WO2003075767A1 - Lit d'examen medical - Google Patents
Lit d'examen medical Download PDFInfo
- Publication number
- WO2003075767A1 WO2003075767A1 PCT/EP2003/050052 EP0350052W WO03075767A1 WO 2003075767 A1 WO2003075767 A1 WO 2003075767A1 EP 0350052 W EP0350052 W EP 0350052W WO 03075767 A1 WO03075767 A1 WO 03075767A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- base
- guide
- bed
- bed according
- pads
- Prior art date
Links
- 238000009206 nuclear medicine Methods 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 4
- 238000006073 displacement reaction Methods 0.000 description 6
- 238000004873 anchoring Methods 0.000 description 3
- 240000007817 Olea europaea Species 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000003325 tomography Methods 0.000 description 2
- 229910000669 Chrome steel Inorganic materials 0.000 description 1
- 240000000528 Ricinus communis Species 0.000 description 1
- 235000004443 Ricinus communis Nutrition 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008094 contradictory effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000005251 gamma ray Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 239000011435 rock Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0487—Motor-assisted positioning
Definitions
- the present invention relates to a medical examination bed, mainly used in a nuclear medicine installation.
- the object of the invention is to facilitate the handling of this bed in order to be able to arrange it more quickly opposite an examination machine, in order to be able to practice examinations of different types, and to reduce the efforts of the manipulators.
- arm machines In the field of nuclear medicine machines, so-called arm machines are known as shown in document EP-A-0 376 807 or document FR-A-2 653 897.
- a machine is presented comprising a base that can move by translation on the ground by sliding on rails.
- the base itself carries a stand rotating around a horizontal axis. This stand itself supports two arms which emerges orthogonally to the rails and parallel to the ground. These two arms carry gamma ray detectors at their ends.
- a patient is placed on a bed, one end of which is cantilevered is engaged in the machine, substantially along the axis of rotation of the stand, between the two arms.
- Such an examination corresponds to the acquisition of tomography images during which the stand occupies various angular positions around the patient's body, the detectors taking for each position in orientation an image in projection of radioactive isotope emissions diffused in the body of this patient, particularly at the location of an organ to be examined.
- the examination bed to occupy positions corresponding to these two types of examination, was anchored in the ground by a pivot and could be oriented by displacement of a guide shaft between two stops .
- the two stops form an angle with the pivot 90 °, conducive to a simple pre-adjustment of the positioning of the bed by fixing the pivots and stops on the floor.
- this bed was designed with a base sliding on a guide (fixedly fixed to the ground between the pivot and one of the two stops) and which can be moved by means of castors, in particular casters with offset axis .
- This well known mechanism has many drawbacks, especially when the ground on which the base rests is not perfectly smooth.
- the rollers engage a few times in the roughness of the ground and block the continuous and gentle movement of the bed.
- the offset of the axis of the rollers sometimes leads to having to force on them when the movement of the bed has to undergo precise reciprocating manipulation before being able to engage the blocking of a stop.
- a main object of the invention is to remedy this problem by proposing a completely different means of moving the bed.
- the bed will preferably be moved on air cushions.
- this solution leads to an additional problem.
- This additional problem is that such a displacement is only possible with an elevation of the base above the ground: the elevation corresponding to the inflation of the air cushion.
- Such an elevation is however contradictory to the notion of rigid guide between two points: the pivot on one side and a stop, or another, on the other.
- the solution to solve this problem amounted to choosing a very precisely controlled elevation, which was within the tolerance limits of the sliding play of the base on the guide. Given the technology of air cushions implemented, such a tolerance is not accessible.
- the solution which consists in raising the guide also has the disadvantage of falling back into the old solutions of positioning the bed: the elevation of the guide causing the setting to lose in the pivot and in the stop and making the work of the operators also delicate than before, when such a pivot did not exist.
- this problem is remedied by then separating, according to a single degree of freedom, the movement of the guide from the movement of the base.
- the movement of the guide always remains a simple pivoting.
- the movement of the base has two components: an elevation and a translation on the ground and along the guide.
- the decoupling aims at the elevation which is made free. For this purpose, a carriage is interposed between the guide and the base.
- the invention therefore relates to a medical examination bed comprising a base provided with a base, a mast erected on the base, an examination table mounted at the top of the mast, a guide, a pivot mounted at one end of the guide, and pads mounted directly under the base to move the base, the base being mechanically connected to the guide by means of a carriage sliding on the guide, characterized in that the connection of the guide to the base has a parallelogram structure connected to the carriage and the base, and in that the pads are placed next to the carriage.
- FIG. 1 the schematic representation of a nuclear medicine machine usable with the bed of the invention
- FIG. 2 a sectional view of the bed base, the pads by air cushions for moving this base and the parallelogram for differential elevation;
- FIG. 1 shows a nuclear medicine machine usable to implement the examination bed of the invention.
- This nuclear machine comprises a base 1 which can slide on rails 2 and supporting a stand 3 rotating around a horizontal axis 4.
- the stand 3 carries two arms 5 and 6 each supporting a detector such as 7 or 8 and capable of numerous movements .
- the detectors can thus undergo approximation movements 9, rotational movements 10 around the axis 4, orientation movements 11 around an axis perpendicular to the axis 4, or angulation movements 12 at the end of the arms 5 and 6 around an axis parallel to the axis 4.
- the axis 4 is substantially orthogonal to the orientation of the rails 2.
- the medical examination bed of the invention facing the machine 1 - 12, comprises a base provided with a base 13, a mast 14 erected on the base, and an examination table 15 mounted at the top of the mast.
- the examination table 15 supports the body 16 of a patient presented between the facing faces of the two detectors 7 and 8.
- the bed also includes a guide 17 and a pivot 18 mounted at one end of the guide.
- the pivot 18 is firmly anchored in the ground.
- the mast 4 allows one end 19 of the bed to be cantilevered between the two detectors 7 and 8.
- the guide 17 contributes, in common with the weight of the base 13, to prevent the tilting of the bed under the effect of the body weight 16 of the patient present at the end 19 of the overhang.
- the bed also has pads such as 20 mounted under the base.
- the pads 20 make it possible to move the base 13, and therefore the entire bed, in particular by turning around the pivot 18, so that one end 21 of the guide comes to engage in a first stop 22 or a second stop 23.
- the stops 22 and 23 are fixed to the ground by construction and allow simple adjustment of the position of the bed.
- a tomography examination is possible (by rotating the stand 3 around the axis 4), as much when the bed occupies an orientation between the pivot 18 and the stop 23, the displacement of the base 1 on the rails 2 is biased so as to sweep the patient's body with one or both detectors 7 or 8.
- the mast 14 also carries the table 15 in lateral overhang so that the detectors do not come up against this mast during movement.
- FIG. 2 shows in detail the base 13 sliding on the guide 17 by means of a carriage 24.
- the guide 17 can be formed from one or more smooth, very rigid tubes, for example made of chromed steel .
- the carriage 24 will essentially comprise for this sliding one or more ball bushings such as 25 and 26 sliding along the shaft 17.
- the bushings 25 and 26 are moreover firmly connected to a connecting plate 27.
- the connecting plate 27 is presented by its edge.
- This plate can otherwise, and preferably, be replaced by an envelope structure 28, FIG. 3a, which encloses the sockets 25 and 26.
- the envelope structure 28 has a certain height, in an example of the order of ten centimeters.
- the legs upper forces 30 are oriented substantially perpendicular to the shaft 17.
- the lower struts 32 are inclined on the shaft 17.
- two lower struts 32 and 33 form an acute angle between them, of the order of 70 °, the apex 34 of which is anchored in the lower middle part of the casing 28 and the ends of the struts 35 and 36 are fixed to the base 13, perpendicular to the corresponding ends 38 and 39 of the upper struts such as 30.
- This assembly then has a first main effect which is that of authorizing, in FIG. 3a, the elevation E of the base 13 while also authorizing the maintenance in unchanged position of the shaft 17 relative to the ground 40. It will be noted that the displacement in parallelogram causes a slight transverse displacement of the base 13 relative to the shaft 17. However, given the weakness of the elevation (which nevertheless remains limited) this lateral displacement is negligible (less than a tenth of a millimeter).
- a second effect of the production of the struts 30, 32 and 33, which are not all parallel to each other, is to prevent deformation of the holding parallelogram in the event that the casing 28 comes to abut against an end stop. 41 of the guide 17, and where the base would continue to be biased towards this stop.
- the struts 32 and 33 would oppose this deformation.
- FIG. 3b shows a ball joint assembly, with ball joints such as 42 of the ends of the struts 30, 32 or 33 on the casing 28 or on the base 13.
- the base 13 is provided at the anchoring point of a strut of a block 43 in which a cavity 44 is made.
- a strut 30 is provided at its end 38 with an eyelet with a circular profile or spherical 45. Preferably this eyelet is provided, at the contact points, with plastic pads. Inside this circular profile is engaged a hollow olive forming the ball joint 42.
- a stud 46 is engaged, through a lumen 47, in the cavity 44, passing exactly by the diameter 48 of the hollow of the olive 42.
- FIG. 2 also shows pads such as 20 distributed under the base 13, on either side of the shaft 17.
- the pivot 18 is not itself mounted at the end of the shaft 17 but supports a certain offset. We will see later what is the consequence of this deportation.
- the pads such as 20 are distributed equally on either side of the direction connecting the pivot 18 to the stops such as 22. To limit the cost, preferably only three pads such as 20 are made. The tripod they form is sufficient to maintain the stability of the table 19.
- the pads are shown in detail in Figures 4a and 4b. These each comprise a base plate 49 fixed to the base 13.
- the base plate 49 also carries an inflatable circular cushion 50.
- the cushion 50 is shown in a deflated position in FIG. 4a and inflated in FIG. 4b.
- the cushions are supplied with air by a hole 51 communicating with an inflation chamber 52.
- the inflation chamber 52 is connected to an inflation inlet 53 itself connected to a pump not shown. In one example, the inflation is inflation in air.
- the chamber 52 also communicates through an orifice 54 with an interior free space on the pad, present between the base of the pad 50 and the ground 40.
- each shoe will preferably comprise, in addition, an oscillating arm 59 provided with a wheel 60.
- the oscillating arm 59 oscillates around an axis 61.
- the arm 59 is pushed towards the ground by the top of the base 13 and by an interposed spring 62.
- the force capable of being delivered by the spring is, in its deployed position of FIG. 4a, of the order of 100 kg. So that together the three pads can support 300 kg by means of rollers such as 60.
- a pneumatic cylinder 63 powered by a pneumatic circuit 64 makes it possible to push the oscillating arm 59 towards the top of the base 13 and to compress the spring 62 in correspondence, FIG. 4b.
- the hydraulic mechanism of the jack can be replaced by a screw 65 which engages through the top of the base 13 in a nut 66 bearing under the arm 59.
- the offset of the pivot 18 of the end 67 of the guide 17 is produced by fitting roller skates 68 and 69 under a frame 70 which is on the one hand articulated on the pivot 18 and which on the other hand maintains the end of the shaft 17.
- the rollers of the pads 67 and 68 are highly constrained, and cannot cause knocks in the movement of the bed.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Radiology & Medical Imaging (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- High Energy & Nuclear Physics (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2003219155A AU2003219155A1 (en) | 2002-03-11 | 2003-03-10 | Medical examination bed |
EP03714949A EP1492454A1 (fr) | 2002-03-11 | 2003-03-10 | Lit d examen medical |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR0203039 | 2002-03-11 | ||
FR0203039A FR2836814B1 (fr) | 2002-03-11 | 2002-03-11 | Lit d'examen medical |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2003075767A1 true WO2003075767A1 (fr) | 2003-09-18 |
Family
ID=27763717
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2003/050052 WO2003075767A1 (fr) | 2002-03-11 | 2003-03-10 | Lit d'examen medical |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1492454A1 (fr) |
AU (1) | AU2003219155A1 (fr) |
FR (1) | FR2836814B1 (fr) |
WO (1) | WO2003075767A1 (fr) |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0283083A1 (fr) * | 1987-03-16 | 1988-09-21 | Koninklijke Philips Electronics N.V. | Système de support de patient pour radiothérapie |
EP0376807A1 (fr) | 1988-12-26 | 1990-07-04 | Sopha Medical | Table de support patient pour examens sur installations de scintigraphie |
FR2653897A1 (fr) | 1989-11-02 | 1991-05-03 | Informatek Sopha Medical Ste N | Equipement gamma camera a deux tetes detectrices. |
US5014292A (en) * | 1990-01-29 | 1991-05-07 | Siczek Bernard W | Tiltable x-ray table integrated with carriage for x-ray source and receptor |
US5131103A (en) * | 1990-12-18 | 1992-07-21 | Thomas Jimmy W | Integrated back support and bed apparatus and method |
WO1998046137A1 (fr) * | 1997-04-11 | 1998-10-22 | L. Konings Beheer B.V. | Dispositif concu pour le deplacement d'un objet dans un certain sens de deplacement, et table de malade |
DE19835254A1 (de) * | 1998-08-04 | 2000-02-17 | Siemens Ag | Medizinische Einrichtung |
WO2001078603A1 (fr) * | 2000-04-18 | 2001-10-25 | Hitachi Medical Corporation | Dispositif de radiographie |
-
2002
- 2002-03-11 FR FR0203039A patent/FR2836814B1/fr not_active Expired - Fee Related
-
2003
- 2003-03-10 EP EP03714949A patent/EP1492454A1/fr not_active Withdrawn
- 2003-03-10 AU AU2003219155A patent/AU2003219155A1/en not_active Abandoned
- 2003-03-10 WO PCT/EP2003/050052 patent/WO2003075767A1/fr not_active Application Discontinuation
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0283083A1 (fr) * | 1987-03-16 | 1988-09-21 | Koninklijke Philips Electronics N.V. | Système de support de patient pour radiothérapie |
EP0376807A1 (fr) | 1988-12-26 | 1990-07-04 | Sopha Medical | Table de support patient pour examens sur installations de scintigraphie |
FR2653897A1 (fr) | 1989-11-02 | 1991-05-03 | Informatek Sopha Medical Ste N | Equipement gamma camera a deux tetes detectrices. |
US5014292A (en) * | 1990-01-29 | 1991-05-07 | Siczek Bernard W | Tiltable x-ray table integrated with carriage for x-ray source and receptor |
US5131103A (en) * | 1990-12-18 | 1992-07-21 | Thomas Jimmy W | Integrated back support and bed apparatus and method |
WO1998046137A1 (fr) * | 1997-04-11 | 1998-10-22 | L. Konings Beheer B.V. | Dispositif concu pour le deplacement d'un objet dans un certain sens de deplacement, et table de malade |
DE19835254A1 (de) * | 1998-08-04 | 2000-02-17 | Siemens Ag | Medizinische Einrichtung |
WO2001078603A1 (fr) * | 2000-04-18 | 2001-10-25 | Hitachi Medical Corporation | Dispositif de radiographie |
Also Published As
Publication number | Publication date |
---|---|
FR2836814B1 (fr) | 2005-02-04 |
EP1492454A1 (fr) | 2005-01-05 |
AU2003219155A1 (en) | 2003-09-22 |
FR2836814A1 (fr) | 2003-09-12 |
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