WO2016184005A1 - On-bed integrated x-ray protector for angiography machines - Google Patents

On-bed integrated x-ray protector for angiography machines Download PDF

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Publication number
WO2016184005A1
WO2016184005A1 PCT/CN2015/091116 CN2015091116W WO2016184005A1 WO 2016184005 A1 WO2016184005 A1 WO 2016184005A1 CN 2015091116 W CN2015091116 W CN 2015091116W WO 2016184005 A1 WO2016184005 A1 WO 2016184005A1
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WO
WIPO (PCT)
Prior art keywords
bed
lead
assembly
support frame
rotating
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PCT/CN2015/091116
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French (fr)
Chinese (zh)
Inventor
王盾
Original Assignee
北京东方逸腾数码医疗设备技术有限公司
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Application filed by 北京东方逸腾数码医疗设备技术有限公司 filed Critical 北京东方逸腾数码医疗设备技术有限公司
Priority to JP2018512465A priority Critical patent/JP6502579B2/en
Publication of WO2016184005A1 publication Critical patent/WO2016184005A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/10Safety means specially adapted therefor

Definitions

  • the invention relates to the technical field of medical instruments, in particular to an integrated X-ray protection device on an angiography machine tool.
  • the conventional method is to use the guard device installed on the catheter bed together with the air suspension protection unit suspended from the ceiling.
  • the existing guard device has a fixed physical structure under the bed, and the following are used in use. problem:
  • the function of the air suspension protection is single, and only the X-ray protection of the bed can be blocked;
  • the protection area under the bed of the angiography machine tool is small, and it is not possible to flexibly move the position of the protection unit under the bed according to the needs of the operation;
  • the technical problem to be solved by the present invention is that the existing angiography machine protection device has a single function and is not flexible enough, so that its protective effect is limited, and the doctor is susceptible to X-ray irradiation during surgery.
  • the present invention provides an integrated angiography machine tool X-ray protection device comprising: a bed protection unit for radiation protection of the catheter bed, an under-bed protection unit for radiation protection under the catheter bed, and a bedside slide fixing for connecting to the slide rail of the catheter bed Unit, the under-bed guard unit is slidably coupled to the bedside rail fixing unit, and the bed guard unit is coupled to the under-bed guard unit such that the under-bed guard unit and the bed guard unit are synchronously
  • the bedside slide fixing unit horizontally slides;
  • the under-bed protection unit comprises: a traverse assembly, a triangular support frame, and a lower lead curtain, the traverse assembly is slidably connected with the bedside slide fixing unit; the triangular support One end of the frame is connected to the bed protection unit, and the other end of the triangular support frame is rotatably connected to the traverse assembly through a vertically disposed first rotating shaft; the lower lead curtain is suspended from the traverse assembly and the triangular support frame The lower
  • the bed protection unit comprises: a flipping assembly, a rotating arm assembly, a lifting rod assembly, a lead plexiglass shielding screen, and an upper lead curtain
  • the rotating arm assembly is coaxially disposed with the lifting rod assembly
  • the turning assembly One end of the rotating arm assembly is coupled to the lifting rod assembly, the other end of the turning assembly is rotatably coupled to the triangular support frame, and the turning assembly is configured to drive the rotating arm assembly and the lifting rod assembly Flip in a vertical plane;
  • the lead plexiglass shield is attached to one side of the lifter assembly, the upper lead curtain is suspended below the lead plexiglass shield, and the lead plexiglass shield can Slide along the lifter assembly.
  • the bedside rail fixing unit comprises: a side plate fixed front end, a side plate fixed rear end and a stainless steel rail disposed in parallel with the sliding rail, wherein the fixed side end of the side panel is disposed on the inner side of the sliding rail, The fixed front end of the side panel and the fixed front end of the side panel are respectively clamped and disposed on the inner side and the outer side of the sliding rail, and the fixed rear end of the side panel is detachably connected to the fixed front end of the side panel; the stainless steel rail is connected to the The side plate secures the outside of the front end.
  • the inverting assembly includes a right angle connector, and one end of the triangular support frame connecting the inverting assembly is provided with a connecting shaft, and one end of the right angle connecting member is provided with a circular hole that cooperates with the connecting shaft;
  • the end face of the right angle connector on which the round hole is located and located a pin hole is disposed on an outer side of the circular hole;
  • the triangular support frame is provided with a handle capable of sliding along a longitudinal direction of the triangular support frame, the handle is connected with a positioning pin, the positioning pin and the pin
  • the holes are matched; the handle is coupled to a first spring for urging the handle to move in a direction toward the right angle connector.
  • the rotating arm assembly includes a second rotating shaft, and the second rotating shaft is fixedly connected with the lifting rod assembly; the second rotating shaft and the right angle connecting member are 360 degrees rotated by a ratchet and a bump joint connection Positioning.
  • the lifting rod assembly comprises: a vertical rod, a linear bearing, an armrest, a fixing block and a positioning pin, the linear bearing is disposed on a top of the pole, and the lead plexiglass shielding screen is provided with the standing An optical axis parallel to the rod, wherein the optical axis is matched with the linear bearing; a sliding slot and a plurality of positioning holes are disposed on the vertical rod along the length thereof, and the positioning hole is a counterbore; the positioning After the pin passes through the armrest, the fixing block and the chute, and is connected to the lead plexiglass shield, the armrest is fixedly connected with the fixing block, and the fixing block and the positioning hole cooperate with each other; A third spring is disposed between the ends of the positioning pin, and the third spring is configured to push the armrest and the fixed block to move toward the chute.
  • the right angle connecting member is sleeved with a limiting sleeve
  • a second spring is disposed between the limiting sleeve and the right angle connecting member, and the second spring is used to push the limiting sleeve toward the
  • the pole is moved in a direction; the bottom end of the pole is square, and the end of the limiting sleeve is provided with a square hole that cooperates with the bottom end of the pole.
  • the lead plexiglass shield comprises a lead plexiglass panel and a lead plexiglass bracket; the locating pin is connected to the lead plexiglass bracket, and the optical axis is connected to the lead plexiglass bracket through an optical axis support frame .
  • the traverse assembly comprises: a traverse slide slider, a traverse slide cover, a traverse handle and a lower lead curtain fixing plate, the traverse slider is slidably connected with the stainless steel rail, and the traverse handle and the traverse a traverse slider connection, the lower lead curtain fixing plate is horizontally disposed and fixedly connected to the traverse slider; the traverse slide cover is connected to the traverse slider, the triangular support frame and the The traverse slide is rotatably connected, and the lower lead curtain is suspended below the lower lead curtain fixing plate and the triangular support frame.
  • the lifting assembly can perform a lifting and lowering action with respect to the triangular support frame, and when the lifting plate is in a raised state, the lifting plate is located a gap between the upper lead curtain and the lower lead curtain.
  • the lifting plate and the triangular support frame realize a rising and falling action by a four-bar linkage mechanism
  • the four-bar linkage mechanism comprises: two rotating rods, and two fixedly connected to the inner side of the lifting plate a rotating block; the first ends of the two rotating rods are respectively rotatably connected to the triangular support frame by a rotating pin, and the second ends of the rotating rods are respectively rotatably connected with the two rotating blocks, and the two rotating blocks are respectively
  • the upper portion is provided with a card slot for engaging with the second end of the rotating rod; when the lifting plate is in the raised state, the second ends of the two rotating rods are respectively engaged with the upper portion of the corresponding rotating block Inside the card slot.
  • a protective lead strip is laid on the outer side of the lifting plate and corresponding to the connection between the rotating block and the lifting plate.
  • the invention has an integrated X-ray protection device on the angiography machine tool, and the under-bed protection adopts a lower lead curtain, and the under-bed has no fixed structure, and the ball tube does not collide with the protection device during the rotation process to ensure the patient Safety;
  • the invention has the advantages of simple and flexible installation, economical application, convenient disassembly, flexible operation, and different protection states according to the needs of interventional surgery, and the protection relationship between the bed protection unit and the under-bed protection unit and the lifting plate is closely related.
  • the protective effect is greatly improved, and the chance of X-ray radiation received by the doctor during interventional surgery is significantly reduced.
  • FIG. 1a is a schematic structural view of an integrated X-ray protection device on an angiography machine tool according to the present invention in a preparation stage;
  • FIG. 1b is a schematic structural view of an integrated X-ray protection device on an angiography machine tool according to the present invention
  • 1c is a schematic structural view of the integrated X-ray protection device on the angiography machine tool of the present invention at the end of the operation;
  • FIG. 2a is a schematic structural view of the bed guard unit in a raised state according to the present invention.
  • FIG. 2b is a schematic structural view of the bed guard unit in a falling state according to the present invention.
  • Figure 3 is a schematic structural view of the rotating arm assembly of the present invention.
  • Figure 5 is a schematic structural view of the lifting assembly of the present invention.
  • Figure 6 is a schematic structural view of the lifting rod assembly of the present invention.
  • FIG. 7 is a schematic structural view of an armrest and a fixed block in the lifting rod assembly of the present invention.
  • Figure 8 is a schematic structural view of the bedside slide fixing unit of the present invention.
  • Figure 9 is a view showing a state of use of the bed guard unit of the present invention when the bed guard unit is rotated 70°-90° in the direction of the angiography machine;
  • Figure 10 is a view showing the use state of the integrated X-ray protection device on the angiography machine tool of the present invention in combination with the existing air suspension protection unit;
  • Fig. 11 is a view showing the state of use of the integrated X-ray protection device on the angiography machine tool of the present invention when the right subclavian vascular puncture operation is performed.
  • 100 bed protection unit; 101, first shaft; 102, triangular support frame; 103, rotating pin; 104, lower lead curtain; 105, handle; 108, right angle connector; 109, limit sleeve; 111, handrail ;1111, fixed block; 1112, third spring; 1113, positioning pin; 112, pole; 1121, positioning hole; 113, linear bearing; 114, lead plexiglass plate; 115, lead plexiglass bracket; 118, upper lead curtain; 120, second shaft; 121, ratchet; 122, bump; 125, positioning pin; 126, rotating block; 128, rotating rod; 131, lifting plate; 134, traverse handle; Traverse slider; 136, stainless steel rail; 137, side panel fixed front end; 138, side panel fixed rear end; 140, slide rail; 142, air suspension protection unit; 200, under-bed protection unit; 2001, lower lead curtain fixed Board; 300, bedside rail fixing unit; 400, catheter bed.
  • connection is disassembled or connected in one piece; it may be a mechanical connection or an electrical connection; it may be directly connected or indirectly connected through an intermediate medium.
  • connection is disassembled or connected in one piece; it may be a mechanical connection or an electrical connection; it may be directly connected or indirectly connected through an intermediate medium.
  • an integrated X-ray protection device for an angiographic machine tool of the present invention comprises: a bed guard unit 100 for radiating protection over the catheter bed 400, for radiating under the catheter bed 400 a protective under-bed guard unit 200 and a bedside slide fixing unit 300 connected to the slide rail 140 of the duct bed 400, the under-bed guard unit 200 being slidably coupled to the bedside rail fixing unit 300, the bed guard unit 100 is connected to the under-bed protection unit 200, so that the under-bed protection unit 200 and the bed protection unit 100 can slide horizontally along the bedside slide fixing unit 300; the under-bed protection unit 200 includes: traverse The assembly, the triangular support frame 102, and the lower lead curtain 104, the traverse assembly is slidably coupled to the bedside slide fixing unit 300; one end of the triangular support frame 102 is connected to the bed guard unit 100, and the triangular support The other end of the frame 102 is rotatably connected to the traverse assembly by a vertically disposed
  • the upper part of the catheter bed 400 is provided with a bed guard unit 100, and the lower part is suspended with a lower lead curtain 104; during the operation, no matter how the tube rotates, it will not collide with the integrated X-ray protection device on the angiography machine; even if the ball The tube is rotated to the lower lead curtain 104. Since the lead curtain is a soft material, it will not collide with the tube, ensuring that the detection process is not affected, and avoiding the integrated X-ray protection device on the tube and the angiography machine. Collision causes the surgery to be affected and is safe.
  • the bed guard unit 100, the under-bed guard unit 200 and the bedside slide fixing unit 300 can simultaneously move in the horizontal direction with the bed surface of the catheter bed, and the integrated X-ray guard on the entire angiography machine can be along the angiography.
  • the head and foot side of the machine surface and the proximal and distal directions of the surgeon are moved for convenient operation; the protective posture of the integrated X-ray protection device on the entire angiography machine does not change during the movement, and the protective effect is not affected.
  • the bed guard unit 100 includes a flip assembly, a swivel arm assembly, a lift bar assembly, a lead plexiglass shield, and an upper lead curtain 118, the swivel arm assembly and the lift bar assembly Coaxially disposed, one end of the inverting assembly is coupled to the lifting rod assembly through the rotating arm assembly, and the other end of the inverting assembly is rotatably coupled to the triangular support frame 102, and the inverting assembly is configured to drive the
  • the rotating arm assembly and the lifting rod assembly are turned over in a vertical plane; the lead plexiglass shield is coupled to one side of the lifting rod assembly, and the upper lead curtain 118 is suspended from the lead plexiglass shield Below, the lead plexiglass shield can slide along the lift bar assembly.
  • the bedside rail fixing unit 300 includes a side plate fixed front end 137, a side plate fixed rear end 138, and a stainless steel rail 136, which is fixed to the rear end. 138 is disposed on the inner side of the sliding rail 140.
  • the side panel fixed rear end 138 and the side panel fixed front end 137 are respectively clamped and disposed on the inner side and the outer side of the sliding rail 140.
  • the plate fixing front end 137 is detachably connected; the stainless steel rail 136 is coupled to the outer side of the side plate fixing front end 137.
  • the whole set of guards composed of the above three units, the under-bed guard unit 200 and the bed guard unit 100 can move together with the duct bed 400, or can slide back and forth along the stainless steel rail 136, and the bed guard unit 100 can rotate 360 degrees or under the bed.
  • the protection unit 200 is turned upside down, and the posture adjustment is convenient, and can adapt to different surgical protection needs; after being folded, all the beds are received, and the patient is not affected.
  • the inverting assembly includes a right angle connector 108, and one end of the triangular support frame 102 that connects the inverting assembly is provided with a connecting shaft, and one end of the right angle connecting member 108 is provided with the connection.
  • the triangular support frame 102 is provided along the triangular support a pull tab 105 of the frame 102 sliding in the longitudinal direction, the handle 105 is connected with a positioning pin 125, the positioning pin 125 is matched with the pin hole; the handle 105 is connected with a first spring, and the first spring is used for The handle 105 is pushed to move in a direction approaching the right angle connector 108. After pulling the handle 105, the right angle connector 108 can drive the rotating arm assembly, the lifting rod assembly, and the lead plexiglass shield to rotate 180 degrees.
  • the positioning pin 125 When the pin hole is rotated to the position aligned with the positioning pin 125, the positioning pin 125 is at the first spring. Pushing into the pin hole allows the lifting rod assembly to be fixed in a vertical upward position to meet the needs of use. When the lifting rod assembly is turned over to the bed, a positioning unit can be provided as needed to prevent the lifting rod assembly from swinging.
  • the rotating arm assembly includes a second rotating shaft 120, and the second rotating shaft 120 is fixedly coupled to the lifting rod assembly; the second rotating shaft 120 and the right angle connecting member 108 are passed through a ratchet 121 and a convex portion.
  • the mating connection of block 122 enables 360 degree rotation and positioning.
  • the ratchet wheel 121 is provided with an inner ring gear.
  • the two protrusions 122 are placed in the slots of the ratchet wheel 121 by a compression spring to realize the positioning of the rotation angle, and the 360 degree rotation can be realized by rotating the lifting rod assembly.
  • the lifting rod assembly comprises: a pole 112, a linear bearing 113, an armrest 111, a fixing block 1111 and a positioning pin 1113.
  • the linear bearing 113 is disposed on the top of the pole 112.
  • the lead plexiglass shield is provided with the pole 112
  • the optical axis 1151 is parallel to the optical axis 1151, and the optical axis 1151 is matched with the linear bearing 113;
  • a sliding slot and a plurality of positioning holes 1121 are disposed on the vertical rod 112 along the longitudinal direction thereof, and the positioning hole 1121 is sinking a hole;
  • the positioning pin 1113 is sequentially connected to the lead plexiglass shield after passing through the armrest 111, the fixing block 1111 and the chute, and the armrest 111 is fixedly connected with the fixing block 1111, and the fixing block 1111 is
  • the positioning holes 1121 are matched with each other;
  • a third spring 1112 is disposed between the armrest 111 and the end of the positioning pin 11
  • the lead plexiglass shield includes a lead plexiglass panel 114 and a lead plexiglass bracket 115; the locating pin 1113 is coupled to the lead plexiglass bracket 115, and the optical axis 1151 passes through the optical axis support frame and the lead organic
  • the glass holder 115 is connected.
  • the armrest 111 is pulled out, the third spring 1112 is compressed, and the fixing block 1111 slides out of the positioning hole 1121 together; when the armrest 111 is lifted, the entire lead plexiglass shield can be moved up along the chute and the linear bearing.
  • the positioning pin 1113 also moves in the sliding slot; when moved to the proper position, the armrest 111 is released, and the third spring 1112 pushes the armrest 111 and the fixing block 1111 to slide along the positioning pin 1113 until the fixing block 1111 is engaged.
  • the positioning hole 1121 of the position the lifting operation is completed.
  • the structure can realize the overall ascent and descent of the lead plexiglass shield and the upper lead curtain 118, which can meet different surgical needs.
  • the positioning hole 1121 is a counterbore to limit the depth of insertion of the fixing block 1111, and avoiding the insertion of the fixing block 1111 too deep causes the resistance of the pulling armrest 111 to be excessively large, which affects the operation.
  • the right angle connecting member 108 is sleeved with a limiting sleeve 109, and a second spring is disposed between the limiting sleeve 109 and the right angle connecting member 108, and the second spring is used to push the limiting sleeve 109 toward
  • the bottom end of the pole 112 is square, and the end of the limiting sleeve 109 is provided with a square hole that cooperates with the bottom end of the pole 112.
  • the limit sleeve 109 can be raised to achieve positioning, preventing the pole 112 from rotating by itself; this structure is to use the pole 112 and lead
  • the process of plexiglass shield flipping down overall It is often necessary; if the rotation is not restricted, during the turning process, due to the presence of gravity, the lead plexiglass shield will drive the pole 112 to rotate, which may cause collision and cause an accident.
  • the setting of the limit sleeve 109 completely avoids the phenomenon. Occurs to ensure safety.
  • the traverse assembly includes a traverse slider 135, a traverse slide cover, a traverse handle 134 and a lower lead curtain fixing plate 2001, and the traverse slider 135 is slidably coupled to the stainless steel rail 136, the traverse
  • the handle 134 is connected to the traverse slider 135, and the lower lead curtain fixing plate 2001 is horizontally disposed and fixedly connected to the traverse slider 135; the traverse slide is connected to the traverse slider,
  • the triangular support frame 102 is rotatably coupled to the traverse slide cover, and the lower lead curtain 104 is suspended below the lower lead curtain fixing plate 2001 and the triangular support frame 102.
  • the traverse slider 135, as well as the under-bed guard unit 200 and the bed guard unit 100 can all slide synchronously along the stainless steel rail 136 to achieve overall movement without changing the protective posture.
  • the front half of the top end of the lower lead curtain 104 is connected to the triangular support frame 102, and the rear half is connected to the lower lead curtain fixing plate 2001.
  • the triangular support frame 102 By rotating the triangular support frame 102, the lower lead curtain 104 can be bent to realize the front of the medical staff. The side protection at the same time, the protection effect is better.
  • the triangular support frame 102 is connected with a lifting plate 131 for blocking X-rays, and the lifting assembly can be raised and lowered relative to the triangular support frame 102.
  • the lift plate 131 is located at a gap between the upper lead curtain 118 and the lower lead curtain 104.
  • the lift plate 131 can serve to block X-ray leakage at the gap between the upper lead curtain 118 and the lower lead curtain 104, regardless of the rotation of the upper lead curtain 118 to any position, to reduce X-ray leakage.
  • the lifting plate 131 and the triangular support frame 102 are raised and lowered by a four-bar linkage mechanism;
  • the four-bar linkage mechanism includes: two rotating rods 128, and fixedly connected to the lifting plate Two rotating blocks 126 on the inner side of the 131; the first ends of the two rotating rods 128 are respectively rotatably connected to the triangular support frame 102 via a rotating pin 103, and the second end of the rotating rod 128 and the two rotating blocks respectively 126 turn connection, two The upper portion of the rotating block 126 is provided with a card slot for engaging with the second end of the rotating rod 128; when the lifting plate 131 is in the raised state, the second of the two rotating rods 128 The ends are respectively engaged in the card slots corresponding to the upper portion of the rotating block 126.
  • the card slot and the second end of the rotating rod 128 can be engaged to achieve temporary fixing to prevent the lifting plate 131 from falling down by itself; when it is required to fall, the lifting plate 131 is turned down to make the second end of the rotating rod 128 After the card slot is disengaged, and then the entire lifting plate 131 is pushed laterally, and the two rotating levers 128 are rotated by 180 degrees, the falling motion can be realized.
  • a crescent-shaped slider is connected between the rotating rod 128 and the rotating block 126, so that there is a small angle between the rotating rod 128 and the rotating block 126, so that the second end of the rotating rod 128 is withdrawn from the slot. action.
  • a protective lead strip is disposed on the outer side of the lifting plate 131 corresponding to the connection between the rotating block 126 and the lifting plate 131. , do supplementary protection.
  • the triangular support frame 102 is first rotated out, the vertical rod 112 is rotated 180 degrees to the erect state and locked, and the triangular support frame 102 is rotated to a position parallel to the side of the catheter bed 400;
  • the handle 134 is traversed such that the guard is integrally slid to a proper position, and then the pole 112, the lead plexiglass panel 114, the lead plexiglass bracket 115 and the upper lead curtain 118 are rotated to a suitable angle; and the armrest 111 is pulled out to adjust the lead plexiglass panel.
  • the height of 114 is then released by lifting the armrest 111; the lifting plate 131 is turned up to start the operation. This is one of the usage states.
  • the triangular support frame 102 is rotated at a certain angle to achieve simultaneous protection of the front side and the side of the catheter bed 400, and the existing air suspension protection unit 142 is used in conjunction with the bed protection unit 100 of the present invention.
  • the medical staff is completely isolated from the patient.
  • the bulb and the patient's irradiation are located on one side of the lead curtain, and the medical staff is on the other side for complete protection.
  • the present invention has the following beneficial effects:
  • the under-bed guard unit 200 is connected to the slide rail 140 disposed at the bedside by the bedside slide fixing unit 300, so that the under-bed guard unit 200 and the bed guard unit 100 can be synchronously along the stainless steel slide rail
  • the protective device of the present invention can be arbitrarily moved relative to the protective position of the catheter bed 400 in a manner that the catheter bed 400 is moved toward the head side or the foot side, and the guard device is directly fixed to the slide rail 140 compared to the prior art. And the operation is simple and the action is flexible.
  • the lifting plate 131 can effectively eliminate the gap between the upper lead curtain 118 and the lower lead curtain 104 to improve the protective effect, and the lifting plate 131 of the present invention can be conveniently raised or lowered.
  • the entire guard device is a one-piece structure, and is only slidably connected to the slide rail 140 disposed at the bedside by the bedside rail fixing unit 300; compared to the air suspension protection unit 142 suspended from the ceiling currently used,
  • the invention not only saves a lot of space, but also prevents the guard device from being confined to a specific space, and can fix the front end 137 and the side panel fixing rear end 138 by disassembling the side panel without breaking the ceiling of the duct room.
  • After the guard device is removed from the slide rail 140 it is moved to any hospital bed or catheter room that needs to be operated, and is directly installed on the corresponding slide rail 140.
  • the invention has low loading and unloading cost and high speed, and fully solves the current protection.
  • the equipment is expensive due to the fixed position, the equipment is idle for a long time and the problem of hospital space resources is wasted.
  • the lateral slider can slide along the stainless steel rail 136, the triangle support frame 102 and the lateral slider can be horizontally rotated, and the vertical rod connector 112 and the right angle connector 108 can be rotated 360 degrees, the right angle connector 108 and the triangular support
  • the frame 102 can be rotated 180 degrees, and the lead plexiglass plate 114 can move up and down with respect to the vertical rod 112, so that the medical staff can adjust the working state of the integrated X-ray protection device on the angiography machine tool according to the specific situation at any time, compared with the current one.
  • the air suspension protection unit 142 has the protection effect of being more flexible, more comprehensive and safer.
  • Integrating the bed guard unit 100 and the under-bed guard unit 200, and slidingly connecting to the catheter bed 400 through the stainless steel rail 136, the bed guard unit 200 and the bed guard unit 100 can synchronously move along with the angiography machine, and During the move, the whole The posture of the integrated X-ray protection device on the angiography machine does not change, and is always in an optimal protection state and always in a state where the position is not changed with the patient, thereby effectively avoiding the protective posture caused by moving the bed surface of the catheter bed 400. Change to ensure the safety of medical staff.
  • the integrated X-ray protection device on the angiography machine tool can rotate the triangular support frame 102, rotate the lead plexiglass plate 114, and adjust the height of the lead plexiglass plate 114, etc.
  • the integrated X-ray protection device on the angiography machine can even form different placement postures to form different protection screens, as follows:
  • the bed guard unit 100 is used alone: after the bed guard unit 100 is raised, the lead plexiglass shield can be rotated 70°-90° in the direction of the angiography machine surface to form an effective bed protection function, which functions as an existing one. "Air suspension protection unit 142".
  • the integrated X-ray guard on the angiography machine is used in conjunction with the air suspension protection unit 142: after the bed guard unit 100 is raised, it is parallel to the under-bed guard unit 200 in the vertical direction and is outwardly oriented with the second shaft 120 as the center point. Rotating to 80°-95°, and “air suspension protection unit 142” (when the air suspension protection unit 142 is on the right side of the bed protection unit 100, coplanar with the bed protection unit 100), can form a bed The complete protective screen at the three positions on the left side of the bed and the surgeon.
  • the bed guard unit 100 acts as a bed guard unit 100, flips to a vertical upward state, and then pushes the lateral handle so that the integrated X-ray guard on the entire angiography machine slides to the end of the stainless steel rail 136 at the head of the bed, and the lift plate 131 rotates to the top; this state can provide the doctor with the right subclavian vascular puncture surgery to provide under-bed protection, Low X-ray damage to the doctor.
  • a lower lead curtain 104 is connected below the triangular support frame 102.
  • the protective area of the lower lead curtain 104 is significantly larger than the area of the lead curtain protective curtain under the traditional use of the bed, according to the operation. Need to cooperate with the use of stainless steel rail 136, greatly improving the X-ray protection effect under the bed.
  • the invention has the advantages of simple and flexible installation, economical application, convenient disassembly, flexible operation, and different protection states according to the needs of the interventional operation, and the protection of the bed protection unit 100 and the under-bed protection unit 200 and the lifting plate 131 are closely related. It greatly improves the protective effect and significantly reduces the chance of X-ray radiation received by the doctor during the interventional operation.

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Abstract

Disclosed is an on-bed integrated X-ray protector for an angiography machine, which falls within the technical field of medical equipment. The protector comprises: an on-bed protection unit (100), an under-bed protection unit (200) and a bed-side slide rail fixing unit (300), wherein the on-bed protection unit (100) is mounted on the under-bed protection unit (200), the under-bed protection unit (200) is connected to a slide rail (140) of the angiography machine through the bed-side slide rail fixing unit (300), and the under-bed protection unit (200) and the on-bed protection unit (100) can synchronously move along the bed edge of the angiography machine; a lead-containing organic glass protection screen can rotate by 360 degrees, a lifting rod assembly can rotate by 180 degrees around a triangular supporting frame (102), and the protector thus having a lot of protection postures, and being able to adapt to different surgeries; and by rotating the triangular supporting frame (102), protection in multiple directions can be realized. The protector is simple and flexible to install, convenient to dismantle and flexible to operate, and can form different protection states, wherein the relation between each protection unit is close, the protection effect is good, and radiation is reduced.

Description

血管造影机床上一体化X射线防护装置Integrated X-ray protection device on angiography machine 技术领域Technical field
本发明涉及医疗器械技术领域,特别涉及血管造影机床上一体化X射线防护装置。The invention relates to the technical field of medical instruments, in particular to an integrated X-ray protection device on an angiography machine tool.
背景技术Background technique
在一些如血管造影及介入治疗等临床手术中,需要通过血管造影机依赖穿透患者身体的X射线形成影像。为避免X射线辐射泄漏,保护医务人员安全,必须在血管造影机旁设置辐射防护装置。In some clinical operations, such as angiography and interventional therapy, it is necessary to form an image by X-rays that penetrate the patient's body by an angiography machine. In order to avoid X-ray radiation leakage and protect the safety of medical personnel, radiation protection devices must be installed next to the angiography machine.
目前惯用的手段是将安装于导管床上的防护装置与悬吊在天花板上的空中悬吊防护单元配合使用,现有的防护装置,其床下防护采用固定的物理结构,在使用中存在以下几种问题:At present, the conventional method is to use the guard device installed on the catheter bed together with the air suspension protection unit suspended from the ceiling. The existing guard device has a fixed physical structure under the bed, and the following are used in use. problem:
1、空中悬吊式防护使用功能单一,只可以做到床上X射线防护遮挡;1. The function of the air suspension protection is single, and only the X-ray protection of the bed can be blocked;
2、空中悬吊安装方式比较复杂;2, the aerial suspension installation method is more complicated;
3、血管造影机床的床下防护单元防护面积小,不能够根据手术的需要灵活的移动床下防护单元的位置;3. The protection area under the bed of the angiography machine tool is small, and it is not possible to flexibly move the position of the protection unit under the bed according to the needs of the operation;
4、空中悬吊式防护和床下防护单元之间的摆放位置不紧密,X射线泄露的机会较多,增加了手术医师X射线照射的机会。4. The position between the aerial suspension protection and the under-bed protection unit is not tight, and there are many opportunities for X-ray leakage, which increases the chance of X-ray exposure of the surgeon.
发明内容Summary of the invention
(一)要解决的技术问题(1) Technical problems to be solved
本发明要解决的技术问题是:现有的血管造影机防护装置功能单一,不够灵活,导致其防护效果有限,医生在手术时容易受到X射线照射的问题。The technical problem to be solved by the present invention is that the existing angiography machine protection device has a single function and is not flexible enough, so that its protective effect is limited, and the doctor is susceptible to X-ray irradiation during surgery.
(二)技术方案(2) Technical plan
为了解决上述技术问题,本发明提供了一种血管造影机床上一体 化X射线防护装置,包括:用于对导管床上方进行辐射防护的床上防护单元、用于对导管床下方进行辐射防护的床下防护单元、以及与导管床的滑轨连接的床旁滑轨固定单元,所述床下防护单元与所述床旁滑轨固定单元滑动连接,所述床上防护单元与所述床下防护单元连接,使所述床下防护单元和所述床上防护单元可同步地沿所述床旁滑轨固定单元水平滑动;所述床下防护单元包括:横移组件、三角支撑架、以及下铅帘,所述横移组件与所述床旁滑轨固定单元滑动连接;所述三角支撑架的一端与所述床上防护单元连接,三角支撑架的另一端通过竖向设置的第一转轴与所述横移组件旋转连接;所述下铅帘悬挂于所述横移组件与三角支撑架的下方;所述下铅帘位于所述导管床的一侧、且位于所述导管床床面的下方。In order to solve the above technical problems, the present invention provides an integrated angiography machine tool X-ray protection device comprising: a bed protection unit for radiation protection of the catheter bed, an under-bed protection unit for radiation protection under the catheter bed, and a bedside slide fixing for connecting to the slide rail of the catheter bed Unit, the under-bed guard unit is slidably coupled to the bedside rail fixing unit, and the bed guard unit is coupled to the under-bed guard unit such that the under-bed guard unit and the bed guard unit are synchronously The bedside slide fixing unit horizontally slides; the under-bed protection unit comprises: a traverse assembly, a triangular support frame, and a lower lead curtain, the traverse assembly is slidably connected with the bedside slide fixing unit; the triangular support One end of the frame is connected to the bed protection unit, and the other end of the triangular support frame is rotatably connected to the traverse assembly through a vertically disposed first rotating shaft; the lower lead curtain is suspended from the traverse assembly and the triangular support frame The lower lead curtain is located on one side of the catheter bed and below the bed surface of the catheter bed.
其中,所述床上防护单元包括:翻转组件、旋转臂组件、升降杆组件、铅有机玻璃防护屏、以及上铅帘,所述旋转臂组件与所述升降杆组件同轴设置,所述翻转组件的一端通过所述旋转臂组件与所述升降杆组件连接,所述翻转组件的另一端与所述三角支撑架转动连接,所述翻转组件用于带动所述旋转臂组件和所述升降杆组件在竖直面内翻转;所述铅有机玻璃防护屏连接与所述升降杆组件的一侧,所述上铅帘悬挂于所述铅有机玻璃防护屏的下方,所述铅有机玻璃防护屏能沿所述升降杆组件滑动。Wherein, the bed protection unit comprises: a flipping assembly, a rotating arm assembly, a lifting rod assembly, a lead plexiglass shielding screen, and an upper lead curtain, the rotating arm assembly is coaxially disposed with the lifting rod assembly, the turning assembly One end of the rotating arm assembly is coupled to the lifting rod assembly, the other end of the turning assembly is rotatably coupled to the triangular support frame, and the turning assembly is configured to drive the rotating arm assembly and the lifting rod assembly Flip in a vertical plane; the lead plexiglass shield is attached to one side of the lifter assembly, the upper lead curtain is suspended below the lead plexiglass shield, and the lead plexiglass shield can Slide along the lifter assembly.
其中,所述床旁滑轨固定单元包括与所述滑轨平行设置的:边板固定前端、边板固定后端和不锈钢导轨,所述边板固定后端设置于所述滑轨的内侧,所述边板固定后端与边板固定前端分别夹紧设置于所述滑轨的内、外侧,所述边板固定后端与边板固定前端可拆卸连接;所述不锈钢导轨连接于所述边板固定前端的外侧。Wherein, the bedside rail fixing unit comprises: a side plate fixed front end, a side plate fixed rear end and a stainless steel rail disposed in parallel with the sliding rail, wherein the fixed side end of the side panel is disposed on the inner side of the sliding rail, The fixed front end of the side panel and the fixed front end of the side panel are respectively clamped and disposed on the inner side and the outer side of the sliding rail, and the fixed rear end of the side panel is detachably connected to the fixed front end of the side panel; the stainless steel rail is connected to the The side plate secures the outside of the front end.
其中,所述翻转组件包括直角连接件,在所述三角支撑架上连接所述翻转组件的一端设有连接轴,所述直角连接件的一端设有与所述连接轴相配合的圆孔;所述圆孔所在的直角连接件的端面上、且位于 所述圆孔的外侧设有一个销钉孔;所述三角支撑架上设有能沿所述三角支撑架长度方向滑动的拉手,所述拉手连接有一个定位销,所述定位销与所述销钉孔相匹配;所述拉手连接有第一弹簧,所述第一弹簧用于推动所述拉手向靠近所述直角连接件的方向运动。Wherein the inverting assembly includes a right angle connector, and one end of the triangular support frame connecting the inverting assembly is provided with a connecting shaft, and one end of the right angle connecting member is provided with a circular hole that cooperates with the connecting shaft; The end face of the right angle connector on which the round hole is located and located a pin hole is disposed on an outer side of the circular hole; the triangular support frame is provided with a handle capable of sliding along a longitudinal direction of the triangular support frame, the handle is connected with a positioning pin, the positioning pin and the pin The holes are matched; the handle is coupled to a first spring for urging the handle to move in a direction toward the right angle connector.
其中,所述旋转臂组件包括第二转轴,所述第二转轴与所述升降杆组件固定连接;所述第二转轴与所述直角连接件通过棘轮与凸块的配合连接实现360度旋转与定位。The rotating arm assembly includes a second rotating shaft, and the second rotating shaft is fixedly connected with the lifting rod assembly; the second rotating shaft and the right angle connecting member are 360 degrees rotated by a ratchet and a bump joint connection Positioning.
其中,所述升降杆组件包括:立杆、线性轴承、扶手、固定块和定位销钉,所述线性轴承设置于所述立杆的顶部,所述铅有机玻璃防护屏上设有与所述立杆相互平行的光轴,所述光轴与所述线性轴承相匹配;在所述立杆上沿其长度方向设有滑槽以及多个定位孔,所述定位孔为沉孔;所述定位销钉依次穿过所述扶手、固定块以及滑槽后,与所述铅有机玻璃防护屏连接,所述扶手与固定块固定连接,所述固定块与所述定位孔相互配合;所述扶手与所述定位销钉的端部之间设有第三弹簧,所述第三弹簧用于推动所述扶手与固定块向靠近所述滑槽的方向运动。Wherein the lifting rod assembly comprises: a vertical rod, a linear bearing, an armrest, a fixing block and a positioning pin, the linear bearing is disposed on a top of the pole, and the lead plexiglass shielding screen is provided with the standing An optical axis parallel to the rod, wherein the optical axis is matched with the linear bearing; a sliding slot and a plurality of positioning holes are disposed on the vertical rod along the length thereof, and the positioning hole is a counterbore; the positioning After the pin passes through the armrest, the fixing block and the chute, and is connected to the lead plexiglass shield, the armrest is fixedly connected with the fixing block, and the fixing block and the positioning hole cooperate with each other; A third spring is disposed between the ends of the positioning pin, and the third spring is configured to push the armrest and the fixed block to move toward the chute.
其中,所述直角连接件上套设有限位套,所述限位套与所述直角连接件之间设有第二弹簧,所述第二弹簧用于推动所述限位套向靠近所述立杆的方向运动;所述立杆的底端为正方形,所述限位套的端部设有与所述立杆的底端相配合的正方形孔。Wherein the right angle connecting member is sleeved with a limiting sleeve, a second spring is disposed between the limiting sleeve and the right angle connecting member, and the second spring is used to push the limiting sleeve toward the The pole is moved in a direction; the bottom end of the pole is square, and the end of the limiting sleeve is provided with a square hole that cooperates with the bottom end of the pole.
其中,所述铅有机玻璃防护屏包括铅有机玻璃板以及铅有机玻璃支架;所述定位销钉与所述铅有机玻璃支架连接,所述光轴通过光轴支撑架与所述铅有机玻璃支架连接。Wherein the lead plexiglass shield comprises a lead plexiglass panel and a lead plexiglass bracket; the locating pin is connected to the lead plexiglass bracket, and the optical axis is connected to the lead plexiglass bracket through an optical axis support frame .
其中,所述横移组件包括:横移滑块、横移滑盖、横移手柄和下铅帘固定板,所述横移滑块与所述不锈钢导轨滑动连接,所述横移手柄与所述横移滑块连接,所述下铅帘固定板水平设置且与所述横移滑块固定连接;所述横移滑盖连接在横移滑块上,所述三角支撑架与所 述横移滑盖转动连接,所述下铅帘悬挂于所述下铅帘固定板和三角支撑架的下方。Wherein the traverse assembly comprises: a traverse slide slider, a traverse slide cover, a traverse handle and a lower lead curtain fixing plate, the traverse slider is slidably connected with the stainless steel rail, and the traverse handle and the traverse a traverse slider connection, the lower lead curtain fixing plate is horizontally disposed and fixedly connected to the traverse slider; the traverse slide cover is connected to the traverse slider, the triangular support frame and the The traverse slide is rotatably connected, and the lower lead curtain is suspended below the lower lead curtain fixing plate and the triangular support frame.
其中,所述三角支撑架连接有用于阻挡X射线的升降板,所述升降组件能相对所述三角支撑架做上升和下降动作,当所述升降板处于升起状态时,所述升降板位于所述上铅帘与下铅帘之间的间隙处。Wherein the triangular support frame is connected with a lifting plate for blocking X-rays, the lifting assembly can perform a lifting and lowering action with respect to the triangular support frame, and when the lifting plate is in a raised state, the lifting plate is located a gap between the upper lead curtain and the lower lead curtain.
其中,所述升降板与所述三角支撑架之间通过四连杆机构实现上升与下降动作;所述四连杆机构包括:两根转动杆、以及固定连接在所述升降板内侧的两个转动块;两根所述转动杆的第一端分别通过旋转销钉与所述三角支撑架转动连接,转动杆的第二端分别与两个所述转动块转动连接,两个所述转动块的上部均设有用于与所述转动杆的第二端卡接的卡槽;当所述升降板位于升起状态时,两根所述转动杆的第二端分别卡接于对应转动块上部的卡槽内。Wherein, the lifting plate and the triangular support frame realize a rising and falling action by a four-bar linkage mechanism; the four-bar linkage mechanism comprises: two rotating rods, and two fixedly connected to the inner side of the lifting plate a rotating block; the first ends of the two rotating rods are respectively rotatably connected to the triangular support frame by a rotating pin, and the second ends of the rotating rods are respectively rotatably connected with the two rotating blocks, and the two rotating blocks are respectively The upper portion is provided with a card slot for engaging with the second end of the rotating rod; when the lifting plate is in the raised state, the second ends of the two rotating rods are respectively engaged with the upper portion of the corresponding rotating block Inside the card slot.
其中,在所述升降板外侧、对应所述转动块与所述升降板的连接处,铺设有防护铅条。Wherein, a protective lead strip is laid on the outer side of the lifting plate and corresponding to the connection between the rotating block and the lifting plate.
(三)有益效果(3) Beneficial effects
上述技术方案具有如下优点:本发明一种血管造影机床上一体化X射线防护装置,床下防护采用下铅帘,床下无固定结构,球管旋转过程中不会与该防护装置发生碰撞,保证患者安全;总体来说,本发明具有安装简单灵活、经济适用、拆卸方便、操作灵活,并根据介入手术的需要可以构成不同的防护状态,床上防护单元和床下防护单元以及升降板的防护关系紧密,大大提高防护效果,明显减少了介入手术时医生受到的X射线辐射机会。The above technical solution has the following advantages: the invention has an integrated X-ray protection device on the angiography machine tool, and the under-bed protection adopts a lower lead curtain, and the under-bed has no fixed structure, and the ball tube does not collide with the protection device during the rotation process to ensure the patient Safety; Generally speaking, the invention has the advantages of simple and flexible installation, economical application, convenient disassembly, flexible operation, and different protection states according to the needs of interventional surgery, and the protection relationship between the bed protection unit and the under-bed protection unit and the lifting plate is closely related. The protective effect is greatly improved, and the chance of X-ray radiation received by the doctor during interventional surgery is significantly reduced.
附图说明DRAWINGS
图1a为本发明所述血管造影机床上一体化X射线防护装置处于准备手术阶段的结构示意图;1a is a schematic structural view of an integrated X-ray protection device on an angiography machine tool according to the present invention in a preparation stage;
图1b为本发明所述血管造影机床上一体化X射线防护装置处于手术中的结构示意图; 1b is a schematic structural view of an integrated X-ray protection device on an angiography machine tool according to the present invention;
图1c为本发明所述血管造影机床上一体化X射线防护装置处于手术结束阶段的结构示意图;1c is a schematic structural view of the integrated X-ray protection device on the angiography machine tool of the present invention at the end of the operation;
图2a为本发明所述床上防护单元处于升起状态的结构示意图;2a is a schematic structural view of the bed guard unit in a raised state according to the present invention;
图2b为本发明所述床上防护单元处于落下状态的结构示意图;2b is a schematic structural view of the bed guard unit in a falling state according to the present invention;
图3为本发明所述旋转臂组件的结构示意图;Figure 3 is a schematic structural view of the rotating arm assembly of the present invention;
图4为本发明所述翻转组件的结构示意图;4 is a schematic structural view of the flipping assembly of the present invention;
图5为本发明所述升降组件的结构示意图;Figure 5 is a schematic structural view of the lifting assembly of the present invention;
图6为本发明所述升降杆组件的结构示意图;Figure 6 is a schematic structural view of the lifting rod assembly of the present invention;
图7为本发明所述升降杆组件中扶手与固定块的结构示意图;7 is a schematic structural view of an armrest and a fixed block in the lifting rod assembly of the present invention;
图8为本发明所述床旁滑轨固定单元的结构示意图;Figure 8 is a schematic structural view of the bedside slide fixing unit of the present invention;
图9为本发明所述床上防护单元向血管造影机床方向旋转70°-90°时的使用状态图;Figure 9 is a view showing a state of use of the bed guard unit of the present invention when the bed guard unit is rotated 70°-90° in the direction of the angiography machine;
图10为本发明所述血管造影机床上一体化X射线防护装置与现有的空中悬吊防护单元配合使用的使用状态图;Figure 10 is a view showing the use state of the integrated X-ray protection device on the angiography machine tool of the present invention in combination with the existing air suspension protection unit;
图11所示为做右侧锁骨下血管穿刺手术时,本发明所述血管造影机床上一体化X射线防护装置的使用状态图。Fig. 11 is a view showing the state of use of the integrated X-ray protection device on the angiography machine tool of the present invention when the right subclavian vascular puncture operation is performed.
其中,100、床上防护单元;101、第一转轴;102、三角支撑架;103、旋转销钉;104、下铅帘;105、拉手;108、直角连接件;109、限位套;111、扶手;1111、固定块;1112、第三弹簧;1113、定位销钉;112、立杆;1121、定位孔;113、线性轴承;114、铅有机玻璃板;115、铅有机玻璃支架;1151、光轴;118、上铅帘;120、第二转轴;121、棘轮;122、凸块;125、定位销;126、转动块;128、转动杆;131、升降板;134、横移手柄;135、横移滑块;136、不锈钢导轨;137、边板固定前端;138、边板固定后端;140、滑轨;142、空中悬吊防护单元;200、床下防护单元;2001、下铅帘固定板;300、床旁滑轨固定单元;400、导管床。Wherein, 100, bed protection unit; 101, first shaft; 102, triangular support frame; 103, rotating pin; 104, lower lead curtain; 105, handle; 108, right angle connector; 109, limit sleeve; 111, handrail ;1111, fixed block; 1112, third spring; 1113, positioning pin; 112, pole; 1121, positioning hole; 113, linear bearing; 114, lead plexiglass plate; 115, lead plexiglass bracket; 118, upper lead curtain; 120, second shaft; 121, ratchet; 122, bump; 125, positioning pin; 126, rotating block; 128, rotating rod; 131, lifting plate; 134, traverse handle; Traverse slider; 136, stainless steel rail; 137, side panel fixed front end; 138, side panel fixed rear end; 140, slide rail; 142, air suspension protection unit; 200, under-bed protection unit; 2001, lower lead curtain fixed Board; 300, bedside rail fixing unit; 400, catheter bed.
具体实施方式 detailed description
下面结合附图和实施例,对本发明的具体实施方式作进一步详细描述。以下实施例用于说明本发明,但不用来限制本发明的范围。The specific embodiments of the present invention are further described in detail below with reference to the drawings and embodiments. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
在本发明的描述中,需要说明的是,除非另有说明,“多个”的含义是两个或两个以上;术语“上”、“下”、“左”、“右”、“内”、“外”、“前端”、“后端”、“头部”、“尾部”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”等仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that, unless otherwise stated, the meaning of "a plurality" is two or more; the terms "upper", "lower", "left", "right", "inside" The orientation or positional relationship of the indications of "outside", "front end", "back end", "head", "tail", etc. is based on the orientation or positional relationship shown in the drawings, only for the convenience of describing the present invention and The simplification of the description is not intended to limit or imply that the device or component that is referred to has a particular orientation, is constructed and operated in a particular orientation, and thus is not to be construed as limiting. Moreover, the terms "first", "second", "third", and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
在本发明的描述中,还需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可视具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that the terms "installation", "connected", and "connected" are to be understood broadly, and may be, for example, a fixed connection or a The connection is disassembled or connected in one piece; it may be a mechanical connection or an electrical connection; it may be directly connected or indirectly connected through an intermediate medium. For those of ordinary skill in the art, the specific meaning of the above terms in the present invention can be understood as the case may be.
如图1a-1c所示,本发明一种血管造影机床上一体化X射线防护装置,包括:用于对导管床400上方进行辐射防护的床上防护单元100、用于对导管床400下方进行辐射防护的床下防护单元200、以及与导管床400的滑轨140连接的床旁滑轨固定单元300,所述床下防护单元200与所述床旁滑轨固定单元300滑动连接,所述床上防护单元100与所述床下防护单元200连接,使所述床下防护单元200和所述床上防护单元100可同步地沿所述床旁滑轨固定单元300水平滑动;所述床下防护单元200包括:横移组件、三角支撑架102、以及下铅帘104,所述横移组件与所述床旁滑轨固定单元300滑动连接;所述三角支撑架102的一端与所述床上防护单元100连接,三角支撑架102的另一端通过竖向设置的第一转轴101与所述横移组件旋转连 接;所述下铅帘104悬挂于所述横移组件与三角支撑架102的下方;所述下铅帘104位于所述导管床400的一侧、且位于所述导管床400床面的下方。导管床400的上部设有床上防护单元100,下部悬挂有下铅帘104;手术过程中,无论球管如何旋转,都不会与该血管造影机床上一体化X射线防护装置发生碰撞;即使球管旋转到下铅帘104部位,由于铅帘为软质材料,用也不会与球管发生碰撞,确保检测过程不受影响,避免因球管与该血管造影机床上一体化X射线防护装置发生碰撞而导致手术受到影响,保证安全。同时床上防护单元100与床下防护单元200以及床旁滑轨固定单元300三者可以同时随着导管床的床面在水平方向上运动,整个血管造影机床上一体化X射线防护装置可沿血管造影机床面的头足侧位以及相对手术医师的近远侧方向移动,方便操作;运动过程中整个血管造影机床上一体化X射线防护装置的防护姿态不会发生改变,防护效果不受影响。As shown in Figures 1a-1c, an integrated X-ray protection device for an angiographic machine tool of the present invention comprises: a bed guard unit 100 for radiating protection over the catheter bed 400, for radiating under the catheter bed 400 a protective under-bed guard unit 200 and a bedside slide fixing unit 300 connected to the slide rail 140 of the duct bed 400, the under-bed guard unit 200 being slidably coupled to the bedside rail fixing unit 300, the bed guard unit 100 is connected to the under-bed protection unit 200, so that the under-bed protection unit 200 and the bed protection unit 100 can slide horizontally along the bedside slide fixing unit 300; the under-bed protection unit 200 includes: traverse The assembly, the triangular support frame 102, and the lower lead curtain 104, the traverse assembly is slidably coupled to the bedside slide fixing unit 300; one end of the triangular support frame 102 is connected to the bed guard unit 100, and the triangular support The other end of the frame 102 is rotatably connected to the traverse assembly by a vertically disposed first rotating shaft 101 The lower lead curtain 104 is suspended below the traverse assembly and the triangular support frame 102; the lower lead curtain 104 is located at one side of the duct bed 400 and below the bed surface of the duct bed 400 . The upper part of the catheter bed 400 is provided with a bed guard unit 100, and the lower part is suspended with a lower lead curtain 104; during the operation, no matter how the tube rotates, it will not collide with the integrated X-ray protection device on the angiography machine; even if the ball The tube is rotated to the lower lead curtain 104. Since the lead curtain is a soft material, it will not collide with the tube, ensuring that the detection process is not affected, and avoiding the integrated X-ray protection device on the tube and the angiography machine. Collision causes the surgery to be affected and is safe. At the same time, the bed guard unit 100, the under-bed guard unit 200 and the bedside slide fixing unit 300 can simultaneously move in the horizontal direction with the bed surface of the catheter bed, and the integrated X-ray guard on the entire angiography machine can be along the angiography. The head and foot side of the machine surface and the proximal and distal directions of the surgeon are moved for convenient operation; the protective posture of the integrated X-ray protection device on the entire angiography machine does not change during the movement, and the protective effect is not affected.
如图2a-2b所示,所述床上防护单元100包括:翻转组件、旋转臂组件、升降杆组件、铅有机玻璃防护屏、以及上铅帘118,所述旋转臂组件与所述升降杆组件同轴设置,所述翻转组件的一端通过所述旋转臂组件与所述升降杆组件连接,所述翻转组件的另一端与所述三角支撑架102转动连接,所述翻转组件用于带动所述旋转臂组件和所述升降杆组件在竖直面内翻转;所述铅有机玻璃防护屏连接与所述升降杆组件的一侧,所述上铅帘118悬挂于所述铅有机玻璃防护屏的下方,所述铅有机玻璃防护屏能沿所述升降杆组件滑动。As shown in Figures 2a-2b, the bed guard unit 100 includes a flip assembly, a swivel arm assembly, a lift bar assembly, a lead plexiglass shield, and an upper lead curtain 118, the swivel arm assembly and the lift bar assembly Coaxially disposed, one end of the inverting assembly is coupled to the lifting rod assembly through the rotating arm assembly, and the other end of the inverting assembly is rotatably coupled to the triangular support frame 102, and the inverting assembly is configured to drive the The rotating arm assembly and the lifting rod assembly are turned over in a vertical plane; the lead plexiglass shield is coupled to one side of the lifting rod assembly, and the upper lead curtain 118 is suspended from the lead plexiglass shield Below, the lead plexiglass shield can slide along the lift bar assembly.
如图8所示,所述床旁滑轨固定单元300包括与所述滑轨140平行设置的:边板固定前端137、边板固定后端138和不锈钢导轨136,所述边板固定后端138设置于所述滑轨140的内侧,所述边板固定后端138与边板固定前端137分别夹紧设置于所述滑轨140的内、外侧,所述边板固定后端138与边板固定前端137可拆卸连接;所述不锈钢导轨136连接于所述边板固定前端137的外侧。 As shown in FIG. 8, the bedside rail fixing unit 300 includes a side plate fixed front end 137, a side plate fixed rear end 138, and a stainless steel rail 136, which is fixed to the rear end. 138 is disposed on the inner side of the sliding rail 140. The side panel fixed rear end 138 and the side panel fixed front end 137 are respectively clamped and disposed on the inner side and the outer side of the sliding rail 140. The side panel fixed the rear end 138 and the side edge. The plate fixing front end 137 is detachably connected; the stainless steel rail 136 is coupled to the outer side of the side plate fixing front end 137.
上述三大单元组成的整套防护装置,床下防护单元200与床上防护单元100可随导管床400一起移动,也可以沿着不锈钢导轨136前后滑动,床上防护单元100可以360度旋转,也可以绕床下防护单元200上下翻转,姿态调节方便,能够适应不同的手术防护需要;折叠后全部收到床下,不影响病人上下床。The whole set of guards composed of the above three units, the under-bed guard unit 200 and the bed guard unit 100 can move together with the duct bed 400, or can slide back and forth along the stainless steel rail 136, and the bed guard unit 100 can rotate 360 degrees or under the bed. The protection unit 200 is turned upside down, and the posture adjustment is convenient, and can adapt to different surgical protection needs; after being folded, all the beds are received, and the patient is not affected.
如图4所示,所述翻转组件包括直角连接件108,在所述三角支撑架102上连接所述翻转组件的一端设有连接轴,所述直角连接件108的一端设有与所述连接轴相配合的圆孔;所述圆孔所在的直角连接件108的端面上、且位于所述圆孔的外侧设有一个销钉孔;所述三角支撑架102上设有能沿所述三角支撑架102长度方向滑动的拉手105,所述拉手105连接有一个定位销125,所述定位销125与所述销钉孔相匹配;所述拉手105连接有第一弹簧,所述第一弹簧用于推动所述拉手105向靠近所述直角连接件108的方向运动。拉动拉手105后,直角连接件108即可带动旋转臂组件、升降杆组件、铅有机玻璃防护屏做180度旋转,当销钉孔旋转到与定位销125对齐的位置,定位销125在第一弹簧的推动下卡入销钉孔内,可以使升降杆组件固定于竖直向上的状态,以满足使用需求。当升降杆组件翻转到床下时,可根据需要设置定位单元,防止升降杆组件摆动。As shown in FIG. 4, the inverting assembly includes a right angle connector 108, and one end of the triangular support frame 102 that connects the inverting assembly is provided with a connecting shaft, and one end of the right angle connecting member 108 is provided with the connection. a circular hole that is matched with the shaft; a pin hole is disposed on an end surface of the right angle connector 108 where the circular hole is located, and a pin hole is disposed outside the circular hole; the triangular support frame 102 is provided along the triangular support a pull tab 105 of the frame 102 sliding in the longitudinal direction, the handle 105 is connected with a positioning pin 125, the positioning pin 125 is matched with the pin hole; the handle 105 is connected with a first spring, and the first spring is used for The handle 105 is pushed to move in a direction approaching the right angle connector 108. After pulling the handle 105, the right angle connector 108 can drive the rotating arm assembly, the lifting rod assembly, and the lead plexiglass shield to rotate 180 degrees. When the pin hole is rotated to the position aligned with the positioning pin 125, the positioning pin 125 is at the first spring. Pushing into the pin hole allows the lifting rod assembly to be fixed in a vertical upward position to meet the needs of use. When the lifting rod assembly is turned over to the bed, a positioning unit can be provided as needed to prevent the lifting rod assembly from swinging.
如图3所示,所述旋转臂组件包括第二转轴120,所述第二转轴120与所述升降杆组件固定连接;所述第二转轴120与所述直角连接件108通过棘轮121与凸块122的配合连接实现360度旋转与定位。棘轮121设有内齿圈,两个凸块122通过压缩弹簧使其顶在棘轮121的齿槽内,实现对旋转角度的定位,通过转动升降杆组件即可实现360度旋转。As shown in FIG. 3, the rotating arm assembly includes a second rotating shaft 120, and the second rotating shaft 120 is fixedly coupled to the lifting rod assembly; the second rotating shaft 120 and the right angle connecting member 108 are passed through a ratchet 121 and a convex portion. The mating connection of block 122 enables 360 degree rotation and positioning. The ratchet wheel 121 is provided with an inner ring gear. The two protrusions 122 are placed in the slots of the ratchet wheel 121 by a compression spring to realize the positioning of the rotation angle, and the 360 degree rotation can be realized by rotating the lifting rod assembly.
如图6-7所示,所述升降杆组件包括:立杆112、线性轴承113、扶手111、固定块1111和定位销钉1113,所述线性轴承113设置于所述立杆112的顶部,所述铅有机玻璃防护屏上设有与所述立杆112 相互平行的光轴1151,所述光轴1151与所述线性轴承113相匹配;在所述立杆112上沿其长度方向设有滑槽以及多个定位孔1121,所述定位孔1121为沉孔;所述定位销钉1113依次穿过所述扶手111、固定块1111以及滑槽后,与所述铅有机玻璃防护屏连接,所述扶手111与固定块1111固定连接,所述固定块1111与所述定位孔1121相互配合;所述扶手111与所述定位销钉1113的端部之间设有第三弹簧1112,所述第三弹簧1112用于推动所述扶手111与固定块1111向靠近所述滑槽的方向运动。所述铅有机玻璃防护屏包括铅有机玻璃板114以及铅有机玻璃支架115;所述定位销钉1113与所述铅有机玻璃支架115连接,所述光轴1151通过光轴支撑架与所述铅有机玻璃支架115连接。As shown in FIG. 6-7, the lifting rod assembly comprises: a pole 112, a linear bearing 113, an armrest 111, a fixing block 1111 and a positioning pin 1113. The linear bearing 113 is disposed on the top of the pole 112. The lead plexiglass shield is provided with the pole 112 The optical axis 1151 is parallel to the optical axis 1151, and the optical axis 1151 is matched with the linear bearing 113; a sliding slot and a plurality of positioning holes 1121 are disposed on the vertical rod 112 along the longitudinal direction thereof, and the positioning hole 1121 is sinking a hole; the positioning pin 1113 is sequentially connected to the lead plexiglass shield after passing through the armrest 111, the fixing block 1111 and the chute, and the armrest 111 is fixedly connected with the fixing block 1111, and the fixing block 1111 is The positioning holes 1121 are matched with each other; a third spring 1112 is disposed between the armrest 111 and the end of the positioning pin 1113, and the third spring 1112 is used to push the armrest 111 and the fixing block 1111 toward each other. The direction of movement of the chute. The lead plexiglass shield includes a lead plexiglass panel 114 and a lead plexiglass bracket 115; the locating pin 1113 is coupled to the lead plexiglass bracket 115, and the optical axis 1151 passes through the optical axis support frame and the lead organic The glass holder 115 is connected.
使用时,将扶手111向外拉出,第三弹簧1112被压缩,固定块1111随着一起滑出定位孔1121;抬升扶手111,整个铅有机玻璃防护屏即可沿着滑槽与直线轴承向上滑动,定位销钉1113也随着在滑槽内移动;当移动至合适位置后,松开扶手111,第三弹簧1112推动扶手111与固定块1111沿定位销钉1113滑动,直至固定块1111卡入对应位置的定位孔1121内,升降操作完成。该结构可以实现铅有机玻璃防护屏与上铅帘118的整体上升和下降,可以满足不同手术需求。定位孔1121为沉孔,以限制固定块1111插入的深度,避免固定块1111插入过深导致拉动扶手111的阻力过大,影响操作。In use, the armrest 111 is pulled out, the third spring 1112 is compressed, and the fixing block 1111 slides out of the positioning hole 1121 together; when the armrest 111 is lifted, the entire lead plexiglass shield can be moved up along the chute and the linear bearing. When sliding, the positioning pin 1113 also moves in the sliding slot; when moved to the proper position, the armrest 111 is released, and the third spring 1112 pushes the armrest 111 and the fixing block 1111 to slide along the positioning pin 1113 until the fixing block 1111 is engaged. In the positioning hole 1121 of the position, the lifting operation is completed. The structure can realize the overall ascent and descent of the lead plexiglass shield and the upper lead curtain 118, which can meet different surgical needs. The positioning hole 1121 is a counterbore to limit the depth of insertion of the fixing block 1111, and avoiding the insertion of the fixing block 1111 too deep causes the resistance of the pulling armrest 111 to be excessively large, which affects the operation.
所述直角连接件108上套设有限位套109,所述限位套109与所述直角连接件108之间设有第二弹簧,所述第二弹簧用于推动所述限位套109向靠近所述立杆112的方向运动;所述立杆112的底端为正方形,所述限位套109的端部设有与所述立杆112的底端相配合的正方形孔。只有当立杆112旋转至0度、90度、180度、270度四个位置时,限位套109才能上升,实现定位,防止立杆112自行旋转;这一结构在将立杆112与铅有机玻璃防护屏整体向下翻转的过程中非 常有必要;如果不限制旋转,在翻转过程中,由于重力存在,铅有机玻璃防护屏会带动立杆112旋转,可能会发生碰撞,造成意外,限位套109的设置彻底避免了该现象的发生,保证安全。The right angle connecting member 108 is sleeved with a limiting sleeve 109, and a second spring is disposed between the limiting sleeve 109 and the right angle connecting member 108, and the second spring is used to push the limiting sleeve 109 toward The bottom end of the pole 112 is square, and the end of the limiting sleeve 109 is provided with a square hole that cooperates with the bottom end of the pole 112. Only when the upright 112 is rotated to four positions of 0 degrees, 90 degrees, 180 degrees, and 270 degrees, the limit sleeve 109 can be raised to achieve positioning, preventing the pole 112 from rotating by itself; this structure is to use the pole 112 and lead The process of plexiglass shield flipping down overall It is often necessary; if the rotation is not restricted, during the turning process, due to the presence of gravity, the lead plexiglass shield will drive the pole 112 to rotate, which may cause collision and cause an accident. The setting of the limit sleeve 109 completely avoids the phenomenon. Occurs to ensure safety.
所述横移组件包括:横移滑块135、横移滑盖、横移手柄134和下铅帘固定板2001,所述横移滑块135与所述不锈钢导轨136滑动连接,所述横移手柄134与所述横移滑块135连接,所述下铅帘固定板2001水平设置切与所述横移滑块135固定连接;所述横移滑盖连接在横移滑块上,所述三角支撑架102与所述横移滑盖转动连接,所述下铅帘104悬挂于所述下铅帘固定板2001和三角支撑架102的下方。通过移动横移手柄134,横移滑块135、以及床下防护单元200、床上防护单元100均可同步地随着沿不锈钢导轨136滑动,实现整体移动,不改变防护姿态。下铅帘104顶端的前半部与三角支撑架102连接,后半部与下铅帘固定板2001连接,通过旋转三角支撑架102,可以实现下铅帘104的弯折,实现对医务人员正面、侧面的同时防护,防护效果更好。The traverse assembly includes a traverse slider 135, a traverse slide cover, a traverse handle 134 and a lower lead curtain fixing plate 2001, and the traverse slider 135 is slidably coupled to the stainless steel rail 136, the traverse The handle 134 is connected to the traverse slider 135, and the lower lead curtain fixing plate 2001 is horizontally disposed and fixedly connected to the traverse slider 135; the traverse slide is connected to the traverse slider, The triangular support frame 102 is rotatably coupled to the traverse slide cover, and the lower lead curtain 104 is suspended below the lower lead curtain fixing plate 2001 and the triangular support frame 102. By moving the traverse handle 134, the traverse slider 135, as well as the under-bed guard unit 200 and the bed guard unit 100 can all slide synchronously along the stainless steel rail 136 to achieve overall movement without changing the protective posture. The front half of the top end of the lower lead curtain 104 is connected to the triangular support frame 102, and the rear half is connected to the lower lead curtain fixing plate 2001. By rotating the triangular support frame 102, the lower lead curtain 104 can be bent to realize the front of the medical staff. The side protection at the same time, the protection effect is better.
如图5所示,为了进一步阻挡X射线泄漏,所述三角支撑架102连接有用于阻挡X射线的升降板131,所述升降组件能相对所述三角支撑架102做上升和下降动作,当所述升降板131处于升起状态时,所述升降板131位于所述上铅帘118与下铅帘104之间的间隙处。当升降板131升起后,无论上铅帘118旋转至任何位置,升降板131都可以起到阻挡上铅帘118与下铅帘104间隙处的X射线泄漏的目的,以减少X射线泄漏。As shown in FIG. 5, in order to further block X-ray leakage, the triangular support frame 102 is connected with a lifting plate 131 for blocking X-rays, and the lifting assembly can be raised and lowered relative to the triangular support frame 102. When the lift plate 131 is in the raised state, the lift plate 131 is located at a gap between the upper lead curtain 118 and the lower lead curtain 104. When the lift plate 131 is raised, the lift plate 131 can serve to block X-ray leakage at the gap between the upper lead curtain 118 and the lower lead curtain 104, regardless of the rotation of the upper lead curtain 118 to any position, to reduce X-ray leakage.
具体的,所述升降板131与所述三角支撑架102之间通过四连杆机构实现上升与下降动作;所述四连杆机构包括:两根转动杆128、以及固定连接在所述升降板131内侧的两个转动块126;两根所述转动杆128的第一端分别通过旋转销钉103与所述三角支撑架102转动连接,转动杆128的第二端分别与两个所述转动块126转动连接,两 个所述转动块126的上部均设有用于与所述转动杆128的第二端卡接的卡槽;当所述升降板131位于升起状态时,两根所述转动杆128的第二端分别卡接于对应转动块126上部的卡槽内。升起后可以通过卡槽与转动杆128的第二端的卡接,实现临时固定,防止升降板131自行落下;当需要落下时,将升降板131向下翻转,使转动杆128的第二端与卡槽脱离,然后横向推动整个升降板131,使两根转动杆128旋转180度后,即可实现落下动作。转动杆128与转动块126之间连接有月牙形滑块,使得转动杆128与转动块126之间可以有一个小角度的翻转,从而实现将转动杆128的第二端从卡槽内退出的动作。Specifically, the lifting plate 131 and the triangular support frame 102 are raised and lowered by a four-bar linkage mechanism; the four-bar linkage mechanism includes: two rotating rods 128, and fixedly connected to the lifting plate Two rotating blocks 126 on the inner side of the 131; the first ends of the two rotating rods 128 are respectively rotatably connected to the triangular support frame 102 via a rotating pin 103, and the second end of the rotating rod 128 and the two rotating blocks respectively 126 turn connection, two The upper portion of the rotating block 126 is provided with a card slot for engaging with the second end of the rotating rod 128; when the lifting plate 131 is in the raised state, the second of the two rotating rods 128 The ends are respectively engaged in the card slots corresponding to the upper portion of the rotating block 126. After the lifting, the card slot and the second end of the rotating rod 128 can be engaged to achieve temporary fixing to prevent the lifting plate 131 from falling down by itself; when it is required to fall, the lifting plate 131 is turned down to make the second end of the rotating rod 128 After the card slot is disengaged, and then the entire lifting plate 131 is pushed laterally, and the two rotating levers 128 are rotated by 180 degrees, the falling motion can be realized. A crescent-shaped slider is connected between the rotating rod 128 and the rotating block 126, so that there is a small angle between the rotating rod 128 and the rotating block 126, so that the second end of the rotating rod 128 is withdrawn from the slot. action.
由于转动块126与升降板131内侧连接,连接处的X射线防护必然减弱,因此在所述升降板131外侧、对应所述转动块126与所述升降板131的连接处,铺设有防护铅条,做补充防护。Since the rotating block 126 is connected to the inner side of the lifting plate 131, the X-ray protection at the joint is inevitably weakened. Therefore, a protective lead strip is disposed on the outer side of the lifting plate 131 corresponding to the connection between the rotating block 126 and the lifting plate 131. , do supplementary protection.
如图9所示,使用时,先将三角支撑架102转出,将立杆112旋转180度至竖立状态并锁定,并将三角支撑架102转至与导管床400边平行的位置;然后移动横移手柄134使得该防护装置整体滑动至合适位置,再旋转立杆112、铅有机玻璃板114、铅有机玻璃支架115和上铅帘118至合适角度;拉住出扶手111调整铅有机玻璃板114的高度,然后松开扶手111使其固定;将升降板131向上翻起,即可开始手术。这是其中的一种使用状态。As shown in FIG. 9, in use, the triangular support frame 102 is first rotated out, the vertical rod 112 is rotated 180 degrees to the erect state and locked, and the triangular support frame 102 is rotated to a position parallel to the side of the catheter bed 400; The handle 134 is traversed such that the guard is integrally slid to a proper position, and then the pole 112, the lead plexiglass panel 114, the lead plexiglass bracket 115 and the upper lead curtain 118 are rotated to a suitable angle; and the armrest 111 is pulled out to adjust the lead plexiglass panel. The height of 114 is then released by lifting the armrest 111; the lifting plate 131 is turned up to start the operation. This is one of the usage states.
如图10所示,三角支撑架102旋转一定角度,实现导管床400下方的正面与侧面同时防护,并且将现有的空中悬吊防护单元142与本发明的床上防护单元100配合使用,可以实现医务人员与患者的彻底隔离,球管与患者的照射部位位于铅帘的一侧,医务人员站在另一侧,实现彻底防护。As shown in FIG. 10, the triangular support frame 102 is rotated at a certain angle to achieve simultaneous protection of the front side and the side of the catheter bed 400, and the existing air suspension protection unit 142 is used in conjunction with the bed protection unit 100 of the present invention. The medical staff is completely isolated from the patient. The bulb and the patient's irradiation are located on one side of the lead curtain, and the medical staff is on the other side for complete protection.
如图11所示,当需要做右侧锁骨下血管穿刺手术时,通过翻转或旋转动作将所有部件收到床下,只将升降板131升起,以起到一定的防护作用。 As shown in Fig. 11, when the right subclavian vascular puncture operation is required, all the components are received under the bed by flipping or rotating, and only the lifting plate 131 is raised to provide a certain protective effect.
由以上实施例可以看出,本发明具有以下有益效果:As can be seen from the above embodiments, the present invention has the following beneficial effects:
(1)、所述床下防护单元200通过床旁滑轨固定单元300与设置于床边的滑轨140连接,使所述床下防护单元200和所述床上防护单元100可同步地沿不锈钢滑轨140在导管床400面向头侧或足侧方向运动,较之现有设备直接将防护装置固定在滑轨140上的方案,本发明所述的防护装置可任意移动相对于导管床400的防护位置,且操作简单,动作灵活。(1) The under-bed guard unit 200 is connected to the slide rail 140 disposed at the bedside by the bedside slide fixing unit 300, so that the under-bed guard unit 200 and the bed guard unit 100 can be synchronously along the stainless steel slide rail The protective device of the present invention can be arbitrarily moved relative to the protective position of the catheter bed 400 in a manner that the catheter bed 400 is moved toward the head side or the foot side, and the guard device is directly fixed to the slide rail 140 compared to the prior art. And the operation is simple and the action is flexible.
(2)、升降板131可以有效消除上铅帘118与下铅帘104之间的间隙,以提高防护效果,本发明的升降板131可以方便升起或降下收起。(2) The lifting plate 131 can effectively eliminate the gap between the upper lead curtain 118 and the lower lead curtain 104 to improve the protective effect, and the lifting plate 131 of the present invention can be conveniently raised or lowered.
(3)、整个防护装置为一体式结构,只通过床旁滑轨固定单元300与设置于床边的滑轨140滑动连接;较之现在使用的悬挂在天花板上的空中悬吊防护单元142,本发明不仅大幅节约空间,而且使该防护装置不会被局限于特定的空间内,可在不破坏导管室天花板的基础上,通过拆开边板固定前端137与边板固定后端138,将该防护装置由滑轨140上卸下后,移动至任意需进行手术的病床或者导管室,直接安装在相应的滑轨140上即可;本发明装卸成本低,速度快,充分解决了现在防护装置因位置固定而造成的设备开支大,设备闲置时间长且浪费医院空间资源的问题。(3) The entire guard device is a one-piece structure, and is only slidably connected to the slide rail 140 disposed at the bedside by the bedside rail fixing unit 300; compared to the air suspension protection unit 142 suspended from the ceiling currently used, The invention not only saves a lot of space, but also prevents the guard device from being confined to a specific space, and can fix the front end 137 and the side panel fixing rear end 138 by disassembling the side panel without breaking the ceiling of the duct room. After the guard device is removed from the slide rail 140, it is moved to any hospital bed or catheter room that needs to be operated, and is directly installed on the corresponding slide rail 140. The invention has low loading and unloading cost and high speed, and fully solves the current protection. The equipment is expensive due to the fixed position, the equipment is idle for a long time and the problem of hospital space resources is wasted.
(4)、横向滑块可沿不锈钢导轨136滑动,三角支撑架102与横向滑块之间可水平旋转,立杆112与直角连接件108之间可以360度旋转,直角连接件108与三角支撑架102之间可以180度旋转,铅有机玻璃板114可相对立杆112上下移动,使得医务人员可以随时根据具体情况调节该血管造影机床上一体化X射线防护装置的工作状态,较之现在的空中悬吊防护单元142,本发明防护效果更灵活,更全面,更安全。(4) The lateral slider can slide along the stainless steel rail 136, the triangle support frame 102 and the lateral slider can be horizontally rotated, and the vertical rod connector 112 and the right angle connector 108 can be rotated 360 degrees, the right angle connector 108 and the triangular support The frame 102 can be rotated 180 degrees, and the lead plexiglass plate 114 can move up and down with respect to the vertical rod 112, so that the medical staff can adjust the working state of the integrated X-ray protection device on the angiography machine tool according to the specific situation at any time, compared with the current one. The air suspension protection unit 142 has the protection effect of being more flexible, more comprehensive and safer.
(5)、将床上防护单元100与床下防护单元200集为一体,且通过不锈钢导轨136滑动连接于导管床400上,床下防护单元200以及床上防护单元100可以跟随血管造影机床同步移动,且在移动过程中,整 个血管造影机床上一体化X射线防护装置的姿态不会发生变化,始终处于最佳防护状态以及始终与患者处于位置不改变状态,进而有效避免因移动导管床400的床面而造成防护姿态的改变,保证医务人员的安全。(5) Integrating the bed guard unit 100 and the under-bed guard unit 200, and slidingly connecting to the catheter bed 400 through the stainless steel rail 136, the bed guard unit 200 and the bed guard unit 100 can synchronously move along with the angiography machine, and During the move, the whole The posture of the integrated X-ray protection device on the angiography machine does not change, and is always in an optimal protection state and always in a state where the position is not changed with the patient, thereby effectively avoiding the protective posture caused by moving the bed surface of the catheter bed 400. Change to ensure the safety of medical staff.
(6)、将床上防护单元100与床下防护单元200集为一体,使得整个血管造影机床上一体化X射线防护装置在介入手术过程中,可以随血管造影机床面移动而移动,并不改变其防护效果。再配合不锈钢导轨136的使用,在冠状动脉介入手术时,有效避免了球管转动时与床旁防护装置发生碰撞,其操作简单灵活,方便使用。(6) integrating the bed guard unit 100 and the under-bed guard unit 200, so that the integrated X-ray guard device on the entire angiography machine can move with the movement of the angiography machine during the interventional procedure, without changing its Protective effect. In combination with the use of the stainless steel guide rail 136, in the coronary interventional operation, the collision with the bedside guard device when the tube is rotated is effectively avoided, and the operation is simple and flexible, and is convenient to use.
(7)、在介入手术时,根据医生的需要,血管造影机床上一体化X射线防护装置可以通过旋转三角支撑架102、转动铅有机玻璃板114、以及调节铅有机玻璃板114高度等方式,使得血管造影机床上一体化X射线防护装置能偶形成不同的摆放姿态,形成不同状态的防护屏面,具体如下:(7) In the interventional operation, according to the needs of the doctor, the integrated X-ray protection device on the angiography machine tool can rotate the triangular support frame 102, rotate the lead plexiglass plate 114, and adjust the height of the lead plexiglass plate 114, etc. The integrated X-ray protection device on the angiography machine can even form different placement postures to form different protection screens, as follows:
单独使用床上防护单元100:床上防护单元100升起后,将铅有机玻璃防护屏向血管造影机床面方向转动70°-90°后,可以形成有效的床上防护作用,其功能相当于现有的“空中悬吊防护单元142”。The bed guard unit 100 is used alone: after the bed guard unit 100 is raised, the lead plexiglass shield can be rotated 70°-90° in the direction of the angiography machine surface to form an effective bed protection function, which functions as an existing one. "Air suspension protection unit 142".
血管造影机床上一体化X射线防护装置与空中悬吊防护单元142配合使用:床上防护单元100升起后,与床下防护单元200在竖直方向平行且以第二转轴120为中心点向外侧方向旋转至80°-95°,与“空中悬吊防护单元142”(此时空中悬吊防护单元142在床上防护单元100的右侧,与床上防护单元100共面)配合使用,可以形成一个床上、床下、手术医师的左侧三个位置的完整的防护屏面。The integrated X-ray guard on the angiography machine is used in conjunction with the air suspension protection unit 142: after the bed guard unit 100 is raised, it is parallel to the under-bed guard unit 200 in the vertical direction and is outwardly oriented with the second shaft 120 as the center point. Rotating to 80°-95°, and “air suspension protection unit 142” (when the air suspension protection unit 142 is on the right side of the bed protection unit 100, coplanar with the bed protection unit 100), can form a bed The complete protective screen at the three positions on the left side of the bed and the surgeon.
床上防护单元100作为床上防护单元100,翻转至竖直向上状态,然后推动横向手柄,使整个血管造影机床上一体化X射线防护装置滑动到不锈钢导轨136位于床头方向的端部,将升降板131旋转到上方;该状态可以为医生提供做右侧锁骨下血管穿刺手术提供床下防护,降 低了X射线对医生的伤害。The bed guard unit 100 acts as a bed guard unit 100, flips to a vertical upward state, and then pushes the lateral handle so that the integrated X-ray guard on the entire angiography machine slides to the end of the stainless steel rail 136 at the head of the bed, and the lift plate 131 rotates to the top; this state can provide the doctor with the right subclavian vascular puncture surgery to provide under-bed protection, Low X-ray damage to the doctor.
(8)、三角支撑架102下方连接有下铅帘104,当三角支撑架102平行于滑轨140方向时,下铅帘104的防护面积明显大于传统使用的床下铅防护帘面积,根据手术的需要再配合不锈钢导轨136的使用,大大提高了床下X射线防护效果。(8) A lower lead curtain 104 is connected below the triangular support frame 102. When the triangular support frame 102 is parallel to the direction of the slide rail 140, the protective area of the lower lead curtain 104 is significantly larger than the area of the lead curtain protective curtain under the traditional use of the bed, according to the operation. Need to cooperate with the use of stainless steel rail 136, greatly improving the X-ray protection effect under the bed.
总体来说,本发明具有安装简单灵活、经济适用、拆卸方便、操作灵活,并根据介入手术的需要可以构成不同的防护状态,床上防护单元100和床下防护单元200以及升降板131的防护关系紧密,大大提高防护效果,明显减少了介入手术时医生受到的X射线辐射机会。In general, the invention has the advantages of simple and flexible installation, economical application, convenient disassembly, flexible operation, and different protection states according to the needs of the interventional operation, and the protection of the bed protection unit 100 and the under-bed protection unit 200 and the lifting plate 131 are closely related. It greatly improves the protective effect and significantly reduces the chance of X-ray radiation received by the doctor during the interventional operation.
以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明技术原理的前提下,还可以做出若干改进和替换,这些改进和替换也应视为本发明的保护范围。 The above is only a preferred embodiment of the present invention, and it should be noted that those skilled in the art can make several improvements and substitutions without departing from the technical principles of the present invention. It should also be considered as the scope of protection of the present invention.

Claims (12)

  1. 一种血管造影机床上一体化X射线防护装置,其特征在于,包括:用于对导管床(400)上方进行辐射防护的床上防护单元(100)、用于对导管床(400)下方进行辐射防护的床下防护单元(200)、以及与导管床(400)的滑轨(140)连接的床旁滑轨固定单元(300),所述床下防护单元(200)与所述床旁滑轨固定单元(300)滑动连接,所述床上防护单元(100)与所述床下防护单元(200)连接,使所述床下防护单元(200)和所述床上防护单元(100)可同步地沿所述床旁滑轨固定单元(300)水平滑动;An integrated X-ray protection device for an angiographic machine tool, comprising: a bed protection unit (100) for radiation protection above the catheter bed (400) for radiating under the catheter bed (400) a guarded under-bed guard unit (200) and a bedside rail securing unit (300) coupled to the slide rail (140) of the duct bed (400), the under-bed guard unit (200) being secured to the bedside rail The unit (300) is slidably coupled, and the bed guard unit (100) is coupled to the under-bed guard unit (200) such that the under-bed guard unit (200) and the bed guard unit (100) are synchronously The bedside rail fixing unit (300) slides horizontally;
    所述床下防护单元(200)包括:横移组件、三角支撑架(102)、以及下铅帘(104),所述横移组件与所述床旁滑轨固定单元(300)滑动连接;所述三角支撑架(102)的一端与所述床上防护单元(100)连接,三角支撑架(102)的另一端通过竖向设置的第一转轴(101)与所述横移组件旋转连接;所述下铅帘(104)悬挂于所述横移组件与三角支撑架(102)的下方;所述下铅帘(104)位于所述导管床(400)的一侧、且位于所述导管床(400)床面的下方。The under-bed protection unit (200) includes: a traverse assembly, a triangular support frame (102), and a lower lead curtain (104), the traverse assembly being slidably coupled to the bedside slide rail fixing unit (300); One end of the triangular support frame (102) is connected to the bed guard unit (100), and the other end of the triangular support frame (102) is rotatably connected to the traverse assembly by a vertically disposed first rotating shaft (101); The lead curtain (104) is suspended below the traverse assembly and the triangular support frame (102); the lower lead curtain (104) is located at one side of the catheter bed (400) and is located at the catheter bed (400) Below the bed surface.
  2. 如权利要求1所述的血管造影机床上一体化X射线防护装置,其特征在于,所述床上防护单元(100)包括:翻转组件、旋转臂组件、升降杆组件、铅有机玻璃防护屏、以及上铅帘(118),所述旋转臂组件与所述升降杆组件同轴设置,所述翻转组件的一端通过所述旋转臂组件与所述升降杆组件连接,所述翻转组件的另一端与所述三角支撑架(102)转动连接,所述翻转组件用于带动所述旋转臂组件和所述升降杆组件在竖直面内翻转;所述铅有机玻璃防护屏连接于所述升降杆组件的一侧,所述上铅帘(118)悬挂于所述铅有机玻璃防护屏的下方,所述铅有机玻璃防护屏能沿所述升降杆组件滑动。The integrated X-ray protection device of the angiography machine tool according to claim 1, wherein the bed protection unit (100) comprises: a flipping assembly, a rotating arm assembly, a lifting rod assembly, a lead plexiglass shielding screen, and An upper lead curtain (118), the rotating arm assembly is disposed coaxially with the lifting rod assembly, and one end of the turning assembly is coupled to the lifting rod assembly through the rotating arm assembly, and the other end of the turning assembly is The triangular support frame (102) is rotatably connected, the flipping assembly is configured to drive the rotating arm assembly and the lifting rod assembly to be turned in a vertical plane; the lead plexiglass shielding screen is connected to the lifting rod assembly On one side, the upper lead curtain (118) is suspended below the lead plexiglass shield, and the lead plexiglass shield is slidable along the lifting rod assembly.
  3. 如权利要求2所述的血管造影机床上一体化X射线防护装置,其特征在于,所述床旁滑轨固定单元(300)包括与所述滑轨(140) 平行设置的:边板固定前端(137)、边板固定后端(138)和不锈钢导轨(136),所述边板固定后端(138)设置于所述滑轨(140)的内侧,所述边板固定后端(138)与边板固定前端(137)分别夹紧设置于所述滑轨(140)的内、外侧,所述边板固定后端(138)与边板固定前端(137)可拆卸连接;所述不锈钢导轨(136)连接于所述边板固定前端(137)的外侧。The integrated X-ray protection device for an angiographic machine tool according to claim 2, wherein said bedside rail fixing unit (300) includes said slide rail (140) Parallelly disposed: a side plate fixed front end (137), a side plate fixed rear end (138) and a stainless steel rail (136), the side plate fixed rear end (138) is disposed on the inner side of the sliding rail (140) The side plate fixing rear end (138) and the side plate fixing front end (137) are respectively clamped and disposed on the inner side and the outer side of the sliding rail (140), and the side plate fixed rear end (138) and the side plate fixed front end ( 137) A detachable connection; the stainless steel rail (136) is coupled to an outer side of the side panel fixed front end (137).
  4. 如权利要求3所述的血管造影机床上一体化X射线防护装置,其特征在于,所述翻转组件包括直角连接件(108),在所述三角支撑架(102)上连接所述翻转组件的一端设有连接轴,所述直角连接件(108)的一端设有与所述连接轴相配合的圆孔;所述圆孔所在的直角连接件(108)的端面上、且位于所述圆孔的外侧设有一个销钉孔;所述三角支撑架(102)上设有能沿所述三角支撑架(102)长度方向滑动的拉手(105),所述拉手(105)连接有一个定位销(125),所述定位销(125)与所述销钉孔相匹配;所述拉手(105)连接有第一弹簧,所述第一弹簧用于推动所述拉手(105)向靠近所述直角连接件(108)的方向运动。An integrated X-ray protection device for an angiographic machine tool according to claim 3, wherein said inverting assembly comprises a right angle connector (108) on said triangular support frame (102) One end is provided with a connecting shaft, and one end of the right angle connecting member (108) is provided with a circular hole that cooperates with the connecting shaft; the end surface of the right angle connecting member (108) where the round hole is located is located at the circle a pin hole is arranged on the outer side of the hole; the triangular support frame (102) is provided with a handle (105) slidable along the length of the triangular support frame (102), and the handle (105) is connected with a positioning pin (125), the positioning pin (125) is matched with the pin hole; the handle (105) is connected with a first spring, and the first spring is used to push the handle (105) toward the right angle The direction of movement of the connector (108).
  5. 如权利要求4所述的血管造影机床上一体化X射线防护装置,其特征在于,所述旋转臂组件包括第二转轴(120),所述第二转轴(120)与所述升降杆组件固定连接;所述第二转轴(120)与所述直角连接件(108)通过棘轮(121)与凸块(122)的配合连接实现360度旋转与定位。The integrated X-ray protection device for an angiography machine according to claim 4, wherein said rotating arm assembly comprises a second rotating shaft (120), and said second rotating shaft (120) is fixed to said lifting rod assembly The second rotating shaft (120) and the right angle connecting member (108) are 360 degrees rotated and positioned by the mating connection of the ratchet wheel (121) and the bump (122).
  6. 如权利要求4所述的血管造影机床上一体化X射线防护装置,其特征在于,所述升降杆组件包括:立杆(112)、线性轴承(113)、扶手(111)、固定块(1111)和定位销钉(1113),所述线性轴承(113)设置于所述立杆(112)的顶部,所述铅有机玻璃防护屏上设有与所述立杆(112)相互平行的光轴(1151),所述光轴(1151)与所述线性轴承(113)相匹配;在所述立杆(112)上沿其长度方向设有滑槽 以及多个定位孔(1121),所述定位孔(1121)为沉孔;所述定位销钉(1113)依次穿过所述扶手(111)、固定块(1111)以及滑槽后,与所述铅有机玻璃防护屏连接,所述扶手(111)与固定块(1111)固定连接,所述固定块(1111)与所述定位孔(1121)相互配合;所述扶手(111)与所述定位销钉(1113)的端部之间设有第三弹簧(1112),所述第三弹簧(1112)用于推动所述扶手(111)与固定块(1111)向靠近所述滑槽的方向运动。The integrated X-ray protection device for an angiography machine tool according to claim 4, wherein the lifting rod assembly comprises: a vertical rod (112), a linear bearing (113), an armrest (111), and a fixed block (1111). And a positioning pin (1113) disposed on a top of the upright (112), the lead plexiglass shield being provided with an optical axis parallel to the upright (112) (1151), the optical axis (1151) is matched with the linear bearing (113); a chute is provided on the vertical rod (112) along its length direction And a plurality of positioning holes (1121), the positioning holes (1121) being counterbore; the positioning pin (1113) sequentially passes through the armrest (111), the fixing block (1111), and the chute, and the a lead plexiglass shield is connected, the armrest (111) is fixedly connected to the fixing block (1111), and the fixing block (1111) and the positioning hole (1121) cooperate with each other; the armrest (111) and the positioning A third spring (1112) is provided between the ends of the pin (1113) for pushing the armrest (111) and the fixed block (1111) toward the chute .
  7. 如权利要求6所述的血管造影机床上一体化X射线防护装置,其特征在于,所述直角连接件(108)上套设有限位套(109),所述限位套(109)与所述直角连接件(108)之间设有第二弹簧,所述第二弹簧用于推动所述限位套(109)向靠近所述立杆(112)的方向运动;所述立杆(112)的底端为正方形,所述限位套(109)的端部设有与所述立杆(112)的底端相配合的正方形孔。The integrated X-ray protection device for an angiography machine tool according to claim 6, wherein the right angle connector (108) is sleeved with a limiting sleeve (109), and the limiting sleeve (109) A second spring is disposed between the right angle connecting members (108) for pushing the limiting sleeve (109) to move in a direction close to the vertical rod (112); the vertical rod (112) The bottom end is square, and the end of the limiting sleeve (109) is provided with a square hole that cooperates with the bottom end of the upright (112).
  8. 如权利要求6所述的血管造影机床上一体化X射线防护装置,其特征在于,所述铅有机玻璃防护屏包括铅有机玻璃板(114)以及铅有机玻璃支架(115);所述定位销钉(1113)与所述铅有机玻璃支架(115)连接,所述光轴(1151)通过光轴支撑架与所述铅有机玻璃支架(115)连接。The integrated X-ray protection device for an angiography machine according to claim 6, wherein the lead plexiglass shield comprises a lead plexiglass plate (114) and a lead plexiglass holder (115); the positioning pin (1113) is coupled to the lead plexiglass holder (115), and the optical axis (1151) is coupled to the lead plexiglass holder (115) via an optical axis support.
  9. 如权利要求3所述的血管造影机床上一体化X射线防护装置,其特征在于,所述横移组件包括:横移滑块(135)、横移滑盖、横移手柄(134)和下铅帘固定板(2001),所述横移滑块(135)与所述不锈钢导轨(136)滑动连接,所述横移手柄(134)与所述横移滑块(135)连接,所述下铅帘固定板(2001)水平设置且与所述横移滑块(135)固定连接;所述横移滑盖连接在横移滑块上,所述三角支撑架(102)与所述横移滑盖转动连接,所述下铅帘(104)悬挂于所述下铅帘固定板(2001)和三角支撑架(102)的下方。The integrated X-ray protection device for an angiographic machine tool according to claim 3, wherein said traverse assembly comprises: a traverse slider (135), a traverse slide cover, a traverse handle (134) and a lower a lead curtain fixing plate (2001), the traverse slider (135) is slidably coupled to the stainless steel rail (136), and the traverse handle (134) is coupled to the traverse slider (135), a lower lead curtain fixing plate (2001) is horizontally disposed and fixedly coupled to the traverse slider (135); the traverse slide is coupled to the traverse slider, the triangular support frame (102) and the horizontal The slide cover is rotatably connected, and the lower lead curtain (104) is suspended below the lower lead curtain fixing plate (2001) and the triangular support frame (102).
  10. 如权利要求1所述的血管造影机床上一体化X射线防护装 置,其特征在于,所述三角支撑架(102)连接有用于阻挡X射线的升降板(131),所述升降组件能相对所述三角支撑架(102)做上升和下降动作,当所述升降板(131)处于升起状态时,所述升降板(131)位于所述上铅帘(118)与下铅帘(104)之间的间隙处。An integrated X-ray protective device for an angiographic machine tool according to claim Positioned, wherein the triangular support frame (102) is connected with a lifting plate (131) for blocking X-rays, and the lifting assembly can perform lifting and lowering actions relative to the triangular support frame (102) when When the lifting plate (131) is in the raised state, the lifting plate (131) is located at a gap between the upper lead curtain (118) and the lower lead curtain (104).
  11. 如权利要求10所述的血管造影机床上一体化X射线防护装置,其特征在于,所述升降板(131)与所述三角支撑架(102)之间通过四连杆机构实现上升与下降动作;The integrated X-ray protection device for an angiography machine tool according to claim 10, wherein the lifting plate (131) and the triangular support frame (102) are raised and lowered by a four-bar linkage mechanism. ;
    所述四连杆机构包括:两根转动杆(128)、以及固定连接在所述升降板(131)内侧的两个转动块(126);两根所述转动杆(128)的第一端分别通过旋转销钉(103)与所述三角支撑架(102)转动连接,转动杆(128)的第二端分别与两个所述转动块(126)转动连接,两个所述转动块(126)的上部均设有用于与所述转动杆(128)的第二端卡接的卡槽;当所述升降板(131)位于升起状态时,两根所述转动杆(128)的第二端分别卡接于对应转动块(126)上部的卡槽内。The four-bar linkage mechanism includes: two rotating rods (128), and two rotating blocks (126) fixedly connected inside the lifting plate (131); first ends of the two rotating rods (128) Rotatingly connected to the triangular support frame (102) by a rotating pin (103), respectively, the second ends of the rotating rods (128) are respectively rotatably connected with the two rotating blocks (126), and the two rotating blocks (126) The upper portion is provided with a card slot for engaging with the second end of the rotating lever (128); when the lifting plate (131) is in the raised state, the two of the rotating levers (128) are The two ends are respectively engaged in the card slots corresponding to the upper part of the rotating block (126).
  12. 如权利要求11所述的血管造影机床上一体化X射线防护装置,其特征在于,在所述升降板(131)外侧、对应所述转动块(126)与所述升降板(131)的连接处,铺设有防护铅条。 An integrated X-ray protection device for an angiography machine tool according to claim 11, wherein a connection between said rotating block (126) and said lifting plate (131) is provided outside said lifting plate (131) There are protective lead strips.
PCT/CN2015/091116 2015-05-19 2015-09-29 On-bed integrated x-ray protector for angiography machines WO2016184005A1 (en)

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CN110537932B (en) * 2019-07-30 2023-08-04 青岛市中心医院 Medical ray protection device capable of preventing non-inspection part of human body from being damaged
CN113440739A (en) * 2021-06-22 2021-09-28 浙江大学医学院附属第四医院 Radiology department lead blocking frame
CN113729757A (en) * 2021-09-23 2021-12-03 安徽麦科视科技有限公司 Efficient CBCT (cone beam computed tomography) shooting device and shooting method thereof
CN113729757B (en) * 2021-09-23 2024-05-28 安徽麦科视科技有限公司 Efficient CBCT shooting device and shooting method thereof
CN114533410A (en) * 2022-01-11 2022-05-27 陈妙安 Outdoor emergency medical bed with cushioning effect
CN114533410B (en) * 2022-01-11 2023-12-08 台州市喜迪汽摩部件有限公司 Outdoor emergency medical bed with cushioning effect
CN114469162A (en) * 2022-01-25 2022-05-13 安丘市人民医院 Clinical radiology department auxiliary personnel moving safety protector
CN114469162B (en) * 2022-01-25 2022-09-30 安丘市人民医院 Clinical radiology department auxiliary personnel moving safety protector

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