CN103269670A - 用于执行医疗程序的台 - Google Patents
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Abstract
用于执行乳房活组织检查的台的特征在于,改善患者舒适感和便利于活组织检查的执行。一种在台中的开口形成于可移除的插件中,开口允许患者的乳房在台面下方延伸。插件的区域包括垫料。可基于患者乳房大小来选择具有不同直径开口的一种替代插件。具有不对称开口的另一插件在其希望将患者的臂和乳房二者均定位于台面下方时可被选择为用以适应患者的臂。台面被形成廓形为使得对称远端部段相对于中央部段有所升高以在多个位置支承着患者。一种可移除的衬垫可放置于插件上。一种用于垫衬患者髋部的端部比用于垫衬患者头/颈的端部更厚。
Description
相关申请的交叉引用
主张保护在2010年11月18日提交的名称为“MultiCare RSNA 2009 Maximum Comfort Package Presentation”的美国临时专利申请序列号61/415022的优先权,该专利申请以引用的方式合并到本文中。
背景技术
筛查和活组织检查用于检测癌症和其它疾病。例如,可取得乳房X线照片以执行乳房癌症筛查。如果在筛查期间检测到异常,那么可执行活组织检查。在乳房活组织检查的情况下,将患者的乳房受压放置从而使得能找到/局部定位与异常相关联的相关区域。然后使用一种活组织检查针而获取一个或多个活组织检查或“芯”组织样品。在活组织检查持续期间维持乳房受压的位置对于患者而言可能是不舒服的。
发明内容
根据本发明的一方面,一种设备包括:台面,包括刚性平台,平台具有一种开口以用于接纳多个可互换的插件之一,每个插件包括一种刚性构件和一种端口,在医疗程序期间,患者身体的一部分穿过端口延伸,其中可互换的插件中的第一插件特征为与可互换的插件中的第二插件相比不同大小的端口;以及,基座,包括连接到台面的立柱构件,立柱构件定位于台面的一侧从而使得在台面下方的区域可用来定位用于执行医疗程序的器械/装备。
根据本发明的另一实施例,一种方法包括:通过选择多个可互换的插件之一来配置用于活组织检查程序的台,每个插件包括刚性构件和端口,在医疗程序期间,患者身体的一部分穿过端口延伸,其中可互换的插件中的第一插件的特征为与可互换的插件中的第二插件相比不同大小的端口;以及,将一种选定插件安装在台中的相对应的开口中。
可互换的插件和其它特征改善了患者舒适性,并且便利了诸如乳房活组织检查这样的医疗程序的执行。例如,所具有的端口大小对应于患者乳房大小的插件可被选择为用以提供对患者更好的支承。一种具有不对称开口的替代插件当其希望将患者的臂和乳房定位于台面下方时可选择为用以适应患者的臂。而且,靠近端口周边的插件的区域可包括柔性材料或垫料。所述台面可被成形为使得对称远端部段被相对于一种中央部段而升高以在多个位置支承住患者。一种可移除并且可旋转的衬垫可放置于插件上方。一种用于垫衬患者髋部的端部比用于垫衬患者头/颈的端部更厚。
附图说明
图1和图2图示出了用于执行诸如乳房活组织检查这样的医疗程序的台。
图3A和图3B示出了一种可移除的衬垫。
图4示出了可移除的衬垫的替代实施例。
图5示出了辅助垫。
图6示出了可移除的插件。
图7示出了臂支承特征。
图8示出了可调整的脚/腿支承件。
具体实施方式
图1和图2示出了用于执行诸如乳房活组织检查这样的医疗程序的台。台包括了一种由基座102所支承的顶面100。台面包括至少部分地被垫料204所覆盖的刚性平台202。一种设置在台面中被称作“端口”或“孔口”的开口200使得能实现患者的身体的一部分在台面下方延伸。支承基座包括了腿104和立柱构件106,基座经由腿104和立柱构件106而连接到台面。柱被定位到台面的一侧,从而使得在台面下方的区域可用于定位患者身体的一部分以及用于执行医疗程序的器械。例如,X射线成像器械108、活组织检查针110和针引导系统可安装于台面下方。X射线成像器械包括垂直于X射线检测器而定向的一种X射线源。X射线源安装于C形臂112上,C形臂112枢转从而使得X射线源可以呈弧形地移动以使得能生成立体定位图像。管联接着所述活组织检查针、一种真空控制台和过滤器用于俘获切离的组织样品。
经历乳房活组织检查程序的患者114以俯卧姿势在台面上定向,从而使得待进行活组织检查的乳房延伸穿过端口。然后使乳房受压放置,并且与异常相关联的相关区域被局部定位成X射线成像器械108位于台面下方。来自X射线成像器械的定位信息被用来配置一种针引导系统,并且然后使用活组织检查针而获得一个或多个活组织检查或“芯”组织样品。然后使组织样品成像以检测指标,诸如钙化。
台面100被成形为使得对称远端部段206相对于中央部段208升高。升高部段中的任一个可帮助支承住患者的腿,由此允许患者180度重定位。中央部段支承着患者的头、腹部和髋部。在端部段与中央部段之间的过渡部210成角度以提供与高度的突然变化相比更舒适的头、腹部和髋部支承。柱构件的顶部212被形成廓形为匹配着台面的轮廓,例如端部段、中央部段和过渡部。这样的廓形可被形成于刚性平台和垫料中任一个或二者中。廓形帮助避免倾向于造成患者不适的压力点和未支承点出现。
参考图1、图2、图3A和图3B,整个台面被垫料覆盖以改善患者舒适感。垫料可包括具有不同特征的一个或两个泡沫层。例如,垫料可包括粘弹性聚氨酯“记忆”泡沫和其它类型的泡沫。记忆泡沫是有利的,因为其提供舒适感但当在患者重量下受压时也相对较薄,这可能是有益的,因为患者的乳房必须在台下方充分地延伸。在一个实施例中,台面垫料包括多个泡沫衬垫。例如,覆盖着远端部段206的泡沫衬垫可永久地附连到台面。一种可移除的衬垫300可放置于台面的中央部段上方。可移除的衬垫包括开口302,开口302定位于端口上方。一种用于垫衬所述患者髋部的端部304比用于垫衬所述患者头/颈的端部306更厚。可移除的衬垫的端部成角度以匹配在永久地附连的衬垫中的过渡部。当患者以180度重新定位时,可移除的衬垫能旋转180度。
现参考图4,在替代实施例中,可移除的衬垫包括三个单独的部段。一种环形基座部段400覆盖着介于端口与永久地附连的衬垫的过渡部之间的台面的区域。台可配备有一种套件,套件包括特征为不同厚度的多个基座部段衬垫。可为了舒适性和患者乳房的最佳定位来选择衬垫的厚度,因为更厚的垫料倾向于保持患者相对于更薄垫料而有所升高。一种髋部衬垫402和一种头/颈衬垫404定位于基座部段的顶部上。当患者以180度重新定位时,髋部和头/颈衬垫的位置被交换。
如图5中所示,垫料500的额外层可设置为用以升高患者或者进一步改善舒适感。垫料的额外层被安置于可移除的衬垫上方。一种在中心的开口基本上匹配了在可移除的衬垫中的开口。
如图6中所示,端口可形成于可移除的插件600中。插件包括一种刚性薄板构件,刚性薄板构件被形成为用以适配到所述台面中的一种相对应开口602内。一种凸缘或所述台面中的其它特征支承着插件。插件应由能在无过度挠曲的情况下支承着患者的材料而构造成。一种靠近于开口周边的插件区域包括了一体式垫料604,并且可包括特征为比插件的其它部分更大挠曲的材料环。使用可移除的端口插件的优点在于,能选择插件的大小和形状以更好地适应患者。例如,一种具有更大或更小直径开口的替代插件606可基于患者的乳房大小来选择。而且,一种具有不对称开口的替代插件608当其希望将患者的臂和乳房二者均定位于台面下方时可选择为用以适应患者的臂。另一替代为一种具有倒圆拐角609的矩形插件。
现参考图7,台可包括一种用于在台面下方支承着患者臂的特征。臂支承特征包括了一种连接到轴杆构件702的水平平台700。轴杆构件经由一种具有夹具的延伸臂而被连接到柱。当夹具松动时,轴杆构件能旋转地并且竖直地移动,由此允许对水平平台的位置进行三维调整。
现参考图6和图8,可延伸的腿/脚支承件800可被设置于台面的两端处。每个支承件包括了一种经由两个支承轴杆804而连接到台的倒圆或弓形/拱形垫衬构件802。支承轴杆使得能进行水平重定位。特别地,当腿/脚支承件在与台面相距所希望的距离时,支承轴杆能可滑动地移动并且牢固固定就位。通常,患者更喜欢在脚面与胫骨之间某处具有支承。脚/腿支承件还包括一种竖直位置特征。支承轴杆经由一种可旋转的接头806而被连接到垫衬构件的一端。因此,可通过以由可旋转的关节所限定的轴线而旋转垫衬构件,来调整垫衬构件的升高。接头包括一种锁定特征,当实现了合适升高时,用于将垫衬构件牢固固定就位。在一个实施例中,锁定特征包括一种带卡爪/棘爪(detent)的旋钮,卡爪在弹簧压力下接合着突出部以使得能将垫衬构件牢固固定于有限位置的集合之一内。
虽然通过上述示例性实施例描述了本发明,本领域普通技术人员将了解到在不偏离本文所公开的本发明的概念/构思的情况下,可以做出对于所例解的实施例的修改和变型。此外,虽然关于各种例解性结构而描述了优选实施例,本领域技术人员将认识到可通过使用多种具体结构来实施该系统。因此,本发明不应被认为受此限制,除了受到所附权利要求的范围和精神限制。
Claims (23)
1.一种设备,包括:
台面,包括刚性平台,具有用于接纳多个可互换的插件之一的开口,每个插件包括刚性构件和端口,在医疗程序期间,患者身体的一部分穿过端口延伸,其中所述可互换的插件中的第一插件的特征为与所述可互换的插件中的第二插件相比不同大小的端口;以及
基座,包括连接到所述台面的立柱构件,所述柱构件定位于所述台面的一侧、从而使得在所述台面下方的区域可用来定位用于执行所述医疗程序的器械。
2.根据权利要求1所述的设备,其中所述可互换的插件中的第二插件的特征为一种不对称的开口。
3.根据权利要求1所述的设备,其中所述台面形成廓形为使得对称的远端部段相对于中央部段有所升高。
4.根据权利要求3所述的设备,其特征在于,所述柱构件形成廓形为用以匹配所述远端部段的相对于所述台面的所述中央部段的升高。
5.根据权利要求1所述的设备,其中所述台面利用垫料加以覆盖以提升患者舒适感。
6.根据权利要求5所述的设备,其中,所述垫料包括覆盖着所述台面的第一远端部段和第二远端部段的第一泡沫衬垫和第二泡沫衬垫。
7.根据权利要求6所述的设备,包括:一种可移除的衬垫,其覆盖着与所述第一远端部段和所述第二远端部段相抵接着的所述台面的中央部段。
8.根据权利要求7所述的设备,其中所述可移除的衬垫包括一种特征为比第二端部更大厚度的第一端部。
9.根据权利要求8所述的设备,其中,所述可移除的衬垫包括单独环形基座、髋部和头/颈部段。
10.根据权利要求9所述的设备,其特征在于,所述台配备有特征为不同厚度的多个基座部段衬垫。
11.根据权利要求1所述的设备,还包括一种水平平台以用于在所述台面下方支承住患者的臂,所述平台为可三维重定位的。
12.根据权利要求1所述的设备,还包括安置于所述台面的第一远端和第二远端处的第一可延伸的支承件和第二可延伸的支承件。
13.根据权利要求12所述的设备,其中,每个支承件包括一种倒圆的垫衬构件,所述倒圆的垫衬构件可绕非中心轴线旋转、并且可牢固固定于多个旋转位置以便提供高度调整。
14.一种方法,包括:
通过选择多个可互换的插件之一来配置用于活组织检查程序的台,每个插件包括刚性构件和端口,在医疗程序期间,患者身体的一部分穿过端口延伸,其中所述可互换的插件中的第一插件的特征为与所述可互换的插件中的第二插件相比不同的大小的端口;以及将选定插件安装在所述台中的相对应的开口中。
15.根据权利要求14所述的方法,包括基于患者乳房大小来选择所述可互换的插件。
16.根据权利要求14所述的方法,包括选择一种特征为适应于患者臂的不对称开口的插件。
17.根据权利要求14所述的方法,包括利用一种可移除的衬垫来覆盖所选定的插件。
18.根据权利要求17所述的方法,包括将所述可移除的衬垫定向为使得患者髋部将搁置于第一端部上,所述第一端部的特征在于比第二端部更大的厚度。
19.根据权利要求18所述的方法,包括对所述可移除的衬垫的单独的环形基座、髋部和头/颈部段进行定向。
20.根据权利要求19所述的方法,包括选择特征为不同厚度的多个基座部段衬垫之一。
21.根据权利要求14所述的方法,包括调整一种用于在所述台下方支承着患者臂的水平平台。
22.根据权利要求14所述的方法,包括使安置于第一远端和第二远端处的第一支承件或第二支承件延伸。
23.根据权利要求22所述的方法,包括通过绕着一种非中心轴线的旋转倒圆的垫衬构件,来调整所述第一支承件或第二支承件的高度。
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CN116509433A (zh) * | 2023-07-04 | 2023-08-01 | 有方(合肥)医疗科技有限公司 | 扫描床、定位方法、乳房成像ct装置及成像方法 |
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US20170231575A1 (en) | 2017-08-17 |
KR101912959B1 (ko) | 2018-10-29 |
JP2013542839A (ja) | 2013-11-28 |
AU2011329836A1 (en) | 2013-05-23 |
ES2663617T3 (es) | 2018-04-16 |
EP2640336B1 (en) | 2018-02-07 |
CA2817364A1 (en) | 2012-05-24 |
WO2012068373A1 (en) | 2012-05-24 |
AU2011329836B2 (en) | 2016-05-12 |
JP2016185349A (ja) | 2016-10-27 |
US9649068B2 (en) | 2017-05-16 |
US20140058286A1 (en) | 2014-02-27 |
EP2640336A4 (en) | 2015-09-23 |
JP6469612B2 (ja) | 2019-02-13 |
US10098590B2 (en) | 2018-10-16 |
EP2640336A1 (en) | 2013-09-25 |
CA2817364C (en) | 2018-10-02 |
KR20130129201A (ko) | 2013-11-27 |
JP6171135B2 (ja) | 2017-08-02 |
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