CN2889173Y - X-ray photography table for diagnosing finger joints collateral ligament rupture of finger joints under mechanical force application - Google Patents

X-ray photography table for diagnosing finger joints collateral ligament rupture of finger joints under mechanical force application Download PDF

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Publication number
CN2889173Y
CN2889173Y CN 200620001215 CN200620001215U CN2889173Y CN 2889173 Y CN2889173 Y CN 2889173Y CN 200620001215 CN200620001215 CN 200620001215 CN 200620001215 U CN200620001215 U CN 200620001215U CN 2889173 Y CN2889173 Y CN 2889173Y
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China
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montant
bracing
horizon bar
thumb
pressing plate
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Expired - Fee Related
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CN 200620001215
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Chinese (zh)
Inventor
王慰年
陈溶
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Individual
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Individual
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Abstract

The utility model comprises a base board provided with a pressure device and two supporting devices thereon. The pressure device has a pressurization head and a measure display. The two supporting devices are provided with pressure heads capable of rotation at multiple angles. By applying quantitative mechanical pressure of 2-3 pressure heads, joints of injured or normal fingers are expanded for X-ray topography of both hands, aiding in the diagnosis of collateral ligament rupture after comparing the joint space between injured and normal finger. The utility model helps to protect the medical staff against X-ray radiation. Additionally, mechanical pressure is applied quantitatively to avoid the error due to subjective factors such as manual application of pressure, thereby increasing the diagnosis accuracy.

Description

Machinery is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to
Technical field
This utility model relates to the instrument in a kind of medical diagnosis field, be to be used for thumb metacarpophalangeal joints and thumb/refer to the quantitative mechanical reinforcing of interphalangeal joint side struts hindering side (oar or ulnar side) joint space, relatively hinder the difference in size in side X-ray sheet and X-ray sheet gap, strong hands respective side joint, to make a definite diagnosis or to get rid of each joint side of thumb/refer to and pay the instrument of ligament rapture.
Background technology
Thumb metacarpophalangeal joints side is paid ligament, and especially the ulnar side side is paid ligament rapture, and thumb/refer to interphalangeal joint side is paid a kind of common type that ligament rapture is the non-fracture closed injury of hand.
X-ray method so far is to borrow the free-hand damage side joint space, side that struts to take the photograph sheet as X-ray, take the photograph sheet after answering the joint also to strut to strong palmistry simultaneously, the size that compares two gaps, can find to hinder the strong palmistry of support opening ratio of side joint space and answer the degree of strutting of joint space obviously to strengthen, hinder the diagnosis that the side side is paid ligament rapture thereby can make.
The medical worker is a radiation injury of avoiding x-ray bombardment, in placing oneself in the midst of the radiation exposure scope, can use leaded protective apron and contain lead gloves, but free-hand operation is especially operated often because of being subjected to the thick and heavy interference that contains lead gloves to feel inconvenience very much in the webs close gap, and have to abandon use, hand directly is exposed in the radiation exposure like this, because the repeatable operation of occupation, radiation injury is inevitable, free-hand in addition afterburning uneven, do not have quantitative criterion again, influenced the accuracy of diagnosis yet.
Summary of the invention
This utility model purpose is to overcome the shortcoming of free-hand operating technology so far, for this reason the afterburning diagnostic table of a kind of mechanism of design.
This utility model achieves the above object by following structure.Basically according to the principle of " three fulcrums ", adopt an augmentor and two bracing or strutting arrangements are housed on the base plate, augmentor is made of horizon bar and montant again, horizon bar one end is equipped with pressure head and wherein is provided with removably pressing plate, the other end is equipped with " the dynamometry digital display instrument " that the scalable horizon bar moves the nut of reinforcing and the energy display digit after the reinforcing, montant connects horizon bar and becomes T shape, and is installed on the base plate; Two bracing or strutting arrangements respectively are made of horizon bar and montant, one end of horizon bar has pressure head, wherein be located at the pressing plate other end removably the screw rod head of scalable displacement of pressing head is arranged, montant connection horizon bar becomes T shape and is installed on the base plate, owing to three pressing plates in an above augmentor and two bracing or strutting arrangements have been arranged as three fulcrums, support more stablely, side quantitative mechanical reinforcing struts the joint space, in addition power statistics have shown on the display screen of " dynamometry digital display instrument ".Use this apparatus can avoid medical operator to suffer the X-ray radiation damage fully; Make comparisons with free-standing exercise and also to have got rid of subjective factors, evenly afterburning, and can be quantitative, so diagnose more accurate.
Description of drawings
Fig. 1 is a front view of the present utility model;
Fig. 2 is a vertical view of the present utility model;
Fig. 3 is the structural representation of the augmentor in this utility model;
Fig. 4 is a kind of structural representation of the bracing or strutting arrangement in this utility model;
Fig. 5 is second kind of structure (push unit) sketch map of the bracing or strutting arrangement in this utility model;
Fig. 6 struts the vertical view that the left hand thumb palm refers to ulnar side joint space (ulnar side is paid ligament);
Fig. 7 struts the vertical view that the hand thumb palm refers to ulnar side joint space (ulnar side is paid ligament);
Fig. 8 struts the left hand thumb palm to refer to that ulnar side joint space (the oar side is paid ligament) is to the horizontal bitmap of thumbtip;
Fig. 9 struts the left hand thumb palm to refer to oar side joint space (the oar side is paid ligament) vertical view;
Figure 10 struts the left hand thumb, refers to oar side joint space (the oar side is paid a ligament) vertical view;
Figure 11 struts left index finger proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view;
Figure 12 struts left hand little finger of toe proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view;
Figure 13 struts right hand forefinger near-end ulnar side interphalangeal joint gap (ulnar side is paid ligament) to the horizontal bitmap of forefinger tip;
Shown in the figure: 1, base plate, 2, the dynamometry digital display instrument, 3, augmentor, 4, the augmentor nut, 5, the base plate chute, 6, the augmentor horizontal screw bolt, 7, a kind of pressing plate of bracing or strutting arrangement, 7a, the connecting rod of pressing plate, 8, the X-ray film magazine, 9, the augmentor pressing plate, 9a, the connecting rod of augmentor pressing plate, 10, the bracing or strutting arrangement spheric nut, 11, bracing or strutting arrangement, 12, a kind of pressing plate of bracing or strutting arrangement, 12a, the connecting plate of bracing or strutting arrangement pressing plate, 13, the base plate chute, 14, the bracing or strutting arrangement horizon bar, 15, the bracing or strutting arrangement spheric nut, 16, the bracing or strutting arrangement horizon bar, 17, bracing or strutting arrangement, 18, the dried head of bracing or strutting arrangement spiral shell, 19, the dried head of bracing or strutting arrangement spiral shell, 20, the bracing or strutting arrangement panel nut, 21, the bracing or strutting arrangement pressure head, 22, the augmentor panel nut, 23, the augmentor pressure head, 24, the bracing or strutting arrangement pressure head, 25, the bracing or strutting arrangement panel nut, 26, the bracing or strutting arrangement montant, 27, the augmentor montant, 27a augmentor montant sleeve, 28, the bracing or strutting arrangement montant, 28a, bracing or strutting arrangement montant sleeve, 29, bracing or strutting arrangement montant nut, 30, montant nut at the bottom of the augmentor, 31, bracing or strutting arrangement montant nut, 32, the bracing or strutting arrangement base plate is twisted and is decided nut, 33, the augmentor base plate is twisted and is decided nut, 34, the bracing or strutting arrangement base plate is twisted and is decided nut, 35, furring device (Fig. 8), 36, pressing plate, 37, pass through the sky screw behind the pressing plate, 38, the connecting rod of pull-plug device pressing plate, 39, pull out/the plug device sleeve 40, the push unit branch head screw, 41, can pass pipe (in screw thread is arranged), 42, bracing or strutting arrangement horizon bar (screw rod), 43, the screw rod head of horizon bar, 44, bracket, 45, the nut of adjusting rod lifting, 46, montant, 47, montant and sleeve, 24X, pull out/the plug device pressure head 48, the montant base plate is twisted and is decided nut.
The specific embodiment
The utility model is described in further detail below in conjunction with drawings and Examples.
Now 1-4 illustrates that frame for movement of the present utility model: Fig. 1 and Fig. 2 this utility model are by an augmentor 3 being housed on the base plate 1 and two bracing or strutting arrangements 11,17 are formed in conjunction with the accompanying drawings, augmentor 3 is made of horizontal screw bolt 6 and montant 27 again, one end of horizontal screw bolt 6 is equipped with pressure head 23, it is constituted by loading and unloading pressing plate 9 and connecting rod 9a thereof and nut 22, the other end be equipped with regulate horizon bar move after afterburning nut 4 and the reinforcing can display digit " dynamometry digital display instrument ".During operation, the screw thread transmission is to the pressurization of hand region of interest from the horizon bar to turn nut 4 strength, and quantitatively reinforcing is shown on " dynamometry digital display instrument ".The principle of " dynamometry digital display instrument " is with institute's power in addition, makes the resistance strain gage distortion, thereby changes its resistance value, and output voltage, through amplifying, after the A/D conversion, changing value just is shown on the liquid crystal panel of " dynamometry digital display instrument ".The montant 27 of augmentor 3 (Fig. 3) connects 6 one-tenth T shapes of horizon bar, and is installed in the chute 5 of base plate 1, can move in groove, after moving to correct position, tightens its nut 33 location.11,17 each forming of two bracing or strutting arrangements by level 14,16 and montant 26,28.One end of horizon bar is also by pressure head the 24, the 21st, by can load and unload pressing plate 7,12 and connecting rod 7a, 12a, with nut 25,20 and regulate pressing plate 7,12, the spherical nut 10,15 that turns to forms, the screw rod head 19,18 that the other end has scalable pressure head (24,21) displacement turns its mat horizon bar 14,16 screw threads, pressing plate 7,12 is moved, the inside of spherical nut 10,15 is spherical structure, pressing plate 7,12 can have 30 ° of left-right rotation when unscrewing, make pressing plate and hands/refer to the side is appropriate and contact, when tightening, then above-mentioned rotating function forfeiture.The montant structure 26,28 of two bracing or strutting arrangements is identical with the montant 27 of augmentor 3, but the above two are mounted in another chute 13, when moving to correct position, can tighten it and twist and decide nut 32,34 and locate.The lifting/lowering of above-mentioned montant 26,27,28 can turn nut 29,30,31 and regulate.
The horizon bar of above-mentioned bracing or strutting arrangement shown in Figure 5 still has second kind of organization plan---and be push unit.It by a screw rod (42) and movably pipe (41) formed with bracket (40) and pressure head (24X).Pipe is contained in the tunnel of bracket (44), moves horizontally.Branch head screw 40 is housed in order to tighten location in pipe (41) passing on the bracket, wall has the nut stricture of vagina within the pipe, it and horizon bar (screw rod) 42 mesh, one end of horizon bar 42 is provided with the screw rod head (43) of fine-tuning horizon bar displacement, the other end is provided with pressure head (24X), and it is by pressing plate (36), and connecting rod (38) and sleeve (39) are formed, and constitute and to pull out/plug device, turn the direction of pressing plate (36) back screw (37) scalable pressing plate (36).
Figure 5 shows that the bracing or strutting arrangement base plate twists the another kind of form decide nut, it is in the side, and the outer montant base plate of montant sleeve is stubborn decides nut (48) but be enclosed within.Montant sleeve (47) can move in the base plate chute when unscrewing this nut, and the montant sleeve then maintains static when tightening.This nut also is applicable to the montant running fix of augmentor.
The pressing plate of pressure head is by thumb/refer to actual each position anatomical features moulding in all above-mentioned augmentors and two bracing or strutting arrangements, and has elasticity.Each pressing plate can be on demand with " helicitic texture " or " pulling out/plug device " loading and unloading, replacing or exchange.
All above-mentioned augmentors and vertical part in two bracing or strutting arrangements be by montant 27,26,28 and trocar sheath 27a, 26a, 28a constitutes and by its height of nut 30,29,31 regulation and control and turn to.Thereby horizon bar that is connected with montant 26,27,28 and pressing plate 9,7,12 thereof, can move up and down and rotate to obtain suitable position.
Because above-mentioned every architectural feature, the suitable reinforcing of each pressing plate of mat effectively struts each associated joint of hand and carries out shadowgraph, can avoid medical operator to be subjected to the injury of shadowgraph thereby pay ligament rapture, and diagnosis is more more accurate than free-hand method, has reached the intended purposes of design with the diagnosis side.
Above-mentioned each component materials is rustless steel, aluminium alloy, nylon, rubber, duroplasts, elastoplast etc.
Now just use this utility model diagnosis thumb/refer to variant joint side and pay the clinical manipulation schema instance of ligament rapture, be described further by Fig. 6-13:
1, diagnosis thumb, support articulations digitorum manus side are paid ligament rapture:
Fig. 6 is for being the vertical view of example with the left hand, the pressure head 23 of augmentor 3 places joint ulnar side between thumb, the place ahead contact site can be used pressing plate 9, the pressure head 21 of bracing or strutting arrangement 17 places thenar (side of first metacarpal bone), its contact site pressing plate 7, bracing or strutting arrangement 11 can put other need not (referring to Fig. 2, Fig. 6), for making thumb be in fingernail parallel with base plate (level) position, raise thumb, the finger palmar is tried one's best smooth in the X-ray film magazine, augmentor 3 nuts 4 are twisted with the fixing back of pressure head 21 mats by thenar portion, take the photograph sheet after making pressure head 23 maximum possible strut thumb metacarpophalangeal joints ulnar side gap.
Fig. 7 is a right hand corresponding joint vertical view, can bracing or strutting arrangement 17 is idle, use the pressing plate 7 of bracing or strutting arrangement 11, and by roughly the same Fig. 6 operation, take the photograph sheet after the pressurization of location.The side clearance size in two X-ray sheets relatively can be made the diagnosis that hand thumb, metacarpophalangeal joints ulnar side are paid ligament rapture, in like manner also can make the diagnosis that left hand thumb, metacarpophalangeal joints ulnar side are paid ligament rapture.
Fig. 8 is that left hand is seen the thumbtip level, and X-ray film magazine 8 places on the furring device 35 among the figure.
2, thumb, metacarpophalangeal joints oar side are paid ligament rapture, and be comparatively rare.
Fig. 9 is for strutting the left hand thumb, slapping the vertical view that refers to oar side joint space (the oar side is paid ligament).Illustrate the position of three pressure heads 23,24,21, regulate and to take the photograph sheet after the reinforcing: Fig. 9 is as putting into the right hand again, and then the pressing plate with the pressure head portion of two bracing or strutting arrangements will exchange, and takes the photograph sheet after regulating reinforcing; Two contrasts can be made the diagnosis that right-hand man's thumb, metacarpophalangeal joints oar side are paid ligament rapture.
3, thumb, the interphalangeal joint side diagnosis of paying ligament rapture.
Figure 10 refers to oar side joint space (the oar side is paid a ligament) vertical view for strutting the left hand thumb.Illustrate three pressure head 23,24,21 placement patterns, the pressing plate of its contact site is ting model 9 and 12, takes the photograph sheet after the adjusting reinforcing; In like manner put into the right hand, strut corresponding oar side interphalangeal joint gap, take the photograph sheet after the adjusting reinforcing, Dui Zhao a diagnosis left side/right hand thumb oar side interphalangeal joint is paid ligament rapture each other.
With 180 ° of this diagnostic table horizontal position transfers, successively put into right-hand man's thumb, with the thumb ulnar side interphalangeal joint gap that demonstration struts, compare bilateral X-ray sheet, a diagnosable left side/hand thumb ulnar side is paid ligament rapture.
4, point the diagnosis that the interphalangeal joint side is paid ligament rapture:
Figure 11 illustrates three pressure head 23,24,21 placement patterns for strutting left index finger proximal radial side interphalangeal joint gap (the oar side is paid ligament) vertical view: take the photograph sheet after regulating reinforcing.With this sheet and right hand supinator position forefinger sheet or right hand pronator position, but with diagnostic table level position Rotate 180 °, take the photograph sheet after regulating reinforcing, two are compared, and diagnosable oar side interphalangeal joint side is paid ligament rapture.In like manner diagnosable forefinger near-end ulnar side interphalangeal joint side is paid ligament rapture, and is diagnosable as reinforcing and bracing or strutting arrangement are moved to finger tip, other fingers of right-hand man, and the DIPJ side is paid ligament rapture.
Figure 12 is for strutting left hand little finger of toe oar side proximal interphalangeal joint gap (the oar side is paid ligament) vertical view, and the pressing plate that illustrates on three pressure heads, 23,24, the 21 placement pattern near-end bracing or strutting arrangement pressure heads is selected for use than ting model, especially points the near-end bracing or strutting arrangement and should select the X type.
Figure 13 is for strutting the sketch map that right hand forefinger near-end ulnar side interphalangeal joint gap (ulnar side is paid ligament) is seen the forefinger tip level.

Claims (7)

1, a kind of machinery is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is by an augmentor (3) being housed on the base plate (1) and two bracing or strutting arrangements (11,17) are formed, it is characterized in that augmentor (3) is made of horizon bar (6) and montant (27) again, horizon bar (6) one ends are equipped with pressure head (23), wherein be provided with and load and unload pressing plate (9), the other end is equipped with regulates " the dynamometry digital display instrument " that horizon bar moves energy display digit after afterburning nut (4) and the reinforcing, montant (27) connection level (6) becomes T shape, and is installed on the base plate (1); Each is made of two bracing or strutting arrangements (11,17) horizon bar (14,16) and montant (26,28), one end of horizon bar (14,16) has pressure head (24,21), wherein be provided with loading and unloading pressing plate (7,12), the other end has the screw rod head (19,18) of adjusting pressure head (24,21) displacement, and montant (26,28) connects horizon bar (14,16) one-tenth T shape and is installed on the base plate (1).
2, machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that each the end of their (14,16) of horizon bar of above-mentioned two bracing or strutting arrangements (11,17) respectively has pressure head (24,21) to be formed by loading and unloading the spherical nut (10,15) that pressing plate (7,12) and connecting rod (7a, 12a) thereof and nut (25,20) and scalable pressing plate (7,12) turn to, the other end is provided with the screw rod head (19,18) of scalable pressure head (24,21) displacement.
3, require according to the power place that 1 described machinery is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that two above-mentioned bracing or strutting arrangements (11,17) horizon bar, it is the push unit of two same structures, it is by a screw rod (42) and pipe (41) movably, form with bracket (40) and pressure head (24X), pipe (41) is contained in the tunnel of bracket (44), can move horizontally, bracket is equipped with branch head screw (40), in order to tighten location in pipe (41) passing, pipe (41) inwall is provided with screw thread, engagement in it and the horizon bar (42).One end of horizon bar (42) is provided with the screw rod head (43) of fine-tuning horizon bar displacement, and the other end is provided with pressure head (24X).It is formed and constitute with sleeve pipe (39) by pressing plate (36) and connecting rod (38) thereof pulls out/plug device.The screw (37) of scalable pressing plate (36) direction is housed behind the pressing plate (24X).
4, according to the power place require 1 described machinery afterburning to thumb/refer to each joint projection pay the shadowgraph diagnostic table of ligament rapture, the montant (26,27,28) that it is characterized in that above-mentioned augmentor and two bracing or strutting arrangements, it is outer be can go up therein/descend move and the trocar sheath (27a, 26a, 28a) of rotation, and be provided with mat nut (30,29,31) and regulate and control the height of montant and turn to.
5, machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that above-mentioned base plate (1) is provided with two chutes (5,13), wherein a groove (5) is equipped with the montant (27) of augmentor (3), is that the mat base plate is twisted and to be decided nut (33) and regulate and control its running fix in groove (5); Two montants (26,28) that another groove (13) is equipped with two bracing or strutting arrangements also mat base plate are twisted and are decided nut (34,32) and regulate and control its running fix in groove.
6, require according to wanting sharp that 1 described machinery is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, the montant (26,27,28) that it is characterized in that above-mentioned augmentor and two bracing or strutting arrangements also is equipped with and is enclosed within the outer montant base plate of montant sleeve and twists and decide nut (48), in order to montant running fix in groove.
7, machinery according to claim 1 is afterburning pays the shadowgraph diagnostic table of ligament rapture to each joint side of thumb/refer to, it is characterized in that the removably pressing plate in the pressure head of an augmentor and two bracing or strutting arrangements, is by thumb/refer to actual each position anatomical features moulding and have elasticity.
CN 200620001215 2006-01-19 2006-01-19 X-ray photography table for diagnosing finger joints collateral ligament rupture of finger joints under mechanical force application Expired - Fee Related CN2889173Y (en)

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CN 200620001215 CN2889173Y (en) 2006-01-19 2006-01-19 X-ray photography table for diagnosing finger joints collateral ligament rupture of finger joints under mechanical force application

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Application Number Priority Date Filing Date Title
CN 200620001215 CN2889173Y (en) 2006-01-19 2006-01-19 X-ray photography table for diagnosing finger joints collateral ligament rupture of finger joints under mechanical force application

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102631207A (en) * 2011-02-15 2012-08-15 株式会社东芝 X-ray imaging apparatus
CN113271859A (en) * 2019-01-18 2021-08-17 美国西门子医疗系统股份有限公司 Uniaxial harmonic absorber for cantilever structure

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102631207A (en) * 2011-02-15 2012-08-15 株式会社东芝 X-ray imaging apparatus
CN113271859A (en) * 2019-01-18 2021-08-17 美国西门子医疗系统股份有限公司 Uniaxial harmonic absorber for cantilever structure

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GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20070418

Termination date: 20100219