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WO1993022969A1 - Dispositif de therapie minimalement invasive et de microtherapie - Google Patents

Dispositif de therapie minimalement invasive et de microtherapie Download PDF

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Publication number
WO1993022969A1
WO1993022969A1 PCT/EP1992/002361 EP9202361W WO9322969A1 WO 1993022969 A1 WO1993022969 A1 WO 1993022969A1 EP 9202361 W EP9202361 W EP 9202361W WO 9322969 A1 WO9322969 A1 WO 9322969A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
housing
computer tomograph
holder
tomograph
Prior art date
Application number
PCT/EP1992/002361
Other languages
German (de)
English (en)
Inventor
Dietrich H. W. GRÖNEMEYER
Rainer M. M. Seibel
Michael H. Friebe
Original Assignee
Groenemeyer Dietrich H W
Seibel Rainer M M
Friebe Michael H
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Groenemeyer Dietrich H W, Seibel Rainer M M, Friebe Michael H filed Critical Groenemeyer Dietrich H W
Priority to JP5518740A priority Critical patent/JPH07502186A/ja
Publication of WO1993022969A1 publication Critical patent/WO1993022969A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/032—Transmission computed tomography [CT]
    • A61B6/035—Mechanical aspects of CT
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04—Positioning of patients; Tiltable beds or the like
    • A61B6/0487—Motor-assisted positioning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/44—Constructional features of apparatus for radiation diagnosis
    • A61B6/4476—Constructional features of apparatus for radiation diagnosis related to motor-assisted motion of the source unit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/01—Devices for producing movement of radiation source during therapy

Definitions

  • the invention relates to a device for minimally invasive therapy and microtherapy, with a computer tomograph, the housing of which has a patient receptacle, to which a patient holder designed as an operation and treatment station is assigned, the patient holder and the housing of the computer -Tomographs are relatively displaceable in the longitudinal direction of the patient.
  • the invention proposes, based on the device of the type mentioned at the outset, that the patient holder is arranged in a fixed manner, while the housing of the computer tomograph can be displaced in a linear manner by means of drive and guide devices.
  • the device according to the invention has the advantage that the patient does not have to be moved for the purpose of computer-tomographic monitoring of the intervention, so that unwanted displacements of the patient or of surgical devices inserted into the patient are excluded with the greatest possible security. Instead of the patient, the device according to the invention is used to monitor the intervention used computer tomograph moves. Although this computer tomograph is heavy, it can easily be designed to be insensitive to the inertial forces that occur during displacement.
  • a first embodiment of the invention provides that the patient is arranged lying down and the housing of the computer tomograph can be moved horizontally.
  • the patient holder is expediently designed as an operating table which accommodates the patient and on which the intervention on the patient can be carried out.
  • An alternative embodiment of the invention provides that the patient is arranged standing and the housing of the computer tomograph is vertically displaceable.
  • the patient holder is expediently designed as a support device which fixes the patient standing and to which auxiliary devices for carrying out the surgical intervention can likewise be assigned.
  • This embodiment of the invention makes it possible to carry out diagnoses or interventions on the standing human body, which can be advantageous, for example, if the body parts in question are loaded in a significantly different manner in the standing position than in the lying position. In the standing position, for example, intervertebral disc damage to the spine can be diagnosed more precisely and, if necessary, treated.
  • the movable housing is provided with a trailing cable harness which contains energy transmission cables and information transmission cables. Wireless information transmissions can optionally also take the place of the information transmission cables.
  • a preferred embodiment of the invention provides that the housing of the computer tomograph is suspended from a hanging trolley which can be moved on a running rail which runs horizontally above the patient holder.
  • a hanging arrangement of the housing of the computer tomograph on a hanging trolley has the advantage that the drive and chassis components can be arranged in the space above the patient bed, where they are for the treating physician and the treating person Staff are the least disruptive.
  • the housing of the computer tomograph can also be supported on a stationary undercarriage which can be moved on horizontal travel rails arranged below the patient couch. Such a stationary undercarriage is advantageous, for example, when it is not possible to attach a correspondingly heavy support structure to the ceiling.
  • the housing of the computer tomograph can also be fastened to a trolley which can be moved on vertically running rails. This alternative is provided in the event that the patient is arranged standing in the patient holder.
  • the device can be used universally, that is to say in standing patients or in lying patients, it can finally be provided that the vertically running rails are in turn carried by a carriage which can be moved on horizontally running rails.
  • the housing of the computer tomograph is fastened to the chassis assigned to it so that it can pivot about a horizontal axis by 90 °.
  • a housing suspended and driven in this way can move along the patient both in the horizontal direction and in the vertical direction.
  • the housing of the computer tomograph must, however, be pivoted through 90 ° about the indicated horizontal axis.
  • the drive devices are expediently designed as linear motors in the form of pressure-piston piston-cylinder units.
  • pressure-actuated piston-cylinder units have the advantage that they can generate relatively large forces, work almost silently and, moreover, can be positioned very precisely.
  • the drive devices can also be designed as electrical linear motors.
  • the patient couch is assigned an information display on which the images of the computer tomograph and further patient data can be imported.
  • This information display gives the treating doctor the necessary information during the intervention.
  • patient holder In order to be able to pivot the patient holder, which is designed as an operating table, into a position transverse to the path of movement of the housing of the computer tomograph, if necessary, it is finally provided that the patient table, which is designed as an operating table, Dete patient holder is mounted on a vertical rotating column and can be pivoted by rotating this rotating column in a position extending transversely to the movement path of the housing of the computer tomograph.
  • all movements of the computer tomograph and / or the patient holder can be controlled without contact, in particular by voice or gaze control.
  • the treating physician can trigger all movement functions of the device without having to touch any switching elements or the like, which is useful and advantageous for maintaining sterile conditions.
  • FIG. 1 shows a device according to the invention schematically in side view
  • Fig. 2 is a plan view of the patient holder shown in Fig. 1.
  • the housing of the computer tomograph is designated by the reference numeral 1.
  • the housing 1 is provided in a conventional manner with a patient receiving opening.
  • the patient's head 2 is just in this receiving opening.
  • the patient 2 lies on a patient holder 3, which is designed here as an operating table, the numerous other diagnoses and / or interventional and / or therapeutic aids not shown in the drawing assigned.
  • the patient holder 3 is mounted on a vertical rotating column 4, which makes it possible to pivot the patient holder 3 in such a way as can be seen from FIG. 2.
  • the housing 1 is suspended from three hanging chassis 5, which can be moved on a mounting rail 6 which is arranged above the patient holder 3 and runs parallel to the longitudinal direction of the patient 2.
  • a piston-cylinder unit 7 which acts as a linear motor and is acted upon by pressure medium is provided for driving the suspended chassis 5.
  • the hanging chassis 5 can also be driven by electric linear motors.
  • the housing 1 of the computer tomograph can be moved horizontally along the longitudinal direction of the patient, as indicated by the arrows 8.
  • the patient 2 lying on the fixed patient holder 3 need not be moved.
  • the housing 1 is additionally guided by guide chassis 9 on a guide rail 10 located on the floor, which likewise runs parallel to the longitudinal direction of the patient. This additional guide gives the housing 1 additional stability during its movement and prevents the very heavy housing from vibrating during this movement.
  • the housing 1 is connected via a tow cable harness, not shown in the drawing, which contains both power supply cables and data transmission cables, provided.
  • a display 11 which is provided with screens for the display of the computer tomogram and / or other patient data.
  • the housing 1 is fastened by means of a horizontal pivot axis 12 so that it can be pivoted through 90 ° on a trolley 13, which on the one hand can be moved in the vertical direction on rails 14 which in turn are suspended from the suspended trolleys 5 be worn.
  • a horizontal pivot axis 12 By swiveling the housing 1 about the horizontal axis 12 and moving in the vertical direction, computer tomograms of a patient standing upright can be made.
  • the patient holder 3 is not designed as an operating table, but as a vertical patient support.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Theoretical Computer Science (AREA)
  • Pulmonology (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Radiation-Therapy Devices (AREA)
  • Particle Accelerators (AREA)
  • Transition And Organic Metals Composition Catalysts For Addition Polymerization (AREA)

Abstract

L'invention concerne un dispositif de thérapie minimalement invasive et de microthérapie comprenant un tomographe assisté par ordinateur dont le boîtier (1) présente une ouverture pour introduire le patient, à laquelle est associé un dispositif de maintien du patient, conçu à la fois comme un poste d'opération et de traitement. Le dispositif de maintien du patient (3) et le boîtier du tomographe assisté par ordinateur peuvent coulisser l'un par rapport à l'autre dans le sens longitudinal du patient. Afin d'éviter que ne se produisent, dans ce type de dispositif, des mouvements du patient générés par les forces d'inertie, le dispositif de maintien du patient (3) est monté statique, alors que le boîtier (1) du tomographe assisté par ordinateur peut être déplacé de manière linéaire, au moyen de dispositifs de commande et de guidage (5, 6, 7).
PCT/EP1992/002361 1992-05-18 1992-10-14 Dispositif de therapie minimalement invasive et de microtherapie WO1993022969A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP5518740A JPH07502186A (ja) 1992-05-18 1992-10-14 障害の影響を受けない治療およびマイクロ治療のための装置

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DEP4216983.6 1992-05-18
DE4216983A DE4216983C2 (de) 1992-05-18 1992-05-18 Einrichtung für die minimal invasive Therapie und Mikrotherapie

Publications (1)

Publication Number Publication Date
WO1993022969A1 true WO1993022969A1 (fr) 1993-11-25

Family

ID=6459510

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1992/002361 WO1993022969A1 (fr) 1992-05-18 1992-10-14 Dispositif de therapie minimalement invasive et de microtherapie

Country Status (3)

Country Link
JP (1) JPH07502186A (fr)
DE (2) DE9218322U1 (fr)
WO (1) WO1993022969A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5835556A (en) * 1995-05-23 1998-11-10 Rogalla; Patrik Process and device for computer tomography transillumination for treatment
WO2009007737A1 (fr) * 2007-07-11 2009-01-15 Elekta Ab (Publ) Appareil de radiothérapie

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5448607A (en) * 1994-02-08 1995-09-05 Analogic Corporation X-ray tomography system with gantry pivot and translation control
DE4405505A1 (de) * 1994-02-21 1995-08-31 Siemens Ag Computertomograph
DE19505276A1 (de) * 1995-02-16 1996-08-29 Siemens Ag Computertomograph
DE19520017C2 (de) * 1995-05-23 2001-07-05 Patrik Rogalla Verfahren und Vorrichtung zur Computertomographie-Durchleuchtung für Interventionen
US5661772A (en) * 1996-04-01 1997-08-26 Siemens Aktiengesellschaft X-ray diagnostics apparatus capable of producing CT images and fluoroscopic images
DE19736884A1 (de) * 1997-08-25 1999-03-18 Siemens Ag Erweitertes diagnostisches Magnetresonanzgerät mit Operationsfunktionalität
DE29818100U1 (de) 1998-10-09 1999-05-27 Maquet AG, 76437 Rastatt Operationstischsystem
DE29900512U1 (de) 1999-01-14 1999-04-22 Siemens AG, 80333 München Magnetresonanzanlage für die intraoperative Bildgebung
EP1066794A3 (fr) * 1999-07-09 2003-01-08 Suinsa Subcontratas Internacionales, S.A. Dispositif telescopique applicable pour le positionnement spatiale d'un appareil a rayons x
JP6104714B2 (ja) * 2013-05-29 2017-03-29 東芝メディカルシステムズ株式会社 架台自走式ｘ線ｃｔ装置
CN110743105B (zh) * 2019-11-04 2021-04-09 广东紫薇星健康产业有限公司 一种使用方便的多功能光谱理疗仪

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1386420A (fr) * 1963-12-10 1965-01-22 Support d'appareillage radiologique
FR2383648A1 (fr) * 1977-03-17 1978-10-13 Askienazy Serge Dispositif irradiateur pour tomographie transverse
GB2023367A (en) * 1978-06-14 1979-12-28 Ohio Nuclear Examining objects with penetrating radiation
EP0026494A1 (fr) * 1979-10-02 1981-04-08 Siemens Aktiengesellschaft Appareil de radiotomographie pour réaliser des tomographies transversales
EP0053579A1 (fr) * 1980-11-27 1982-06-09 Rhyn, Mechanische Werkstatt Appareil de radiologie
EP0245584A1 (fr) * 1986-05-12 1987-11-19 Siemens Aktiengesellschaft Appareil d'examen à rayon X comprenant un système à rayon X monté sur une colonne
DE3636678A1 (de) * 1986-10-28 1988-05-11 Siemens Ag Roentgendiagnostikeinrichtung
DE8703190U1 (de) * 1987-03-02 1988-06-30 Siemens AG, 1000 Berlin und 8000 München Computertomograph
DE8713524U1 (de) * 1987-10-08 1989-02-02 Siemens AG, 1000 Berlin und 8000 München Computertomograph der dritten Generation

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1386420A (fr) * 1963-12-10 1965-01-22 Support d'appareillage radiologique
FR2383648A1 (fr) * 1977-03-17 1978-10-13 Askienazy Serge Dispositif irradiateur pour tomographie transverse
GB2023367A (en) * 1978-06-14 1979-12-28 Ohio Nuclear Examining objects with penetrating radiation
EP0026494A1 (fr) * 1979-10-02 1981-04-08 Siemens Aktiengesellschaft Appareil de radiotomographie pour réaliser des tomographies transversales
EP0053579A1 (fr) * 1980-11-27 1982-06-09 Rhyn, Mechanische Werkstatt Appareil de radiologie
EP0245584A1 (fr) * 1986-05-12 1987-11-19 Siemens Aktiengesellschaft Appareil d'examen à rayon X comprenant un système à rayon X monté sur une colonne
DE3636678A1 (de) * 1986-10-28 1988-05-11 Siemens Ag Roentgendiagnostikeinrichtung
DE8703190U1 (de) * 1987-03-02 1988-06-30 Siemens AG, 1000 Berlin und 8000 München Computertomograph
DE8713524U1 (de) * 1987-10-08 1989-02-02 Siemens AG, 1000 Berlin und 8000 München Computertomograph der dritten Generation

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5835556A (en) * 1995-05-23 1998-11-10 Rogalla; Patrik Process and device for computer tomography transillumination for treatment
WO2009007737A1 (fr) * 2007-07-11 2009-01-15 Elekta Ab (Publ) Appareil de radiothérapie

Also Published As

Publication number Publication date
DE9218322U1 (de) 1993-12-02
DE4216983A1 (de) 1993-12-02
DE4216983C2 (de) 1996-02-15
JPH07502186A (ja) 1995-03-09

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