CN111494811A - Leg and foot immobilizer and radiotherapy immobilizer for lower extremity tumor radiotherapy - Google Patents
Leg and foot immobilizer and radiotherapy immobilizer for lower extremity tumor radiotherapy Download PDFInfo
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- A—HUMAN NECESSITIES
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Abstract
Description
技术领域technical field
本发明涉及医疗辅助器械技术领域,具体涉及一种用于下肢肿瘤放疗的腿脚固定器以及放疗固定台。The invention relates to the technical field of medical auxiliary devices, in particular to a leg and foot fixer and a radiotherapy fixation table for lower extremity tumor radiotherapy.
背景技术Background technique
对于腿部软组织肿瘤,由于腿部肌肉组织疏松,肿瘤易膨胀生长或顺组织间隙蔓延,导致肿瘤细胞的转移;而对于骨肿瘤等病症,肿瘤细胞可通过血液循环、淋巴系统等侵染其他功能器官,因此对于这类肿瘤的治疗,目前临床上常采取手术切除加放射治疗的基本模式。For leg soft tissue tumors, due to the loose muscle tissue of the leg, the tumor is easy to expand and grow or spread along the interstitial space, resulting in the metastasis of tumor cells; for diseases such as bone tumors, tumor cells can invade other functions through blood circulation, lymphatic system, etc. Therefore, for the treatment of such tumors, the basic mode of surgical resection and radiotherapy is often adopted in clinical practice.
放疗是一种利用放射线作用于肿瘤细胞,使肿瘤细胞失活以达到治疗肿瘤的一种方法。对于已经过手术切除肿瘤病灶的患者,由于手术不能完全清除肿瘤细胞,因此采用体外照射放疗的方式对病灶部位及其周边组织进行一定剂量、范围和时间的放射治疗,以期彻底杀灭肿瘤细胞,防止肿瘤的复发。Radiotherapy is a method of using radiation to act on tumor cells to inactivate tumor cells to treat tumors. For patients who have undergone surgical resection of tumor lesions, since surgery cannot completely remove tumor cells, external radiation therapy is used to perform radiation therapy on the lesion site and its surrounding tissues with a certain dose, range and time, in order to completely kill tumor cells. Prevent tumor recurrence.
放疗治疗过程中,比较重要的一点就是身体的稳定性,这项因素是对放疗效果好坏的重要因素,在以往的下肢放疗治疗过程中,没有特别有效的固定措施,所以导致照射野偏大,照射区域不稳定,导致放疗治疗效果不理想,而且在放疗的过程中患者为了刻意的保持平稳,长时间这样导致肌肉酸痛等,疲劳感增加,与此同时,增加了医务工作者的工作难度,加重了患者的不适感。In the process of radiotherapy treatment, the more important point is the stability of the body. This factor is an important factor for the effect of radiotherapy. In the previous treatment of lower extremity radiotherapy, there was no particularly effective fixation measures, so the irradiation field was too large. , the irradiation area is unstable, resulting in unsatisfactory radiotherapy treatment effect, and in the process of radiotherapy, patients deliberately maintain stability, which leads to muscle soreness and other fatigue for a long time. At the same time, it increases the difficulty of medical workers. , aggravating the patient's discomfort.
公开号为CN110812715A的中国专利公开了一种医用外放疗下肢固定器,在对病人的下肢进行外放疗的时候,将病人所需治疗的腿放置在腿部支撑装置上,并使病人的脚卡入到脚部固定装置的脚部放置槽内,通过调节角度调节板与底座之间的夹角以及脚部固定组件的转动方向,从而使病人的下肢处于治疗时所需保持的角度,从而减轻医务工作者的难度,脚部固定装置以及腿部支撑装置的位置能够根据人的左腿和右腿进行位置的调节。但是其固定装置在根据术腿的不同进行调节时,需要分别进行调节,并且调节的方式比较繁琐,增大了医务人员的工作负担。The Chinese Patent Publication No. CN110812715A discloses a medical external radiotherapy lower extremity immobilizer. When performing external radiotherapy on the lower extremities of the patient, the leg to be treated by the patient is placed on the leg support device, and the patient's feet are clamped. By adjusting the angle between the angle adjustment plate and the base and the rotation direction of the foot fixing assembly, the patient's lower limbs can be kept at the angle that needs to be maintained during treatment, thereby reducing the The difficulty of the medical worker, the position of the foot immobilization device and the leg support device can be adjusted according to the position of the left and right legs of the person. However, when the fixing device is adjusted according to different operating legs, it needs to be adjusted separately, and the adjustment method is cumbersome, which increases the workload of medical staff.
发明内容SUMMARY OF THE INVENTION
本发明的目的是为解决上述技术问题的不足,提供一种用于下肢肿瘤放疗的腿脚固定器以及放疗固定台,能够实现术脚固定器与非术脚固定器的快速及轻松调换,减轻医务人员的工作负担。The purpose of the present invention is to solve the deficiencies of the above-mentioned technical problems, and to provide a leg and foot immobilizer and a radiotherapy immobilization table for lower extremity tumor radiotherapy, which can realize the quick and easy exchange of the surgical foot immobilizer and the non-operative foot immobilizer, and reduce the need for medical treatment. Workload of personnel.
本发明为解决上述技术问题的不足,所采用的技术方案是:一种用于下肢肿瘤放疗的脚部固定器,包括基板、第一翻转板、第二翻转板、第三翻转板、术脚固定组件以及非术脚固定组件;In order to solve the deficiencies of the above technical problems, the present invention adopts a technical scheme as follows: a foot fixator for lower extremity tumor radiotherapy, comprising a base plate, a first inversion plate, a second inversion plate, a third inversion plate, a surgical foot Fixing components and non-surgical foot fixing components;
所述基板具有一个矩形通孔;the base plate has a rectangular through hole;
所述第一翻转板设置在基板的矩形通孔内,第一翻转板通过第一转轴与基板铰接,第一转轴穿过第一翻转板的中部设置,第一转轴的两端由第一翻转板伸出并与基板固定连接;The first turning plate is arranged in the rectangular through hole of the base plate. The first turning plate is hinged with the base plate through a first rotating shaft. The first rotating shaft is arranged through the middle of the first turning plate. The board protrudes and is fixedly connected with the base plate;
所述第一翻转板沿第一转轴的两侧分为术脚放置区和非术脚放置区,术脚放置区和非术脚放置区内分别设置有矩形通孔,术脚放置区的矩形通孔内设置有第二翻转板,第二翻转板通过第二转轴与第一翻转板铰接,第二转轴固定穿设在第二翻转板的中部;非术脚放置区的矩形通孔内设置有第三翻转板,第三翻转板通过第三转轴与第一翻转板铰接,第三转轴穿设在第三翻转板的中部;The first turning plate is divided into a surgical foot placement area and a non-operative foot placement area along both sides of the first rotation axis. The surgical foot placement area and the non-operative foot placement area are respectively provided with rectangular through holes. A second turning plate is arranged in the through hole, the second turning plate is hinged with the first turning plate through a second rotating shaft, and the second rotating shaft is fixedly penetrated in the middle of the second turning plate; There is a third turning plate, the third turning plate is hinged with the first turning plate through a third rotating shaft, and the third rotating shaft is arranged in the middle of the third turning plate;
所述第二转轴与第三转轴的轴线重合设置,第一转轴上固定套设有第一伞齿轮,第二转轴的一端固定套设有第二伞齿轮,第三转轴的一端固定套设有第三伞齿轮,且第一伞齿轮分别与第二伞齿轮和第三伞齿轮相互啮合。The axes of the second rotating shaft and the third rotating shaft are coincidently arranged, the first rotating shaft is fixedly sleeved with a first bevel gear, one end of the second rotating shaft is fixedly sleeved with a second bevel gear, and one end of the third rotating shaft is fixedly sleeved with a second bevel gear. The third bevel gear is meshed with the second bevel gear and the third bevel gear respectively.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述第一翻转板的中部设置有齿轮避让孔,第一伞齿轮、第二伞齿轮和第三伞齿轮均位于齿轮避让孔内,齿轮避让孔处设置有防护罩。As a further optimization of the foot immobilizer for lower extremity tumor radiotherapy of the present invention, a gear avoidance hole is provided in the middle of the first turning plate, and the first bevel gear, the second bevel gear and the third bevel gear are all located in the gear In the avoidance hole, a protective cover is arranged at the gear avoidance hole.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述术脚固定组件包括底座、升降杆和限位架,底座和限位架均为U形结构,升降杆的下端固定在第二翻转板上,底座的开口向上固定在升降杆的顶端,限位架的开口向下设置,限位架的一端通过销轴与底座的一端铰接,限位架的另一端通过卡扣与底座的另一端活动连接。As a further optimization of a foot immobilizer for lower extremity tumor radiotherapy of the present invention: the surgical foot immobilization component includes a base, a lifting rod and a limit frame, the base and the limit frame are both U-shaped structures, and the lower end of the lifting rod Fixed on the second flip plate, the opening of the base is fixed upward on the top of the lifting rod, the opening of the limit frame is set downward, one end of the limit frame is hinged with one end of the base through a pin shaft, and the other end of the limit frame is clamped The buckle is movably connected with the other end of the base.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述底座的内部设置有软质衬垫,限位架的水平部上设置有螺纹孔,螺纹孔内旋设有顶紧螺杆,顶紧螺杆的顶端连接有手动旋钮,顶紧螺杆的底端连接有压紧块,压紧块的上端面设置有盲孔,盲孔内设置有轴承,轴承的外圈固定在盲孔内,顶紧螺杆的底端与轴承的内圈固定连接。As a further optimization of a foot fixer for lower extremity tumor radiotherapy of the present invention, a soft pad is arranged inside the base, a threaded hole is arranged on the horizontal part of the limiter, and a top is screwed in the threaded hole. Tighten the screw, the top of the top screw is connected with a manual knob, the bottom of the top screw is connected with a pressing block, the upper end face of the pressing block is provided with a blind hole, the blind hole is provided with a bearing, and the outer ring of the bearing is fixed in the blind. In the hole, the bottom end of the jacking screw is fixedly connected with the inner ring of the bearing.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述限位架的两个竖直部内侧分别设置有滑槽,压紧块的两侧分别设置有可卡入滑槽的侧翼。As a further optimization of a foot immobilizer for lower extremity tumor radiotherapy of the present invention, the inner sides of the two vertical parts of the limiting frame are respectively provided with sliding grooves, and the two sides of the pressing block are respectively provided with sliding grooves that can be snapped into Slot flanks.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述压紧块的下端面设置有软质衬垫。As a further optimization of a foot immobilizer for lower extremity tumor radiotherapy of the present invention, the lower end surface of the pressing block is provided with a soft pad.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述非术脚固定组件包括脚部支架和第一滑轨,第一滑轨设置在第三翻转板上,第一滑轨与第三转轴之间相互平行设置,脚部支架由U形支架和支撑杆组成,U形支架通过支撑杆与第一滑轨之间滑动连接,且U形支架的开口朝上设置。As a further optimization of a foot immobilizer for lower extremity tumor radiotherapy according to the present invention: the non-surgical foot immobilization assembly includes a foot brace and a first sliding rail, the first sliding rail is arranged on the third turning plate, and the first sliding rail is The sliding rail and the third rotating shaft are arranged parallel to each other, the foot bracket is composed of a U-shaped bracket and a support rod, the U-shaped bracket is slidably connected to the first sliding rail through the support rod, and the opening of the U-shaped bracket is arranged upward.
作为本发明一种用于下肢肿瘤放疗的脚部固定器的进一步优化:所述第一翻转板沿长度方向的其中一端设置有限位片,基板上位于矩形通孔长度方向的两侧分别设置有可供限位片嵌入的盲孔,盲孔的一侧通过销轴设置有挡片,且盲孔位于挡片的运动轨迹下方。As a further optimization of a foot immobilizer for lower extremity tumor radiotherapy of the present invention, one end of the first turning plate along the length direction is provided with a limiting piece, and two sides of the base plate located in the length direction of the rectangular through hole are respectively provided with The blind hole can be embedded in the limit piece, one side of the blind hole is provided with a blocking piece through the pin shaft, and the blind hole is located below the movement track of the blocking piece.
一种用于下肢肿瘤放疗的固定台,包括固定台本体、术腿固定器以及上述脚部固定器;A fixation table for lower extremity tumor radiotherapy, comprising a fixation table body, an operating leg fixer and the above-mentioned foot fixer;
所述固定台本体包括相互铰接的下躯支撑部和上躯支撑部;The fixing table body includes a lower body support part and an upper body support part hinged to each other;
所述脚部固定器通过其基板连接在固定台本体的下躯支撑部尾端,固定台本体的下躯支撑部上设置有盲孔,盲孔内设置有与第一滑轨相互平行的第二滑轨;The foot holder is connected to the tail end of the lower body support part of the fixing table body through its base plate, the lower body support part of the fixing table body is provided with a blind hole, and the blind hole is provided with a first slide rail parallel to each other. Two slide rails;
所述术腿固定器包括底板、调节板以及腿部支撑块,底板滑动设置在第二滑轨上,底板上设置有与第二滑轨相互垂直的第三滑轨,所述调节板滑动设置在第三滑轨上,腿部支撑块固定设置在调节板的上端面;The surgical leg fixer includes a bottom plate, an adjustment plate and a leg support block, the bottom plate is slidably arranged on the second slide rail, the bottom plate is provided with a third slide rail perpendicular to the second slide rail, and the adjustment plate is slidably arranged On the third slide rail, the leg support block is fixedly arranged on the upper end face of the adjusting plate;
所述固定台本体的盲孔内位于第一滑轨的一侧设置有长条形通孔,底板的下端设置有沿其长度方向的齿条,且齿条穿过长条形通孔设置;The blind hole of the fixing table body is provided with an elongated through hole on one side of the first slide rail, the lower end of the bottom plate is provided with a rack along its length direction, and the rack is arranged through the elongated through hole;
所述第一转轴朝向固定台本体的一端通过轴承与基板连接,基板的侧壁开设有通孔,通孔内可转动设置有轴承,第一转轴的端头置于轴承的内圈并与内圈固定连接,轴承外圈的内端通过套管与第一翻转板连接,套管套设在第一转轴外部,轴承外圈的外端固定连接有与第一转轴同轴的联轴杆,联轴杆的一端与轴承的外圈固定连接,联轴杆的另一端套设有与齿条传动连接的齿轮。The end of the first rotating shaft facing the fixing table body is connected with the base plate through a bearing, the side wall of the base plate is provided with a through hole, a bearing is rotatably arranged in the through hole, and the end of the first rotating shaft is placed on the inner ring of the bearing and is connected with the inner ring. The ring is fixedly connected, the inner end of the bearing outer ring is connected with the first turning plate through a sleeve, the sleeve is sleeved outside the first rotating shaft, and the outer end of the bearing outer ring is fixedly connected with a coupling rod coaxial with the first rotating shaft, One end of the coupling rod is fixedly connected with the outer ring of the bearing, and the other end of the coupling rod is sleeved with a gear connected with the rack.
作为本发明一种用于下肢肿瘤放疗的固定台的进一步优化:所述齿轮通过齿轮盒与齿条传动连接,齿轮盒的输入端以及输出端分别与齿轮和齿条相互啮合。As a further optimization of the fixed table for lower extremity tumor radiotherapy of the present invention, the gear is connected to the rack through a gear box, and the input end and the output end of the gear box are respectively meshed with the gear and the rack.
作为本发明一种用于下肢肿瘤放疗的固定台的进一步优化:所述腿部支撑块的上端面开设有腿部容纳槽,腿部容纳槽底部铺设有柔性衬垫,腿部容纳槽两侧设置有腿部固定绑带。As a further optimization of the present invention, a fixed table for lower extremity tumor radiotherapy: the upper end surface of the leg support block is provided with a leg accommodating groove, the bottom of the leg accommodating groove is laid with a flexible pad, and both sides of the leg accommodating groove are provided with a flexible pad. Provided with leg fixing straps.
作为本发明一种用于下肢肿瘤放疗的固定台的进一步优化:所述调节板的其中一侧设置有锁紧块,锁紧块的下端面与腿部支撑块的下端面平齐,锁紧块上设置有由上至下贯通锁紧块的螺纹通孔,螺纹通孔内旋设有锁紧螺钉,锁紧螺钉的长度大于螺纹通孔的深度。As a further optimization of a fixed table for lower extremity tumor radiotherapy of the present invention, one side of the adjusting plate is provided with a locking block, and the lower end surface of the locking block is flush with the lower end surface of the leg support block, and the locking block is The block is provided with a threaded through hole penetrating the locking block from top to bottom, a locking screw is screwed in the threaded through hole, and the length of the locking screw is greater than the depth of the threaded through hole.
本发明的腿脚固定器以及放疗固定台具有以下有益效果:The leg and foot immobilizer and the radiotherapy immobilizer of the present invention have the following beneficial effects:
一、本发明的腿脚固定器包括术脚固定组件和非术脚固定组件,能够实现术脚的强制性固定以及非术脚的柔性固定,并且术脚固定组件和非术脚固定组件的位置可根据患者不同的术腿进行调节,调节过程非常便捷,仅需对第一翻转板进行翻转即可,在第一翻转板进行翻转的过程,术脚固定组件和非术脚固定组件能够同步进行翻转,即实现了术脚固定组件和非术脚固定组件的“一键”位置调节;1. The leg and foot fixator of the present invention includes a surgical foot fixing component and a non-operative foot fixing component, which can realize the mandatory fixation of the surgical foot and the flexible fixation of the non-operative foot, and the positions of the surgical foot fixing component and the non-operative foot fixing component can be adjusted. Adjust according to the different surgical legs of the patient. The adjustment process is very convenient. It only needs to flip the first flipping board. During the flipping process of the first flipping board, the fixed component of the surgical foot and the fixed component of the non-operated foot can be flipped synchronously. , that is, the "one-key" position adjustment of the surgical foot fixing component and the non-operative foot fixing component is realized;
二、本发明的肢肿瘤放疗固定台具有与术脚固定组件配合使用的术腿固定器,能够对需要进行放射治疗的患者术腿进行进一步固定,并且该术腿固定器能够随着第一翻转板的翻转同时调节位置,实现了术脚固定组件、术腿固定器、非术脚固定组件三个功能部件的“一键”位置调节。2. The limb tumor radiotherapy fixation table of the present invention has a surgical leg fixer used in conjunction with the surgical foot fixation assembly, which can further fix the surgical leg of a patient who needs radiotherapy, and the surgical leg fixer can be turned over with the first The plate is turned over and the position is adjusted at the same time, which realizes the "one-key" position adjustment of the three functional components of the surgical foot fixation component, the surgical leg fixer, and the non-surgical foot fixation component.
说明书附图Instruction drawings
图1为本发明放疗固定台处于第一工作位(患者术腿为右腿)的结构示意图;Figure 1 is a schematic structural diagram of the radiotherapy fixed table of the present invention in the first working position (the patient's operating leg is the right leg);
图2为本发明放疗固定台处于调节过程中的结构示意图;2 is a schematic structural diagram of the radiotherapy fixed table of the present invention in the process of adjustment;
图3为本发明放疗固定台处于第二工作位(患者术腿为左腿)的结构示意图;Figure 3 is a schematic structural diagram of the radiotherapy fixed table of the present invention in the second working position (the patient's operating leg is the left leg);
图4为本发明腿脚固定器的结构示意图;Fig. 4 is the structural representation of the leg anchor of the present invention;
图5为本发明固定台本体和术腿固定器的结构示意图;5 is a schematic structural diagram of a fixing table body and an operating leg fixer according to the present invention;
图6为本发明联轴杆、齿轮、齿轮箱及齿条的位置关系示意图;6 is a schematic diagram of the positional relationship of a coupling rod, a gear, a gear box and a rack of the present invention;
图7为本发明术脚固定组件的结构示意图;FIG. 7 is a schematic structural diagram of the foot fixing assembly of the present invention;
图8为本发明非术脚固定组件的结构示意图;8 is a schematic structural diagram of a non-operative foot fixing assembly of the present invention;
图9为本发明挡片与限位片位置关系示意图;9 is a schematic diagram of the positional relationship between the blocking piece and the limiting piece of the present invention;
图10为本发明锁紧块与锁紧螺钉的位置关系示意图;10 is a schematic diagram of the positional relationship between the locking block and the locking screw of the present invention;
图中标记:1、基板,2、第一翻转板,3、第二翻转板,4、第三翻转板,5、第一转轴,6、第二转轴,7、第三转轴,8、第三伞齿轮,9、第一伞齿轮,10、第二伞齿轮,11、齿轮避让孔,12、底座,13、升降杆,14、限位架,15、顶紧螺杆,16、压紧块,17、脚部支架,18、第一滑轨,19、限位片,20、挡片,21、固定台本体,22、第二滑轨,23、底板,24、调节板,25、腿部支撑块,26、第三滑轨,27、齿条,28、联轴杆,29、齿轮,30、齿轮盒,31、腿部容纳槽,32、腿部固定绑带,33、锁紧块,34、锁紧螺钉。Labels in the figure: 1, base plate, 2, first turning plate, 3, second turning plate, 4, third turning plate, 5, first rotating shaft, 6, second rotating shaft, 7, third rotating shaft, 8, No. Three bevel gears, 9, the first bevel gear, 10, the second bevel gear, 11, the gear avoidance hole, 12, the base, 13, the lifting rod, 14, the limit frame, 15, the top tightening screw, 16, the pressing block , 17, foot bracket, 18, first slide rail, 19, limit piece, 20, baffle, 21, fixed table body, 22, second slide rail, 23, bottom plate, 24, adjustment plate, 25, leg Part support block, 26, Third slide rail, 27, Rack, 28, Coupling rod, 29, Gear, 30, Gear box, 31, Leg accommodating slot, 32, Leg fixing strap, 33, Lock block, 34, locking screw.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention.
实施例1Example 1
如图所示:一种用于下肢肿瘤放疗的脚部固定器,包括基板1、第一翻转板2、第二翻转板3、第三翻转板4、术脚固定组件以及非术脚固定组件。As shown in the figure: a foot immobilizer for lower extremity tumor radiotherapy, comprising a
基板1具有一个矩形通孔,第一翻转板2设置在基板1的矩形通孔内,第一翻转板2通过第一转轴5与基板1铰接,第一转轴5穿过第一翻转板2的中部设置,第一转轴5的两端由第一翻转板2伸出并与基板1固定连接。第一转轴5与第一翻转板2之间为活动连接,第一转轴5始终不会转动,第一翻转板2会绕着第一转轴5进行翻转。The
第一翻转板2沿第一转轴5的两侧分为术脚放置区和非术脚放置区,术脚放置区和非术脚放置区内分别设置有矩形通孔,术脚放置区的矩形通孔内设置有第二翻转板3,第二翻转板3通过第二转轴6与第一翻转板2铰接,第二转轴6固定穿设在第二翻转板3的中部。第二翻转板3与第二转轴6之间为刚性连接,第二转轴6随着第二翻转板3的翻转会同时转动,非术脚放置区的矩形通孔内设置有第三翻转板4,第三翻转板4通过第三转轴7与第一翻转板2铰接,第三转轴7穿设在第三翻转板4的中部。The
所述第二转轴6与第三转轴7的轴线重合设置,第一转轴5上固定套设有第一伞齿轮9,第二转轴6的一端固定套设有第二伞齿轮10,第三转轴7的一端固定套设有第三伞齿轮8,且第一伞齿轮9分别与第二伞齿轮10和第三伞齿轮8相互啮合。通过三个伞齿轮就实现了第一翻转板2、第二翻转板3以及第三翻转板4之间的翻转联动。第一翻转板2的中部设置有齿轮避让孔11,第一伞齿轮9、第二伞齿轮10和第三伞齿轮8均位于齿轮避让孔11内,齿轮避让孔11处设置有防护罩。The axes of the second rotating shaft 6 and the third rotating shaft 7 are coincidently arranged, the first
当翻转第一翻转板2时,第一翻转板2带动其上的第二翻转板3和第三翻转板4同时绕第一转轴5进行翻转,也就是说,同时也带动第二转轴6和第三转轴7绕第一转轴5进行翻转,在翻转过程中,由于第一伞齿轮9固定不动,使得第二伞齿轮10和第三伞齿轮8同时进行转动,第二伞齿轮10和第三伞齿轮8分别带动第二转轴6和第三转轴7转动,第二转轴6和第三转轴7分别带动第二翻转板3和第三翻转板4进行翻转,通过翻转第一翻转板2,同步实现了第二翻转板3和第三翻转板4的翻转,当第一翻转板2经过翻转后,其术脚放置区和非术脚放置区即进行了调换。When flipping the first flipping
术脚固定组件包括底座12、升降杆13和限位架14,底座12和限位架14均为U形结构,升降杆13的下端固定在第二翻转板3上,底座12的开口向上固定在升降杆13的顶端,限位架14的开口向下设置,限位架14的一端通过销轴与底座12的一端铰接,限位架14的另一端通过卡扣与底座12的另一端活动连接。底座12的内部设置有软质衬垫,限位架14的水平部上设置有螺纹孔,螺纹孔内旋设有顶紧螺杆15,顶紧螺杆15的顶端连接有手动旋钮,顶紧螺杆15的底端连接有压紧块16,压紧块16的上端面设置有盲孔,盲孔内设置有轴承,轴承的外圈固定在盲孔内,顶紧螺杆15的底端与轴承的内圈固定连接。限位架14的两个竖直部内侧分别设置有滑槽,压紧块16的两侧分别设置有可卡入滑槽的侧翼。压紧块16的下端面设置有软质衬垫,可在固定的过程中对患者的脚部进行保护。The foot fixing assembly includes a
其中,升降杆13为长度可伸缩的杆体,可采用现有技术中任何可调节高度的杆体结构,也可采用电动推杆等。Among them, the
术脚固定组件的作用是对患者需要做放射治疗一侧脚部进行支撑及固定,在进行放疗时,患者将脚脖放置在底座12的U形凹槽内,然后将限位架14翻转并扣合在底座12上,使患者的脚脖置于底座12和限位架14形成的通道内,然后通过旋动顶紧螺杆15,使顶紧螺杆15向下移动,同时带动压紧块16向下移动,使压紧块16对患者的脚脖进行挤压,达到固定患者术脚的目的。The function of the surgical foot fixing component is to support and fix the foot on the side of the patient that needs radiotherapy. During radiotherapy, the patient places the ankle in the U-shaped groove of the
非术脚固定组件包括脚部支架17和第一滑轨18,第一滑轨18设置在第三翻转板4上,第一滑轨18与第三转轴7之间相互平行设置,脚部支架17由U形支架和支撑杆组成,U形支架通过支撑杆与第一滑轨18之间滑动连接,且U形支架的开口朝上设置。The non-surgical foot fixing assembly includes a
非术脚固定组件的作用是对患者的非术脚进行支撑,不需要对非术脚进行固定,只需要将非术脚支撑在合适的高度,以患者舒适为宜,并且,在放疗过程中,为了缓解非术脚保持某一姿态产生的疲劳感,使得支撑非术脚的脚部支架17可以在第一滑轨18上进行滑动。The function of the non-surgical foot fixation component is to support the patient's non-surgical feet, and it is not necessary to fix the non-surgical feet. It only needs to support the non-surgical feet at a suitable height, which is suitable for the patient's comfort, and, during the radiotherapy process , in order to relieve the fatigue caused by the non-surgical feet maintaining a certain posture, so that the
为了便于位置调节后的固定,在第一翻转板2沿长度方向的其中一端设置有限位片19,基板1上位于矩形通孔长度方向的两侧分别设置有可供限位片19嵌入的盲孔,盲孔的一侧通过销轴设置有挡片20,且盲孔位于挡片20的运动轨迹下方。In order to facilitate the fixation after position adjustment, a limiting
实施例2Example 2
如图所示:一种用于下肢肿瘤放疗的固定台,包括固定台本体21、术腿固定器以及实施例1所述脚部固定器。As shown in the figure: a fixed table for lower extremity tumor radiotherapy, comprising a
固定台本体21包括相互铰接的下躯支撑部和上躯支撑部,固定台本体21的结构类似于医疗系统中的床,其背靠的部分可以进行翻转进而使得患者能够进行调整。脚部固定器通过其基板1连接在固定台本体21的下躯支撑部尾端,固定台本体21的下躯支撑部上设置有盲孔,盲孔内设置有与第一滑轨18相互平行的第二滑轨22。The fixed
术腿固定器包括底板23、调节板24以及腿部支撑块25,底板23滑动设置在第二滑轨22上,底板23上设置有与第二滑轨22相互垂直的第三滑轨26,所述调节板24滑动设置在第三滑轨26上,腿部支撑块25固定设置在调节板24的上端面。The leg fixer includes a
整个术腿固定器设置在固定台本体21的盲孔内,底板23可沿第二滑轨22进行左右滑动,调节板24可沿第三滑轨26进行前后滑动,底板23的左右滑动是为了调节由于术腿的不同进行的调整。The entire surgical leg fixer is arranged in the blind hole of the fixing
固定台本体21的盲孔内位于第一滑轨18的一侧设置有长条形通孔,底板23的下端设置有沿其长度方向的齿条27,且齿条27穿过长条形通孔设置。第一转轴5朝向固定台本体21的一端通过轴承与基板1连接,基板1的侧壁开设有通孔,通孔内可转动设置有轴承,第一转轴5的端头置于轴承的内圈并与内圈固定连接,轴承外圈的内端通过套管与第一翻转板2连接,套管套设在第一转轴5外部,轴承外圈的外端固定连接有与第一转轴5同轴的联轴杆28,联轴杆28的一端与轴承的外圈固定连接,联轴杆28的另一端套设有与齿条27传动连接的齿轮29。其中,齿轮盒30的作用是调节传动比,使得第一转轴5旋转180°后,齿条29刚好可从固定台本体21盲孔的一侧移动至另一侧。The blind hole of the fixing
由于第一转轴5的一端是与基板2固定连接的,因此,第二转轴5的另一端与轴承的内圈是固定不动的,第一翻转板2在翻转过程中,带动套管进行转动,套管带动轴承的外圈进行转动,轴承外圈带动联轴杆28进行转动联轴杆28带动齿轮29进行转动,齿轮29通过齿轮盒30带动齿条27移动,齿条27带动底板23进行左右移动,即最终实现了术脚固定组件、非术脚固定组件以及术腿固定器三者之间的同步调节。Since one end of the first
腿部支撑块25的上端面开设有腿部容纳槽31,腿部容纳槽31底部铺设有柔性衬垫,腿部容纳槽31两侧设置有腿部固定绑带32。患者将需要放疗的腿放在腿部容纳槽31内,然后通过腿部固定绑带32将腿与腿部支撑块25固定在一起。The upper end surface of the
调节板24的其中一侧设置有锁紧块33,锁紧块33的下端面与腿部支撑块25的下端面平齐,锁紧块33上设置有由上至下贯通锁紧块33的螺纹通孔,螺纹通孔内旋设有锁紧螺钉34,锁紧螺钉34的长度大于螺纹通孔的深度。One side of the
通过上述结构可实现腿部支撑块25的前后位置固定,当腿部支撑块25移动至合适位置时,通过旋动锁紧螺钉34,使锁紧螺钉34向下移动进而顶紧底板23,实现腿部支撑块25的定位,需要说明的是,调节板24是卡在第三滑轨26上,因此,锁紧螺钉34向下移动进而顶紧底板23后,增大调节板24与第三滑轨26之间的摩擦力,完成调节板24的固定。Through the above structure, the front and rear positions of the
以上对本发明的具体实施例进行了描述。需要理解的是,本发明并不局限于上述特定实施方式,本领域技术人员可以在权利要求的范围内做出各种变形或修改,这并不影响本发明的实质内容。Specific embodiments of the present invention have been described above. It should be understood that the present invention is not limited to the above-mentioned specific embodiments, and those skilled in the art can make various variations or modifications within the scope of the claims, which do not affect the essential content of the present invention.
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| CN111973378A (en) * | 2020-09-09 | 2020-11-24 | 南京诺源医疗器械有限公司 | Tumor positioning system based on imager |
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| CN111494811B (en) | 2021-10-26 |
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