U.S. patent number 3,670,163 [Application Number 05/052,305] was granted by the patent office on 1972-06-13 for radiological examination apparatus.
This patent grant is currently assigned to Compagnie Generale de Radiologie. Invention is credited to Pierre Lajus.
United States Patent |
3,670,163 |
Lajus |
June 13, 1972 |
RADIOLOGICAL EXAMINATION APPARATUS
Abstract
A support for a patient, such as a chair, table or the like, is
movably mounted on a track to slide horizontally, or move up and
down, the track itself being rotatable within a ring-like frame
forming a common structural support for the patient supporting
device, as well as for an X-ray examining system including an X-ray
source and an X-ray receiver, so as to position the patient to have
the region of the patient's body to be examined at the center of
the ring-shaped structure. The X-ray examining device itself is
mounted on a two-axis gimbal, having its center of rotation
coincident with the center of the ring-shaped structure, so that
the same region of the patient's body can be examined from all
angular positions in three dimensions, that is, can be spherically
examined.
Inventors: |
Lajus; Pierre (Meudon,
FR) |
Assignee: |
Compagnie Generale de
Radiologie (Paris, FR)
|
Family
ID: |
9037522 |
Appl.
No.: |
05/052,305 |
Filed: |
July 6, 1970 |
Foreign Application Priority Data
|
|
|
|
|
Jul 16, 1969 [FR] |
|
|
6924187 |
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Current U.S.
Class: |
378/179; 378/196;
378/178 |
Current CPC
Class: |
A61B
6/501 (20130101); A61B 6/548 (20130101); A61B
6/145 (20130101); A61B 6/4441 (20130101) |
Current International
Class: |
A61B
6/14 (20060101); A61B 6/00 (20060101); G03b
041/16 () |
Field of
Search: |
;250/50,57,65,58 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Lawrence; James W.
Assistant Examiner: Church; C. E.
Claims
I claim:
1. Radiological apparatus for examining a patient in any position
in space comprising:
a fixed base;
a common structural support mounted on said base for rotation about
a first horizontal axis;
a pair of coaxial shafts rotatably mounted on said support to both
sides of said first axis for defining a second axis perpendicular
to said first one;
a fork-shaped bracket having extremities respectively mounted on
said shafts pair for rotation about said second axis;
a further shaft mounted on said bracket, at about the middle
thereof, for defining a third axis perpendicular to said second
axis; said first, second and third axes intersecting at one point
of intersection;
an arm member mounted, at about its middle, on said further shaft
for rotation about said third axis, said arm member having two
extremities;
an X-ray source mounted on one extremity of said member for
emitting an X-ray beam, the central ray thereof transversing said
intersection point;
an X-ray receiver for supplying a visible picture mounted on the
other extremity of said arm member in radiation receiving relation
relatively to said X-ray source;
a carrying member integral with said common structural support and
including a straight portion parallel to said second axis;
a mounting member mounted on said straight portion for displacement
therealong; and
means for supporting said patient movably, mounted on said mounting
member, on the one hand, for rotation about a further axis parallel
to a line perpendicular to both said first and said second axes
and, on the other hand, for displacement in directions
perpendicular to said straight portion,
thereby allowing the locating of a predetermined organ within said
patient's body at said intersection point and the displacement of
said X-ray source about a sphere whose center is located at said
intersection point for carrying out X-ray examinations under
substantially all possible angles of incidence of said X-rays
relatively to said point.
Description
The present invention relates to radiological examination
apparatus, and more particularly to structural arrangements to
support the patient with respect to an X-ray source and an X-ray
image receiver in such a way that a region of the patient's body
can be examined from all angular positions in space, and regardless
of the position of the patient himself.
In certain radiological examinations, and particularly in X-ray
examination of the head, it is necessary to locate an X-ray
examining assembly formed of an X-ray source, and an X-ray receiver
(such as a screen, a radiographic film, an X-ray image intensifier,
an X-ray image television receiving tube or the like) in various
positions with respect to the patient's head, in such a manner that
the X-ray examining assembly can be located around the patient's
head in three dimensions. In some of these examinations it is
desirable that the patient be permitted to move, for reasons of
comfort or, for example, to study the level and position of liquids
or gases previously injected. Such medical examining techniques
have already been done with apparatus in which the assembly of an
X-ray generating tube and an X-ray image receiver is arranged to
describe a spherical path (or a portion thereof) in space. The
center of the sphere can be moved with respect to a fixed vertical
axis. Apparatus to carry out such X-ray examination includes
carrying arms carrying orientational axes forming right angles
between themselves and the direction of radiation; in another
system, a source-image receiver is movable about an axis which is
swingable following an arc of a circle. The patient himself is
supported on a table, or similar support, permitting complete
rotation in his sagittal plane. It has been the practice to provide
patient supports secured to the floor of the examining room,
independent of the mountings and holders of the radiological
apparatus, the patient supports being arranged to permit rotation
of the patient about one, or two axes.
It has been found difficult in such installations to maintain the
center of radiation constant with respect to the sections desired
to be radiated, with out substantial manipulation of equipment or
the patient on his support. Thus, it proved difficult to maintain
the virtual center of the sphere described by the various positions
of the X-ray source constant. It easily happened that the center of
rotation was subjected to a substantially vertical displacement, so
that the center itself, upon movement of the X-ray source in its
given path would describe a circular path. Such movement of the
center of the sphere defined by various possible paths of the X-ray
system was superimposed on movement of the patient's head itself.
the maximum off-center position which is a function of the diameter
of the error circle described by the movement of the patient, was
difficult to be compensated except by moving the support of the
patient by a similar, compensating amount. To obtain accurate and
clearly defined X-ray images, therefore, required complicated and
careful manipulation, and it is almost impossible to design
appropriate power-operated displacement arrangements which may be
remote-controlled, because of The variety of possible
positions.
It is an object of the present invention to provide a radiological
examining apparatus, which can easily be operated by remote control
and in which the center of examined part, of the parient's body,
with respect to all possible axes of radiation, remains
constant.
The invention will be described by way of example with reference to
the accompanying drawings, wherein:
FIG. 1 is a schematic front view of the apparatus in which the
movable elements are placed in a position facilitating explanation
of the invention; and
FIG. 2 is a side view of the apparatus of FIG. 1, partly in
section, through an axial plane.
A fixed support B is provided to permit movement of the entire
radiological apparatus in positions along the circumference of a
sphere. Basically, an X-ray examining device is provided including
an X-ray source 2 and an X-ray image pickup 3. The image pickup 3
may take many forms, for example an X-ray image intensifier
connected to a television receiver, a radiographic plate, or the
like. The X-ray examining assembly formed of source 2 and receiver
or picture generator 3 is interconnected by a carrying arm 1,
rotatable about an axis provided by shaft 4 4. Shaft 4, itself, is
mounted in a gimbal 5 rotating, in turn, about axis provided by
shafts 6 and located in the plane defined by the axis R-R.sub.1 of
the X-ray generator 2. Gimbal 5 is carried at its extremities by
two coaxial shafts 6 respectively mounted on two arms 10 which, in
turn, are mounted on a ring-shaped structural support 9. The
intersection of the axes 4, and that of shafts 6, defines a center
0 of an examining sphere. In FIG. 1, the axis R-R.sub.1 which
defines the path of radiation is congruent with the axis of shafts
6.
A patient support 7, which may be a chair, table, or the like, is
provided to locate the patient P in sitting or lying-down position.
The support itself is also mounted on the ring-shaped support 9 by
mounting means allowing its displacement along two axes which are
at right angles to each other, as indicated by arrows f.sub.1,
f.sub.2 and f.sub.3, f.sub.4, in order to center the portion of the
body of patient P which is to be radiologically examined to
coincide with the center O of the sphere. In sitting position, as
shown in FIG. 1, the patient support, together with the patient, is
rotatable in a vertical axis 8, corresponding generally to the
longitudinal axis of the patient, permitting rotation of the
centered organ of the patient's body whose center is located at
point O. The support 7 may be displaced in the plane of the axis 4
of rotation, and parallel thereto along a traverse 11 which is an
integral part of ring-shaped support 9.. Traverse 11 is secured to
the ring-shaped member 9, for example by means of a suitable
bracket, mounted on the ring 9 at point 12 (FIG. 2). The entire
unit of radiological apparatus and patient support is thus a single
assembly, by interconnection by the ring-shaped member 9 of which
one axis is perpendicular to the plane of the paper of FIG. 1 and
passes through the center O of the sphere. The ring 9 itself can
rotate in the support B in a vertical plane by means of a drive
(which may be remote-controlled) and which is not shown and well
known in the art, for example by a chain transmission a rack and
pinion, or worm gear arrangement. Thus, the entire unit of
radiological apparatus together with patient may be rotated in a
vertical plane. The structure of the apparatus accurately
interconnects the position for the patient, on its support, and the
source of X-rays, as well as the X-ray receiver for all axes of
incidence, that is for all paths of the X-ray beam; thus, a large
number of possible X-ray examining positions can be covered, with
little handling and permitting substantial versatility and speed in
examination. The comfort of the patient is increased and ease of
operation for the technician provided. By mean of automatic, or
remote-controlled positioning, automatic sequences of pictures can
readily be taken, programmed in accordance with a desired pattern,
so that a sequence of X-ray images of the same region of the
patient's body can be obtained, looked at from various angles and
orientations.
* * * * *