WO2006003143A1 - Vorrichtung zum platzieren eines patienten - Google Patents
Vorrichtung zum platzieren eines patienten Download PDFInfo
- Publication number
- WO2006003143A1 WO2006003143A1 PCT/EP2005/053020 EP2005053020W WO2006003143A1 WO 2006003143 A1 WO2006003143 A1 WO 2006003143A1 EP 2005053020 W EP2005053020 W EP 2005053020W WO 2006003143 A1 WO2006003143 A1 WO 2006003143A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- patient
- seat
- seat shell
- adjustable
- support
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1048—Monitoring, verifying, controlling systems and methods
- A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G15/00—Operating chairs; Dental chairs; Accessories specially adapted therefor, e.g. work stands
- A61G15/02—Chairs with means to adjust position of patient; Controls therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G15/00—Operating chairs; Dental chairs; Accessories specially adapted therefor, e.g. work stands
- A61G15/10—Parts, details or accessories
- A61G15/12—Rests specially adapted therefor, e.g. for the head or feet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N2005/1092—Details
- A61N2005/1097—Means for immobilizing the patient
Definitions
- the invention relates to a device for placing a patient in a sitting position, in particular for treatment treatments, with a patient chair mechanically coupled to a motor-driven adjustment unit.
- a device for example from DE 100 25 913 Al.
- the device known from DE 100 25 913 A1 is provided for placing a patient with a tumor in the head and neck area.
- the device comprises a patient chair, the backrest of which is mechanically coupled to a self-supporting platform via a plurality of drive units.
- the Patien ⁇ tenstuhl can be rotated in total about different axes or translationally shifted.
- the patient chair In order nevertheless to achieve a high positional accuracy, the patient chair must be made of steel or other materials with high rigidity.
- the device is intended exclusively for patients with a tumor in the head and neck area.
- the invention has for its object to provide a device for placing a patient in a sedentary posture, in particular for radiation treatments, which offers extended use possibilities with a structurally simple construction.
- This object is achieved by a Vorrich ⁇ device with the features of claim 1.
- This device has a chair as an interchangeable seat.
- the interchangeability relates to the reversible connection of the seat shell with a motor-operated adjusting unit.
- the seat surface of the seat shell can be mechanically coupled to the adjustment unit.
- niche coupling of the backrest of the seat to the adjusting unit is not provided. Rather, the backrest is designed such that it can be irradiated during the irradiation of the patient.
- the device is not only suitable for irradiation of a patient in the head and neck area, but for irradiation into the pelvic region.
- the seat shell is made of materials which little weaken the radiation used for the treatment and / or examination, for example photon, electron or particle radiation, in particular carbon ion or proton radiation, and are of little artifact formation.
- the seat shell is preferably designed such that the patient can partially or completely immobilized in it.
- the seat shell has adjustable Stauerele ⁇ elements and / or fastening devices for separate Stütze ⁇ elements.
- Adjustable support elements integrated into the seat shell are, in particular, a footrest, armrests and a headrest.
- additional support elements which can be fastened to the seat shell facial masks, abdominal masks and body masks are particularly suitable.
- a stereotactic frame can be used for the head of the abdomen.
- the seat shell including the various immobilization holders, inclination and displacement elements, preferably has no electric drive.
- the device is particularly suitable to the patient outside of the irradiation room to be positioned on the seat pan.
- the placed and optionally immobilized patient can be brought into the irradiation room by means of a transport system. From this transport system, it is then taken over by a motorized drive system and positioned in the center of the irradiation device.
- the preparation of the patient for irradiation outside the treatment space facilitates placement in anatomically correct posture, which in turn facilitates the influence of the respiratory system. Movements on the organs of the abdomen significantly reduced.
- the device does not require an extremely expensive proton or ion gantry, as it is known from DE 199 04 675 A1, for example, without reducing the quality of the irradiation.
- a further advantage of the device achieved by the separation of the seat shell and the adjustment unit is that it is possible in a simple manner to verify the immobilized patient on the seat shell located outside the irradiation space. For examining the patient, a vertical computed tomography scan or other imaging methods, for example an ultrasound examination, are suitable for this purpose, for example.
- the seat shell is designed such that the patient can be placed on this with the chest facing the back.
- the seat shell is designed such that the patient can be placed on this with the chest facing the back.
- a particular advantage of the invention resides in the fact that the irradiation device can not be blocked during preparation of the patient due to the simple uncoupling of the passable Weg ⁇ shell of the motorized adjustment, so that a very high degree of utilization of the irradiation device can be achieved.
- FIG. 1 shows a device for an irradiation treatment with a patient placed in a seat shell
- FIG. 2 shows the seat shell as part of the device according to FIG. 1,
- FIG. 1 shows a device for an irradiation treatment with a patient placed in a seat shell
- FIG. 2 shows the seat shell as part of the device according to FIG. 1,
- FIG. 1 shows a device for an irradiation treatment with a patient placed in a seat shell
- FIG. 2 shows the seat shell as part of the device according to FIG. 1
- FIG. 5 shows the seat shell according to FIG. 3 with the footrest changed
- FIG. 6 shows a seat shale with an additional handle
- FIG. 7 a seat shell with a displaced backrest for the back irradiation of a patient
- FIG. 8 shows a seat shell for backward irradiation in an convinced sitting position
- FIG. 9 a - cc shows a seat shell in different phases of the preparation of an irradiation treatment.
- FIG. 1 shows a device 1 for placing a patient 2 for an irradiation treatment or examination, which is formed from a motor-operated adjustment unit 3 and a seat shell 4 held on it as a patient chair.
- the seat shell 4 which is shown isolated in FIG. 2 with the patient 2, can be easily entrained by means of a closure 5, for example a snap closure the adjustment unit 3 connectable.
- the seat shell 4 is made of low-radiation-absorbing and low-artifact-forming materials such as wood and / or plastic and / or carbon fiber-containing materials and has a seat surface 6, a backrest 7, footrests 8, armrests 9 and a headrest 10 / wherein the three latter supports 8, 9, 10 are manually adjustable.
- an adjustment of the backrest 7 is not provided relative to the seat surface 6 in the illustrated embodiment. This adjustment takes place, for example, with the aid of a drive unit. This allows a lightweight, yet stable construction of the seat shell. 4
- the closure 5 connects the seat surface 6 of the seat shell 4 to a base 11 of the adjustment unit 3 that can be adjusted in all axes, which can in particular also be designed as a robot (see Fig. 9c), while the backrest 7 is not directly connected to the adjustment unit 3 coupled, but only via the seat 6 is connected thereto.
- the thus freely in space standing, substantially radiation-permeablethe ⁇ rest 7 allows an irradiation treatment of the patient 2 not only in the head and neck area, but also in the abdomen and pelvic area.
- radiation which acts on the patient 2 essentially in the horizontal radiation direction S electromagnetic radiation, photon radiation or particle radiation, for example proton or ion radiation, can be provided.
- the patient 2 is immobilized in a manner not shown on the seat pan 4.
- Masks or frames including stereotactic frames, vacuum cushions, belts, foam cushions, chin or shoulder supports, or combinations of said elements, which can be fastened to the seat shell 4, are preferably used for this purpose.
- the placement of the patient 2 on the schaleitzschale 4 including the immobilization is vorzugs ⁇ carried out before the seat 4 is placed on the Verstell ⁇ unit 3.
- mechanical aids can be used for the transport of the seat shell 4 for adjusting 3 not shown mechanical aids can be used.
- the adjusting unit 3 has, as indicated by double arrows, various Rotato ⁇ witz and translational adjustment and is displaceable on rollers 12 in total.
- the adjustment unit allows both a displacement of the seat pan 4 in each spatial direction as well as a rotation of the seat pan 4 about the vertical axis and a tilting of the seat pan 4 in one or more directions.
- a displacement of the entire adjustment 3 can be provided on rails. All adjustments of the adjusting unit 3 are preferably by means of hydraulic and / or motori ⁇ schem, especially electric motor drive possible.
- FIGS. 3 to 6 show further embodiments of seat shells 4:
- an adjustable chin rest 15 is fastened to the backrest 7.
- the seat shell 4 according to FIG. 4 has, in addition to the arm support 9, a shoulder support 17 also fastened to the backrest 7.
- the ⁇ itzscha- Ie 4 shown in Fig. 5 substantially corresponds to the embodiment of FIG. 3, but has a 16 made possible by a joint shallower adjustment of the footrest 8, through which the patient 2 is particularly low positionable if necessary.
- the seat shell 4 according to FIG. 6 has, in addition to the shoulder support 17, a handle 18, which is fastened in an adjustable manner, not shown, to the seat surface 6 or to the backrest 6.
- a seat pan 4 also not shown combinations of visible in Figs. 1 to 6 supporting elements 8, 9, 10, 15, 17, 18 have.
- the patient 2 as shown in Figs. 7 and 8, also placed on the seat pan 4, that the chest of the backrest 7 faces. Also in this position, the patient 2 can be immobilized on the seat pan 4.
- the radiation used for examination and / or treatment can thus be directed directly to the back of the patient 2 in substantially horizontal radiation direction S. 7, the backrest 7 is displaceable relative to the seat surface 6 and, in the illustrated setting, is located approximately centrally on the seat surface 6.
- the patient 2 looks, as in the exemplary embodiments according to FIGS. 1 to 6, to the left, the backrest 7, however, touches the chest. In contrast, the patient looks in the embodiment of FIG.
- the arrangement of the backrest 7 relative to the seat surface 6 in principle corresponds to the arrangement of FIGS. 1 to 6. Notwithstanding the embodiments according to FIGS. 1 to 7, the footrest 8 is not fixed in the front, but in the rear, adjacent to the backrest 7 area on the seat surface 6.
- FIGS. 9a to 9c illustrate different phases of the preparation of an irradiation treatment:
- the seat pan 4 is located outside the irradiation space, where it is mounted on a preferably at least height-adjustable base 13 (FIG. 9a).
- the seat pan 4 together with the patient, not shown here is transported by means of a transport device 14 to the irradiation room (FIG. 9b).
- the schaleitzschale 4 is taken over automatically with the patient sitting on this immobilized by the trained in this example as articulated robot positioning unit 3 and brought into the desired irradiation position (Fig. 9c).
- the articulated robot 3 makes it possible to handle a seat pan 4 in any of the embodiments shown in FIGS. 1 to 8.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2007518602A JP2008504089A (ja) | 2004-07-01 | 2005-06-28 | 患者の位置決め装置 |
US11/630,755 US20070189461A1 (en) | 2004-07-01 | 2005-06-28 | Device for positioning a patient |
EP05756871A EP1761308A1 (de) | 2004-07-01 | 2005-06-28 | Vorrichtung zum platzieren eines patienten |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102004032012A DE102004032012B4 (de) | 2004-07-01 | 2004-07-01 | Vorrichtung zum Platzieren eines Patienten |
DE102004032012.8 | 2004-07-01 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2006003143A1 true WO2006003143A1 (de) | 2006-01-12 |
Family
ID=34971609
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2005/053020 WO2006003143A1 (de) | 2004-07-01 | 2005-06-28 | Vorrichtung zum platzieren eines patienten |
Country Status (5)
Country | Link |
---|---|
US (1) | US20070189461A1 (de) |
EP (1) | EP1761308A1 (de) |
JP (1) | JP2008504089A (de) |
DE (1) | DE102004032012B4 (de) |
WO (1) | WO2006003143A1 (de) |
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US6877812B2 (en) * | 2002-12-06 | 2005-04-12 | Neutral Posture, Inc. | Support for a seating device |
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2004
- 2004-07-01 DE DE102004032012A patent/DE102004032012B4/de not_active Expired - Fee Related
-
2005
- 2005-06-28 EP EP05756871A patent/EP1761308A1/de not_active Withdrawn
- 2005-06-28 WO PCT/EP2005/053020 patent/WO2006003143A1/de not_active Application Discontinuation
- 2005-06-28 US US11/630,755 patent/US20070189461A1/en not_active Abandoned
- 2005-06-28 JP JP2007518602A patent/JP2008504089A/ja not_active Abandoned
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US5001739A (en) * | 1988-06-06 | 1991-03-19 | Fischer William B | Contoured surgical table |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101583333B (zh) * | 2006-11-21 | 2013-10-30 | 普兰梅卡有限公司 | 一体化牙科护理装置 |
US8882500B2 (en) | 2006-11-21 | 2014-11-11 | Planmeca Oy | Integrated dental care apparatus |
WO2018115265A1 (de) * | 2016-12-24 | 2018-06-28 | Bec Gmbh | Sitzvorrichtung für eine patientenpositioniereinrichtung und patientenpositioniereinrichtung mit einer sitzvorrichtung |
GB2573216A (en) * | 2016-12-24 | 2019-10-30 | Bec Gmbh | Seating device for a patient positioning device and patient positioning device with a seating device |
GB2573216B (en) * | 2016-12-24 | 2022-05-25 | Bec Gmbh | Seating device for a patient positioning system and patient positioning system with a seating device |
Also Published As
Publication number | Publication date |
---|---|
EP1761308A1 (de) | 2007-03-14 |
DE102004032012B4 (de) | 2008-09-18 |
JP2008504089A (ja) | 2008-02-14 |
US20070189461A1 (en) | 2007-08-16 |
DE102004032012A1 (de) | 2006-01-26 |
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