U.S. patent number 3,905,591 [Application Number 05/405,058] was granted by the patent office on 1975-09-16 for patient's couch.
This patent grant is currently assigned to Siemens Aktiengesellschaft. Invention is credited to Johann Finkenzeller, Willi Schaefer, Hermann Schorr, Fritz Wittkopp.
United States Patent |
3,905,591 |
Schorr , et al. |
September 16, 1975 |
Patient's couch
Abstract
A patient's couch of an X-ray examining apparatus is swingable
about its longitudinal axis and is mounted with its front side upon
the instrument carrying device. The couch has holding means for the
patient. The present invention is characterized by the use of a
supporting member having a core consisting of a hard foam substance
the cross-section of which is reduced from its longitudinal axis of
symmetry toward the two longitudinal edges and ends with an acute
angle at these longitudinal edges. The foam core is enclosed by
covering layers of firm material of small elasticity and thickness
which are joined at least at the longitudinal edges.
Inventors: |
Schorr; Hermann (Vachendorf,
DT), Schaefer; Willi (Burk, DT),
Finkenzeller; Johann (Tennenlohe, DT), Wittkopp;
Fritz (Weiher, DT) |
Assignee: |
Siemens Aktiengesellschaft
(Munich, DT)
|
Family
ID: |
26756448 |
Appl.
No.: |
05/405,058 |
Filed: |
October 10, 1973 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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75116 |
Sep 24, 1970 |
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Current U.S.
Class: |
5/601; 5/607;
5/425 |
Current CPC
Class: |
A61B
6/0442 (20130101); A61B 6/04 (20130101) |
Current International
Class: |
A61B
6/04 (20060101); A61G 013/00 () |
Field of
Search: |
;5/61,62,73,74,317R,327
;250/439-456 ;269/322,323,328,215 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Lake; Roy
Assistant Examiner: Bicks; Mark S.
Attorney, Agent or Firm: Richards & Geier
Parent Case Text
DESCRIPTION OF THE INVENTION
This is a continuation of application Ser. No. 75,116, filed Sept.
24, 1970, now abandoned.
Claims
We claim:
1. In a patient's couch swingable about its longitudinal axis and
having a table top, a foot step adjustable in the longitudinal
direction of said table top and side supports for fixing the
patient, a carriage for said side supports, sliding clamps, said
carriage being located under said table top and being guided by
said sliding clamps for movement along longitudinal edges of said
table top, said carriage having guides for said supports, said
guides being mounted in the carriage in a plane inclined to the
table top and having means for fixing said side supports at
selectable positions relative to said guides, said side supports
having the shape of narrow gripping jaws extending above said table
top to substantially the height of a lying patient.
2. A patient's couch in accordance with claim 1, wherein the
last-mentioned means comprise at least one rack connected to said
carriage, a swingable stop lever, a spring pressing said stop lever
into engagement with said rack, and a pressure key carried by a
side support and adapted to move said stop lever out of engagement
with said rack.
3. A patient's couch in accordance with claim 2, wherein said
pressure key is located upon that side of the side support which is
directed away from the patient, the carriage further comprising
springs pressing said side supports outwardly transversely to said
table top.
4. A patient's couch in accordance with claim 2, wherein said rack
has a tooth which is the last one when pulling the side supports
outwardly, said tooth being higher than the other teeth of the rack
and wherein said pressure key has a stop pin preventing the raising
of said stop lever above said higher tooth.
5. A patient's couch in accordance with claim 1, comprising guiding
rods adjustably connecting said carriage with said foot step, said
foot step being movable with said carriage along said table top.
Description
This invention relates to a patient's couch of an X-ray examining
apparatus which is swingable about its longitudinal axis, is
mounted with its front side upon the instrument carrying device and
has holding means for the patient.
Up to now patient's couches swingable about their longitudinal axes
were always made in the shape of troughs. Such troughs provide a
side hold for a patient who is also often additionally held firmly
by belts; due to the rigidity of their shape their walls can be
made comparatively thin. They have, however, the drawback that
their ray absorption is not uniform throughout their width.
Furthermore, they shade to a great extent the range of the spine at
swinging angles of 90.degree.. It is also disturbing that the
patient lies in such troughs in an unnatural position with bent
shoulders. However, the use of a normal flat support for the
patient has the drawback of disturbing ray absorption by the edges
in a position wherein the support is swung about its longitudinal
axis; furthermore, there is no side hold for the patient.
It is also known to provide a grooved ledge at two longitudinal
sides of a flat supporting plate for the patient, into which may be
inserted ends of a longitudinally movable belt, the ends being
provided with guides. The drawback of such a belt is that the
patient can be held upon the plate only on his back and front
positions and also under certain circumstances in the two side
positions, but not in inclined positions. Furthermore, the patient
held by the belt can be shifted between the two grooved ledges when
the support is swung about its longitudinal axis even if the belt
is tightly fixed. Finally, the ray absorption at the plate edges is
disturbing when the plate supporting the patient is in a swung
position.
An object of the present invention is to eliminate these drawbacks
of prior art devices.
Another object is to provide a patient's couch of the
above-described type which will be better adapted than existing
devices to the requirements of X-ray examination in all its
swinging positions.
Other objects of the present invention will become apparent in the
course of the following specification.
In the accomplishment of the objectives of the present invention it
was found advisable to use a supporting member the core of which
consists of a hard foam substance, the cross-section of the core
being reduced from its longitudinal axis of symmetry toward the two
longitudinal edges and ending with an acute angle at these
longitudinal edges. The foam core is enclosed by covering layers of
firm material of small elasticity and thickness which are joined at
least at the longitudinal edges.
Due to this construction any increase in absorption and
consequently any shading of the object being examined is avoided in
the range of the two longitudinal edges of the patient's couch as
well. Then the replacement of a rotary trough by a flat surface
constituting the patient's couch provides proper picture-taking
requirements. A known patient's couch consisting of a flat
supporting plate is constructed as a light weight plate with a
synthetic hard foam core and mechanically protecting and supporting
coverings. However, the hard foam core is enclosed by a hollow
profile frame which is integrally connected with the core and the
covers and which is used to receive stretcher handles. A supporting
plate of this type is not suitable for a swinging movement about
its longitudinal axis relatively to the central ray, since the
hollow profile frame would shut off the X-ray image to a great
extent.
According to an advantageous embodiment of the present invention,
fastening members can be connected along wide surfaces with the
covers of the supporting member at its head and feet ends. The
fastening members are rotatably mounted in the instrument
container. This makes it possible to attain a safe attachment of
the couch body with the instrument container which is adapted to
the construction of the supporting plate for the patient and which
transmits forces along a wide surface.
According to a further particularly effective embodiment of the
present invention the patient is held transversely to the
longitudinal axis of the supporting plate and is also fixed in an
inclined position relatively to the supporting plate by supporting
means consisting of side supports which are located on both sides
of the plate and which are movable along its side edges by sliding
blocks. These side supports can be fixed by a bearing block which
is pressed by spring force against the supporting plate and which
can be released by hand. A supporting plate swingable about its
longitudinal axis is shown, for example, in U.S. Pat. No.
3,434,165. This makes it possible to support the patient in a
position which is swung sideways relatively to the central ray by
making him lean against one of the side supports. This applies to a
patient lying upon a supporting plate which is swung sideways, and
also to a patient who lies sideways upon a horizontal supporting
plate. Furthermore, then all shade forming guinding side ledges
upon the supporting plate can be eliminated. Consequently, no
shading is produced when edge zones enter the primary ray cone in
case the supporting plate is inclined transversely to the central
ray. In this manner the doctor has at his disposal for examination
a useful swinging range on both sides of over 90.degree. about the
longitudinal axis of the supporting plate.
To better reach the sides of patients of different shapes the side
supports can have the form of narrow gripping jaws which extend
over the supporting plate approximately at a height corresponding
to that of a lying patient; they can be movable on both sides of
the supporting plate longitudinally as well as transversely thereto
and they can be held firm. Thus the side supports can be adapted,
as far as their distance from each other is concerned, to the
effective body width corresponding to the actual position of the
patient. This also effectively prevents any possible side sliding
of the patient during the swinging movement, without it being
necessary to press the patient firmly against the supporting plate,
as would have been the case if a belt was used.
According to a further particularly advantageous embodiment of the
present invention each of the side supports can be mounted by
guiding means in a carriage slidably guided upon the bottom surface
of the supporting plate along the longitudinal edges thereof
transversely thereto. The carriage can be stopped and the guiding
means with the holding means can be clamped to the carriage. This
facilitates the fixing of the side supports to the supporting
plate.
According to a further particularly useful embodiment of the
present invention the guiding means can be mounted in the carriage
in a plate inclined to the supporting plate to provide a
compensation in height in case of a transverse setting. This
provides in the simplest possible way a compensation for the fact
that the center of gravity of patients of a somewhat wider shape
lies as a rule higher above the supporting plate.
The invention will appear more clearly from the following detailed
description when taken in connection with the accompanying drawings
showing by way of example only, preferred embodiments of the
inventive idea.
In the drawings:
FIG. 1 is a top view of a patient's couch consisting of a flat
supporting plate with simple side supports for holding the
patient.
FIG. 2 is a section along the line II--II of FIG. 1.
FIG. 3 is a section along the line III--III of FIG. 1.
FIG. 4 is a section through a supporting plate with simple side
supports.
FIG. 5 is a perspective view of a simple supporting plate with side
supports which are movable longitudinally and transversely.
FIG. 6 shows the bottom side of the longitudinally and transversely
movable side supports.
FIG. 7 is a section along the line VII-VII of FIG. 6.
The patient's couch shaped as a flat supporting plate and shown in
top view in FIG. 1, consists of a body 2 and holding members 3 and
4 flatly glued to the head and foot ends of the body 2. The holding
members are shown by cross lines to the extent that they project
into the body 2. A foot step 5 is fixed to the body and two side
supports 6 and 7 are longitudinally slidable upon it.
As shown in cross-section in FIG. 2, the body 2 consists of a foam
body 8 and two covering layers 9 and 10 glued flatly to the foam
body. The holding member 3 located at the head end is glued to the
foam body 8 and the upper cover by means of a tongue-like extension
11.
The inner structure of the holding member 4 located at the foot end
and the attachment of the foot step 5 are shown in FIG. 3. The
holding member 4 is hollow, it follows the inner surfaces of the
covers and is glued to them. Two U-shaped rails 12 and 13 which are
fixed to the instrument container (not shown) extend into the
holding member 4. A carriage 14 runs along these U-shaped rails by
four ball bearings 15 and 16 (only two of them are shown in FIG.
4). The carriage is moved by a sprindle 17 actuated from the
instrument container. A supporting frame 18 is fixed to the
carriage and is also connected with the foot step.
Side supports 6 and 7 are shown in section in FIG. 4. They are
connected with each other by a carrier 19 which is slidably mounted
by sliding jaws 20 and 21 upon the two longitudinal edges of the
body 2. A two-armed lever 23 is connected to the carrier and is
swingable about an axis 22. One end of the lever is pressed by a
spring 24 against the lower side of the body 2 and is shaped as a
brake shoe 25.
FIG. 5 illustrates the arrangement of side supports 29 and 30 which
are movable longitudinally and transversely relatively to a simple
supporting plate 28 which is swingable about its longitudinal axis
27. Each of the side supports 29 and 30 extends over a longitudinal
side of the plate 28 and is located above the surface of the plate
to the extent of about 15cm. The side supports are guided by a
carriage 37 through the use of guides 31, 32, 33 and 34. The
carriage 37 is movable along the supporting plate by sliding blocks
35 and 36 and is substantially adjustable transversely to the
supporting plate. Furthermore, the carriage 37 is connected by
guiding rods 39 and 40 which can be firmly clamped, upon both sides
of the supporting plate with a foot rest 38 which can be shifted
along the supporting plate.
FIG. 6 shows the mounting of the guides 31, 32, 33 and 34 in the
U-shaped rails 41, 42, 43 and 44 of the carriage 37. Stop levers 47
and 48 swingable about axes 45 and 46 are swingably mounted upon
the guides 32 and 33. One end of each of the stop levers engages in
its rest position a rack 49 or 50 fixed to the carriage. The other
end of each stop lever extends into the interior of a separate side
support and is connected there with a spring 51 or 52 (FIG. 7),
which presses the stop lever with its other end against the rack 49
or 50. There are openings 53 and 54 provided upon the outer sides
of the side supports and pressure keys 55 and 56 are located in
these openings for actuating the stop levers. The keys 55 and 56
are pressed against the openings by pressure springs 57 and 58.
Springs 59 and 60 are located in the carriage 38 adjacent separate
side supports to press the side supports outwardly in engagement
with one of the guides 31 and 33.
FIG. 7 shows that the U-shaped rails of the carriage are inclined
relatively to the plane of the supporting plate. It is also
apparent that the last teeth 61 and 62 of the racks 49 and 50 in
the pulling direction of the respective side supports have been
made higher than the other teeth and that the pressure keys 55 and
56 are provided with stop pins 63 and 64, respectively.
When the doctor presses the key 55 or 56 into the side support 29
or 30, the corresponding lever 47 or 48 is also moved against the
action of the spring 51 or 52 and its other end is raised from the
rack 49 or 50. The side support is not held any more and is pressed
outwardly by the corresponding spring 59 or 60 against the hand of
the doctor. The doctor can now push the side support closer to the
patient or move it away from the patient depending as to whether he
will press harder or will give in. When the pressure key is
released the side support is immediately locked in its new position
due to the engagement of the lever 47 or 48.
Stop pins 63 and 64 prevent the raising of the levers 47 and 48 by
keys 55 and 56 away from the teeth of the racks 49 and 50 to such
an extent, that the levers would move beyond the last high teeth 61
and 62 of the racks. Furthermore, this is only possible if when the
side support is pulled out the doctor would press downwardly
directly by hand the lower arm of the corresponding lever.
When the foot step is moved by motor, the side supports 29 and 30
are also taken along automatically by guiding rods 39 and 40. This
maintains the supporting location of the side supports relatively
to the patient when the patient is moved longitudinally by motor.
If a belt is to be used in addition to the side supports in case of
swingings of the supporting plate about its longitudinal axis to
the extent of more than 45.degree., such belt can be attached to
the carriage 37. This arrangement will not interfer with the
possibility of shifting the patient longitudinally by means of the
foot step. Furthermore, this avoids the now usual arrangement of
rods along the longitudinal edges of the supporting plate for
attaching the belt.
The best conditions exist when side supports shown in FIGS. 5 to 7
are arranged upon the patient's supporting plate 2.
The illustrated arrangement of side supports upon slide jaws makes
it possible to eliminate the provision of ray absorbing holding
elements for the side supports at the longitudinal edges of the
supporting member. Obviously, the slide jaws can be replaced by
rollers which would run upon the surface of the supporting body
without the use of rails or grooves.
* * * * *