CN101627915B - C-arm X-ray perspective machine with external pick-up device - Google Patents

C-arm X-ray perspective machine with external pick-up device Download PDF

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Publication number
CN101627915B
CN101627915B CN2009100751635A CN200910075163A CN101627915B CN 101627915 B CN101627915 B CN 101627915B CN 2009100751635 A CN2009100751635 A CN 2009100751635A CN 200910075163 A CN200910075163 A CN 200910075163A CN 101627915 B CN101627915 B CN 101627915B
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swing arm
arm
emission source
photographic head
swing
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CN101627915A (en
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张爱民
张英泽
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Hebei Scotland Medical Technology Co Ltd
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张爱民
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Abstract

A C-arm X-ray perspective machine with an external pick-up device belongs to the technical field of medical apparatuses and is used for collecting optical images in the real time and guiding operation progress when an orthopaedics operation is carried out. The technical scheme of the C-arm X-ray perspective machine is as follows: in the C-arm X-ray perspective machine, a bulb tube end of an X ray emission source and an image enhancer end are separately or commonly provided with cameras and positioning devices; one or more cameras can be arranged at the bulb tube end and the image enhancer end; wherein one positioning device consists of a swing arm and a swing arm driving device; the cameras are fixed at one end of each swing arm, and the other end of each swing arm is provided with a swing shaft which is connected with the swing arm driving device; the planes in which the swing arms swing around the swing shafts are parallel to the bottom surfaces of the image enhancer and the bulb tube of the X ray emission source. The C-arm X-ray perspective machine can realize whole-process real-time monitoring during the operation, solves the problem that X ray illumination can not last a long time and can avoid the influence on X-ray perspective operation. The C-arm X-ray perspective machine has the advantages of simple structure, low cost and convenient implementing and has a great value for generalization.

Description

A kind of C type arm X-ray perspective machine that external pick-up device is arranged
Technical field
The present invention relates to a kind of C type arm X-ray perspective machine that external pick-up device is installed, belong to the armarium technical field.
Background technology
Common C type arm X-ray perspective machine is the medical apparatus and instruments that generally uses on the clinical medicine, and the orthopedist also must operate by this apparatus in operation, with anatomical position and the enforcement operation of determining pathological changes.If be easy to cause overradiation, all injury can be arranged to doctor, patient and pivot operation personnel's health but be exposed to for a long time under the radiation of X line.Therefore the doctor is of short duration use X line fluoroscopic machine in determining the pathological changes anatomical position and carrying out process that internal fixation material inserts, and most time is to rely on surgical experience and skill, can not carry out omnidistance monitoring, might influence the accuracy of operation.In order to overcome the shortcoming that can not carry out roentgen radiation x in operation process for a long time, the medical worker has adopted multiple measure, and producer has also developed new equipment.As in order to meet clinical needs, some doctor has carried out the transformation of part to C type arm, and use laser pen and position, but the accuracy in order to guarantee to perform the operation, the doctor can't push away C type arm in operation process fully from operative region; The computer virtual fluoroscopy system that also has up-to-date exploitation, i.e. operation guiding system, but this technical operation flow process complexity are grasped operating difficulties, and the price of equipment is very high, and general hospital is difficult to configuration.Therefore up to the present, also do not solve the harm that both can avoid long-time roentgen radiation x in the bone surgery clinically well, can accurately observe problems of monitoring in real time again, press for doctor and technical staff and carry out deep research and improvement.
Summary of the invention
Technical problem to be solved by this invention provides a kind of C type arm X-ray perspective machine that external pick-up device is arranged, it can avoid the navigation system practicality not good enough, and the too much shortcoming of common C type arm X line machine radiation, can utilize real-time imaging to instruct operation to carry out, satisfy the clinical practice demand.
The technical scheme that solves the problems of the technologies described above is:
A kind of C type arm X-ray perspective machine that external pick-up device is arranged, it is made up of C type arm, X line emission source bulb and image amplifier, its improvements are, it also has outside photographic head and positioner, photographic head is arranged separately in X line emission source bulb end or image amplifier end by positioner, or being installed in X line emission source bulb end and image amplifier end simultaneously, the photographic head that every end is installed is one or more.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, described positioner is not for influencing the support that material that the X line sees through is made, and support is fixed on the front end face of X line emission source bulb end or image amplifier end, and photographic head is fixed on the support.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, described positioner is the bottom surface of X line emission source bulb end or image amplifier end, photographic head is embedded in or is fixed on this bottom surface.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, described positioner is made up of swing arm and swing arm drive device, swing arm is rectangular plate or stock, photographic head is fixed on an end of swing arm, the other end of swing arm has balance staff, balance staff is connected with swing arm drive device, and the outrigger that swing arm drive device is installed in image amplifier or X line emission source bulb puts, swing arm around the plane of balance staff swing on the bottom surface of image amplifier or X line emission source bulb and parallel with this bottom surface.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, the photographic head of the described X of being installed in line emission source bulb end or image amplifier end is one, the center of photographic head, the center of X line emission source bulb end and being centered close on the straight line of image amplifier end.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, described swing arm drive device is made up of motor, variator and controller, the outrigger that motor and controller are installed in image amplifier or X line emission source bulb puts, and variator one end is connected with motor shaft, and the other end is connected with balance staff.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged, described swing arm is the elongate in shape that radian is arranged, the radian of swing arm is consistent with the bottom surface circumference radian of bulb end or image amplifier end.
The above-mentioned C type arm X-ray perspective machine that external pick-up device is arranged has transparent roentgenolucent protective cover in the outside of photographic head and positioner.
The present invention has installed the photographic head that can gather optical imagery in the front portion of image amplifier or X line emission source bulb, can omnidistancely monitor in real time in operation process, and having solved the X line can not long-irradiated problem.Simultaneously, photographic head is shifted out by swing arm when carrying out roentgen radiation x, can avoid the influence to X line pivot operation.This camera head has solved the medium-term and long-term difficult problem that does not have solution of orthopaedics clinical operation, the medical worker's who is subjected in field work welcome.That the present invention has is simple in structure, price is low, implement advantage easily, and promotional value is arranged very much.
Description of drawings
Fig. 1 is a structural representation of the present invention;
Fig. 2 is that the present invention installs the position view on the C type arm X-ray perspective machine;
Fig. 3 is that the K of Fig. 1 is to view.
Labelling is as follows among the figure: the outrigger cover 7 of X line emission source bulb or image amplifier 1, photographic head 2, swing arm 3, balance staff 4, motor 5, variator 6, X line emission source bulb or image amplifier, C type arm 8, protective cover 9.
The specific embodiment
The present invention is a kind of C type arm X-ray perspective machine that external pick-up device is arranged, and it is made up of C type arm, X line emission source bulb and image amplifier, and it also has outside photographic head 2 and positioner.Photographic head 2 adopts one or more in the present invention, and they are installed simultaneously or optional one is installed in the X line emission source bulb end and the image amplifier end of C type arm X perspective ray machine.Its effect is after the X line perspective work of C type arm is finished, and gathers dynamic image in the surgical field of view by the present invention.The doctor is under the guide of image, and just the particular location of all-the-way tracking operating theater instruments in real time helps the doctor to finish operation technique better.
The positioner of photographic head 2 of the present invention can be taked multiple scheme, and a kind of is to adopt not influence the material making support that the X line sees through, and support is fixed on the front end face of X line emission source bulb end or image amplifier end, photographic head 2 is fixed on the support again.Another kind be bottom surface with X line emission source bulb end or image amplifier end as positioner, perforate embeds photographic head on the bottom surface, or photographic head is adhesively fixed on this bottom surface.In above-mentioned these two kinds of schemes,, just can not influence the perspective of X line if the volume of photographic head 2 is enough little.And if photographic head 2 volumes that adopt are bigger, then these two kinds of schemes are with regard to defectiveness, but these two kinds are adopted support bracket fastened schemes should belong to protection scope of the present invention.The invention allows for the positioner scheme of another kind of removable photographic head 2, the positioner that in this scheme, adopts swing arm 3 and swing arm drive device to form.
Show among the figure that swing arm 3 and swing arm drive device are fixed on X line emission source bulb end or image amplifier end face on patient's bottom surface with the photographic head in the image unit 2 when taking optical imagery; And when carrying out X line pivot operation, photographic head 2 is shifted out from the bottom surface, do not influence normal X line pivot operation.Concrete structure is, photographic head 2 is fixed on an end of swing arm 3, the other end of swing arm 3 has balance staff 4, balance staff 4 is installed on the outrigger cover 7 of X line emission source bulb or image amplifier, balance staff 4 is connected with swing arm drive device, swing arm 3 around the plane of balance staff 4 swing on the bottom surface of image amplifier and X line emission source bulb and parallel with this bottom surface.
The present invention is installed in the X line emission source bulb end or the image intensifier end of C type arm X perspective ray machine, and the photographic head that every end is installed is one or more, and the embodiment shown in the figure is that every end is installed one.Show among the figure that photographic head 2 has two position of rests in the movement locus of swing arm 3.The one, the center of circle of bottom surface, the one, the periphery of bottom surface.When C type arm 8 carried out the X perspective, photographic head 2 moved and rests on the periphery of bottom surface, does not produce the effect of blocking to the X line.After C type arm 8X perspective finished, photographic head 2 moved and rests on the center of circle of bottom surface, the image acquisition in the zone that undergos surgery.For guaranteeing that photographic head 2 accurately stops at the position in the center of circle, bottom surface, balance staff 4 should accurately equate with the distance of balance staff 4 to image amplifier or X line emission source bulb center to the distance at photographic head 2 centers.
Show among the figure that swing arm 3 is elongate in shape that radian is arranged, the radian of swing arm 3 is consistent with the bottom surface circumference radian of bulb end or image amplifier end, and the operation angle of swing arm 3 from the center of circle to the circumference is 60 degree.One end of swing arm 3 is swing arm drive device, and swing arm drive device comprises motor 5, variator 6 and controller, the motion mode of motor 5 received signals control swing arm 3.
Show among the figure because photographic head 2 partial distance operative regions are very near, the pollution problem in the operation, the present invention also has a transparent roentgenolucent protective cover 9, with photographic head 2 and positioner protection in the inside.
Below be the use of the present invention in distal tibial intramedullary nail with lock distal locking nail implantation surgery:
Step 1: need to determine the general location of perspective earlier with camera head, start the position that C type arm X line machine is determined perspective dowel pin hole again.
Step 2: after step 1 was finished, X line emission source quit work at once, and camera head starts once more, and swing arm moves to position, the center of circle by the circumference position, and photographic head to the center of circle, begins to gather dynamic image by circular motion.Computer shows the image that processing matches in high-resolution medical imaging display.
Step 3: under the image guiding of display, operative doctor finds locking nail hole transmission position to pierce Kirschner wire, as guide needle, changes the drill bit reaming with it again into, screws in pinning at last.

Claims (4)

1. C type arm X-ray perspective machine that external pick-up device is arranged, it is made up of C type arm [8], X line emission source bulb and image amplifier [1], it is characterized in that: it also has outside photographic head [2] and positioner, photographic head [2] is arranged separately in X line emission source bulb end or image amplifier end by positioner, or being installed in X line emission source bulb end and image amplifier end simultaneously, the photographic head that every end is installed [2] is for one or more; Described positioner is made up of swing arm [3] and swing arm drive device, swing arm [3] is rectangular plate or stock, photographic head [2] is fixed on an end of swing arm [3], the other end of swing arm [3] has balance staff [4], balance staff [4] is connected with swing arm drive device, swing arm drive device is installed on the outrigger cover [7] of image amplifier or X line emission source bulb, swing arm [3] around the plane of balance staff [4] swing on the bottom surface of image amplifier or X line emission source bulb and parallel with this bottom surface; Described swing arm drive device is made up of motor [5], variator [6] and controller, motor [5] and variator [6] are installed on the outrigger cover [7] of image amplifier or X line emission source bulb, variator [6] one ends are connected with motor shaft, and the other end is connected with balance staff [4]; Described swing arm [3] is the elongate in shape that radian is arranged, and the radian of swing arm [3] is consistent with the bottom surface circumference radian of bulb end and image amplifier end, and the operation angle of swing arm [3] from the center of circle to the circumference is 60 degree.
2. the C type arm X-ray perspective machine that external pick-up device is arranged according to claim 1, it is characterized in that: described positioner is not for influencing the support that material that the X line sees through is made, support is fixed on the front end face of X line emission source bulb end or image amplifier end, and photographic head [2] is fixed on the support.
3. the C type arm X-ray perspective machine that external pick-up device is arranged according to claim 1, it is characterized in that: the photographic head [2] of the described X of being installed in line emission source bulb end or image amplifier end is one, the center of photographic head [2], the center of X line emission source bulb end or being centered close on the straight line of image amplifier end.
4. the C type arm X-ray perspective machine that external pick-up device is arranged according to claim 1 is characterized in that: transparent roentgenolucent protective cover [9] is arranged in the outside of photographic head [2] and positioner.
CN2009100751635A 2009-08-18 2009-08-18 C-arm X-ray perspective machine with external pick-up device Active CN101627915B (en)

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CN101627915B true CN101627915B (en) 2011-12-14

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102499703A (en) * 2011-11-01 2012-06-20 盖伯晴 C-beam X-ray image system and special photographing mechanism
CN103356293B (en) * 2013-08-05 2015-05-27 南京工业大学 Surgery navigation system and method based on multispectral image fusion of reflecting mirror faces with adjustable angles and adjustable positions
CN109771196A (en) * 2019-01-23 2019-05-21 上海莱影医疗科技有限公司 A kind of reduction of the fracture system and method
US11721014B2 (en) 2019-11-15 2023-08-08 GE Precision Healthcare LLC Methods and systems for a field-of-view preview
CN113116369B (en) * 2021-04-23 2024-02-20 宋玮玮 Bedside X-ray machine

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Patentee after: Hebei Scotland Medical Technology Co Ltd

Address before: Shijiazhuang City, Hebei Province, West Bridge 050000 Xinshi road moonlight District 2-2-801

Patentee before: Zhang Aimin

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