WO2019150746A1 - Bone density measuring apparatus - Google Patents
Bone density measuring apparatus Download PDFInfo
- Publication number
- WO2019150746A1 WO2019150746A1 PCT/JP2018/044246 JP2018044246W WO2019150746A1 WO 2019150746 A1 WO2019150746 A1 WO 2019150746A1 JP 2018044246 W JP2018044246 W JP 2018044246W WO 2019150746 A1 WO2019150746 A1 WO 2019150746A1
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- WIPO (PCT)
- Prior art keywords
- movable arm
- angle
- bone density
- density measuring
- measuring device
- Prior art date
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- 230000037182 bone density Effects 0.000 title claims abstract description 66
- 230000007246 mechanism Effects 0.000 claims description 60
- 238000003384 imaging method Methods 0.000 claims description 50
- 238000001739 density measurement Methods 0.000 claims description 13
- 230000036544 posture Effects 0.000 description 38
- 239000003550 marker Substances 0.000 description 11
- 210000000988 bone and bone Anatomy 0.000 description 6
- 210000000245 forearm Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000001105 regulatory effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000000623 ulna Anatomy 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 125000002066 L-histidyl group Chemical group [H]N1C([H])=NC(C([H])([H])[C@](C(=O)[*])([H])N([H])[H])=C1[H] 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 230000001678 irradiating effect Effects 0.000 description 1
- 238000005339 levitation Methods 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000007480 spreading Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
Definitions
- the present invention relates to a bone density measuring apparatus, and more particularly, to a bone density measuring apparatus having a movable arm that moves in an inclined manner.
- the bone density measuring device measures the bone density of the lumbar, femur (foreground bone) (radius, ulna), etc. in the subject. It is a device to do. Bone density is also called bone mineral content.
- a bone density measuring device there are known an integrated bone density measuring device in which a bed is integrated and a separate type bone density measuring device in which a bed is separated (see Patent Documents 1 to 3 for the latter). reference). Hereinafter, a separate-type bone density measuring apparatus will be described.
- a separate-type bone density measurement and acquisition device generally includes a lower part provided on the lower side of the bed, an upper part provided on the upper side of the bed, and a connecting part that connects the lower part and the upper part.
- an X-ray generator is provided in the lower part
- an X-ray detector is provided in the upper part.
- a movable arm that tilts is provided as the upper part.
- a horizontal rotation shaft is provided at the upper end of the connecting portion, and the movable arm rotates (tilts) around the horizontal rotation shaft.
- the bone density measuring device When performing X-ray imaging (X-ray imaging), the bone density measuring device is separated from the bed. Thereafter, an X-ray generator is disposed immediately above the bed (see FIG. 1 of Patent Document 1). In this state, the subject is irradiated with X-rays. On the back side of the top plate in the bed, a film that is sensitive to X-rays or a plate that detects X-rays and holds detection data is provided.
- the X-ray generator When it is desired to perform bone density measurement after X-ray imaging, the X-ray generator is retracted from directly above the bed, and the bone density measuring device is assembled to the bed.
- FIG. 4 of Patent Document 2 a plurality of inclination angles that can be taken by the movable arm are shown. Of these, only one holding angle of the movable arm is shown.
- a separate bone density measuring device when the movable arm is in an inclined state, the movable arm crosses the upper space of the bed diagonally. In that case, if the X-ray generator is disposed immediately above the bed, the X-ray generator and the movable arm collide. When the movable arm is in a horizontal state, the movable arm horizontally crosses the space above the bed. In that case, even if the X-ray generator can be arranged right above the bed, the X-ray imaging cannot be performed because the movable arm is in the way. In any case, conventionally, it is necessary to sufficiently separate the bone density measuring device from the bed during X-ray imaging. The bone densitometer is quite heavy and requires considerable effort to move it. The same problem as described above also occurs when devices other than the X-ray generator are disposed above the bed, and when the devices are disposed above the bed in the bone density measuring apparatus in which the bed is integrated. obtain.
- the present invention is to enable an apparatus to be arranged above a bed without separating the bone density measuring device from the bed.
- the bone density measuring device disclosed in the present application includes one of an X-ray generator and an X-ray detector, a lower part provided below a bed on which a subject is placed, the X-ray generator, A movable arm provided on the upper side of the subject on the bed at the time of bone density measurement, the other end of the X-ray detector; provided on the back side of the bed; And a rotating mechanism that rotates the movable arm around a horizontal rotation axis provided at the upper end of the connecting body.
- the mechanism includes a first angle selected during the bone density measurement, a second angle selected when the subject gets on and off the bed, which is larger than the first angle, and the An angle larger than the second angle and the space above the bed In a third angle that is selected when releasing, it holds the movable arms, it is characterized in.
- FIG. 1 It is a figure which shows the side surface of the bone density measuring apparatus which concerns on embodiment. It is a figure which shows three attitude
- a bone density measuring device includes a lower part, a movable arm, a connecting part, and a rotating mechanism.
- the lower part includes one of an X-ray generator and an X-ray detector, and is provided below the bed on which the subject is placed.
- the movable arm includes the other of the X-ray generator and the X-ray detector, and is provided on the upper side of the bed when measuring the bone density.
- the connecting portion is a structure that is provided on the back side of the movable arm and the bed and has a function of connecting the back-side end portion of the lower portion and the back-side end portion of the movable arm.
- the rotation mechanism is a mechanism that rotates the movable arm around a horizontal rotation axis provided at the upper end of the connection portion.
- the rotation mechanism is a first angle for bone density measurement, an angle larger than the first angle, a second angle for the subject to get on and off the bed, and an angle larger than the second angle.
- the movable arm is held at an angle selected by the user from among the third angles for opening the space above the bed.
- the upper space of the bed is opened, and thus an apparatus such as an X-ray generator (an apparatus other than the bone density measuring device) is disposed in the upper space. It becomes possible to do. Therefore, it is not necessary to separate the bone density measuring device from the bed when using the device. As long as necessary equipment can be disposed in the upper space of the bed, a part of the movable arm held at the third angle may protrude from the bed as viewed from above.
- the movable arm when the device arranged in the upper space is an X-ray generator for X-ray imaging, the movable arm does not collide with the X-ray generator and the three-dimensional X-ray irradiation formed by the X-ray generator
- the third angle and the shape of the movable arm are determined so that the movable arm does not enter the region.
- the holding of the movable arm at the second angle and the third angle by the rotation mechanism regulates at least the downward movement of the movable arm. In general, even if movement of the movable arm is allowed, the posture of the movable arm is stabilized at each selected angle by the load of the movable arm itself.
- the holding of the movable arm at the first angle by the rotation mechanism restricts both the downward movement and the upward movement of the movable arm. This prevents inadvertent movement of the movable arm during bone density measurement.
- the bone density measuring device releases the first releaser operated when releasing the holding of the movable arm at the first angle, and releases the holding of the movable arm at the second angle and the third angle.
- a second release device operated by the first releaser and the second releaser can be arranged at convenient positions. Since the second releaser exhibits two release actions, the number of parts can be reduced accordingly.
- the first releaser releases the restriction of the upward movement of the movable arm, and the second releaser releases the restriction of the downward movement of the movable arm.
- the first releaser is an upper release button provided on the upper side of the front end of the movable arm
- the second releaser is a lower release provided on the lower side of the front end of the movable arm. Button.
- the upper release button can be easily recognized and operated.
- the movable arm is in an inclined posture (or when the second angle or the third angle is selected)
- the upper surface of the movable arm becomes difficult or invisible when viewed from a standing user. Therefore, if a second releaser is provided below the front end of the movable arm, the visibility and operability can be improved.
- a slope that faces obliquely downward on the front side when the movable arm is held at the first angle is formed, and the lower release button is on the slope. Is provided. According to this configuration, the visibility and operability of the lower release button can be improved when the movable arm is tilted.
- a portion where the movable arm protrudes immediately above the bed can be reduced or eliminated as viewed from above.
- the field of view can be expanded when the examiner observes the subject.
- the width of the front end of the movable arm in the vertical direction is reduced, so that it can be easily held. It is only necessary that a lower release button is provided in the outer edge of the slope. For example, a recess may be formed on the slope, and the lower release button may be provided there.
- the rotation mechanism includes an electromagnetic latch mechanism that holds the movable arm at the first angle, and a mechanical latch mechanism that holds the movable arm at the second angle and the third angle, and the first releaser and the electromagnetic latch
- the mechanism is electrically connected by a signal line, and the second releaser and the mechanical latch mechanism are mechanically connected by a wire.
- each holding state can be formed by using both the electrical latch and the mechanical latch, and each holding state can be released.
- the electric latch even if the first releaser is operated during the bone density measurement or the movement of the X-ray generator or the like, it is possible to control to invalidate the first releaser.
- the mechanical latch the latch state can be easily formed with a simple configuration.
- FIG. 1 shows a side surface of a bone density measuring apparatus according to an embodiment.
- the illustrated bone density measuring device 10 is a medical device that measures the bone density of a subject's lumbar vertebrae, femur, forearm bone (radius, ulna), and other bones.
- the bone density measuring device 10 includes a lower part 12 provided below the top plate 18A of the imaging table 18, a movable arm 14 as an upper part provided above the imaging table 18, and a lower part 12 provided on the back side of the imaging table 18.
- a connecting portion 16 connected to the back end portion of the movable arm 14 and the back end portion of the movable arm 14, and a rotating mechanism 25 described in detail later.
- the imaging table 18 functions as a bed on which the subject 20 is placed.
- the imaging table 18 is separated from the bone density measuring device 10. That is, the imaging table 18 and the bone density measuring device 10 are provided in a state where they can be physically separated from each other.
- the imaging table 18 is also used for X-ray imaging (X-ray imaging). In other words, the imaging table 18 for X-ray imaging is used as it is for bone density measurement. In order to optimize and maintain the spatial relationship between the imaging table 18 and the bone density measuring device 10, both may be mechanically coupled.
- the X-ray generator is for generating X-rays 23.
- the X-ray 23 is a fan beam that expands in a fan shape in the embodiment.
- the spreading direction is the x direction and the z direction.
- the x direction is the longitudinal direction of the imaging table, which is also the body axis direction of the subject 20.
- the y direction is the short direction of the imaging table, which is the left-right direction of the subject 20.
- the z direction is the vertical direction (up and down direction). In FIG. 1, the y direction and the z direction are clearly shown.
- the X-ray 23 is scanned in the y direction (see S). Thereby, a two-dimensional irradiation area is formed.
- the X-ray 23 may be further scanned in the x direction.
- a pencil beam or a cone beam may be used.
- An X-ray detector 24 is provided inside the movable arm 14.
- the X-ray detector 24 includes a plurality of X-ray sensors arranged in the x direction.
- X-ray detector 24 is mechanically scanned in the y direction along with X-ray generator 22.
- the movable arm 14 has a front side end portion 14A and a back side end portion 14B.
- the near side is a near side (front side) when viewed from an inspector (user, not shown) approaching the imaging table 18, and the far side is a far side when viewed from the inspector.
- the y direction is the depth direction.
- the rear end of the movable arm 14 is rotatably supported by the upper end of the connecting portion 16.
- the rotation mechanism 25 is constructed across the movable arm 14 and the connecting portion 16.
- the rotating arm 25 causes the movable arm 14 to rotate (tilt or tilt) about the horizontal rotation shaft 26 as a rotation center.
- the rotation mechanism 25 includes two damper units, a stay snit, an electromagnetic latch mechanism, and a mechanical latch mechanism, which will be described later.
- the rotation mechanism 25 has a function of holding the movable arm 14 at the first angle ( ⁇ 1), the second angle ( ⁇ 2), and the third angle ( ⁇ 3).
- ⁇ 1 is 0 degree as a horizontal angle.
- ⁇ 2 is set within a range of 40 to 60 degrees in order to avoid contact between the subject and the movable arm when the subject gets on and off the imaging table 18, and to ensure operability and mobility. Is desirable.
- ⁇ 2 is 50 degrees.
- ⁇ 3 is preferably set within a range of 65 to 90 degrees in order to secure a space for installing the device in a space above the mounting table (a space immediately above).
- ⁇ 3 is 70 degrees.
- each numerical value described in this specification is an example.
- the inclination angle of the movable arm 14 is ⁇ 1. It is the lowest value of the range of angles that can be moved, and the movable arm 14 is held at that angle. That is, the upward movement of the movable arm 14 is restricted.
- ⁇ 1 is selected, the movable arm 14 is in a horizontal posture, and the movable arm crosses horizontally above the imaging table 18.
- the inclination angle of the movable arm 14 is ⁇ 2.
- the movable arm 14 is held at that angle. That is, the downward movement of the movable arm 14 is restricted. In this state, the upward movement of the movable arm 14 is allowed. It may be further regulated.
- ⁇ 2 is selected, the movable arm 14 is in an intermediate inclined posture, and the movable arm crosses obliquely above the imaging table 18.
- the inclination angle of the movable arm 14 is ⁇ 3.
- the movable arm is held at that angle. That is, the downward movement of the movable arm 14 is restricted. In this state, a slight movement of the movable arm 14 is allowed. It may be further regulated.
- the maximum value of the movable angular range of the movable arm 14 is an angle slightly larger than ⁇ 3.
- the lower side of the front side portion (front side portion) 14A of the movable arm 14 is partially cut off obliquely to form a slope 14E.
- the inclined surface 14E faces obliquely forward on the front side.
- the inclination angle of the inclined surface 14E with respect to the y direction is ⁇ 1.
- ⁇ 1 is set within a range of 20 to 40 degrees, for example.
- the slope 14E in the horizontal posture of the movable arm 14, the field of view of the examiner standing on the near side of the bone density measuring device 10 can be enlarged. That is, the subject 20 can be observed without lowering the head much.
- the subject's upper arm and shoulder are less likely to contact the movable arm 14.
- the vertical width of the end portion of the front side portion 14A of the movable arm 14 is reduced and it becomes easy to have it.
- the visibility and operability of the components provided on the slope 14E can be enhanced in the intermediate tilt posture of the movable arm 14. The possibility of the subject's head contacting the movable arm 14 when getting on and off the imaging table 18 can also be reduced.
- the bone density measuring apparatus 10 has a box 30 that houses a calibration member.
- FIG. 2 shows three postures that the movable arm 14 can take.
- the movable arm 14 is in a horizontal posture as shown in FIG.
- the angle at which the movable arm 14 is held is ⁇ 1, and specifically, ⁇ 1 is 0 degree.
- the subject 20 lies on his / her back on the imaging table 18.
- the examiner's head is generally at a higher position than the movable arm 14. Since a part of the movable arm 14 is cut off by the formation of the inclined surface 14E, it is possible to widen the field of view of the examiner as indicated by reference numeral 32. Moreover, a feeling of pressure can be reduced in the subject 20.
- the movable arm 14 When the subject gets on and off the imaging table 18 (see reference numeral 34), as shown in (B), the movable arm 14 is flipped up by the inspector, and the movable arm 14 is set to the intermediate inclined posture. At this time, the angle at which the movable arm 14 is held is ⁇ 2, and the movable arm 14 crosses the upper side of the imaging table 18 obliquely.
- the slope 14E of the movable arm 14 faces the inspector, and if a part is arranged there, the visibility and operability of the part can be improved.
- the intermediate inclined posture the space between the movable arm 14 and the imaging stand 18 is widened, and therefore, as described above, the subject's head becomes difficult to contact or contact the movable arm 14 when getting on and off. Disappear.
- the movable arm 14 is further lifted, and the movable arm 14 is brought into a substantially standing posture.
- a part of the movable arm 14 protrudes slightly from the photographic stand 18, but most of the space immediately above the photographic stand 18 is open.
- an X-ray generator 36 for X-ray imaging is arranged.
- the X-ray generator 36 is supported by a rail or an arm so as to be horizontally movable and vertically movable.
- the X-ray generator 36 is normally disposed immediately above the center of the imaging area on the imaging table 18 (see reference numeral 37).
- the center of the imaging area is generally the center in the longitudinal direction and the center in the lateral direction of the imaging table 18.
- the examination site of the subject 20 is positioned within the imaging area by the X-ray generator 36.
- the slope of the movable arm 14 is directed toward the front side, or is directed slightly toward the front side.
- At least the inclination angle of the movable arm 14 (so that the movable arm 14 does not enter the three-dimensional irradiation area formed by the X-ray generator 36 so that the movable arm 14 does not collide with the X-ray generator 36). It is desirable to determine ⁇ 3) and the angle of the slope.
- the inclination angle of the movable arm 14 is too large, it becomes difficult to operate a component arranged on the inclined surface (because it is difficult for an inspector to reach the component). It is desirable to determine the inclination angle.
- FIG. 3 shows the upper surface of the front end portion 14A of the movable arm 14.
- an upper release button 40 as a first releaser.
- the movable arm 14 is changed from the horizontal posture to the tilted state, it is an electrical switch operated to release the electromagnetic latch that maintains the horizontal posture (regulating the upward movement).
- An emergency stop button, an irradiating indicator, and a power lamp are provided in the vicinity of the front end portion 14A.
- FIG. 4 shows the lower side of the movable arm 14.
- the slope 14E is provided with a lower release button 42 as a second releaser. It is a mechanical switch that is operated when releasing the holding (control of upward movement) of the movable arm 14 in the intermediate inclined posture and the standing posture.
- a wire is provided between the lower release button 42 and a mechanical latch mechanism, which will be described later, and, for example, the push of the lower release button 42 pulls the wire to the lower release button 42 side. As a result, the mechanical latch mechanism is turned off.
- the movable arm 14 has two side surfaces 14F, and two dents 50 and 52 as a dent pair are provided in the lower part thereof (a corner portion straddling the two side surfaces 14F and the lower surface of the movable arm 14). ing.
- Two depressions 50 and 52 are provided side by side on one side surface 14F, and two depressions 50 and 52 are provided on the other side surface 14F side. These depressions 50 and 52 serve as a guide when positioning both feet of the subject.
- the body axis center is aligned with the center position in the X-ray scanning direction, the position of the subject is adjusted on the imaging table so that the two knees are aligned with the depressions 50 and 52.
- the reason why the pair of depressions are provided on both sides of the movable arm 14 is that the position of the head and the position of both feet may be reversed on the imaging table. It is possible to replace each of the recesses 50 and 52 with a marker. However, if they are formed into recesses, the possibility of contact with the knee can be reduced, or the collision force at the time of contact can be reduced.
- the above-described inclined surface and indented pair can be applied to a bone density measuring apparatus that does not have the rotating mechanism.
- FIG. 4 shows a cover 45 that moves up and down together with the movable arm 14.
- the cover 45 is a decorative board that hides the internal mechanism.
- a reference marker 44 is provided at the upper end of the connecting portion.
- the cover 45 is provided with a first marker 46, and a second marker 48 is provided below the first marker 46. If the movable arm 14 is desired to be in an intermediate tilt position, the mechanical latch mechanism is activated when the movable arm 14 is lifted and the first marker 46 reaches or exceeds the reference marker 44. Thereafter, when the movable arm 14 is slightly lowered, the angle of the movable arm 14 is maintained. The holding angle at that time is the above ⁇ 2.
- the mechanical latch mechanism is activated when the movable arm 14 is further lifted and the second marker 48 reaches or exceeds the reference marker 44. Thereafter, when the movable arm 14 is slightly lowered, the angle of the movable arm 14 is maintained. The holding angle at that time is the above ⁇ 3.
- the lower release button 42 is provided on the slope 14E at a position close to the edge 14D.
- the lower release button 42 is located on the back side of the slope 14E. 42A may be provided. According to such a configuration, when the movable arm 14 is in a substantially standing posture, even an inspector with a short height can easily reach the lower release button 42A.
- a plurality of lower release buttons 42B and 42C having the same function may be provided on the slope 14E.
- two release operation buttons may be provided on the two side surfaces of the movable arm 14.
- FIG. 6 schematically shows a configuration example of the rotation mechanism 25.
- the rotating mechanism 25 has a horizontal rotating shaft 26, and the movable arm 14 rotates around the horizontal rotating shaft 26.
- the connecting portion 16 has a frame 54, and the movable arm 14 has a frame 56.
- Two damper units 58 and 60 and a stay unit 62 are provided across the frame 54 and the frame 56, and an electromagnetic latch mechanism described later is further provided. Each of them constitutes an element of the rotation mechanism 25.
- the two damper units 58 and 60 give a constant upward urging force (levitation force) to the movable arm 14.
- the stay unit 62 includes a fixed member and a movable member that slides relative to the fixed member, and further includes a mechanical latch mechanism 64.
- the mechanical latch mechanism 64 includes, for example, a movable piece that enters a plurality of openings formed in the movable member. A latching state is formed when a movable piece enters one of the openings. In the latched state, the downward movement of the movable arm 14 is restricted. However, in the latched state, the upward movement of the movable arm is allowed. However, the upward movement of the movable arm is limited when the rotation angle of the movable arm becomes maximum. The operation force of the lower release button is transmitted to the mechanical latch mechanism 64 through the wire, and thereby the latch state of the mechanical latch mechanism 64 is released.
- the mechanical latch mechanism 64 is a mechanism that holds the movable arm at the second angle ⁇ 2 and the third angle ⁇ 3.
- a mechanical latch mechanism 64 may be provided on the movable member, and a plurality of openings may be provided
- FIG. 7 shows a mechanical latch mechanism 64 and an electromagnetic latch mechanism 68.
- the mechanical latch mechanism 64 is provided in the stay unit 62 as already described.
- the mechanical latch mechanism 64 is mechanically connected to the lower release button 42 via a wire 66.
- the lower release button 42 is operated when releasing the latched state, that is, the holding state, in the intermediate tilted posture and the substantially upright posture of the movable arm.
- the electromagnetic latch mechanism 68 is a mechanism that maintains the horizontal posture of the movable arm.
- the electromagnetic latch mechanism 68 includes an actuator 72, a latching (locking) pin 70, and a member 73 in which a pin hole is formed.
- the member 73 is fixed to the frame of the movable arm, and the member 73 has a hole for receiving the pin 70. When the pin 70 enters the hole, a latched state (locked state) is formed.
- the actuator 72 is fixed to the frame of the connecting portion.
- a signal line 74 is provided between the upper release button 40 and the actuator 72.
- the upper release button 40 when only the upper release button 40 is provided and all the latch release operations are performed on the upper release button 40, the upper release button 40 is hidden behind the movable arm when the movable arm is in the intermediate inclined posture and the standing posture. The operation becomes very difficult.
- the lower release button 42 if only the lower release button 42 is provided and all the latch release operations are performed on the lower release button 42, the lower release button 42 becomes invisible when the movable arm is in a horizontal posture, and the operation becomes difficult.
- both the upper release button 40 and the lower release button 42 are provided, the above-described problems can be avoided and the usability is very good.
- the operation and operation method of the movable arm are arranged.
- the electromagnetic latch mechanism operates and a holding state is formed. That is, the horizontal posture of the movable arm is maintained. In that state, the mechanical latch mechanism is substantially inoperative. However, it is possible to cause it to perform a latch operation.
- the upper release button is turned on, whereby the electromagnetic latch mechanism is unlocked (non-latched state).
- the mechanical latch mechanism automatically operates and enters a locked state (latched state).
- the lower release button is turned on, and the mechanical latch mechanism is unlocked. Actually, the lower release button can be turned on with the movable arm slightly lifted. When the angle of the movable arm reaches ⁇ 1, the electromagnetic latch mechanism automatically operates and the locked state is formed again.
- reference numeral 108 when the angle of the movable arm is to be changed from ⁇ 2 to ⁇ 3, it is not necessary to operate the lower release button.
- the mechanical latch mechanism automatically operates and a locked state is formed.
- the lower release button is turned on, whereby the mechanical latch mechanism is unlocked. Actually, the lower release button can be turned on with the movable arm slightly lifted. When the angle of the movable arm reaches ⁇ 1, the electromagnetic latch mechanism automatically operates and the locked state is formed again.
- the movable arm can be in a substantially upright posture, it is possible to arrange an X-ray imaging device directly above the imaging table without separating the bone density measuring device from the imaging table. is there. Since the upper release button and the lower release button are provided on the movable arm, even if the posture of the movable arm changes, the visibility and operability of the buttons necessary for the operation can be improved.
- the X-ray generator is provided on the lower side and the X-ray detector is provided on the upper side. However, the arrangement thereof may be reversed. Even when the bone density measuring apparatus and the imaging stand are integrated, the above-described configuration can be adopted.
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Abstract
A bone density measuring apparatus that holds a movable arm at an angle selected from among a first angle (θ1), a second angle (θ2), and a third angle (θ3). When the third angle is selected, the movable arm is in a standing posture and the space above a mounting table is opened. An X-ray detector, etc. for X-ray examinations can be arranged in this upper space. The movable arm has provided therein an upper release button and a lower release button that are for releasing the hold state of the movable arm.
Description
本発明は骨密度測定装置に関し、特に、傾斜運動する可動アームを備えた骨密度測定装置に関する。
The present invention relates to a bone density measuring apparatus, and more particularly, to a bone density measuring apparatus having a movable arm that moves in an inclined manner.
骨密度測定装置(bone density measuring apparatus)は、被検者における腰椎(lumbar)、大腿骨(thighbone)、前腕骨(forearm bone)(橈骨(radius)、尺骨(ulna))等の骨密度を測定する装置である。骨密度は骨塩量(bone mineral content)とも呼ばれる。骨密度測定装置として、ベッドが一体化された一体型の骨密度測定装置、及び、ベッドが別体化された別体型の骨密度測定装置が知られている(後者について特許文献1乃至3を参照)。以下、別体型の骨密度測定装置について説明する。
The bone density measuring device (bone density density measuring means apparatus) measures the bone density of the lumbar, femur (foreground bone) (radius, ulna), etc. in the subject. It is a device to do. Bone density is also called bone mineral content. As a bone density measuring device, there are known an integrated bone density measuring device in which a bed is integrated and a separate type bone density measuring device in which a bed is separated (see Patent Documents 1 to 3 for the latter). reference). Hereinafter, a separate-type bone density measuring apparatus will be described.
別体型の骨密度測定得装置は、一般に、ベッドの下側に設けられる下部、ベッドの上側に設けられる上部、及び、下部と上部とを連結する連結部、により構成される。例えば、下部の中にX線発生器が設けられ、上部の中にX線検出器が設けられる。ベッドに対する乗り降りの際に被検者の頭部が上部に衝突しないようにするため、その上部として、傾斜運動する可動アームが設けられる。具体的には、連結部の上端部に水平回転軸が設けられ、その水平回転軸を回転中心として、可動アームが回転運動(傾斜運動)する。被検者がベッドに乗る際や被検者がベッドから降りる際には、可動アームが上方へ跳ね上げられ、可動アームが傾斜姿勢とされる。
A separate-type bone density measurement and acquisition device generally includes a lower part provided on the lower side of the bed, an upper part provided on the upper side of the bed, and a connecting part that connects the lower part and the upper part. For example, an X-ray generator is provided in the lower part, and an X-ray detector is provided in the upper part. In order to prevent the head of the subject from colliding with the upper part when getting on and off the bed, a movable arm that tilts is provided as the upper part. Specifically, a horizontal rotation shaft is provided at the upper end of the connecting portion, and the movable arm rotates (tilts) around the horizontal rotation shaft. When the subject gets on the bed or when the subject gets off the bed, the movable arm is flipped upward, and the movable arm is inclined.
X線撮影(レントゲン撮影)を行う場合、骨密度測定装置がベッドから離される。その後、ベッドの直上にX線発生器が配置される(特許文献1の図1を参照)。その状態で、被検者にX線が照射される。ベッドにおける天板の裏側には、X線に感光するフィルム、又は、X線を検出し検出データを保持するプレートが設けられる。X線撮影後、骨密度測定を行いたい場合、X線発生器がベッドの直上から退避した状態が形成され、ベッドに対して骨密度測定装置が組み付けられる。
When performing X-ray imaging (X-ray imaging), the bone density measuring device is separated from the bed. Thereafter, an X-ray generator is disposed immediately above the bed (see FIG. 1 of Patent Document 1). In this state, the subject is irradiated with X-rays. On the back side of the top plate in the bed, a film that is sensitive to X-rays or a plate that detects X-rays and holds detection data is provided. When it is desired to perform bone density measurement after X-ray imaging, the X-ray generator is retracted from directly above the bed, and the bone density measuring device is assembled to the bed.
なお、特許文献2の図4には、可動アームが取り得る複数の傾斜角度が示されているが、その内で可動アームの保持角度は1つだけである。
In FIG. 4 of Patent Document 2, a plurality of inclination angles that can be taken by the movable arm are shown. Of these, only one holding angle of the movable arm is shown.
別体型の骨密度測定装置において、可動アームが傾斜状態にある場合、可動アームはベッドの上方空間を斜めに横切っている。その場合、ベッドの直上にX線発生器を配置するならば、X線発生器と可動アームが衝突してしまう。可動アームが水平状態にある場合、可動アームはベッドの上方空間を水平に横切っている。その場合、ベッドの直上にX線発生器を配置できるとしても、可動アームが邪魔になってX線撮影を行うことはできない。いずれにしても、従来、X線撮影時には骨密度測定装置をベッドから十分に離す必要がある。骨密度測定装置はかなり重く、その移動にはかなりの労力を要する。なお、X線発生器以外の機器をベッドの上方に配置する場合、及び、ベッドが一体化された骨密度測定装置においてベッドの上方に機器を配置する場合にも、上記と同様の問題が生じ得る。
In a separate bone density measuring device, when the movable arm is in an inclined state, the movable arm crosses the upper space of the bed diagonally. In that case, if the X-ray generator is disposed immediately above the bed, the X-ray generator and the movable arm collide. When the movable arm is in a horizontal state, the movable arm horizontally crosses the space above the bed. In that case, even if the X-ray generator can be arranged right above the bed, the X-ray imaging cannot be performed because the movable arm is in the way. In any case, conventionally, it is necessary to sufficiently separate the bone density measuring device from the bed during X-ray imaging. The bone densitometer is quite heavy and requires considerable effort to move it. The same problem as described above also occurs when devices other than the X-ray generator are disposed above the bed, and when the devices are disposed above the bed in the bone density measuring apparatus in which the bed is integrated. obtain.
本発明は、ベッドから骨密度測定装置を離すことなく、ベッドの上方に機器を配置できるようにすることにある。
The present invention is to enable an apparatus to be arranged above a bed without separating the bone density measuring device from the bed.
本願において開示された骨密度測定装置は、X線発生器及びX線検出器の内の一方を備え、被検者を載置するベッドの下側に設けられる下部と、前記X線発生器及び前記X線検出器の内の他方を備え、骨密度測定の際に前記ベッド上の前記被検者の上側に設けられる可動アームと、前記ベッドの奥側に設けられ、前記下部の奥側端部と前記可動アームの奥側端部とを連結する連結体と、前記連結体の上端部に設けられた水平回転軸を回転中心として前記可動アームを回転させる回転機構と、を含み、前記回転機構は、前記骨密度測定の際に選択される第1角度、前記第1角度よりも大きな角度であって前記被検者が前記ベッドに乗り降りする際に選択される第2角度、及び、前記第2角度よりも大きな角度であって前記ベッドの上方空間を開放する際に選択される第3角度で、前記可動アームを保持する、ことを特徴とするものである。
The bone density measuring device disclosed in the present application includes one of an X-ray generator and an X-ray detector, a lower part provided below a bed on which a subject is placed, the X-ray generator, A movable arm provided on the upper side of the subject on the bed at the time of bone density measurement, the other end of the X-ray detector; provided on the back side of the bed; And a rotating mechanism that rotates the movable arm around a horizontal rotation axis provided at the upper end of the connecting body. The mechanism includes a first angle selected during the bone density measurement, a second angle selected when the subject gets on and off the bed, which is larger than the first angle, and the An angle larger than the second angle and the space above the bed In a third angle that is selected when releasing, it holds the movable arms, it is characterized in.
以下、実施形態を図面に基づいて説明する。
Hereinafter, embodiments will be described with reference to the drawings.
(1)実施形態の概要
実施形態に係る骨密度測定装置は、下部、可動アーム、連結部、及び、回転機構、を含む。下部は、X線発生器及びX線検出器の内の一方を備え、被検者を載置するベッドの下側に設けられる。可動アームは、X線発生器及びX線検出器の内の他方を備え、骨密度測定の際にベッドの上側に設けられる。連結部は、可動アームと、ベッドの奥側に設けられ、下部の奥側端部と可動アームの奥側端部とを連結する機能を有する構造物である。回転機構は、連結部の上端部に設けられた水平回転軸を回転中心として可動アームを回転させる機構である。回転機構は、骨密度測定のための第1角度、第1角度よりも大きな角度であって被検者がベッドに乗り降りするための第2角度、及び、第2角度よりも大きな角度であってベッドの上方空間を開放するための第3角度の中から、ユーザーにより選択された角度で、可動アームを保持する。 (1) Outline of Embodiment A bone density measuring device according to an embodiment includes a lower part, a movable arm, a connecting part, and a rotating mechanism. The lower part includes one of an X-ray generator and an X-ray detector, and is provided below the bed on which the subject is placed. The movable arm includes the other of the X-ray generator and the X-ray detector, and is provided on the upper side of the bed when measuring the bone density. The connecting portion is a structure that is provided on the back side of the movable arm and the bed and has a function of connecting the back-side end portion of the lower portion and the back-side end portion of the movable arm. The rotation mechanism is a mechanism that rotates the movable arm around a horizontal rotation axis provided at the upper end of the connection portion. The rotation mechanism is a first angle for bone density measurement, an angle larger than the first angle, a second angle for the subject to get on and off the bed, and an angle larger than the second angle. The movable arm is held at an angle selected by the user from among the third angles for opening the space above the bed.
実施形態に係る骨密度測定装置は、下部、可動アーム、連結部、及び、回転機構、を含む。下部は、X線発生器及びX線検出器の内の一方を備え、被検者を載置するベッドの下側に設けられる。可動アームは、X線発生器及びX線検出器の内の他方を備え、骨密度測定の際にベッドの上側に設けられる。連結部は、可動アームと、ベッドの奥側に設けられ、下部の奥側端部と可動アームの奥側端部とを連結する機能を有する構造物である。回転機構は、連結部の上端部に設けられた水平回転軸を回転中心として可動アームを回転させる機構である。回転機構は、骨密度測定のための第1角度、第1角度よりも大きな角度であって被検者がベッドに乗り降りするための第2角度、及び、第2角度よりも大きな角度であってベッドの上方空間を開放するための第3角度の中から、ユーザーにより選択された角度で、可動アームを保持する。 (1) Outline of Embodiment A bone density measuring device according to an embodiment includes a lower part, a movable arm, a connecting part, and a rotating mechanism. The lower part includes one of an X-ray generator and an X-ray detector, and is provided below the bed on which the subject is placed. The movable arm includes the other of the X-ray generator and the X-ray detector, and is provided on the upper side of the bed when measuring the bone density. The connecting portion is a structure that is provided on the back side of the movable arm and the bed and has a function of connecting the back-side end portion of the lower portion and the back-side end portion of the movable arm. The rotation mechanism is a mechanism that rotates the movable arm around a horizontal rotation axis provided at the upper end of the connection portion. The rotation mechanism is a first angle for bone density measurement, an angle larger than the first angle, a second angle for the subject to get on and off the bed, and an angle larger than the second angle. The movable arm is held at an angle selected by the user from among the third angles for opening the space above the bed.
上記構成によれば、第3角度が選択された場合、ベッドの上方空間が開放されることになるので、その上方空間にX線発生器等の機器(骨密度測定装置以外の機器)を配置することが可能となる。よって、当該機器を利用する際に、骨密度測定装置をベッドから離す必要がなくなる。ベッドの上方空間に必要な機器を配置できる限りにおいて、上方から見て、第3角度で保持された可動アームの一部がベッド上にせり出ていてもよい。
According to the above configuration, when the third angle is selected, the upper space of the bed is opened, and thus an apparatus such as an X-ray generator (an apparatus other than the bone density measuring device) is disposed in the upper space. It becomes possible to do. Therefore, it is not necessary to separate the bone density measuring device from the bed when using the device. As long as necessary equipment can be disposed in the upper space of the bed, a part of the movable arm held at the third angle may protrude from the bed as viewed from above.
実施形態において、上方空間に配置される機器がX線撮影用のX線発生器である場合、X線発生器に可動アームが衝突せず且つX線発生器により形成される三次元X線照射領域内に可動アームが入らないように、第3角度及び可動アームの形態が定められる。実施形態において、回転機構による第2角度及び第3角度での可動アームの保持は、少なくとも下方への可動アームの運動を規制するものである。一般に、可動アームの上方への運動が許容されていても、可動アーム自身の荷重により、選択された各角度において可動アームの姿勢が安定する。実施形態において、回転機構による第1角度での可動アームの保持は、可動アームの下方への運動及び上方への運動の両方を規制するものである。これにより骨密度測定中における可動アームの上方への不用意な運動が防止される。
In the embodiment, when the device arranged in the upper space is an X-ray generator for X-ray imaging, the movable arm does not collide with the X-ray generator and the three-dimensional X-ray irradiation formed by the X-ray generator The third angle and the shape of the movable arm are determined so that the movable arm does not enter the region. In the embodiment, the holding of the movable arm at the second angle and the third angle by the rotation mechanism regulates at least the downward movement of the movable arm. In general, even if movement of the movable arm is allowed, the posture of the movable arm is stabilized at each selected angle by the load of the movable arm itself. In the embodiment, the holding of the movable arm at the first angle by the rotation mechanism restricts both the downward movement and the upward movement of the movable arm. This prevents inadvertent movement of the movable arm during bone density measurement.
実施形態において、骨密度測定装置は、第1角度での可動アームの保持を解除する際に操作される第1解除器と、第2角度及び第3角度での可動アームの保持を解除する際に操作される第2解除器と、を含む。この構成によれば、第1解除器と第2解除器をそれぞれ使い勝手の良い位置に配置できる。第2解除器が2つの解除作用を発揮するので、その分だけ部品点数を削減できる。実施形態において、第1解除器は、可動アームの上方への運動の規制を解除するものであり、第2解除器は、可動アームの下方への運動の規制を解除するものである。
In the embodiment, the bone density measuring device releases the first releaser operated when releasing the holding of the movable arm at the first angle, and releases the holding of the movable arm at the second angle and the third angle. And a second release device operated by. According to this configuration, the first releaser and the second releaser can be arranged at convenient positions. Since the second releaser exhibits two release actions, the number of parts can be reduced accordingly. In the embodiment, the first releaser releases the restriction of the upward movement of the movable arm, and the second releaser releases the restriction of the downward movement of the movable arm.
実施形態において、第1解除器は可動アームの手前側端部の上側に設けられた上側解除ボタンであり、第2解除器は可動アームの手前側端部の下側に設けられた下側解除ボタンである。一般に、可動アームが水平姿勢にある場合(又は第1角度が選択された場合)、立位のユーザー(通常、検査者)の頭部よりも可動アームの上面は低い位置となる。そのような位置関係においては、上側解除ボタンを容易に視認でき、その操作も容易となる。一方、一般に、可動アームが傾斜姿勢にある場合(又は第2角度や第3角度が選択された場合)、立位のユーザーから見て、可動アームの上面は見難くなりあるいは見えなくなる。そこで、可動アームの手前側端部の下側に第2解除器を設ければ、その視認性及びその操作性を向上できる。
In the embodiment, the first releaser is an upper release button provided on the upper side of the front end of the movable arm, and the second releaser is a lower release provided on the lower side of the front end of the movable arm. Button. In general, when the movable arm is in a horizontal posture (or when the first angle is selected), the upper surface of the movable arm is lower than the head of a standing user (usually an examiner). In such a positional relationship, the upper release button can be easily recognized and operated. On the other hand, generally, when the movable arm is in an inclined posture (or when the second angle or the third angle is selected), the upper surface of the movable arm becomes difficult or invisible when viewed from a standing user. Therefore, if a second releaser is provided below the front end of the movable arm, the visibility and operability can be improved.
実施形態において、可動アームの手前側端部の下側には、可動アームが第1角度で保持されている場合において手前側斜め下方を向く斜面が形成されており、下側解除ボタンは斜面に設けられている。この構成によれば、可動アームの傾斜状態において、下側解除ボタンの視認性及び操作性を向上できる。また、可動アームが第3角度で保持されている状態において、上方から見て、ベッドの直上に可動アームが迫り出る部分を小さくでき又はそれを無くすることができる。また、可動アームが第1角度で保持されている状態において、検査者が被検者を観察する際に、視野を広げることが可能となる。斜面の形成により、可動アームの手前側端部の上下方向の幅が薄くなるので、そこを持ち易くなる。斜面の外縁内に下側解除ボタンが設けられていればよく、例えば、斜面に凹部を形成し、そこに下側解除ボタンを設けてもよい。
In the embodiment, on the lower side of the front end portion of the movable arm, a slope that faces obliquely downward on the front side when the movable arm is held at the first angle is formed, and the lower release button is on the slope. Is provided. According to this configuration, the visibility and operability of the lower release button can be improved when the movable arm is tilted. In addition, in a state where the movable arm is held at the third angle, a portion where the movable arm protrudes immediately above the bed can be reduced or eliminated as viewed from above. In addition, in the state where the movable arm is held at the first angle, the field of view can be expanded when the examiner observes the subject. By forming the slope, the width of the front end of the movable arm in the vertical direction is reduced, so that it can be easily held. It is only necessary that a lower release button is provided in the outer edge of the slope. For example, a recess may be formed on the slope, and the lower release button may be provided there.
実施形態において、回転機構は、第1角度で可動アームを保持する電磁ラッチ機構と、第2角度及び第3角度で可動アームを保持する機械ラッチ機構と、を含み、第1解除器と電磁ラッチ機構とが信号線により電気的に接続され、第2解除器と機械ラッチ機構とがワイヤにより機械的に接続される。この構成によれば、電気的なラッチと機械的なラッチとを併用して、個々の保持状態を形成でき、また、個々の保持状態を解除できる。電気的なラッチによれば、骨密度測定中又はX線発生器等の移動中において、第1解除器が操作されても、それを無効とする制御を行える。機械的なラッチによれば、簡易な構成で簡便にラッチ状態を形成できる。
In the embodiment, the rotation mechanism includes an electromagnetic latch mechanism that holds the movable arm at the first angle, and a mechanical latch mechanism that holds the movable arm at the second angle and the third angle, and the first releaser and the electromagnetic latch The mechanism is electrically connected by a signal line, and the second releaser and the mechanical latch mechanism are mechanically connected by a wire. According to this configuration, each holding state can be formed by using both the electrical latch and the mechanical latch, and each holding state can be released. According to the electric latch, even if the first releaser is operated during the bone density measurement or the movement of the X-ray generator or the like, it is possible to control to invalidate the first releaser. According to the mechanical latch, the latch state can be easily formed with a simple configuration.
(2)実施形態の詳細
図1には、実施形態に係る骨密度測定装置の側面が示されている。図示された骨密度測定装置10は、被検者の腰椎、大腿骨、前腕骨(橈骨、尺骨)、その他の骨について、その骨密度を測定する医療装置である。骨密度測定装置10は、撮影台18の天板18Aの下側に設けられる下部12、撮影台18の上側に設けられる上部としての可動アーム14、撮影台18の奥側に設けられて下部12の奥側端部と可動アーム14の奥側端部に連結された連結部16、及び、後に詳述する回転機構25を有する。 (2) Details of Embodiment FIG. 1 shows a side surface of a bone density measuring apparatus according to an embodiment. The illustrated bonedensity measuring device 10 is a medical device that measures the bone density of a subject's lumbar vertebrae, femur, forearm bone (radius, ulna), and other bones. The bone density measuring device 10 includes a lower part 12 provided below the top plate 18A of the imaging table 18, a movable arm 14 as an upper part provided above the imaging table 18, and a lower part 12 provided on the back side of the imaging table 18. A connecting portion 16 connected to the back end portion of the movable arm 14 and the back end portion of the movable arm 14, and a rotating mechanism 25 described in detail later.
図1には、実施形態に係る骨密度測定装置の側面が示されている。図示された骨密度測定装置10は、被検者の腰椎、大腿骨、前腕骨(橈骨、尺骨)、その他の骨について、その骨密度を測定する医療装置である。骨密度測定装置10は、撮影台18の天板18Aの下側に設けられる下部12、撮影台18の上側に設けられる上部としての可動アーム14、撮影台18の奥側に設けられて下部12の奥側端部と可動アーム14の奥側端部に連結された連結部16、及び、後に詳述する回転機構25を有する。 (2) Details of Embodiment FIG. 1 shows a side surface of a bone density measuring apparatus according to an embodiment. The illustrated bone
撮影台18は、被検者20を載置するベッドとして機能する。撮影台18は骨密度測定装置10とは別体化されている。すなわち、撮影台18と骨密度測定装置10は、互いに物理的に分離し得る状態で設けられている。撮影台18は、X線撮影(レントゲン撮影)の際にも利用される。換言すれば、X線撮影用の撮影台18が骨密度測定でそのまま利用されている。撮影台18と骨密度測定装置10の空間的関係を適正化及び維持するために、両者が機械的に連結されてもよい。
The imaging table 18 functions as a bed on which the subject 20 is placed. The imaging table 18 is separated from the bone density measuring device 10. That is, the imaging table 18 and the bone density measuring device 10 are provided in a state where they can be physically separated from each other. The imaging table 18 is also used for X-ray imaging (X-ray imaging). In other words, the imaging table 18 for X-ray imaging is used as it is for bone density measurement. In order to optimize and maintain the spatial relationship between the imaging table 18 and the bone density measuring device 10, both may be mechanically coupled.
下部12の内部にはX線発生器が設けられている。X線発生器はX線23を生成するものである。X線23は実施形態において扇状に広がるファンビーム(fan beam)である。その広がり方向はx方向及びz方向である。ここで、x方向は撮影台の長手方向であり、それは被検者20の体軸方向でもある。y方向は撮影台の短手方向であり、それは被検者20の左右方向である。z方向は鉛直方向(上下方向)である。図1においてはy方向及びz方向が明示されている。X線23はy方向に走査される(符号Sを参照)。これにより二次元照射エリアが形成される。X線23が更にx方向に走査されてもよい。ファンビームに代えて、ペンシルビーム(pencil beam)やコーンビーム(cone beam)が利用されてもよい。
An X-ray generator is provided inside the lower part 12. The X-ray generator is for generating X-rays 23. The X-ray 23 is a fan beam that expands in a fan shape in the embodiment. The spreading direction is the x direction and the z direction. Here, the x direction is the longitudinal direction of the imaging table, which is also the body axis direction of the subject 20. The y direction is the short direction of the imaging table, which is the left-right direction of the subject 20. The z direction is the vertical direction (up and down direction). In FIG. 1, the y direction and the z direction are clearly shown. The X-ray 23 is scanned in the y direction (see S). Thereby, a two-dimensional irradiation area is formed. The X-ray 23 may be further scanned in the x direction. Instead of the fan beam, a pencil beam or a cone beam may be used.
可動アーム14の内部にはX線検出器24が設けられている。X線検出器24はx方向に並ぶ複数のX線センサにより構成される。X線検出器24はX線発生器22と一緒にy方向に機械的に走査される。可動アーム14は、手前側端部14A及び奥側端部14Bを有する。ここで、手前側は、撮影台18に接近した検査者(ユーザー、図示せず)から見て、近い側(前側)であり、奥側は、その検査者から見て、遠い側である。図1において、y方向が奥行き方向である。
An X-ray detector 24 is provided inside the movable arm 14. The X-ray detector 24 includes a plurality of X-ray sensors arranged in the x direction. X-ray detector 24 is mechanically scanned in the y direction along with X-ray generator 22. The movable arm 14 has a front side end portion 14A and a back side end portion 14B. Here, the near side is a near side (front side) when viewed from an inspector (user, not shown) approaching the imaging table 18, and the far side is a far side when viewed from the inspector. In FIG. 1, the y direction is the depth direction.
可動アーム14の奥側端部が連結部16の上端部によって回転可能に支持されている。具体的には、可動アーム14と連結部16とに跨って回転機構25が構築されている。回転機構25によって可動アーム14が水平回転軸26を回転中心として回転運動(傾斜運動、チルト運動)する。回転機構25には、後述する、2つのダンパ(damper)ユニット、ステー(stay)スニット、電磁ラッチ機構、及び、機械ラッチ機構が含まれる。
The rear end of the movable arm 14 is rotatably supported by the upper end of the connecting portion 16. Specifically, the rotation mechanism 25 is constructed across the movable arm 14 and the connecting portion 16. The rotating arm 25 causes the movable arm 14 to rotate (tilt or tilt) about the horizontal rotation shaft 26 as a rotation center. The rotation mechanism 25 includes two damper units, a stay snit, an electromagnetic latch mechanism, and a mechanical latch mechanism, which will be described later.
回転機構25は、第1角度(θ1)、第2角度(θ2)及び第3角度(θ3)で、可動アーム14を保持する機能を有する。状況に応じて、可動アームの角度が選択される。ここで、θ1は水平角度としての0度である。θ2は、撮影台18に対する被検者の乗り降りにおいて被検者と可動アームの接触を避けるために、及び、操作性や機動性を確保するために、40~60度の範囲内において設定されるのが望ましい。例えばθ2は50度である。θ3は、載置台の上方空間(直上空間)に機器を設置するスペースを確保するために、65~90度の範囲内において設定されるのが望ましい。例えばθ3は70度である。もっとも、本願明細書に記載した各数値はいずれも例示である。
The rotation mechanism 25 has a function of holding the movable arm 14 at the first angle (θ1), the second angle (θ2), and the third angle (θ3). Depending on the situation, the angle of the movable arm is selected. Here, θ1 is 0 degree as a horizontal angle. θ2 is set within a range of 40 to 60 degrees in order to avoid contact between the subject and the movable arm when the subject gets on and off the imaging table 18, and to ensure operability and mobility. Is desirable. For example, θ2 is 50 degrees. θ3 is preferably set within a range of 65 to 90 degrees in order to secure a space for installing the device in a space above the mounting table (a space immediately above). For example, θ3 is 70 degrees. However, each numerical value described in this specification is an example.
骨密度測定の際には、可動アーム14の傾斜角度がθ1とされる。それは運動可能な角度範囲の最低値であり、その角度で可動アーム14が保持される。つまり、可動アーム14の上方への運動が規制される。θ1が選択された場合、可動アーム14が水平姿勢となり、撮影台18の上方を可動アームが水平に横切ることになる。
When measuring the bone density, the inclination angle of the movable arm 14 is θ1. It is the lowest value of the range of angles that can be moved, and the movable arm 14 is held at that angle. That is, the upward movement of the movable arm 14 is restricted. When θ1 is selected, the movable arm 14 is in a horizontal posture, and the movable arm crosses horizontally above the imaging table 18.
撮影台18に対する被検者20の乗り降りの際には、可動アーム14の傾斜角度がθ2とされる。その角度で可動アーム14が保持される。つまり、可動アーム14の下方への運動が規制される。その状態では可動アーム14の上方への運動は許容される。それが更に規制されてもよい。θ2が選択された場合、可動アーム14が中間傾斜姿勢となり、撮影台18の上方を可動アームが斜めに横切ることになる。
When the subject 20 gets on and off the imaging table 18, the inclination angle of the movable arm 14 is θ2. The movable arm 14 is held at that angle. That is, the downward movement of the movable arm 14 is restricted. In this state, the upward movement of the movable arm 14 is allowed. It may be further regulated. When θ2 is selected, the movable arm 14 is in an intermediate inclined posture, and the movable arm crosses obliquely above the imaging table 18.
X線撮影の際には、可動アーム14の傾斜角度がθ3とされる。その角度で可動アームが保持される。つまり、可動アーム14の下方への運動が規制される。その状態では可動アーム14の上方への若干の運動が許容される。それが更に規制されてもよい。可動アーム14の運動可能な角度範囲の最大値はθ3よりも若干大きな角度である。θ3が選択された場合、可動アーム14が概ね起立した姿勢(急傾斜姿勢であり、以下「起立姿勢」という。)となり、撮影台18の上方空間の大部分が開放される。
In the case of X-ray imaging, the inclination angle of the movable arm 14 is θ3. The movable arm is held at that angle. That is, the downward movement of the movable arm 14 is restricted. In this state, a slight movement of the movable arm 14 is allowed. It may be further regulated. The maximum value of the movable angular range of the movable arm 14 is an angle slightly larger than θ3. When θ3 is selected, the movable arm 14 is in a substantially upright posture (a steeply inclined posture, hereinafter referred to as “standing posture”), and most of the space above the imaging table 18 is opened.
可動アーム14の手前側部分(前側部分)14Aの下側が部分的に斜めに切り取られており、斜面14Eが形成されている。可動アーム14が水平姿勢をとっている状態において、斜面14Eは手前側斜め前方を向く。y方向に対する斜面14Eの傾斜角度がφ1である。φ1は例えば20~40度の範囲内に設定される。斜面14Eによれば、可動アーム14の水平姿勢において、骨密度測定装置10の手前側に立った検査者の視野を拡大できる。すなわち、頭部をあまり下げなくても被検者20を観察することが可能となる。被検者の前腕を観察台上において、前腕骨の骨密度を測定する際に、被検者の上腕や肩が可動アーム14に接触し難くなる。可動アーム14の手前側部分14Aの端部の上下方向の幅を小さくして、そこを持つことが容易となるという利点も得られる。また、斜面14Eによれば、可動アーム14の中間傾斜姿勢において、斜面14Eに設けられた部品の視認性及び操作性を高められる。撮影台18に乗り降りする際に、被検者の頭部が可動アーム14に接触する可能性も低減できる。更に、斜面14Eによれば、可動アームが起立姿勢にある場合に、上方から見て、撮影台18の中で可動アーム14によって隠れる部分を小さくすることができ又はそれを無くすことが可能となる。なお、骨密度測定装置10は、校正用部材を収容したボックス30を有する。
The lower side of the front side portion (front side portion) 14A of the movable arm 14 is partially cut off obliquely to form a slope 14E. In a state where the movable arm 14 is in the horizontal posture, the inclined surface 14E faces obliquely forward on the front side. The inclination angle of the inclined surface 14E with respect to the y direction is φ1. φ1 is set within a range of 20 to 40 degrees, for example. According to the slope 14E, in the horizontal posture of the movable arm 14, the field of view of the examiner standing on the near side of the bone density measuring device 10 can be enlarged. That is, the subject 20 can be observed without lowering the head much. When the bone density of the forearm bone is measured on the observation table of the subject's forearm, the subject's upper arm and shoulder are less likely to contact the movable arm 14. There is also an advantage that the vertical width of the end portion of the front side portion 14A of the movable arm 14 is reduced and it becomes easy to have it. Further, according to the slope 14E, the visibility and operability of the components provided on the slope 14E can be enhanced in the intermediate tilt posture of the movable arm 14. The possibility of the subject's head contacting the movable arm 14 when getting on and off the imaging table 18 can also be reduced. Furthermore, according to the inclined surface 14E, when the movable arm is in the standing posture, a portion hidden by the movable arm 14 in the photographing table 18 can be reduced or eliminated when viewed from above. . The bone density measuring apparatus 10 has a box 30 that houses a calibration member.
図2には、可動アーム14がとり得る3つの姿勢が示されている。骨密度測定時には、(A)に示すように可動アーム14が水平姿勢となる。その際、可動アーム14が保持される角度はθ1であり、具体的には、θ1は0度である。骨密度測定時には、撮影台18上において、例えば、被検者20は仰向けで横たわっている。可動アーム14の水平姿勢では、一般に、可動アーム14よりも、検査者の頭部の方が高い位置にある。斜面14Eの形成によって可動アーム14の一部が切り取られているので、符号32で示すように、検査者の視野を広げることが可能である。また、被検者20において圧迫感を軽減できる。
FIG. 2 shows three postures that the movable arm 14 can take. At the time of bone density measurement, the movable arm 14 is in a horizontal posture as shown in FIG. At this time, the angle at which the movable arm 14 is held is θ1, and specifically, θ1 is 0 degree. At the time of bone density measurement, for example, the subject 20 lies on his / her back on the imaging table 18. In the horizontal posture of the movable arm 14, the examiner's head is generally at a higher position than the movable arm 14. Since a part of the movable arm 14 is cut off by the formation of the inclined surface 14E, it is possible to widen the field of view of the examiner as indicated by reference numeral 32. Moreover, a feeling of pressure can be reduced in the subject 20.
撮影台18に対する被検者の乗り降りの際には(符号34を参照)、(B)に示すように、検査者により可動アーム14が跳ね上げられ、可動アーム14が中間傾斜姿勢とされる。その際、可動アーム14が保持される角度はθ2であり、可動アーム14は撮影台18の上方を斜めに横切っている。可動アーム14が有する斜面14Eは検査者側を向いており、そこに部品を配置すれば、当該部品についての視認性及び操作性を高められる。中間傾斜姿勢によれば、可動アーム14と撮影台18との間の空間が広がるので、上記のように、乗り降りの際に被検者の頭部が可動アーム14に接触し難くなりあるいは接触しなくなる。
When the subject gets on and off the imaging table 18 (see reference numeral 34), as shown in (B), the movable arm 14 is flipped up by the inspector, and the movable arm 14 is set to the intermediate inclined posture. At this time, the angle at which the movable arm 14 is held is θ2, and the movable arm 14 crosses the upper side of the imaging table 18 obliquely. The slope 14E of the movable arm 14 faces the inspector, and if a part is arranged there, the visibility and operability of the part can be improved. According to the intermediate inclined posture, the space between the movable arm 14 and the imaging stand 18 is widened, and therefore, as described above, the subject's head becomes difficult to contact or contact the movable arm 14 when getting on and off. Disappear.
X線撮影の際には、(C)に示すように、可動アーム14が更に跳ね上げられ、可動アーム14が略起立姿勢とされる。上方から見て、撮影台18に対して可動アーム14の一部が若干せり出ているが、撮影台18の直上空間の大部分が開放されている。その直上空間には、例えば、X線撮影用のX線発生器36が配置される。X線発生器36は、レール又はアーム等によって、水平移動可能に且つ垂直移動可能に支持されている。X線発生器36は、通常、撮影台18における撮影エリアの中心の直上に配置される(符号37を参照)。撮影エリアの中心は、一般に、撮影台18における長手方向の中央且つ短手方向の中央である。X線撮影時には、被検者20の検査部位がX線発生器36による撮像エリア内に位置決められる。可動アーム14が起立姿勢にある場合、可動アーム14の斜面は手前側を向いており、あるいは、手前側やや上を向いている。少なくとも、可動アーム14がX線発生器36に衝突しないように、且つ、X線発生器36により形成される三次元照射エリア内に可動アーム14が入り込まないように、可動アーム14の傾斜角度(θ3)や斜面の角度を定めるのが望ましい。但し、可動アーム14の傾斜角度をあまり大きくし過ぎると、斜面に配置された部品を操作することが困難となるので(その部品に検査者の手が届き難くなるので)、それも考慮して傾斜角度を定めるのが望ましい。
At the time of X-ray imaging, as shown in (C), the movable arm 14 is further lifted, and the movable arm 14 is brought into a substantially standing posture. As seen from above, a part of the movable arm 14 protrudes slightly from the photographic stand 18, but most of the space immediately above the photographic stand 18 is open. In the space immediately above, for example, an X-ray generator 36 for X-ray imaging is arranged. The X-ray generator 36 is supported by a rail or an arm so as to be horizontally movable and vertically movable. The X-ray generator 36 is normally disposed immediately above the center of the imaging area on the imaging table 18 (see reference numeral 37). The center of the imaging area is generally the center in the longitudinal direction and the center in the lateral direction of the imaging table 18. At the time of X-ray imaging, the examination site of the subject 20 is positioned within the imaging area by the X-ray generator 36. When the movable arm 14 is in the standing posture, the slope of the movable arm 14 is directed toward the front side, or is directed slightly toward the front side. At least the inclination angle of the movable arm 14 (so that the movable arm 14 does not enter the three-dimensional irradiation area formed by the X-ray generator 36 so that the movable arm 14 does not collide with the X-ray generator 36). It is desirable to determine θ3) and the angle of the slope. However, if the inclination angle of the movable arm 14 is too large, it becomes difficult to operate a component arranged on the inclined surface (because it is difficult for an inspector to reach the component). It is desirable to determine the inclination angle.
図3には、可動アーム14の手前側端部14Aの上面が示されている。そこには、第1解除器としての上側解除ボタン40が設けられている。それは、可動アーム14を水平姿勢から傾斜状態へ変化させる際に、水平姿勢を保持する(上方への運動を規制している)電磁ラッチを解除するために操作される電気的スイッチである。手前側端部14Aの近傍には、緊急停止ボタン、照射中インジケータ、電源ランプが設けられている。
FIG. 3 shows the upper surface of the front end portion 14A of the movable arm 14. There is provided an upper release button 40 as a first releaser. When the movable arm 14 is changed from the horizontal posture to the tilted state, it is an electrical switch operated to release the electromagnetic latch that maintains the horizontal posture (regulating the upward movement). An emergency stop button, an irradiating indicator, and a power lamp are provided in the vicinity of the front end portion 14A.
図4には、可動アーム14の下側が示されている。斜面14Eには第2解除器としての下側解除ボタン42が設けられている。それは、中間傾斜姿勢及び起立姿勢にある可動アーム14の保持(上方への運動の規制)を解除する際に操作される機械的スイッチである。下側解除ボタン42と後述する機械ラッチ機構との間にワイヤが設けられ、下側解除ボタン42のプッシュ操作により、例えば、そのワイヤが下側解除ボタン42側に引き込まれる。これにより機械ラッチ機構がオフ状態となる。
FIG. 4 shows the lower side of the movable arm 14. The slope 14E is provided with a lower release button 42 as a second releaser. It is a mechanical switch that is operated when releasing the holding (control of upward movement) of the movable arm 14 in the intermediate inclined posture and the standing posture. A wire is provided between the lower release button 42 and a mechanical latch mechanism, which will be described later, and, for example, the push of the lower release button 42 pulls the wire to the lower release button 42 side. As a result, the mechanical latch mechanism is turned off.
可動アーム14は2つの側面14Fを有し、それらの下部(2つの側面14Fと可動アーム14の下面とに跨るコーナー部分)には、それぞれ、窪みペアとしての2つの窪み50,52が設けられている。一方の側面14F側に2つの窪み50,52が並んで設けられており、他方の側面14F側にも2つの窪み50,52が並んで設けられている。それらの窪み50,52は、被検者の両足の位置決めに際して目安となるものである。体軸中心をX線走査方向のセンター位置に合わせる際に、2つの膝が窪み50,52に合うように、撮影台上で被検者の位置が調整される。可動アーム14の両側に一対の窪みが設けられているのは、撮影台上において頭部の位置と両足の位置が逆転する可能性があるためである。各窪み50,52をマーカーに代えることも可能であるが、それらを凹部にすれば、膝との接触の可能性を低減でき、あるいは、その接触時において衝突力を軽減できる。上記の斜面や窪みペアは、上記回転機構を有しない骨密度測定装置に対しても適用し得るものである。
The movable arm 14 has two side surfaces 14F, and two dents 50 and 52 as a dent pair are provided in the lower part thereof (a corner portion straddling the two side surfaces 14F and the lower surface of the movable arm 14). ing. Two depressions 50 and 52 are provided side by side on one side surface 14F, and two depressions 50 and 52 are provided on the other side surface 14F side. These depressions 50 and 52 serve as a guide when positioning both feet of the subject. When the body axis center is aligned with the center position in the X-ray scanning direction, the position of the subject is adjusted on the imaging table so that the two knees are aligned with the depressions 50 and 52. The reason why the pair of depressions are provided on both sides of the movable arm 14 is that the position of the head and the position of both feet may be reversed on the imaging table. It is possible to replace each of the recesses 50 and 52 with a marker. However, if they are formed into recesses, the possibility of contact with the knee can be reduced, or the collision force at the time of contact can be reduced. The above-described inclined surface and indented pair can be applied to a bone density measuring apparatus that does not have the rotating mechanism.
図4には、可動アーム14と共に上下運動するカバー45が示されている。カバー45は内部機構を隠す化粧板である。連結部の上端には、基準マーカー44が設けられている。カバー45には、第1マーカー46が設けられ、その下側に第2マーカー48が設けられている。可動アーム14を中間傾斜姿勢としたい場合には、可動アーム14が持ち上げられ、第1マーカー46が基準マーカー44に到達し又はそれを超えた時点で、機械ラッチ機構が作動する。その後、可動アーム14が若干降下したところで、可動アーム14の角度が保持される。その際の保持角度が上記θ2である。可動アーム14を起立姿勢としたい場合には、可動アーム14が更に持ち上げられ、第2マーカー48が基準マーカー44に到達し又はそれを超えた時点で、機械ラッチ機構が作動する。その後、可動アーム14が若干降下したところで、可動アーム14の角度が保持される。その際の保持角度が上記θ3である。このように、相対運動する可動マーカー及び固定マーカーを設けることにより、可動アーム14を引き上げる際の高さの目安を提供できる。
FIG. 4 shows a cover 45 that moves up and down together with the movable arm 14. The cover 45 is a decorative board that hides the internal mechanism. A reference marker 44 is provided at the upper end of the connecting portion. The cover 45 is provided with a first marker 46, and a second marker 48 is provided below the first marker 46. If the movable arm 14 is desired to be in an intermediate tilt position, the mechanical latch mechanism is activated when the movable arm 14 is lifted and the first marker 46 reaches or exceeds the reference marker 44. Thereafter, when the movable arm 14 is slightly lowered, the angle of the movable arm 14 is maintained. The holding angle at that time is the above θ2. If the movable arm 14 is to be raised, the mechanical latch mechanism is activated when the movable arm 14 is further lifted and the second marker 48 reaches or exceeds the reference marker 44. Thereafter, when the movable arm 14 is slightly lowered, the angle of the movable arm 14 is maintained. The holding angle at that time is the above θ3. Thus, by providing the movable marker and the fixed marker that move relative to each other, it is possible to provide an indication of the height when the movable arm 14 is pulled up.
図4に示す例では、斜面14Eにおいて、どちらかと言えばエッジ14Dに近い位置に下側解除ボタン42が設けられていたが、図5に示すように、斜面14Eにおける奥側に下側解除ボタン42Aを設けるようにしてもよい。そのような構成によれば、可動アーム14が略起立姿勢にある場合において、身長が低い検査者であっても、下側解除ボタン42Aに手が届きやすくいなる。あるいは、斜面14Eに、同じ機能をもった複数の下側解除ボタン42B,42Cを設けるようにしてもよい。あるいは、可動アーム14が有する2つの側面に2つの解除操作ボタンを設けるようにしてもよい。
In the example shown in FIG. 4, the lower release button 42 is provided on the slope 14E at a position close to the edge 14D. However, as shown in FIG. 5, the lower release button 42 is located on the back side of the slope 14E. 42A may be provided. According to such a configuration, when the movable arm 14 is in a substantially standing posture, even an inspector with a short height can easily reach the lower release button 42A. Alternatively, a plurality of lower release buttons 42B and 42C having the same function may be provided on the slope 14E. Alternatively, two release operation buttons may be provided on the two side surfaces of the movable arm 14.
図6には、回転機構25の構成例が模式的に示されている。回転機構25は、水平回転軸26を有し、その水平回転軸26回りにおいて可動アーム14が回転運動する。連結部16はフレーム54を有し、可動アーム14はフレーム56を有する。フレーム54とフレーム56とに跨って、2つのダンパユニット58,60及びステーユニット62が設けられ、更に、後に示す電磁ラッチ機構が設けられている。それらはそれぞれ回転機構25の要素をなすものである。2つのダンパユニット58,60は、可動アーム14に対して上方への一定の付勢力(浮上力)を与えるものである。
FIG. 6 schematically shows a configuration example of the rotation mechanism 25. The rotating mechanism 25 has a horizontal rotating shaft 26, and the movable arm 14 rotates around the horizontal rotating shaft 26. The connecting portion 16 has a frame 54, and the movable arm 14 has a frame 56. Two damper units 58 and 60 and a stay unit 62 are provided across the frame 54 and the frame 56, and an electromagnetic latch mechanism described later is further provided. Each of them constitutes an element of the rotation mechanism 25. The two damper units 58 and 60 give a constant upward urging force (levitation force) to the movable arm 14.
ステーユニット62は、固定部材と、それに対してスライド運動する可動部材とを含み、更に、機械ラッチ機構64を含む。機械ラッチ機構64は、例えば、可動部材に形成された複数の開口に入り込む可動片を有する。いずれかの開口に可動片が入り込むことにより、ラッチ状態が形成される。ラッチ状態では、可動アーム14の下方への運動が制限される。もっとも、ラッチ状態において、可動アームの上方への運動は許容される。但し、可動アームの上方への運動は、可動アームの回転角度が最大となった場合に制限される。上記の下側解除ボタンの操作力がワイヤを介して機械ラッチ機構64に伝達され、これにより機械ラッチ機構64のラッチ状態が解除される。このように機械ラッチ機構64は、第2角度θ2及び第3角度θ3で、可動アームを保持する機構である。可動部材に機械ラッチ機構64を設け、固定部材に複数の開口を設けてもよい。
The stay unit 62 includes a fixed member and a movable member that slides relative to the fixed member, and further includes a mechanical latch mechanism 64. The mechanical latch mechanism 64 includes, for example, a movable piece that enters a plurality of openings formed in the movable member. A latching state is formed when a movable piece enters one of the openings. In the latched state, the downward movement of the movable arm 14 is restricted. However, in the latched state, the upward movement of the movable arm is allowed. However, the upward movement of the movable arm is limited when the rotation angle of the movable arm becomes maximum. The operation force of the lower release button is transmitted to the mechanical latch mechanism 64 through the wire, and thereby the latch state of the mechanical latch mechanism 64 is released. Thus, the mechanical latch mechanism 64 is a mechanism that holds the movable arm at the second angle θ2 and the third angle θ3. A mechanical latch mechanism 64 may be provided on the movable member, and a plurality of openings may be provided on the fixed member.
図7には、機械ラッチ機構64及び電磁ラッチ機構68が示されている。機械ラッチ機構64は、既に説明したように、ステーユニット62に設けられている。機械ラッチ機構64は、ワイヤ66を介して、下側解除ボタン42に機械的に接続されている。可動アームの中間傾斜姿勢及び略起立姿勢において、ラッチ状態つまり保持状態を解除する際に、下側解除ボタン42が操作される。
FIG. 7 shows a mechanical latch mechanism 64 and an electromagnetic latch mechanism 68. The mechanical latch mechanism 64 is provided in the stay unit 62 as already described. The mechanical latch mechanism 64 is mechanically connected to the lower release button 42 via a wire 66. The lower release button 42 is operated when releasing the latched state, that is, the holding state, in the intermediate tilted posture and the substantially upright posture of the movable arm.
電磁ラッチ機構68は、可動アームの水平姿勢を保持する機構である。電磁ラッチ機構68は、アクチュエータ72と、ラッチ用(ロック用)のピン70と、ピン穴が形成された部材73と、を含む。部材73は、可動アームのフレームに固定されており、部材73にはピン70を受け入れる穴を有する。ピン70が穴に入り込むと、ラッチ状態(ロック状態)が形成される。アクチュエータ72は、連結部のフレームに固定されている。上側解除ボタン40とアクチュエータ72との間には信号線74が設けられている。可動アームが水平姿勢を有する状態において、上側解除ボタン40を操作すると、信号線74を介して、信号がアクチュエータ72へ出力され、アクチュエータ72がピン70を引き込む。これにより、部材73に形成された穴からピン70が離脱し、ラッチ状態が解除される。これにより、水平姿勢にある可動アームを上方へ持ち上げることが可能となる。可動アームが水平姿勢に復帰すると、自動的にラッチ状態が形成される。なお、骨密度測定中やX線発生器等の移動中において、上側解除ボタン40を操作してもその操作は無効とされる。電気的なラッチを利用したので、そのような制御を容易に行える。
The electromagnetic latch mechanism 68 is a mechanism that maintains the horizontal posture of the movable arm. The electromagnetic latch mechanism 68 includes an actuator 72, a latching (locking) pin 70, and a member 73 in which a pin hole is formed. The member 73 is fixed to the frame of the movable arm, and the member 73 has a hole for receiving the pin 70. When the pin 70 enters the hole, a latched state (locked state) is formed. The actuator 72 is fixed to the frame of the connecting portion. A signal line 74 is provided between the upper release button 40 and the actuator 72. When the upper release button 40 is operated in a state where the movable arm has a horizontal posture, a signal is output to the actuator 72 via the signal line 74, and the actuator 72 pulls the pin 70. As a result, the pin 70 is detached from the hole formed in the member 73, and the latched state is released. Thereby, it becomes possible to lift the movable arm in a horizontal posture upward. When the movable arm returns to the horizontal posture, a latched state is automatically formed. Even if the upper release button 40 is operated during bone density measurement or movement of the X-ray generator, the operation is invalidated. Since an electric latch is used, such control can be easily performed.
例えば、上側解除ボタン40だけを設け、それに対してすべてのラッチ解除操作を行わせると、可動アームが中間傾斜姿勢及び起立姿勢にある場合に、上側解除ボタン40が可動アームの裏側に隠れ、その操作は非常に困難となる。一方、下側解除ボタン42だけを設け、それに対してすべてのラッチ解除操作を行わせると、可動アームが水平姿勢にある場合に、下側解除ボタン42が見えなくなり、その操作は困難となる。実施形態においては、上側解除ボタン40及び下側解除ボタン42の両方を設けたので、上記のような問題を回避することができ、使い勝手が非常に良くなる。
For example, when only the upper release button 40 is provided and all the latch release operations are performed on the upper release button 40, the upper release button 40 is hidden behind the movable arm when the movable arm is in the intermediate inclined posture and the standing posture. The operation becomes very difficult. On the other hand, if only the lower release button 42 is provided and all the latch release operations are performed on the lower release button 42, the lower release button 42 becomes invisible when the movable arm is in a horizontal posture, and the operation becomes difficult. In the embodiment, since both the upper release button 40 and the lower release button 42 are provided, the above-described problems can be avoided and the usability is very good.
(3)可動アームの操作方法の整理
図8には、可動アームの動作及び操作方法が整理されている。符号100で示す状態では、電磁ラッチ機構が動作し、保持状態が形成される。つまり、可動アームの水平姿勢が維持される。その状態では機械ラッチ機構は実質的に作動していない。但し、それにラッチ動作を行わせることも可能である。符号102で示すように、可動アームを水平姿勢から傾斜姿勢へ変化させたい場合、上側解除ボタンがオン操作され、これにより電磁ラッチ機構がアンロック状態(非ラッチ状態)となる。符号104で示すように、可動アームの角度がθ2になった段階で、機械ラッチ機構が自動的に作動し、それがロック状態(ラッチ状態)となる。符号106で示すように、可動アームの角度をθ2からθ1にする場合、下側解除ボタンがオン操作され、これにより機械ラッチ機構がアンロック状態となる。実際には、可動アームを若干持ち上げた状態で下側解除ボタンのオン操作が許容される。可動アームの角度がθ1になった時点で、電磁ラッチ機構が自動的に作動し再びロック状態が形成される。一方、符号108で示すように、可動アームの角度をθ2からθ3にしたい場合、下側解除ボタンの操作を行う必要はない。符号110で示すように、可動アームの角度がθ3になった場合、機械ラッチ機構が自動的に作動し、ロック状態が形成される。符号112に示すように、可動アームの角度をθ3からθ2又はθ1へ変化させたい場合、下側解除ボタンがオン操作され、これにより機械ラッチ機構がアンロック状態となる。実際には、可動アームを若干持ち上げた状態で下側解除ボタンのオン操作が許容される。可動アームの角度がθ1になった時点で、電磁ラッチ機構が自動的に作用し再びロック状態が形成される。 (3) Arrangement of operation method of movable arm In FIG. 8, the operation and operation method of the movable arm are arranged. In the state indicated byreference numeral 100, the electromagnetic latch mechanism operates and a holding state is formed. That is, the horizontal posture of the movable arm is maintained. In that state, the mechanical latch mechanism is substantially inoperative. However, it is possible to cause it to perform a latch operation. As indicated by reference numeral 102, when it is desired to change the movable arm from the horizontal posture to the inclined posture, the upper release button is turned on, whereby the electromagnetic latch mechanism is unlocked (non-latched state). As indicated by reference numeral 104, when the angle of the movable arm reaches θ2, the mechanical latch mechanism automatically operates and enters a locked state (latched state). As indicated by reference numeral 106, when the angle of the movable arm is changed from θ2 to θ1, the lower release button is turned on, and the mechanical latch mechanism is unlocked. Actually, the lower release button can be turned on with the movable arm slightly lifted. When the angle of the movable arm reaches θ1, the electromagnetic latch mechanism automatically operates and the locked state is formed again. On the other hand, as indicated by reference numeral 108, when the angle of the movable arm is to be changed from θ2 to θ3, it is not necessary to operate the lower release button. As indicated by reference numeral 110, when the angle of the movable arm reaches θ3, the mechanical latch mechanism automatically operates and a locked state is formed. As indicated by reference numeral 112, when it is desired to change the angle of the movable arm from θ3 to θ2 or θ1, the lower release button is turned on, whereby the mechanical latch mechanism is unlocked. Actually, the lower release button can be turned on with the movable arm slightly lifted. When the angle of the movable arm reaches θ1, the electromagnetic latch mechanism automatically operates and the locked state is formed again.
図8には、可動アームの動作及び操作方法が整理されている。符号100で示す状態では、電磁ラッチ機構が動作し、保持状態が形成される。つまり、可動アームの水平姿勢が維持される。その状態では機械ラッチ機構は実質的に作動していない。但し、それにラッチ動作を行わせることも可能である。符号102で示すように、可動アームを水平姿勢から傾斜姿勢へ変化させたい場合、上側解除ボタンがオン操作され、これにより電磁ラッチ機構がアンロック状態(非ラッチ状態)となる。符号104で示すように、可動アームの角度がθ2になった段階で、機械ラッチ機構が自動的に作動し、それがロック状態(ラッチ状態)となる。符号106で示すように、可動アームの角度をθ2からθ1にする場合、下側解除ボタンがオン操作され、これにより機械ラッチ機構がアンロック状態となる。実際には、可動アームを若干持ち上げた状態で下側解除ボタンのオン操作が許容される。可動アームの角度がθ1になった時点で、電磁ラッチ機構が自動的に作動し再びロック状態が形成される。一方、符号108で示すように、可動アームの角度をθ2からθ3にしたい場合、下側解除ボタンの操作を行う必要はない。符号110で示すように、可動アームの角度がθ3になった場合、機械ラッチ機構が自動的に作動し、ロック状態が形成される。符号112に示すように、可動アームの角度をθ3からθ2又はθ1へ変化させたい場合、下側解除ボタンがオン操作され、これにより機械ラッチ機構がアンロック状態となる。実際には、可動アームを若干持ち上げた状態で下側解除ボタンのオン操作が許容される。可動アームの角度がθ1になった時点で、電磁ラッチ機構が自動的に作用し再びロック状態が形成される。 (3) Arrangement of operation method of movable arm In FIG. 8, the operation and operation method of the movable arm are arranged. In the state indicated by
上記実施形態によれば、可動アームを略起立姿勢にすることができるので、撮影台から骨密度測定装置を離すことなく、撮影台の直上にX線撮影用の機器を配置することが可能である。可動アームに上側解除ボタン及び下側解除ボタンが設けられているので、可動アームの姿勢が変化しても、操作で必要なボタンの視認性及び操作性を良好にすることができる。上記実施形態では、下側にX線発生器が設けられ、上側にX線検出器が設けられていたが、それらの配置を逆にしてもよい。骨密度測定装置と撮影台とが一体化されている場合においても、上記構成を採用し得る。
According to the embodiment, since the movable arm can be in a substantially upright posture, it is possible to arrange an X-ray imaging device directly above the imaging table without separating the bone density measuring device from the imaging table. is there. Since the upper release button and the lower release button are provided on the movable arm, even if the posture of the movable arm changes, the visibility and operability of the buttons necessary for the operation can be improved. In the above embodiment, the X-ray generator is provided on the lower side and the X-ray detector is provided on the upper side. However, the arrangement thereof may be reversed. Even when the bone density measuring apparatus and the imaging stand are integrated, the above-described configuration can be adopted.
Claims (7)
- X線発生器及びX線検出器の内の一方を備え、被検者を載置するベッドの下側に設けられる下部と、
前記X線発生器及び前記X線検出器の内の他方を備え、骨密度測定の際に前記ベッドの上側に設けられる可動アームと、
前記ベッドの奥側に設けられ、前記下部の奥側端部と前記可動アームの奥側端部とを連結する連結部と、
前記連結部の上端部に設けられた水平回転軸を回転中心として前記可動アームを回転させる回転機構と、
を含み、
前記回転機構は、前記骨密度測定の際に選択される第1角度、前記第1角度よりも大きな角度であって前記被検者が前記ベッドに乗り降りする際に選択される第2角度、及び、前記第2角度よりも大きな角度であって前記ベッドの上方空間を開放する際に選択される第3角度で、前記可動アームを保持する、
ことを特徴とする骨密度測定装置。 A lower part provided on the lower side of the bed on which the subject is placed, including one of the X-ray generator and the X-ray detector;
A movable arm provided with the other of the X-ray generator and the X-ray detector, and provided on the upper side of the bed during bone density measurement;
A connecting portion that is provided on the back side of the bed and connects the back side end of the lower part and the back side end of the movable arm;
A rotation mechanism for rotating the movable arm around a horizontal rotation axis provided at the upper end of the connecting portion;
Including
The rotation mechanism is a first angle selected when measuring the bone density, a second angle selected when the subject gets on and off the bed, and is larger than the first angle, and Holding the movable arm at a third angle selected when opening the upper space of the bed that is larger than the second angle;
A bone density measuring device characterized by the above. - 請求項1記載の骨密度測定装置において、
前記第1角度での前記可動アームの保持を解除する際に操作される第1解除器と、
前記第2角度及び前記第3角度での前記可動アームの保持を解除する際に操作される第2解除器と、
を含むことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 1,
A first releaser operated when releasing the holding of the movable arm at the first angle;
A second releaser operated when releasing the holding of the movable arm at the second angle and the third angle;
A bone density measuring apparatus comprising: - 請求項2記載の骨密度測定装置において、
前記第1解除器は前記可動アームの手前側端部の上側に設けられた上側解除ボタンであり、
前記第2解除器は前記可動アームの手前側端部の下側に設けられた下側解除ボタンである、
ことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 2,
The first releaser is an upper release button provided on the upper side of the front end of the movable arm,
The second releaser is a lower release button provided on the lower side of the front end of the movable arm,
A bone density measuring device characterized by the above. - 請求項3記載の骨密度測定装置において、
前記可動アームの手前側端部の下側には、前記可動アームが前記第1角度で保持されている場合において手前側斜め下方を向く斜面が形成されており、
前記下側解除ボタンは前記斜面に設けられている、
ことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 3,
On the lower side of the front end portion of the movable arm, a slope that faces obliquely downward on the front side when the movable arm is held at the first angle is formed,
The lower release button is provided on the slope,
A bone density measuring device characterized by the above. - 請求項2記載の骨密度測定装置において、
前記回転機構は、
前記第1角度で前記可動アームを保持する電磁ラッチ機構と、
前記第2角度及び前記第3角度で前記可動アームを保持する機械ラッチ機構と、
を含み、
前記第1解除器と前記電磁ラッチ機構とが信号線により電気的に接続され、
前記第2解除器と前記機械ラッチ機構とがワイヤにより機械的に接続された、
ことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 2,
The rotation mechanism is
An electromagnetic latch mechanism for holding the movable arm at the first angle;
A mechanical latch mechanism for holding the movable arm at the second angle and the third angle;
Including
The first releaser and the electromagnetic latch mechanism are electrically connected by a signal line;
The second releaser and the mechanical latch mechanism are mechanically connected by a wire;
A bone density measuring device characterized by the above. - 請求項1記載の骨密度測定装置において、
前記ベッドは、骨密度測定及びX線撮影で兼用される撮影台であり、
前記第3角度は、前記X線撮影時に前記撮影台の上方にX線発生器を配置した場合に当該X線発生器と前記可動アームとの物理的干渉を回避できる角度である、
ことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 1,
The bed is an imaging table used for both bone density measurement and X-ray imaging,
The third angle is an angle at which physical interference between the X-ray generator and the movable arm can be avoided when an X-ray generator is disposed above the imaging table during the X-ray imaging.
A bone density measuring device characterized by the above. - 請求項1記載の骨密度測定装置において、
前記第1角度は水平角度である0度であり、
前記第2角度は40~60度の範囲内にあり、
前記第3角度は65~90度の範囲内にある、
ことを特徴とする骨密度測定装置。 The bone density measuring device according to claim 1,
The first angle is 0 degree which is a horizontal angle;
The second angle is in the range of 40-60 degrees;
The third angle is in the range of 65 to 90 degrees;
A bone density measuring device characterized by the above.
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Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH10211196A (en) * | 1997-01-31 | 1998-08-11 | Olympus Optical Co Ltd | X-ray ct scanner |
JPH11137544A (en) * | 1997-09-02 | 1999-05-25 | Toshiba Corp | Radiographic device |
JP2003325497A (en) * | 2002-05-15 | 2003-11-18 | Aloka Co Ltd | Bone mineral measuring instrument |
JP2010213996A (en) * | 2009-03-18 | 2010-09-30 | Toshiba Corp | X-ray imaging apparatus |
JP2013220192A (en) * | 2012-04-16 | 2013-10-28 | Hitachi Aloka Medical Ltd | Bone density measuring apparatus |
JP2014188034A (en) * | 2013-03-26 | 2014-10-06 | Hitachi Aloka Medical Ltd | X-ray measuring device |
JP2015085115A (en) * | 2013-11-01 | 2015-05-07 | 日立アロカメディカル株式会社 | X-ray diagnostic device |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2730323Y (en) * | 2004-09-21 | 2005-10-05 | 新医科技股份有限公司 | Lifting and horizontal movement type bed |
JP5368945B2 (en) * | 2009-11-13 | 2013-12-18 | 株式会社日立メディコ | X-ray tube holding apparatus and X-ray imaging apparatus |
CN201664309U (en) * | 2010-01-15 | 2010-12-08 | 上海东和电器技术有限公司 | X-ray radiography bed |
JP5329618B2 (en) * | 2011-08-17 | 2013-10-30 | 富士フイルム株式会社 | Radiation generator operating device and radiation imaging system |
CN202801643U (en) * | 2012-09-03 | 2013-03-20 | 株式会社东芝 | Switching device, foot switch device, sleeping table and X-ray CT (computed tomography) device |
JP2015047172A (en) * | 2013-08-29 | 2015-03-16 | 株式会社東芝 | Movable type x-ray diagnostic apparatus |
JP2015131009A (en) * | 2014-01-14 | 2015-07-23 | 株式会社島津製作所 | X-ray apparatus |
-
2018
- 2018-01-30 JP JP2018013649A patent/JP6920228B2/en active Active
- 2018-11-30 CN CN201880078036.8A patent/CN111432728B/en active Active
- 2018-11-30 WO PCT/JP2018/044246 patent/WO2019150746A1/en active Application Filing
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH10211196A (en) * | 1997-01-31 | 1998-08-11 | Olympus Optical Co Ltd | X-ray ct scanner |
JPH11137544A (en) * | 1997-09-02 | 1999-05-25 | Toshiba Corp | Radiographic device |
JP2003325497A (en) * | 2002-05-15 | 2003-11-18 | Aloka Co Ltd | Bone mineral measuring instrument |
JP2010213996A (en) * | 2009-03-18 | 2010-09-30 | Toshiba Corp | X-ray imaging apparatus |
JP2013220192A (en) * | 2012-04-16 | 2013-10-28 | Hitachi Aloka Medical Ltd | Bone density measuring apparatus |
JP2014188034A (en) * | 2013-03-26 | 2014-10-06 | Hitachi Aloka Medical Ltd | X-ray measuring device |
JP2015085115A (en) * | 2013-11-01 | 2015-05-07 | 日立アロカメディカル株式会社 | X-ray diagnostic device |
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CN111432728A (en) | 2020-07-17 |
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