TWI580457B - An applicator cap,a mobile x-ray unit and a method for manufacturing the same - Google Patents

An applicator cap,a mobile x-ray unit and a method for manufacturing the same Download PDF

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TWI580457B
TWI580457B TW101119910A TW101119910A TWI580457B TW I580457 B TWI580457 B TW I580457B TW 101119910 A TW101119910 A TW 101119910A TW 101119910 A TW101119910 A TW 101119910A TW I580457 B TWI580457 B TW I580457B
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ray
mobile
unit
collimator
cover
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TW201350161A (en
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拔思 伍德史塔
加格 文 德
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紐克雷創營運公司
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Description

裝療器蓋、移動式X光單元及其製造方法 Heat treatment cover, mobile X-ray unit and manufacturing method thereof

本發明係有關於一種移動式X光單元包括一基座用以容置一控制單元、一電源供應器以及一冷卻器,且更包括 一鉸接可位移式臂以支撐一X光裝療器包括一X光管,X光裝療器連接至基座,X光管包括一撞擊靶用以產生一X光射束以及一準直儀用以成型所產生之X光射束。 The invention relates to a mobile X-ray unit comprising a base for accommodating a control unit, a power supply and a cooler, and further comprising An articulating displaceable arm for supporting an X-ray device includes an X-ray tube, the X-ray device is coupled to the base, the X-ray tube includes a impact target for generating an X-ray beam and a collimator Used to shape the resulting X-ray beam.

本發明更有關於一種製作X光單元之方法以及一種提供X光射束之方法。 More particularly, the invention relates to a method of making an X-ray unit and a method of providing an X-ray beam.

皮膚癌在20世紀的近10年來發病率有增加的驅勢,專業醫療人員在早期診斷、物資(logistics)及提供適當治療方面需投入大量的精神。然而,值得欣慰的是超過130萬種新的皮膚癌被確診,且以每年約5%的速度增加。在沒有皮膚保護的情況下增加在太陽下曝曬的機會及臭氧層的減少是最主要的原因-估計每年將耗資超過10億歐元在此項疾病的醫療費用上。超過80%的皮膚癌是發生在頭部及頸部區域,且50%是發生在超過60歲的患者身上。相較於現在的人口統計資料,預計到2025年時老年人口將會是現今的兩倍。 The incidence of skin cancer has increased in the past 10 years in the 20th century, and professional medical personnel need to invest a lot of spirit in early diagnosis, logistics and providing appropriate treatment. However, it is gratifying that more than 1.3 million new skin cancers have been diagnosed and increased at a rate of about 5% per year. Increasing exposure to the sun and reduction of the ozone layer without skin protection is the main reason - it is estimated that more than 1 billion euros will be spent each year on the medical costs of the disease. More than 80% of skin cancers occur in the head and neck areas, and 50% occur in patients over 60 years of age. Compared to current demographics, it is expected that by 2025 the elderly population will be twice as large as today.

實質上為表面病變(superficial lesions)之非增生性癌(non proliferated cancer)可以以不同的方式治療。首先,可考慮手術。然而,然而缺點在於等持時間安排很長且術後治療複雜,而且於侵入性手術後創傷可能造成感染的風險亦高。其次,可考慮用軟X光(soft X-ray)電子照射。此種方式具有非侵入性之優點,其每一處理療程可短至2~4分鐘,值得高興的是通常用於放射治療技術作為 整體治療時是包括一定數量之療程。 Non proliferated cancer, which is essentially superficial lesions, can be treated in different ways. First, surgery can be considered. However, the disadvantage is that the waiting time is long and the postoperative treatment is complicated, and the risk of infection may be high after the invasive surgery. Second, soft X-ray electron irradiation can be considered. This method has the advantage of non-invasiveness, and each treatment course can be as short as 2~4 minutes. It is gratifying that it is usually used in radiotherapy technology. The overall treatment includes a certain number of treatments.

因此,越多越多的皮膚癌發病率及老年人口部份在人口統計整體中比例的增加,對癌症治療處理物資上構成實質上的挑戰。 Therefore, the more the incidence of skin cancer and the increase in the proportion of the elderly population in the overall demographics, pose a substantial challenge to cancer treatment and treatment materials.

近年來,通常建議使用移動式及可攜式X光單元,其可用於醫院之放射治療部門。此類的可攜式單元的實施例如專利公開號US2007/0076851中所述。此已知的單元包括一X光源提供有一過濾裝置具有複數個濾器,可旋轉地對應配置相對於X光管的一聚焦點(focal point),用以因應需求而改變過濾特性。複數個濾器是配置於過濾裝置中,橫向地相對於X光管之一縱軸而配置。 In recent years, it has been generally recommended to use mobile and portable X-ray units, which can be used in the hospital's radiation therapy department. An implementation of such a portable unit is described, for example, in Patent Publication No. US2007/0076851. The known unit includes an X-ray source provided with a filtering device having a plurality of filters rotatably corresponding to a focal point relative to the X-ray tube for varying the filtering characteristics in response to demand. A plurality of filters are disposed in the filter device and are disposed laterally relative to one of the longitudinal axes of the X-ray tube.

已知之X光管的缺點在於,由於已知X光管的內部結構,射束(beam)特性可能會受到影響。舉例來說,可能會導致X光射束有較寬之半影區(penumbra)。 A disadvantage of the known X-ray tube is that the beam characteristics may be affected due to the known internal structure of the X-ray tube. For example, it may result in a wider penumbra for the X-ray beam.

本發明之一目的係提供一種移動式X光單元具有改進之操作特性。更特別的是,本發明之一目的係提供一種移動式X光單元具有改進之X光射束半影區及/或減少皮膚劑量,當劑量提供有既定為5mm深度時。 It is an object of the present invention to provide a mobile X-ray unit with improved operational characteristics. More particularly, it is an object of the present invention to provide a mobile X-ray unit having an improved X-ray beam penumbra and/or a reduced skin dose when the dose is provided at a depth of 5 mm.

基於此,依據本發明之一種移動式X光單元,其介於撞擊靶及準直儀之間的距離約為4公分至10公分。 Based on this, a mobile X-ray unit according to the present invention has a distance between the impact target and the collimator of about 4 cm to 10 cm.

在本文中所用之”移動式(mobile)”及”可攜式(portable)”是可互換的,且其意義等同於一可輕易移動 或運輸之裝置,舉例來說,可由單一個人所移動或運輸之裝置。 As used herein, "mobile" and "portable" are interchangeable and have the same meaning as being easily movable. Or a device for transport, for example, a device that can be moved or transported by a single individual.

可以發現,將X光撞擊靶及準直儀之間的距離設為約4~10公分,更好的距離約為5~6公分,可實現改進射束特性之目的。舉例來說,可以發現,在撞擊靶-準直儀之間的距離為4~10公分時,改進射束的平整度及較狹的半影區可以被達成,更好的是撞擊靶-準直儀之間的距離為5~6公分時,因為其相對較小之對焦尺寸。舉例來說,當撞擊靶-準直儀之間的距離約為5公分時,1.5~1.8mm之半影區可被達成(特定於20/80%行)。 It can be found that the distance between the X-ray impact target and the collimator is set to be about 4 to 10 cm, and the better distance is about 5 to 6 cm, which can improve the beam characteristics. For example, it can be found that when the distance between the impact target-collimator is 4 to 10 cm, the improvement of the flatness of the beam and the narrow penumbra can be achieved, and it is better to hit the target-quasi The distance between the instruments is 5 to 6 cm because of their relatively small focus size. For example, when the distance between the impact target-collimator is about 5 cm, a penumbra of 1.5 to 1.8 mm can be achieved (specifically 20/80% of the line).

如此較狹之半影區對於治療較小的病變來說是非常重要的,如皮膚癌,對健康組織的劑量來說是被最小化的,這對劑量配給方案來說是關鍵的項目。 Such a narrow penumbra is very important for the treatment of smaller lesions, such as skin cancer, which is minimized for healthy tissue doses, which is a key item for dose dosing solutions.

依據本發明之一實施例,在X光單元中,撞擊靶和準直儀是容置於一大致上圓柱形之X光管中具有一縱軸,X光射束之一延伸方向大致平行於縱軸。 According to an embodiment of the invention, in the X-ray unit, the impact target and the collimator are housed in a substantially cylindrical X-ray tube having a longitudinal axis, and one of the X-ray beams extends substantially parallel to the direction Vertical axis.

將陽極-準直儀配置成上述方式可以發現好處在於X光管的軸線將大致上與所產生之X光射束所延伸之方向一致,因此,X光管及X光裝療器可具有相同之縱軸,這樣的配置從機械觀點來看在裝療器於鉸接臂上之平衡以同軸幾何簡化是有利的。更好的是對X光管來說,其容置於X光裝療器中是相對較細長(slim)(外徑小於10公分)、窄長(elongated)之圓柱形(長度約30公分),其更佳的是位於提供X光射束至患者之垂直方向上。一旦X光管之內部幾 何結構為共軸時,X光管的重量可以適當地被平衡,使得鉸接臂可輕易且重覆地位移支撐著X光裝療器。 Configuring the anode-collimator in the above manner can find that the advantage is that the axis of the X-ray tube will substantially coincide with the direction in which the generated X-ray beam extends, so the X-ray tube and the X-ray device can have the same The longitudinal axis, such a configuration is advantageous from a mechanical point of view where the balance of the applicator on the articulated arm is simplified by coaxial geometry. More preferably, for X-ray tubes, the X-ray tube is relatively slim (outer diameter less than 10 cm), elongated cylindrical (length about 30 cm). More preferably, it is located in the vertical direction providing the X-ray beam to the patient. Once inside the X-ray tube When the structure is coaxial, the weight of the X-ray tube can be properly balanced so that the articulated arm can be easily and repeatedly displaced to support the X-ray device.

依據本發明另一實施例之X光單元,準直儀提供有自動識別裝置,配置以產生一訊號,此訊號在控制單元中代表著準直儀之特性。 In accordance with another embodiment of the present invention, the collimator is provided with an automatic identification device configured to generate a signal representative of the characteristics of the collimator in the control unit.

可以發現此優點在於,其可完全自動地識別準直儀插置入X光管中,對於定義範圍幾何之人為失誤可以被減到最小或甚至被消除。舉例來說,當準直儀被容置於一容室中時,此容室可提供有一電阻路徑其電阻值是可被改變的。準直儀可接著設置有適於與容室之電阻路徑配合之突出部,藉以改變最後之電阻,也因此產生所插置入之準直儀之代表訊號。更好的是,此訊號可提供作為移動式X光單元之控制單元獨立之辨別。更佳的是,X光單元包括一組準直儀具有各別之識別裝置。 This advantage can be found in that it fully automatically recognizes that the collimator is inserted into the X-ray tube, and that human error for defining the range geometry can be minimized or even eliminated. For example, when the collimator is housed in a chamber, the chamber can be provided with a resistive path whose resistance value can be changed. The collimator can then be provided with a projection adapted to cooperate with the resistance path of the chamber, thereby changing the final resistance and thus generating a representative signal of the inserted collimator. Even better, this signal can be provided independently as a control unit for the mobile X-ray unit. More preferably, the X-ray unit includes a set of collimators having respective identification devices.

依據本發明另一實施例之X光單元,其可提供有一訊號裝置用以指示X光射束之產生。 According to another embodiment of the present invention, an X-ray unit can be provided with a signal device for indicating the generation of an X-ray beam.

提供此訊號裝置之好處在於可辨別X光射束是開啟的。舉例來說,此訊號可以位於X光裝療器上以適合之光源而實現。一或多個發光二極體可基於此而被使用。也可以對應於所產生之X光射束之能量提供複數個訊號裝置。 The benefit of providing this signal device is that it can be discerned that the X-ray beam is on. For example, this signal can be located on an X-ray device with a suitable light source. One or more light emitting diodes can be used based on this. A plurality of signal devices can also be provided corresponding to the energy of the generated X-ray beam.

舉例來說,對於X光射束光譜(spectrum)之較低部份(約50KV),可使用一第一指示器(indicator),如一第一顏色光;對於光譜之中間部份(約60~65KV),可使用一第二指示器,如一第二顏色光;最後,對於光譜之較高部份(約 66~75KV,更佳的是66~70KV),可使用一第三指示器,如一第三顏色光。可以理解的是,對用指示不同光譜可存在有複數種可能,包括但不限於依據所提供之X光射束之硬化(hardening)而有複數個指示器之漸進照明(progressive illumination)。亦可以理解的是,此KV範圍之指示是在裝置中、在一使用者介面中、或一實施單元中可允許的。更好的是,將上述KV範圍作刻度標示,如1,1;1,2;1,3;1,4;1,5。更佳的是,訊號裝置包括一光源指示器配置於外殼體上,此種訊號裝置的配置是有利於患者可注意到開始點和照射終止點,使得患者可在治療過程中保持靜態姿態。 For example, for the lower portion of the X-ray beam spectrum (about 50 KV), a first indicator, such as a first color light, can be used; for the middle portion of the spectrum (about 60~) 65KV), a second indicator can be used, such as a second color light; finally, for the higher part of the spectrum (about 66~75KV, more preferably 66~70KV), a third indicator can be used, such as a third color light. It will be appreciated that there may be a plurality of possibilities for indicating different spectra, including but not limited to progressive illumination of a plurality of indicators depending on the hardening of the provided X-ray beam. It will also be appreciated that the indication of the KV range is permissible in the device, in a user interface, or in an implementation unit. More preferably, the above KV ranges are scaled, such as 1,1; 1, 2; 1, 3; 1, 4; 1, 5. More preferably, the signal device includes a light source indicator disposed on the outer casing. The configuration of the signal device is such that the patient can notice the starting point and the end of the illumination so that the patient can maintain a static posture during the treatment.

依據本發明另一實施例之X光單元,其中,冷卻器是配置有管路,以在鄰近X光管處提供冷卻媒介,管路的佈線是位於X光管和相關於X光管之一殼體壁之間。 An X-ray unit according to another embodiment of the present invention, wherein the cooler is provided with a conduit for providing a cooling medium adjacent to the X-ray tube, the wiring of the conduit being located in the X-ray tube and associated with the X-ray tube Between the shell walls.

可以發現在X光管外表面及X光管內表面之間提供一空間的好處在於,此空間中可至少部份填充有冷媒。而以循環水作為冷卻媒介的好處在於其之高比熱容(specific heat capacity),水相對於氣體可提供改進之熱傳遞。然而,壓縮氣體同樣可用作適合之冷媒。更好的是,溫度感測器是配設於X光裝療器之外殼體上,用以量測外殼體的實際溫度。此溫度感測器可連接至用以控制冷卻器及/或用以控制高壓供應器之控制單元。當溫度升高到一既定關閉數值時,控制單元可控制將高壓供應器關閉及/或提高冷卻模式,舉例來說,藉由增加冷媒之抽取量(pumping capacity)。 It has been found that the advantage of providing a space between the outer surface of the X-ray tube and the inner surface of the X-ray tube is that the space can be at least partially filled with refrigerant. The benefit of using recycled water as a cooling medium is its specific heat capacity, which provides improved heat transfer relative to the gas. However, compressed gas can also be used as a suitable refrigerant. More preferably, the temperature sensor is disposed on the outer casing of the X-ray device to measure the actual temperature of the outer casing. This temperature sensor can be connected to a control unit for controlling the cooler and/or for controlling the high pressure supply. When the temperature rises to a predetermined shutdown value, the control unit can control the high pressure supply to be turned off and/or increase the cooling mode, for example, by increasing the amount of refrigerant extracted (pumping) Capacity).

依據本發明另一實施例之X光單元,其中,一幅射偵測器可提供於上述外殼體中,用以偵測X光射束。 According to another embodiment of the present invention, an X-ray unit can be provided in the outer casing for detecting an X-ray beam.

可以發現,提供一獨立裝置用以偵測所產生之X光射束存在與否是有利的。更好的是,依據本發明之X光單元包括一主要計時器(primary timer),其設定一時間用於高壓供應器以提供一既定幅射劑量。容置於X光裝療器之外殼體內的幅射感測器可以為一第二計時器(secondary timer)之一部份,其迴路適於依據既定幅射劑量達到時關閉高壓供應器。以此方式,幅射安全控制可以被改進。 It can be found that it is advantageous to provide a separate device for detecting the presence or absence of the generated X-ray beam. More preferably, the X-ray unit in accordance with the present invention includes a primary timer that is set for a time for the high voltage supply to provide a predetermined radiation dose. The radiation sensor housed in the housing outside the X-ray device can be part of a second timer, the loop of which is adapted to close the high voltage supply when the predetermined radiation dose is reached. In this way, radiation safety control can be improved.

依據本發明另一實施例之X光單元,其中,X光裝療器包括一出口表面預定朝向一患者,此出口表面可覆蓋有一裝療器蓋。可以發現提供此裝療器蓋的好處在於,其在使用時可具有多種功能。首先,裝療器蓋可用以保護X光裝療器的X光出口表面在門診時免於受到污染。其次,裝療器蓋在X光射束之延伸方向上的厚度可選擇為是足夠的,用以大致消除來自X光射束之電子污染(electron contamination)。由習知技術已可知道相關之從X光管發出之二次電子(secondary electrons)的能量及使用材料所需之厚度,例如塑膠、玻璃、陶瓷等,足以完全截斷此些電子。更佳的是,裝療器蓋為可拋器式的。 In accordance with another embodiment of the present invention, an X-ray unit includes an exit surface that is intended to be oriented toward a patient, the outlet surface being covered by a tamper cover. It can be found that the benefit of providing such a therapeutic cover is that it can have multiple functions when in use. First, the applicator cover can be used to protect the X-ray exit surface of the X-ray device from contamination during the clinic. Secondly, the thickness of the applicator cover in the direction of extension of the x-ray beam can be selected to be sufficient to substantially eliminate electron contamination from the x-ray beam. It is known from the prior art that the energy of the secondary electrons emitted from the X-ray tube and the thickness required for the use of the material, such as plastic, glass, ceramics, etc., are sufficient to completely intercept such electrons. More preferably, the cap is attached to the disposable device.

第三,裝療器蓋可作為使用時減少X光裝療器增溫之熱吸收器,基於此,患者僅會感覺到裝療器接觸到皮膚時只有稍微的溫熱感。 Third, the cap can be used as a heat absorber to reduce the temperature of the X-ray device, and based on this, the patient only feels that the device has only a slight warmth when it comes into contact with the skin.

依據本發明另一實施例之X光單元,其中,X光裝療器利用一可位移式面板連接至基座,彈性線路大以上佈線於可位移式面板中。 According to another embodiment of the present invention, the X-ray unit is connected to the base by a displaceable panel, and the elastic line is wired in the displaceable panel.

可以發現,提供一中間機構單元以連接移動式X光單元之基座和X光裝療器是有利的,藉以封裝彈性線路並藉以預防線路的纏繞(entanglement)。此可位移式面板可配置成相對於最低位置和最高位置間,具有既定之移動距離。此既定之移動距離是有利於增加X光單元之電纜管線和線路之耐久性,特別是容納有冷媒之管路。 It has been found to be advantageous to provide an intermediate mechanism unit to connect the base of the mobile X-ray unit to the X-ray applicator, thereby encapsulating the flexible circuit and thereby preventing the entanglement of the line. The displaceable panel can be configured to have a predetermined travel distance relative to the lowest position and the highest position. This predetermined moving distance is advantageous for increasing the durability of cable lines and lines of the X-ray unit, particularly the piping containing the refrigerant.

依據本發明另一實施例之X光單元,其中,可位移式面板包括一使用者介面用以控制X光單元。更好的是,此使用者介面包括一顯示器,舉例來說,此顯示器可以實施為一觸控螢幕,配置用以輸入數據。或者是,顯示器可配置成用以回應數據(echoing data),任何專用按鍵或其它適合之裝置皆可被提供於X光單元用以輸入數據。 According to another embodiment of the present invention, the X-ray unit includes a user interface for controlling the X-ray unit. More preferably, the user interface includes a display. For example, the display can be implemented as a touch screen configured to input data. Alternatively, the display can be configured to echo data, and any dedicated button or other suitable device can be provided to the X-ray unit for inputting data.

依據本發明另一實施例,提供一種製造移動式X光單元的方法,包括一基座用以容置一控制單元、一電源供應器及一冷卻器,且更包括一鉸接可位移式臂用以支撐包括一X光管之一X光裝療器,依據本發明之方法包括下列步驟:利用一彈性線路將鉸接可位移式臂連接至基座;配置X光管具有一撞擊靶用以產生一X光射束以及一準直儀用以成型所產生之X光射束;設定介於撞擊靶及準直儀之間之一距離範圍約為4~10 公分。 According to another embodiment of the present invention, a method for manufacturing a mobile X-ray unit includes a base for accommodating a control unit, a power supply and a cooler, and further comprising an articulated displaceable arm To support an X-ray device comprising an X-ray tube, the method according to the invention comprises the steps of: connecting the hinged displaceable arm to the base by means of a flexible line; the X-ray tube is configured to have a impact target for generating An X-ray beam and a collimator are used to shape the generated X-ray beam; the distance between the impact target and the collimator is set to be about 4~10 Centimeters.

更好的是,依據本發明之X光單元中,撞擊靶及準直儀係容置於一大致上圓柱形X光裝療器中且具有一縱軸,X光射束之一延伸方向大致平行於此縱軸。更佳之依據本發明之方法的實施例之後將參考第3圖做說明。 More preferably, in the X-ray unit according to the present invention, the impact target and the collimator are housed in a substantially cylindrical X-ray device and have a longitudinal axis, and one of the X-ray beams extends in a substantially uniform direction. Parallel to this longitudinal axis. More preferably, embodiments of the method according to the invention will be described later with reference to FIG.

依據本發明之一種提供X光射束以照射一病變表面之方法,其中一X光單元包括一基座用以容置一控制單元、一電源供應器及一冷卻器,及更包括一鉸接可位移式X光臂用以設置一X光管,鉸接可位移式臂藉由一彈性線路連接至基座,X光管具有一撞擊靶用以產生一X光射束以及一準直儀用以成型所產生之X光射束,介於撞擊靶及準直儀之間之一距離約為4~10公分。 According to the present invention, a method of providing an X-ray beam to illuminate a lesion surface, wherein an X-ray unit includes a base for accommodating a control unit, a power supply and a cooler, and further comprising a hinge The displacement X-arm is used to set an X-ray tube, and the hinge-displaceable arm is connected to the base by a flexible line. The X-ray tube has a collision target for generating an X-ray beam and a collimator for The X-ray beam generated by the molding is about 4 to 10 cm apart between the impact target and the collimator.

本發明更有關於一種用於X光單元之裝療器蓋,X光單元包括一X光管容置於一X光裝療器中,所述X光裝療器包括一出口表面預定朝向一患者,而裝療器蓋配置為至少覆蓋上述出口表面。更好的是,裝療器蓋為可拋棄式的。更佳的是,裝療器蓋在X光射束之一延伸方向上的厚度是足夠的,藉以大致消除來自X光射束之電子污染(electron contamination)。裝療器蓋有利的是以大致上透明之材料製成,使得X光裝療器之出口表面與欲治療之病變區域之間的輪廓可以被預先設想。 The invention further relates to a medicated device cover for an X-ray unit, the X-ray unit comprising an X-ray tube housed in an X-ray device, the X-ray device comprising an exit surface predetermined toward a The patient, and the medicated cap is configured to cover at least the exit surface. Even better, the applicator cover is disposable. More preferably, the thickness of the applicator cover in the direction in which one of the X-ray beams extends is sufficient to substantially eliminate electron contamination from the X-ray beam. The applicator cap is advantageously made of a substantially transparent material such that the contour between the exit surface of the X-ray applicator and the lesion to be treated can be pre-conceived.

依據本發明另一實施例之態樣,一移動式醫療保健單元(medical care unit)可被提供,例如一床(bed)、一椅子(chair)、一臺車(trolley)、一推車(cart)、一船(galley) 或一治療處理單元,包括三、四或更多的輪子,其中,至少部份輪子由一彈性框架而互連,藉以允許當接觸到一地表面時自動調整輪子的高度。 According to another aspect of the present invention, a medical care unit can be provided, such as a bed, a chair, a trolley, a cart ( Cart), a boat (galley) Or a treatment unit comprising three, four or more wheels, wherein at least some of the wheels are interconnected by a resilient frame to allow for automatic adjustment of the height of the wheel when in contact with a ground surface.

舉例來說,上述框架可包括一或多個分支架(branch),共同或獨自操作。此一或多個分支架可具有一軟區域(weak region),使得當移動於地面時,由於移動式醫療保健單元的重量,分支架可產生變形。 For example, the above framework may include one or more sub-branch, operating together or alone. The one or more sub-brackets can have a weak region such that when moved to the ground, the sub-bracket can be deformed due to the weight of the mobile healthcare unit.

更詳細地說,上述框架可包括彈性區域,適於在醫療保健單元的重量作用下具彈性及/或可彎曲。在一特殊之移動式醫療保健裝置實施例中,彈性框架可包括一或多個分支架,一個或每一個可從一或多個段部建構出且連接有一彈簧。 In more detail, the frame may include an elastic region adapted to be elastic and/or bendable under the weight of the healthcare unit. In a particular mobile healthcare device embodiment, the resilient frame can include one or more sub-brackets, one or each of which can be constructed from one or more segments and coupled to a spring.

可以發現,此彈性框架當移動式醫療保健單元移動於不平整的地面,或地面具有凹凸不平如顛簸(bump)時,具有特殊的好處。 It can be found that this elastic frame has special advantages when the mobile healthcare unit moves on uneven ground, or when the ground has bumps such as bumps.

還有許多其它的應用,其為所希望的,上述之移動式醫療保健單元不需要改變其空間方位,即使當移動於不規則之表面上時。舉例來說,實驗室托盤(laboratory tray)、床、特別是新生兒床(neonatal bed)、食物供應托盤(food supply tray)等等,是特別需要當移動時大致上保持不變之方位。 There are many other applications which are desirable in that the mobile health care unit described above does not need to change its spatial orientation even when moving over an irregular surface. For example, a laboratory tray, a bed, particularly a neonatal bed, a food supply tray, etc., are particularly in need of an orientation that remains substantially constant when moved.

更特別的是,依據前述之本發明之移動式X光裝置,其優點在於當基座提供有輪子時,其是由彈性框架所支撐。在應用之一特殊態樣中,移動式X光裝置為一移動式 診所(mobile clinic),也就是當移動式X光裝置提供有一車體(vehicle),且需於不同治療位置移動時。在特殊環境之情況下需進行治療,甚至是在露天的情況下。藉由提供對不規則表面具自我調適功能(self-adaptation)之移動式X光單元,X光裝療器的調整可以大致相同的方式進行,此治療如同在醫生的辦公室內進行的一樣。另外,當停放時,為確保X光裝療器可位於一大致上相同的方位,醫生在定位X光裝療器以治療時需經過一大致上相同的定位流程(positioning routine)。據此,由於較複雜X光裝療器之三維處理,人為失誤可以被避免。 More particularly, the mobile X-ray device according to the invention described above has the advantage that when the base is provided with wheels, it is supported by a resilient frame. In one of the special aspects of the application, the mobile X-ray device is a mobile A mobile clinic, that is, when a mobile X-ray device provides a vehicle and needs to be moved at different treatment locations. In the case of special circumstances, treatment is required, even in the open air. By providing a mobile X-ray unit with self-adaptation to the irregular surface, the adjustment of the X-ray treatment can be performed in much the same way as if it were performed in the doctor's office. In addition, when parked, to ensure that the X-ray device can be positioned in a substantially identical orientation, the physician is required to go through a substantially identical positioning routine when positioning the X-ray device for treatment. Accordingly, human error can be avoided due to the three-dimensional processing of the more complex X-ray treatment device.

為使本發明之上述目的、特徵和優點能更明顯易懂,下文特舉較佳實施例並配合所附圖式做詳細說明,然其僅用以例示說明而已,並非用以限定本發明的範圍。 The above described objects, features, and advantages of the invention will be apparent from the embodiments of the invention. range.

本發明具體之實施例揭示之形態內容將配合圖示加以詳細說明。 The details disclosed in the specific embodiments of the present invention will be described in detail in conjunction with the drawings.

第1a圖係顯示依據本發明一實施例之移動式X光單元的示意圖。移動式X光單元(mobile X-ray unit)10包括一基座(base)2,其包括至少一電源供應單元、一冷卻系統以及一控制單元用以控制一X光裝療器(X-ray applicator)4的操作,其包括一X光管容置於一外殼體中。X光裝療器4利用軟性纜線(flexible cable)3與基座2連接,且可至少部份地容納於一可位移式面板 (displaceable panel)5中。X光裝療器4由一鉸接可位移式臂(articulated displaceable arm)4a所支撐,其可包括一樞軸用以改變X光裝療器4的位置。鉸接可位移式臂4a也可與可位移式面板5機械式地連接,藉以改變X光裝療器4在垂直方向上的位置。更好的是,可位移式面板5提供有握把(handle)6,藉此可輕易地操作。可位移式面板5可由適當之軌條(rail)所引導,藉以在位移時實質上為平順(smooth)且無撞擊(shock-free)的。 Figure 1a is a schematic diagram showing a mobile X-ray unit in accordance with an embodiment of the present invention. The mobile X-ray unit 10 includes a base 2 including at least one power supply unit, a cooling system, and a control unit for controlling an X-ray device (X-ray). The operation of the applicator 4 includes an X-ray tube housed in an outer casing. The X-ray device 4 is connected to the base 2 by a flexible cable 3 and can be at least partially housed in a displaceable panel (displaceable panel) 5. The X-ray applicator 4 is supported by an articulated displaceable arm 4a which may include a pivot for changing the position of the X-ray applicator 4. The hinged displaceable arm 4a can also be mechanically coupled to the displaceable panel 5 to change the position of the x-ray applicator 4 in the vertical direction. More preferably, the displaceable panel 5 is provided with a handle 6, whereby it can be easily operated. The displaceable panel 5 can be guided by a suitable rail so as to be substantially smooth and shock-free when displaced.

可位移式面板5也可以是指可位移式桿(displaceable mast),可以發現此優點在於,其可允許桿可沿實質上相對於基座2之一垂直軸作位移。更好的是,此實質上之垂直軸是在一實質上垂直方向上延伸,也就是大體上為筆直的。無論如何,在此所述之”大體上筆直的”或”實質上垂直的”是對於一方向實施上垂直(正負20度)而言,即對於移動式X光單元所設置之表面之平面來說。 The displaceable panel 5 can also be referred to as a displaceable mast, which can be found to provide an advantage that the rod can be displaced substantially along a vertical axis of the base 2. More preferably, the substantially vertical axis extends in a substantially vertical direction, that is, substantially straight. In any event, "substantially straight" or "substantially perpendicular" as used herein is meant to be vertical (plus or minus 20 degrees) for one direction, ie, the plane of the surface provided for the mobile X-ray unit. Say.

更好的是,基座2提供有一顯示器(display)7,用以回饋(feeding-back)所需之使用者訊息。顯示器7可配置有觸控螢幕(touch-sensitive screen),用以對系統輸入適當之數據資料。 More preferably, the cradle 2 is provided with a display 7 for feeding-backing the desired user information. The display 7 can be configured with a touch-sensitive screen for inputting appropriate data to the system.

第1b圖係顯示依據本發明一實施例之移動式X光單元之可位移式面板的示意圖。在此放大示意圖式中,元件符號10a係指可位移式面板5的具體元件。基於此,握把6可作為一機械件用以拉動或推動可位移式面板5。或者,握把6可以配置成電子致動器,用以觸發馬達(圖上未顯示) 而位移可位移式面板5。舉例來說,當握把6被拉動(pull)使馬達被啟動時,可使得可位移式面板5可沿方向A位移,而推動(push)握把6則可使得可位移式面板5可沿方向B下降。更好的是,移動式X光單元包括用以限制可位移式面板5之位移的裝置。這樣的好處在於,一方面可確保系統的機械穩定性(最高高度限制,limitation of the upper level),另一方面可有助於避免電纜的損壞(最低高度限制,limitation of the lower level)。更好的是,可位移式面板5可利用內建之軌條(rail)而移動,其長度可被選擇以所需之方式限制可位移式面板5之移動範圍。 Figure 1b is a schematic diagram showing a displaceable panel of a mobile X-ray unit in accordance with an embodiment of the present invention. In the enlarged schematic form, the component symbol 10a refers to a specific component of the displaceable panel 5. Based on this, the grip 6 can be used as a mechanical member to pull or push the displaceable panel 5. Alternatively, the grip 6 can be configured as an electronic actuator for triggering the motor (not shown) The displacement displacement panel 5 is displaced. For example, when the grip 6 is pulled to cause the motor to be activated, the displaceable panel 5 can be displaced in the direction A, and pushing the grip 6 can cause the displaceable panel 5 to be along Direction B drops. More preferably, the mobile X-ray unit includes means for limiting the displacement of the displaceable panel 5. This has the advantage of ensuring the mechanical stability (limitation of the upper level) of the system on the one hand and the limitation of the lower level on the other hand. More preferably, the displaceable panel 5 can be moved using a built-in rail, the length of which can be selected to limit the range of movement of the displaceable panel 5 in a desired manner.

基座2更好的是包括一顯示器7,其可作為合適之使用者介面(user interface)7a之功能,舉例來說,患者的資料如患者的照片及/或病徵的相片可顯示於視窗(window)7b上,而與此相關之患者訊息如出生日、性別、劑量處方(dose prescription)、及劑量配給協定(dose delivery protocal)等等皆可顯示於視窗(window)7c上。按鍵(button)7d可提供觸控功能以輸入資料,或者是,適合之硬體開關或按鍵亦可適當地提供。 The pedestal 2 preferably includes a display 7 that functions as a suitable user interface 7a. For example, patient information such as a photo of the patient and/or a photo of the condition can be displayed in the window ( On window 7b, the patient information associated with this, such as birthday, gender, dose prescription, and dose delivery protocal, can be displayed on window 7c. A button 7d can provide a touch function to input data, or a suitable hardware switch or button can be provided as appropriate.

第1c圖係顯示依據本發明一實施例之X光單元之具可位移功能裝療器之示意圖。依據本發明之一態樣,移動式X光單元的機構被開發且作成可支撐X光裝療器4以具有較大的移動及轉動位移範圍。 Fig. 1c is a schematic view showing a displaceable function medical device of an X-ray unit according to an embodiment of the present invention. In accordance with one aspect of the present invention, the mechanism of the mobile X-ray unit is developed and constructed to support the X-ray applicator 4 to have a greater range of movement and rotational displacement.

元件符號11所指係顯示X光裝療器位於停駐位置(parked position)之示意實施方式。為清楚顯示起見,未 繪示有線路。在此位置時,可適於傳遞移動式X光單元朝向一房間(booth)及/或具機動性地在患者附近。為了將X光裝療器盡可能地縮回靠近基座2,鉸接可位移式臂4a在可位移式面板5的外部(outer portion)5a下是可彎曲的。為了確保移動式X光單元在其機動時的穩定度,一靠近地板的加載塊(load block)2a被提供以降低整體結構之重力點的絕對位置。 Reference numeral 11 denotes a schematic embodiment in which the X-ray applicator is located in a parked position. For the sake of clarity, no The line is shown. In this position, it may be adapted to transmit the mobile X-ray unit towards a room and/or to be mobile near the patient. In order to retract the X-ray applicator as close as possible to the base 2, the hinged displaceable arm 4a is bendable under the outer portion 5a of the displaceable panel 5. In order to ensure the stability of the mobile X-ray unit during its maneuvering, a load block 2a close to the floor is provided to reduce the absolute position of the gravity point of the overall structure.

元件符號12所指係顯示X光裝療器4位於其中一工作位置(working position)之示意實施方式,其具有一X光出口表面(x-ray exit surface)8朝向患者(patient)P,為了使X光裝療器相對於患者P有合適之位置,可位移式面板可移動至一既定停留位置(dwell position)介於可位移式面板5的最低位置和最高位置之間。鉸接可位移式臂4a可用於適當地依一旋轉軸轉動X光裝療器。更好的是,選擇旋轉軸是配合X光射束(beam)之假想方向,從出口表面以垂直面向X光裝療器。 Reference numeral 12 denotes a schematic embodiment in which the X-ray treatment device 4 is located in one of the working positions, having an x-ray exit surface 8 facing the patient P, in order to The X-ray applicator has a suitable position relative to the patient P, and the displaceable panel is movable to a predetermined dwell position between the lowest position and the highest position of the displaceable panel 5. The hinged displaceable arm 4a can be used to properly rotate the X-ray applicator according to a rotational axis. More preferably, the choice of the axis of rotation is the imaginary direction of the X-ray beam, and the X-ray device is oriented vertically from the exit surface.

元件符號13所指係顯示X光裝療器4位於最低位置之示意實施方式,基於此目的,可位移式面板5可位於其最低位置且鉸接可位移式臂4a可以所需方式面向X光裝療器。 Reference numeral 13 denotes an exemplary embodiment in which the X-ray treatment device 4 is located at the lowest position, for which purpose the displaceable panel 5 can be located at its lowest position and the hinged displaceable arm 4a can be oriented to the X-ray in a desired manner. Therapy.

移動式X光單元的基座可由合適之輪組透過框架而支撐,更好的是,輪子(wheel)是由可變形框架(deformable frame)而相互連接,藉以確保所有的輪子可與其下方的表面相接觸,例如地板或地面,即使當上述表面不是非常平 坦時。 The base of the mobile X-ray unit can be supported by a suitable wheel set through the frame. More preferably, the wheels are connected to each other by a deformable frame to ensure that all the wheels can be attached to the surface below it. Contact, such as the floor or the ground, even when the surface is not very flat Time.

舉例來說,上述框架可包括一或多個分支架(branch),共同合作或各別地以支持基座之輪子。當移動式X光單元的重量施加於分支架以產生變形時,將使得所有的輪子會與地面完全地接觸。 For example, the frame described above may include one or more sub-brackets that cooperate or individually support the wheels of the pedestal. When the weight of the mobile X-ray unit is applied to the sub-bracket to create deformation, all of the wheels will be in full contact with the ground.

在一特定的實施例中,上述框架可包括彈性區域,適於在移動式X光單元的重量作用下具彈性及/或可彎曲,彈簧或其它彈性件如橡膠可用以實施於框架之彈性區域中。具有彈性框架之醫療單元之後將配合圖式第8~10圖作說明。 In a particular embodiment, the frame may include an elastic region adapted to be elastic and/or bendable under the weight of the mobile X-ray unit, and a spring or other elastic member such as rubber may be used to implement the elastic region of the frame. in. The medical unit with the elastic frame will be described later in conjunction with Figures 8-10.

第2圖係顯示依據本發明一實施例之移動式X光單元之架構示意圖。依據本發明之移動式X光單元包括一高壓供應器(high voltage supply),更好的是,適於在一合適之X光管(X-ray tube)產生50~75KV的X光,一冷卻系統用以冷卻X光管,以及一控制系統用以在使用時控制X光單元之次單元(sub-unit)的電子(electronic)和電性參數(electric parameter)。元件符號20所指係顯示控制單元(control system)21和X光裝療器(X-ray applicator)22的主要單元。 2 is a block diagram showing the structure of a mobile X-ray unit according to an embodiment of the present invention. The mobile X-ray unit according to the present invention comprises a high voltage supply, and more preferably, is adapted to generate 50-75 KV X-rays in a suitable X-ray tube, a cooling The system is used to cool the X-ray tube, and a control system is used to control the electronic and electrical parameters of the sub-unit of the X-ray unit during use. The component symbol 20 refers to the main unit of the control system 21 and the X-ray applicator 22.

控制單元21更好的是包括一硬接線(hard wired)之使用者介面(user interface)21a,用以切換高壓供應器(high voltage supply)21b的開和關。更好的是,高壓供應器21b包括一高壓產生器(high voltage generator)21c具有改良之緩升(ramp-up)和緩降(ramp-down)特性。高壓 供應器更好的是可操作用以提供約200W的電力供使用。更佳的是,緩升時間(ramp-up time)約為100ms。硬接線使用者介面21a可配置成當高壓產生器開啟時,可自動啟動冷卻系統(cooling system)21d。另外,控制系統21可包括一主要控制器(primary controller)21e,配置以控制X光裝療器使用時之劑量配給(dose delivery)。此主要控制器21e可提供有一主計算器(primary counter)在X光照射初始化後用以將已登錄資料刪除。此主計算器可在達到既定之劑量後自動關閉至X光管之高壓供應器。更好的是,既定之劑量是至少視產生X光的能量及劑量速率而定。其中,上述情況可事先校準,盡可能地提供對應之校準數據,使得主要控制器之主要劑量配給控制可被達成。更好的是,一次要控制器(secondary controller)21f提供用以啟動劑量配給控制之一獨立迴路,次要控制器21f可連接至一劑量表(dose meter)容納於X光裝療器中,在準直儀(collimator)之前X光範圍內。據此,劑量表可對應實際劑量配給,考慮到在高壓源緩升(ramp up)及緩降(ramp down)期間劑量的變化,而提供即時數據。同樣更好的是,控制系統可更包括一安全控制器(safety controller)21g,適於從主要控制器21e比對讀取數據,及次要控制器21f在所欲劑量配給之後關閉高壓產生器(high voltage generator)21c。另外,或者說,安全控制器21g可連接至一緊急停機系統(emergency stop)、門鎖裝置(door interlock)及產生器鎖定裝置(generator interlock)。 The control unit 21 preferably includes a hard wired user interface 21a for switching the opening and closing of the high voltage supply 21b. More preferably, the high voltage supply 21b includes a high voltage generator 21c having improved ramp-up and ramp-down characteristics. high pressure The feeder is preferably operative to provide approximately 200 watts of power for use. More preferably, the ramp-up time is approximately 100 ms. The hardwired user interface 21a can be configured to automatically activate a cooling system 21d when the high voltage generator is turned on. Additionally, control system 21 can include a primary controller 21e configured to control dose delivery when the X-ray device is in use. The primary controller 21e can provide a primary counter to delete the logged-in data after the X-ray illumination is initialized. This master calculator automatically shuts down the high pressure supply to the X-ray tube after reaching the established dose. More preferably, the established dose is at least dependent on the energy and dose rate at which X-rays are produced. Wherein, the above situation can be calibrated in advance, and corresponding calibration data is provided as much as possible, so that the main dose distribution control of the main controller can be achieved. More preferably, the secondary controller 21f provides an independent loop for initiating dose dispensing control, and the secondary controller 21f can be coupled to a dose meter for accommodation in the X-ray device. In the X-ray range before the collimator. Accordingly, the dose meter can be assigned to the actual dose, providing immediate data in view of changes in the dose during ramp up and ramp down of the high pressure source. Also preferably, the control system may further include a safety controller 21g adapted to read data from the primary controller 21e, and the secondary controller 21f to close the high voltage generator after the desired dose is dispensed. (high voltage generator) 21c. In addition, or in addition, the safety controller 21g can be connected to an emergency stop system, a door interlock, and a generator lock device (generator). Interlock).

X光裝療器22更好的是可包括下列特徵:一X光管(X-ray tube)22a,預先封裝於一外殼體(outer housing)22k中。依據本發明,X光管提供有撞擊靶-準直儀(target-collimator)之間距約4~10公分之距離,更好的是約5~6公分。X光裝療器可更包括一射束硬化濾器(beam hardening filter)22b被選擇以攔截低能量幅射(low-energy radiation)以及一射束平整濾器(beam flattening filter)22c設計以攔截部份之X光幅射,用以在靠近X光裝療器出口表面處產生大體上平坦之射束外型。更進一步,X光裝療器22可包括一或多個準直儀(collimator)配置以定義出處理射束幾何結構。更好的是,可使用一組準直儀,舉例來說,其有直徑1、1.5、2、2.5、3、3.5、4、4.5、5公分。更佳的是,在此雖考慮為圓形準直儀(circular collimator),但任何形式的準直儀如方形(square)、橢圓形(elliptic)或客製化(custom made)準直儀接可被使用。可以發現提供有自動準直偵測裝置(automatic collimator detection mean)22f之X光裝療器22的好處在於,適於對使用中之準直儀自動發出訊號。更好的是,使用電阻感測,其中,每一準直儀提供有至少一對突出物(projection)用以橋接提供於準直儀容室(collimator receptacle)中之電阻路徑。此容室所產生的電阻構成正在使用中之準直儀的訊號代表。X光裝療器22更好的是包括一內建溫度感測器(temperature sensor), 適於發出X光管及/或其殼體的溫度訊號。從溫度感測器發出的訊號被控制系統所接收,其上裝載有分析系統,一旦所量測之溫度升高超出允許範圍時,即會產生一警報信號,可選擇地,亦可提供一高壓產生器之關閉信號。X光裝療器22更包括幅射感測器(radiation sensor)22h,配置於外殼體22k內側,用以偵測X光管所發出之實際X光幅射量。更好的是,基於安全因素,X光裝療器22可更包括一非暫存式數據儲存器(non-volatile data storage)22i,用以紀錄至少X光管之操作參數。更進一步,為了增強幅射之安全性,X光裝療器22可提供有一幅射指示器(radiation indicator)22j,以提供一視覺及/或一音頻輸出,讓使用者及/或患者知道X光管之開/關狀態。更佳的是,幅射指示器22j可包括複數個訊號發射裝置(distributed signaling means),更好的是,至少一個訊號裝置,舉例來說,為一個發光二極體(LED)電連接於X光裝療器22。更好的是,訊號裝置提供於X光裝療器22上。 The X-ray applicator 22 preferably includes the following features: an X-ray tube 22a pre-packaged in an outer housing 22k. In accordance with the present invention, the X-ray tube is provided with a distance of about 4 to 10 cm, more preferably about 5 to 6 cm, between the target-collimator. The X-ray treatment device may further include a beam hardening filter 22b selected to intercept low-energy radiation and a beam flattening filter 22c to intercept portions The X-ray radiation is used to produce a substantially flat beam profile near the exit surface of the X-ray applicator. Still further, the X-ray applicator 22 can include one or more collimator configurations to define the processing beam geometry. More preferably, a set of collimators can be used, for example, having diameters of 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 cm. More preferably, although a circular collimator is considered here, any form of collimator such as square, elliptic or custom made collimator Can be used. It can be found that the X-ray treatment device 22 provided with the automatic collimator detection mean 22f has the advantage that it is suitable for automatically signaling the collimator in use. More preferably, resistance sensing is used wherein each collimator is provided with at least one pair of projections for bridging the resistive path provided in the collimator receptacle. The resistance generated by this chamber constitutes the signal representative of the collimator in use. The X-ray device 22 preferably includes a built-in temperature sensor. Suitable for emitting temperature signals from X-ray tubes and/or their housings. The signal from the temperature sensor is received by the control system and loaded with an analysis system. Once the measured temperature rises beyond the allowable range, an alarm signal is generated, optionally, a high voltage is also provided. The shutdown signal of the generator. The X-ray device 22 further includes a radiation sensor 22h disposed inside the outer casing 22k for detecting the actual X-ray radiation emitted by the X-ray tube. More preferably, based on safety factors, the X-ray charge device 22 can further include a non-volatile data storage 22i for recording at least the operational parameters of the X-ray tube. Further, in order to enhance the safety of the radiation, the X-ray treatment device 22 can provide a radiation indicator 22j to provide a visual and/or an audio output for the user and/or patient to know X. The on/off state of the light pipe. More preferably, the radiation indicator 22j may comprise a plurality of distributed signaling means. More preferably, at least one of the signal means, for example, a light emitting diode (LED) is electrically connected to the X Light therapy device 22. More preferably, the signal device is provided on the X-ray device 22.

第3圖係顯示依據本發明一實施例之移動式X光單元之X光裝療器的剖面示意圖,X光裝療器(X-ray applicator)30包括外殼體(outer housing)36,容置有X光管總成(X-ray tube assembly)35,具有外部遮罩(external shielding)35a。在使用X光裝療器時,可機動地由使用者握住殼體36。X光裝療器30更包括一撞擊靶(target)45以發出一X光射束,其具有一縱延伸軸(longitudinal propagation axis)45a。依據本發明,在撞擊靶(陽極)和 準直儀(collimator)33之間的距離約為4~10公分,更好的是約為5~6公分,如此相對短之撞擊靶-準直儀距離出人意料地適於產生X光射束,具有大體上較窄之半影區(penumbra)(每20/80%行約1.5-1.8mm)及較佳之射束平整度(flatness)。 3 is a cross-sectional view showing an X-ray applicator of a mobile X-ray unit according to an embodiment of the present invention, and an X-ray applicator 30 includes an outer housing 36. There is an X-ray tube assembly 35 having an external shielding 35a. When the X-ray applicator is used, the housing 36 can be held by the user in a motorized manner. The X-ray applicator 30 further includes a strike target 45 to emit an X-ray beam having a longitudinal propagation axis 45a. According to the invention, at the impact target (anode) and The distance between the collimator 33 is about 4 to 10 cm, more preferably about 5 to 6 cm, so that the relatively short impact target-collimator distance is unexpectedly suitable for generating an X-ray beam. There is a generally narrower penumbra (about 1.5-1.8 mm per 20/80% of the rows) and better beam flatness.

X光裝療器30更包括一濾器(filter)39以硬化從撞擊靶45發出之X光射束、一射束平整濾器(beam flattening filter)40以平整射束外形、以及一準直儀33,插置於一準直儀容室(collimator receptacle)41上。 The X-ray applicator 30 further includes a filter 39 to harden the X-ray beam emitted from the impact target 45, a beam flattening filter 40 to flatten the beam profile, and a collimator 33. It is inserted into a collimator receptacle 41.

為了避免X光管使用時過熱,將提供一冷卻系統(cooling system)34,較有利的是間隔配置於X光管總成35及外部遮罩35a之間,且與X光管總成35的表面相接觸。合適之冷媒可利用一管路(pipe)31而提供,更好的是,冷媒是可循環的,且可以為水、壓縮氣體或即使是特殊油體。X光裝療器可更包括一溫度感測器(temperature sensor)37。 In order to avoid overheating of the X-ray tube during use, a cooling system 34 will be provided, advantageously disposed between the X-ray tube assembly 35 and the external mask 35a, and with the X-ray tube assembly 35. The surfaces are in contact. A suitable refrigerant can be provided by a pipe 31. More preferably, the refrigerant is recyclable and can be water, compressed gas or even a special oil body. The X-ray device may further include a temperature sensor 37.

X光裝療器30可更包括一合適之幅射偵測器(radiation detector)38,連接至一幅射指示器(radiation indicator)43。更好的是,由幅射偵測器38所收集到的數據被儲存至數據儲存單元(data storage unit)44。 The X-ray applicator 30 can further include a suitable radiation detector 38 coupled to a radiation indicator 43. More preferably, the data collected by the radiation detector 38 is stored to a data storage unit 44.

為了保護X光裝療器30的X光出口表面在門診時免於受到污染,可提供一裝療器蓋(applicator cap)42以覆蓋至少X光裝療器30的出口表面。更好的是,裝療器蓋的厚 度夠厚足以完全截斷X光裝療器所發出的二次電子(secondary electrons)。更好的是,裝療器蓋是由聚偏氟乙烯(PVDF,polyvinylidene fluoride)所製造,且橫跨視窗部份的厚度約為0.4~0.7公厘,更好的是0.6公厘,且具有約1.75~1.8的密度,更好的是為1.78的密度。或者是,裝療器蓋是由聚苯碸(PPSU,polyphenylsulfone)所製造,且橫跨視窗部份的厚度約為0.3~0.6公厘,更好的是0.5公厘,且具有約1.30~1.45的密度,更好的是為1.39的密度。可以發現上述材料由於其在X光的影響下的穩定性而特別的適合用於此,且適於不同類型的消毒程序(sterilization),例如化學消毒或在高溫下消毒。 To protect the X-ray exit surface of the X-ray applicator 30 from contamination during the clinic, an applicator cap 42 may be provided to cover at least the exit surface of the X-ray applicator 30. Even better, the thickness of the cap It is thick enough to completely cut off the secondary electrons emitted by the X-ray device. More preferably, the cap is made of polyvinylidene fluoride (PVDF) and has a thickness of about 0.4 to 0.7 mm, more preferably 0.6 mm, across the window portion. A density of about 1.75 to 1.8, more preferably a density of 1.78. Alternatively, the cap is made of polyphenylsulfone (PPSU) and has a thickness of about 0.3 to 0.6 mm, more preferably 0.5 mm, and about 1.30 to 1.45. The density is better for a density of 1.39. It has been found that the above materials are particularly suitable for use herein due to their stability under the influence of X-rays and are suitable for different types of sterilization, such as chemical sterilization or sterilization at elevated temperatures.

第4圖係顯示依據本發明一實施例之X光裝療器具有第3圖之裝療器蓋的示意圖,裝療器蓋42可以透明玻璃、透明塑膠或陶瓷製造,如前述以PVDF及PPSU製造。裝療器蓋也可以是金屬製造,雖然這不是最佳的。最後一種情況下,裝療器蓋42可被消毒。然而,更好的是,使用拋棄式裝療器蓋。在第4圖中元件符號50所指係顯示X光裝療器(X-ray applicator)51的外徑大於其出口部份的外徑,由裝療器蓋42所覆蓋。雖然本實施例可將X光裝療器的總重量較小化,但仍可以將出口部份與X光裝療器51的本體具有相同的直徑。 Figure 4 is a schematic view showing an X-ray device according to an embodiment of the present invention having a device cover of Figure 3, the device cover 42 being made of transparent glass, transparent plastic or ceramic, as described above with PVDF and PPSU Manufacturing. The applicator cover can also be made of metal, although this is not optimal. In the last case, the applicator cover 42 can be sterilized. However, it is even better to use a disposable heat treatment device cover. In the fourth drawing, the component symbol 50 indicates that the outer diameter of the X-ray applicator 51 is larger than the outer diameter of the outlet portion, and is covered by the heat treatment cover 42. Although this embodiment can reduce the total weight of the X-ray applicator, the outlet portion can be the same diameter as the body of the X-ray applicator 51.

第5圖係顯示依據本發明一實施例之具有識別裝置(identification means)之準直儀的示意圖,準直儀(collimator)63具有中心開口(central opening)64,以 定義出由如第3圖之X光裝療器30所發出的X光射束的形狀及尺寸。準直儀63適於容納於準直儀容室(collimator receptacle)61中,其可作成適合之腔室狀,使得準直儀63可穩定地固定。為了能夠有自動之準直儀63的識別(identification),準直儀具有二突出部(projection)65a、65b,適於與提供於準直儀容室61之電阻路徑(resistive path)62配合,當突出部65a、65b與電阻路徑62接觸時,準直儀容室的淨阻力(net resistance)將產生變化。準直儀容室之電阻的變化可用以作為準直儀插置入準直儀容室之自動識別器。更佳的是,對一組準直儀來說,每一準直儀需具有一對獨特的突出部,藉以區分準直儀容室之淨電阻的變化。由已知技術可知,複數對突出部65a、65b可具有不同的相對位置於準直儀的一表面上。或者是,可提供每一準直儀具有電子識別裝置,舉例來說,具有接腳(plug)的晶片,當接腳插置入準直儀容室時(提供有對應之插座),準直儀識別裝置將與移動式X光單元的控制單元電連通。 Figure 5 is a schematic view showing a collimator having an identification means according to an embodiment of the present invention, the collimator 63 having a central opening 64, The shape and size of the X-ray beam emitted by the X-ray applicator 30 as shown in Fig. 3 is defined. The collimator 63 is adapted to be housed in a collimator receptacle 61 which can be shaped as a suitable chamber so that the collimator 63 can be stably fixed. In order to be able to have an identification of the automatic collimator 63, the collimator has two projections 65a, 65b adapted to cooperate with a resistive path 62 provided in the collimator chamber 61. When the protruding portions 65a, 65b are in contact with the resistance path 62, the net resistance of the collimator chamber will vary. The change in resistance of the collimator chamber can be used as an automatic identifier for the collimator to be inserted into the collimator chamber. More preferably, for a set of collimators, each collimator needs to have a unique pair of protrusions to distinguish the change in the net resistance of the collimator chamber. It is known from the known art that the plurality of pairs of projections 65a, 65b can have different relative positions on a surface of the collimator. Alternatively, each collimator may be provided with an electronic identification device, for example, a wafer having a plug, when the pin is inserted into the collimator chamber (provided with a corresponding socket), the collimator The identification device will be in electrical communication with the control unit of the mobile X-ray unit.

第6圖係顯示依據本發明另一實施例之具識別裝置之準直儀的示意圖,以下將詳細說明不同之如第3圖所示之準直儀33的實施例。準直儀33可提供有一孔(aperture)71,其可具有任何形狀,識別裝置(identification means)72a、72b可用以自動偵測正確(所需)的準直儀是否插置入X光裝療器中。舉例來說,識別裝置72a、72b可以為合適之彈簧負載銷(spring loaded pin) 以與電阻本體(如元件符號33a所指)配合,使電阻本體的淨電阻產生變化,通過檢測電阻本體之絕對或相對電阻之代表訊號,所插置之準直儀的自動識別可被實現。 Fig. 6 is a view showing a collimator having an identification device according to another embodiment of the present invention, and an embodiment of the collimator 33 different from that shown in Fig. 3 will be described in detail below. The collimator 33 can be provided with an aperture 71, which can have any shape, and identification means 72a, 72b can be used to automatically detect whether the correct (required) collimator is inserted into the X-ray treatment. In the device. For example, the identification devices 72a, 72b can be suitable spring loaded pins In conjunction with the resistor body (as indicated by component symbol 33a), the net resistance of the resistor body is varied. By detecting the representative signal of the absolute or relative resistance of the resistor body, automatic identification of the inserted collimator can be implemented.

元件符號33a所指係顯示電阻本體之實施示意圖,其中,每一虛線74a、74b、74c、74d、74e、74f係表示各個電阻接觸圈(為清楚顯示起見僅繪出數條),電阻路徑33a的淨電阻變化量視銷72a或72b與哪一條電阻接觸圈相接觸而定,且依所接觸的位置而改變。不同型式的準直儀33可依在外表面(outer surface)70之接觸銷72a、72b的不同位置而編碼(coded)。 The symbol of the component symbol 33a is a schematic diagram showing the implementation of the resistor body, wherein each dashed line 74a, 74b, 74c, 74d, 74e, 74f represents each resistor contact ring (only a few are drawn for clarity), the resistance path The amount of net resistance change of 33a depends on which contact of the resistance contact pin 72a or 72b contacts, and changes depending on the position in which it contacts. Different types of collimators 33 can be coded depending on the different locations of the contact pins 72a, 72b of the outer surface 70.

在另一實施例之準直儀33’、33”中,接觸銷72a、72b可輔助有接觸桿(contact bar)76,用以鎖定及/或使準直儀能適當地插置入一準直儀容室中。此特徵特別有利於當準直儀不具有對稱幾何外型時。 In another embodiment of the collimators 33', 33", the contact pins 72a, 72b can assist with a contact bar 76 for locking and/or enabling the collimator to be properly inserted into a quasi-aligner In the straight chamber, this feature is particularly advantageous when the collimator does not have a symmetrical geometric shape.

在另一實施例中,準直儀及/或銷可有色彩編碼(coded)。 In another embodiment, the collimator and/or pin may be color coded.

第7圖係顯示依據本發明另一實施例之X光管的示意圖,第7E-E圖係顯示依第7圖中剖面線E-E之剖面圖,第7F-F圖係顯示依第7圖中剖面線F-F之剖面圖。其中,X光管(X-ray tube)100具有本體(body)102,一端為封閉端,另一端為一端視窗(end window)104,X光由此射出。端視窗係由鈹金屬板(thin sheet of Beryllium mteal)所製作。藉由一裝療器蓋(applicator cap)106覆蓋住端視窗104以保護視窗部份免於損傷,以及保護免於金屬之 毒性(toxic)影響。裝療器蓋106較佳是由塑膠材質製成,更好的是,裝療器蓋是由PVDF製成且在視窗部份剖面具有0.4~0.7公厘之厚度,更佳的是0.6公厘之厚度,詳細說明如前所述。或者是,裝療器蓋是由PPSU製成且在視窗部份剖面具有0.3~0.6公厘之厚度,更佳的是0.5公厘之厚度,詳細說明如前所述。 Figure 7 is a schematic view showing an X-ray tube according to another embodiment of the present invention, and Figure 7E-E is a cross-sectional view taken along line EE in Figure 7, and Figure 7F-F is shown in Figure 7 A cross-sectional view of the section line FF. The X-ray tube 100 has a body 102, one end is a closed end, and the other end is an end window 104, and X-rays are emitted therefrom. The end window is made of thin sheet of Beryllium mteal. Covering the end window 104 with an applicator cap 106 to protect the window portion from damage and protection from metal Toxic effect. Preferably, the therapeutic cover 106 is made of a plastic material. More preferably, the therapeutic cover is made of PVDF and has a thickness of 0.4 to 0.7 mm in the window section, and more preferably 0.6 mm. The thickness is described in detail as described above. Alternatively, the cap is made of PPSU and has a thickness of 0.3 to 0.6 mm in the cross-section of the window, more preferably 0.5 mm, as detailed above.

在管本體102中,一撞擊靶(target)108位於距準直儀(collimator)130約4~10公分處,且更好的是位於距準直儀130約4~6公分處(見第7F-F圖),此距離是從撞擊靶108外表面至準直儀130之中間平面而量測計算。撞擊靶108是由鎢金屬(Tungsten metal)製作,以提供所需之X光光譜(X-ray spectrum)。撞擊靶108的鎢末端是裝設於一大的陽極總成(anode assembly)110上,其同樣提供作為在撞擊靶108中以傳導出因生成X光而產生的熱之功能。大多數的陽極總成是以銅製作。陰極(cathode)112(見第7F-F圖)是位於稍微偏軸靠近端視窗,從陰極射出的電子被加速跨過陰極和陽極之間電位差的差距,在本例中設定為約70KV,如習知技術同,到達撞擊靶108,在此撞擊且使X光產生,從撞擊靶108射出的X光在經過準直儀130及經過在裝療器蓋106上的出口表面(exit surface)124之前,先經過一射束硬化濾器(beam hardening filter)122。準直儀130可被裝設於適合之準直儀容室(collimator receptacle)128上。 In the tube body 102, a strike target 108 is located about 4 to 10 centimeters from the collimator 130, and more preferably about 4 to 6 centimeters from the collimator 130 (see section 7F). -F map), this distance is calculated from the outer surface of the impact target 108 to the median plane of the collimator 130. The impact target 108 is fabricated from Tungsten metal to provide the desired X-ray spectrum. The tungsten tip of the impact target 108 is mounted on a large anode assembly 110, which is also provided as a function in the impact target 108 to conduct heat generated by the generation of X-rays. Most anode assemblies are made of copper. The cathode 112 (see Figure 7F-F) is located slightly off-axis near the end window, and the electrons ejected from the cathode are accelerated across the potential difference between the cathode and the anode, which in this example is set to about 70 kV, such as The prior art is the same as reaching the impact target 108, where it strikes and causes X-rays to be generated. The X-rays emitted from the impact target 108 pass through the collimator 130 and pass through an exit surface 124 on the medicinal cap 106. Previously, a beam hardening filter 122 was passed through. The collimator 130 can be mounted on a suitable collimator receptacle 128.

陽極總成110裝設於本體102中且其電性絕緣,數種 已知技術及習知材料皆可用於提供所需之陽極和本體102之間之絕緣程度。 The anode assembly 110 is mounted in the body 102 and electrically insulated, several kinds Both known and conventional materials can be used to provide the desired degree of insulation between the anode and body 102.

如同習知技術,X光的生成會產生大量的廢熱,因此,需要將管冷卻維持在一安全溫度以下。多種冷卻機構已為周知且可被使用。在本實施例中,X光管是由具有冷卻水強制圍繞著陽極區域之裝置而冷卻,冷卻水藉由導管(conduit)116而進入管的後面,且藉由第二導管(second conduit)118(見第7F-F圖)而離開。水冷卻迴路是封閉之迴圈迴路,具有遠端冷卻器(remote cooler,圖上未顯示)於水離開欲冷卻之管組合而在返回管之前。或者,油或其它流體亦可使用作為冷卻媒介。在一些應用中,亦可用壓縮氣體作為有效之冷卻劑。 As is known in the art, the generation of X-rays generates a large amount of waste heat, and therefore, it is necessary to maintain the tube cooling below a safe temperature. A variety of cooling mechanisms are known and can be used. In the present embodiment, the X-ray tube is cooled by means of forced cooling around the anode region with cooling water, the cooling water entering the back of the tube by conduit 116, and by a second conduit 118 (see Figure 7F-F) and leave. The water cooling circuit is a closed loop circuit with a remote cooler (not shown) before the water leaves the tube to be cooled and before the return tube. Alternatively, oil or other fluids may be used as a cooling medium. In some applications, compressed gas can also be used as an effective coolant.

如同習知技術,X光被生成且朝所有方向射出,除了被管本體102遮蔽處及其它內部構件遮蔽處,藉以將從管本體幅射出的量減到最少,而使較多的幅射從端視窗射出。由管本體所提供之遮蔽的厚度是設計成至少提供了使用者安全使用所需遮蔽之最低程度。 As in the prior art, X-rays are generated and emitted in all directions, except for the shelter of the tube body 102 and other internal component shields, thereby minimizing the amount of radiation from the tube body and making more radiation. Shoot from the end window. The thickness of the shield provided by the tube body is designed to at least provide the minimum level of shading required for safe use by the user.

高壓線路總成(high voltage cable assembly)120連接至陽極總成110。高壓線路總成連接至具彈性線路之裝置(flexible cable means,圖上未顯示),其依序連接至高壓電源供應器。 A high voltage cable assembly 120 is coupled to the anode assembly 110. The high voltage line assembly is connected to a flexible cable means (not shown) which is in turn connected to the high voltage power supply.

一幅射偵測器(radiation detector)114設置於X光射束從撞擊靶108射出至經過端視窗104之路徑的外側,此偵測器可以是任何已知之幅射偵測器。在本實施例中, 是使用習知之適合之幅射硬化半導體(radiation hardened semi-conductor)連接至一放大器(amplifier)。當X光管100運作且射出X光能量時,幅射偵測器114開始偵測。偵測器的輸出連接至一控制單元,由此之輸出訊號可用以提供使用者一光學指示(optical indication),藉以確認X光管是否在操作中。藉此裝置可提供一X光偵測器,用以偵測X光管是啟動或關閉。 A radiation detector 114 is disposed outside the path of the X-ray beam exiting the impact target 108 to the end window 104. The detector can be any known radiation detector. In this embodiment, It is connected to an amplifier using a conventional radiation hardened semi-conductor. When the X-ray tube 100 is operating and emits X-ray energy, the radiation detector 114 begins to detect. The output of the detector is coupled to a control unit whereby the output signal can be used to provide an optical indication to the user to confirm that the X-ray tube is in operation. The device can provide an X-ray detector for detecting whether the X-ray tube is activated or deactivated.

為了使管102可正確地放置於一腫瘤(tumour)上,需使用一腫瘤照明裝置。此腫瘤照明裝置可包括複數個光源(light)126放置於管的周緣靠近端視窗處。當使用時,光源的光照在患者的皮膚上。由於光源126是位於圍繞在管本體102的周緣,距離管的末端還有一小段距離,因此產生了一光圈(circle of light),其內部是空的。以此方法之下,光的位置在管本體102處產生了一陰影。此陰影圈係用以標示出當X光管啟動時放射目標的區域。在圈的內部不會是完全黑的,因為環境光會進入此陰影區域中。 In order for the tube 102 to be properly placed on a tumor, a tumor illumination device is used. The tumor illumination device can include a plurality of light sources 126 placed at the periphery of the tube near the end window. When used, the light from the source is on the patient's skin. Since the light source 126 is located around the circumference of the tube body 102, a small distance from the end of the tube, a circle of light is created, the interior of which is empty. In this way, the position of the light creates a shadow at the tube body 102. This shaded circle is used to indicate the area where the target is radiated when the X-ray tube is activated. The inside of the circle will not be completely black, as ambient light will enter this shaded area.

更好的是,光源126是白光發光二極體(white LED),其亮度夠亮足以清楚照亮目標區域,且不會產生過多的熱,並具有較長的使用壽命。沒有熱的產生是很重要的,因為此光源會非常靠近患者的皮膚,且同樣重要的是,可將使皮膚燒傷或其它損傷之風險降到最低。其他顏色之發光二極體當然亦可以被使用。或者,也可以使用其它之光源,如習知之燈絲燈泡(filament lamp),或甚至是遠端光源(remote light source)由光纖電纜(fibre optic cable) 連接至一環(ring)。 More preferably, the light source 126 is a white LED that is bright enough to clearly illuminate the target area without excessive heat generation and a long lifetime. It is important to have no heat generated because the source is very close to the patient's skin and, as importantly, the risk of skin burns or other damage can be minimized. Light-emitting diodes of other colors can of course also be used. Alternatively, other light sources can be used, such as a conventional filament lamp, or even a remote light source by a fiber optic cable. Connect to a ring.

進一步調校幅射偵測器114,其可以在療程期間管控到達患者之確定及計算X光劑量。藉此裝置可具有即時之劑量管控系統,藉此可確定管控精準之幅射劑量。一旦可確定劑量率(dose rate),療程時間之處理方案即可被調整。此優點在於可實現所欲管控之準確小心之X光劑量控制。 The radiation detector 114 is further calibrated to control the determination of the arrival of the patient and calculate the X-ray dose during the course of treatment. This device can have an instant dose control system whereby the precise dose of radiation can be determined. Once the dose rate can be determined, the treatment schedule can be adjusted. This has the advantage of achieving an accurate and precise X-ray dose control that is to be controlled.

第8圖係顯示依據本發明一實施例之醫療保健單元(medical care unit)之示意圖,例如一移動式X光單元。此移動式X光單元可建構於一滾動底盤(rolling chassis)200上。此底盤從平面觀之可具有H段部之外型,更好的是,此H段部之腳部是叉開(splay)的且稍微朝向外,藉以增加穩定性。此底盤可具有四個輪子(wheel)204,其可以是各別之可轉動腳輪(castoring)且可用於機動地將移動式X光單元移至所需位置。 Figure 8 is a schematic diagram showing a medical care unit, such as a mobile X-ray unit, in accordance with an embodiment of the present invention. The mobile X-ray unit can be constructed on a rolling chassis 200. The chassis may have a H-segment shape from a plan view. More preferably, the legs of the H-section are splayed and slightly outward, thereby increasing stability. The chassis can have four wheels 204, which can be individual castables and can be used to manually move the mobile X-ray unit to a desired position.

此底盤可提供有一煞車機構(braking mechanism),可藉由一腳踏板(pedal)而操作。雙踏板(twin pedal)220可以被提供,每一個位於底盤之一側。踏板更好的是藉由一軸(shaft)而連接,藉以確保只有一個踏板被操作即可使底盤煞車停止移動。煞車機構可以被配置成以煞住兩相對之輪子。其它的煞車機構亦可以被使用。 The chassis can be provided with a braking mechanism that can be operated by a pedal. Twin pedals 220 may be provided, one on each side of the chassis. The pedals are preferably connected by a shaft to ensure that only one pedal is operated to stop the chassis brake. The brake mechanism can be configured to grip the two opposing wheels. Other brake mechanisms can also be used.

在本實施例中,底盤腳部(chassis leg)201、202係形成為強壯之結構構件,例如壓造金屬管(channel)或樑(beam)。二個腳部201、202係由一橫跨構件(cross-member) 210所連接,此橫跨構件210可具有C型剖面,且以其端部或靠近端部連接二個腳部201、202,如習知技術同,可透過螺栓(bolt)或焊接(welding)。 In the present embodiment, the chassis legs 201, 202 are formed as strong structural members, such as a fabricated metal channel or beam. The two feet 201, 202 are made up of a cross-member 210 is connected, the cross member 210 may have a C-shaped cross section, and the two legs 201, 202 are connected at their ends or near the end, and can be bolted or welded as in the prior art. .

在本實施例中,腳部及橫跨構件可以壓造金屬(pressed metal)部件製成,但其它適合之形狀或材料亦是可行的。可以預見的,底盤之滾動部(rolling part)可以同樣以模造塑膠(molded plastic)材料製成,或在另一例中以具更高強度、負重特性或剛性之材料由鑄造金屬(cast metal)結構製成。 In this embodiment, the foot and cross member can be made of a pressed metal component, but other suitable shapes or materials are also possible. It is foreseen that the rolling part of the chassis can likewise be made of a molded plastic material, or in another case a cast metal structure of a material having higher strength, load bearing properties or rigidity. production.

一第一垂直底盤構件(first vertical chassis member)206可牢固地連接至第一個腳部201,且從此處向上延伸。連接至第二個腳部202的為第二垂直底盤構件(second vertical chassis member)208。垂直底盤構件206、208是由已知之裝置而牢固地連接在一起,在此未顯示。形成了移動式X光單元的一些操作設備,例如高壓電源供應器、用於X光管之冷卻系統以及控制系統,可裝設於垂直底盤構件206、208之上,同樣裝設於垂直底盤構件之上的還有可移動臂(圖上未顯示)。本實施例之優點在於,垂直底盤構件可以不需要為垂直,但需要為可在任何角度可朝上延伸的,如此一來可有利於且適於裝設任何配件(ancillary fitting)或設備。 A first vertical chassis member 206 can be securely coupled to the first leg 201 and extends upward therefrom. Connected to the second leg 202 is a second vertical chassis member 208. The vertical chassis members 206, 208 are securely coupled together by known means, not shown here. Some of the operating devices forming the mobile X-ray unit, such as a high voltage power supply, a cooling system for the X-ray tube, and a control system, can be mounted on the vertical chassis members 206, 208, also mounted on the vertical chassis members. There is also a movable arm (not shown). An advantage of this embodiment is that the vertical chassis member may not need to be vertical, but needs to be extendable upwardly at any angle, which may be advantageous and suitable for mounting any ancillary fitting or equipment.

第一底盤腳部201是藉由如螺栓(bolt)之裝置而穩固地連接至垂直底盤構件206,此有利於底盤之組裝。然而,其它可用以確保兩構件之間之固定的裝置,例如焊接等, 仍是可被使用的。第二垂直底盤構件208是藉由如軸承(bearing)之裝置而連接至第二底盤腳部202。第二垂直底盤構件208是藉由如螺栓(bolt)之裝置、焊接或其它習知之鎖固裝置而穩固地連接至一裝設托架(mounting bracket)214。此裝設托架提供有一軸承支撐裝置(bearing support means),其與第二底盤腳部202之對應軸承裝置相配合。此軸承可以為一軸(shaft)或銷(pin)212之形式。軸212從裝設托架214延伸經過軸承支撐裝置而進入腳部202之一配合支撐裝置(co-operating support means)中。上述軸和配合軸承孔可以使第二垂直底盤構件208可相對於一軸線而旋轉,此軸線定義為沿一縱軸延伸沿軸212之長度方向而延伸。軸承支撐裝置可以以任何已知之形成軸承之材料製成,例如相對較軟之金屬如黃銅(brass),或更好的是尼龍(nylon)或聚乙烯(polyethylene)形之塑料製成。 The first chassis foot 201 is securely coupled to the vertical chassis member 206 by means of a bolt, which facilitates assembly of the chassis. However, other devices that can be used to ensure the fixation between the two components, such as welding, etc. Still available. The second vertical chassis member 208 is coupled to the second chassis foot 202 by a device such as a bearing. The second vertical chassis member 208 is securely coupled to a mounting bracket 214 by means of a bolt, welding or other conventional locking means. The mounting bracket is provided with a bearing support means that cooperates with a corresponding bearing arrangement of the second chassis foot 202. This bearing can be in the form of a shaft or pin 212. The shaft 212 extends from the mounting bracket 214 through the bearing support means into one of the co-operating support means of the foot 202. The shaft and mating bearing bores allow the second vertical chassis member 208 to rotate relative to an axis defined as extending along a longitudinal axis along the length of the shaft 212. The bearing support means can be made of any material known to form a bearing, such as a relatively soft metal such as brass, or more preferably a nylon or polyethylene plastic.

在操作垂直底盤構件206、208以圖上未顯示之裝置而牢固地連接在一起以提供一具強剛性朝上延伸之底盤,使得任何所需之構件可被裝設於其上,而底盤之滾動部則提供其可配合凹凸或不平表面之彈性。 The vertical chassis members 206, 208 are securely coupled together in a manner that is not shown to provide a chassis that is strongly rigidly upwardly extended so that any desired components can be mounted thereon, while the chassis The rolling section provides flexibility to match the uneven or uneven surface.

第9圖係顯示彈性框架介於不同構件之間連接方式之另一實施例的示意圖。垂直底盤構件206的詳細結構與前述類似。其中,軸承包括軸(shaft)212定義有一旋轉軸穿過軸212之中心,腳部202可依此轉動,因此提供一裝置其使得底盤之滾動部可以變形且適於在不平整之地板或路 徑上,且同時可保持一相對朝向上延伸之底盤部。軸212延伸經過裝設托架214中之一軸承支撐裝置而進入腳部202中之配合支撐裝置中(見第8圖)。此結構使得腳部201、202(見第8圖)可在移動(或停駐)於不平整表面上時能彼此相對轉動,因此可減少設備整體之不穩定性之風險。 Fig. 9 is a schematic view showing another embodiment of the manner in which the elastic frame is connected between different members. The detailed structure of the vertical chassis member 206 is similar to that described above. Wherein the bearing includes a shaft 212 defining a axis of rotation through the center of the shaft 212, the foot 202 being rotatable therewith, thereby providing a means for deforming the rolling portion of the chassis and for a floor or road that is not flat The diameter and at the same time maintaining a relatively upwardly extending chassis portion. The shaft 212 extends through a bearing support in one of the mounting brackets 214 into the mating support in the foot 202 (see Figure 8). This configuration allows the legs 201, 202 (see Figure 8) to be rotated relative to each other when moving (or parked) on an uneven surface, thereby reducing the risk of instability of the overall device.

第10圖係顯示第9圖之結構之另一實施例的示意圖,腳部202是藉由軸承裝置212經過裝設托架214而機械地連結至底盤構件208。如上所述,橫跨構件210是以其端部或靠近其端部連接腳部201、202,當單元固定時,其有效地提供裝置用以使腳部維持於其所欲之相對位置上。然而,這是指底盤移動於不平整之地面會受到旋轉扭力和扭矩之情況。橫跨構件之結構強度將產生足以抵抗腳部彼此相對扭力之力量,且同樣可提供一阻尼效果(damping),限制及減少腳部之相對移動。更適合的是,將橫跨構件的轉動剛度(rotational stiffness)可選擇為可提供所欲之阻尼效果,其考慮到移動單元之重量及地板之不平整度。 10 is a schematic view showing another embodiment of the structure of FIG. 9, the foot portion 202 being mechanically coupled to the chassis member 208 by the mounting device 212 via the mounting bracket 214. As described above, the cross member 210 is connected to the legs 201, 202 at its ends or near its ends, and when the unit is secured, it effectively provides means for maintaining the foot in its desired relative position. However, this refers to the situation where the chassis moves to uneven ground and is subject to rotational torque and torque. The structural strength of the spanning members will produce a force sufficient to resist the relative torque of the feet relative to each other, and also provide a damping that limits and reduces the relative movement of the feet. More suitably, the rotational stiffness of the spanning member can be selected to provide a desired damping effect that takes into account the weight of the mobile unit and the unevenness of the floor.

本發明雖以較佳實施例揭露如上,然其並非用以限定本發明的範圍,任何熟習此項技藝者,在不脫離本發明之精神和範圍內,當可做些許的更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 The present invention has been described above with reference to the preferred embodiments thereof, and is not intended to limit the scope of the present invention, and the invention may be modified and modified without departing from the spirit and scope of the invention. The scope of the invention is defined by the scope of the appended claims.

2‧‧‧基座(base) 2‧‧‧Base

2a‧‧‧加載塊(load block) 2a‧‧‧Load block

3‧‧‧軟性纜線(flexible cable) 3‧‧‧flexible cable

4‧‧‧X光裝療器(X-ray applicator) 4‧‧‧X-ray applicator

4a‧‧‧鉸接可位移式臂(articulated displaceable arm) 4a‧‧‧ articulated arm (articulated displaceable arm)

5‧‧‧可位移式面板(displaceable panel) 5‧‧‧Displaceable panel

5a‧‧‧外部(outer portion) 5a‧‧‧outer portion

6‧‧‧握把(handle) 6‧‧‧Handle

7‧‧‧顯示器(display) 7‧‧‧Display

7a‧‧‧使用者介面(user interface) 7a‧‧‧user interface

7b‧‧‧視窗(window) 7b‧‧‧window

7c‧‧‧視窗(window) 7c‧‧‧window

7d‧‧‧按鍵(button) 7d‧‧‧ button (button)

8‧‧‧X光出口表面(x-ray exit surface) 8‧‧‧X-ray exit surface

10‧‧‧移動式X光單元(mobile X-ray unit) 10‧‧‧mobile X-ray unit

21‧‧‧控制單元(control system) 21‧‧‧control unit

21a‧‧‧使用者介面(user interface) 21a‧‧‧user interface

21b‧‧‧高壓供應器(high voltage supply) 21b‧‧‧high voltage supply

21c‧‧‧高壓產生器(high voltage generator) 21c‧‧‧high voltage generator

21d‧‧‧冷卻系統(cooling system) 21d‧‧‧Cooling system

21e‧‧‧主要控制器(primary controller) 21e‧‧‧primary controller

21f‧‧‧次要控制器(secondary controller) 21f‧‧‧secondary controller

21g‧‧‧安全控制器(safety controller) 21g‧‧‧safety controller

22‧‧‧X光裝療器(X-ray applicator) 22‧‧‧X-ray applicator

22a‧‧‧X光管(X-ray tube) 22a‧‧‧X-ray tube

22b‧‧‧射束硬化濾器(beam hardening filter) 22b‧‧·beam hardening filter

22c‧‧‧射束平整濾器(beam flattening filter) 22c‧‧·beam flattening filter

22d‧‧‧準直儀(collimator) 22d‧‧‧collimator

22e‧‧‧裝療器蓋(applicator cap) 22e‧‧‧applicator cap

22f‧‧‧自動準直偵測裝置(automatic collimator detection mean) 22f‧‧‧Automatic collimator detection mean

22g‧‧‧殼體溫度感測器(housing temperature sensor) 22g‧‧‧ housing temperature sensor

22h‧‧‧幅射感測器(radiation sensor) 22h‧‧‧radiation sensor

22i‧‧‧非暫存式數據儲存器(non-volatile data storage) 22i‧‧‧non-volatile data storage

22j‧‧‧幅射指示器(radiation indicator) 22j‧‧‧radiation indicator

22k‧‧‧外殼體(outer housing) 22k‧‧‧outer housing

30‧‧‧X光裝療器(X-ray applicator) 30‧‧‧X-ray applicator

31‧‧‧管路(pipe) 31‧‧‧pipe

33、33’、33”‧‧‧準直儀(collimator) 33, 33', 33" ‧ ‧ collimator

34‧‧‧冷卻系統(cooling system) 34‧‧‧Cooling system

35‧‧‧X光管總成(X-ray tube assembly) 35‧‧‧X-ray tube assembly

35a‧‧‧外部遮罩(external shielding) 35a‧‧‧External shielding

36‧‧‧外殼體(outer housing) 36‧‧‧outer housing

37‧‧‧溫度感測器(temperature sensor) 37‧‧‧temperature sensor

38‧‧‧幅射偵測器(radiation detector) 38‧‧‧radiation detector

39‧‧‧濾器(filter) 39‧‧‧Filter

40‧‧‧射束平整濾器(beam flattening filter) 40‧‧‧beam flattening filter

41‧‧‧準直儀容室(collimator receptacle) 41‧‧‧collimator receptacle

42‧‧‧裝療器蓋(applicator cap) 42‧‧‧Applicator cap

43‧‧‧幅射指示器(radiation indicator) 43‧‧‧radiation indicator

44‧‧‧數據儲存單元(data storage unit) 44‧‧‧data storage unit

45‧‧‧撞擊靶(target) 45‧‧‧ impact target (target)

45a‧‧‧縱延伸軸(longitudinal propagation axis) 45a‧‧‧longitudinal propagation axis

51‧‧‧X光裝療器(X-ray applicator) 51‧‧‧X-ray applicator

61‧‧‧準直儀容室(collimator receptacle) 61‧‧‧collimator receptacle

62‧‧‧電阻路徑(resistive path) 62‧‧‧resistive path

63‧‧‧準直儀(collimator) 63‧‧‧collimator

64‧‧‧中心開口(central opening) 64‧‧‧central opening

65a:65b‧‧‧突出部(projection) 65a: 65b‧‧‧projection

70‧‧‧外表面(outer surface) 70‧‧‧outer surface

71‧‧‧孔(aperture) 71‧‧‧ hole (aperture)

72a、72b‧‧‧識別裝置(identification means) 72a, 72b‧‧‧identification means

74a~74f‧‧‧電阻接觸圈(resistive contact circle) 74a~74f‧‧‧resistive contact circle

76‧‧‧接觸桿(contact bar) 76‧‧‧Contact bar

100‧‧‧X光管(X-ray tube) 100‧‧‧X-ray tube

102‧‧‧本體(body) 102‧‧‧ body

104‧‧‧端視窗(end window) 104‧‧‧End window

106‧‧‧裝療器蓋(applicator cap) 106‧‧‧Applicator cap

108‧‧‧撞擊靶(target) 108‧‧‧ impact target (target)

110‧‧‧陽極總成(anode assembly) 110‧‧‧Anode assembly

112‧‧‧陰極(cathode) 112‧‧‧cathode

114‧‧‧幅射偵測器(radiation detector) 114‧‧‧radiation detector

116‧‧‧導管(conduit) 116‧‧‧catheter (conduit)

118‧‧‧第二導管(second conduit) 118‧‧‧second conduit

120‧‧‧高壓線路總成(high voltage cable assembly) 120‧‧‧High voltage cable assembly

122‧‧‧射束硬化濾器(beam hardening filter) 122‧‧‧beam hardening filter

124‧‧‧出口表面(exit surface) 124‧‧‧Exit surface

126‧‧‧光源(light) 126‧‧‧Light source

128‧‧‧準直儀容室(collimator receptacle) 128‧‧‧collimator receptacle

130‧‧‧準直儀(collimator) 130‧‧‧collimator

200‧‧‧滾動底盤(rolling chassis) 200‧‧‧Rolling chassis

201、202‧‧‧底盤腳部(chassis leg) 201, 202‧‧‧ chassis legs (chassis leg)

204‧‧‧輪子(wheel) 204‧‧‧ Wheels

206‧‧‧第一垂直底盤構件(first vertical chassis member) 206‧‧‧First vertical chassis member

208‧‧‧第二垂直底盤構件(second vertical chassis member) 208‧‧‧second vertical chassis member

210‧‧‧橫跨構件(cross-member) 210‧‧‧cross-member

212‧‧‧銷(pin)\軸(shaft) 212‧‧‧pin(shaft)\shaft

214‧‧‧裝設托架(mounting bracket) 214‧‧‧mounting bracket

220‧‧‧雙踏板(twin pedal) 220‧‧‧double pedal (twin pedal)

P‧‧‧患者(patient) P‧‧‧patient

第1a圖係顯示依據本發明一實施例之移動式X光單元的示意圖; 第1b圖係顯示依據本發明一實施例之移動式X光單元之可位移式面板的示意圖;第1c圖係顯示依據本發明一實施例之X光單元之具可位移功能裝療器之示意圖;第2圖係顯示依據本發明一實施例之移動式X光單元之架構示意圖;第3圖係顯示依據本發明一實施例之移動式X光單元之X光裝療器的剖面示意圖;第4圖係顯示依據本發明一實施例之X光裝療器具有第3圖之裝療器蓋的示意圖;第5圖係顯示依據本發明一實施例之具有識別裝置之準直儀的示意圖;第6圖係顯示依據本發明另一實施例之準直儀識別裝置系統的示意圖;第7圖係顯示依據本發明另一實施例之X光管的示意圖;第7E-E圖係顯示X光裝療器之縱向剖面示意圖;第7F-F圖係顯示如第7E-E圖之實施例其顯示有陰極;第8圖係顯示依據本發明一實施例之醫療保健單元之示意圖,例如一移動式X光單元;第9圖係顯示彈性框架介於不同構件之間連接方式之另一實施例的示意圖;以及第10圖係顯示第9圖之結構之另一實施例的示意圖。 1a is a schematic view showing a mobile X-ray unit according to an embodiment of the present invention; 1b is a schematic view showing a displaceable panel of a mobile X-ray unit according to an embodiment of the present invention; and FIG. 1c is a schematic view showing a displaceable function-loading device of an X-ray unit according to an embodiment of the present invention; 2 is a schematic structural view of a mobile X-ray unit according to an embodiment of the present invention; and FIG. 3 is a cross-sectional view showing an X-ray heat treatment device of a mobile X-ray unit according to an embodiment of the present invention; 4 is a schematic view showing an X-ray medical device according to an embodiment of the present invention having a medical device cover of FIG. 3; and FIG. 5 is a schematic view showing a collimator having an identification device according to an embodiment of the present invention; 6 is a schematic view showing a collimator identification device system according to another embodiment of the present invention; FIG. 7 is a schematic view showing an X-ray tube according to another embodiment of the present invention; and FIG. 7E-E is a view showing X-rays. A longitudinal cross-sectional view of the medicinal device; a 7F-F diagram showing a cathode as shown in the embodiment of FIG. 7E-E; and a diagram showing a healthcare unit according to an embodiment of the present invention, such as a movement X-ray unit; Figure 9 shows the bullet A schematic diagram of another embodiment of a manner in which a sexual framework is interposed between different components; and FIG. 10 is a schematic diagram showing another embodiment of the structure of FIG.

2‧‧‧基座(base) 2‧‧‧Base

3‧‧‧軟性纜線(flexible cable) 3‧‧‧flexible cable

4‧‧‧X光裝療器(X-ray applicator) 4‧‧‧X-ray applicator

4a‧‧‧鉸接可位移式臂(articulated displaceable arm) 4a‧‧‧ articulated arm (articulated displaceable arm)

5‧‧‧可位移式面板(displaceable panel) 5‧‧‧Displaceable panel

6‧‧‧握把(handle) 6‧‧‧Handle

7‧‧‧顯示器(display) 7‧‧‧Display

10‧‧‧移動式X光單元(mobile X-ray unit) 10‧‧‧mobile X-ray unit

Claims (22)

一種移動式X光單元,包括一基座用以容置一控制單元、一電源供應器及一冷卻器,更包括一鉸接可位移式臂用以支撐具有一X光管之一X光裝療器,該X光裝療器連接至該基座,該X光管包括一撞擊靶用以產生一X光射束以及可連接至一準直儀容室之一準直儀用以成型所產生之該X光射束,一距離介於該撞擊靶及該準直儀之間約為4公分至10公分,其中,該準直儀提供自動識別裝置,以產生一訊號於該控制單元中代表該準直儀之特性,且該識別裝置由一對獨特的突出部形成,藉以區分該準直儀容室之淨電阻的變化。 A mobile X-ray unit includes a base for accommodating a control unit, a power supply and a cooler, and a hinged displaceable arm for supporting an X-ray treatment with an X-ray tube The X-ray treatment device is coupled to the base, the X-ray tube includes a collision target for generating an X-ray beam and is connectable to a collimator of a collimator chamber for molding The X-ray beam is about 4 cm to 10 cm apart between the impact target and the collimator, wherein the collimator provides an automatic identification device to generate a signal representative of the control unit The characteristics of the collimator, and the identification device is formed by a pair of unique projections to distinguish the change in the net resistance of the collimator chamber. 如申請專利範圍第1項所述之移動式X光單元,其中,該撞擊靶及該準直儀係容置於一大致上圓柱形X光管中且具有一縱軸,該X光射束之一延伸方向大致平行於該縱軸。 The mobile X-ray unit of claim 1, wherein the impact target and the collimator are housed in a substantially cylindrical X-ray tube and have a longitudinal axis, the X-ray beam One of the extending directions is substantially parallel to the longitudinal axis. 如申請專利範圍第1項所述之移動式X光單元,其中,該準直儀係可置換的,該移動式X光單元包括具對應識別裝置之一組準直儀。 The mobile X-ray unit of claim 1, wherein the collimator is replaceable, and the mobile X-ray unit comprises a group collimator having a corresponding identification device. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其更包括一訊號裝置用以指示該X光射束之產生。 The mobile X-ray unit of any one of claims 1 to 2, further comprising a signal device for indicating the generation of the X-ray beam. 如申請專利範圍第4項所述之移動式X光單元,其中,該訊號裝置包括一光指示器,配置於該X光裝療器。 The mobile X-ray unit of claim 4, wherein the signal device comprises a light indicator disposed in the X-ray device. 如申請專利範圍第1至2項中任一項所述之移動式 X光單元,其中,該冷卻器配設有一管路以提供一冷卻媒介鄰近於該X光管,該管路位於該X光管及一殼體壁之間的一空間中。 Mobile as described in any one of claims 1 to 2 An X-ray unit, wherein the cooler is provided with a conduit to provide a cooling medium adjacent to the X-ray tube, the conduit being located in a space between the X-ray tube and a housing wall. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其中,一幅射偵測器提供於該X光裝療器中,用以偵測該X光射束。 The mobile X-ray unit of any one of claims 1 to 2, wherein a radiation detector is provided in the X-ray device for detecting the X-ray beam. 如申請專利範圍第7項所述之移動式X光單元,其中,該幅射偵測器係配置成依據所產生之該X光射束進而產生一控制訊號。 The mobile X-ray unit of claim 7, wherein the radiation detector is configured to generate a control signal according to the generated X-ray beam. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其更包括一溫度感測器,用以量測該X光裝療器之一外表面的實際溫度。 The mobile X-ray unit of any one of claims 1 to 2, further comprising a temperature sensor for measuring an actual temperature of an outer surface of one of the X-ray treatments. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其中,該X光裝療器包括一出口表面,預定朝向一患者,該X光裝療器更包括一裝療器蓋,用以覆蓋至少該出口表面。 The mobile X-ray unit according to any one of claims 1 to 2, wherein the X-ray device comprises an exit surface, which is intended to face a patient, and the X-ray device further comprises a device. a therapy cover for covering at least the exit surface. 如申請專利範圍第10項所述之移動式X光單元,其中,該裝療器蓋為可拋棄式。 The mobile X-ray unit of claim 10, wherein the heat treatment cover is disposable. 如申請專利範圍第10項所述之移動式X光單元,其中,該裝療器蓋的一厚度在該X光射束之一延伸方向上是足夠的,用以大致消除來自該X光射束之電子污染(electron contamination)。 The mobile X-ray unit of claim 10, wherein a thickness of the heat treatment cover is sufficient in a direction in which one of the X-ray beams extends to substantially eliminate the X-ray from the X-ray. Electron contamination of the bundle. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其中,該電源供應器可在60~75KV之範圍操作, 用以產生該X光射束。 The mobile X-ray unit according to any one of claims 1 to 2, wherein the power supply is operable in a range of 60 to 75 kV. Used to generate the X-ray beam. 如申請專利範圍第13項所述之移動式X光單元,其中,該電源供應器可操作以在使用時提供約200W功率。 The mobile X-ray unit of claim 13, wherein the power supply is operable to provide about 200 W of power when in use. 如申請專利範圍第1至2項中任一項所述之移動式X光單元,其中,該X光裝療器藉由一可位移式面板連接至該基座,彈性線路佈線大致位於該可位移式面板中。 The mobile X-ray unit according to any one of claims 1 to 2, wherein the X-ray device is connected to the base by a displaceable panel, and the flexible circuit wiring is located substantially at the In the displacement panel. 如申請專利範圍第15項所述之移動式X光單元,其中,該可位移式面板包括一使用者介面,用以控制該移動式X光單元。 The mobile X-ray unit of claim 15, wherein the displaceable panel comprises a user interface for controlling the mobile X-ray unit. 如申請專利範圍第16項所述之移動式X光單元,其中,該使用者介面包括一顯示器,更佳為一觸控螢幕,用以輸入數據。 The mobile X-ray unit of claim 16, wherein the user interface comprises a display, more preferably a touch screen for inputting data. 一種製造移動式X光單元的方法,該移動式X光單元包括一基座用以容置一控制單元、一電源供應器及一冷卻器,且更包括一鉸接可位移式臂用以支撐包括一X光管之一X光裝療器,該方法包括下列步驟:利用一彈性線路將該鉸接可位移式臂連接至該基座;配置該X光管具有一撞擊靶用以產生一X光射束以及一準直儀用以成型所產生之該X光射束;設定介於該撞擊靶及該準直儀之間之一距離範圍約為4~10公分。 A method of manufacturing a mobile X-ray unit, the mobile X-ray unit comprising a base for accommodating a control unit, a power supply and a cooler, and further comprising a hinged displaceable arm for supporting An X-ray treatment device for an X-ray tube, the method comprising the steps of: connecting the hinged displaceable arm to the base by a flexible line; the X-ray tube is configured to have an impact target for generating an X-ray The beam and a collimator are used to form the X-ray beam generated by the collimator; the distance between the impact target and the collimator is set to be about 4 to 10 cm. 一種裝療器蓋,用於一X光單元,該X光單元包括一X光管容置於包括一出口表面之一X光裝療器中,該出口表面預定朝向一患者,該裝療器蓋配置為覆蓋至少該出 口表面。 A medicated device cover for an X-ray unit, the X-ray unit comprising an X-ray tube housed in an X-ray device including an exit surface, the exit surface being intended to face a patient, the illuminator The cover is configured to cover at least the out Mouth surface. 如申請專利範圍第19項所述之裝療器蓋,其中,該裝療器蓋為可拋棄式。 The applicator cover of claim 19, wherein the applicator cover is disposable. 如申請專利範圍第19或20項所述之裝療器蓋,其中,該裝療器蓋的一厚度在該X光射束之一延伸方向上是足夠的,用以大致消除來自該X光射束之電子污染(electron contamination)。 The medicinal device cover of claim 19 or 20, wherein a thickness of the medicinal cap is sufficient in a direction in which one of the X-ray beams extends to substantially eliminate the X-ray from the X-ray Electron contamination of the beam. 如申請專利範圍第19或20項之裝療器蓋,其中,該裝療器蓋以大致上透明材料製成。 The medicated device cover of claim 19 or 20, wherein the medicinal device cover is made of a substantially transparent material.
TW101119910A 2012-06-04 2012-06-04 An applicator cap,a mobile x-ray unit and a method for manufacturing the same TWI580457B (en)

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