WO2008141447A1 - Support pour patient couché dans le domaine de l'imagerie médicale - Google Patents

Support pour patient couché dans le domaine de l'imagerie médicale Download PDF

Info

Publication number
WO2008141447A1
WO2008141447A1 PCT/CA2008/000963 CA2008000963W WO2008141447A1 WO 2008141447 A1 WO2008141447 A1 WO 2008141447A1 CA 2008000963 W CA2008000963 W CA 2008000963W WO 2008141447 A1 WO2008141447 A1 WO 2008141447A1
Authority
WO
WIPO (PCT)
Prior art keywords
tabletop
superior
stretcher
inferior
patient
Prior art date
Application number
PCT/CA2008/000963
Other languages
English (en)
Inventor
Christopher Alexander Luginbuhl
Cameron Anthony Piron
Josh Richmond
Original Assignee
Sentinelle Medical, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sentinelle Medical, Inc. filed Critical Sentinelle Medical, Inc.
Publication of WO2008141447A1 publication Critical patent/WO2008141447A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/70—Means for positioning the patient in relation to the detecting, measuring or recording means
    • A61B5/704—Tables
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging

Definitions

  • the invention relates to a patient bed, and more particularly to a patient bed for imaging and/or interventional use with a medical imaging system, especially magnetic resonance imaging systems.
  • the present disclosure relates generally to a method and apparatus for imaging selected regions of a patient, especially the lower torso, pelvis and lower body of a supine patient, such as during gynecological and prostate imaging, such as for detecting the presence of malignancies in this region, such as penile cancer, testicular cancer, cervical cancer, pelvic cancer and the like, and particularly to the mechanical apparatus which makes access to the lower torso and lower body possible.
  • Magnetic resonance imaging is useful in assessing the presence, size and location of diseased or damaged tissues in the lower body, such as a prostate tumor, for surgical planning, and for guiding therapeutic and diagnostic procedures such as biopsy, brachytherapy and staging of disease.
  • MR spectroscopy has also proven very useful in assessing metabolic activity in diseased tissue.
  • CT computed tomography imaging
  • PET positron emission tomography
  • C-arm x-ray are also well known in the medical field for similar imaging objectives.
  • Imaging and intervention near the pelvis in particular often requires devices to be introduced into tissues via the rectum, genitals or perineum.
  • Typical patient beds used for imaging have shapes which limit access to patient tissues and do not provide an easy means of attachment for the specialized devices used in image-guided intervention.
  • medical imaging equipment which provides access and line-of-sight to the underside of the lower body and a means of positioning specialized devices for imaging and intervention.
  • the present invention provides a patient support for use with medical imaging and/or intervention.
  • the patient support can have a tabletop and a stretcher, where the patient is supported by the tabletop and the tabletop can be supported by the stretcher.
  • one aspect of the invention provides a patient supporting apparatus for imaging and intervention with a medical imaging system.
  • the tabletop has a superior end coupled to an inferior end by a bridge member.
  • the bridge member has a lesser width than that of the superior and inferior ends of the tabletop so as to define an open area.
  • the stretcher also has a superior end coupled to an inferior end by a bridge member with a lesser width than that of the stretcher ends so as to define an open area.
  • the stretcher is configured to support the tabletop such that in at least one position the open areas of the tabletop and the stretcher are in registration.
  • Another aspect of the invention provides a medical imaging system including such a tabletop and stretcher arrangement. Further, an imager is provided for acquiring data used to generate a multi-dimensional image of an area of interest of a patient.
  • the imager having an access opening in communication with an imaging volume, and the stretcher is configured to transport the tabletop through the access opening and into the imaging volume of the imager.
  • supine In some cases it is advantageous to position the patient on their back (supine) to reduce risk to the patient, minimize tissue motion or for improved access to the area of interest.
  • a procedure used with supine patient positioning relates to prostate imaging and intervention, where MR imaging coils and/or biopsy guidance probes may be inserted in the rectum for these procedures.
  • Use of trans-rectal devices traditionally precludes supine patient positioning.
  • the tabletop and stretcher are specially made to provide physical access to the patient's lower body (including genitals, rectum, legs and pelvis). Additionally, features may be provided in the tabletop and stretcher system which allow the positioning and fixation of such devices as may be used in intervention and imaging procedures such as lights, fluid catchments, biopsy needles, biopsy needle guides, patient positioning restraints, pads and/or guides, MR imaging coils, means of routing cables and electronics, visual alignment marks, fiducial markers, ventilation, patient transfer devices and so forth.
  • the fixation member can be coupled to the tabletop to secure a medical device to the tabletop. In particular, it can mount a guidance plate having an array of openings for receiving the medical device.
  • first and second guidance plates each having an array of openings. At least one of the guidance plate can be moved by an actuator to displace the openings of the first guidance plate with respect to the openings of the second guidance plate, thereby permitting the plates to clamp the device in place.
  • the portion of the tabletop of the present invention corresponding to the portion supporting the lower body has an open field of view such as a gap or a narrowing which affords clearance for the physician's line-of-sight, provides access and permits clearance of devices used in the imaging or interventional procedure.
  • the open area of the tabletop is located inferior of a mid-line extending in the width dimension and bisecting the tabletop between the superior and inferior ends of the tabletop so as to provide access to a pelvic region of the patent.
  • the tabletop's narrowing or gap aligns with a corresponding gap or narrowing in the stretcher which supports the tabletop so that access to tissues is maximized.
  • the width of the bridge members of the tabletop and stretcher are designed to be of significantly lesser width than that of the superior and inferior ends, such that a wide gap or open area are provide for access and clear line-of-site.
  • the bridge member for each of the tabletop and stretcher is less than half the width of one of the superior and inferior ends, preferably even less than that, and of a significant length, such as at least 0.3 meters.
  • the bridge members can extend along an axis offset from the long centerline extending between the ends so as not to interfere with viewing or placing instruments at the patient's line of symmetry.
  • Each bridge section can be one or more members that are permanently attached between the ends, or they can be movable or removable relative thereto.
  • the bridges can be straight sections lying in the plane of the ends or straight or actuate surfaces extending outside of the plane of one or more of the ends, such as being arcuate in a plane perpendicular to a plane defining an end.
  • a bridge can extend only both sides so that the opening formed is bounded on all sides, or it can be open at one or more sides.
  • the stretcher provided according to the present technology is constructed using imaging-compatible materials and provides an opening, gap or narrowing which corresponds to the gap or narrowing of the tabletop when the tabletop is resting on the stretcher.
  • the stretcher may be used in place of the imager's general-purpose patient support stretcher in cases where the general purpose stretcher is a removable type, or the stretcher of the present invention may provide clearance for a non-removable imager's stretcher or stage.
  • the apparatus can include patient immobilizing attachments coupled to the tabletop.
  • the tabletop provides a means for supporting the patient's lower legs such that the patient remains supported in a stable position whether inside or outside the imaging volume. It may also be advantageous to extend the tabletop's patient supporting surface temporarily into the tabletop's gap or narrowing during initial set up and positioning of the patient using removable panels or the like, however, the gap or narrowing is open or opened for positioning of devices used in imaging and intervention.
  • a head rest, and straps or belts for immobilizing the torso, arms or other body parts may also be attached to the tabletop or stretcher to further stabilize the patient.
  • the tabletop can be coupled to the stretcher so as to permit movement of the tabletop relative the stretcher or a support base to which the stretcher is fixedly or movable mounted.
  • the tissue of interest is exposed to view and access by the operator within the gap or narrowing of the tabletop, and the imaging procedure is performed, including the delivery of any imaging and interventional devices to the patient tissues.
  • the inventive method provides for supporting a patient in a supine position when acquiring a medical image of the patient's pelvic region using an imager having an imaging volume.
  • This method includes providing a tabletop and a stretcher as defined above. Both components define open areas between their superior and inferior ends, preferably inferior of mid-lines bisecting tabletop and stretcher between their ends.
  • the tabletop supports the stretcher such that in at least one position the open areas of the tabletop and the stretcher are in registration.
  • the tabletop supports the patient in a supine position with the patient's head at the superior end, the patient's feet at the inferior end and the patient's pelvic region in proximity to the open area.
  • the tabletop is transported into the imaging volume of the imager so that the imager can acquire an image of the patient's pelvic region.
  • FIG. 1 is a top view of an exemplary embodiment of a tabletop having a gap or narrowing configured to provide access to the lower torso and lower body of a supine patient.
  • FIG. 2 is a top view of an additional exemplary embodiment of a tabletop having a gap or narrowing configured to provide access to the lower torso and lower body of a supine patient.
  • FIG. 3 is a top perspective view of an additional exemplary embodiment of a tabletop having a gap or narrowing configured to provide access to the lower torso and lower body of a supine patient.
  • the members connecting the upper and lower body sections of the tabletop prevent the patient's legs from touching the aperture of the imager.
  • FIG. 4 depicts various attachments to the tabletop and stretcher which are enabled by the gap or narrowing of the tabletop and stretcher.
  • a guidance plate is shown which has not been positioned near the rectum or perineum.
  • FIG. 5 is a sectional front view of a tabletop and stretcher depicting various attachments enabled by the gap or narrowing of the tabletop and stretcher.
  • a guidance plate is shown which has been positioned near the rectum and perineum.
  • FIG. 6 is a perspective illustration of a tabletop on another exemplary embodiment of a stretcher which can be used in place of an imager's removable stretcher.
  • FIG. 7 is a perspective illustration of a tabletop on an exemplary embodiment of a stretcher which can be used in the presence of an imager's nonremovable stage.
  • FIG. 8 is a side view of a tabletop (patient not shown) which has been advanced to the imaging position.
  • FIG. 9 is a sectional front view of a stretcher depicting two different means for moving the stretcher's bridge from one side to the other, by sliding left- right, or by swinging through an intermediate downward hanging position which provides maximum clearance for the operator.
  • FIG. 10 is a side view of first and second guidance plates having arrays of holes to accept interventional devices which plates may be displaced using a cam or similar means to offset the holes slightly in order to lock the interventional devices in place.
  • a medical imaging system or imager 2 such as shown in FIGS. 6-8, has an aperture, opening, window or other accessible volume or area 28 which in turn contains or leads into an imaging volume 4 into which a patient is moved during an imaging procedure.
  • the data acquired by the imager 2 is used to create a two- or three-dimensional image of the organ or area of interest of the patient being examined.
  • a movable stretcher 6 which may have an elevating portion is used initially to support a tabletop 10 which in turn supports a supine patient who may eventually be advanced, along with the tabletop 10 into the imaging volume 4.
  • a physician, technician or other operator of the imaging device may position a number of devices inside the tissues which are under examination. This may include biopsy needles, biopsy needle guides 16 and trans-rectal MR imaging coils 18, as shown in FIGS. 4 and 5. Because of the limited size of the imaging volumes 4 and associated apertures 28 of imaging devices, these devices are preferentially positioned when the patient is away from the imaging volume 4, with the tabletop 10 on the stretcher 6. The positioning of these devices may rely on the acquired images for guidance and it is important that the patient not move any body parts during the procedure.
  • imaging and interventional devices into a supine patient such as trans-rectal MR imaging coils 18, biopsy needles, intra-uterus insertions, brachytherapy seeds or biopsy needle guides 16 via the rectum or perineum. These are delivered from between the patient's legs or from beneath (posterior to) the patient.
  • imaging and interventional devices such as trans-rectal MR imaging coils 18, biopsy needles, intra-uterus insertions, brachytherapy seeds or biopsy needle guides 16 via the rectum or perineum. These are delivered from between the patient's legs or from beneath (posterior to) the patient.
  • a gap, channel, depression or narrowing 24 of the tabletop is needed below the general plane of a supporting surface for the patient to provide access for the device, for the physician's hand and arm and to provide the physician line-of-sight to the tissue.
  • the gap or narrowing affords maximum space for a physician to get close to the patient tissues, while still maintaining effective supporting continuity of the tabletop from head to foot so that the feet, legs, hips and the like may be supported immobile relative to the upper body. It is advantageous that any structural, bridging or supporting members or surfaces 30 connecting the superior and inferior parts of the tabletop do not pass through the centre plane of the tabletop since this is the patient's plane of symmetry, shown in FIG. 2 as centerline 31, and space in this area may be needed for imaging, access by medical personnel and interventional devices.
  • the patient on the tabletop 10 which tabletop is substantially radiolucent (that is, penetrable by at least desired wavelengths and formats of electromagnetic imaging radiation, magnetic radiation, and X-rays) further towards the foot (inferior) end of the tabletop so that the patient's pelvis overhangs the stretcher in order that a C-arm x-ray may be used to image the area of interest (such as the prostate, colon, penis, testicles, cervix, etc) without undue distortion or attenuation of the imaging radiation or field.
  • substantially radiolucent that is, penetrable by at least desired wavelengths and formats of electromagnetic imaging radiation, magnetic radiation, and X-rays
  • An embodiment of the present invention additionally provides a visible line or hash mark on the tabletop 10 indicating the approximate position of the region of interest in the pelvis (such as the prostate), which hash mark or line is used for patient preparation before advancing to the imaging volume.
  • These may also be adjustable slides or indicators that can be adjusted for individual patients.
  • the biopsy needles, biopsy needle guides 16, brachytherapy delivery needles 64 and other interventional devices may integrate an optical or electromagnetic position tracking sensor.
  • the position data acquired from such sensors may be co-registered with the medical imaging data in order to verify the real-time position of the tracked interventional devices.
  • the gap or narrowing 24 in the tabletop need not have a regular or rectangular shape.
  • geometric and patterned shapes such as a curved edge, conical shape, oval shape 70 and the like under the patient's buttocks afford maximum support for the pelvic girdle while allowing maximum access to the rectum and perineum.
  • One general description of this technology may be presented as a patient supporting apparatus having a tabletop and a stretcher.
  • the tabletop may be displaced into the imager where tabletop has a gap or open area.
  • the open area or gap for each of the tabletop and the stretcher are located at an inferior side of a mid-line (33 in FIG. 2) that extends in the width dimension and bisects the tabletop and stretcher lengthwise, that is between superior and inferior ends.
  • the gaps should be sufficiently wide and long as to enable access to patient regions of interest.
  • the gap should extend for a distance that is at least 25%, preferably at least 35% and more preferably more than half the left-right width of the tabletop.
  • the gap may be permanent in the tabletop, or a filling structure may be removed (e.g., inferior to the patient's pelvis) within a region of at least 0.3m in length, preferably at least 0.7m in length.
  • the stretcher supports the tabletop and includes a gap or narrowing, preferably of equal or greater size than the tabletop's gap, so that the access of the operator's hand, arm, and line of sight is not obstructed from the gap or narrowing of the tabletop.
  • Additional embodiments include a tabletop 10 which has a hollow or open section or conduit which permits cables to be routed underneath the tabletop's patient supporting surface.
  • cables are routed underneath the patient supporting surface 34 without causing danger or discomfort by routing cables in a trough 56, tunnel 68, pipe or groove in the tabletop's surface (see FIG. 5). It is advantageous to integrate clips or a wire mould for running lines for imaging devices, pulse-oximeter cables, IV tubes, etc. along the length of the tabletop.
  • the tabletop 10 integrates an extension 54 at the head (superior) end which overhangs the superior-inferior extent of the stretcher 6 (see FIG. 6).
  • This is an integrated, yet separately adjustable support for the head and may extend direct support to the neck.
  • This extension 54 may be adjustable and removable to suit the patient size and the positioning desired. In some MR imagers, this permits the use of shorter coil cables.
  • the tabletop 10 can be used with a general purpose imaging stretcher, and may be rolled on wheels so that the patient's lower body overhands the inferior edge of said general purpose stretcher, thereby creating interventional access to the tissues of the lower torso.
  • a means such as an arm 20 of positioning and fixing (securing the device(s) relative to a point on the tabletop) an imaging or interventional device or devices in proximity to the patient's tissues.
  • This fixation means is affixed (permanently or removeably) to the tabletop 10 at one end and may be locked in position.
  • the adjustable arm 20 may be mounted to a superior-inferior slider 42.
  • the arm 20 or may integrate two or more rotating or pivoting or otherwise 2- or 3-dimensionally adjustable joints.
  • the arm should be lockable with one or two controls, each of which can be locked with a single hand.
  • the arm 20 can be held in place with one hand and locked in place with the other.
  • fabric locks e.g., Velcro® fasteners
  • the structural arm 20 travels with the patient to the imaging volume 4, it should be made of materials which will not interfere with the imaging such as copper alloys, engineering polymers or the like.
  • Such a structural arm 20 should be removable, so that the system may be used for imaging procedures without being encumbered by unused equipment.
  • the positioning and fixing means (such as an arm 20) may be affixed either to the left or right of the patient's midplane so that the system may be reconfigurably used from either the right or left hand sides.
  • the tabletop 10 may be constructed as one piece, or may have a gap or narrowing 24 whose size and location can be modified by displacing bridge members or surfaces 30 connecting superior and inferior parts of the tabletop. These bridge members or surfaces may be one or several, and at least some may be removable entirely. For example, there may be a single bridge member 30 permanent fixed at either the left or right side of the tabletop, as shown in FIG. 1. Or, left and/or right hand bridge members may be removed to improve access from one side, while maintaining continuity of the tabletop 10 from head to foot. In one embodiment, the member 30 may be slid from left to right, over the tabletop or even under the tabletop, as in guide grooves.
  • the lower body section of the tabletop 10 which integrates the member 30 may be reversed.
  • the double arrows in FIG. 2 represent that the bridge may be adjusted in position relative to the ends and/or removed entirely. While not shown, the same type of arrangement can be provided for any of the other embodiments illustrated in the drawings, for both the tabletop and the stretcher.
  • the tabletop integrates two gaps or narrowings 24, one of which is filled with a removable pad or panel. The tabletop may then be reversed from head to foot when it is desired to use the aperture, and the pad or panel is moved to the other gap or narrowing 24.
  • This panel may be a sliding insert which slides to cover one or the other of the gaps and preferably may be locked into position so that it does not translate during use. It is not necessary to reverse the tabletop 10 from head to foot if it is possible to use the stretcher 6 with either edge against the imager 2.
  • the stretcher in the present invention provides an opening, gap or narrowing which corresponds to the gap or narrowing of the tabletop when the tabletop is resting on the stretcher.
  • the stretcher may be used in place of the imager's general-purpose patient support stretcher in embodiments where the general purpose stretcher is a removable type (see FIG. 3).
  • the stretcher provides clearance for a non-removable imager's stretcher or stage 74 (see FIG. 2).
  • the tabletop rolls into the imager's aperture 28 on wheels.
  • the stretcher may provide a continuous upper surface which continuously supports the rolling tabletop, or the tabletop may be constructed with sufficient stiffness and strength that it can roll over a discontinuous tabletop surface while supporting a patient's load.
  • the stretcher may have a bridge 60 in its top surface which supports a rolling tabletop when traversing the stretcher into the imager's aperture 28, but which may later be removed, slid away or folded away exposing a large gap in the stretcher to maximize access to patient tissues.
  • the stretcher's bridge 60 may be hinged, foldable, accordion foldable and/or slidably mounted so that it can be displaced in a left and right direction 76 from one side of the stretcher to the other, or dropped in a swinging direction 78 out of the way of interventional devices.
  • the bridge may slide along glides while collapsing in accordion format, and then be rotated (while still attached to the stretcher) to be folded into a storage section built into the stretcher.
  • a guidance plate 44 against the perineum which plate has an array of holes which are sized to accept one or more needles 64 which can be a biopsy or a brachytherapry seeding needle.
  • the guidance plate 44 can be used to position other devices such as a trans-rectal biopsy needle guide 16 through an aperture 46.
  • the guidance plate 44 can accept an MR imaging coil 48, which coil may have a half-saddle coil design or Helmholtz design which provides optimal imaging of the plate and any fiducial markers 50 in or on the plate so that the location of the array of holes in the plate 44 relative to tissue may be discovered.
  • the guidance plate 44 is advantageously constructed from materials which are largely invisible and at least non-distorting to the imaging modality being used. It is then possible to visualize the holes in the plate by adding a substance to those holes which is visible to the imaging modality (e.g. water-based gel under MR imaging). As shown in FIG. 10, it is possible to lock the needles 64 inserted through guidance plate 44 and a second guidance plate 52 having a similar array of holes in position using by a cam 62, step motor, threaded engagement, step engagement, or other quantified movement control which slightly displaces the second guidance plate. The action of displacing the second biopsy plate 52 will clamp the needles 64 in place between the two plates preventing the needles from moving.
  • Another embodiment of the grid integrates a means of illumination into the grid such as an LED, or a glowing or bioluminescent pigment.
  • the lighting means 22 is preferably a low voltage, low wattage ( ⁇ 15Volt, ⁇ 15 Watt) lamp or lamps affixed to the stretcher 6 and shining onto the patient's lower torso, rectum and perineum from an inferior/posterior direction.
  • ⁇ 15Volt, ⁇ 15 Watt lamp or lamps affixed to the stretcher 6 and shining onto the patient's lower torso, rectum and perineum from an inferior/posterior direction.
  • higher voltage and power and to affix the lighting means to the tabletop 10 or arm 20.
  • the angle, orientation, elevation and sideways displacement of the lighting element be adjustable and that there is easy access to bulbs for replacement.
  • Interchangeable light elements that is a snap in socket arrangement on the tabletop-stretcher system facilitates rapid exchange of the lighting elements and allows for different shapes, intensities and colors to be replaced rapidly in advance of or during procedures. It is desirable that it be possible to automatically extinguish the lights 22 when the tabletop 10 is advanced into the imager's aperture 28.
  • the lighting housing 22 integrates both a lamp and a battery in order that wires carrying power to the lamps need not be routed through the stretcher or tabletop, and instead these wires are confined to the lighting housing 22.
  • a fluid catchment means 26 as shown in FIG. 5, such as a simple tray, to the tabletop which travels with the patient and tabletop to and from the imaging volume 4.
  • a catchment means 26 can be removed for access to the area of interest and for cleaning, and may be of a simple, thin construction, such as a plastic tray with or without a rim, drain and/or fluid collection reservoir.
  • a reduced pressure system available in the fluid catchment system, which can be simply a tube with a vacuum pressure at a distal end.
  • the tube may be provided of a material that will not adversely impact the imaging means. For long duration imaging procedures and procedures where large liquid intake may have been required, this can be very desirable.
  • An aperture 28 of an imager 2 is usually a restricted space (restricted in shape, dimensions, volume and materials allowed) and often other devices such as MR imaging coils 32 must be positioned on top of (anterior to) the patient's stomach and pelvis, and underneath (posterior to) their waist and buttocks. It is therefore advantageous to keep the tabletop 10 thin in the anterior-posterior direction, particularly in the region under the patient's waist and pelvis. On the other hand, raising the patient's pelvis up towards the central axis of the imager can produce improved images (as in the case of MRI), provided there is room in the imager's aperture 28 and this can require greater strength in the tabletop, particularly in various sections thereof.
  • patient space is maximized by integrating an MR imaging coil 32 into the tabletop, or by placing it directly underneath the patient supporting surface 34.
  • space is maximized by creating a cutout the same size and shape as the MR imaging coil 32 (or the coil plus a modular enclosure) in the patient supporting surface 34.
  • one embodiment of this invention provides a means of restraining portions of the anatomy that are to be a target of the imaging procedure, such as the pelvis, in anterior-posterior, left-right and superior-inferior directions.
  • This restraining system may, by way of non-limiting examples, comprise a strap or straps which hold the pelvis down against the tabletop's patient supporting surface, molded surface structure that is form fit to general patient dimensions (with or without additional restraining elements) such as evacuated bead-filled bags and snaps such as anklets or bracelets that engage the legs, thighs hips and the like of the patient.
  • a lower body flex coil is integrated with the restrains for the pelvis so that when the patient is restrained, the restraint itself carries at least some responsive MRI coil structure into the image-targeted area.
  • Additional embodiments also provide shoulder restraints 36 (see FIG. 4) which prevent the patient from moving in the superior direction by pushing with his feet. This may again take the form of straps looping over the shoulders, similar to those found on a backpack, molded shape restraints, snap locks, or of padded members which may be adjusted in the superior inferior direction, and fixed in position resting on the shoulders (refer to figure 4).
  • An alternate embodiment of the present invention includes an alarm which signals the physician that the patient has moved or that the patient has pushed against the leg supports with a force above or approaching a pre-determined threshold.
  • the tabletop is furnished with supports to keep the arms in at the patient's sides, preventing them from touching the inside of the imager's aperture 28 and extending into targeted image regions on the patient.
  • the tabletop can provide two members 30 which link the tabletop's superior and inferior sections, which two members 30 prevent the patient's thighs, knees and lower legs from touching the imager's aperture 28.
  • the legs are supported by adjustable and lockable leg supports 38.
  • the legs can be supported by adjustable (longitudinally, horizontally and rotationally) stirrups which affix to the tabletop 10 and hold the feet and lower leg.
  • adjustable stirrups which affix to the tabletop 10 and hold the feet and lower leg.
  • leg support 38 it is also possible to adjust the position of the leg supports in the superior-inferior position.
  • leg support 38 it is possible to adjust the left-right distance between the feet and to adjust the toe- in/toe-out of the foot.
  • the leg supports preferentially guide at least half of the length of the lower leg so that the knee's position is comfortably constrained and may provide straps or the like to restrain the feet. It should be possible to lock any of the adjustments of the leg support 38 using one hand with a cam, a threaded knob, a lever or the like, so that the operator's other hand may be used to support the leg.
  • the stretcher integrates footrests 72 (see FIG. 6) for resting the patient's foot or feet while the leg supports 38 are being prepared and adjusted.
  • An exemplary embodiment of the stretcher's footrest is a simple shelf 72 under the inferior section of the tabletop 40.
  • supports, straps or stirrups 58 can be provided to hold the patients feet or legs in order to bring the patient's knees towards his chest, forming acute angles at the hip and knee joints.
  • These stirrups or straps 58 are only used away from the imaging volume 4 when inserting a trans-rectal imaging coil 18.
  • these features are integrated into the tabletop, and in another they are affixed to the stretcher and may be folded away into the stretcher when not in use.
  • the gap in the tabletop may correspond with and overlay a gap in the stretcher so that when the two components are properly configured, an opening through both components exist, and when the tabletop is slid away from this particular configuration, an opening is still available through only the tabletop, which is carrying the patient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

La présente invention concerne un appareil de support pour patient utilisé dans les technologies d'imagerie médicale, qui possède un système de plateau de table et de brancard inventif. Ledit plateau de table comporte un espace ou un rétrécissement dont l'emplacement et la taille sont déterminés ; par exemple, plus de trente pour cent de la largeur du plateau sont retirés en dessous du bassin du patient dans une région d'au moins 0,3 mètre de longueur. Le brancard soutient le plateau de table, et inclut un espace ou un rétrécissement tel que l'accès des mains, des bras et de la ligne visuelle de l'opérateur n'est pas entravé par l'espace ou le rétrécissement du plateau.
PCT/CA2008/000963 2007-05-23 2008-05-22 Support pour patient couché dans le domaine de l'imagerie médicale WO2008141447A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US93154207P 2007-05-23 2007-05-23
US60/931,542 2007-05-23

Publications (1)

Publication Number Publication Date
WO2008141447A1 true WO2008141447A1 (fr) 2008-11-27

Family

ID=40031361

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CA2008/000963 WO2008141447A1 (fr) 2007-05-23 2008-05-22 Support pour patient couché dans le domaine de l'imagerie médicale

Country Status (1)

Country Link
WO (1) WO2008141447A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109044392A (zh) * 2018-10-11 2018-12-21 刘虎 一种可用于卧位负重位x线摄影的辅助装置
CN110037699A (zh) * 2019-04-23 2019-07-23 上海联影医疗科技有限公司 用于磁共振扫描的病床组件及应用磁共振系统扫描的方法
WO2022083015A1 (fr) * 2020-10-22 2022-04-28 四川技加医疗科技有限公司 Table d'opération d'intervention
WO2024059568A1 (fr) * 2022-09-13 2024-03-21 SIMULATE Technologies, LLC Ensemble de simulation de mise en charge et ses procédés d'utilisation pour imager un sujet

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4552346A (en) * 1982-05-14 1985-11-12 Stierlen-Maquet Ag Operating table
EP0396866A2 (fr) * 1989-05-11 1990-11-14 Dornier Medizintechnik Gmbh Support de malade
US6295671B1 (en) * 1998-03-06 2001-10-02 Ohio Medical Instrument Company, Inc. Medical surgical table including interchangeable orthopedic attachment and scanning table

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4552346A (en) * 1982-05-14 1985-11-12 Stierlen-Maquet Ag Operating table
EP0396866A2 (fr) * 1989-05-11 1990-11-14 Dornier Medizintechnik Gmbh Support de malade
US6295671B1 (en) * 1998-03-06 2001-10-02 Ohio Medical Instrument Company, Inc. Medical surgical table including interchangeable orthopedic attachment and scanning table

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109044392A (zh) * 2018-10-11 2018-12-21 刘虎 一种可用于卧位负重位x线摄影的辅助装置
CN110037699A (zh) * 2019-04-23 2019-07-23 上海联影医疗科技有限公司 用于磁共振扫描的病床组件及应用磁共振系统扫描的方法
CN110037699B (zh) * 2019-04-23 2024-01-19 上海联影医疗科技股份有限公司 应用磁共振系统扫描的方法
WO2022083015A1 (fr) * 2020-10-22 2022-04-28 四川技加医疗科技有限公司 Table d'opération d'intervention
WO2024059568A1 (fr) * 2022-09-13 2024-03-21 SIMULATE Technologies, LLC Ensemble de simulation de mise en charge et ses procédés d'utilisation pour imager un sujet

Similar Documents

Publication Publication Date Title
US7908690B2 (en) Supine patient support for medical imaging
US20070039101A1 (en) Specialized tabletops for medical imaging
US8369929B2 (en) Patient support table for use in magnetic resonace imaging
Langen et al. Organ motion and its management
US8295430B2 (en) Image guided radiation therapy
US9538991B2 (en) Integrated MR imaging and interventional coil device, method and system
US8607385B2 (en) External immobilizer
US20120136239A1 (en) System for magnetic resonance and x-ray imaging
US20060016006A1 (en) Support system for use when performing medical imaging of a patient
KR101569284B1 (ko) 의료영상검사용 신체부위고정장치
US20060249163A1 (en) System for restraining head and neck movement
US20140323851A1 (en) Subject placement and head positioning device
JP2002509517A (ja) 前立腺の組織内放射の方法及び装置
US7151816B2 (en) Imaging tomography apparatus having an attached patient support with a movable backrest
JP2000500049A (ja) 位置決め装置
US20130218000A1 (en) MRI Coil For Imaging Of The Breast And Thoracic Area
WO2008141447A1 (fr) Support pour patient couché dans le domaine de l'imagerie médicale
US20080201850A1 (en) Positioning platform for prone breast imaging
EP2155136B1 (fr) Dispositif de transport de patient pour l'imagerie et les interventions chirurgicales
US9575148B2 (en) Method for MR-guided brachytherapy with consistent patient positioning
CN111610477A (zh) 一种具有改进的rf线圈的可移动的mri系统
ES2725111T3 (es) Mesa de examen para la obtención de imágenes por tomografía RMN y/o tomografía computarizada
US9326739B2 (en) Mammogram table
US7525312B2 (en) System for magnetic resonance imaging assisted surgery
CA2646939C (fr) Table d'examen medical pour imagerie par resonance magnetique

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 08757110

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 08757110

Country of ref document: EP

Kind code of ref document: A1