CN113331851A - Mammary gland flattening device for mammary gland molybdenum target photography - Google Patents

Mammary gland flattening device for mammary gland molybdenum target photography Download PDF

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Publication number
CN113331851A
CN113331851A CN202110716397.4A CN202110716397A CN113331851A CN 113331851 A CN113331851 A CN 113331851A CN 202110716397 A CN202110716397 A CN 202110716397A CN 113331851 A CN113331851 A CN 113331851A
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CN
China
Prior art keywords
mammary gland
plate
compression plate
end part
flattening
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Granted
Application number
CN202110716397.4A
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Chinese (zh)
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CN113331851B (en
Inventor
王静
李菲菲
马亚松
郑璐璐
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Publication of CN113331851A publication Critical patent/CN113331851A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/44Constructional features of apparatus for radiation diagnosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50Clinical applications
    • A61B6/502Clinical applications involving diagnosis of breast, i.e. mammography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices

Abstract

The mammary gland flattening device for mammary gland molybdenum target photography comprises a flattening plate and a compression plate, wherein the flattening plate and the compression plate are both arranged on a mammary gland X-ray machine, the compression plate is connected with the mammary gland X-ray machine through a connecting rod, the compression plate can move up and down, and the side edge of the upper surface of the flattening plate is provided with a sliding groove; in conclusion, the novel technology is provided with the mammary gland traction part, so that the mammary gland can be exposed conveniently, the nipple can be fixed relatively and immovable when the position of the mammary gland changes, the novel technology is provided with the arc-shaped traction device and the multistage flattening device, the use is convenient, the flattening effect and the traction effect are good, the overlapped shadow of the shot film is few, and the sensitivity of tumor discovery is improved.

Description

Mammary gland flattening device for mammary gland molybdenum target photography
Technical Field
The invention belongs to the technical field of medical treatment, and particularly relates to a mammary gland flattening device for mammary gland molybdenum target photography.
Background
The mammary gland molybdenum target X-ray photographic examination is a simple, convenient and reliable noninvasive examination method for diagnosing mammary gland diseases, the resolution is high, the repeatability is good, and the retained images can be compared before and after. The kit is particularly suitable for detecting breast lumps which cannot be touched by doctors, particularly has higher diagnosis specificity for large breasts and fat type breasts, has higher sensitivity and specificity for early breast cancer which is expressed only by using a little micro calcification, and has important significance for early diagnosis and identification of the breast cancer. For the possible nodules discovered by the X-ray examination of the mammary gland, the nodules need to be punctured for further definite diagnosis, part of the tissues of the tumor are taken out for biopsy, and then the benign and malignant properties of the tumor are judged, so that a basis is provided for subsequent guidance.
The existing tumor puncture under the guidance of mammary gland X-ray examination generally needs to place the breast of a patient on an examination table, then a radioactive source irradiates downwards from the top end to shoot the internal structure of the breast into a plane, if calcification, fibrosis and the like exist in the breast, a high-density image is presented on the shot plane, the calcification appearing in the breast cancer often shows a starry-awn shape or a radial shape, because the breast is shot into a plane image during shooting, the tissue structure condition in the plane can be shot, but lesions vertical to the plane can overlap, so the breast usually needs to be clamped at an angle (for example, moved left and right by 15 degrees) and then shot, and the tumor overlap in the vertical plane can be prevented from causing omission. After moving shooting is carried out, positioning is carried out on a shot picture, and a puncture point close to the skin is selected as a point for entering a puncture needle, but at present, only positioning is carried out on an X-ray picture, and no positioning point is arranged on the surface of a mammary gland, when the position of the mammary gland is changed, the shape of the mammary gland is changed, and the situation is inconsistent with the positioning point during shooting, so that puncture failure is caused.
At present, for the mammary gland with small size or soft mammary gland, the mammary gland is difficult to be placed on a shooting plate, the mammary gland cannot be well exposed and flatly paved on the shooting plate, and for the soft mammary gland, if the gland cannot be flatly paved on the shooting plate, the gland can possibly have overlapped shadows on an image sheet, and the specific position of the mammary gland tumor cannot be well positioned; for a patient with a small breast, the breast of the patient cannot be fully exposed on the shooting plate, so that the imaging effect is poor; for a patient with a depressed nipple, the photographed lamellar nipple is not outside the arc contour of the breast because of the depressed nipple, and whether the nipple and surrounding tissues have tumors or not can not be well observed due to overlapping shadows. At present, when a film is shot, the breast is pressed downwards from the chest wall through the hand, the breast is pressed onto the shooting plate, the hand is moved continuously to the position far away from the breast, the part of the breast, which is positioned on the shooting plate, is tiled, folding is avoided, for a patient with retracted nipple or small breast, the breast needs to be pulled, the gland is placed on the flat plate as much as possible, and the nipple is positioned at the tangent position, but the breast gland is tiled and fixed to change the shooting position through a manipulation, the breast gland is retracted to influence shooting, the tiling of the manipulation is not beneficial to protecting the privacy of the patient, unnecessary misunderstanding is easy to cause, the tiling effect of the manipulation is poor, the breast can only be tiled once by the manipulation in the process that the compression plate moves downwards, and the manipulation cannot be inserted when the space between the compression plate and the lower baffle is limited.
Disclosure of Invention
The mammary gland flattening device for mammary gland molybdenum target photography has the advantages that the defects in the prior art are overcome, the imaging effect is good, and the mammary gland of a patient can be flattened conveniently.
In order to solve the technical problems, the invention adopts the following technical scheme: the mammary gland flattening device for mammary gland molybdenum target photography comprises a flattening plate and a compression plate, wherein the flattening plate and the compression plate are both arranged on a mammary gland X-ray machine, the compression plate is connected with the mammary X-ray machine through a connecting rod and can move up and down, the side edge of the upper surface of the flattening plate is provided with a first chute, an L-shaped moving rod is arranged in the first chute in a sliding way, the end part of the moving rod is provided with a handle, a mounting sleeve is fixed at the other end of the moving rod, a traction rod is inserted in the mounting sleeve, a positioning bolt is connected on the mounting sleeve in a threaded manner, the end part of the positioning bolt is in jacking contact with the traction rod, a nipple suction cup is arranged at the end part of the traction rod, the end part of the mounting sleeve is connected with two elastic strips, the two elastic strips are symmetrically arranged, each elastic strip is provided with a plurality of negative pressure suction cups, and the nipple suction cups and the negative pressure suction cups are connected with negative pressure equipment through negative pressure pipes;
one side of the compression plate is connected with two vertical rails, the vertical rails are perpendicular to the compression plate, second sliding grooves are formed in two side portions of the compression plate and are correspondingly connected with the two vertical rails respectively, groove bodies of the second sliding grooves and the vertical rails are of T-shaped structures, four mammary gland planks are slidably mounted on the two vertical rails, and the mammary gland planks can slide along the vertical rails and the corresponding second sliding grooves; four wire grooves are arranged on each group of vertical tracks and in the second sliding groove, a strip-shaped mounting box is fixed on the upper surface of the compression plate, four rotating shafts are rotatably mounted in the mounting box, wire wheels are arranged at two end parts of each rotating shaft respectively, a driven bevel gear is arranged in the middle of each rotating shaft, four rotating rods are rotatably mounted on the mounting box, one end part of each rotating rod is positioned in the mounting box, a driving bevel gear is arranged at the end part of each rotating rod, the driving bevel gear is meshed with the driven bevel gear, the other end part of each rotating rod is positioned outside the mounting box, and a hand wheel is arranged at the end part of each rotating rod;
two ends of the mammary gland flat-bed plate are respectively connected with a traction line, the traction lines are arranged in the wire grooves, and the movable end parts of the traction lines are wound on the wire wheels.
The developing scale marks are arranged on the developing plate.
The compression plate is provided with a plurality of puncture holes.
Each mammary gland flat plate consists of a plurality of strip units, and adjacent strip units are hinged through long pin shafts.
The top of every mammary gland decking is provided with four sliders, and the mammary gland decking is internal in vertical orbital T type groove through four slider slidable mounting, and every slider of group includes the erection column, two circular slabs of the upper end fixedly connected with of erection column, and two circular slab intervals set up, and two side rotations of two circular slabs are installed the gyro wheel, and the lower extreme of erection column articulates on the mammary gland decking, and two gyro wheels roll connection are on vertical orbital T type cell body.
By adopting the technical scheme, the invention has the following beneficial effects: the novel technology is provided with the mammary gland tractive part, conveniently exposes the mammary gland to can relatively fix the nipple motionless when the mammary gland position changes, the novel technology is provided with arc tractive device and multistage exhibition flat device, convenient to use, it is effectual with the tractive to open up the flat, and the film that shoots overlaps the shadow few, has improved the sensitivity of tumour discovery.
Drawings
FIG. 1 is a schematic structural view of a spreader plate;
FIG. 2 is a schematic view of a compression paddle;
FIG. 3 is a schematic structural view of a breast plate;
FIG. 4 is an enlarged view at A in FIG. 3;
FIG. 5 is a schematic structural view of a rotating shaft and a reel;
fig. 6 is an enlarged view at B in fig. 2.
Detailed Description
As shown in fig. 1-6, the mammary gland flattening device for mammary gland molybdenum target photography of the invention comprises a flattening plate 1 and a compression plate 2, wherein the flattening plate 1 and the compression plate 2 are both arranged on a mammary gland X-ray machine, the compression plate 2 is connected with the mammary gland X-ray machine through a connecting rod, the compression plate 2 can move up and down, the side of the upper surface of the flattening plate 1 is provided with a first chute 3, an L-shaped moving rod 4 is slidably mounted in the first chute 3, the end of the moving rod 4 is provided with a handle 5, the other end of the moving rod 4 is fixed with a mounting sleeve 6, a traction rod 7 is inserted in the mounting sleeve 6, a positioning bolt 8 is in threaded connection with the mounting sleeve 6, the end of the positioning bolt 8 is in abutting contact with the traction rod 7, the end of the traction rod 7 is provided with a nipple suction bowl 9, the end of the mounting sleeve 6 is connected with two elastic strips 10, the two elastic strips 10 are symmetrically arranged, each elastic strip 10 is provided with a plurality of negative pressure suction bowls 11, the nipple suction cup 9 and the negative pressure suction cup 11 are both connected with negative pressure equipment through a negative pressure pipe;
one side of the compression plate 2 is connected with two vertical rails 12, the vertical rails 12 are perpendicular to the compression plate 2, second sliding grooves 33 are formed in two side portions of the compression plate 2, the two second sliding grooves 33 are correspondingly connected with the two vertical rails 12 respectively, the groove bodies of the second sliding grooves 33 and the vertical rails 12 are of T-shaped structures, four mammary gland paving plates 13 are slidably mounted on the two vertical rails 12, and the mammary gland paving plates 13 can slide along the vertical rails 12 and the corresponding second sliding grooves 33; four wire grooves 14 are arranged on each group of vertical tracks 12 and in the second sliding groove 33, a strip-shaped mounting box 15 is fixed on the upper surface of the compression plate 2, four rotating shafts 16 are rotatably mounted in the mounting box 15, two end parts of each rotating shaft 16 are respectively provided with a wire wheel 17, a driven bevel gear 18 is arranged in the middle of each rotating shaft 16, four rotating rods are rotatably mounted on the mounting box 15, one end part of each rotating rod is positioned in the mounting box 15 and provided with a driving bevel gear 20, the driving bevel gear 20 is meshed with the driven bevel gear 18, the other end part of each rotating rod is positioned outside the mounting box 15, and the end part is provided with a hand wheel 19;
two ends of the mammary gland flat plate 13 are respectively connected with a traction line, the traction lines are arranged in the wire grooves 14, and the movable end parts of the traction lines are wound on the wire wheels 17.
The development scale marks 21 are arranged on the development plate 1.
The compression plate 2 is provided with a plurality of puncture holes 22.
Each mammary gland planking 13 comprises a plurality of rectangular units 23, and adjacent rectangular units 23 are hinged through long pin shafts, so that the mammary gland planking 13 can move in the second sliding groove 33 and the vertical rail 12 conveniently.
Every mammary gland decking 13's top is provided with four sliders 27, mammary gland decking 13 is internal at the T type groove of vertical track 12 through four sliders 27 slidable mounting, every group slider 27 includes erection column 24, two circular slabs 25 of the upper end fixedly connected with of erection column 24, two circular slabs 25 intervals set up, gyro wheel 26 is installed in two side rotations of two circular slabs 25, the lower extreme of erection column 24 articulates on mammary gland decking 13, two gyro wheel 26 roll connection are on the T type groove of vertical track 12.
The novel technology comprises a display plate 1 and a compression plate 2, wherein a plurality of developing scale marks 21 are arranged on the upper edge of the display plate 1, the developing scale marks 21 are metal points and correspond to the metal points under an X-ray, and the positions of puncture points can be conveniently confirmed when the puncture points are selected after shooting; the compression plate 2 is provided with a plurality of hollow puncture through holes 22, so that the puncture can be conveniently performed by inserting needles into the holes, and the diameter of the puncture through holes 22 is far larger than that of the puncture needles, so that the angle of the inserted needles can be conveniently adjusted.
The novel technology is characterized in that a movable rod 4 and a traction rod 7 are arranged on a flattening plate 1, a nipple suction cup 9 is arranged on the traction rod 7 and used for drawing a nipple sunk into a patient, two elastic strips 10 are additionally arranged on the movable rod 4, a plurality of negative pressure suction cups 11 are arranged on the elastic strips 10, the elastic strips 10 are linear, the negative pressure suction cups 11 can be adsorbed on the periphery of a breast of the patient, and the periphery of the breast of the patient is arc-shaped, so that when all the negative pressure suction cups 11 on the elastic strips 10 are adsorbed on the periphery of the breast of the patient, the elastic strips 10 deform, and the elastic deformation of the elastic strips 10 is utilized to draw the breast of the patient in an arc-shaped manner, thereby achieving the effect of flattening;
when the novel technology is used, the breast of a patient is close to a breast flattening plate 13 of a compression plate 2 as much as possible, the breast of the patient is flattened on a flattening plate 1, the breast of the patient is adsorbed by utilizing a negative pressure suction cup 11 and a nipple suction cup 9 on the flattening plate 1, then a breast X-ray machine is started, the compression plate 2 continuously moves downwards, four hand wheels 19 can be sequentially rotated in the downward movement process, the breast flattening plate 1 moves to the bottom surface of the compression plate 2 along a vertical rail 12, the breast is squeezed between the compression plate 2 and the flattening plate 1 from the breast wall by the breast flattening plate 1, the breast is flattened by the squeezing action of the flattening plate 1 when the breast is between the breast and the flattening plate 1, a cushion is arranged below the flattening plate 1 to protect the breast from being crushed, a plurality of breast flattening plates 13 can be arranged in the novel technology, the breast gland can be well flattened by the flattening action of the plurality of breast flattening plates 13 in the downward movement process of the compression plate 2, even when the distance between compression plate 2 and flattening plate 1 is small, breast flattening plate 13 can still function.
The present embodiment is not intended to limit the shape, material, structure, etc. of the present invention in any way, and any simple modification, equivalent change and modification made to the above embodiments according to the technical spirit of the present invention are within the scope of the technical solution of the present invention.

Claims (5)

1. Mammary gland exhibition flat board and oppression board are all set up on mammary gland X-ray machine to mammary gland molybdenum target is photographic with mammary gland exhibition flat board, and the oppression board passes through the connecting rod and is connected with mammary gland X-ray machine, the oppression board can reciprocate its characterized in that: the upper surface side of the display panel is provided with a first chute, an L-shaped moving rod is slidably mounted in the first chute, a handle is arranged at the end part of the moving rod, a mounting sleeve is fixed at the other end of the moving rod, a traction rod is inserted in the mounting sleeve, a positioning bolt is connected onto the mounting sleeve in a threaded manner, the end part of the positioning bolt is in jacking contact with the traction rod, a nipple suction bowl is arranged at the end part of the traction rod, two elastic strips are connected to the end part of the mounting sleeve and symmetrically arranged, a plurality of negative pressure suction bowls are arranged on each elastic strip, and the nipple suction bowl and the negative pressure suction bowls are both connected with negative pressure equipment through negative pressure pipes;
one side of the compression plate is connected with two vertical rails, the vertical rails are perpendicular to the compression plate, second sliding grooves are formed in two side portions of the compression plate and are correspondingly connected with the two vertical rails respectively, groove bodies of the second sliding grooves and the vertical rails are of T-shaped structures, four mammary gland planks are slidably mounted on the two vertical rails, and the mammary gland planks can slide along the vertical rails and the corresponding second sliding grooves; four wire grooves are arranged on each group of vertical tracks and in the second sliding groove, a strip-shaped mounting box is fixed on the upper surface of the compression plate, four rotating shafts are rotatably mounted in the mounting box, wire wheels are arranged at two end parts of each rotating shaft respectively, a driven bevel gear is arranged in the middle of each rotating shaft, four rotating rods are rotatably mounted on the mounting box, one end part of each rotating rod is positioned in the mounting box, a driving bevel gear is arranged at the end part of each rotating rod, the driving bevel gear is meshed with the driven bevel gear, the other end part of each rotating rod is positioned outside the mounting box, and a hand wheel is arranged at the end part of each rotating rod;
two ends of the mammary gland flat-bed plate are respectively connected with a traction line, the traction lines are arranged in the wire grooves, and the movable end parts of the traction lines are wound on the wire wheels.
2. The mammary gland flattening device for mammary gland molybdenum target photography of claim 1, characterized in that: the developing scale marks are arranged on the developing plate.
3. The mammary gland flattening device for mammary gland molybdenum target photography of claim 1, characterized in that: the compression plate is provided with a plurality of puncture holes.
4. The mammary gland flattening device for mammary gland molybdenum target photography of claim 1, characterized in that: each mammary gland flat plate consists of a plurality of strip units, and adjacent strip units are hinged through long pin shafts.
5. The mammary gland flattening device for mammary gland molybdenum target photography of claim 4, characterized in that: the top of every mammary gland decking is provided with four sliders, and the mammary gland decking is internal in vertical orbital T type groove through four slider slidable mounting, and every slider of group includes the erection column, two circular slabs of the upper end fixedly connected with of erection column, and two circular slab intervals set up, and two side rotations of two circular slabs are installed the gyro wheel, and the lower extreme of erection column articulates on the mammary gland decking, and two gyro wheels roll connection are on vertical orbital T type cell body.
CN202110716397.4A 2021-06-28 2021-06-28 Mammary gland flattening device for mammary gland molybdenum target photography Active CN113331851B (en)

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CN202110716397.4A CN113331851B (en) 2021-06-28 2021-06-28 Mammary gland flattening device for mammary gland molybdenum target photography

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CN202110716397.4A CN113331851B (en) 2021-06-28 2021-06-28 Mammary gland flattening device for mammary gland molybdenum target photography

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CN113331851B CN113331851B (en) 2023-05-30

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CN112587163A (en) * 2020-12-25 2021-04-02 北京达影科技有限公司 Mammary gland layer board and mammary gland detection imager
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CN2850551Y (en) * 2005-11-10 2006-12-27 陶宗贵 Support rack for CT scanning of mammary gland
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CN112587163A (en) * 2020-12-25 2021-04-02 北京达影科技有限公司 Mammary gland layer board and mammary gland detection imager

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