JP2005288003A - Contact operation table for medical image diagnosing apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To increase a space for mounting different operation instruments in the field of technique for a medical image diagnosing apparatus such as a nuclear medical apparatus X-ray apparatus, a CT apparatus, an MRI apparatus, and a nuclear medicine apparatus. <P>SOLUTION: An operation table comprises: operation implements including a X-ray radiographic switch 18 which is connected to a digital radiographic (DR) apparatus so as to operate the DR apparatus, a microphone changeover instrument 1A, and a keyboard 21; a first monitor 1B or a second monitor 1C for displaying a medical image which is obtained by the operation of the operation implements; a keyboard mounting base 15; an operation implement mounting base 16; and a work base 17. A drawer mechanism performs storage so as to allow one of the operation implement mounting base 16 and the work base 17 is laminated on the others. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention belongs to the technical field of medical image diagnostic apparatuses such as an X-ray apparatus, a CT apparatus, an MRI apparatus, and a nuclear medicine apparatus. In particular, the proximity is provided close to a patient and the medical image diagnostic apparatus is operated by an operator. It belongs to the technical field of consoles.

As described in Patent Document 1, a proximity console of a conventional medical image diagnostic apparatus includes an operation panel including a controller group that controls an X-ray fluoroscopic imaging table, and a monitor. It was designed to be able to rotate on a plane almost parallel to the floor surface in the X-ray fluoroscopic table installation room, and to change the orientation of the board surface to a desired direction. As a result, the direction of the operation panel surface can be easily moved in the direction facing the operator (surgeon), and an efficient proximity operation can always be performed.
JP 2000-102528 A

  However, in the above prior art, the direction of the operation panel surface is directed to the operator (operator) by making the operation panel rotatable on a plane substantially parallel to the floor surface in the X-ray fluoroscopic table installation room. However, there was a problem that the following points were not taken into consideration.

(1) There is only one operation panel, and a space for operating various controls such as a keyboard, mouse, microphone switch, X-ray exposure lever, etc. for operating medical diagnostic imaging equipment including a fluoroscopic imaging table. Was constrained.
(2) Since the image display unit is a CRT monitor, it is difficult to save space such as a mounting base on which various operating devices are mounted. This also causes a limitation on the mounting space of the operating device.
(3) Although it was required to secure a space for writing a medical record for filling in the findings of the diagnosis results, it was not possible to respond due to the space constraints described in (1) and (2) above.

  An object of the present invention is to provide a proximity console for a multipurpose medical image diagnostic apparatus by increasing the mounting space of various operating devices and increasing the space.

  The object includes a plurality of operating devices connected to a medical image diagnostic apparatus for operating the medical image diagnostic apparatus, and a display for displaying medical images obtained by operating these operating devices. In the proximity console of the medical image diagnostic apparatus, a mounting table on which the plurality of operating devices are mounted, a work table capable of performing operations different from the operations on the mounting table, and one of the work table and the mounting table. This is achieved by including an accommodation mechanism that accommodates the other in a stacked manner.

  With the proximity console of the medical image diagnostic apparatus according to the present invention, it is possible to provide a proximity console of the multipurpose medical image diagnostic apparatus by increasing the mounting space of various controllers and increasing the space.

  DESCRIPTION OF EMBODIMENTS Hereinafter, preferred embodiments of a proximity console of a medical image diagnostic apparatus (modality) according to the present invention will be described with reference to the accompanying drawings.

  Needless to say, the modality may be any medical image diagnostic apparatus capable of obtaining so-called medical images, such as an X-ray apparatus, a CT apparatus, an MRI apparatus, and a nuclear medicine apparatus. A graphic (DR) apparatus will be described as an example. The DR apparatus irradiates a subject with X-rays and obtains a transmitted X-ray image of the subject. A transmitted X-ray image has a fluoroscopic image and a photographed image. The fluoroscopic image is used to check the state of insertion of a catheter or a guide wire into a subject using interventional radiology (IVR) or the like. A clear image of the affected part of the specimen is obtained. In the DR apparatus, an operator (operator) uses these fluoroscopic images and photographed images as necessary.

  1 is a perspective view showing a configuration example of a proximity console of the DR apparatus of the present invention, FIG. 2 is a diagram showing an example in which a mounting table or a work table is stacked on the proximity console of FIG. 1, and FIG. 3 is a diagram of FIG. Fig. 4 shows an example of the chart surface pulled out by the proximity console, Fig. 4 shows an example of the surface to which the display unit is fixed by the proximity console of Fig. 1, and Fig. 5 shows an example of drawing out the keyboard surface by the proximity console of Fig. 1. FIG. 6 is a diagram showing an example in which the display is rotated from the state of FIG. 1 to a desired angle by the proximity console of FIG.

  As shown in FIG. 1, the proximity console is attached to the plurality of casters 11 arranged so as to contact the floor surface on which the apparatus is installed, the leg portions 12 that connect the casters 11 to each other, and the leg portions 12. A pedal 13, a support column 14 standing on the leg 12, a keyboard mounting table 15 provided at the upper end of the support column 14, an operating device mounting table 16 provided above the keyboard mounting table 15, a keyboard mounting table 15, A work table 17 provided between the operation device mounting table 16, an X-ray imaging switch 18 mounted on the operation device mounting table 16, a microphone 19 mounted on the operation device mounting table 16, and an operation device. Microphone switching device 1A mounted on the mounting base 16, a first monitor 1B installed on the operating device mounting base 16, a second monitor 1C also disposed adjacent to the first monitor 1B, have.

  The caster 11 is provided so that the apparatus can be arbitrarily moved on the floor. This caster 11 has only four wheels, although only three wheels can be seen depending on the depiction angle in FIG. These casters 11 are relatively large and have a diameter of about 75 mm, and provide light operation. In addition, two adjacent wheels of the four-wheel casters are provided with stoppers for preventing rotation or turning so that the apparatus can be temporarily fixed on the floor safely. The material of the caster 11 includes an elastic body containing urethane for absorbing fine vibrations. Further, since the caster 11 is formed of multiple wheels such as double wheels, the caster 11 can cope with unevenness of the floor surface and noise during traveling.

  The leg portion 12 functions as a carriage that joins the four-wheel casters 11 so that the apparatus can be moved to the floor surface.

  The pedal 13 is called an X-ray fluoroscopic switch. If the pedal 13 is stepped on the operator's foot when acquiring a fluoroscopic image, X-rays for acquiring the fluoroscopic image are emitted.

  The column 14 is composed of a leg 12, a keyboard mounting base 15, an operating device mounting base 16, a work base 17, an X-ray imaging switch 18, a microphone 19, a microphone switching unit 1A, a first monitor 1B, and a second monitor 1C. Are connected to each other and the respective parts are supported by the legs 12. The column 14 is provided with a dedicated pipe through which a cable connected to a device such as a microphone or a monitor is passed. In addition, depending on the wiring, the support 14 is provided with a cable hook for hanging the cable even when a part of the cable comes out of the exterior. Mobile devices include power supply, signal lines, BNC image lines, LAN, grounding, and other lines, which can eliminate the effects on the operability of the equipment.

  The keyboard mounting base 15 is for mounting a keyboard and a mouse among the operating devices. The mounting of the keyboard mounting base 15 will be described later with reference to FIG. 2, and the specific structure will be described later with reference to FIG.

  The operating device mounting base 16 is equipped with an X-ray imaging switch 18, a microphone 19, and a microphone switching device 1A among the operating devices. A specific structure of the operating device mounting base 16 will be described later with reference to FIG.

  The work table 17 is used by the operator (operator) for various purposes such as viewing and writing on a paper chart, preparing a contrast medium, and the like. A specific structure of the workbench 17 will be described later with reference to FIG.

  X-ray imaging switch 18 is a joystick that is operated to obtain a captured image. This joystick allows the operator to move left, right and up and down to set the X-ray generation condition. After the setting is made, a button provided on the upper surface of the joystick can be pressed. Thereby, X-rays for obtaining a captured image are emitted by the X-ray generation unit.

  Microphone 19 was installed in a separate room from the operator (operator) in the X-ray room (sometimes called the IVR room or operating room) where the proximity console is installed, and the X-ray room. Keep in touch with staff such as doctors in the operating room and radiation (X-ray) technicians. In other words, while performing procedures such as IVR, setting X-ray generation conditions and the like may be difficult for people in the X-ray imaging room, and may be set by operation room staff. As a result, it is possible to respond to a request for installing an interphone for conversation between a remote operator in the operation room and a proximity operator in the X-ray imaging room. In other words, when the proximity operator communicates various conditions of X-rays by voice to the remote operator, a clear conversation can be performed even at a position slightly away from the microphone.

  The microphone switch 1A switches the master / slave setting because the microphones are provided in the X-ray imaging room and the operation room, respectively.

  The first monitor 1B displays a fluoroscopic image or a captured image obtained by exposing X-rays. As the monitor, a liquid crystal monitor is adopted to reduce the weight.

  The second monitor 1C has a function equivalent to that of the first monitor 1B. Here, an example of two monitors will be described, but one monitor or three or more monitors may be used. The two monitors are used as a perspective image display monitor and a captured image display monitor. This solves the problem that it is difficult to reduce the size of the conventional CRT monitor. In addition, it is possible to meet the need to set the display surface of the monitor at an arbitrary angle according to the movement of the operator. In other words, the liquid crystal monitor (LCD) is used to reduce the depth and weight of the conventional cathode ray tube monitor (CRT), thereby reducing the size of the legs that support the equipment. be able to.

  In addition, if the LCD monitor and the support attached to the LCD monitor can be set at an arbitrary angle and the top of the LCD monitor can be moved up and down, the operator ( It can be placed at a position that is easy to see from the surgeon.

  This miniaturization enables integration of the proximity console, the fluoroscopic monitor, the photographing monitor, and the image processing device (DR), which have been conventionally separated, and the installation area can be reduced.

Next, an example in which a mounting table or a work table is stacked on the proximity console in FIG. 1 will be described with reference to FIG. FIG. 2 is a partially enlarged view seen from the second monitor 1C side in FIG. 1, and shows a keyboard mounting base 15 on which a keyboard 21 is mounted. This drawing is performed by sliding the linear bearing 23 along the rail 22. Further, a measure such as a pawl is taken at the left end of the rail 22 so that the keyboard mounting base 15 is not pulled out and pulled out.
Further, the workbench 17 can be pulled out by a similar technique, and safety measures such as fall prevention are taken.

FIG. 3 shows a usage example of the work tables 17 to be stacked. The work table 17 includes a drawer handle 31 and a plate portion 32 to which the handle 31 is attached.
The handle 31 is for taking out the plate portion 32 that also serves as a decorative portion. The plate portion 32 can be filled in with various operations such as a chart 33.

  FIG. 4 shows the internal structure of the operation device mounting base 16 to be stacked. Here, since the X-ray imaging switch 18, the microphone 19, and the microphone switch 1A are out of the exterior, the internal structure with the exterior removed will be described. Inside the operation device mounting base 16, a modem 41 and monitor fixing portions 42 to 49 are provided.

  The modem 41 transmits an input from an operation unit including the keyboard 21 to a personal computer provided outside the apparatus or a controller of the DR apparatus via a cable or wirelessly. With this modem 41, a personal computer or the like can be externally attached, and the weight can be reduced only by the weight of the device. The monitor fixing parts 42 to 45 fix the leg part of the fourth monitor 1B with screws or the like. Similarly, the monitor fixing portions 46 to 49 fix the leg portions of the second monitor 1C with screws or the like.

  FIG. 5 shows a mounting structure of the keyboard mounting base 15. The keyboard mounting base 15 has a keyboard 26, and has a mouse mounting base 51 on the right side of the drawing and a mouse 52 on the mouse mounting base 51.

  The mouse mounting base 51 may have a structure that pops out by a known method when the keyboard mounting base 15 is pulled out. The mouse 52 can operate a soft switch displayed on the first monitor 1B or the second monitor 1C.

  FIG. 6 shows an example in which the monitor is mounted and tilted. Since a known attachment angle adjusting mechanism is attached to the liquid crystal monitor, any monitor can be tilted to an arbitrary angle using the mechanism. Here, an example is shown in which only the second monitor 1C is tilted by the operator's hand.

Next, an example of a procedure operation using a proximity console will be described. Here, an example is given for pancreatic duct examination.
The contrast agent is 60% urografin. Use 2 to 4 ml / s for the pancreatic duct and 5 to 15 ml / s for the bile duct in consideration of the outflow of contrast medium to the gallbladder. While advancing the catheter with this amount of contrast agent, a fluoroscopic image near the tip of the catheter is obtained. The lesion is primarily determined from the obtained fluoroscopic image. As shown in FIG. 6, if the second monitor 1C is tilted, the fluoroscopic image can be confirmed while being placed on the fluoroscopic table on which the patient is placed, so that the examination efficiency (throughput) can be improved.

When a pancreatic lesion is suspected, the pancreatic duct wall is collected after pathological analysis of the pancreatic duct and pathological analysis of the pancreatic juice and pancreatic duct tissue is performed.
At the time of contrast, in contrast to pancreatography, when a contrast tube is removed and a captured image is obtained, the contrast agent flows into the duodenum and is not a clear image.

  Endoscopic Sphincterotomy (EST) Endoscopic Sphincterotomy (EST) If the stone is too large to be removed from the farther papilla to remove the common bile duct stone, a high-frequency knife is inserted into the biliary tract using the ERCP procedure. Insert and dissect the active papillary muscle through an electric current. If there is no spontaneous excretion of stones due to incision of the nipple, remove it with a balloon catheter or basket catheter. For larger stones, use a lithotripter to remove the stones. If the work table 17 is pulled out during the treatment, a container for the contrast medium related to the treatment can be placed, and it is not necessary to prepare a separate work table.

  When the above treatment is completed, the work table 17 can be used on the table to write a treatment report or medical record. Also, if the medical chart is digitized, pull out the keyboard mounting base and use the keyboard 21 and mouse 52 for the electronic medical record software running on the personal computer connected to the keyboard 21. input.

  As described above, this is an operation while confirming a fluoroscopic image with the DR device, so that the operator can approach the patient more and the operator can move back and forth between the patient and the device, and more IVR surgery can be performed. Can improve the work efficiency.

The perspective view which shows the structural example of the proximity console of DR apparatus of this invention. FIG. 2 is a diagram showing an example in which a mounting table or a work table is stacked on the proximity console of FIG. The figure which shows the example of the medical chart surface pulled out with the proximity console of FIG. The figure which shows the example of the surface which fixes the indicator with the proximity console of FIG. The figure which shows the example which pulls out a keyboard surface with the proximity console of FIG. The figure which shows the example which rotated the indicator to the desired angle from the state of FIG. 1 with the proximity console of FIG.

Explanation of symbols

  15 Keyboard mount, 16 Controller mount, 17 Worktable, 18 X-ray imaging switch, 1A Microphone switch, 1B First monitor, 1C Second monitor, 21 Keyboard, 52 Mouse

Claims (1)

  Medical image diagnosis provided with a plurality of operating devices connected to the medical image diagnostic device for operating the medical image diagnostic device, and a display for displaying medical images obtained by operating these operating devices In the proximity console of the apparatus, a mounting table on which the plurality of operating devices are mounted, a work table that can perform operations different from the operation on the mounting table, and one of the work table or the mounting table is the other A proximity operation console for a medical image diagnostic apparatus, comprising:

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