arm 136 is rotatably connected to the tip portion of first arm 133, and the other end supports head portion 137 rotatably within a horizontal plane.

[0055] The head unit 137 is a device capable of magnifying and observing the condition of the eye of the patient K, and is configured to have various optical systems such as an objective lens 137a arranged to face the eye of the patient K, an image pickup device (not shown) such as a CCD or CMOS, and an eyepiece unit 137b consisting of an eyepiece through which the medical worker D1 looks. The head unit 137 is attached to the lower surface of the second arm 136 so as to be freely rotatable within a horizontal plane.

[0056] The ophthalmic microscope 130 has a control device (not shown) that processes image information captured by the head unit 137. The ophthalmic microscope 130 also has an input device consisting of a touch panel or a mouse for inputting instructions from the medical worker D1 to the control device, and a display device (not shown) consisting of a display for displaying the image processing results to the medical worker D1.

[0057] The ophthalmic microscope 130 is provided in the operating room 110 at a position adjacent to the maintenance opening 113 on the left side in the width direction of the vehicle body 101 .

[0058] The operating room power supply 140 is a battery equipped with an outlet for supplying power to devices requiring power, such as the hand disinfection device 122, the room air cleaner 123, the ophthalmic microscope 130, the pinpoint air cleaner 135, the ophthalmic surgical device 150, and the air curtain devices 170a and 170b, used in the operating room 110. The operating room power supply 140 is charged by receiving power from a household power source (100V or 200V) or a generator or battery mounted on the vehicle body 101, as well as a solar panel (not shown).

[0059] The operating room power supply 140 is provided adjacent to the maintenance opening 113 on the rear side of the vehicle body 101 with respect to the ophthalmic microscope 130. In this case, the operating room power supply 140 is covered by a chair 141 on which a second medical worker D2 can sit to assist the first medical worker D1 located in the medical worker zone 121. Note that the medical worker D2 is not shown in FIG. 4.

[0060] The ophthalmic surgical apparatus 150 is a mechanical device that performs ophthalmic surgery on a patient K based on the operation of a medical worker D2. In this embodiment, the ophthalmic surgical apparatus 150 is configured as a cataract / vitreous surgical apparatus. This ophthalmic surgical apparatus 150 is fixed on the floor surface 111 on the rear side of the vehicle body 101 with respect to the operating room power supply 140. In addition, in the operating room 110, a gas cylinder 151 filled with an inert gas used in the cataract / vitreous surgical apparatus is provided adjacent to the ophthalmic surgical apparatus 150.

[0061] The electric lifter 160 is a mechanical device for allowing the patient K or medical staff D1, D2 to enter and exit the operating 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 111 of the operating room 110 and the road surface on which the vehicle body 101 is parked. This electric lifter 160 is provided at the rear end of the operating room 110 facing the back door 114a. The electric lifter 160 can also be used by the patient K riding on the platform alone without using a wheelchair, or by positioning the platform at a height intermediate between the floor 111 and the road surface and using it like a staircase.

[0062] The air curtain devices 170a, 170b are mechanical devices for restricting the flow of air between the inside of the operating room 110 and the outside of the vehicle body 101 through the medical staff entrance 112 and the patient entrance 114. Specifically, the air curtain devices 170a, 170b are provided on the ceiling (roof 115) above the medical staff entrance 112 and the patient entrance 114, and eject airflow directly downward to form an airflow wall. An airflow blocking curtain 171 is provided on the operating room 110 side of each of these air curtain devices 170a, 170b.

[0063] The air flow blocking curtain 171 is a component for preventing the air flow ejected from the air curtain device 170a from flowing toward the patient K. Specifically, the air flow blocking curtain 171 is made of a transparent resin sheet material that hangs down from the ceiling (roof 115) along the air curtain device 170a. In this case, the air flow blocking curtain 171 is formed to a length that reaches the floor surface 111. In FIG. 3, the air curtain devices 170a, 170b and the air flow blocking curtain 171 are indicated by two-dot chain lines.

[0064] (Operation of eye surgery vehicle 100) Next, the operation of the ophthalmic surgery vehicle 100 thus configured will be described. First, the medical staff D1, D2 drive the ophthalmic surgery vehicle 100 to move it to the location where the ophthalmic surgery will be performed. In this case, the medical staff D1, D2 fix the ophthalmic microscope 130 to the partition wall 104 by hanging and tying the fixing belt 134 between the first arm 133 of the ophthalmic microscope 130 and the fixing hook 104a of the partition wall 104. Note that the driver of the ophthalmic surgery vehicle 100 does not necessarily have to be the medical staff D1, D2, and can be anyone who has a general driver's license.

[0065] Next, the medical staff D1 and D2 prepare for the surgery after completely parking the ophthalmic surgery vehicle 100 at the place where the surgery will be performed. Specifically, the medical staff D1 and D2 untie the fixing belt 134 that binds the ophthalmic microscope 130, and then start the operation of the hand disinfection device 122, the room air purifier 123, the ophthalmic microscope 130, the pinpoint air purifier 135, the ophthalmic surgery device 150, and the air curtain devices 170a and 170b. In this case, the medical staff D1 and D2 can adjust the direction or posture of the first arm 133, the second arm 136, or the pinpoint air purifier 135 to supply air flow to the work table 132a.

[0066] Next, the medical workers D1 and D2 guide the patient K into the operating room 110. Specifically, the medical workers D1 and D2 guide the patient K into the operating room 110 using the electric lifter 160, and then move themselves into the medical worker zone 121 and place the patient K onto the operating table 120. In this case, since the air curtain device 170a and the air flow blocking curtain 171 are provided at the patient entrance 114, the inflow of outside air into the operating room 110 is suppressed.

[0067] Next, the medical workers D1 and D2 perform ophthalmic surgery on the patient K on the operating table 120. Specifically, the medical workers D1 and D2 perform ophthalmic surgery on the patient K on the operating table 120 by using the ophthalmic microscope 130 and the ophthalmic surgical device 150, respectively. In this case, the medical workers D1 and D2 can freely move the first arm 133, the second arm 136, and the head unit 137 of the ophthalmic microscope 130 to position the head unit 137 at any position for use. In addition, the medical workers D1 and D2 can adjust the direction or posture of the first arm 133, the second arm 136, or the pinpoint air purifier 135 to supply an air flow toward a location where purified air is required.

[0068] Next, when the surgery on the patient K is completed, the medical workers D1 and D2 remove the patient K from the operating table 120 and then use the electric lifter 160 to have the patient K exit the operating room 110. Then, when there is a new patient K, the medical workers D1 and D2 guide the new patient K into the operating room 110 in the same manner as described above. Also, when there is no new patient K, the medical workers D1 and D2 store the electric lifter 160 in the operating room 110, fix the ophthalmic microscope 130 to the partition wall 104 using the fixing belt 134, and drive the ophthalmic operating car 100 to withdraw, thereby completing the provision of medical services.

[0069] Next, the medical personnel D1 and D2 can perform maintenance on the ophthalmic microscope 130, the operating room power supply 140, and the ophthalmic surgical device 150. Specifically, the medical personnel D1 and D2 can be located in the operating room 110 and perform maintenance on the ophthalmic microscope 130, the operating room power supply 140, and the ophthalmic surgical device 150. In addition, the medical personnel D1 and D2 can perform maintenance on the ophthalmic microscope 130 and the operating room power supply 140 from outside the vehicle body 101 by opening the side door 113a (see FIG. 3 or FIG. 5).

[0070] As can be understood from the above operation description, according to the above embodiment, the ophthalmic surgery vehicle 100 has a vehicle body 101 formed in a box shape and having wheels 102, within which is formed an operating room 110 in which ophthalmic surgery is performed. The operating room 110 is equipped with an operating table 120 on which patient K who will undergo ophthalmic surgery lies on his / her back, and an ophthalmic microscope 130 which enables medical personnel D1, D2 to observe the condition of patient K's eyes under magnification. Therefore, patient K who requires eye treatment can receive eye surgery by simply moving the operating room 110 side to the patient K side without having to go to a hospital.

[0071] 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.

[0072] For example, in the above embodiment, the ophthalmic surgery vehicle 100 is configured as a self-propelled vehicle equipped with a reciprocating engine as a prime mover. However, the ophthalmic surgery 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. 6, the ophthalmic surgery 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.

[0073] Specifically, the ophthalmic surgery vehicle 200 is provided with a box-shaped vehicle body 201 that travels while carrying a person and equipment necessary for ophthalmic surgery. 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 operating room 210 configured in the same manner as the operating room 110 is formed.

[0074] The ophthalmic surgery vehicle 200 configured in this manner can be moved freely by the towing vehicle T, and by detaching the towing vehicle T, the ophthalmic surgery can be continued even if the towing vehicle T is removed and only the ophthalmic surgery vehicle 200 is left at the installation location. Therefore, one or more ophthalmic surgery vehicles 200 can be operated using existing automobiles. Furthermore, the ophthalmic surgery vehicle 200 configured in this manner can be manufactured at low cost.

[0075] In the above embodiment, the ophthalmic surgery vehicle 100 is configured as a four-wheel drive vehicle with four driven wheels 102. However, it goes without saying that the ophthalmic surgery vehicle 100 may be a two-wheel drive vehicle, such as a front-wheel drive or rear-wheel drive vehicle. In addition, the number of wheels 102 provided on the vehicle body 101 may be four or more or three or less, and crawlers (crawler tracks) may be used instead of tires.

[0076] In the above embodiment, the ophthalmic surgery vehicle 100 is configured with the ophthalmic surgery device 150 being a cataract / vitreous surgery device. However, the ophthalmic surgery device 150 is selected appropriately depending on the content of the surgery. Therefore, the ophthalmic surgery device 150 can also be configured with a device other than a cataract / vitreous surgery device, such as a laser device for LASIK or myopia correction. Furthermore, the ophthalmic surgery vehicle 100 can be configured without the ophthalmic surgery device 150 when ophthalmic surgery is performed without using a mechanical device.

[0077] In the above embodiment, the ophthalmic surgery car 100 is configured to fix the ophthalmic microscope 130 to the floor and wall of the operating room 110 by providing the microscope mounting part 111b on the floor surface 111 and the fixing hook 104a on the partition wall 104. That is, the fixing hook 104a, together with the microscope mounting part 111b, corresponds to the microscope mounting part according to the present invention. However, when the ophthalmic microscope 130 is simply placed on the floor of the operating room 110, the ophthalmic surgery car 100 does not necessarily need to be provided with the microscope mounting part 111b and the fixing hook 104a.

[0078] That is, the ophthalmic operating car 100 can be configured without the microscope attachment part 111b. In this case, the ophthalmic operating car 100 does not need a through hole for passing the bolt 131a through the leg part 131 of the ophthalmic microscope 130 and the fixing belt 134. In addition, when the microscope attachment part 111b is provided in the ophthalmic operating car 100, it is sufficient that it is provided on at least one of the floor, wall, and ceiling in the operating room 110. In other words, the ophthalmic operating car 100 can also provide the microscope attachment part 111b on the ceiling in the operating room 110. In addition, when the ophthalmic microscope 130 is placed on the floor in the operating room 110, casters can be provided on the underside of the leg part 131 so that it can be freely moved in the operating room 110.

[0079] In the above embodiment, the ophthalmic microscope 130 is configured to include the leg 131, the support 132, the first arm 133, the second arm 136, and the head 137. That is, the ophthalmic microscope 130 is configured to have a multi-joint structure with the head 137 as an end effector. However, the ophthalmic microscope 130 can also be configured to have a structure other than a multi-joint structure. For example, the ophthalmic microscope 130 can be configured by directly attaching the head 137 to the support 132. In this case, the support 132 may be a rigid body, but can also be configured to have a flexible member or a member that can be freely bent while supporting the head 137 at any position.

[0080] In the above embodiment, the ophthalmic microscope 130 is configured to include the pinpoint air purifier 135 in the first arm 133. However, the ophthalmic microscope 130 can also be configured to include the pinpoint air purifier 135 in the second arm 136 instead of or in addition to the first arm 133. The ophthalmic microscope 130 can also be configured without including the pinpoint air purifier 135.

[0081] Furthermore, in the above embodiment, the ophthalmic surgery car 100 includes a medical staff zone 121 in which the medical staff D1 is positioned at the front of the ophthalmic surgery car 100 in the operating room 110, and the operating table 120 is disposed at the rear side of the ophthalmic surgery car 100 relative to the medical staff zone 121. That is, the medical staff zone 121 and the operating table 120 are disposed along the longitudinal direction (front-rear direction) of the vehicle body 101. However, the medical staff zone 121 and the operating table 120 can also be disposed along the width direction of the vehicle body 101.

[0082] In the above embodiment, the ophthalmic surgery vehicle 100 has a medical staff entrance 112 provided behind the front door 106a on the vehicle side 105a facing the medical staff zone 121. 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 used as an opening that is opened and closed by the front doors 106a, 106b or the back door 114a.

[0083] In the above embodiment, the ophthalmic surgery vehicle 100 is provided with the maintenance opening 113 behind the front door 106b on the vehicle side surface 105b. However, the ophthalmic surgery 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.

[0084] 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.

[0085] In the above embodiment, the ophthalmic surgery car 100 has the medical staff zone 121 and the operating table 120 in an area to the right of the widthwise center of the operating room 110 (i.e., on the driver's seat 103a side), and the ophthalmic microscope 130 on the left of the widthwise center of the operating room 110 (i.e., on the passenger seat 103b side). However, the ophthalmic surgery car 100 can also have the medical staff zone 121 and the operating table 120 in an area to the left of the widthwise center of the operating room 110 (i.e., on the passenger seat 103b side), and the ophthalmic microscope 130 on the right of the widthwise center of the operating room 110 (i.e., on the driver's seat 103a side). In addition, the ophthalmic microscope 130 may be provided in the widthwise center of the operating room 110 in addition to the medical staff zone 121 and the operating table 120, and the ophthalmic microscope 130 may be provided to the right or left of the widthwise center of the operating room 110.

[0086] In the above embodiment, the ophthalmic microscope 130 is provided at a position facing the vehicle side surface 105b. However, the ophthalmic microscope 130 may be provided at a position other than the position facing the vehicle side surface 105b, for example, at a position facing the partition wall 104, the vehicle side surface 105a, or the back door 114a, or may be provided in the center of the operating room 110 not facing these walls or sides.

[0087] In the above embodiment, the ophthalmic surgery vehicle 100 is configured to include the air curtain devices 170a, 170b and the air flow blocking curtain 171. However, the ophthalmic surgery vehicle 100 can be configured to include at least one of the air curtain devices 170a, 170b and the air flow blocking curtain 171. The ophthalmic surgery vehicle 100 can also be configured to omit the air curtain devices 170a, 170b and the air flow blocking curtain 171.

[0088] In the above embodiment, the operating room power supply 140 is disposed in the operating room 110. However, the operating room power supply 140 can be disposed in the driver's compartment 103 instead of or in addition to the operating room 110. The ophthalmic surgery vehicle 100 can also be configured to omit the operating room power supply 140 and receive power from a battery in the vehicle body 101 or an external power supply at the destination of the ophthalmic surgery vehicle 100. [Explanation of symbols]

[0089] D1,D2...Medical worker, K...Patient, T...Tow vehicle, 100... ophthalmic surgery vehicle, 101... vehicle body, 102... wheels, 103... driver's seat, 103a... driver's seat, 103b... passenger seat, 104... bulkhead, 104a... fixing hook, 105a, 105b... vehicle side, 106a, 106b... front door, 110: operating room, 111: floor surface, 111a: step, 111b: microscope mounting section, 111c: item storage section, 112: medical staff entrance / exit, 112a: side door, 113: maintenance opening, 113a: side door, 114: patient entrance / exit, 114a: back door, 115: roof, 120...operating table, 121...medical worker zone, 122...hand disinfection device, 123...indoor air purifier, 130...ophthalmic microscope, 131...leg, 131a...bolt, 132...support, 132a...work table, 133...first arm, 134...fixing belt, 135...pinpoint air purifier, 135a...mounting fixture, 136...second arm, 137...head, 137a...objective lens, 137b...eyepiece, 140...Operating room power supply, 141...Chair, 150...Ophthalmic surgical equipment, 151...Gas cylinders, 160…Electric lifter, 170a, 170b... air curtain device, 171... air flow blocking curtain, 200...ophthalmic surgery vehicle, 201...vehicle body, 202...wheels, 203...coupler.

Claims

1. A vehicle body having wheels and formed in a box shape; an operating room formed within the vehicle body where medical personnel such as doctors or nurses perform ophthalmic surgery; The operating room includes: an operating table on which a patient undergoing the ophthalmic surgery lies; and an ophthalmic microscope that enables the medical staff to magnify and observe the condition of the patient's eye.

2. The ophthalmic surgery 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 operating room includes: An ophthalmic surgery vehicle, characterized in that it is formed behind the driver's seat inside the vehicle body.

3. The ophthalmic surgery vehicle according to claim 1, An ophthalmic surgery vehicle comprising a microscope mounting portion for fixedly mounting the ophthalmic microscope to at least one of a floor, a wall, and a ceiling in the operating room.

4. The ophthalmic surgery vehicle according to claim 1, The ophthalmic microscope comprises: a vehicle mounting part that is attached to the microscope mounting part; A first arm extending from the vehicle mounting portion; a second arm extending in a state movably connected to the first arm; and a head portion having an eyepiece through which the medical worker looks and being movably connected to the second arm.

5. The ophthalmic surgery vehicle according to claim 4, The ophthalmic microscope comprises: An ophthalmic surgery vehicle, characterized in that at least one of the first arm and the second arm is equipped with an air purifier that purifies the air in the operating room.

6. The ophthalmic surgery vehicle according to claim 1, further comprising: a medical staff zone in which the medical staff is located at the front of the ophthalmic surgery vehicle in the operating room; The operating table includes: An ophthalmic surgery vehicle characterized in that it is arranged rearward of the ophthalmic surgery vehicle with respect to the medical staff zone.

7. The ophthalmic surgery vehicle according to claim 6, further comprising: An ophthalmic surgery 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 ophthalmic surgery vehicle in the left-right direction relative to the medical staff zone, allowing the medical staff to enter and exit the operating room.

8. 7. The ophthalmic surgery vehicle according to claim 6, The medical staff zone and the operating table include: The device is provided on one of the left and right sides in the left-right direction of the ophthalmic surgery vehicle, The ophthalmic microscope comprises: An ophthalmic surgery vehicle characterized in that the medical staff zone and the operating table are located on the opposite side of the ophthalmic surgery vehicle in the left-right direction.

9. The ophthalmic surgery vehicle according to claim 1, The ophthalmic microscope comprises: An ophthalmic surgery vehicle, characterized in that it is provided facing the side surface of the vehicle.

10. The ophthalmic surgery vehicle according to claim 9, further comprising: An ophthalmic surgery vehicle, characterized in that the side of the vehicle is provided with a maintenance opening for accessing the rear of the ophthalmic microscope.

11. The ophthalmic surgery vehicle according to claim 1, The operating room includes: an air curtain device that blows air into an opening that opens to the outside to suppress the inflow of outside air into the operating room; An ophthalmic surgery car characterized in that it is equipped with an air flow blocking curtain that is provided on the inside of the operating room relative to the air curtain device and prevents the air flow from flowing into the inside of the operating room.

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