JP4799599B2 - Rotating irradiation type particle beam medical device - Google Patents

Description

  The present invention relates to a particle beam medical device used in cancer treatment or the like, and more particularly to a rotation irradiation type particle beam medical device capable of rotating around a patient in a rotatable manner.

In recent years, development and construction of cancer treatment devices using protons and heavy ions have been promoted for radiotherapy devices intended for cancer treatment. As is well known, particle beam therapy using protons, heavy ions, etc. can irradiate the cancer area more intensively than conventional radiotherapy such as X-rays and gamma rays, and does not affect normal cells. Can be treated.
In many cases, a particle beam medical device is provided with a rotating irradiation device (rotating gantry) for irradiating a patient from an arbitrary direction. The rotating gantry is configured to rotate the particle beam irradiation unit 360 degrees to irradiate the patient with a charged particle beam from an arbitrary rotation angle.

  For example, FIG. 4 is a block diagram showing a conventional rotary irradiation apparatus shown in Patent Document 1. In FIG. (A) is side sectional drawing of the principal part, (b) is front sectional drawing of the moving floor part of (a). The rotary irradiation apparatus has one end side supported by the wall 30 of the building, a fixed cylinder 32 provided with a treatment bed 31 inside, a rotary cylinder 34 supporting the particle beam irradiation unit 33, and an inner side of the rotary cylinder 34. The guide rail support cylinder 35 that remains stationary as viewed from the fixed cylinder 32 regardless of the rotation of the rotary cylinder 34, and the particles that are disposed between the fixed cylinder 32 and the guide rail support cylinder 35 and penetrate the upper part thereof It comprises a bendable endless moving floor 36 that moves in the circumferential direction together with the line irradiation unit 33.

The moving floor 36 moves in synchronization with the rotation of the particle beam irradiation unit 33 along the guide rails 32a and 35a provided on the opposing surfaces of the fixed cylinder 32 and the guide rail support cylinder 35, but the lower side is always horizontal. A convenient access floor is formed.
Regardless of the rotation of the rotating drum 34, an electric cylinder 37 is disposed on the upper portion of the fixing drum 32 so as to keep the guide rail support drum 35 stationary when viewed from the fixed drum 32 side, and the locking rod 37a is operated. A locking mechanism is provided that is inserted into and engaged with an engagement hole 35c provided on the guide rail support body 35 side.

  As shown in FIG. 4B, a rotary drum support ring 34a is provided at the end of the rotary drum 34, and the outer peripheral surface of the rotary drum support ring 34a is provided on two frames. The rotary drum 34 is freely rotated by being supported by a support roller 38 and driving the support roller 38 by a drive device (not shown). Note that the other end side of the rotating drum 34 is configured in substantially the same manner.

JP 2001-129103 A (Page 3, FIGS. 1 and 4)

As shown in Patent Document 1, in addition to the particle beam irradiation unit 33, the rotating gantry is equipped with a beam transport device (not shown) that transports a charged particle beam introduced into the rotating gantry, and the inside thereof Since the guide rail support cylinder 35 and the fixed cylinder for accommodating the treatment table are disposed, the entire apparatus has a considerable size and weight (for example, a diameter of the rotating body portion of 5 m and a weight of 150 tons or more). Since the entire load of the rotating gantry is supported by the support roller 38 of the rotating drum support ring 34a, the rotating drum support ring 34a and the support roller 38 are structured and strong enough to support this load and rotate without trouble. It is necessary to have. In particular, since the rotating drum support ring 34a requires higher strength than other parts, it is common from the viewpoint of manufacturing and cost to separate the rotating drum 34 and fix them by bolting.
However, in the case of the bolt tightening structure, due to the huge size and weight as described above, when the rotating gantry is rotated, a squeak noise may be generated even if a slight looseness occurs in the joint due to the bolt tightening. There is a problem that the squeaky sound gives anxiety to the patient and the operator.

  The present invention has been made to solve the above problems, and even when the rotating drum (frame of the present application) side of the rotating gantry and the rotating drum support ring (bearing ring of the present application) are fastened by bolts. An object of the present invention is to provide a rotary irradiation type particle beam medical device in which generation of squeak noise is suppressed.

  The rotational irradiation type particle beam medical device according to the present invention is equipped with an irradiation device for irradiating a particle beam, and rotates around the treatment table together with the irradiation device so as to irradiate the patient on the treatment table with the particle beam. In a rotary irradiation type particle beam medical device having a cylindrical frame, bearing rings provided at both ends of the frame, and a driving device that supports and rotates the bearing rings, the bearing rings are attached to both ends of the frame. The bearing ring has an outer diameter larger than the outer diameter of the flange, and a step portion on which the flange can be fitted is formed on the contact surface side with the flange. The bearing ring and the flange are fixed by bolting, and a plurality of spacers are provided over the entire circumference of the gap formed by the outer peripheral surface of the flange and the inner peripheral surface of the stepped portion. It is one that has been input.

  According to the rotary irradiation type particle beam medical device of the present invention, the flange fixed to both ends of the frame is fitted into the step portion of the bearing ring, and the bearing ring and the flange are fixed by bolting, and the outer peripheral surface of the flange and the step Since a plurality of spacers are inserted over the entire circumference of the gap formed by the inner peripheral surface of the portion, the gap is filled by the spacer, and the bearing ring and the flange can be prevented from shifting in the radial direction. Therefore, it is possible to suppress a squeak noise generated by friction of the joint surface due to the deviation. For this reason, it can prevent giving a sense of anxiety to the patient and operator under treatment.

Embodiment 1 FIG.
Hereinafter, a rotary irradiation type particle beam medical device according to Embodiment 1 of the present invention will be described with reference to the drawings. FIG. 1A is a side cross-sectional view of the entire rotating gantry of the rotary irradiation type particle beam medical device as seen in a direction along the rotating axis of the rotating gantry, and FIG. 1B shows the rotating gantry from a direction perpendicular to the rotating axis. It is the observed front view. 2 is a detailed cross-sectional view of part A in FIG. 1, FIG. 3A is a detailed cross-sectional view of part a in FIG. 2, and FIG. 3B is a detailed cross-sectional view of part b in FIG.

  First, the overall configuration will be described with reference to FIG. The rotating gantry includes a cylindrical frame 1, an incident side bearing ring 4 and an irradiation side bearing ring 5 attached to flanges 2 and 3 fixed to both ends thereof, and an inner diameter side of the irradiation side bearing ring 5. An incident side drive device 7 having a reinforcing ring 6 provided on the surface, a roller 7a and a drive motor 7b for supporting the incident side bearing ring 4, a roller 8a and a brake 8b for supporting the irradiation side bearing ring 5 and the like. The irradiation-side drive device 8, the cable spool 9 that supplies wiring and piping into the rotating gantry that rotates 360 degrees, the beam transport device 10 that transports the charged particle beam introduced into the rotating gantry, and the transported charge And an irradiation device 11 that shapes and irradiates a particle beam according to the irradiation affected area of the patient.

On the other hand, a fixed floor 13 is supported and fixed to the building 12 on the side of the building 12 with respect to the rotating gantry, and a treatment table 14 on which a patient is placed is placed on the rotating gantry so that it can be taken in and out of the frame 1. The fixed part 15 is comprised by the fixed bed 13, the treatment table 14, and the fixed trunk | drum (not shown) etc. which were provided so that they might be covered.

In the frame 1, there is provided a stationary ring 18 that is rotatably supported by a guide ring 16 fixed to the inner surface of the frame 1 via a rolling roller 17 and reversely rotates by the same angle in synchronization with the rotation of the frame 1. It has been. The drive is performed by a drive motor 19 provided on the stationary ring 18. The stationary ring 18 rotates relative to the frame 1, but when viewed from the fixed portion 15, it appears to be always stationary even when the frame 1 rotates.
The stationary ring 18 is provided with an openable and closable movable floor 20 that is substantially the same height as the fixed floor 13 and that opens and closes when the irradiation device 11 passes so as not to hinder the rotation of the irradiation device 11.

Next, details of the joint portion between the frame 1 and the bearing rings 4 and 5, which is a feature of the present invention, will be described with reference to FIGS. 2 and 3. Although FIG. 2 shows the vicinity of the bearing ring 5 on the irradiation side, the incident side is almost the same. The explanation will be made on the irradiation side as a representative, but if there is a difference, explanation will be added as needed.
A flange 3 for attaching the bearing ring 5 is integrally fixed to the irradiation side end of the frame 1 by welding or the like. The material of the frame 1 and the flange 3 is a normal carbon steel plate. The bearing ring 5 uses, for example, a forged steel product with high hardness manufactured by forging, and further has a hardened surface by quenching treatment or the like. The outer diameter is larger than the outer diameter of the flange 3, and a stepped portion 5 a to which the flange 3 can be fitted is formed on the contact surface side with the flange 3. That is, the stepped portion 5 a is a concave portion whose inner diameter is slightly larger than the outer diameter of the flange 3 and whose depth is substantially the same as the thickness of the flange 3. The outer peripheral surface of the bearing ring 5 is a contact surface with the roller 8a of the driving device 8.

The flange 3 is fitted into the stepped portion 5 a, and the bearing ring 5 and the flange 3 are bolted and fixed by bolts and nuts 21. Further, a plurality of spacers 22 are inserted at almost equal intervals over the entire circumference of a gap (see FIG. 3A) formed between the outer peripheral surface 3a of the flange 3 and the inner peripheral surface 5b of the stepped portion 5a. Thus, the bearing ring 5 is firmly fixed to the flange 3.
As the spacer, for example, as shown in FIGS. 2 and 3, the two wedges 22a and 22b are reversed, the inclined surfaces are overlapped with each other, and the overlapping thickness is changed by sliding in the inclined direction and changing the overlap allowance. Is a wedge pair 22 consisting of a pair of wedges. The material should be steel.

In actual assembly, the wedge pair 22 is inserted into the gap, and one wedge 22a is driven and slid from the outside, whereby the stacked thickness is increased, and the gap is filled and firmly fixed. Further, in order to prevent loosening, the wedge 22a and the flange 3 are welded and fixed to each other at the welded portion 23. Either wedge of the pair of wedges 22 may be welded. However, as described above, since the bearing ring 5 is made of a hard material unsuitable for welding, the combination as shown in FIG. The wedge 22a is preferably welded to the flange 3 side.
Note that the wedge pair 22 is inserted between the bolts at almost equal intervals while avoiding the bolt portion over the entire circumference in the circumferential direction of the gap.

When the incident-side bearing ring 4 and the irradiation-side bearing ring 5 are compared, the center of gravity of the rotating gantry is located on the irradiation side from the center, so that the load is greatly applied to the irradiation-side bearing ring 5. Therefore, a reinforcing ring 6 for reinforcing the strength is provided on the bearing ring 5 side on the inner diameter side of the bearing ring 5. The material of the reinforcing ring 6 may be general carbon steel.
The reinforcing ring 6 is bolted and fixed to the flange 3 with bolts and nuts 24, and, like the bearing ring 5, the outer peripheral surface 6 a of the reinforcing ring 6 and the inner peripheral surface 5 c of the bearing ring 5.
A plurality of spacers 22 are inserted in the gap formed between the two (see FIG. 3B). The spacer 22 is a wedge pair 22 in which two wedges 22 a and 22 b are combined in the same manner as that inserted into the gap between the flange 3 and the bearing ring 5. Further, in order to prevent loosening, the wedge 22a and the reinforcing ring 6 are welded and fixed to each other at the welded portion 23.

In FIGS. 2 and 3, as the spacer, two single inclined wedges each having an inclined surface on one surface side of the steel plate are overlapped to form a wedge pair 22, but the wedges having inclined surfaces are stacked on both sides. Also good. Further, instead of using a pair of wedges, a single wedge may be used to drive and insert into a plurality of locations over the entire circumference of the gap. However, in this case, since the contact surface between the wedge and the other party to be driven is close to the line contact, the effect of filling the gap is somewhat weaker than the wedge pair.
Further, although the wedge is fixed by welding, the welding is not necessarily required, and it may be fixed by driving in firmly.
The reinforcing ring 6 may not be provided depending on the size and structure of the rotating gantry. Conversely, the reinforcing ring 6 may be provided on the inner diameter side of the bearing ring 4 on the incident side as necessary.

The operation of the rotary irradiation type particle beam medical device configured as described above and the operation of the bearing ring portion will be described.
First, an overview of the overall operation will be described. The charged particle beam introduced into the rotating gantry is transported to the irradiation device 11 by a beam transport device 10 made of a deflecting electromagnet or a quadrupole electromagnet, and is irradiated after being shaped by the irradiation device 11 in accordance with the shape of the affected area of the patient. The
The patient is fixed on the treatment table 14 and positioned, and a charged particle beam is irradiated to a predetermined irradiated region. Since the treatment table 14 needs to be operated so that the irradiated area of the patient coincides with the isocenter that is the irradiation position, it is usually possible to perform multi-axis positioning operations such as up and down, left and right, front and rear, and rotation.

The rotating gantry rotates the bearing rings 4 and 5 through the rollers 7a and 8a by the driving devices 7 and 8 so that the beam transport device 10 and the irradiation device 11 are rotated together with the frame 1, and 360 degrees with respect to the patient. The beam can be irradiated from any direction, and the beam can be irradiated from various directions while the patient is lying on his back.
At this time, an access floor that is always level is required regardless of the rotation angle of the rotating gantry so that a doctor or radiographer who performs treatment can always work while approaching the patient. Accordingly, the movable floor 20 provided on the lower side of the stationary ring 18 disposed in the frame 1 is slid toward the fixed floor 13 as described above, and is almost the same height as the fixed floor 13. Form an access floor.

Next, the operation of the bearing ring mounting portion will be described.
The total load of the rotating gantry is supported by the rollers 7a and 8a of the driving devices 7 and 8 by the bearing rings 4 and 5 at both ends of the frame 1 and rotates around the rotation axis. The size of the rotating gantry includes, for example, a bearing ring with a diameter of 5 m and a weight exceeding 150 tons. For this reason, the frame and the bearing ring Since it is difficult to manufacture integrally, it is used after being manufactured separately as described above.
Also, since the bearing ring always supports the entire load while in contact with the roller, it needs to be strong enough to withstand that load. In addition, heat treatment is performed. Therefore, since it is unsuitable for welding, a configuration is adopted in which the frame is fixed by bolting via a flange.

Since the outer peripheral surface of the bearing rings 4 and 5 is a contact surface with the rollers 7a and 8a, the surface cannot be used as a bolt surface. Parallel to the direction. For example, if the bolt is a stationary ring having a diameter as described above, about 100 bolts of M36 are used for tightening each side. Even if the bolts are firmly fixed with a large number of bolts as described above, the flanges 2 and 3 of the frame 1 and the bearing rings 4 and 5 are displaced in the radial direction if a slight loosening occurs during rotation. In some cases, friction occurs and a squeak noise is generated on the contact surface. Since the rotating gantry has a structure that easily resonates, even a slight squeak noise resonates inside to produce a large unpleasant sound, giving discomfort to the patient, doctor, and operator who are being treated.

Therefore, as in the present embodiment, by inserting and inserting the wedge pair 22 as a spacer into the gap between the flange and the bearing ring portion, the gap can be filled and the radial displacement can be prevented, and squeak noise is generated. Can be suppressed.
Further, when the reinforcing ring 6 is provided on the inner peripheral side of the bearing ring 5, it is possible to prevent the contact surface between the flange 3 and the reinforcing ring 6 from being displaced in the radial direction by inserting the wedge pair 22 as described above. Generation | occurrence | production of the squeak noise in this part can be suppressed.

  The configuration other than the fixed portion of the flange and the bearing ring or the reinforcing ring is not limited to the configuration shown in FIG. For example, the stationary ring disposed in the frame may be configured such that the rod protrudes and is locked from the fixed body side as shown in FIG. 4 described in the section of the prior art. Further, the moving floor may be one that rotates and moves together with the irradiation device as shown in FIG.

  As described above, according to the rotary irradiation type particle beam medical device of Embodiment 1, the flanges fixed to both ends of the frame are fitted into the stepped portions of the bearing ring, and the bearing ring and the flange are fixed by bolting. Since a plurality of spacers are inserted over the entire circumference of the gap formed by the outer peripheral surface of the flange and the inner peripheral surface of the stepped portion, the gap is filled by the spacer, and the bearing ring and the flange are displaced in the radial direction. Therefore, it is possible to suppress a squeak noise generated by friction of the joint surface due to displacement. For this reason, it can prevent giving a sense of anxiety to the patient and operator under treatment.

  In addition, a reinforcing ring is provided on the inner diameter side of the bearing ring, and the reinforcing ring and the flange are fixed by bolting, and a plurality of gaps are formed over the entire circumference formed by the outer peripheral surface of the reinforcing ring and the inner peripheral surface of the bearing ring. Since the spacers are inserted, even when a reinforcing ring is provided to increase the strength of the rotating ring, the reinforcing ring and the flange can be prevented from shifting in the radial direction. The reinforcing ring portion can also suppress squeak noise caused by displacement.

  In addition, the spacer is a pair of wedges whose thickness can be adjusted by overlapping the inclined surfaces with the two wedges in the opposite direction, sliding the inclined surfaces and changing the overlapping allowance, and inserted into the gap. Since the wedge pair is firmly fixed by surface contact, it can withstand a large radial load and effectively prevent the bearing ring and flange or the reinforcing ring and flange from shifting in the radial direction. Can do.

  Furthermore, since one wedge of the pair of wedges is fixed to the flange or the reinforcing ring by welding, the spacer portion does not loosen even after long-term use.

It is a figure which shows the rotation gantry part of the rotary irradiation type particle beam medical device by Embodiment 1 of this invention, (a) is side sectional drawing seen in the direction along a rotating shaft, (b) is a direction perpendicular | vertical to a rotating shaft It is the front view which observed the rotation gantry from. It is a detailed sectional view of the A section of FIG. FIG. 3 is a partial detailed view of FIG. 2, (a) is a detailed cross-sectional view of part a of FIG. It is a figure which shows the conventional rotation irradiation chamber for particle beam therapy, (a) is side sectional drawing of the principal part, (b) is front sectional drawing of the moving floor part of (a).

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Frame 2, 3 Flange 3a Outer peripheral surface of flange 3, 4, 5 Bearing ring 5a Stepped part 5b Inner peripheral surface of stepped part 5a 5c Inner peripheral surface of bearing ring 5 6 Reinforcement ring 6a Outer peripheral surface of reinforcement ring 6, 7, 8 Drive Device 7a, 8a Roller 7b Drive motor 8b Brake 9 Cable spool 10 Beam transport device 11 Irradiation device 12 Building 13 Fixed floor 14 Treatment table 15 Fixed portion 16 Guide ring 17 Rolling roller 18 Stationary ring 19 Drive motor 20 Moving floor 21, 24 Bolt / Nut 22 Wedge pair (spacer) 22a, 22b Wedge 23 Welded part.

Claims (4)

An irradiation device for irradiating the particle beam, and a cylindrical frame that rotates around the treatment table together with the irradiation device so as to irradiate the patient on the treatment table with the particle beam;
Bearing rings provided at both ends of the frame;
In a rotary irradiation type particle beam medical device having a drive device that supports and rotates the bearing ring,
A flange for attaching the bearing ring is fixed to both ends of the frame,
The bearing ring has an outer diameter larger than the outer diameter of the flange, and a stepped portion is formed on the contact surface side with the flange to which the flange can be fitted.
The flange is fitted into the stepped portion, the bearing ring and the flange are fixed by bolting, and the entire circumference of the gap formed by the outer peripheral surface of the flange and the inner peripheral surface of the stepped portion A rotary irradiation type particle beam medical device, wherein a plurality of spacers are inserted.   The rotation irradiation type particle beam medical device according to claim 1, wherein a reinforcing ring is provided on an inner diameter side of the bearing ring, the reinforcing ring and the flange are fixed by bolting, and an outer peripheral surface of the reinforcing ring. And a plurality of spacers are inserted over the entire circumference of the gap formed by the inner peripheral surface of the bearing ring.   The rotary irradiation type particle beam medical device according to claim 1 or 2, wherein the spacer is configured such that two wedges are reversed and the inclined surfaces are overlapped with each other, and the overlapping margin is changed by sliding in the inclined direction. Rotating irradiation type particle beam medical device characterized by being a pair of wedges with adjustable thickness.   4. The rotary irradiation type particle beam medical device according to claim 3, wherein one wedge of the pair of wedges is fixed to the flange or the reinforcing ring by welding. apparatus.

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