CN112617880A - Auxiliary device is put to X-ray machine shooting position posture - Google Patents

Auxiliary device is put to X-ray machine shooting position posture Download PDF

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Publication number
CN112617880A
CN112617880A CN202110089030.4A CN202110089030A CN112617880A CN 112617880 A CN112617880 A CN 112617880A CN 202110089030 A CN202110089030 A CN 202110089030A CN 112617880 A CN112617880 A CN 112617880A
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China
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suspension
pedal
push rod
limb
ray
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Granted
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CN202110089030.4A
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CN112617880B (en
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何继敏
何俊
芦苇
冯凡滋
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First Peoples Hospital of Longquanyi District Chengdu
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First Peoples Hospital of Longquanyi District Chengdu
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0407Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0464Supports, e.g. tables or beds, for the body or parts of the body mounted to ceiling

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
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  • Apparatus For Radiation Diagnosis (AREA)

Abstract

The invention discloses an auxiliary device for placing the body position and posture of a radiograph taken by an X-ray machine, which comprises a suspension mechanism and a pedal mechanism; the suspension mechanism is arranged at the bottom of the roof of the X-ray room, and the pedal mechanism is arranged on the floor of the X-ray room; the pedal mechanism comprises a bottom plate, a middle bearing plate and a pedal; four push rods which are uniformly distributed around the circle center are arranged on the bottom plate; the push rod is a telescopic push rod controlled hydraulically or electrically; the push rod seat is fixed on the bottom plate, and the end of the push rod is hinged with the bottom of the middle bearing plate; an electric rotating part is fixed on the middle bearing plate, and a pedal is fixed at the top of the electric rotating part; the suspension mechanism comprises a suspension frame and a limb suspension assembly, the suspension frame is arranged at the bottom of the X-ray room roof and is an electric slide rail, at least two slide blocks are arranged on the electric slide rail, the limb suspension assembly is arranged on each slide block and comprises two winches arranged on the slide blocks, two suspension belts, one ends of the two suspension belts are respectively wound on the winches, and the other ends of the two suspension belts are jointly sleeved on the left side and the right side of the limb bandage.

Description

Auxiliary device is put to X-ray machine shooting position posture
Technical Field
The invention relates to the field of medical instruments, in particular to an auxiliary device for placing the body position and posture of a radiograph taken by an X-ray machine.
Background
An X-ray machine is an X-ray inspection tester, and belongs to the radiology department. X-rays are used in medical diagnostics, mainly based on the penetration, differential absorption, sensitization and fluorescence of X-rays. When X-ray passes through human body, it is absorbed by different extent, for example, the quantity of X-ray absorbed by skeleton is greater than that absorbed by muscle, so that the X-ray quantity passed through human body is different, so that it can carry the information of density distribution of every portion of human body, and the strength of fluorescence action or sensitization action induced on fluorescent screen or photographic film can be greatly different, so that on the fluorescent screen or photographic film (after development and fixation) the shadow with different density can be displayed. According to the contrast of shade, combine clinical manifestation, laboratory test result and pathological diagnosis, can judge whether a certain part of the human body is normal.
When the existing X-ray machine is used for shooting, corresponding body positions, such as neck, chest, abdomen, upper limbs and lower limbs, need to be put out according to the part of a patient needing to be checked; when the neck, the chest and the abdomen are examined, the corresponding bones or internal organs are generally examined; for the neck, chest, abdomen, the detection panel for absorbing X-rays is located in the vertical direction. For the upper and lower limbs, the detection panel for absorbing the X-ray fiber is located in the horizontal direction.
When different portions are irradiated with X-rays, it is necessary to irradiate the posterior and anterior portions and the lateral portions. In examining the sacroiliac joint, it is necessary to irradiate the oblique position in addition to the posterior anterior position and the lateral position.
In the prior art, when only simple front-back direction and side direction irradiation is carried out on the neck, the chest and the like, a general patient enters an X-ray room, a doctor gives an instruction outdoors, and the patient performs posture change according to the doctor instruction. However, when the patient may be in an oblique position or irradiated by hands or legs, a doctor is generally required to enter the room to assist the patient to set the posture, the patient maintains the posture after the midline is aligned, and the doctor leaves the room to irradiate.
The disadvantages of the position placing mode of the prior X-ray machine are as follows: the doctor can easily put the patient corresponding to the adult by only sending out the instruction; however, in the case of children or the elderly, the cognitive ability is weak, or the ears of the elderly are not good, which is troublesome, and a doctor still needs to enter the room for assistance. But doctors enter the indoor auxiliary body position to place, enter and exit, and waste time. Meanwhile, after the doctor helps the patient to put the posture, the patient needs to maintain the posture for a period of time, and for children or old people, the posture is difficult to maintain for a certain period of time. The patients suffering from the pain of the parts themselves are also suffering from the pain of maintaining the posture.
Disclosure of Invention
The invention aims to provide an auxiliary device for placing the body position and posture of a radiograph of an X-ray machine, which helps a patient to place and maintain the body position required during X-ray irradiation, reduces the workload of medical staff and simultaneously makes the patient feel relatively relaxed.
In order to achieve the purpose, the technical scheme adopted by the invention is as follows:
an auxiliary device for placing the position and posture of the radiograph of an X-ray machine comprises a suspension mechanism and a pedal mechanism; the suspension mechanism is arranged at the bottom of the roof of the X-ray room, and the pedal mechanism is arranged on the floor of the X-ray room;
the pedal mechanism comprises a bottom plate, a middle bearing plate and a pedal; four push rods which are uniformly distributed around the circle center are arranged on the bottom plate; the push rod is a telescopic push rod controlled hydraulically or electrically; the push rod seat is fixed on the bottom plate, and the end of the push rod is hinged with the bottom of the middle bearing plate;
an electric rotating part is fixed on the middle bearing plate, and a pedal is fixed at the top of the electric rotating part;
the suspension mechanism comprises a suspension frame and a limb suspension assembly, the suspension frame is arranged at the bottom of the X-ray room roof and is an electric slide rail, at least two slide blocks are arranged on the electric slide rail, the limb suspension assembly is arranged on each slide block and comprises two winches arranged on the slide blocks, two suspension belts, one ends of the two suspension belts are respectively wound on the winches, and the other ends of the two suspension belts are jointly sleeved on the left side and the right side of the limb bandage.
As a preferred technical scheme, the pedal plate is provided with two groups of fixing belts, and the left foot and the right foot are respectively fixed by the two groups of fixing belts.
As a preferred technical scheme, the suspension frame is two parallel electric slide rails.
As a preferred technical scheme, a foot print graphic representation is arranged on the pedal plate to indicate the stepping position of the patient.
Drawings
Fig. 1 is a schematic structural view of the pedal mechanism.
Fig. 2 is a side view of the suspension mechanism.
Fig. 3 is a front view of the suspension assembly.
Wherein the reference numbers are as follows: 1-bottom plate, 2-middle bearing plate, 3-pedal plate, 4-push rod, 5-electric rotating piece, 6-magic male belt, 7-magic female belt, 8-electric sliding rail, 9-sliding block, 10-winch, 11-suspension belt and 12-limb bandage.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Examples
An auxiliary device for placing the position and posture of the radiograph of an X-ray machine comprises a suspension mechanism and a pedal mechanism; the suspension mechanism is arranged at the bottom of the roof of the X-ray room, and the pedal mechanism is arranged below the suspension mechanism and is positioned on the floor of the X-ray room.
In this embodiment, the pedal mechanism includes a bottom plate, a middle bearing plate, and a pedal; four push rods which are uniformly distributed around the circle center are arranged on the bottom plate; the push rod is a telescopic push rod controlled by hydraulic pressure or electric power. The push rod seat is fixed on the bottom plate, and the end of the push rod is hinged with the bottom of the middle bearing plate.
An electric rotating part is fixed on the middle bearing plate, and a pedal plate is fixed at the top of the electric rotating part. As an alternative scheme, the electric rotating piece can be a motor, a motor base is fixed on the middle support plate, and the rotating shaft is fixedly connected with the pedal. Of course, the electric rotating element can be other mature rotating structures.
Furthermore, two groups of fixing belts are arranged on the pedal. Each group of fixing belts comprises a magic male belt and a magic female belt which are matched, and one ends of the magic male belts and the magic female belts are respectively fixed on the pedal. The other ends of the magic male belt and the magic female belt are bonded to form an arc shape and used for buckling feet of people. The left foot and the right foot are respectively fixed by the two groups of fixing belts.
When the X-ray irradiation is carried out on the parts of the neck, the chest, the abdomen and the like of the human body, which only need the vertical detection panel to absorb the X-ray, the human body enters the X-ray room, the foot steps on the pedal plate, and the feet are fixed by the fixing belts. Specifically, the pedal is provided with a foot print diagram which indicates the stepping position of the patient. When the patient steps on the foot print graphic, the patient is aligned with the desired midline for X-ray irradiation.
When the patient stands on the pedal, the X-ray irradiation of the front and back body positions can be carried out. After the controller controls the motor to rotate 90 degrees, the human body faces the X-ray emitter by the side body, and X-ray irradiation of the side body position is carried out at the moment.
When the sacroiliac joint is detected further, when the X-ray is irradiated in a 30-degree inclined manner on the lateral position, the motor rotates 90 degrees, the controller starts three parts of the push rods to work, wherein the extension length of one push rod is the longest, the extension lengths of the two push rods adjacent to the left and right push rods are the same, the extension length is the second, and the rest push rod is kept in a non-working state, so that the aim of inclining the lateral position by 30 degrees is fulfilled.
It is worth emphasizing that the motor rotates and the push rod works slowly, so that the possibility of unstable gravity center of the patient when the pedal mechanism moves is reduced.
In this embodiment, when the push rod does not work, the whole body should be kept in the shortest state. In this embodiment, the footrest mechanism can be disposed within the open-topped box. The box body can be embedded in the floor.
The suspension mechanism comprises a suspension frame and a limb suspension component. The suspension bracket is arranged at the bottom of the roof of the X-ray room. The suspension frame is an electric sliding rail. The operation of the electric sliding rail is controlled by a controller. The electric slide rail is provided with at least two slide blocks. Each sliding block is provided with a limb suspension component. The suspension assembly comprises two winches arranged on the sliding block and two suspension belts. One end of each of the two suspension belts is respectively wound on the winch, and the other end of each of the two suspension belts is sleeved on the left side and the right side of the limb bandage together. The limb bandage is an elastic annular telescopic belt, and has small size so as to meet the requirement that different people can sleeve limbs. Of course, because the size difference between the upper limb and the lower limb is relatively large, the limb bandage and the suspension belt can be detachably connected, and the detachment mode can be a rope bandage. Provides limb binding bands with different sizes to meet the fixing requirements of upper limbs and lower limbs of people with obesity and thinness.
When the patient performs X-ray examination on the hands and the legs, the patient generally adopts a sitting posture, and then the limbs are placed on the detection panel. In the examination of the upper or lower limbs, the posture is the posterior-anterior (most of the upper or lower limbs face upward) or lateral (most of the upper or lower limbs face upward).
When the back-front position and the side body position of the upper limb or the lower limb are detected, at least two suspension components arranged on the same electric slide rail are matched. The limb straps of the two suspension components are fixed on the limb to be detected and placed on the detection panel.
When the front and back body position is detected, the lengths of the two bands of each suspension component are the same, so that the hands or legs can be directly placed on the detection panel.
When detecting the side body position, one of the suspension components is 3
The winch works to wind, so that one suspension belt is long, and the other suspension belt is short, thereby assisting the limb to turn to the side direction. Of course, in at least two suspension assemblies, the winches on the same side are wound up simultaneously.
Through the control of the working process, the auxiliary placement of the front and back body positions and the side body positions of the limbs is realized.
When the patient needs to test the elbow, when the patient is in the back-front position, the arm is straightened, the palm faces upwards, and the upper arm to be tested is abutted against the detector; when the patient is in the lateral position, the elbow joint bends 90 degrees, and the forearm rotates inward to assume a lateral position.
For this posture, in this embodiment, two suspension components are used as an example, and the limb straps of the two suspension components are respectively sleeved on the rear arm and the front arm. When in the back and front positions, the limbs of the patient can be straightened. When the patient wants to turn to the lateral position, the limbs of the patient are relaxed, and the two winches of the suspension component for suspending the rear arm work and wind without exerting force. One of the two winches of the suspension assembly that suspends the forearm is reeled up and the other is out of operation, thus being converted into a lateral position.
When the wrist joint needs to be detected, the back and front position postures are that the account surface leans against the detection panel, and the hand and the forearm are in a straight line. Side position: the fifth metacarpal leans against the detection panel, and the palm faces are inclined backwards by 10 degrees.
The wrist joint detection is also exemplified by two suspension components, wherein a limb strap of one suspension component is fixed on the forearm, and a limb strap of the other suspension component is fixed on the half sole of the palm.
When the patient is in the front-back position, the suspension component is not operated. When the patient is in a side body position, the limb binding band is fixed on a winding machine of the suspension component of the palm half sole to be wound, and the inclination is finished.
It is worth to be noted that, when examining the shoulder joints, the patient is in a standing state, the examinee stands in front of the chest film frame in a front-back position, the shoulders are close to the chest film frame, the arms are extended, and the palms are forward. At this time, the patient stands. Two suspension assemblies on two sliding blocks on an electric sliding rail are correspondingly arranged on the left limb of the patient; the right limb of the patient is correspondingly provided with two suspension components on two slide blocks on the other electric slide rail. The two electric slide rails are parallel.
For two suspension components on any same electric sliding rail, one limb bandage is fixed on the forearm, and the other limb bandage is fixed on the half sole. When the bandage is bound, the hands of the patient can be in a natural vertical state. When the position posture needs to be placed, in the two electric sliding rails, the two electric sliding blocks slide in the forward direction, and meanwhile, the winch starts to wind and drives the two upper limbs to be straightened in a driven mode. And the winch corresponding to the limb binding band bound on the palm is further wound, so that the palm faces forwards.
Through the structure, the auxiliary placing of different body positions can be realized through different control schemes of the control program. Under the detection of different parts, the fixed positions of the limb binding bands are different, so that the distance between two adjacent sliding blocks on the same electric guide rail is variable, and the position change is realized under the control of a controller. The height of the patient can be input in the program of the controller, and the controller controls the body position and posture placing auxiliary device to work to a proper position according to the height of the patient.
The invention is well implemented in accordance with the above-described embodiments. It should be noted that, based on the above structural design, in order to solve the same technical problems, even if some insubstantial modifications or colorings are made on the present invention, the adopted technical solution is still the same as the present invention, and therefore, the technical solution should be within the protection scope of the present invention.

Claims (4)

1. An auxiliary device for placing the body position and posture of a radiograph taken by an X-ray machine is characterized by comprising a suspension mechanism and a pedal mechanism; the suspension mechanism is arranged at the bottom of the roof of the X-ray room, and the pedal mechanism is arranged on the floor of the X-ray room;
the pedal mechanism comprises a bottom plate, a middle bearing plate and a pedal; four push rods which are uniformly distributed around the circle center are arranged on the bottom plate; the push rod is a telescopic push rod controlled hydraulically or electrically; the push rod seat is fixed on the bottom plate, and the end of the push rod is hinged with the bottom of the middle bearing plate;
an electric rotating part is fixed on the middle bearing plate, and a pedal is fixed at the top of the electric rotating part;
the suspension mechanism comprises a suspension frame and a limb suspension assembly, the suspension frame is arranged at the bottom of the X-ray room roof and is an electric slide rail, at least two slide blocks are arranged on the electric slide rail, the limb suspension assembly is arranged on each slide block and comprises two winches arranged on the slide blocks, two suspension belts, one ends of the two suspension belts are respectively wound on the winches, and the other ends of the two suspension belts are jointly sleeved on the left side and the right side of the limb bandage.
2. The auxiliary device for placing the posture and position of a radiograph taken by an X-ray machine according to claim 1, wherein two sets of fixing belts are provided on the foot pedal for fixing the left and right feet respectively.
3. The device as claimed in claim 1, wherein the suspension frame comprises two parallel electric slide rails.
4. The device as claimed in claim 1, wherein the foot pedal is provided with a foot print for indicating the stepping position of the patient.
CN202110089030.4A 2021-01-22 2021-01-22 Auxiliary device is put to X-ray machine shooting position posture Active CN112617880B (en)

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