[0001] The present invention relates to a dental surgery apparatus with electrocardiograph.
[0002] There is currently a trend toward significantly high levels of technology in equipment
for dental surgeries and treatment centres; doubtless, such a development has been
influenced by the growing standards of attainment in professional skills and specialization
on the part of dental practitioners by whom odonto-surgical operations are performed
on the premises in question.
[0003] Given that such operations can be complex, lengthy and delicate, the dental surgeon
needs increasingly to ensure that many of the patient's primary bodily functions can
be monitored more effectively, and in real time; this is especially the case where
large areas of the oral cavity have to be anaesthetized for an appreciable duration.
[0004] It therefore occurs to the applicant, pursuing a philosophy focused on the continuing
improvement and technological refinement of dental surgery equipment, and in particular
of the dentist's chair and its associated apparatus, that provision might advantageously
be made within the apparatus for an electrocardiograph by means of which to monitor
the cardiocirculatory functions of a patient constantly and comprehensively during
treatment.
[0005] Accordingly, the object of the present invention is to provide an apparatus such
as will allow a dental surgeon, nurse or hygienist to apply sensors simply and swiftly
to the body of a patient occupying the chair and thereupon to obtain a full and continuous
display of cardiac functions while an operation is performed on the oral cavity of
the patient.
[0006] The stated object is realized in a dental surgery apparatus as characterized by the
appended claims.
[0007] The invention will now be described in detail, by way of example, with the aid of
the accompanying drawings, in which:
- fig 1 illustrates a dental surgery apparatus with electrocardiograph according to
the invention, seen schematically and in perspective;
- fig 2 shows a further perspective of the apparatus of fig 1, illustrating variations
in the layout of the display and sensors of the electrocardiograph;
- fig 3 is a block diagram illustrating connections between the electrocardiograph and
means by which other components of the apparatus are operated;
- fig 4 is a further block diagram illustrating an alternative layout of the electrocardiograph
within the apparatus.
[0008] With reference to the accompanying drawings, the components of a dental surgery apparatus
according to the invention (figs 1 and 2) include a frame 1, and a chair 2 supported
by the frame; the chair in its turn comprises a fully reclining backrest 3, and preferably,
two armrests 18 anchored rotatably to the backrest one on either side.
[0009] 4 denotes a first vertical column positioned to one side of the chair 2, which carries
a spittoon cup 5 and means 6 of supplying water, typically a pipe 20 that terminates
in a spout over a shelf 21 serving as a stand for a drinking glass (not illustrated);
the same first column 4 also supports two arms denoted 30 and 7, which are anchored
pivotably at separate points, positioned in such a manner as to overhang the chair
2, and adjustable for height.
[0010] The one arm 30 supports an overhead lamp 8, and the remaining arm 7 a console 9 carrying
a plurality of primary handpieces 10 (illustrated schematically, being conventional
in embodiment).
[0011] 11 denotes a second vertical column, remote from the base 1, supporting a plurality
of secondary or auxiliary handpieces 12. The apparatus also houses electrical means
31 (see figs 3 and 4) interfaced with hydraulic and pneumatic means 32 and 33, all
of which combining to bring about the operation of the various elements mentioned
above.
[0012] In addition to the components mentioned thus far, the apparatus disclosed, denoted
R in its entirety, incorporates an electrocardiograph 13 comprising a processing unit
13u, a monitor 14 by means of which to display the electrocardiographic signal, and
a plurality of sensors 15 for attachment to the body of the patient which are stowed
internally of the apparatus when not in use.
[0013] In the example of figs 1 and 3, the monitor 14 is integral with the processing unit
13u and mounted to one end of a horizontal bracket 16 of which the remaining end is
secured to the arm 30 carrying the lamp 8; more exactly, the bracket 16 is associated
with the arm 30 by way of a sleeve 22 ensheathing the pivoted upright member of the
arm.
[0014] Figs 2 and 4 show an alternative solution in which the monitor 14 remains integral
with the processing unit 13u, but in this instance is incorporated into the handpiece
console 9, mounted flush with the screen positioned to occupy one of the horizontal
faces of the relative housing. To advantage, the monitor 14 (analog or digital, and
preferably the latter) will be one and the same as a display unit already fitted to
the most recent generation of handpiece consoles, through which the operator of the
apparatus is able to monitor various functions (handpiece speed setting, temperature,
disinfection and sterilization cycles, timer, etc.).
[0015] Similarly, the sensors 15 (which in the example of the drawings are three in number,
i.e. sufficient for the purposes of producing a reliable ECG trace) might be located
at different positions on the apparatus R. In one possible solution (fig 1), the sensors
15 are concealed inside the first vertical column 4 and accessible through the panel
4a facing the chair 2; in effect, the single sensors 15 will be associated with flexible
connection means taking the form of conventional sheaths 23 covering the relative
conductors, which are retractable into the column and therefore of variable length
in such a way as to permit of being drawn out at the moment of use and applied to
the appropriate points of the patient's body, namely the wrists and throat.
[0016] In a second solution, the sensors 15 are stowed in at least one of the pair of horizontal
armrests 18 associated with the backrest 3, passing through respective collars 24
afforded by the armrest 18 in question; likewise in this instance, the sensors 15
are attached to flexible connection means and can thus be drawn out to the appropriate
length from the armrest 18 at the moment of application to the patient.
[0017] Yet another possible arrangement is illustrated in fig 1 (see inset P); in this instance,
the single sensors 15 are associated with respective plugs S insertable individually
into corresponding contact sockets C afforded by the column 4, and removable thus
from the apparatus altogether. The advantage of this arrangement is that it allows
for a safer and more convenient disinfection and sterilization of the sensors 15 following
treatment on a single patient.
[0018] The electrocardiograph 13 might also be equipped with accessories, for example a
printer 25 by means of which to produce hard copies of the ECG traces generated by
the processing unit 13u.
[0019] Naturally enough, the processing unit 13u might also be incorporated directly into
the electrical means 31 of the apparatus, thereby rendering the design generally more
compact and more complete and achieving greater reliability in operation of the electrocardiograph
13 as a whole.
[0020] Thus, with a dental surgery apparatus as disclosed, it becomes possible to provide
an additional and more complete back-up in monitoring the principal bodily functions
of a patient during operations of a certain complexity; moreover, the architecture
of the essential chair and column structures remains unaffected, and the proven practical
and ergonomic advantages of the modern apparatus are therefore retained intact.
1. A dental surgery apparatus, comprising:
- a frame (1), supporting a reclining chair (2);
- a first vertical column (4), positioned alongside the chair and carrying at least
a spittoon cup (5) and means (6) of supplying water to the cup;
- at least two arms (30, 7) anchored pivotably to and supported by the first column
(4), of which the free ends support a lamp (8), and a console (9) carrying a plurality
of primary handpieces (10), respectively;
- a second vertical column (11) positioned alongside the chair (2), supporting a plurality
of secondary or accessory handpieces (12);
- electrical means (31), interfaced with hydraulic and pneumatic means (32, 33), by
which to operate the various components of the apparatus,
characterized
- in that it comprises an electrocardiograph (13) consisting in a processing unit
(13u), at least one monitor (14) connected to the processing unit and serving to display
an electrocardiographic trace generated by the unit, and a plurality of sensors (15)
connected electrically and mechanically to the apparatus, for application to the body
of a patient occupying the chair.
2. A dental surgery apparatus as in claim 1, wherein the monitor (14) is integral with
the processing unit (13u) and rigidly associated with one end of a supporting bracket
(16) of which the remaining end is anchored to the apparatus.
3. A dental surgery apparatus as in claim 1, wherein the monitor (14) is integral with
the processing unit (13u) and rigidly associated with one end of a supporting bracket
(16) of which the remaining end is anchored to one of the pivotable arms (30, 7).
4. A dental surgery apparatus as in claim 1, wherein the monitor (14) is associated with
the handpiece console (9) and the processing unit (13u) is associated with the electrical
means (31).
5. A dental surgery apparatus as in claim 1, further comprising a display associated
with the handpiece console (9) and providing visual indication of the functions of
the apparatus controlled by way of the electrical means (31), wherein the monitor
(14) of the electrocardiograph and the display associated with the handpiece console
(9) are one and the same, and the processing unit (13u) is associated with the electrical
means (31).
6. A dental surgery apparatus as in claim 1, wherein the sensors (15) are concealed inside
the first vertical column (4) and associated singly with flexible connection means
(23) in such a way that each can be withdrawn from the column and extended to a required
length at the moment of application to the body of the patient.
7. A dental surgery apparatus as in claim 1, wherein the sensors (15) are stowed internally
of at least one horizontal armrest (18) afforded by the chair (2), and associated
singly with flexible connection means (23) in such a way that each can be withdrawn
from the armrest and extended to a required length at the moment of application to
the body of the patient.
8. A dental surgery apparatus as in claim 1, wherein the sensors (15) are associated
with plugs (S) in such way that each can be individually connected to and removed
from one of a corresponding set of contact sockets (C) afforded by the column (4).
9. A dental surgery apparatus as in claim 1, further comprising a printer device (25)
for connection to the electrocardiograph (13), by means of which to produce a hard
copy of the electrocardiographic trace generated via the processing unit (13u) from
the signal returned by the sensors (15).