US20060029187A9 - Urological working place - Google Patents
Urological working place Download PDFInfo
- Publication number
- US20060029187A9 US20060029187A9 US10/764,346 US76434604A US2006029187A9 US 20060029187 A9 US20060029187 A9 US 20060029187A9 US 76434604 A US76434604 A US 76434604A US 2006029187 A9 US2006029187 A9 US 2006029187A9
- Authority
- US
- United States
- Prior art keywords
- bow
- urological
- working place
- examination table
- image processing
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/225—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
- A61B17/2255—Means for positioning patient, shock wave apparatus or locating means, e.g. mechanical aspects, patient beds, support arms, aiming means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/20—Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. 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
- A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
- A61B6/4441—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure the rigid structure being a C-arm or U-arm
Definitions
- the present invention generally relates to a urological working place, and more particularly, to a urological working place that can be used for lithotripsy treatment.
- a urological working place comprising an x-ray source at the upper end of a so-called U-bow and a radiation reception array at the lower end of the U-bow is known, for example, from German Patent No. DE 198 43 680, which is incorporated herein by reference.
- the examination table for the patient is fixedly attached to a U-bow.
- the examination table is located between an x-ray examination unit comprising an x-ray source and a radiation reception means.
- the x-ray examination unit is displaceable relative to the examination table in the x-direction and in the y-direction.
- the individual components of the x-ray examination unit are adapted to be moved individually, preferably, however, in synchronism with one another.
- the examination table In the case of a vertical adjustment of the U-bow, the examination table is vertically moved as well. When the U-bow is tilted, the examination table is tilted as well, without any change in the relation between the examination table and the x-ray examination unit.
- the tilting axis extends approximately through the examination table.
- the present invention provides a urological working place that can be used for treatment by lithotripsy, in addition to use for diagnostic and indicatory functions.
- features of the present invention permit a displacement of the x-ray beam by displacing the respective radiation source on a tilted U-bow in the x-direction into the focus of a therapy head of an adjacent lithotripter so as to re-establish the iso-center of the therapeutic beam of the lithotripter and of the x-rays in the tilted condition of the U-bow.
- One special advantage of the present invention is that it also provides for an existing urological working place to be converted into a lithotripter working place quickly and with little technical and economic expenditure. Thus, in many cases, the acquisition of an expensive, independent lithotripter working place can be avoided as a result of the present invention. Additionally, an examination table used in the urological working place, according to exemplary embodiments of the present invention, does not need to be vertically adjustable and may include a lateral recess for unhindered use of a lithotripter device.
- FIG. 1 shows an exemplary frontal view of a urological working place that can be used for lithotripsy treatment in accordance with exemplary embodiments of the present invention.
- FIG. 2 shows an exemplary side view of the urological working place viewed from the direction of sight “A” according to FIG. 1 .
- FIG. 3 shows an exemplary perspective view of the urological working place in accordance with FIGS. 1 and 2 .
- the medical apparatus comprises a so-called U-bow 1 .
- the U-bow 1 typically comprises a U-shaped carrier which is tiltably mounted on a base frame 2 in a support with an axis K.
- the axis K extends horizontally in the vertical center plane 3 of the U-bow 1 and below the support plate 13 of an examination table 7 , when viewed in the vertical direction, wherein the examination table is typically releasably secured to the U-bow 1 .
- the upper end of the U-bow 1 has arranged thereon, in a manner which may be known in the art, an x-ray source 5 which cooperates with an image processing device (or means) 4 at the other end of the U-bow 1 .
- the x-ray source 5 and the image processing device 4 define together an x-ray unit.
- the urological working place can have associated therewith (and/or further comprise) a therapy head 6 of a lithotripter, whose focus F is positioned above the examination table 7 in the center plane 3 .
- the focus F also intersects a central line 8 of the x-rays.
- the central line 8 of the x-rays is pivoted away from the focus F.
- the x-ray source 5 and the image processing device 4 can be displaced on the U-bow 1 in the x-direction (i.e., parallel to the support surface of the x-ray source 5 and the support surface of the image processing device 4 on the U-bow 1 ) until the central line 8 , which represents the central ray of the x-ray unit, intersects the focus F again.
- the x-ray source 5 and the image processing device 4 are typically adapted to be displaced relative to the U-bow 1 individually and also synchronously in the transverse direction.
- the U-bow 1 can be tilted about the axis K through an angle of substantially 25° in the course of the locating process, whereupon the units 4 and 5 are displaced on the U-bow 1 by approximately 140 mm in the x-direction.
- the U-bow 1 has provided thereon a preferably circularly bent guide segment 9 whose center is positioned on the tilting axis K as well.
- the therapy head 6 can in this way be guided on the guide segment 9 (which is secured in position on the U-bow 1 ) in a frictional and/or positive engagement therewith and can be retained at its original position by a holder 12 secured to the base frame 2 , when the U-bow 1 is tilted about the axis K.
- the support plate 13 of an examination table 7 can be located between the focus F of the therapy head 6 and the axis K.
- a simple relax bed can be used for this purpose in accordance with exemplary embodiments of the present invention.
- the U-bow 1 is vertically adjustable, it is also possible to use an alternate examination table, such as a bed, that is not vertically adjustable and/or is independent of the movements of the U-bow 1 .
- the examination table 7 can be replaced with an alternate examination table that is not vertically adjustable and is not secured to the U-bow 1 .
- This alternate examination table is preferably adjustable in the x-y direction.
- a semicircular recess 14 on the support plate 13 in the area of use of the therapy head 6 may be provided (e.g., for structural reasons) to ensure an unhindered use of a lithotripter.
Abstract
Description
- This application claims priority to co-pending German Patent Application No. 103 02 612.6, which was filed on Jan. 23, 2003 and is incorporated herein by reference.
- The present invention generally relates to a urological working place, and more particularly, to a urological working place that can be used for lithotripsy treatment.
- A urological working place comprising an x-ray source at the upper end of a so-called U-bow and a radiation reception array at the lower end of the U-bow is known, for example, from German Patent No. DE 198 43 680, which is incorporated herein by reference. In that example, the examination table for the patient is fixedly attached to a U-bow. The examination table is located between an x-ray examination unit comprising an x-ray source and a radiation reception means. The x-ray examination unit is displaceable relative to the examination table in the x-direction and in the y-direction. The individual components of the x-ray examination unit are adapted to be moved individually, preferably, however, in synchronism with one another. In the case of a vertical adjustment of the U-bow, the examination table is vertically moved as well. When the U-bow is tilted, the examination table is tilted as well, without any change in the relation between the examination table and the x-ray examination unit. The tilting axis extends approximately through the examination table.
- The above described features are clearly advantageous for examinations in which the gravity-dependent flow behavior of contrast media in a patient's uro-tract is to be diagnosed, but may be less advantageous when such a urological working place is to be used for carrying out a treatment by lithotripsy. For example, when a lithotripsy is being executed, the location of the concrement to be destroyed needs to be located within the patient's body. To carry out this locating step, the U-bow needs to be tiltable independently of the examination table, and the tilting axis of the U-bow needs to extend through the patient's body.
- Therefore, there is a need in the art to provide a urological working place that can be used for treatment by lithotripsy, in addition to its use for diagnostic and indicatory functions.
- The present invention, according to exemplary embodiments described below, provides a urological working place that can be used for treatment by lithotripsy, in addition to use for diagnostic and indicatory functions. In accordance with exemplary embodiments of the present invention, when an attending physician executes locating steps, features of the present invention permit a displacement of the x-ray beam by displacing the respective radiation source on a tilted U-bow in the x-direction into the focus of a therapy head of an adjacent lithotripter so as to re-establish the iso-center of the therapeutic beam of the lithotripter and of the x-rays in the tilted condition of the U-bow.
- One special advantage of the present invention, in accordance with the following exemplary embodiments, is that it also provides for an existing urological working place to be converted into a lithotripter working place quickly and with little technical and economic expenditure. Thus, in many cases, the acquisition of an expensive, independent lithotripter working place can be avoided as a result of the present invention. Additionally, an examination table used in the urological working place, according to exemplary embodiments of the present invention, does not need to be vertically adjustable and may include a lateral recess for unhindered use of a lithotripter device.
- These and other aspects of the invention will be described further in the detailed description of exemplary embodiments below in connection with the drawings and the claims.
- The accompanying drawings are incorporated into and form a part of the specification for the purpose of explaining the principles of the invention. The drawings are not to be construed as limiting the invention to only the illustrated and described examples of how the invention can be made and used. Further features and advantages will become apparent from the following detailed description of exemplary embodiments of the invention as illustrated in the accompanying drawings, wherein:
-
FIG. 1 shows an exemplary frontal view of a urological working place that can be used for lithotripsy treatment in accordance with exemplary embodiments of the present invention. -
FIG. 2 shows an exemplary side view of the urological working place viewed from the direction of sight “A” according toFIG. 1 . -
FIG. 3 shows an exemplary perspective view of the urological working place in accordance withFIGS. 1 and 2 . - Proceeding from a urological working place, the medical apparatus according to
FIGS. 1-3 comprises a so-called U-bow 1. The U-bow 1 typically comprises a U-shaped carrier which is tiltably mounted on abase frame 2 in a support with an axis K. The axis K extends horizontally in thevertical center plane 3 of the U-bow 1 and below thesupport plate 13 of an examination table 7, when viewed in the vertical direction, wherein the examination table is typically releasably secured to theU-bow 1. The upper end of the U-bow 1 has arranged thereon, in a manner which may be known in the art, anx-ray source 5 which cooperates with an image processing device (or means) 4 at the other end of theU-bow 1. Thex-ray source 5 and theimage processing device 4 define together an x-ray unit. - According to exemplary embodiments of the present invention, the urological working place can have associated therewith (and/or further comprise) a
therapy head 6 of a lithotripter, whose focus F is positioned above the examination table 7 in thecenter plane 3. At the vertical position of the U-bow 1, the focus F also intersects acentral line 8 of the x-rays. When the U-bow 1 is titled about the axis K, thecentral line 8 of the x-rays is pivoted away from the focus F. For executing the second locating step on a patient, thex-ray source 5 and theimage processing device 4, in synchronism therewith, can be displaced on theU-bow 1 in the x-direction (i.e., parallel to the support surface of thex-ray source 5 and the support surface of theimage processing device 4 on the U-bow 1) until thecentral line 8, which represents the central ray of the x-ray unit, intersects the focus F again. Thex-ray source 5 and theimage processing device 4 are typically adapted to be displaced relative to theU-bow 1 individually and also synchronously in the transverse direction. - In accordance with exemplary embodiments of the present invention, as illustrated in
FIGS. 1-3 , the U-bow 1 can be tilted about the axis K through an angle of substantially 25° in the course of the locating process, whereupon theunits U-bow 1 by approximately 140 mm in the x-direction. For fixedly positioning thetherapy head 6 within the working place, the U-bow 1 has provided thereon a preferably circularlybent guide segment 9 whose center is positioned on the tilting axis K as well. Making use of anarm 10 and a slide (or slide mechanism) 11, thetherapy head 6 can in this way be guided on the guide segment 9 (which is secured in position on the U-bow 1) in a frictional and/or positive engagement therewith and can be retained at its original position by aholder 12 secured to thebase frame 2, when the U-bow 1 is tilted about the axis K. - As additionally illustrated in
FIGS. 1-3 , thesupport plate 13 of an examination table 7 can be located between the focus F of thetherapy head 6 and the axis K. A simple relax bed can be used for this purpose in accordance with exemplary embodiments of the present invention. For executing locating steps on the patient, it may be advantageous to implement thesupport plate 13 such that it is vertically adjustable. This type of adjustability can be realized, for example, by the legs of the examination table 7 in manners known in the art. - Since the U-bow 1 is vertically adjustable, it is also possible to use an alternate examination table, such as a bed, that is not vertically adjustable and/or is independent of the movements of the
U-bow 1. For example, the examination table 7 can be replaced with an alternate examination table that is not vertically adjustable and is not secured to theU-bow 1. This alternate examination table is preferably adjustable in the x-y direction. Additionally, as illustrated inFIG. 3 , asemicircular recess 14 on thesupport plate 13 in the area of use of thetherapy head 6 may be provided (e.g., for structural reasons) to ensure an unhindered use of a lithotripter. - While the invention has been described above with respect to exemplary embodiments, it will be apparent to those skilled in the art that various modifications, variations and improvements of the invention may be made in light of the above description and within the purview of the appended claims without departing from the spirit and intended scope of the invention. In regard to the foregoing description of exemplary embodiments of the invention, areas which are known to those of ordinary skill in the art may not have been described in detail, in order to facilitate a clear and concise description of the invention. Accordingly, it should be understood that the invention is not to be limited by the specific exemplary embodiments, but only by the scope of the appended claims.
Claims (32)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10302612.6 | 2003-01-23 | ||
DE10302612A DE10302612B4 (en) | 2003-01-23 | 2003-01-23 | Urological workplace |
Publications (3)
Publication Number | Publication Date |
---|---|
US20050053198A1 US20050053198A1 (en) | 2005-03-10 |
US20060029187A9 true US20060029187A9 (en) | 2006-02-09 |
US7063460B2 US7063460B2 (en) | 2006-06-20 |
Family
ID=32694938
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/764,346 Expired - Fee Related US7063460B2 (en) | 2003-01-23 | 2004-01-23 | Urological working place |
Country Status (2)
Country | Link |
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US (1) | US7063460B2 (en) |
DE (1) | DE10302612B4 (en) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102006055134A1 (en) * | 2006-11-22 | 2008-05-29 | Siemens Ag | Urological X-ray workstation for implementing percutaneous meshing, has X-ray source and X-ray receiver, which are supported at holder of carrier, so that source and receiver are positioned in plane at different positions in circular path |
CN112315547B (en) * | 2020-11-05 | 2021-09-10 | 皖南医学院第一附属医院(皖南医学院弋矶山医院) | External shock wave bladder stone breaking device |
CN112315546B (en) * | 2020-11-05 | 2021-12-17 | 皖南医学院第一附属医院(皖南医学院弋矶山医院) | Bladder stone breaking device |
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US4494622A (en) * | 1981-01-05 | 1985-01-22 | Thompson David L | Motorcycle power transmission and brake assembly |
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US4756016A (en) * | 1987-03-06 | 1988-07-05 | John K. Grady | Asymmetric X-ray stand |
US5072722A (en) * | 1988-05-25 | 1991-12-17 | Siemens Aktiengesellschaft | Device for the spatial ultrasonic location of calculi |
US5090401A (en) * | 1988-09-06 | 1992-02-25 | U.S. Philips Corporation | Method of positioning a patient arranged on a table top of a patient table, and apparatus for performing the method |
US5149030A (en) * | 1988-12-23 | 1992-09-22 | Summa A.N.T.S. | Advanced neonatal transport system |
US5409002A (en) * | 1989-07-12 | 1995-04-25 | Focus Surgery Incorporated | Treatment system with localization |
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US5301659A (en) * | 1992-06-08 | 1994-04-12 | Bantum Tripter Joint Venture | Extracorporeal shockwave lithotripter |
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US20010048732A1 (en) * | 2000-02-09 | 2001-12-06 | Wilson Kevin E. | Two-dimensional slot x-ray bone densitometry, radiography and tomography |
US6386560B2 (en) * | 2000-04-25 | 2002-05-14 | Joseph P. Calender | Dolly for large appliances |
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Also Published As
Publication number | Publication date |
---|---|
DE10302612B4 (en) | 2006-11-16 |
DE10302612A1 (en) | 2004-08-12 |
US7063460B2 (en) | 2006-06-20 |
US20050053198A1 (en) | 2005-03-10 |
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