CN104812445A - Multi-angle motion treatment bed - Google Patents
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
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Abstract
Description
技术领域technical field
本发明涉及医疗器械领域,尤其涉及一种伽玛刀设备中可实现多角度运动的治疗床。The invention relates to the field of medical instruments, in particular to a treatment couch capable of multi-angle movement in gamma knife equipment.
背景技术Background technique
伽玛刀设备中必然包含承载病人的治疗床,治疗床在治疗病人不同部位肿瘤时,需要上下、左右、前后运动来调整照射位置。如图1所示,现有的治疗床包括底座21、床身22、中床身23以及床板24。中床身23与床身22及床板24之间分别通过相互垂直的两个直线导轨25相互连接,床身22与底座21之间通过垂直导轨26连接。如此,治疗床只能在X轴方向、Y轴方向、Z轴方向进行运动,来补偿伽玛刀设备中放射源体摆位带来的位置误差。但在实际使用过程中,会产生六个自由度的位置误差,而现有的治疗床不能精确地进行病人摆位,带来治疗误差。Gamma Knife equipment must include a treatment bed that carries the patient. When the treatment bed is treating tumors in different parts of the patient, it needs to move up and down, left and right, and back and forth to adjust the irradiation position. As shown in FIG. 1 , the existing treatment bed includes a base 21 , a bed 22 , a middle bed 23 and a bed board 24 . The middle bed 23 , the bed 22 and the bed board 24 are connected to each other through two vertical linear guide rails 25 , and the bed 22 and the base 21 are connected through a vertical guide rail 26 . In this way, the treatment couch can only move in the X-axis direction, Y-axis direction, and Z-axis direction to compensate for the position error caused by the placement of the radioactive source in the Gamma Knife device. However, in actual use, a position error of six degrees of freedom will occur, and the existing treatment bed cannot accurately position the patient, resulting in treatment error.
发明内容Contents of the invention
本发明提供一种可多角度运动的治疗床,实现治疗过程中精确的摆位。The invention provides a treatment bed capable of multi-angle movement, which realizes accurate positioning during the treatment process.
本发明实施例提供了一种可实现多方向运动治疗床,包括底座、X向移动床身、升降床身、旋转床身、Y向旋转床身、X向旋转床身以及上床板。X向移动床身与该底座连接,该X向移动床身与该底座之间还设置了X向移动驱动器,用于驱动该X向移动床身相对该底座在X向移动。升降床身与该X向移动床身连接,该升降床身与该X向移动床身之间还设置了Z向升降驱动器,用于驱动该升降床身相对该X向移动床身在Z向移动。旋转床身与该升降床身连接,并可相对该升降床身在XY平面内转动。Y向旋转床身与该旋转床身可摆动地连接,该Y向旋转床身与该旋转床身之间还设置了Y向旋转驱动器,用于驱动该Y向旋转床身相对该旋转床身沿Y向摆动。X向旋转床身与该Y向旋转床身可摆动地连接,该X向旋转床身与该Y向旋转床身之间还设置了X向旋转驱动器,用于驱动该X向旋转床身相对该Y向旋转床身沿X向摆动。上床板与该X向旋转床身连接,该上床板与该X向旋转床身之间还设置了Y向移动驱动器,用于驱动该上床板相对该X向旋转床身在Y向移动。An embodiment of the present invention provides a treatment bed capable of multi-directional motion, including a base, an X-direction moving bed, an elevating bed, a rotating bed, a Y-rotating bed, an X-rotating bed and an upper bed board. The X-direction mobile bed is connected to the base, and an X-direction mobile driver is arranged between the X-direction mobile bed and the base, for driving the X-direction mobile bed to move relative to the base in the X direction. The lifting bed is connected with the X-direction moving bed, and a Z-direction lifting driver is also arranged between the lifting bed and the X-direction moving bed, which is used to drive the lifting bed to move in the Z direction relative to the X-direction moving bed. move. The rotating bed is connected with the lifting bed, and can rotate in the XY plane relative to the lifting bed. The Y-rotating bed is swingably connected to the rotating bed, and a Y-rotating drive is also arranged between the Y-rotating bed and the rotating bed for driving the Y-rotating bed relative to the rotating bed. Swing in the Y direction. The X-rotating bed is swingably connected to the Y-rotating bed, and an X-rotating driver is arranged between the X-rotating bed and the Y-rotating bed for driving the X-rotating bed relative to the Y-rotating bed. The Y-rotating bed swings along the X direction. The upper bed board is connected with the X-direction rotating bed, and a Y-direction moving driver is arranged between the upper bed board and the X-direction rotating bed, for driving the upper bed board to move in the Y direction relative to the X-direction rotating bed.
优选地,该X向移动驱动器包括设置于该X向移动床身与该底座之间的X向移动丝杠。Preferably, the X-direction movement driver includes an X-direction movement lead screw arranged between the X-direction movement bed and the base.
优选地,还包括第一支撑导轨,该X向移动床身通过该第一支撑导轨与该底座连接。Preferably, a first support rail is also included, and the X-direction movable bed is connected to the base through the first support rail.
优选地,该Z向升降驱动器设置于该升降床身与该X向移动床身之间的Z向升降丝杠11。Preferably, the Z-direction lifting driver is arranged on the Z-direction lifting screw 11 between the lifting bed and the X-moving bed.
优选地,还包括Z向直线导轨,该升降床身通过该Z向直线导轨与X向移动床身连接。Preferably, it also includes a Z-direction linear guide rail, and the lifting bed is connected with the X-direction movable bed through the Z-direction linear guide rail.
优选地,还包括设置在该旋转床身与该X向移动床身之间的蜗轮蜗杆装置。Preferably, a worm gear device arranged between the rotating bed and the X-direction moving bed is also included.
优选地,还包括连接至该Y向旋转床身与该旋转床身一端的第一旋转轴,该Y向旋转驱动器包括设置在该Y向旋转床身与该第一旋转轴相对的另一端的Y向旋转丝杠。Preferably, it also includes a first rotating shaft connected to the Y-direction rotating bed and one end of the rotating bed, and the Y-rotating driver includes an Rotate the lead screw in the Y direction.
优选地,还包括连接至该X向旋转床身与该Y向旋转床身一端的第二旋转轴,该X向旋转驱动器包括设置在该X向旋转床身与该第二旋转轴相对的另一端的X向旋转丝杠。Preferably, it also includes a second rotating shaft connected to one end of the X-rotating bed and the Y-rotating bed, and the X-rotating drive includes another shaft opposite to the second rotating shaft. X-rotating lead screw at one end.
优选地,该Y向移动驱动器包括设置在该上床板与该X向旋转床身之间的Y向移动丝杆。Preferably, the Y-direction moving driver includes a Y-direction moving screw rod arranged between the upper bed board and the X-direction rotating bed.
优选地,还包括第二支撑导轨,该上床板通过该第二支撑导轨与该X向旋转床身连接。Preferably, it also includes a second support rail, and the upper bed board is connected with the X-direction rotating bed through the second support rail.
采用本发明实施例的可实现多方向运动治疗床,实现治疗床在六个维度的多方向运动,使治疗床实现精确的治疗摆位。By adopting the multi-directional motion treatment couch in the embodiment of the present invention, the multi-directional movement of the treatment couch in six dimensions can be realized, so that the treatment couch can realize accurate treatment positioning.
附图说明Description of drawings
图1是现有伽玛刀设备中治疗床结构示意图;Fig. 1 is the schematic diagram of the treatment bed structure in the existing Gamma Knife equipment;
图2是本发明实施例提供的一种可多角度运动的治疗床结构示意图。Fig. 2 is a schematic structural view of a multi-angle movable treatment bed provided by an embodiment of the present invention.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.
为了更好得理解本发明的技术方案,申请人通过图2的具体实施方式来说明该发明实施例的可多角度运动的治疗床。如图2所示,该治疗床自下而上依次包括底座1、X向移动床身2、升降床身3、旋转床身4、Y向旋转床身5、X向旋转床身6、以及上床板8。上述装置具体连接关系如下:In order to better understand the technical solution of the present invention, the applicant illustrates the multi-angle movable treatment bed according to the embodiment of the present invention through the specific implementation manner in FIG. 2 . As shown in Figure 2, the treatment bed includes base 1, X-direction movable bed 2, lifting bed 3, rotating bed 4, Y-direction rotating bed 5, X-direction rotating bed 6, and Upper bed board 8. The specific connections of the above devices are as follows:
底座1是六维移动床的基础,X向移动床身2通过X向移动驱动器,和底座1连接,其用于驱动该X向移动床身相对该底座在X向移动。具体地,在本实施方式中,X向移动驱动器包括X向移动丝杠13及对应的马达(图未示),马达驱动X向移动丝杠13将旋转运动转化为直线运动,从而实现X向移动床身2在X向运动。优选地,X向移动床身2与该底座之间还包括第一支撑导轨15,用于引导X向移动床身2在X向移动。The base 1 is the foundation of the six-dimensional moving bed, and the X-direction moving bed 2 is connected to the base 1 through the X-direction moving driver, which is used to drive the X-direction moving bed to move relative to the base in the X direction. Specifically, in this embodiment, the X-direction moving driver includes an X-direction moving screw 13 and a corresponding motor (not shown in the figure), and the motor drives the X-direction moving screw 13 to convert rotational motion into linear motion, thereby realizing X-direction movement. The mobile bed 2 moves in the X direction. Preferably, a first support rail 15 is further included between the X-direction movable bed 2 and the base, for guiding the X-direction movable bed 2 to move in the X direction.
升降床身3通过Z向升降驱动器与X向移动床身2连接,Z向升降驱动器用于驱动该升降床身相对该X向移动床身在Z向移动。具体地,在本实施方式中,Z向升降驱动器包括Z向升降丝杠11及对应的马达。同理,马达驱动Z向升降丝杠11旋转来实现升降床身3的升降移动。The lifting bed 3 is connected with the X-direction moving bed 2 through the Z-direction lifting driver, and the Z-direction lifting driver is used to drive the lifting bed to move in the Z direction relative to the X-direction moving bed. Specifically, in this embodiment, the Z-direction lifting driver includes a Z-direction lifting screw 11 and a corresponding motor. Similarly, the motor drives the Z-direction lifting lead screw 11 to rotate to realize the lifting movement of the lifting bed 3 .
升降床身3中安装有与旋转床身4配合的蜗轮蜗杆装置12,通过涡轮蜗杆传动实现旋转床身4在XY平面内180度转动。可以理解,蜗轮蜗杆装置12也可设置在升降床身3,或底座1上,只要升降床身3可在XY平面内转动便可。A worm gear device 12 coordinating with the rotating bed 4 is installed in the lifting bed 3, and the rotating bed 4 can rotate 180 degrees in the XY plane through the worm gear transmission. It can be understood that the worm gear device 12 can also be arranged on the lifting bed 3 or the base 1, as long as the lifting bed 3 can rotate in the XY plane.
Y向旋转床身5与旋转床身4通过第一旋转轴14可摆动地连接固定,该Y向旋转床身与该旋转床身之间还设置了Y向旋转驱动器,其用于驱动该Y向旋转床身相对该旋转床身沿Y向摆动。具体地,在本实施方式中,Y向旋转驱动器包括设置于与第一旋转轴14相对另一侧的Y向旋转丝杠10及对应的马达来实现床身Y向摆动。可以理解,第一旋转轴14及Y向旋转丝杠10不限于设置在相对的两端,只要Y向旋转床身5可相对旋转床身4沿Y向摆动即可。The Y-rotating bed 5 and the rotating bed 4 are swingably connected and fixed through the first rotating shaft 14, and a Y-rotating drive is also arranged between the Y-rotating bed and the rotating bed, which is used to drive the Y The rotating bed swings in the Y direction relative to the rotating bed. Specifically, in this embodiment, the Y-rotation driver includes a Y-rotation lead screw 10 and a corresponding motor disposed on the other side opposite to the first rotation shaft 14 to realize the Y-rotation of the bed. It can be understood that the first rotating shaft 14 and the Y-rotating lead screw 10 are not limited to be arranged at opposite ends, as long as the Y-rotating bed 5 can swing relative to the rotating bed 4 in the Y-direction.
X向旋转床身6与Y向旋转床身5一端通过第二旋转轴(图未示)可摆动地连接固定,该X向旋转床身与该Y向旋转床身之间还设置了X向旋转驱动器,用于驱动该X向旋转床身相对该Y向旋转床身沿X向摆动。具体地,在本实施方式中,该X向旋转驱动器包括设置于与第二旋转轴相对另一侧的X向旋转丝杠9及对应的马达来实现X向旋转床身X向摆动。同理,第二旋转轴与X向旋转丝杠9也不限于设置在相对的两端。One end of the X-rotating bed 6 and the Y-rotating bed 5 is swingably connected and fixed through a second rotating shaft (not shown in the figure), and an X-rotating bed is also provided between the X-rotating bed and the Y-rotating bed. The rotary driver is used to drive the X-direction rotating bed relative to the Y-direction rotating bed to swing along the X direction. Specifically, in this embodiment, the X-direction rotation driver includes an X-direction rotation screw 9 and a corresponding motor arranged on the opposite side to the second rotation shaft to realize the X-direction rotation of the X-direction bed. Similarly, the second rotating shaft and the X-direction rotating lead screw 9 are not limited to be arranged at opposite ends.
上床板8与X向旋转床身6优选可通过第二支撑导轨(图未示)连接固定,该上床板与该X向旋转床身之间还设置了Y向移动驱动器,用于驱动该上床板相对该X向旋转床身在Y向移动。具体地,在本实施方式中,Y向移动驱动器包括Y向移动丝杠7及对应的马达传动实现上床板8在Y向运动。The upper bed board 8 and the X-direction rotating bed 6 can preferably be connected and fixed by a second support rail (not shown in the figure), and a Y-direction moving driver is also arranged between the upper bed board and the X-direction rotating bed for driving the upper The bed board moves in the Y direction relative to the X direction rotating bed. Specifically, in this embodiment, the Y-direction movement driver includes a Y-direction movement screw 7 and a corresponding motor drive to realize the Y-direction movement of the upper bed board 8 .
使用过程中,将治疗头部病人躺在可多角度运动的治疗床(六维床)上,固定在上床板8上。利用影像系统进行摆位验证,将病人肿瘤在六维床上的实际位置与计划要求病人肿瘤位置的六维偏差值计算出来,下发到控制计算机中。六维床根据控制机的指令将病人肿瘤的位置自动从新调整,达到与计划要求一致,提高了实际治疗精度。During use, the head patient is placed on the multi-angle movable treatment bed (six-dimensional bed) and fixed on the upper bed board 8 . The imaging system is used for setup verification, and the six-dimensional deviation between the actual position of the patient's tumor on the six-dimensional bed and the planned position of the patient's tumor is calculated and sent to the control computer. The six-dimensional bed automatically readjusts the position of the patient's tumor according to the instructions of the control machine to meet the requirements of the plan and improve the actual treatment accuracy.
在本发明实施例中,通过底座1、X向移动床身2、升降床身3、旋转床身4、Y向旋转床身5、X向旋转床身6、以及上床板8之间的配合,实现治疗床在六个维度的多方向运动,使治疗床实现精确的治疗摆位。In the embodiment of the present invention, through the cooperation between the base 1, the X-direction moving bed 2, the lifting bed 3, the rotating bed 4, the Y-direction rotating bed 5, the X-direction rotating bed 6, and the upper bed 8 , to realize the multi-directional movement of the treatment couch in six dimensions, so that the treatment couch can achieve precise treatment positioning.
在上述实施方式中,第一支撑导轨15及X向移动丝杠13、Z向的直线导轨及Z向升降丝杠11、Y向旋转丝杠10、X向旋转丝杠9、第二支撑导轨及Y向移动丝杠7等装置都是为了实现在对应的方向上的移动,因此,可以理解,在其它实施方式中,其也可以是直线马达或汽缸等可实现在一个方向上的移动的装置,而不限于上述实施方式。In the above embodiment, the first support guide rail 15 and the X-direction moving screw 13, the Z-direction linear guide rail and the Z-direction lifting screw 11, the Y-direction rotating screw 10, the X-direction rotating screw 9, the second support guide rail and the Y-direction moving lead screw 7 and other devices are all used to realize the movement in the corresponding direction. Therefore, it can be understood that in other embodiments, it can also be a linear motor or a cylinder that can realize movement in one direction. devices, and are not limited to the above-mentioned embodiments.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention should be included in the protection of the present invention. within range.
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| CN109876311B (en) * | 2019-03-27 | 2023-09-29 | 陕西华明普泰医疗设备有限公司 | Six-degree-of-freedom radiotherapy bed |
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| CN112056854A (en) * | 2020-08-31 | 2020-12-11 | 成都铁力通科技发展有限公司 | A bed that is easy to get up from |
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| CN114053603B (en) * | 2021-11-30 | 2022-05-13 | 贾飞 | Radiotherapy position mount |
| CN114404822B (en) * | 2022-01-24 | 2025-11-04 | 中以康联国际医疗科技有限公司 | Patient posture adjustment device |
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| CN105147490A (en) * | 2015-09-30 | 2015-12-16 | 玉林市好邦医疗设备有限责任公司 | Catheter bed for interventional diagnosis and treatment |
| CN109381216A (en) * | 2017-08-08 | 2019-02-26 | 通用电气公司 | The motion control device and method, computer program of the mobile bed board of patient |
| CN107625596A (en) * | 2017-09-27 | 2018-01-26 | 宝鸡大医数码机器人有限责任公司 | A kind of medical six degree of freedom therapeutic bed |
| CN107625596B (en) * | 2017-09-27 | 2023-08-01 | 宝鸡大医数码机器人有限责任公司 | A medical six-degree-of-freedom treatment bed |
| CN107823807A (en) * | 2017-11-24 | 2018-03-23 | 北京新核医疗科技有限公司 | Treat bed system and control method |
| CN108606899A (en) * | 2018-05-24 | 2018-10-02 | 张洪亮 | A kind of emergency surgery draft gear |
| CN109876306A (en) * | 2019-02-28 | 2019-06-14 | 玛西普医学科技发展(深圳)有限公司 | A kind of both-end support therapeutic bed |
| CN109876306B (en) * | 2019-02-28 | 2024-05-10 | 玛西普医学科技发展(深圳)有限公司 | Double-end supporting treatment bed |
| CN109908496B (en) * | 2019-03-27 | 2020-09-15 | 陕西华明普泰医疗设备有限公司 | Control method of six-degree-of-freedom radiotherapy bed |
| CN109908496A (en) * | 2019-03-27 | 2019-06-21 | 陕西华明普泰医疗设备有限公司 | A kind of control method of six degree of freedom radiation therapeutical bed |
| CN109939366A (en) * | 2019-03-28 | 2019-06-28 | 上海市质子重离子医院有限公司 | A multi-directional adjustable beam applicator system device |
| CN112156377A (en) * | 2020-08-06 | 2021-01-01 | 苏州国科兴旺医疗设备有限公司 | Arthritis plasma treatment equipment and using method |
| CN112156377B (en) * | 2020-08-06 | 2023-03-10 | 苏州国科兴旺医疗设备有限公司 | Arthritis plasma treatment equipment and using method |
| CN113655195A (en) * | 2021-01-12 | 2021-11-16 | 杭州瑞声检测科技有限公司 | Probe frame detection platform |
| CN113655195B (en) * | 2021-01-12 | 2022-06-14 | 杭州瑞声检测科技有限公司 | Probe frame detection platform |
| CN113648164A (en) * | 2021-08-16 | 2021-11-16 | 山东第一医科大学附属省立医院(山东省立医院) | A reversible physiotherapy bed for surgical nursing |
| CN114431926A (en) * | 2022-02-08 | 2022-05-06 | 索诺利(厦门)医疗科技有限公司 | Lithotripsy equipment treatment bed |
| CN114431926B (en) * | 2022-02-08 | 2024-05-28 | 索诺利(厦门)医疗科技有限公司 | Lithotripter treatment bed |
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