WO2013075705A2 - Élément rapporté pour table opératoire comportant une source de rayonnement et un détecteur à rayons x - Google Patents

Élément rapporté pour table opératoire comportant une source de rayonnement et un détecteur à rayons x Download PDF

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Publication number
WO2013075705A2
WO2013075705A2 PCT/DE2012/100354 DE2012100354W WO2013075705A2 WO 2013075705 A2 WO2013075705 A2 WO 2013075705A2 DE 2012100354 W DE2012100354 W DE 2012100354W WO 2013075705 A2 WO2013075705 A2 WO 2013075705A2
Authority
WO
WIPO (PCT)
Prior art keywords
radiation source
ray detector
attachment
ray
element according
Prior art date
Application number
PCT/DE2012/100354
Other languages
German (de)
English (en)
Other versions
WO2013075705A3 (fr
Inventor
Thomas Kadlubowski
Original Assignee
Thomas Kadlubowski
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 Thomas Kadlubowski filed Critical Thomas Kadlubowski
Priority to DE112012004872.5T priority Critical patent/DE112012004872A5/de
Publication of WO2013075705A2 publication Critical patent/WO2013075705A2/fr
Publication of WO2013075705A3 publication Critical patent/WO2013075705A3/fr

Links

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
    • A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
    • 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
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4411—Constructional features of apparatus for radiation diagnosis the apparatus being modular
    • 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
    • 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
    • A61B6/42—Arrangements for detecting radiation specially adapted for radiation diagnosis
    • A61B6/4283—Arrangements for detecting radiation specially adapted for radiation diagnosis characterised by a detector unit being housed in a cassette
    • 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
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4405—Constructional features of apparatus for radiation diagnosis the apparatus being movable or portable, e.g. handheld or mounted on a trolley
    • 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
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4452—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being able to move relative to each other
    • 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
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories

Definitions

  • the invention relates to an attachment for an operating table.
  • Patients are usually used mobile X-ray equipment, which have a C-shaped arc, in which an X-ray source and an X-ray detector are integrated. If an X-ray image is required, the mobile X-ray machine is pushed into the operating area, the patient's extremity in the C-arm, i. placed between the X-ray source and the X-ray detector, and generates the corresponding X-ray image. Subsequently, the mobile X-ray machine is out of the
  • the invention has for its object to offer a compact and space-saving way to generate X-ray images that can remain in the operating area even when not in use.
  • the attachment element according to the invention for an operating table has a substantially flat base element, a connecting element, a
  • the primitive is substantially flat, i. the thickness of the primitive is significantly smaller than its width and length.
  • the base member has a support (e.g., in the form of a padding) for either a limb of a patient.
  • a support e.g., in the form of a padding
  • an arm, a hand, a leg or a foot of a limb is hereby called a limb
  • the overlay serves to support the limb during an operation.
  • the base member has a support for the body trunk (trunk) of the patient or a support for the head and / or neck area of the patient.
  • the connecting element serves to connect the base element to the operating table.
  • the radiation source is used to generate
  • the X-radiation i. it is an X-ray source.
  • the X-ray detector serves to detect the X-ray radiation generated by the radiation source.
  • the attachment of the invention for an operating table thus allows both a storage or fixation of the limb, the
  • Radiation source and the X-ray detector in the attachment eliminates the need to push a mobile X-ray machine in the operating area. Rather, the radiation source and the
  • the X-ray detector integrated into the add-on element to save space.
  • the C-arm conventional X-ray devices can be omitted, which increases the accessibility of the operating area for the surgeon and his assistants.
  • the X-ray detector is integrated in the basic element. In this way, the X-ray detector is in close proximity to that during the operation on the support
  • the X-ray detector is protected by the base element and the support against mechanical effects.
  • the X-ray detector is designed as a flat detector, in particular as a digital flat detector, the integration into the basic element can take place without great constructive effort.
  • the X-ray detector and / or the radiation source are displaceable relative to the base element. In this way, the region of the limb imaged by the X-ray image can be varied as required by the surgeon.
  • the X-ray detector and the radiation source are displaceable relative to the base element while maintaining their relative position relative to one another. This ensures that the X-rays generated by the radiation source are reliably detected by the X-ray detector even when the region of the limb to be examined is displaced, which correspondingly increases the quality of the X-ray image.
  • the X-ray detector and the radiation source are displaceable in mutually opposite directions. In this way can be different
  • the radiation source is in one with the
  • the radiation source can be mounted in a particularly reliable, compact and structurally simple manner displaceable relative to the base element.
  • the radiation source can be folded away from the base element.
  • the radiation source can be removed from the extremity when not in use and the accessibility of the operating area for the surgeon and his assistants can be improved.
  • X-ray detector relative to the radiation source automatically, i. by a control unit.
  • the add-on element further comprises a control device which controls the generation of
  • X-radiation is suppressed by the radiation source when the radiation source is in the folded-away position. In this way, an unintended, possibly the patient or the medical personnel endangering generation of X-rays can be prevented.
  • the radiation source is designed as an X-ray tube, which in an X-ray tube housing
  • the x-ray tube is housed in a mounted on a relative to the base element displaceably mounted cantilever X-ray tube housing.
  • the attachment further comprises a high voltage generator which is electrically connected to the X-ray tube and which is located in a, spaced from the X-ray tube housing generator housing. In this way, only the X-ray tube itself in the immediate operating area, in particular on the boom, positioned.
  • the high voltage generator is separate arranged by the X-ray tube. This allows the
  • High voltage generator can be placed outside the operating area. This does not hinder the accessibility of the surgeon and his assistant to the immediate operating area.
  • the above-described boom is preferably relative to
  • the attachment element may have at least one support leg for supporting the attachment element. In this way, the stability can be increased. If the attachment has two support legs, the
  • Stability compared to an embodiment with a support leg can be further increased. If necessary, the attachment can be driven on its own wheels to the operating table.
  • the add-on element further comprises an evaluation unit for evaluating the X-rays detected by the X-ray detector and a display unit for displaying the data from the evaluation unit
  • Display unit positioned so that the surgeon can read this during the operation. This ensures that the generated X-ray images can be used immediately during surgery.
  • the radiation source is arranged such that it is positioned in an operating position of the attachment element perpendicular above the support and the X-ray detector is positioned vertically below the support.
  • the X-ray detector is mounted within the base element in a gimbal suspension. Such storage allows a particularly precise alignment of the X-ray detector.
  • the gimbal ensures that the process of the X-ray detector in the direction of
  • Radiation source can be aligned. As a result, the angle of the X-ray beam relative to the patient can be changed.
  • the radiation source and the high voltage generator are designed as one unit, a so-called monoblock. In this way it is possible to integrate the radiation source and the high voltage generator in the arm.
  • the operating table according to the invention has an attachment element according to one of claims 1 to 15, wherein the base element of the attachment element via the connecting element to a connecting rail of the
  • FIG. 1 is a perspective view of an attachment element
  • Fig. 2 is a sectional view of the add-on element of Fig. 1, which is connected to a partially illustrated operating table.
  • Fig. 1 shows an attachment 1 for an operating table.
  • Fig. 2 shows a sectional view of the attachment 1, which is connected to an operating table 101 (only partially shown).
  • the attachment element 1 has a substantially flat base element 2.
  • This basic element 2 has a support 3 for a limb of a patient. It is possible to additionally provide this support with positioning aids or fixing aids in order to prevent slippage of the limb during the operation.
  • a connecting element 4 for connecting the base element 2 to an operating table 101 is provided on the base element 2.
  • the connecting element 4 as
  • Connecting rail 102 of the operating table to form a connection can intervene. But they are also alternative
  • connection element 4 for example, hooks, screw or clamp connections.
  • the add-on element 1 also has a radiation source for generating X-ray radiation and an X-ray detector for detecting the X-radiation generated by the radiation source.
  • a radiation source for generating X-ray radiation
  • an X-ray detector for detecting the X-radiation generated by the radiation source.
  • the radiation source is designed as an X-ray tube 5 and the X-ray detector as a flat detector 6.
  • the X-ray tube 5 is housed in an X-ray tube housing 7.
  • the X-ray tube housing 7 is slidably mounted in a boom 8.
  • the boom 8 is connected via a hinge 9 with an arm 10.
  • the arm 10 in turn is attached to the base element 2.
  • the displaceable mounting of the X-ray tube housing 7 in the boom 8 allows a displacement of the X-ray tube 5 relative to the base member 2 in a plane parallel to the base member 2. This displacement is by the
  • Directional arrow R1 indicated.
  • displaceability is also a displacement in a direction perpendicular to the direction shown R1 (ie in the plane of Fig. 2 in or out of the plane out) possible.
  • the X-ray tube 5 is tilted or rotated for this situation to direct the X-ray beam to the detector 6.
  • the x-ray tube 5 is arranged such that it is positioned in an operating position of the attachment element 1 vertically above the support 3.
  • the hinge 9 allows the boom 8 and the X-ray tube housing 7 connected to the boom 8 to be folded away from the operating position into a folded-away position (ie rotation of the arm 8 about the direction of rotation indicated by the directional arrow R2).
  • Cantilever 8 i. whether this is in the folded or folded-away position, is determined by a control device 1 1. Further, the control device 1 1 is designed such that it suppresses the generation of X-radiation by the X-ray tube 5 when the boom 8 is in the folded-away position.
  • the control device 1 1 is shown schematically and can, for example, a position sensor, which detects the position of the boom 8 and an electronic
  • Control unit that controls the generation of X-rays through the
  • the flat detector 6 is integrated in a recess of the base element 2.
  • the flat detector 6 is thus positioned vertically below the support 3.
  • the recess has larger dimensions than the flat detector 6 and allows a displacement of the flat detector 6 relative to the base element 2 in the plane of the base element 2. This displacement is indicated by the directional arrow R3.
  • displaceability is also a
  • the displaceability of the flat detector 6 can be adjusted to the displacement of the X-ray tube 5, in particular synchronized with this, are.
  • Such a synchronized movement may be, in particular, that the x-ray tube 5 and the flat detector 6 are each parallel to each other, i. while maintaining their relative position to each other, to be moved.
  • a synchronized movement is also possible in that the X-ray tube 5 and the flat detector 6 are moved in directions opposite to each other. In this way, different projection directions can be obtained without having to move the patient.
  • the positioning of the flat detector 6 relative to the x-ray tube 5 is preferably carried out automatically, i. by a corresponding control unit.
  • an evaluation unit 12 for evaluating the X-rays detected by the flat detector 6 and a display unit 13 for displaying the data evaluated by the evaluation unit 12.
  • the X-ray tube 5 is further connected via electrical lines with a
  • High voltage generator 14 connected.
  • the high voltage generator 14 is housed in a generator housing 15 and provides the electrical voltage, which in the x-ray tube 5 for the generation of
  • the generator housing 15 is formed separately from the X-ray tube housing 7 and is not in the immediate operating area.
  • the attachment 1 further has a control device 16, which the
  • the attachment element 1 has two support feet 17 for supporting the attachment element 1.
  • the dash-dotted lines shown in Fig. 2 visualize electrical lines or signal lines that connect the respective components of the add-on element 1 together.
  • the hinge 9 described above may be replaced by alternative embodiments.
  • the boom 8 may also be designed such that it is displaceable or telescopically collapsible.

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)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

L'invention concerne un élément rapporté (1) pour une table opératoire (101), comportant: - un élément de base (2) sensiblement plat, présentant un support (3) destiné à une extrémité d'un patient, notamment un bras, une main, une jambe ou un pied d'un patient, au tronc du patient ou à la zone tête/nuque d'un patient; - un élément de liaison (4) destiné à relier l'élément de base (2) à la table opératoire (101); - une source de rayonnement (5) pour produire un rayonnement X; - et un détecteur à rayons X pour détecter un rayonnement X produit par la source de rayonnement (5).
PCT/DE2012/100354 2011-11-22 2012-11-22 Élément rapporté pour table opératoire comportant une source de rayonnement et un détecteur à rayons x WO2013075705A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE112012004872.5T DE112012004872A5 (de) 2011-11-22 2012-11-22 Anbauelement für einen Operationstisch mit Strahlungsquelle und Röntgendetektor

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE202011052055U DE202011052055U1 (de) 2011-11-22 2011-11-22 Anbauelement für einen Operationstisch mit Strahlungsquelle und Röntgendetektor
DE202011052055.2 2011-11-22

Publications (2)

Publication Number Publication Date
WO2013075705A2 true WO2013075705A2 (fr) 2013-05-30
WO2013075705A3 WO2013075705A3 (fr) 2013-08-22

Family

ID=45443844

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2012/100354 WO2013075705A2 (fr) 2011-11-22 2012-11-22 Élément rapporté pour table opératoire comportant une source de rayonnement et un détecteur à rayons x

Country Status (2)

Country Link
DE (2) DE202011052055U1 (fr)
WO (1) WO2013075705A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020205216A3 (fr) * 2019-03-14 2021-01-14 Infinitus Medical Technologies Llc Accessoire de dessus de table chirurgicale ayant une fixation de déchargement sacrée

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2668912A (en) * 1954-02-09 X-ray apparatus
DE3246264A1 (de) * 1981-12-15 1983-06-23 Kabushiki Kaisha Morita Seisakusho, Kyoto Vorrichtung zum haltern einer dentalroentgeneinrichtung
FR2616650A1 (fr) * 1987-06-19 1988-12-23 Garantie Cie Fse Dispositif de radiologie de campagne
US5997176A (en) * 1998-11-11 1999-12-07 Fairleigh; James F. X-ray method and apparatus
US6984066B2 (en) * 2003-08-25 2006-01-10 Borom Andrew H Attachable surgical table
DE102009010602A1 (de) * 2009-02-25 2010-09-02 Siemens Aktiengesellschaft Mobiles C-Bogen-Röntgengerät, Patiententisch und Gesamtsystem

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020205216A3 (fr) * 2019-03-14 2021-01-14 Infinitus Medical Technologies Llc Accessoire de dessus de table chirurgicale ayant une fixation de déchargement sacrée

Also Published As

Publication number Publication date
DE202011052055U1 (de) 2011-12-06
DE112012004872A5 (de) 2014-08-07
WO2013075705A3 (fr) 2013-08-22

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