Development of telemedical system of mouth opening closing training system for the cases of jaw functioning disturbance.

在2000财政年度，我们对先进开合口训练机器人（WY-5R）的机构和遥控方式进行了调整，并对机械驱动单元、机械传感器单元、遥控系统进行了改进，遥控系统的细节如下：1)开展先进开合口训练机器人（WY-5R）临床试验2)实际应用准备（开合口机器人训练技术评价及临床试验临床数据积累）3)远程控制治疗系统基础实验及临床试验实施。我们采购了对开合口训练机器人进行改进、维护和管理所需要的各种部件，并完成了本研究将要用到的实验模型。2000年3月，我们启动了远程医疗项目，将控制单元放置在山梨县医科大学，接收单元和治疗设备放置在东京早稻田大学。我们使用两个ISDN电路来操作放置在患者身上的设备。在这次成功的经验之后，我们对设备进行了部分改进，并于2001年3月成功地利用更先进的远程医疗技术治疗了另一位患者。

In fiscal 2000, we adjusted the mechanism and remote control method of advanced mouth opening and closing training robot(WY-5R) and improved mechanic drive unit, mechanic sensor unit, remote control system and the details of the remote control system as follows.1) Initiation of clinical trials using the advanced mouth opening and closing training robot (WY-5R)2) Preparation for its practical use (technical evaluation of the mouth opening and closing robot training and accumlation of clinical data obtained in clinical trials) :3) Implementation of basic experiments and clinical trials using the remote control treatment system.We purchased various parts necessary for improvement, maintenance and management of the mouth opening and closing training robot and completed the experimental model to be used in the present study.In March 2000, we launched our project of telemedicine and placed the control unit in Yamanashi Medical University and the receiving unit and treatment devices in Waseda University in Tokyo. We used two ISDN circuits to operate the devices which were placed on the patient.After this successful experience, we partially improved the devices and in March 2001 succeeded in treating a one another patient by utilizing more advanced telemedicine techniques.