CN118252489A - Simulation load device for assisting lower limb joint magnetic resonance imaging - Google Patents
Simulation load device for assisting lower limb joint magnetic resonance imaging Download PDFInfo
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- A61B5/702—Posture restraints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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Abstract
本发明涉及一种辅助下肢关节磁共振成像的模拟负重装置,其包括安装于磁共振检查床上的头肩固定模块、足踝部固定模块和足底施力模块;所述头肩固定模块包括固定底板,与固定底板连接的头颈固定组件和对称安装于固定底板上的肩部固定组件;所述足踝部固定模块包括竖直设置的传力板,传力板靠近头肩固定模块的一面对称安装有足踝部固定组件;所述足底施力模块包括安装座和安装座上用于驱动传力板水平移动的施力组件。与现有技术相比,本发明的模拟负重装置可以在下肢关节磁共振成像中直接对下肢关节进行模拟负重并维持上肢稳定性,还具有灵活度高、舒适度高、施力精确等优点。
The present invention relates to a simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints, which comprises a head-shoulder fixation module, a foot-ankle fixation module and a sole force-applying module installed on a magnetic resonance examination bed; the head-shoulder fixation module comprises a fixed base plate, a head-neck fixation component connected to the fixed base plate and a shoulder fixation component symmetrically installed on the fixed base plate; the foot-ankle fixation module comprises a vertically arranged force transmission plate, and a side of the force transmission plate close to the head-shoulder fixation module is symmetrically installed with the foot-ankle fixation component; the sole force-applying module comprises a mounting seat and a force-applying component on the mounting seat for driving the force transmission plate to move horizontally. Compared with the prior art, the simulated weight-bearing device of the present invention can directly simulate weight-bearing on the lower limb joints and maintain the stability of the upper limbs during magnetic resonance imaging of the lower limb joints, and also has the advantages of high flexibility, high comfort, and precise force application.
Description
技术领域Technical Field
本发明涉及医疗辅助器械技术领域,尤其是涉及一种辅助下肢关节磁共振成像的模拟负重装置。The invention relates to the technical field of medical auxiliary equipment, and in particular to a simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints.
背景技术Background technique
放射学检查现已被广泛应用于临床,尤其在下肢关节方面有着非常突出的辅助诊断效能,其中包括数字化X线摄影(Digital Radiography,DR)、计算机断层扫描(ComputerTomography,CT)、磁共振成像(Magnetic Resonance Imaging,MRI),MRI的软组织对比度明显优于DR和CT,特别适用于关节间隙、韧带、软骨、肌肉和骨损伤的观察。Radiological examinations are now widely used in clinical practice, especially in the lower limb joints, where they provide outstanding auxiliary diagnostic efficacy. These include digital radiography (DR), computer tomography (CT), and magnetic resonance imaging (MRI). The soft tissue contrast of MRI is significantly better than that of DR and CT, and is particularly suitable for the observation of joint space, ligament, cartilage, muscle, and bone injuries.
下肢关节非肿瘤性相关疾病的症状与体征多表现在负重状态时加重,卧位减轻。临床上常见的有膝关节内翻和外翻、扁平足和关节炎等,其由于各种原因导致关节软骨磨损,软组织及骨关节的平衡结构遭受破坏,进而使得下肢关节畸形及力线异常,引起严重疼痛、活动受限、骨折等风险。因此,明确负重状态下的软骨磨损程度及关节生物力线是保证后续制定治疗方案的关键所在。The symptoms and signs of non-tumor-related diseases of the lower limb joints are often aggravated when weight-bearing and relieved when lying down. Common clinical symptoms include knee varus and valgus, flat feet, and arthritis. Due to various reasons, the articular cartilage is worn, the balance structure of soft tissue and bone joints is destroyed, and then the lower limb joints are deformed and the force line is abnormal, causing severe pain, limited movement, fractures and other risks. Therefore, clarifying the degree of cartilage wear and joint biomechanics under weight-bearing is the key to ensuring the subsequent formulation of treatment plans.
据报道,国外目前已有业内最先进的开放式MRI,它可以在人体负重状态下进行脊柱和下肢关节的成像。但是,限于MRI设备构造技术和成本以及临床实际应用场景等多方面因素,现在国内还是多采用传统磁共振成像设备,即影像采集系统和检查床相结合的模式,对患者取仰卧位进行检查,它的缺点在于不能真实反映患者在负重状态下,下肢的骨骼、肌肉和关节的解剖结构和功能状态。如果能对患者在负重状态下或模拟负重状态下进行MRI摄影,这将对下肢关节非肿瘤性相关疾病的精准诊疗起到巨大的帮助。It is reported that the most advanced open MRI in the industry is now available abroad, which can image the spine and lower limb joints under the human body's weight-bearing state. However, due to factors such as the construction technology and cost of MRI equipment and actual clinical application scenarios, the country still mostly uses traditional magnetic resonance imaging equipment, that is, a combination of an image acquisition system and an examination bed, to examine the patient in the supine position. Its disadvantage is that it cannot truly reflect the anatomical structure and functional status of the bones, muscles and joints of the lower limbs of the patient under weight-bearing conditions. If MRI photography can be performed on patients under weight-bearing conditions or simulated weight-bearing conditions, this will greatly help the accurate diagnosis and treatment of non-tumor-related diseases of the lower limb joints.
CN109171798A公开了一种下肢模拟负重牵引器,装置包括腰带、肩带、体重秤、钢缆绞盘和足底压力板等器件,它可以通过腰带和肩带固定人体并对人体施加牵引力,通过调整牵引钢缆的长度对人体施加负重,当足底压力板的负重读数与患者站立于同规格的体重秤上的数值相契合后,开始CT扫描。CN116725568A公开了一种带有负重模拟装置的CT系统,系统包括CT检查装置、检查床、体部各种包裹带、压力传感器、牵引装置和控制单元等器件,它可以自动根据患者体重和体态控制调节对患者施加的负重及其位置,使患者在舒适的卧位姿势下模拟站立时的关节生理负重状态,从而获得更准确的CT图像数据。CN219397311U公开了一种卧式下肢负重模拟装置及CT摄片系统,装置包含座体、加压平台、电子秤等器件,它可以通过安全带和牵引带将患者绑定,操作加压平台对患者的下肢加压,从而通过电子秤数值即可直观查看模拟压力,以满足具体的负重要求。上述三种现有方法均只提及CT成像,CT可以在模拟负重情况下进行下肢关节或下肢全长扫描,后期通过对图像的处理分析得到相关数据,但是由于软组织对比度较差、辐射剂量大、操作便捷性、施力大小及施力位置准确性等诸多因素影响,目前临床还是多用DR进行下肢关节或下肢全长的负重位摄片和MRI来进行解剖结构的观察。CN109171798A discloses a lower limb simulated load-bearing traction device, which includes components such as a waist belt, shoulder straps, a weight scale, a cable winch, and a foot pressure plate. It can fix the human body through the waist belt and shoulder straps and apply traction to the human body, and apply weight to the human body by adjusting the length of the traction cable. When the weight reading of the foot pressure plate matches the value of the patient standing on the weight scale of the same specification, the CT scan begins. CN116725568A discloses a CT system with a load-bearing simulation device, which includes components such as a CT inspection device, an inspection bed, various body wrapping belts, a pressure sensor, a traction device, and a control unit. It can automatically control and adjust the weight and position applied to the patient according to the patient's weight and posture, so that the patient can simulate the physiological load state of the joints when standing in a comfortable lying position, thereby obtaining more accurate CT image data. CN219397311U discloses a horizontal lower limb weight-bearing simulation device and a CT radiography system. The device includes a seat, a pressurizing platform, an electronic scale and other devices. It can bind the patient through a safety belt and a traction belt, and operate the pressurizing platform to pressurize the patient's lower limbs, so that the simulated pressure can be visually viewed through the electronic scale value to meet the specific weight-bearing requirements. The above three existing methods all only mention CT imaging. CT can scan the lower limb joints or the entire length of the lower limbs under simulated weight-bearing conditions, and later obtain relevant data through image processing and analysis. However, due to the poor soft tissue contrast, large radiation dose, ease of operation, force size and force position accuracy and many other factors, DR is still used clinically for weight-bearing radiography of the lower limb joints or the entire length of the lower limbs and MRI for anatomical structure observation.
CN216417165U公开了一种MRI模拟负重装置,装置通过设置竖板、限位轮、套管、支杆、卡板、移板和丝杆等器件,模拟了MRI扫描过程中对肩部的加压及后续对肩部加压力度的调整。然而上述方法虽然考虑到MRI的成像原理及其特殊性,装置采用了MRI兼容性材料,减少了装置对磁场均匀性的影响,使负重状态下的MRI下肢关节摄影成为可能,但在对肩部施加压力的过程中,力在传导过程中会有所损失,对下肢关节的施力不够精准,且没有对上肢和头肩的固定,导致检查过程中患者的肢体稳定性欠佳。CN216417165U discloses an MRI simulated weight-bearing device, which simulates the pressure on the shoulder and the subsequent adjustment of the pressure on the shoulder during MRI scanning by setting components such as vertical plates, limit wheels, sleeves, support rods, card plates, shift plates and screw rods. However, although the above method takes into account the imaging principle and particularity of MRI, the device uses MRI compatible materials to reduce the impact of the device on the uniformity of the magnetic field, making MRI lower limb joint photography under weight-bearing state possible, but in the process of applying pressure to the shoulder, the force will be lost during the conduction process, the force applied to the lower limb joints is not accurate enough, and there is no fixation of the upper limbs and head and shoulders, resulting in poor limb stability of the patient during the examination.
因此,仍待开发一种直接对下肢关节进行施力的模拟负重装置,用于辅助下肢关节的磁共振成像。Therefore, a simulated weight-bearing device that directly applies force to the lower limb joints remains to be developed to assist in magnetic resonance imaging of the lower limb joints.
发明内容Summary of the invention
本发明的目的就是为了在磁共振成像中直接对下肢关节进行模拟负重并维持上肢稳定性而提供一种辅助下肢关节磁共振成像的模拟负重装置。The purpose of the present invention is to provide a simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints in order to directly simulate weight-bearing on the lower limb joints and maintain the stability of the upper limbs during magnetic resonance imaging.
本发明的目的可以通过以下技术方案来实现:The purpose of the present invention can be achieved by the following technical solutions:
一种辅助下肢关节磁共振成像的模拟负重装置,其包括安装于磁共振检查床上的头肩固定模块、足踝部固定模块和足底施力模块;A simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints, comprising a head-shoulder fixation module, a foot-ankle fixation module and a sole force application module installed on a magnetic resonance examination bed;
所述头肩固定模块包括固定底板,与固定底板连接的头颈固定组件和对称安装于固定底板上的肩部固定组件;The head and shoulder fixation module includes a fixed base plate, a head and neck fixation component connected to the fixed base plate, and a shoulder fixation component symmetrically mounted on the fixed base plate;
所述足踝部固定模块包括竖直设置的传力板,传力板靠近头肩固定模块的一面对称安装有足踝部固定组件;The foot and ankle fixation module comprises a vertically arranged force transmission plate, and a foot and ankle fixation assembly is symmetrically mounted on one side of the force transmission plate close to the head and shoulder fixation module;
所述足底施力模块包括安装座和安装座上用于驱动传力板水平移动的施力组件。The sole force application module comprises a mounting seat and a force application component on the mounting seat for driving the force transmission plate to move horizontally.
进一步地,所述固定底板上开设有卡槽,肩部固定组件均设有能沿卡槽滑动的卡扣。Furthermore, a slot is provided on the fixed base plate, and the shoulder fixing components are provided with buckles that can slide along the slot.
进一步地,所述头颈固定组件和肩部固定组件的内侧面分别为适应头部和肩部轮廓的弧面。Furthermore, the inner side surfaces of the head and neck fixing component and the shoulder fixing component are respectively arc surfaces adapted to the contours of the head and shoulders.
进一步地,所述头颈固定组件和肩部固定组件的内侧面均设有海绵软垫,以提高检查时的舒适度。Furthermore, the inner sides of the head and neck fixing assembly and the shoulder fixing assembly are provided with sponge pads to improve the comfort during examination.
进一步地,所述足踝部固定组件包括与传力板连接并与足底直接接触的踏板和立于踏板两侧的定型海绵,定型海绵之间连接有用于固定足踝的绑带。定型海绵选用高密度定型海绵。Furthermore, the ankle fixing assembly includes a pedal connected to the force transmission plate and in direct contact with the sole of the foot, and shaping sponges standing on both sides of the pedal, and straps for fixing the ankle are connected between the shaping sponges. The shaping sponge is a high-density shaping sponge.
更进一步地,所述高密度定型海绵选用35d-50d的聚氨酯软泡海绵。其中d表示每立方米海绵的重量,35d即表示每立方米海绵的重量达到35kg。每立方米海绵的重量越重,代表海绵的密度越大,支撑力越好。Furthermore, the high-density shaping sponge is a polyurethane soft foam sponge of 35d-50d. Wherein d represents the weight of sponge per cubic meter, and 35d means that the weight of sponge per cubic meter reaches 35kg. The heavier the weight of sponge per cubic meter, the greater the density of the sponge and the better the supporting force.
进一步地,所述传力板包括固定立板和滑动设置于固定立板两端的移动立板。Furthermore, the force transmission plate includes a fixed vertical plate and movable vertical plates slidably arranged at both ends of the fixed vertical plate.
进一步地,所述足踝部固定组件均设置于移动立板上,足踝部固定组件的背面均固定连接有贯穿移动立板的转轴,转轴伸出移动立板的部分连接有锁止组件。Furthermore, the ankle fixing components are all arranged on the movable vertical plate, and the back of the ankle fixing components are fixedly connected with a rotating shaft penetrating the movable vertical plate, and the part of the rotating shaft extending out of the movable vertical plate is connected with a locking component.
更进一步地,所述锁止组件包括固定套设于转轴上的棘轮齿轮和设置于移动立板背面的锁止爪。当转轴旋转到合适的角度后,通过锁止爪与棘轮齿轮的齿槽啮合进行锁止固定。Furthermore, the locking assembly includes a ratchet gear fixedly sleeved on the rotating shaft and a locking claw arranged on the back of the movable vertical plate. When the rotating shaft rotates to a suitable angle, the locking claw is engaged with the tooth groove of the ratchet gear to lock and fix.
进一步地,所述移动立板上设有与转轴转动时对应的角度刻度线。Furthermore, the movable vertical plate is provided with angle scale lines corresponding to the rotation of the rotating shaft.
进一步地,所述施力组件为尼龙气缸,其包括安装于安装座上的固定部以及与传力板背离头肩固定模块一面连接的伸缩部。Furthermore, the force-applying component is a nylon cylinder, which includes a fixed portion mounted on a mounting seat and a telescopic portion connected to a side of the force transmission plate facing away from the head-shoulder fixing module.
进一步地,所述施力组件等间距设置,施力组件均通过导管连接有加压组件。Furthermore, the force-applying components are arranged at equal intervals, and the force-applying components are all connected to the pressurizing components through conduits.
更进一步地,所述加压组件为全铜双缸空压机,设于设备间内。Furthermore, the pressurizing component is an all-copper double-cylinder air compressor, which is installed in the equipment room.
进一步地,所述加压组件均连接压力控制组件。Furthermore, the pressurizing components are all connected to the pressure control components.
更进一步地,所述压力控制组件包括PLC控制器,通过PLC控制器控制加压组件的电磁阀以控制加压组件的加压进程。Furthermore, the pressure control component includes a PLC controller, and the solenoid valve of the pressurizing component is controlled by the PLC controller to control the pressurizing process of the pressurizing component.
与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
(1)本发明的模拟负重装置通过足踝部固定模块和足底施力模块的设置能在磁共振成像中直接对下肢关节进行模拟负重,同时通过设置头肩固定模块可对患者的上肢进行稳固,以维持检查时患者的上肢稳定性。(1) The simulated weight-bearing device of the present invention can directly simulate weight-bearing on the lower limb joints during magnetic resonance imaging by setting up the foot and ankle fixation module and the sole force application module. At the same time, the patient's upper limbs can be stabilized by setting up the head and shoulder fixation module to maintain the stability of the patient's upper limbs during examination.
(2)本发明的模拟负重装置可以在患者采用仰卧位进行磁共振成像检查时,尽可能真实反映患者在负重状态下的骨骼、肌肉和关节的解剖结构和功能状态,减少了施加压力过程中的力损失,可以有效提高下肢关节磁共振成像的准确性。(2) The simulated weight-bearing device of the present invention can reflect the anatomical structure and functional status of the patient's bones, muscles and joints under the weight-bearing state as realistically as possible when the patient is in the supine position for magnetic resonance imaging examination, thereby reducing the force loss during the pressure application process and effectively improving the accuracy of magnetic resonance imaging of the lower limb joints.
(3)本发明的肩部固定组件和足踝部固定组件均可根据患者的体型进行调整,从而满足不同体型患者的检查需求。(3) The shoulder fixation assembly and the ankle fixation assembly of the present invention can be adjusted according to the patient's body shape, thereby meeting the examination needs of patients of different body shapes.
(4)本发明的足踝部固定组件可调节足部的内旋或外翻角度,以满足患者舒适度及临床的相关需求。(4) The ankle fixation assembly of the present invention can adjust the internal rotation or external rotation angle of the foot to meet the patient's comfort and clinical related needs.
(5)本发明的头颈固定组件和肩部固定组件的内侧面分别为适应头部和肩部轮廓的弧面,且均设有海绵软垫,以提高患者检查时的舒适度。(5) The inner side surfaces of the head and neck fixation assembly and the shoulder fixation assembly of the present invention are arc surfaces that adapt to the contours of the head and shoulders, respectively, and are both provided with sponge cushions to improve the comfort of the patient during examination.
(6)本发明的气体加压组件可使磁场均匀性更稳定,同时配合以压力控制组件使得施加的压力更加精准。(6) The gas pressurizing component of the present invention can make the magnetic field uniformity more stable, and at the same time, combined with the pressure control component, the applied pressure can be more precise.
(7)本发明的模拟负重装置考虑到MRI的成像原理及其特殊性,均采用了MRI兼容性材料,减少了装置对磁场均匀性的影响。(7) The simulated weight-bearing device of the present invention takes into account the imaging principle and particularity of MRI and adopts MRI-compatible materials to reduce the impact of the device on the uniformity of the magnetic field.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为使用本发明的模拟负重装置进行MRI检查的整体结构示意图。FIG1 is a schematic diagram of the overall structure of an MRI examination using the simulated weight-bearing device of the present invention.
图2为本发明的头肩固定模块的结构示意图。FIG. 2 is a schematic structural diagram of a head and shoulder fixation module of the present invention.
图3为本发明实施例2的足踝部固定模块的结构示意图。FIG. 3 is a schematic structural diagram of an ankle fixation module according to Embodiment 2 of the present invention.
图4为本发明实施例2的足踝部固定模块和足底施力模块的连接示意图。FIG. 4 is a schematic diagram showing the connection between the ankle fixation module and the sole force application module of Embodiment 2 of the present invention.
图5为本发明实施例3的足踝部固定模块的结构示意图。FIG. 5 is a schematic structural diagram of an ankle fixation module according to Embodiment 3 of the present invention.
图6为本发明实施例3的足踝部固定模块的背面示意图。FIG. 6 is a schematic diagram of the back side of the ankle fixation module according to Embodiment 3 of the present invention.
图7为本发明实施例3的施力组件的分布示意图。FIG. 7 is a schematic diagram showing the distribution of the force-applying components of Embodiment 3 of the present invention.
图中标记说明:Description of the markings in the figure:
1-磁共振检查床;1- MRI examination bed;
2-头肩固定模块,21-固定底板,211-卡槽,22-头颈固定组件,23-肩部固定组件;2-head and shoulder fixing module, 21-fixed base plate, 211-slot, 22-head and neck fixing assembly, 23-shoulder fixing assembly;
3-足踝部固定模块,31-传力板,311-固定立板,312-移动立板,313-角度刻度线,32-足踝部固定组件,321-踏板,322-定型海绵,323-绑带,324-转轴,325-锁止组件;3-foot and ankle fixation module, 31-force transmission plate, 311-fixed vertical plate, 312-movable vertical plate, 313-angle scale line, 32-foot and ankle fixation assembly, 321-pedal, 322-shaped sponge, 323-binding strap, 324-rotating shaft, 325-locking assembly;
4-足底施力模块,41-安装座,42-施力组件,421-固定部,422-伸缩部,43-加压组件,44-压力控制组件。4-plantar force module, 41-mounting seat, 42-force component, 421-fixing part, 422-retractable part, 43-pressurizing component, 44-pressure control component.
具体实施方式Detailed ways
下面结合附图和具体实施例对本发明进行详细说明。本实施例以本发明技术方案为前提进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The present invention is described in detail below in conjunction with the accompanying drawings and specific embodiments. This embodiment is implemented based on the technical solution of the present invention, and provides a detailed implementation method and specific operation process, but the protection scope of the present invention is not limited to the following embodiments.
在本发明中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制;术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性;此外,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接连接,也可以通过中间媒介间接连接,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inside", "outside" and the like indicate positions or positional relationships based on the positions or positional relationships shown in the drawings, which are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention; the terms "first", "second", and "third" are only used for descriptive purposes, and cannot be understood as indicating or implying relative importance; in addition, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or an indirect connection through an intermediate medium, or it can be a communication between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
应注意到:相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步的定义和解释。It should be noted that similar reference numerals and letters denote similar items in the following drawings, and therefore, once an item is defined in one drawing, further definition and explanation thereof is not required in subsequent drawings.
实施例1:Embodiment 1:
一种辅助下肢关节磁共振成像的模拟负重装置,如图1所示,其包括安装于磁共振检查床1上的头肩固定模块2、足踝部固定模块3和足底施力模块4。A simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints, as shown in FIG1 , comprises a head-shoulder fixation module 2, a foot-ankle fixation module 3 and a sole force application module 4 installed on a magnetic resonance examination bed 1.
头肩固定模块2包括固定底板21、头颈固定组件22和肩部固定组件23。头颈固定组件22与固定底板21的长边连接,肩部固定组件23对称安装于固定底板21上。The head and shoulder fixation module 2 comprises a fixed base plate 21, a head and neck fixation assembly 22 and a shoulder fixation assembly 23. The head and neck fixation assembly 22 is connected to the long side of the fixed base plate 21, and the shoulder fixation assembly 23 is symmetrically mounted on the fixed base plate 21.
足踝部固定模块3包括一块竖直设置的传力板31,传力板31靠近头肩固定模块2的一面对称安装有足踝部固定组件32,用于对患者的足踝进行固定。The foot and ankle fixation module 3 includes a vertically arranged force transmission plate 31 , and a foot and ankle fixation assembly 32 is symmetrically mounted on one side of the force transmission plate 31 close to the head and shoulder fixation module 2 , for fixing the patient's foot and ankle.
足底施力模块4包括安装于磁共振检查床1上的安装座41,安装座41上安装有用于驱动传力板31水平移动的施力组件42。The sole force application module 4 comprises a mounting seat 41 mounted on the magnetic resonance examination bed 1 , and a force application component 42 for driving the force transmission plate 31 to move horizontally is mounted on the mounting seat 41 .
当患者进行下肢关节磁共振成像时,需平躺在磁共振检查床1上。双脚分别置于足踝部固定组件32内,并调节头肩固定模块2使头部和肩部分别处于头颈固定组件22和肩部固定组件23内。根据患者体重启动施力组件42对传力板31施加所需的模拟负重压力,使得传力板31水平移动对足踝部固定组件32进行挤压从而实现模拟站立情况下的负重情况。When the patient undergoes MRI of the lower limb joints, the patient needs to lie flat on the MRI examination bed 1. The two feet are placed in the foot and ankle fixation components 32 respectively, and the head and shoulder fixation module 2 is adjusted so that the head and shoulders are respectively placed in the head and neck fixation component 22 and the shoulder fixation component 23. According to the patient's weight, the force application component 42 is activated to apply the required simulated weight pressure to the force transmission plate 31, so that the force transmission plate 31 moves horizontally to squeeze the foot and ankle fixation component 32, thereby realizing the simulated weight-bearing condition in the standing state.
实施例2:Embodiment 2:
一种辅助下肢关节磁共振成像的模拟负重装置,其包括安装于磁共振检查床1上的头肩固定模块2、足踝部固定模块3和足底施力模块4。A simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints comprises a head-shoulder fixing module 2, a foot-ankle fixing module 3 and a sole force applying module 4 which are installed on a magnetic resonance examination bed 1.
如图2所示,头肩固定模块2包括固定底板21、头颈固定组件22和肩部固定组件23。头颈固定组件22与固定底板21的长边连接,肩部固定组件23对称安装于固定底板21上。固定底板21上开设有卡槽211,肩部固定组件23均设有能沿卡槽211滑动的卡扣,从而根据患者的不同体型进行调节,以更好地提高上肢稳定性。头颈固定组件22和肩部固定组件23的内侧面分别为适应头部和肩部轮廓的弧面,且头颈固定组件22和肩部固定组件23的内侧面均设有海绵软垫,以提高患者检查时的舒适度。头肩固定模块2可通过头颈固定组件22和肩部固定组件23底部的固定插槽与磁共振检查床1相连接从而提高磁共振检查时的稳固性。As shown in Figure 2, the head and shoulder fixation module 2 includes a fixed base plate 21, a head and neck fixation assembly 22 and a shoulder fixation assembly 23. The head and neck fixation assembly 22 is connected to the long side of the fixed base plate 21, and the shoulder fixation assembly 23 is symmetrically mounted on the fixed base plate 21. A card slot 211 is provided on the fixed base plate 21, and the shoulder fixation assembly 23 is provided with a buckle that can slide along the card slot 211, so as to be adjusted according to the different body shapes of the patient to better improve the stability of the upper limbs. The inner side surfaces of the head and neck fixation assembly 22 and the shoulder fixation assembly 23 are respectively curved surfaces that adapt to the contours of the head and shoulders, and the inner side surfaces of the head and neck fixation assembly 22 and the shoulder fixation assembly 23 are provided with sponge cushions to improve the comfort of the patient during the examination. The head and shoulder fixation module 2 can be connected to the magnetic resonance examination bed 1 through the fixed slots at the bottom of the head and neck fixation assembly 22 and the shoulder fixation assembly 23 to improve the stability during the magnetic resonance examination.
如图3所示,足踝部固定模块3包括一块竖直设置的传力板31,传力板31靠近头肩固定模块2的一面对称安装有两个足踝部固定组件32,用于对检查患者的脚部进行固定。足踝部固定组件32包括与足底直接接触的踏板321和立于踏板321两侧的定型海绵322,定型海绵322之间连接有用于固定足踝的绑带323。本实施例选用的定型海绵选用高密度聚氨酯软泡海绵,具体为40d高密度聚氨酯软泡海绵,其兼具较好的舒适度和支撑性能。As shown in FIG3 , the foot and ankle fixation module 3 includes a vertically arranged force transmission plate 31, and two foot and ankle fixation components 32 are symmetrically installed on one side of the force transmission plate 31 close to the head and shoulder fixation module 2, which are used to fix the feet of the patient under examination. The foot and ankle fixation component 32 includes a pedal 321 that is in direct contact with the sole of the foot and a shaping sponge 322 standing on both sides of the pedal 321, and a strap 323 for fixing the ankle is connected between the shaping sponge 322. The shaping sponge selected in this embodiment is a high-density polyurethane soft foam sponge, specifically a 40d high-density polyurethane soft foam sponge, which has both good comfort and support performance.
如图4所示,足底施力模块4包括固定安装于磁共振检查床1上的安装座41,安装座41上安装有用于驱动传力板31水平移动的施力组件42。本实施例的施力组件42为尼龙气缸,尼龙气缸的固定部421安装于安装座41上,尼龙气缸的伸缩部422与传力板31背离头肩固定模块2的一面连接。本实施例的尼龙气缸等间距设置多个,且每个尼龙气缸均通过导管与设备间内的加压组件43连接,用于驱动尼龙气缸对传力板31进行施力。本实施例的加压组件43为全铜双缸空压机。As shown in FIG4 , the sole force module 4 includes a mounting base 41 fixedly mounted on the magnetic resonance examination bed 1, and a force component 42 for driving the force transmission plate 31 to move horizontally is mounted on the mounting base 41. The force component 42 of this embodiment is a nylon cylinder, and the fixed portion 421 of the nylon cylinder is mounted on the mounting base 41, and the telescopic portion 422 of the nylon cylinder is connected to the side of the force transmission plate 31 away from the head and shoulder fixing module 2. In this embodiment, multiple nylon cylinders are arranged at equal intervals, and each nylon cylinder is connected to a pressurizing component 43 in the equipment room through a conduit, which is used to drive the nylon cylinder to apply force to the force transmission plate 31. The pressurizing component 43 of this embodiment is an all-copper double-cylinder air compressor.
实施例3:Embodiment 3:
本实施例提供一种辅助下肢关节磁共振成像的模拟负重装置,可以根据患者的体型调整足踝部固定组件32之间的距离,同时还可以旋转足踝部固定组件32调节患者足踝部的内旋或外翻,以满足患者舒适度及临床的相关需求。The present embodiment provides a simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints. The distance between the foot and ankle fixation components 32 can be adjusted according to the patient's body shape. The foot and ankle fixation components 32 can also be rotated to adjust the internal rotation or external rotation of the patient's ankle to meet the patient's comfort and clinical related needs.
如图5-7所示,与实施例2的不同之处在于,本实施例的传力板31包括固定立板311和滑动设置于固定立板311两端的移动立板312。足踝部固定组件32均设置于移动立板312上,足踝部固定组件32的背面均固定连接有贯穿移动立板312的转轴324,转轴324伸出移动立板312的部分连接有锁止组件325。锁止组件325包括固定套设于转轴324上的棘轮齿轮3251和设置于移动立板312背面的锁止爪3252。当转轴324旋转到合适的角度后,通过锁止爪3252与棘轮齿轮3251的齿槽啮合进行锁止固定。移动立板312上均设有与转轴324转动时对应的角度刻度线313,足踝部固定组件32的踏板321顶部还连接有锥形的指示箭头,方便定量观测足部内旋或外翻的实际角度。本实施例的固定立板311、移动立板312、转轴324和锁止组件325均采用不含金属的高强度尼龙塑料材质。As shown in Fig. 5-7, the difference from the second embodiment is that the force transmission plate 31 of the present embodiment includes a fixed vertical plate 311 and a movable vertical plate 312 slidably arranged at both ends of the fixed vertical plate 311. The ankle fixing components 32 are all arranged on the movable vertical plate 312, and the back of the ankle fixing components 32 is fixedly connected with a rotating shaft 324 that penetrates the movable vertical plate 312, and the part of the rotating shaft 324 that extends out of the movable vertical plate 312 is connected with a locking component 325. The locking component 325 includes a ratchet gear 3251 fixedly sleeved on the rotating shaft 324 and a locking claw 3252 arranged on the back of the movable vertical plate 312. When the rotating shaft 324 rotates to a suitable angle, the locking claw 3252 is engaged with the tooth groove of the ratchet gear 3251 to lock and fix. The movable vertical plate 312 is provided with an angle scale line 313 corresponding to the rotation of the rotating shaft 324, and the top of the pedal 321 of the ankle fixing assembly 32 is also connected with a conical indicator arrow, which is convenient for quantitatively observing the actual angle of the foot internal rotation or external rotation. The fixed vertical plate 311, the movable vertical plate 312, the rotating shaft 324 and the locking assembly 325 of this embodiment are all made of high-strength nylon plastic material without metal.
实施例4:Embodiment 4:
本实施例提供一种辅助下肢关节磁共振成像的模拟负重装置及其具体的使用方法。本实施例的模拟负重装置包括安装于磁共振检查床1上的头肩固定模块2、足踝部固定模块3和足底施力模块4,其中头肩固定模块2的具体设置参考实施例2,足踝部固定模块3的具体设置参考实施例3。The present embodiment provides a simulated weight-bearing device for assisting magnetic resonance imaging of lower limb joints and a specific method of using the device. The simulated weight-bearing device of the present embodiment comprises a head-shoulder fixation module 2, a foot-ankle fixation module 3 and a sole force application module 4 installed on a magnetic resonance examination bed 1, wherein the specific setting of the head-shoulder fixation module 2 refers to Example 2, and the specific setting of the foot-ankle fixation module 3 refers to Example 3.
足底施力模块4包括固定安装于磁共振检查床1上的安装座41,安装座41上安装有用于驱动传力板31水平移动的尼龙气缸(施力组件42),尼龙气缸的固定部421安装于安装座41上,尼龙气缸的伸缩部422与传力板31连接。The plantar force module 4 includes a mounting base 41 fixedly mounted on the magnetic resonance examination bed 1, on which is mounted a nylon cylinder (force component 42) for driving the force transmission plate 31 to move horizontally. The fixed part 421 of the nylon cylinder is mounted on the mounting base 41, and the telescopic part 422 of the nylon cylinder is connected to the force transmission plate 31.
本实施例中共设有6个尼龙气缸,两块移动立板312和固定立板311上均上下设有一个尼龙气缸,使尼龙气缸均匀分布的同时保证力的传导均匀,并将尼龙气缸的推力直接传到传力板31上。每个尼龙气缸均通过橡胶导管与设备间内的全铜双缸空压机(加压组件43)连接。空压机连接带有PLC控制器的压力控制组件44。压力控制组件44可控制空压机的电磁阀并且可调控空压机的压缩空气的进气时间和进气频率,并根据气缸的活塞面积和气缸工作压力进行换算处理从而将气缸的工作压力转换为气缸的推力,从而间接控制传力板31对患者脚部施加的压力和时间。In this embodiment, a total of 6 nylon cylinders are provided. A nylon cylinder is provided on each of the two movable vertical plates 312 and the fixed vertical plate 311, so that the nylon cylinders are evenly distributed while ensuring uniform force transmission, and the thrust of the nylon cylinders is directly transmitted to the force transmission plate 31. Each nylon cylinder is connected to the all-copper double-cylinder air compressor (pressurization component 43) in the equipment room through a rubber conduit. The air compressor is connected to a pressure control component 44 with a PLC controller. The pressure control component 44 can control the solenoid valve of the air compressor and can adjust the intake time and frequency of the compressed air of the air compressor, and convert the working pressure of the cylinder into the thrust of the cylinder according to the piston area of the cylinder and the working pressure of the cylinder, thereby indirectly controlling the pressure and time applied by the force transmission plate 31 to the patient's foot.
当患者需要进行下肢关节磁共振成像时,具体检查步骤如下:When a patient needs to undergo magnetic resonance imaging of the lower limb joints, the specific examination steps are as follows:
1、称量体重,确定施加压力的大小。1. Weigh yourself and determine the amount of pressure to be applied.
2、平躺在磁共振检查床1上,双脚分别置于足踝部固定组件32内,绑好绑带323,并调节头肩固定模块2使头部和肩部分别处于头颈固定组件22和肩部固定组件23内,将头肩固定模块2和磁共振检查床1连接于固定插槽以保证上肢稳定性。2. Lie flat on the MRI bed 1, place both feet in the foot and ankle fixation components 32, tie the straps 323, and adjust the head and shoulder fixation module 2 so that the head and shoulders are respectively in the head and neck fixation component 22 and the shoulder fixation component 23, and connect the head and shoulder fixation module 2 and the MRI bed 1 to the fixed slots to ensure the stability of the upper limbs.
3、根据患者的体型调整足踝部固定组件32之间的距离,同时还可以旋转足踝部固定组件32调节患者脚部的内旋或外翻,以满足不同检查的需求。3. The distance between the ankle fixation components 32 can be adjusted according to the patient's body shape. The ankle fixation components 32 can also be rotated to adjust the internal rotation or external rotation of the patient's foot to meet the needs of different examinations.
4、调整尼龙气缸的位置使尼龙气缸分散均匀,打开设备间内的空压机,通过压力控制组件44调控压缩空气的进气时间和进气频率,控制尼龙气缸对足踝部固定组件32施加的压力与自身体重相当,以模拟站立情况下的真实负重情况,随后进行磁共振检查。4. Adjust the position of the nylon cylinder so that it is evenly dispersed, turn on the air compressor in the equipment room, and adjust the intake time and frequency of the compressed air through the pressure control component 44. Control the pressure applied by the nylon cylinder to the ankle fixation component 32 to be equivalent to one's own body weight to simulate the actual load-bearing condition in a standing position, and then perform a magnetic resonance examination.
上述的对实施例的描述是为便于该技术领域的普通技术人员能理解和使用发明。熟悉本领域技术的人员显然可以容易地对这些实施例做出各种修改,并把在此说明的一般原理应用到其他实施例中而不必经过创造性的劳动。因此,本发明不限于上述实施例,本领域技术人员根据本发明的揭示,不脱离本发明范畴所做出的改进和修改都应该在本发明的保护范围之内。The above description of the embodiments is to facilitate the understanding and use of the invention by those skilled in the art. It is obvious that those skilled in the art can easily make various modifications to these embodiments and apply the general principles described herein to other embodiments without creative work. Therefore, the present invention is not limited to the above embodiments, and improvements and modifications made by those skilled in the art based on the disclosure of the present invention without departing from the scope of the present invention should be within the protection scope of the present invention.
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