CN111050653B - Auxiliary tool kit for X-ray examination and auxiliary tool for X-ray examination - Google Patents
Auxiliary tool kit for X-ray examination and auxiliary tool for X-ray examination Download PDFInfo
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- CN111050653B CN111050653B CN201880058579.3A CN201880058579A CN111050653B CN 111050653 B CN111050653 B CN 111050653B CN 201880058579 A CN201880058579 A CN 201880058579A CN 111050653 B CN111050653 B CN 111050653B
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- 230000008878 coupling Effects 0.000 claims description 21
- 238000010168 coupling process Methods 0.000 claims description 21
- 238000005859 coupling reaction Methods 0.000 claims description 21
- 210000000689 upper leg Anatomy 0.000 claims description 12
- 210000003127 knee Anatomy 0.000 claims description 11
- 238000000034 method Methods 0.000 claims description 11
- 210000002414 leg Anatomy 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 7
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 238000005452 bending Methods 0.000 claims description 4
- 230000003139 buffering effect Effects 0.000 claims 1
- 210000001694 thigh bone Anatomy 0.000 abstract description 11
- 230000036544 posture Effects 0.000 description 54
- 210000002683 foot Anatomy 0.000 description 24
- 238000003384 imaging method Methods 0.000 description 18
- 210000000988 bone and bone Anatomy 0.000 description 7
- 230000037182 bone density Effects 0.000 description 6
- 238000001739 density measurement Methods 0.000 description 5
- 229910052500 inorganic mineral Inorganic materials 0.000 description 5
- 238000005259 measurement Methods 0.000 description 5
- 239000011707 mineral Substances 0.000 description 5
- 238000002601 radiography Methods 0.000 description 5
- 210000000245 forearm Anatomy 0.000 description 4
- 230000002787 reinforcement Effects 0.000 description 4
- 244000309466 calf Species 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000004705 lumbosacral region Anatomy 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 230000003014 reinforcing effect Effects 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 230000004308 accommodation Effects 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 238000000326 densiometry Methods 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 210000004744 fore-foot Anatomy 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 210000003371 toe Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
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- Radiology & Medical Imaging (AREA)
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- Apparatus For Radiation Diagnosis (AREA)
Abstract
The auxiliary tool set is composed of a first auxiliary tool for lumbar examination and a second auxiliary tool for thigh bone examination. In the lumbar examination, an upper and lower laminate composed of a first auxiliary tool and a second auxiliary tool on the lower side thereof is formed as needed. In the thigh bone examination, an anterior-posterior laminate composed of the second auxiliary tool and the first auxiliary tool disposed on the posterior side thereof is configured as needed. Each auxiliary tool has a sub-function as a size-increasing function in addition to the main function.
Description
Technical Field
The present application relates to an auxiliary tool set for X-ray examination and an auxiliary tool for X-ray examination, and more particularly, to a member that is provided on an imaging table and is used to set a subject to a predetermined posture.
Background
An auxiliary tool is used as necessary in X-ray examination such as radiography (radiography) and bone densitometry (bone density measurement). The auxiliary tool is a member for use in bringing a subject (particularly a limb) into a predetermined posture.
For example, in bone density measurement of lumbar vertebrae (lumber), a subject is reclined upward on a photographing table (bed) to lie down. In this case, in order to extend the lumbar spine and reduce the curvature of the lumbar spine, a posture of bending the knees of both legs is required. In order to naturally generate the knee bending posture, the lumbar vertebra measurement assisting tool is disposed under both knees of the subject. In bone density measurement of femur (femur), a subject is reclined upward on an imaging table and lies down. In this case, the feet are required to twist inward so that the forefoot of the two feet approach each other. In order to maintain the formed twisted posture, an auxiliary tool for measuring femur is used for accommodating and holding the distal portion of both feet.
In order to accommodate a lumbar vertebra measurement auxiliary tool for placing both feet, it is desirable to prepare a cushion member for lifting and reinforcing in order to be able to accommodate a subject having a high height (leg length). On the other hand, in the auxiliary tool for thigh bone examination for maintaining the posture of twisting both feet inward, the auxiliary tool needs to be thin due to the restriction of space on the imaging table, but the self-standing of the single body becomes difficult, and if the space is sufficient, it is desirable to be able to be configured so that the dimension in the depth direction can be easily increased.
Patent document 1 discloses a multifunctional auxiliary tool. Patent document 2 discloses a split-type auxiliary tool. When the split-type auxiliary tool is used, two parts constituting the split-type auxiliary tool are combined.
Prior art literature
Patent literature
Patent document 1: japanese patent laid-open publication No. 2014-94094
Patent document 2: japanese patent laid-open publication No. 2014-94095
Disclosure of Invention
Problems to be solved by the application
The realization of an auxiliary tool capable of easily changing the use mode according to the height of the subject is required. However, if a dedicated auxiliary tool is prepared for each examination site, the amount of the substance increases.
The purpose of the present application is to reduce the total material in an auxiliary tool set for X-ray examination, which is composed of a plurality of auxiliary tools. Alternatively, an auxiliary tool kit for X-ray examination is provided, in which the use mode can be easily changed according to circumstances. Or, an auxiliary tool for X-ray examination which can be combined with other auxiliary tools according to circumstances is provided.
Means for solving the problems
The auxiliary tool kit disclosed by the application is characterized by comprising: a first auxiliary tool provided on a bed for bringing a first position of a subject to be examined during an X-ray examination of a first portion of the subject; a second auxiliary tool provided on the bed for bringing the subject into a second posture during an X-ray examination of a second portion of the subject; the coupling member for coupling the first auxiliary tool and the second auxiliary tool may be configured to select a first single-body mode of use in which the first auxiliary tool is used alone or a first coupling-body mode of use in which a first coupling body formed by coupling the second auxiliary tool to the first auxiliary tool is used in an additional manner in the X-ray examination of the first portion of the subject.
The auxiliary tool for X-ray examination disclosed by the application is characterized by comprising: the device comprises two storage parts for storing two remote parts of the feet of a subject, two belts for fixing the two remote parts, a plurality of belt insertion structures for selecting the height of each belt, and a connecting member for additionally connecting other auxiliary tools to form a connecting body.
Drawings
Fig. 1 is a view showing a first example of use of the auxiliary tool set according to the embodiment.
Fig. 2 is a diagram showing a second example of use of the auxiliary tool set according to the embodiment.
Fig. 3 is a perspective view showing the upper and lower laminate.
Fig. 4 is a diagram showing the combination of the first auxiliary tool and the second auxiliary tool.
Fig. 5 is a view showing two planar fasteners in the first auxiliary tool.
Fig. 6 is a perspective view showing a front-rear laminate.
Fig. 7 is a view showing a holding structure of the second auxiliary tool.
Fig. 8 is a view showing two planar fasteners in the second auxiliary tool.
Fig. 9 is a view showing a use example of the upper and lower laminate.
Fig. 10 is a view showing a use example of the front-rear laminate.
Fig. 11 is a view showing a plurality of usage schemes of the auxiliary tool set.
Detailed Description
The embodiments are described below based on the drawings.
(1) Summary of the embodiments
An accessory tool kit of an embodiment includes a first accessory tool, a second accessory tool, and a coupling member. The first auxiliary tool is a tool that is set on a bed to set the subject to the first posture during the X-ray examination of the first portion of the subject. The second auxiliary tool is a tool that is set on the bed so as to set the subject to the second posture during the X-ray examination of the second portion of the subject. The joining member is a member for joining the first auxiliary tool and the second auxiliary tool as needed. The first single use mode of the first auxiliary tool alone or the first combination use mode of the first combination body formed by additionally combining the second auxiliary tool with the first auxiliary tool can be selected in the X-ray examination of the first part of the detected person.
According to the above configuration, it is possible to select either one of the method of using the first auxiliary tool alone (the first single use method) and the method of using the first joint body formed by joining the second auxiliary tool to the first auxiliary tool (the first joint body use method) at the time of X-ray examination of the first part. The bonding member is used when the two auxiliary tools are bonded. For example, when the height of the subject is high, the first coupling system, that is, the auxiliary tool having a large size is selected.
According to the embodiment, the second auxiliary tool performs the auxiliary function of the first auxiliary tool in addition to the main function, so that the number of parts of the entire auxiliary tool set can be reduced as compared with an auxiliary tool set having no auxiliary function of any auxiliary tool. The auxiliary tool set may be composed of three or more auxiliary tools. The concept of X-ray examination includes radiography, bone mineral density measurement, and the like.
In the embodiment, the second single use mode of the second auxiliary tool alone or the second combined use mode of the second combined body formed by additionally combining the first auxiliary tool with the second auxiliary tool can be selected in the X-ray examination of the second part of the detected person. According to this configuration, at the time of the X-ray examination of the second portion, either one of the mode in which the second auxiliary tool is used alone (the second single body use mode) and the mode in which the second coupling body is used (the second coupling body use mode) can be selected. Since the first auxiliary tool functions as a sub-function of the auxiliary second tool in addition to the main function, the amount of the entire auxiliary tool set can be further reduced.
In an embodiment, the first auxiliary tool has cushioning properties as a whole, and the second auxiliary tool is made of a hard material. According to this structure, the first coupling body and the second coupling body can be configured according to the method of combining the soft auxiliary tool and the hard auxiliary tool.
In the embodiment, the first coupling body is a vertically stacked body composed of the first auxiliary tool and the second auxiliary tool disposed on the lower side thereof, and the second coupling body is a vertically stacked body composed of the second auxiliary tool and the first auxiliary tool disposed on the rear side thereof. In the upper and lower laminate, the second auxiliary tool functions as a reinforcing member. In the front-rear laminate, the first auxiliary tool functions as a member for increasing the depth. And, up and down are relative concepts. The same applies to the front and back. For example, the side closer to the trunk of the subject is the front side, and the side farther from the trunk of the subject is the rear side.
In an embodiment, in the first coupling body, the first auxiliary tool has an upright posture and the second auxiliary tool has a prone posture, and in the second coupling body, the second auxiliary tool has an upright posture and the second auxiliary tool has a sideways state. The upright posture is a posture when the original function of the first auxiliary tool is exhibited, and the prone posture is a posture in which the surface (front surface of the second auxiliary tool) exhibiting the original function of the second auxiliary tool is directed downward. The standing posture is a normal posture of the second auxiliary tool, in other words, a posture in which the front surface of the second auxiliary tool faces in the correct direction. The sideways-down posture is a state in which the first auxiliary tool rotates from the normal standing posture and falls down.
In an embodiment, the first auxiliary tool has a first face facing downward in the upright posture and forward in the reclined posture, the second auxiliary tool has a second face facing rearward in the raised posture and upward in the prone posture, and the first face and the second face are joined in the first joint and the second joint. The faces need not be planar but may be hypothetical planes.
In an embodiment, the second auxiliary tool has a holding structure that receives and holds two distal portions of the two feet of the subject in the standing posture. The second aid is typically used when measuring bone density of the femur.
In an embodiment, the second auxiliary tool has a plurality of legs that contact the bed in the prone position, and a gap is generated between the plurality of legs. According to this structure, the second auxiliary tool can be lifted by inserting a hand into the gap.
In an embodiment, the holding structure includes two receiving portions for receiving the two distal portions, two bands for fixing the two distal portions, and a plurality of band insertion structures for selecting the height of each band. According to this structure, the respective distal side portions are fixed by the bands. At that time, the height of the setting belt can be changed according to the size of the portion on the far side.
In the embodiment, the first position is the lumbar vertebra, the first posture is a posture of raising and bending the knees, the second position is the femur, and the first posture is a posture of raising and twisting both feet inward. Other parts such as the forearm may be the examination part.
The auxiliary tool for X-ray examination according to the embodiment comprises two storage parts for storing two remote side parts of two feet of a subject, two belts for fixing the two remote side parts, a plurality of belt insertion structures for selecting the height of each belt, and a connecting member for additionally connecting other auxiliary tools to form a connecting body.
In the embodiment, a mark simulating the direction of the foot is provided in each storage portion or in the vicinity of each storage portion. The upper and lower sides of the auxiliary tool can be correctly identified according to the marks when the auxiliary tool is arranged, and in addition, the two remote side parts can be correctly inserted into the two storage parts.
(2) Detailed description of the embodiments
Fig. 1 shows a first example of use of the auxiliary tool set according to the embodiment. The bone density measuring device 10 as an X-ray examination device is a device for measuring bone density of lumbar (lumber), femur (femur), forearm (radius), etc. Fig. 1 shows a case where bone mineral density of femur is measured. The subject 16 having a reclined posture is lying on the imaging table 12 functioning as a bed. An auxiliary tool set 14 is provided below the knee of the subject 16. The auxiliary tool set 14 is composed of a first auxiliary tool 30 and a second auxiliary tool 32, which are stacked one above the other in fig. 1. That is, the first auxiliary tool 30 is provided on the second auxiliary tool 32, whereby the upper and lower stacked bodies 14A as the first joined body are constituted. The back surfaces of knees of both feet of the subject 16 are supported by the upper and lower laminate 14A, and a posture in which both knees are bent is formed and maintained in the subject.
The first auxiliary tool 30 is an auxiliary tool for lumbar examination, that is, its main function is to support the below knee at the time of lumbar examination. A secondary function is to be coupled to the second auxiliary tool 32 and to assist its function in thigh bone examination. The first auxiliary tool 30 can be used alone at the time of lumbar examination. For example, in the case of a subject of height (leg length), the first auxiliary tool 30 and the second auxiliary tool 32 are combined to form the upper and lower layered body 14A, and the upper and lower layered body 14A is used (first combined use mode). On the other hand, in the case of a short subject (short leg), the first auxiliary tool 30 is used alone (first single use mode).
The second auxiliary tool 32 is an auxiliary tool for thigh bone examination, that is, has a main function of holding a portion (foot) including the distal side of the ankle (hereinafter, referred to as "distal side portion" as the case may be) in both feet at the time of thigh bone examination. At this time, a twisted state is formed in which the two toes are brought close to each other. The second auxiliary tool 32 is used for forming and maintaining this state. A secondary function in the second auxiliary tool 32 is to be coupled to the first auxiliary tool 30 and to assist its function in lumbar examination. The second auxiliary tool 32 can also be used alone in thigh bone examinations. For example, when there is a certain space between the distal portion of the subject on the imaging table and the edge of the imaging table 12, the first auxiliary tool 30 and the second auxiliary tool 32 are combined to form a front-rear layered body, and the front-rear layered body is used (second combined use method). On the other hand, in the case where the space is insufficient, the second auxiliary tool 32 (second monomer usage mode) is used alone.
Since the two auxiliary tools 30 and 32 each have a sub-function as a usage plan changing function (size increasing function) in addition to the main function, the number of objects and parts can be halved as compared with the case where a dedicated auxiliary tool set for lumbar examination capable of changing the usage plan and a dedicated auxiliary tool set for thigh bone examination capable of changing the usage plan are prepared. The first auxiliary tool 30 and the second auxiliary tool 32 are described in detail later.
The bone mineral density measuring device 10 includes a lower portion 18, an upper portion 22, and a connecting portion 20. The lower portion 18 has an X-ray generator 24, the X-ray generator 24 having an X-ray tube 26. X-rays 27 are generated by the X-ray tube 26. Which is a fan beam that expands in a fan shape. The fan beam mechanically scans in the left-right direction (direction through fig. 1) of the subject. Thereby, a two-dimensional measurement region is formed. The upper portion 22 has an X-ray detector 28. Which is made up of a plurality of X-ray sensors arranged in a column according to a fan beam. The X-ray generator 24 and the X-ray detector 28 together are mechanically scanned. The position of the subject 16 is adjusted so that the lumbar vertebrae enter the two-dimensional measurement region at the time of lumbar vertebrae examination. The position of the femur (specifically, the bone end of the femur is moved into the two-dimensional measurement region) and the subject 16 are adjusted at the time of the femur examination. The forearm is placed on the imaging table 12 during forearm examination. Auxiliary tools are also utilized at that time as needed.
The imaging table 12 is a device used for X-ray imaging. In the configuration shown in fig. 1, the imaging table 12 and the bone mineral density measuring device 10 are different individuals, and these may be integrated. The X-rays can be scanned in the axial direction of the body of the subject 16.
Fig. 2 shows a second example of use of the auxiliary tool set according to the embodiment. Fig. 2 shows a state in thigh bone examination. The subject is placed on the imaging table 12 in a tilted-up posture. Two distal portions of the subject 16 are held by the auxiliary tool set 14. The auxiliary tool set 14 is configured as a front-rear laminate 14B in fig. 2. The front-rear laminate 14B is composed of a second auxiliary tool 32 in a standing posture and a first auxiliary tool 30 provided on the rear side thereof in a sideways posture. The second auxiliary tool 32 may be used alone, but if the front-rear layered body 14B is configured, the depth can be increased and the standing posture of the second auxiliary tool 32 can be naturally maintained. That is, the second auxiliary tool 32 can be made to stand alone before the two distal side portions are held by the second auxiliary tool 32.
When the imaging table 12 has a large size (reference numeral 34) and the space from the end of the distal portion to the edge of the imaging table 12 is relatively large, the front-rear laminate 14B is disposed. On the other hand, when the subject 16 is high in height, or when the imaging table 12 is small in size (see symbol 36), the space between the end of the distal portion and the edge of the imaging table 12 becomes small, and there is a case where the front-rear laminate 14B cannot be disposed therein. In that case the second auxiliary tool 32 is used alone.
Fig. 3 shows the upper and lower laminate 14A. In fig. 3, the x-direction is a direction parallel to the body axis of the subject, the y-direction is a left-right direction of the subject, and the z-direction is a jaw-hanging direction, i.e., an up-down direction.
The first auxiliary tool 30 is in an upright posture in fig. 3. The xz cross section (vertical cross section) is a trapezoid, and the shape thereof is the same at each position in the y direction. The xy cross section is rectangular, and the xy cross section increases from top to bottom. The first auxiliary tool 30 has six faces 38a, 38b, 38c, 38d, 38e, 38f. In its upright position, faces 38a, 38b are inclined faces and faces 38c, 38d are vertical faces. In its upright position, the faces 38e and 38f are parallel to the xy-plane. The first auxiliary tool 30 is soft and has cushioning properties. The xz section of the first auxiliary tool 30 may be made triangular or rectangular, or may be shaped like a triangle, a trapezoid or a rectangle.
The second auxiliary tool 32 functions as a lifting reinforcement member for lifting the surface 38e of the first auxiliary tool 30 in the upper and lower stacked bodies 14A. The secondary function of the second auxiliary tool 32 is used. The second auxiliary tool 32 is in a prone position in fig. 3. The second auxiliary tool 32 has five faces (including imaginary faces) 42a, 42b, 42c, 42d, 42e, and further has a holding structure 40 corresponding to a downward face in a prone position. The holding structure 40 is a structure that accommodates and holds two distal-side portions of the subject in normal use of the second auxiliary tool 32, that is, in its standing posture. The details are described later. The main body of the second auxiliary tool 32 is made of a hard material such as a resin which is not deformed even when used. On the other hand, the first auxiliary tool 30 is composed of a cushioning material that is deformable upon use thereof. That is, the first auxiliary tool 30 and the second auxiliary tool 32 are different from each other in hard or soft face.
In the second auxiliary tool 32, a plurality of legs are provided so as to surround the holding structure 40, and in the prone position, the plurality of legs are in contact with the upper surface of the imaging table. Gaps 44, 46 are created between adjacent ones of the plurality of feet. When the second auxiliary member is lifted, both hands of the subject are inserted into a predetermined gap. The second auxiliary tool 32 is composed of a hard material such as resin. The second auxiliary tool 32 has a plate-like shape as a whole.
In the first auxiliary tool, the width in the x direction is, for example, 45cm, and the height in the z direction is, for example, 15cm. The width in the x-direction varies in the z-direction, for example from 32cm to 28cm. θ1 is, for example, 40 to 90 degrees, and 60 degrees may be used. The height (thickness) of the second auxiliary tool 32 in the z direction is, for example, 10cm.
Fig. 4 shows a process of forming the upper and lower laminates. The first auxiliary tool 30 is laminated on the second auxiliary tool 32. In the upper and lower stacked bodies, the second auxiliary tool 32 functions as a lifting reinforcement member. In lumbar examination, supporting the under knee or calf (calf) of the subject is a main function of the first auxiliary tool 30. The first auxiliary tool 30 is used alone without lifting, for short height of the subject, or other reasons.
In the first auxiliary tool 30, the inclination angle (angle with respect to the x direction) of the faces 38a, 38b is θ1, and the inclination angle (angle with respect to the x direction) of the face 42a of the second auxiliary tool 32 is θ2.θ1 is the same as θ2. Face 38a is joined to face 42a to form a plane. On the other hand, in the front-rear stacked body, the second auxiliary tool 32 makes the surface 42a downward in the standing posture, and the first auxiliary tool 30 makes the surface 38a downward in the horizontal posture. At this time, the surfaces 28a, 42a as a whole become bottom surfaces of the front and rear laminate.
The first auxiliary tool 30 is composed of a sponge 48 having cushioning or elastic properties, and a cover 50 covering the sponge 48 as a whole. In essence, the sponge 48 defines the morphology of the first auxiliary tool 30. The cover 50 is made of cloth, for example.
In fig. 5, a first auxiliary tool 30 is shown. In its upright position, two planar fasteners 52, 54 are provided on the downward face 38f. These are detachably coupled to two surface fasteners (described later) provided in the second auxiliary tool 32. The plurality of planar fasteners in a coupled relationship correspond to a coupling member or mechanism. Other coupling mechanisms such as mechanical engagement, bolting, etc. may be utilized.
Fig. 6 shows the front-rear laminate 14B. In the x-direction, the side closer to the trunk of the subject is the front side, and the side farther from the trunk of the subject is the rear side. The front-rear laminate 14B is coupled with the first auxiliary tool 30 in a horizontal posture to the rear side of the second auxiliary tool 32 in a standing posture. In a state where the second auxiliary tool 32 does not hold the two distal end portions, the second auxiliary tool 32 is difficult to stand alone, and if the first auxiliary tool 30 is present on the rear side thereof, the standing posture of the second auxiliary tool 32 can be naturally maintained. However, the second auxiliary tool 32 is used alone when the space of the photographing table is insufficient.
In the case of constituting the front-rear layered body 14B, since the first auxiliary tool 30 on the rear side has cushioning properties, the second auxiliary tool 32 is allowed to slightly fall down to the rear side. When the second auxiliary tool 32 falls down rearward, the first auxiliary tool 30 returns to its original shape due to the elastic force of the first auxiliary tool 30. As a result, the second auxiliary tool 32 is again in the original standing posture. In the standing posture of the second auxiliary tool 32, the inclination angle is θ2 described above.
The second auxiliary tool 32 has a holding structure 40 that is forward in its raised position. The holding structure has two receiving portions 56, 58 for receiving two distal portions of the subject. The center axes of the two receiving portions 56, 58 are inclined inward. As described above, in the state where the front-rear layered body 14B is configured, the downward surface in the first auxiliary tool 30 and the downward surface in the second auxiliary tool 32 function as the bottom surface of the front-rear layered body 14B as a whole.
The details of the second auxiliary tool are shown in fig. 7. The second auxiliary tool has a holding structure 40 on its front (front) side. As described above, the holding structure 40 has two receiving portions 56, 58. In the standing posture of the second auxiliary tool, the bottom portions 64, 66 of the two receiving portions 56, 58 are caught and hold the lower portion of the distal side portion, that is, the heel. Between the two receiving portions 56, 58 there are two inclined side walls 60, 62 having an inverted V-shape. Slits 68, 70 are formed in the side walls 60, 62. Two slits 71A, 71B are formed on the outer side (left side in fig. 7) of the housing portion 56 so as to be vertically aligned. These can be selectively used. Slits 72A, 72B are formed on the outer side (right side in fig. 7) of the housing portion 58 so as to be aligned vertically. These can also be used selectively. The slits 68, 70, 71A, 71B, 72A, 72B are of a tape insertion structure. Also, in fig. 7, two bands are not shown.
The second auxiliary tool has a plurality of feet 78, 80, 82, 84 that function in its prone position. There are gaps 44, 46 between those. Specifically, a gap 44 exists between the foot 78 and the foot 82, and a gap 44 exists between the foot 80 and the foot 84. There is a gap 46 between the foot 82 and the foot 84. The foot 78 and the foot 80 are also open.
In a state where the two distal portions are accommodated in the two accommodation portions 56, 58, the two heels are held by the bottom portions 64, 66, and the inner side surfaces of the two distal portions are abutted against the two side walls 60, 62. In this state, the two distal portions are fixed by the two belts. In the case where the two distal side portions are large in size, the slit 71A on the outer side of the high position and the slit 68 on the inner side are used, and the first belt is inserted therein. Thereby, the distal end portion on the left side is fixed. As in the above, the slit 72A on the outer side of the high position and the slit 70 on the inner side are used, and the second belt is inserted therein. Thereby, the distal end portion on the right side is fixed. On the other hand, in the case where the two distal side portions are small in size, the slit 71B on the outer side of the lower position and the slit 68 on the inner side are used, and the first belt is inserted therein. Thereby, the distal end portion on the left side is fixed. As in the case of the above, the slit 72B on the outer side and the slit 70 on the inner side of the lower stage are used, and the second belt is inserted therein. Thereby, the distal end portion on the right side is fixed. The belt may be configured in such a manner that the height of the belt is changed to three or more stages.
Fig. 8 shows two planar fasteners 86 and 88 provided on the surface (virtual surface) 42e of the second auxiliary tool 32. These are coupling members detachably coupled to the two planar fasteners shown in fig. 5.
Fig. 9 shows the upper and lower laminate 14A. The upper and lower laminate 14A is disposed under the two legs 16A, 16B. Thereby, a supinated knee posture is formed and maintained. Fig. 10 shows the front-rear laminate 14B. The two distal portions 16C, 16D are received in the two receiving portions 56, 58 in the holding structure. The central axes 90, 92 of the two distal portions 16C, 16D are inclined inwardly. The inclination angle is for example 20 degrees. According to this configuration, a posture in which both feet are twisted inward is formed and maintained in the subject.
(3) Arrangement of the manner of use of auxiliary tool sets
The manner of use of the auxiliary tool kit is collated in fig. 11. As indicated by reference numeral 94, in the lumbar vertebra examination, the upper and lower layered bodies are used when the height of the subject is high. That is, the first auxiliary tool is placed on the upper side of the second auxiliary tool. In this case, the first auxiliary tool has a normal standing position, which functions as it is, and the second auxiliary tool has a prone position, which functions as a hard base for lifting reinforcement. As indicated by reference numeral 96, in the lumbar examination, the first auxiliary tool is used alone in a case where the subject is short. In this case, the first auxiliary tool is in an upright posture. The second auxiliary tool is not used.
As shown by reference numeral 98, in the thigh bone examination, the front-rear layered body is used when there is a sufficient space (for providing the front-rear layered body) on the imaging table. That is, the first auxiliary tool is provided at the rear side of the second auxiliary tool. The first auxiliary tool plays a role of increasing the depth. In this case, the second auxiliary tool has a standing posture, and the first auxiliary tool has a lying posture. The front and rear laminates and the upper and lower laminates have the same form and are set in different postures. As shown by reference numeral 100, in the thigh bone examination, in the case where the space on the imaging table (for setting the anterior-posterior layered body) is insufficient, the second auxiliary tool is used alone. In this case, the second auxiliary tool is held by the two distal end portions in the stage of holding the two distal end portions of the subject. Before this, the second auxiliary tool is held by the subject or the like, maintaining its posture.
The auxiliary tool set may be constituted by three or more auxiliary tools. In the above embodiment, the description has been made of an auxiliary tool kit for bone mineral density measurement, and the auxiliary tool kit may be used for radiography. Alternatively, an auxiliary tool set for radiography may be constituted. Auxiliary tool kits may also be utilized in other X-ray examinations.
According to the auxiliary tool kit of the above embodiment, the number of objects and parts can be halved compared to a plurality of special auxiliary tools which can be used in a manner that can be changed for multi-site X-ray examination. Therefore, the storage is performed in half of the storage space. Since the lower second auxiliary tool is made of a hard material in the upper and lower laminated bodies, reliable lifting reinforcement can be expected, and the upper and lower laminated bodies are not collapsed even if necessary. Since the first auxiliary tool on the rear side of the front-rear laminate has cushioning properties, the second auxiliary tool can be allowed to move slightly downward, and a feeling of security can be imparted to the subject while the two distal portions are held and fixed. Since the degree of freedom is generated in the posture of the second auxiliary tool, workability in attaching the two belts can be improved.
Claims (10)
1. An auxiliary tool set for X-ray examination, comprising:
a first auxiliary tool provided on a bed for bringing a first position of a subject to be examined during an X-ray examination of a first portion of the subject;
a second auxiliary tool provided on the bed for bringing the subject into a second posture during an X-ray examination of a second portion of the subject; and
a combining part for combining the first auxiliary tool and the second auxiliary tool,
in the X-ray examination of the first region, a first single use method using the first auxiliary tool alone or a first combined use method using a first combined body formed by additionally combining the second auxiliary tool with the first auxiliary tool is selected,
in the X-ray examination of the second region, a second single use method using the second auxiliary tool alone or a second combined use method using a second combined body formed by additionally combining the first auxiliary tool with the second auxiliary tool is selected,
the first combined body is an upper and lower laminated body composed of the first auxiliary tool and the second auxiliary tool arranged at the lower side of the first auxiliary tool,
the second joint is a front-rear laminate composed of the second auxiliary tool and the first auxiliary tool disposed on the rear side of the second auxiliary tool.
2. The auxiliary tool kit for X-ray examination according to claim 1, wherein,
the first auxiliary tool has buffering property as a whole,
the second auxiliary tool is made of a hard material.
3. The auxiliary tool kit for X-ray examination according to claim 1, wherein,
in the first combination, the first auxiliary tool has a standing posture, and the second auxiliary tool has a prone posture,
in the second coupling body, the second auxiliary tool has a standing posture, and the second auxiliary tool has a tilting posture.
4. An auxiliary tool kit for X-ray examination according to claim 3, wherein,
the first auxiliary tool has a first face facing downward in the upright posture and forward in the horizontal posture,
the second auxiliary tool has a second face which is directed rearward in the raised position and upward in the prone position,
the first surface and the second surface are joined to the first joined body and the second joined body.
5. An auxiliary tool kit for X-ray examination according to claim 3, wherein,
the second auxiliary tool has a holding structure for receiving and holding two distal portions of the subject's feet in the standing posture.
6. The auxiliary tool kit for X-ray examination according to claim 5, wherein,
the second auxiliary tool has a plurality of feet contacting the bed in the prone position,
gaps are generated between the plurality of legs.
7. The auxiliary tool kit for X-ray examination according to claim 5, wherein,
the holding structure includes:
two receiving portions for receiving the two remote side portions;
two belts for fixing the two remote side portions; and
a plurality of band insertion structures for selecting the height of each of the bands.
8. The auxiliary tool kit for X-ray examination according to claim 1, wherein,
the first position is the lumbar vertebra, the first posture is a posture of bending the knee with upward inclination,
the second position is a femur, and the second posture is a posture in which both feet are turned upward and inward.
9. An auxiliary tool for X-ray examination, for use in the auxiliary tool kit for X-ray examination according to claim 1, comprising:
two storage units for storing two remote-side portions of the feet of the subject;
two belts for fixing the two remote side portions;
a plurality of band insertion structures for selecting the height of each of the bands; and
and a coupling member for additionally coupling other auxiliary tools to form a coupling body.
10. The auxiliary tool for X-ray examination according to claim 9, wherein,
marks simulating the direction of the feet are arranged in the storage parts or near the storage parts.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2018013648A JP7023730B2 (en) | 2018-01-30 | 2018-01-30 | X-ray inspection aid set |
| JP2018-013648 | 2018-01-30 | ||
| PCT/JP2018/039450 WO2019150671A1 (en) | 2018-01-30 | 2018-10-24 | Auxiliary tool set for x-ray examinations and auxiliary tools for x-ray examinations |
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| Publication Number | Publication Date |
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| CN111050653A CN111050653A (en) | 2020-04-21 |
| CN111050653B true CN111050653B (en) | 2023-08-22 |
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| CN201880058579.3A Active CN111050653B (en) | 2018-01-30 | 2018-10-24 | Auxiliary tool kit for X-ray examination and auxiliary tool for X-ray examination |
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| Country | Link |
|---|---|
| JP (1) | JP7023730B2 (en) |
| CN (1) | CN111050653B (en) |
| WO (1) | WO2019150671A1 (en) |
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| CN111513720A (en) * | 2020-05-06 | 2020-08-11 | 江西省人民医院 | Dedicated multi-functional auxiliary stay device of mammary gland MRI inspection |
| KR102660411B1 (en) * | 2022-09-27 | 2024-04-23 | 원광보건대학교 산학협력단 | Lateral decubitus radiography image assistance device |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2019150671A1 (en) | 2019-08-08 |
| CN111050653A (en) | 2020-04-21 |
| JP2019129958A (en) | 2019-08-08 |
| JP7023730B2 (en) | 2022-02-22 |
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