JP2006255090A - Medical examination table for performing x-ray photography - Google Patents

Medical examination table for performing x-ray photography Download PDF

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Publication number
JP2006255090A
JP2006255090A JP2005075282A JP2005075282A JP2006255090A JP 2006255090 A JP2006255090 A JP 2006255090A JP 2005075282 A JP2005075282 A JP 2005075282A JP 2005075282 A JP2005075282 A JP 2005075282A JP 2006255090 A JP2006255090 A JP 2006255090A
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Japan
Prior art keywords
top plate
patient
rotating
medical table
plate
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JP2005075282A
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Japanese (ja)
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Kiyoto Obayashi
清人 大林
Masaru Tamura
勝 田村
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OBAYASHI SEISAKUSHO KK
Obayashi Manufacturing Co Ltd
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OBAYASHI SEISAKUSHO KK
Obayashi Manufacturing Co Ltd
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Priority to JP2005075282A priority Critical patent/JP2006255090A/en
Publication of JP2006255090A publication Critical patent/JP2006255090A/en
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Abstract

<P>PROBLEM TO BE SOLVED: To provide an X-ray medical examination table where X-ray photography is carried out by tilting a patient lying supine on a bed to a desired angle without a burden on the patient. <P>SOLUTION: In a medical examination table where a height of a top plate for placing the patient from a floor surface can be changed, one end of the top plate is pivoted rotatably to an upper surface plate moved vertically by a vertical driving means of a pantograph mechanism etc. to make the top plate rotatable with respect to the upper surface plate, and the other end of a top plate driving bar is link-connected to the top plate. Then, by pushing and pulling the top plate driving bar by a rotation mechanism fitted to the upper surface plate, the bar is rotated and the top plate is rotated moreover. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

本発明は、エックス線撮影を行う診療台に関する。   The present invention relates to a medical table that performs X-ray imaging.

エックス線を用いて、患者の患部を撮影してその撮影結果を治療に役立てることは古くから行われている。通常、立設された柱に沿って垂直に取り付けられたブッキーの前に患者を立たせ、その前面からエックス線を患者に浴びせ、体内を貫通したエックス線画像をブッキーの中に収納されたエックス線フィルムに感光させて、患者の患部エックス線画像を得る。この他、患者をベッドの上に仰臥させ、患者の上部から患者にエックス線を浴びせると共に、患者の患部下側に配置したブッキーに患者の患部エックス線像を形成することも行われる。
特開２００４−０３３６４６号公報 It has been practiced for a long time to use X-rays to image the affected area of a patient and use the imaging results for treatment. Normally, a patient stands in front of a bukkake vertically mounted along a standing column, and the patient is exposed to x-rays from the front, and the x-ray image penetrating through the body is exposed to the x-ray film stored in the bukie. Then, an affected part X-ray image of the patient is obtained. In addition, the patient is supine on the bed, and the patient is exposed to X-rays from the upper part of the patient, and an X-ray image of the affected part of the patient is formed on the bucky arranged below the affected part of the patient.
JP 2004-033646 A

患者の中には、疾病の状態が悪く、直立してブッキーの前に立てないような状態の患者もある。また、患者の患部を見極める場合、エックス線画像は、患者が傾斜状態或いは直立状態でのものが要求される場合が起きる。しかしながら、患者を歩かせてブッキーの前に立たせることが不可能であれば、このような要求画像は得られない。
本願発明は、このような従来の不都合を解消しようとするもので、その目的は、ベッドの上に仰臥させた患者を、患者の負担なしで、所望の角度に傾斜させてエックス線撮影を行うことが出来るエックス線診療台を得ることにある。 Some patients are in a state of poor illness and standing upright and not standing in front of Bucky. Further, when determining the affected part of the patient, there are cases where the X-ray image is required when the patient is tilted or upright. However, if it is impossible for the patient to walk and stand in front of Bucky, such a request image cannot be obtained.
The present invention is intended to eliminate such a conventional inconvenience, and its purpose is to perform X-ray imaging by tilting a patient lying on a bed to a desired angle without burdening the patient. Is to obtain an X-ray medical table.

本願の請求項１に記載の発明は、患者を載置する天板の床面からの高さを変更できる診療台において、上下駆動手段により上下動される上面板の一端に回転自在に天板を取り付けると共に、上面板に一方端が枢支された天板駆動棒の他方端を天板に枢支し、上面板に取り付けられた駆動源により天板駆動棒を回転させて天板を回転させる回転機構を設けたことを特徴とするエックス線撮影を行う診療台を提供する。
本願の請求項２に記載の発明は、請求項１に記載の発明に加えて、上記上下駆動手段はパンタグラフ機構であることを特徴とするエックス線撮影を行う診療台を提供する。
本願の請求項３に記載の発明は、請求項１に記載の発明に加えて、上記天板を回転させる回転機構において、天板駆動棒の長さは、天板の縦長方向の長さより短いことを特徴とするエックス線撮影を行う診療台を提供する。
本願の請求項４に記載の発明は、請求項１に記載の発明に加えて、上記天板を回転させる回転機構において、駆動源が天板駆動棒を回転させる支点は、天板駆動棒の両先端の間であることを特徴とするエックス線撮影を行う診療台を提供する。
本願の請求項５に記載の発明は、請求項１に記載の発明に加えて、上記天板を回転させる回転機構を天板の両側に設けたことを特徴とするエックス線撮影を行う診療台を提供する。 The invention according to claim 1 of the present application is a medical table capable of changing the height of the top plate on which the patient is placed from the floor surface. The top plate can be freely rotated at one end of the top plate moved up and down by the vertical drive means. The top plate drive rod whose one end is pivotally supported on the top plate is pivotally supported on the top plate, and the top plate is rotated by the drive source attached to the top plate to rotate the top plate. Provided is a medical table for performing X-ray imaging characterized by providing a rotating mechanism.
The invention described in claim 2 of the present application provides a medical table for performing X-ray imaging, in addition to the invention described in claim 1, wherein the vertical drive means is a pantograph mechanism.
According to a third aspect of the present invention, in addition to the first aspect, in the rotating mechanism for rotating the top plate, the length of the top plate driving rod is shorter than the length of the top plate in the longitudinal direction. We provide a medical table that performs X-ray imaging.
According to a fourth aspect of the present invention, in addition to the first aspect of the present invention, in the rotating mechanism for rotating the top plate, the fulcrum for the driving source to rotate the top plate driving rod is the top plate driving rod. A medical table for performing X-ray imaging characterized by being between both ends is provided.
According to a fifth aspect of the present invention, in addition to the first aspect of the present invention, there is provided a medical table for performing X-ray imaging, characterized in that a rotation mechanism for rotating the top plate is provided on both sides of the top plate. provide.

本発明は、上下駆動手段により上下動される上面板の一端に回転自在に天板を取り付けると共に、上面板に一方端が枢支された天板駆動棒の他方端を天板に枢支し、上面板に取り付けられた駆動源により天板駆動棒を回転させて天板を回転させる回転機構を設けたので、天板を直接駆動源で回転させるものと比べて、各々のリンクを構成する部材の長さを短くすることができ、診療台全体をコンパクト化することが出来る。   In the present invention, a top plate is rotatably attached to one end of a top plate that is moved up and down by a vertical drive means, and the other end of a top plate drive rod whose one end is pivotally supported on the top plate is pivotally supported on the top plate. Since a rotation mechanism for rotating the top plate by rotating the top plate drive rod by a drive source attached to the upper surface plate is provided, each link is configured as compared with the one in which the top plate is directly rotated by the drive source. The length of the member can be shortened, and the entire medical table can be made compact.

パンタグラフ機構等の上下駆動手段により上下動する上面板に天板の一端を回転自在に枢支して天板を上面板に対して回転できるようにすると共に上面板に、天板駆動棒の一端を枢支してこれを上面板に対して回転できるように構成し、天板駆動棒の他方端を天板にリンク結合する。そして、上面板に取り付けられた回転機構で天板駆動棒を押し引きすることによって、これを回転せしめ、更に天板を回転せしめる。   One end of the top plate is pivotally supported on the top plate that moves up and down by a vertical drive means such as a pantograph mechanism so that the top plate can be rotated with respect to the top plate, and one end of the top plate drive rod is provided on the top plate. And the other end of the top plate driving rod is linked to the top plate. Then, the top plate driving rod is pushed and pulled by a rotation mechanism attached to the upper surface plate, thereby rotating the top plate driving rod and further rotating the top plate.

次に本発明の一実施例を図を用いて詳細に説明する。なお、説明の煩雑を避けるため、これらの図には、エックス線撮影装置を除いてある。
図１は、本発明にかかるエックス線診療台を図式的に表した正面図である。図において、１は床面２上に置かれた診療台基板である。該診療台基板１は、アジャスター３により床面２に対する水平面方向を調整できる。診療台基板１の上面には、パンタグラフ機構４が形成されている。パンタグラフ機構４は、上面板５を上下動させる機構で、腕木６と７がエックス字状に組み合わされて、枢支点Ｐで枢支される。腕木６の一方端は診療台基板１にヒンジ８により、回転自在に枢支されている。腕木７の一方端には車輪が取り付けられ、この車輪はレール９に嵌め込まれて診療台基板１上を水平方向に移動できる。腕木６の他方端には車輪が取り付けられ、この車輪は上面板５の裏面側に設けられたレール１０に嵌め込まれて、上面板５の下面を水平方向に移動できる。腕木７の他方端は、上面板５の下面側にヒンジ１１により枢支される。このように構成された腕木６，７は、診療台基板１の両側に２組配置され、それらの枢支点Ｐは、図に示されない結合棒で連結され、その中央から上に延びる駆動棒１２の先端と、診療台基板１との間には、駆動機構１３が取り付けられる。この駆動機構１３は、モータ１４を回転させることにより、駆動機構の長さを長くしたり、また短くしたりすることが出来る。そして、この駆動機構１３を駆動することにより、パンタグラフ機構４を折り畳んだり伸張したりして、上面板５を上下動させる。 Next, an embodiment of the present invention will be described in detail with reference to the drawings. In order to avoid complicated explanation, these drawings exclude the X-ray imaging apparatus.
FIG. 1 is a front view schematically showing an X-ray medical table according to the present invention. In the figure, reference numeral 1 denotes a medical table substrate placed on the floor surface 2. The medical table substrate 1 can adjust the horizontal plane direction with respect to the floor surface 2 by an adjuster 3. A pantograph mechanism 4 is formed on the upper surface of the medical table substrate 1. The pantograph mechanism 4 is a mechanism for moving the upper surface plate 5 up and down, and the arms 6 and 7 are combined in an X shape and are pivotally supported at a pivot point P. One end of the arm 6 is pivotally supported on the medical table base plate 1 by a hinge 8 so as to be rotatable. A wheel is attached to one end of the arm 7, and this wheel is fitted into the rail 9 and can move in the horizontal direction on the examination table board 1. A wheel is attached to the other end of the brace 6, and this wheel is fitted into a rail 10 provided on the back surface side of the upper surface plate 5, so that the lower surface of the upper surface plate 5 can be moved in the horizontal direction. The other end of the arm 7 is pivotally supported by a hinge 11 on the lower surface side of the upper surface plate 5. Two sets of arms 6, 7 configured in this way are arranged on both sides of the examination table substrate 1, and their pivot points P are connected by a connecting rod not shown in the figure, and a driving rod 12 extending upward from the center thereof. A driving mechanism 13 is attached between the distal end of the medical device and the examination table substrate 1. The drive mechanism 13 can increase or decrease the length of the drive mechanism by rotating the motor 14. Then, by driving the drive mechanism 13, the pantograph mechanism 4 is folded or extended to move the upper surface plate 5 up and down.

上面板５の左端には大型のヒンジ１４がその両端に設けられ、このヒンジ１５には、天板１６が回転自在に取り付けられている。天板１６上には、患者１７を仰臥させることが出来、天板１６が図１矢印方向に回転した時、フットレスト１８が患者の滑落を防止する。天板１６は、回転機構１９により回転されるが、次にこの回転機構１９の構成について述べる。
上面板５の左下面側には、支え板２０が設けられる。この支え板２０には、可成りの負荷がかかるので、極めて頑丈な鉄板で構成される。支え板２０の一方端には、ヒンジ２１が取り付けられ、このヒンジ２１には、天板駆動棒２２が回転自在に延びており、その他方端は天板１６の中央付近まで延びている。その先端は、短いリンク棒２３を介して、天板１６下面のヒンジ２４に連結している。天板駆動棒２２の中ほどには、リンク棒２５が固定されており、その先端と支え板２０の他方端との間には、駆動源２６が介在する。駆動源２６はモータ２７を含み、モータ２７を回転させることにより、駆動源２６の長さを長くしたり、また短くしたりすることが出来る。 Large hinges 14 are provided at both ends at the left end of the top plate 5, and a top plate 16 is rotatably attached to the hinges 15. The patient 17 can be laid on the top plate 16, and when the top plate 16 rotates in the direction of the arrow in FIG. 1, the footrest 18 prevents the patient from sliding down. The top plate 16 is rotated by the rotation mechanism 19. Next, the configuration of the rotation mechanism 19 will be described.
A support plate 20 is provided on the left lower surface side of the upper surface plate 5. Since a considerable load is applied to the support plate 20, the support plate 20 is made of an extremely strong iron plate. A hinge 21 is attached to one end of the support plate 20, and a top plate driving rod 22 extends rotatably on the hinge 21, and the other end extends to the vicinity of the center of the top plate 16. The tip is connected to a hinge 24 on the bottom surface of the top plate 16 via a short link bar 23. A link rod 25 is fixed in the middle of the top plate drive rod 22, and a drive source 26 is interposed between the tip thereof and the other end of the support plate 20. The drive source 26 includes a motor 27. By rotating the motor 27, the length of the drive source 26 can be increased or decreased.

次に、本発明の動作について説明する。
図２は、天板１６を水平に倒した状態を示す。図２に示す状態から、パンタグラフ機構４を動作させて、天板１６を最下段まで降下させた状態で、患者１７を天板１６上に仰臥させる。再びパンタグラフ機構４を動作させて、天板１６を適当な高さまで上昇させた後、駆動源２６を動作させる。この動作は、モータ２７の駆動から始まる。モータ２７を回転させて駆動源２６の長さを短くすると、これが天板駆動棒２２は、ヒンジ２１を中心として、反時計方向に回転する。結果、天板駆動棒２２は、リンク棒２３を介して天板１６を突き上げる。すると、天板１６もヒンジ１５を中心として反時計方向に回転する。この状態を継続すれば、駆動源２６のモータ２７は回転を続け、駆動源２６が更に短くなると、天板１６は更に反時計方向に回転し、図１の状態に達した後、天板１６は図３に示すように、垂直に立ち上がる。この状態に至ると、天板１６は、図に示していないドグを踏み、モータ２７の回転を止めて天板にブレーキを掛けてロックする。 Next, the operation of the present invention will be described.
FIG. 2 shows a state in which the top plate 16 is tilted horizontally. From the state shown in FIG. 2, the pantograph mechanism 4 is operated, and the patient 17 is placed on the top plate 16 with the top plate 16 lowered to the lowest level. The pantograph mechanism 4 is operated again to raise the top plate 16 to an appropriate height, and then the drive source 26 is operated. This operation starts from driving of the motor 27. When the motor 27 is rotated to shorten the length of the drive source 26, the top plate drive rod 22 rotates counterclockwise around the hinge 21. As a result, the top plate driving rod 22 pushes up the top plate 16 via the link rod 23. Then, the top plate 16 also rotates counterclockwise about the hinge 15. If this state continues, the motor 27 of the drive source 26 continues to rotate, and when the drive source 26 becomes shorter, the top plate 16 further rotates counterclockwise, and after reaching the state of FIG. Rises vertically as shown in FIG. When this state is reached, the top plate 16 steps on a dog (not shown), stops the rotation of the motor 27, and brakes and locks the top plate.

上記の状態から、ブレーキロックを外し、モータ２７を逆回転して駆動源２６を長くしてゆくと、天板１６は、図３の状態から図１の状態を経由して図２の状態になる。なお、患者を所望の角度に止め置きたい時は、モータの回転２７を止めて天板１６の動きをロックする。
また、上記の実施例では、回転機構１９を天板１９の一側面に一組設けているが、回転バランスが悪い場合には、回転機構１９を天板の両側面に２組設けても良い。更に、従来のように、天板１６の内側にエックス線フィルムを収納したブッキーを装着することも出来る。
以上、本発明を上述の実施の形態により説明したが、本発明の主旨の範囲内で種々の変形や応用が可能であり、これらの変形や応用を本発明の範囲から排除するものではない。 If the brake lock is removed from the above state and the motor 27 is reversely rotated to lengthen the drive source 26, the top 16 changes from the state of FIG. 3 to the state of FIG. 2 through the state of FIG. Become. When it is desired to keep the patient at a desired angle, the rotation 27 of the motor is stopped and the movement of the top plate 16 is locked.
In the above-described embodiment, one set of the rotation mechanism 19 is provided on one side surface of the top plate 19. However, when the rotation balance is poor, two sets of rotation mechanisms 19 may be provided on both side surfaces of the top plate. . Further, as in the prior art, a bucky containing an X-ray film can be mounted inside the top plate 16.
As mentioned above, although this invention was demonstrated by the above-mentioned embodiment, various deformation | transformation and application are possible within the range of the main point of this invention, and these deformation | transformation and application are not excluded from the scope of the present invention.

本発明をエックス線撮影を行う診療台に適用した実施例を示したが、このような適用の外、一般の病院の入院用ベット、肢体不自由な高齢者の介護ベット等に適用できる。   Although the embodiment in which the present invention is applied to a medical table for performing X-ray imaging has been shown, the present invention can be applied to a hospital bed for general hospitals, a care bed for elderly people with physical disabilities, and the like.

図１は、本発明のエックス線撮影を行う診療台の正面図である。FIG. 1 is a front view of a medical table for performing X-ray imaging according to the present invention. 図２は、天板の最下段位置を示す正面図である。FIG. 2 is a front view showing the lowermost position of the top board. 図３は、天板が垂直に立ち上がった状態を示す正面図である。FIG. 3 is a front view showing a state in which the top board stands vertically.

符号の説明Explanation of symbols

１・・・診療台基板
２・・・床面
３・・・アジャスター
４・・・パンタグラフ機構
５・・・上面板
６・・・腕木
７・・・腕木
８・・・ヒンジ
９・・・レール
１０・・・レール
１１・・・ヒンジ
１２・・・駆動棒
１３・・・駆動機構
１４・・・モータ
１５・・・ヒンジ
１６・・・天板
１７・・・患者
１８・・・フットレスト
１９・・・回転機構
２０・・・支え板
２１・・・ヒンジ
２２・・・天板駆動棒
２３・・・リンク棒
２４・・・ヒンジ
２５・・・リンク棒
２６・・・駆動源
２７・・・モータ DESCRIPTION OF SYMBOLS 1 ... Medical stand board | substrate 2 ... Floor surface 3 ... Adjuster 4 ... Pantograph mechanism 5 ... Top plate 6 ... Arms 7 ... Arms 8 ... Hinge 9 ... Rail DESCRIPTION OF SYMBOLS 10 ... Rail 11 ... Hinge 12 ... Drive rod 13 ... Drive mechanism 14 ... Motor 15 ... Hinge 16 ... Top plate 17 ... Patient 18 ... Footrest 19. ..Rotation mechanism 20 ... support plate 21 ... hinge 22 ... top plate drive rod 23 ... link rod 24 ... hinge 25 ... link rod 26 ... drive source 27 ... motor

Claims (5)

患者を載置する天板の床面からの高さを変更できる診療台において、上下駆動手段により上下動される上面板の一端に回転自在に天板を取り付けると共に、上面板に一方端が枢支された天板駆動棒の他方端を天板に枢支し、上面板に取り付けられた駆動源により天板駆動棒を回転させて天板を回転させる回転機構を設けたことを特徴とするエックス線撮影を行う診療台。 In a medical table where the height of the top plate on which the patient is placed can be changed from the floor surface, the top plate is rotatably attached to one end of the top plate moved up and down by the vertical drive means, and one end pivots on the top plate. A rotating mechanism is provided in which the other end of the supported top plate driving rod is pivotally supported by the top plate and the top plate is rotated by a driving source attached to the top plate to rotate the top plate. A medical table that performs X-ray photography. 上記上下駆動手段はパンタグラフ機構であることを特徴とする請求項１に記載のエックス線撮影を行う診療台。 The medical table for performing X-ray imaging according to claim 1, wherein the vertical driving means is a pantograph mechanism. 上記天板を回転させる回転機構において、天板駆動棒の長さは、天板の縦長方向の長さより短いことを特徴とする請求項１に記載のエックス線撮影を行う診療台。 2. The medical table for performing X-ray imaging according to claim 1, wherein in the rotating mechanism for rotating the top plate, the length of the top plate driving rod is shorter than the length of the top plate in the longitudinal direction. 上記天板を回転させる回転機構において、駆動源が天板駆動棒を回転させる支点は、天板駆動棒の両先端の間であることを特徴とする請求項１に記載のエックス線撮影を行う診療台。 2. The medical treatment for performing X-ray imaging according to claim 1, wherein, in the rotating mechanism for rotating the top plate, a fulcrum for the drive source to rotate the top plate driving rod is between both ends of the top plate driving rod. Stand. 上記天板を回転させる回転機構を天板の両側に設けたことを特徴とする請求項１に記載のエックス線撮影を行う診療台。 The medical table for performing X-ray imaging according to claim 1, wherein a rotation mechanism for rotating the top plate is provided on both sides of the top plate.
JP2005075282A 2005-03-16 2005-03-16 Medical examination table for performing x-ray photography Pending JP2006255090A (en)

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103356227A (en) * 2012-03-26 2013-10-23 深圳迈瑞生物医疗电子股份有限公司 Patient lifter
CN103735283A (en) * 2013-12-31 2014-04-23 深圳市慧康精密仪器有限公司 Urodynamics image detection body position adjusting device
KR101429060B1 (en) * 2012-11-08 2014-08-12 삼성메디슨 주식회사 Height adjusting device and ultrasonic diagnostic apparatus
WO2014171647A1 (en) * 2013-04-19 2014-10-23 주식회사 리스템 X-ray photography device capable of photographing in various photography modes
KR101611682B1 (en) 2013-04-19 2016-04-15 주식회사 리스템 X-ray imaging apparatus capable of shooting multi photographing modes
WO2018044774A1 (en) * 2016-08-29 2018-03-08 Russell Stanton Table system for medical imaging
CN108744316A (en) * 2018-06-27 2018-11-06 上海联影医疗科技有限公司 A kind of patient support device, multiple degrees of freedom patient support device and radiotherapy apparatus
CN109171785A (en) * 2018-08-03 2019-01-11 浙江昆捷医疗科技有限公司 Intelligent CT examination device

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103356227A (en) * 2012-03-26 2013-10-23 深圳迈瑞生物医疗电子股份有限公司 Patient lifter
KR101429060B1 (en) * 2012-11-08 2014-08-12 삼성메디슨 주식회사 Height adjusting device and ultrasonic diagnostic apparatus
WO2014171647A1 (en) * 2013-04-19 2014-10-23 주식회사 리스템 X-ray photography device capable of photographing in various photography modes
KR101611682B1 (en) 2013-04-19 2016-04-15 주식회사 리스템 X-ray imaging apparatus capable of shooting multi photographing modes
US10070834B2 (en) 2013-04-19 2018-09-11 Listem Corporation X-ray photography device capable of photographing in various photography modes
CN103735283A (en) * 2013-12-31 2014-04-23 深圳市慧康精密仪器有限公司 Urodynamics image detection body position adjusting device
WO2018044774A1 (en) * 2016-08-29 2018-03-08 Russell Stanton Table system for medical imaging
US10980692B2 (en) 2016-08-29 2021-04-20 Mobius Imaging, Llc Table system for medical imaging
US11857466B2 (en) 2016-08-29 2024-01-02 Mobius Imaging, Llc Table system for medical imaging
CN108744316A (en) * 2018-06-27 2018-11-06 上海联影医疗科技有限公司 A kind of patient support device, multiple degrees of freedom patient support device and radiotherapy apparatus
CN109171785A (en) * 2018-08-03 2019-01-11 浙江昆捷医疗科技有限公司 Intelligent CT examination device

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