CN219110671U - Seat type fixing device for head tumor electron beam irradiation - Google Patents
Seat type fixing device for head tumor electron beam irradiation Download PDFInfo
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- 238000001959 radiotherapy Methods 0.000 abstract description 3
- 210000003128 head Anatomy 0.000 description 83
- 238000000034 method Methods 0.000 description 6
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Abstract
Description
技术领域technical field
本实用新型涉及头顶部肿瘤的放射治疗,具体涉及到一种用于头顶肿瘤电子线照射的座位式固定装置。The utility model relates to radiotherapy for tumors on the top of the head, in particular to a seat-type fixing device for electron beam irradiation of tumors on the top of the head.
背景技术Background technique
头顶部肿瘤相对表浅,为了获得满意的照射剂量分布,对于表浅肿瘤可以采用电子线进行照射。电子线照射野一般垂直向下,且照射需要满足一定的源皮距。另外,患者的头顶肿瘤面要尽量平行于照射野才能使得整个肿瘤获得相对均匀的照射剂量。由于头顶部肿瘤相对表浅,为了能让患者肿瘤区域接受更高、更均匀的剂量,往往需要在患者的头顶部添加组织补偿物。The tumors on the top of the head are relatively superficial. In order to obtain a satisfactory radiation dose distribution, electron beams can be used to irradiate superficial tumors. The electron beam irradiation field is generally vertically downward, and the irradiation needs to meet a certain source-to-skin distance. In addition, the tumor surface on the top of the patient's head should be parallel to the irradiation field as much as possible so that the entire tumor can obtain a relatively uniform irradiation dose. Because the tumor on the top of the head is relatively superficial, in order to allow the patient to receive a higher and more uniform dose to the tumor area, it is often necessary to add tissue compensators on the top of the patient's head.
基于上述要求,在现有的治疗条件下,患者只能趴在加速器治疗床上接受电子线照射,胸部抱一枕头,颏部垫于治疗床上,但该办法无法固定患者的头部,再加上组织补偿物的使用,使得患者的头部在治疗期间更容易发生移动,无法长时间保持稳定状态,无法实现精确照射。Based on the above requirements, under the existing treatment conditions, the patient can only lie on the accelerator treatment bed to receive electron beam irradiation, hold a pillow on the chest, and rest the chin on the treatment bed, but this method cannot fix the patient's head. The use of tissue compensators makes it easier for the patient's head to move during treatment, making it impossible to maintain a stable state for a long time and to achieve precise irradiation.
实用新型内容Utility model content
基于背景技术提及的问题,本实用新型专利拟设计一种高度可调节的座位式头部固定框,患者在坐的同时可以将头部固定于固定框上,并保持整个治疗过程中头部完全稳定的状态。不仅提高了患者分次内治疗的舒适性,治疗部位的稳定性和治疗精度更是可以得到有效提高,具体方案如下:Based on the problems mentioned in the background technology, the utility model patent intends to design a height-adjustable seat-type head fixing frame. The patient can fix the head on the fixing frame while sitting, and keep the head during the whole treatment process. completely stable state. It not only improves the comfort of patients in fractionated treatment, but also effectively improves the stability and accuracy of the treatment site. The specific plan is as follows:
一种用于头顶肿瘤电子线照射的座位式固定装置,所述座位式固定装置包含有移动底座,在所述移动底座上安装有座椅和升降辅助头部固定装置;A seat-type fixing device for electron beam irradiation of tumors on the top of the head, the seat-type fixing device includes a moving base, and a seat and a lifting auxiliary head fixing device are installed on the moving base;
所述升降辅助头部固定装置包含有立式伸缩杆,在所述立式伸缩杆的顶部安装有前后水平滑动的辅助固定头环,在所述辅助固定头环的不同方位安装有多个头部固定栓,所述头部固定栓径向穿过所述辅助固定头环并与所述辅助固定头环螺纹配合,所述头部固定栓位于所述辅助固定头环内侧的一端同轴转动安装有一次性吸盘。The lifting auxiliary head fixing device includes a vertical telescopic rod, and an auxiliary fixed head ring that slides horizontally back and forth is installed on the top of the vertical telescopic rod, and a plurality of heads are installed at different positions of the auxiliary fixed head ring. The head fixing bolt radially passes through the auxiliary fixing head ring and is threadedly engaged with the auxiliary fixing head ring, and the head fixing bolt is coaxially rotated at one end inside the auxiliary fixing head ring Installed with disposable suction cups.
进一步的,移动底座底部设有多个万向轮,各所述万向轮均设置有锁止片。Further, the bottom of the mobile base is provided with a plurality of universal wheels, each of which is provided with a locking piece.
进一步的,所述座椅为升降椅,所述升降椅设有带靠背坐垫,在坐垫下方连接有升降座,所述升降座配置有活塞杆以及用于控制活塞杆上下运动的拨杆,活塞杆顶部与坐垫固定连接。Further, the seat is a lift chair, and the lift chair is provided with a seat cushion with a backrest, and a lift seat is connected under the seat cushion, and the lift seat is equipped with a piston rod and a driving rod for controlling the up and down movement of the piston rod. The top of the rod is fixedly connected with the cushion.
进一步的,所述立式伸缩杆由滑动配合的下杆和上杆组成,下杆设有供上杆上下滑动的滑轨和滑孔,上杆侧壁设有高度刻度,所述下杆配置有用于固定上杆的锁止机构。Further, the vertical telescopic rod is composed of a slidingly fitted lower rod and an upper rod, the lower rod is provided with slide rails and slide holes for the upper rod to slide up and down, the side wall of the upper rod is provided with a height scale, and the lower rod is configured There is a locking mechanism for securing the upper pole.
进一步的,所述锁止机构为插销,下杆在滑轨或滑孔的一侧设有插销孔,且上杆在滑轨或滑孔的一侧设有纵向一排调节孔,利用插销插入下杆的插销孔以及上杆的其中一调节孔以固定上杆;或者Further, the locking mechanism is a latch, the lower rod is provided with a latch hole on one side of the slide rail or the slide hole, and the upper rod is provided with a row of longitudinal adjustment holes on one side of the slide rail or the slide hole, and the latch is inserted into the The pin hole in the lower post and one of the adjustment holes in the upper post to secure the upper post; or
所述锁止机构为锁紧螺钉,所述锁紧螺钉穿过下杆并抵接在上杆侧壁,所述锁紧螺钉与下杆螺纹配合。The locking mechanism is a locking screw, which passes through the lower rod and abuts against the side wall of the upper rod, and the locking screw is threadedly engaged with the lower rod.
进一步的,所述吸盘为软塑料、橡胶或者硅胶制成。Further, the suction cup is made of soft plastic, rubber or silicone.
进一步的,所述头部固定栓的一端设有“T”型卡扣,所述吸盘的一端设有“T”型卡孔与“T”型卡扣配合。Further, one end of the head fixing bolt is provided with a "T"-shaped buckle, and one end of the suction cup is provided with a "T"-shaped buckle hole to cooperate with the "T"-shaped buckle.
进一步的,辅助固定头环通过水平伸缩杆连接在所述立式伸缩杆顶部;Further, the auxiliary fixed head ring is connected to the top of the vertical telescopic rod through a horizontal telescopic rod;
在所述辅助固定头环上设有三个所述头部固定栓,三个所述头部固定栓与所述水平伸缩杆互成90°分布。Three said head fixing bolts are arranged on said auxiliary fixing head ring, and the three said head fixing bolts are distributed at 90° to said horizontal telescopic rod.
当前进行头顶肿瘤电子线照射时,并没有固定装置可以使用,头部无法得到有效固定,照射时头部会发生移动。其次,头顶肿瘤电子线照射时,患者选取座位时,舒适性较好,且分次照射内的位置重复性较好。另外,当电子线照射时,一般采用源皮距100cm的距离进行照射,患者的头顶肿瘤与电子线限光筒底面则往往需要贴近,或者留有5cm左右的间隙,也就是患者的头顶高度需要可调。因此,本实用新型兼顾上述固定、舒适、高度可调的三个维度,解决头顶部肿瘤电子线照射的摆位和固定的难题。Currently, when electron beam irradiation is performed for tumors on the top of the head, there is no fixation device available, and the head cannot be effectively fixed, and the head will move during irradiation. Secondly, when the electron beam is irradiated to the tumor on the top of the head, when the patient chooses the seat, the comfort is better, and the position repeatability within the fractional irradiation is better. In addition, when electron beams are irradiated, a distance of 100 cm from the source skin is generally used for irradiation. The tumor on the top of the patient's head and the bottom surface of the electron beam limiting tube often need to be close to each other, or a gap of about 5 cm should be left, which is the height of the patient's head. adjustable. Therefore, the utility model takes into account the above-mentioned three dimensions of fixation, comfort, and height adjustment, and solves the difficult problem of placement and fixation for the electron beam irradiation of the tumor on the top of the head.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the utility model, the following will briefly introduce the accompanying drawings that are required in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only the practical For some novel embodiments, those skilled in the art can also obtain other drawings based on these drawings without any creative work.
图1为本实用新型提供的一种用于头顶肿瘤电子线照射的座位式固定装置的结构示意图;Figure 1 is a schematic structural view of a seat-type fixing device for electron beam irradiation of tumors on the top of the head provided by the utility model;
图2为吸盘与辅助固定头环的连接关系示意图。Fig. 2 is a schematic diagram of the connection relationship between the suction cup and the auxiliary fixed head ring.
具体实施方式Detailed ways
在下文的描述中,给出了大量具体的细节以便提供对本实用新型更为彻底的理解。然而,对于本领域技术人员而言显而易见的是,本实用新型可以无需一个或多个这些细节而得以实施。在其他的例子中,为了避免与本实用新型发生混淆,对于本领域公知的一些技术特征未进行描述。In the following description, numerous specific details are given in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art that the present invention may be practiced without one or more of these details. In other examples, in order to avoid confusion with the present invention, some technical features known in the art are not described.
为了彻底理解本实用新型,将在下列的描述中提出详细的步骤以及详细的结构,以便阐释本实用新型的技术方案。本实用新型的较佳实施例详细描述如下,然而除了这些详细描述外,本实用新型还可以具有其他实施方式。In order to thoroughly understand the present utility model, detailed steps and detailed structures will be provided in the following description, so as to illustrate the technical solution of the present utility model. The preferred embodiments of the utility model are described in detail as follows, but in addition to these detailed descriptions, the utility model can also have other implementations.
参照图1-2所示,本实用新型提供了一种用于头顶肿瘤电子线照射的座位式固定装置,座位式固定装置包含有移动底座10,在移动底座10上安装有座椅20和升降辅助头部固定装置30。Referring to Figures 1-2, the utility model provides a seat-type fixing device for electron beam irradiation of tumors on the head. The seat-type fixing device includes a
移动底座10
移动底座10底部设有多个万向轮11,各万向轮11均设置有锁止片12,锁止片12可以将万向轮11锁止避免其转动。The bottom of the
座椅20Seat 20
座椅20为升降椅,升降椅设有带靠背22的坐垫21,在坐垫21下方连接有升降座23,升降座23配置有用于控制活塞杆上下运动的拨杆24,通过脚踩拨杆24可以带动坐垫21升降。在一实施例中,升降座23里边有液压装置,用脚踏泵利用液压原理顶上去;在另一实施例中,使用机械原理,用棘轮棘爪的原理带动活塞杆上移。具体结构属于常见的现有技术,在此不予赘述。The
升降辅助头部固定装置30Lift Assist Head Immobilizer 30
升降辅助头部固定装置30包含有立式伸缩杆,在立式伸缩杆的顶部安装有前后水平滑动的辅助固定头环37,在辅助固定头环37的不同方位安装有多个头部固定栓38,头部固定栓38径向穿过辅助固定头环37并与辅助固定头环37螺纹配合,头部固定栓38位于辅助固定头环37内侧的一端转动安装有吸盘39。The lifting auxiliary
其中,立式伸缩杆由滑动配合的下杆31和上杆32组成,下杆31设有供上杆32上下滑动的滑轨和滑孔,上杆32侧壁设有高度刻度35,下杆31配置有用于固定上杆32的锁止机构33。Wherein, the vertical telescoping rod is made up of the
在一实施例中,锁止机构33为插销,下杆31在滑轨或滑孔的一侧设有插销孔,且上杆32在滑轨或滑孔的一侧设有纵向一排调节孔34,利用插销插入下杆31的插销孔以及上杆32的其中一调节孔34以固定上杆32。在另一实施例中,锁止机构33为锁紧螺钉,锁紧螺钉穿过下杆31并抵接在上杆32侧壁,锁紧螺钉与下杆31螺纹配合。下杆31内设有橡胶材料,使得上杆32在下杆31内的可移动范围在30cm以内。In one embodiment, the
吸盘39为可拆卸安装在头部固定栓38端部的一次性吸盘,吸盘39材料可选用软塑料、橡胶或者硅胶等制成。图2示出了一种吸盘39与头部固定栓38的连接方式,在头部固定栓38端部设有“T”型卡扣38-1,吸盘39的一端设有“T”型卡孔39-1与“T”型卡扣38-1配合,吸盘39自身有一定柔性,可以很方便地拆卸和安装在头部固定栓38上,并且头部固定栓38和吸盘39可以相对转动。转动头部固定栓38时可向前推进吸盘39,当吸盘39在抵接在病人头部时,此时吸盘39前面受力不会周向转动只有轴向移动,进而更好固定病人头部。
辅助固定头环37通过水平伸缩杆36连接在立式伸缩杆顶部。在辅助固定头环37上设有三个头部固定栓38,三个头部固定栓38与水平伸缩杆36互成90°分布。立式伸缩杆由两段水平滑杆组成,其长度调节方式与立式伸缩杆的调节方式相同,在此不予赘述。Auxiliary fixed
本实用新型的使用方法如下:The using method of the present utility model is as follows:
将头顶肿瘤电子线照射的座位式固定装置推入直线加速器治疗室,摆放入直线加速器机头下方,向上提动上杆32,使得辅助固定头环37与限光筒下缘相隔10cm左右,并用插销33固定住上杆32避免其下滑。将坐垫21降至最低位置,患者坐于坐垫21上,踩动拨杆24,升高患者的高度,患者头部缓缓伸进辅助固定头环37内,并使头顶肿瘤面贴近限光筒或与限光筒相隔5cm时,停止踩动拨杆24,患者的高度不再改变。此时再微调辅助固定头环37的竖直位置使得辅助固定头环37与患者的额部水平相当,并用插销33再次固定上杆32。微调患者的头部以及微调辅助固定头环37的水平方位,使得患者头顶肿瘤面与限光筒底面尽量平行,将一次性吸盘39插在头部固定栓38前端,然后旋紧头部固定栓38,由三个头部固定栓38的吸盘来对病人头部进行固定。Push the seat-type fixing device for the electron beam irradiation of the tumor on the top of the head into the treatment room of the linear accelerator, place it under the head of the linear accelerator, and lift the
患者摆位和固定完成后,记录上杆32的刻度,供下次摆位参考,并进行电子线照射。照射完成后,旋松三枚头部固定栓38,将坐垫21降至最低位置,患者离开本固定装置。松动-锁止片12,将本固定装置推至合适地方放置。After the patient's positioning and fixation are completed, record the scale of the
本实用新型的优点在于:The utility model has the advantages of:
1.本固定装置采用座位式固定,与俯卧位相比,提高了舒适性。1. This fixing device adopts seat-type fixing, which improves the comfort compared with the prone position.
2.本固定装置底部附有滚轮,可移动,避免搬运的不便。2. The bottom of the fixing device is equipped with rollers, which can be moved to avoid the inconvenience of transportation.
3.本固定装置可以有效固定住患者的头部,使得头部在放射治疗期间保持静止不动,提高照射的位置准确性。3. The fixing device can effectively fix the patient's head, so that the head remains still during radiotherapy and improves the accuracy of the irradiation position.
4.本固定装置在固定头部时并非像伽玛刀头部框架一样使用钢钉植入颅骨,而是采用无创的螺栓和吸盘直接接触头部,提高患者的舒适性。同时吸盘可拆卸,可以实现“一人三盘”,卫生、经济。4. When fixing the head, this fixation device does not use steel nails to implant into the skull like the Gamma Knife head frame, but uses non-invasive bolts and suction cups to directly contact the head to improve the comfort of the patient. At the same time, the suction cup is detachable, which can realize "three dishes for one person", which is hygienic and economical.
5.座椅和升降辅助头部固定装置的高度均可调节,可以将患者的头顶肿瘤送入指定位置进行精确照射。5. The height of the seat and the lifting auxiliary head fixation device can be adjusted, and the tumor on the top of the patient's head can be sent to the designated position for precise irradiation.
以上对本实用新型的较佳实施例进行了描述。需要理解的是,本实用新型并不局限于上述特定实施方式,其中未尽详细描述的设备和结构应该理解为用本领域中的普通方式予以实施;任何熟悉本领域的技术人员,在不脱离本实用新型技术方案范围情况下,都可利用上述揭示的方法和技术内容对本实用新型技术方案做出许多可能的变动和修饰,或修改为等同变化的等效实施例,这并不影响本实用新型的实质内容。因此,凡是未脱离本实用新型技术方案的内容,依据本实用新型的技术实质对以上实施例所做的任何简单修改、等同变化及修饰,均仍属于本实用新型技术方案保护的范围内。The preferred embodiments of the present utility model have been described above. It should be understood that the utility model is not limited to the above-mentioned specific embodiments, and the devices and structures not described in detail should be understood as being implemented in a common way in the art; any person familiar with the art, without departing from Under the scope of the technical solution of the utility model, many possible changes and modifications can be made to the technical solution of the utility model by using the methods and technical contents disclosed above, or be modified into equivalent embodiments with equivalent changes, which does not affect the utility model. new substance. Therefore, any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention are still within the protection scope of the technical proposal of the present invention.
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