U.S. patent number 3,627,250 [Application Number 05/045,626] was granted by the patent office on 1971-12-14 for overhead isocentric couch for therapy equipment.
This patent grant is currently assigned to Atomic Energy of Canada Limited. Invention is credited to James Waring Pegrum.
United States Patent |
3,627,250 |
Pegrum |
December 14, 1971 |
OVERHEAD ISOCENTRIC COUCH FOR THERAPY EQUIPMENT
Abstract
There is disclosed a patient positioning apparatus, particularly
for use with therapy wherein an associated couch is suspended from
above rather than forming an integral part of therapy equipment.
Also provided is a isocentric facility and the ability to move the
patient in rectilinear coordinates and also in r - relationship to
a datum which may be the access of emission of an X-ray device or a
source line of a piece of radio therapy equipment.
Inventors: |
Pegrum; James Waring (Carp,
Ontario, CA) |
Assignee: |
Atomic Energy of Canada Limited
(Ottawa, Ontario, CA)
|
Family
ID: |
25666354 |
Appl.
No.: |
05/045,626 |
Filed: |
June 12, 1970 |
Current U.S.
Class: |
248/324; 5/601;
269/46; 269/74; 378/209; 5/81.1R; 5/87.1; 269/56; 378/65 |
Current CPC
Class: |
A61B
6/0464 (20130101); A61G 13/00 (20130101); A61N
5/01 (20130101); F16M 13/027 (20130101); F16M
11/2014 (20130101); F16M 11/046 (20130101); F16M
2200/025 (20130101) |
Current International
Class: |
A61B
6/04 (20060101); A61G 13/00 (20060101); F16M
11/02 (20060101); A61N 5/01 (20060101); F16M
11/04 (20060101); A61g 013/00 () |
Field of
Search: |
;248/323,324,325,326
;250/50,54,55 ;269/322,323,324,325 ;240/1.4 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Foss; J. Franklin
Claims
I claim:
1. A patient positioning apparatus for suspension from a ceiling or
other overhead structure, said apparatus comprising:
i. an overhead suspension member the upper end of which is attached
to the said ceiling or overhead structure,
ii. A mount plate having at one end pivotally attached the lower
end of said suspension member and having the other cantilevered
outwardly from said one end,
iii. a longitudinal guide member pivotally attached to a point
intermediate its length, to the other end of said mount plate, said
longitudinal guide member having slide-block engaging means
thereon,
iv. a longitudinal slide-block slidably received in the slide-block
engaging means on the longitudinal guide member,
v. a transverse guide member attached, at a point intermediate its
length, to the said longitudinal slide-block, said longitudinal
guide member having slide-block engaging means thereon,
vi. a transverse slide-block slidably received in the slide-block
engaging means on the transverse guide member, and,
vii. a lower suspension member pivotally attached to and extending
downwardly from said transverse slide-block.
2. Apparatus as defined in claim 1 wherein in axis of pivot of the
mount about the overhead suspension member defines a first
isocenter.
3. Apparatus as defined in claim 2 wherein the axis of pivot of the
longitudinal guide member about the other end of the mount plate
defines a second isocenter.
4. Apparatus as defined in claims 1, wherein the longitudinal and
transverse movements in the associated slides may be locked in
selected positions whereby the said lower suspension member may
move in a r - relationship to either of said isocenters.
5. Apparatus as defined in claim 1, wherein the defined pivotal
facilities may be locked whereby the said lower suspension member
may be moved rectilinearly with respect to either of said
isocenters.
6. Apparatus as defined in claim 1 wherein the vertical length of
said overhead suspension unit is adjustable.
7. Apparatus as defined in claim 1 wherein the vertical length of
said lower suspension member is adjustable.
Description
This invention relates generally to overhead supported couches used
for the positioning of patients. More particularly the invention
relates to a patient positioning system which is supported from
above and which is of particular utility in teletherapy for
example, radio therapy treatment of cancer etc.
There is described, in copending Canadian Pat. application No.
069,250, filed Dec. 8th, 1969, and U.S. Pat. application No.
008,351 filed Feb. 2nd, 1970, each entitled "Patient Positioning
Systems" by Pegrum and Whitfield, each application being assigned
to Atomic Energy of Canada Limited, a patient positioning system
for sole support by the main frame of the equipment. The type of
equipment contemplated in these prior applications is exemplified
by the Theratron R 60 and 80 units and the Eldorado R 6 and 8
units, the registered trademarks owned by Atomic Energy of Canada
Limited. The foregoing units, well known to those skilled in the
art, are Cobalt 60 teletherapy units.
In the aforementioned two copending applications there is disclosed
and claimed a therapy couch which is solely supported by the body
of the unit frame. The applications also teach the provision of r -
and rectilinear movements to the couch relative to the source-head
and, more importantly, isocentric movement when required.
While the advantages of existing Theratron R and Eldorado R units
continue to be enjoyed and that the frame-mounted underslung
therapy couches, described in the aforementioned copending
applications, have found quick acceptance among radiotherapists,
the latter required yet another type of couch support.
It has been found that in certain installations the couch and its
associated supporting structure require to be accessible from all
horizontal directions. Such a requirement exists, for example, the
therapy equipment is mobile and may be withdrawn away from the
patient in order to permit space for other equipment, such as X-ray
or Fluroscopic equipment.
Further it has been found necessary to move a therapy couch to one
side to permit therapy of a patient in bed and the manipulation of
a therapy unit around the bed. Again, in order to allow the
mounting or dismounting of a patient from the couch from either
side of a therapy unit without moving the latter, even more degrees
of freedom become necessary. In providing all the desired
accessibility, it was required to not only preserve the r - and
rectilinear movements but also the isocentric movement
capability.
It is an object of one feature of the invention to provide an
overhead supported patient positioning having r -, rectilinear and
isocentric movements and enhanced accessibility.
In accordance with the foregoing object, the invention comprises:
an overhead suspension member the upper end of which is attached to
the said ceiling or overhead structure, a mount plate having at one
end pivotally attached the lower end of said suspension member and
having the other cantilevered outwardly from said one end, a
longitudinal guide member pivotally attached at a point
intermediate its length, to the other end of said mount plate, said
longitudinal guide member having slide-block engaging means
thereon, a longitudinal slide-block slidably received in the
slide-block engaging means on the longitudinal guide member, a
transverse guide member attached, at a point intermediate its
length, to the said longitudinal slide-block, said longitudinal
guide member having slide-block engaging means thereon, a
transverse slide-block slidably received in the slide-block
engaging means on the transverse guide member, and, a lower
suspension member pivotally attached to and extending downwardly
from said transverse slide-block.
A preferred embodiment of the invention will now be described with
reference to the accompanying drawing which shows, in isometric,
patient positioning apparatus.
In the drawing, a column 1 is rigidly fastened to the ceiling or
other overhead structure by means not shown. A mount plate 4 is
cantilevered horizontally from the lower end of the column 1 and is
provided with bearing means therebetween to permit rotation of the
mount about the column 1. At the remote end of the mount plate 4
there is a pivot 42 which supports a longitudinal guide 6 disposed
for rotation, about the pivot 42 beneath the mount plate 4. The
underside of the longitudinal guide 6 is provided with a channel,
flanges and a slide-block, not shown, to which is attached a
transverse guide 66 which likewise is provided with a channel 67
and flanges 69. A transverse slide-block 68 is slidably received in
the channel 67.
Thus, the transverse guide 66 may be moved longitudinally under the
longitudinal guide 6 while the slideb-block 68 may be moved
transversely relative to the guide 66. A column 70, having an
adjustable length facility, not shown, extends downwardly from the
transverse slide-block 68. A detachable stretcher 5 is removably
attached to the lower end of the column 70 forms no part of the
present invention.
If the longitudinal guide 6 is rotated, about pivot 42, so that the
guide 6 and the mount plate 4 are substantially coextensive, then
rotation of the mount plate 4 about column 1 provides the "-"
function in an r - movement. The `r` function is then set by the
movement of longitudinal block within the longitudinal guide 6. It
will be obvious that r - movements may be effected without the
prior coextensiveness of the longitudinal guide 6 and the plate 4.
However, for any angular position of the guide 6 and the plate 4,
having first fixed the r - functions, the stretcher may be given
pure rectilinear translations. Pure linear translations are, of
course, entirely simple.
To assist in summarizing the above movements, the directions of
X-X, Y--Y and Z--Z are marked on the drawing together with the
direction of `r` and horizontal plane of `-.`
Thus, the following movements are provided.
Vertical Z--Z
Longitudinal X--X
Transverse Y--Y
Isocentric r - (relative to column 1)
Rotational Facility r' - (relative to pivot 42) (This movement is
rotational but is not isocentric)
In the second rotational facility the - function is in the same
plane as the first mentioned -. The direction of r' is shown on the
drawing.
It will be obvious to those skilled in the art that the source-head
must be located coaxially with respect to the particular axis
chosen for r - movement. Thus the drawing shown, in phantom, a
source-head disposed on the axis of the column 1. All movements
may, however, be individually locked to give the associated
elements desired fixed positions. As with couch column 7, the
overhead column 1 may be of adjustable length. Generally, the two
columns will be parallel to each other.
The invention just described provides for a wider range of heights
for associated therapy or diagnostic equipment. Theoretically, the
maximum range of vertical movement is about one-half of the ceiling
height. The five distinct movements may be individually or
collectively power assisted by means well known in the art. The
overhead mount provides much greater access to and manoeuvrability
around the couch. From the latter feature stems the possibility of
using less expensive couches, more importantly, the invention
provides isocentric properties combined with the ability to execute
rectilinear movements or composite isocentric and rectilinear
movements using either of the isocentric axes. Further, all the
advantages of the invention may be enjoyed by radio therapy
installations already having fixed or moveable source heads and
associated counter weight and support frame. These and other
advantages and further embodiments falling within the terms of the
appended claims will occur to those skilled in the art.
* * * * *