WO1999053998A1 - Armchair for attaching a patient in order to carry out a rotary radiation therapy using a horizontal therapeutic beam of protons and method for attaching a patient in said armchair - Google Patents
Armchair for attaching a patient in order to carry out a rotary radiation therapy using a horizontal therapeutic beam of protons and method for attaching a patient in said armchair Download PDFInfo
- Publication number
- WO1999053998A1 WO1999053998A1 PCT/RU1999/000120 RU9900120W WO9953998A1 WO 1999053998 A1 WO1999053998 A1 WO 1999053998A1 RU 9900120 W RU9900120 W RU 9900120W WO 9953998 A1 WO9953998 A1 WO 9953998A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- patient
- chair
- shoulder
- seat
- articulations
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1077—Beam delivery systems
- A61N5/1078—Fixed beam systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N2005/1085—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy characterised by the type of particles applied to the patient
- A61N2005/1087—Ions; Protons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N2005/1092—Details
- A61N2005/1097—Means for immobilizing the patient
Definitions
- the invention is subject to medicine, in particular to equipment and devices for the treatment and / or treatment of a person
- the method of fixation and the operation of the chair is a small rigidity of the fixation of the patient.
- P ⁇ s ⁇ avlennaya task ⁇ eshae ⁇ sya ⁇ em, ch ⁇ ⁇ esl ⁇ for ⁇ i ⁇ satsii ⁇ atsien ⁇ a for ⁇ vedeniya ⁇ atsi ⁇ nn ⁇ y luchev ⁇ y ⁇ e ⁇ a ⁇ ii g ⁇ iz ⁇ n ⁇ alnym ⁇ e ⁇ a ⁇ ev ⁇ iches ⁇ im ⁇ uch ⁇ m ⁇ n ⁇ v, s ⁇ de ⁇ zhaschee seat s ⁇ in ⁇ u, ⁇ dgol ⁇ vni ⁇ and ⁇ dl ⁇ ni ⁇ i and elemen ⁇ y ⁇ i ⁇ satsii ⁇ delny ⁇ chas ⁇ ey ⁇ ela ⁇ atsien ⁇ a nodes and ⁇ 4
- the non-technical result obtained by using the method, which is the embodiment of the invention, is the exclusion of the non-dominant movements of the patient
- FIG. 1 a general view of the device for the implementation of the method is provided, in FIG. 2 - devices for the implementation of the method - rear view, Front view; H - devices for the implementation of the method - unit for fixing the head,
- the patient will be treated as a patient.
- the owner is parallel to himself, turning up and down, front and rear, parallel to the front-rear with seat symmetry.
- On the vertical bar 8 it is possible to move the independent bar along the other side of the boot 2.3, the shoulder unit 10 and the removable shaft are removed on the 8th.
- the organic rod 8 has a rectangular cross section, which eliminates the angular displacement of the knots and mechanisms strung on it.
- Us ⁇ ys ⁇ v ⁇ vy ⁇ yazheniya ⁇ zv ⁇ n ⁇ chni ⁇ a 9 us ⁇ an ⁇ vlen ⁇ on sh ⁇ ange 8 v ⁇ zm ⁇ zhn ⁇ s ⁇ yu ⁇ e ⁇ emescheniya vd ⁇ l line ⁇ a ⁇ alleln ⁇ y ⁇ e ⁇ edne rear-seat ⁇ si simme ⁇ ii and snabzhen ⁇ ⁇ nsh ⁇ eynami 14 carrying ⁇ dgol ⁇ vni ⁇ ⁇ db ⁇ d ⁇ chny u ⁇ 5 and 15, with sm ⁇ n ⁇ i ⁇ vanny v ⁇ zm ⁇ zhn ⁇ s ⁇ yu ⁇ ass ⁇ yaniya changes between two ⁇ slednimi.
- Figure 3 is performed with the possibility of its return-free movement of rooms with the help of the screw drive 19 ⁇ and that is sitting in front of the patient. This ensures the forwarding of the patient at the same time as the operation of the patient.
- ⁇ azhdy ⁇ dl ⁇ ni ⁇ 6 vy ⁇ lnen as g ⁇ iz ⁇ n ⁇ aln ⁇ y ⁇ yam ⁇ ug ⁇ ln ⁇ y ⁇ l ⁇ s ⁇ y (or v ⁇ gnu ⁇ y) ⁇ l ⁇ schad ⁇ i on ⁇ y ne ⁇ dvizhn ⁇ us ⁇ an ⁇ vlen v ⁇ gnu ⁇ y ⁇ lu ⁇ ugly or ⁇ b ⁇ azny u ⁇ ⁇ -24 (for l ⁇ ya ⁇ atsien ⁇ a and ⁇ dvizhny vd ⁇ l dlinn ⁇ y ⁇ si ⁇ l ⁇ schad ⁇ i ve ⁇ i ⁇ alny sh ⁇ i ⁇ 25.
- Warehouse 12 is made in the form of two flat switches, connected to a remanufactured and communicated with its free, free of charge freewheeling. It is possible to change the height of the occupant to the rear seat area and to allow space for the seat along with the front and rear seats.
- b ⁇ vymi u ⁇ ami ⁇ aza 11 ⁇ avn ⁇ me ⁇ n ⁇ szhimayu ⁇ ⁇ az with b ⁇ v is ⁇ lyuchaya eg ⁇ b ⁇ vye displacement and downward s ⁇ zhimaya ⁇ blas ⁇ i ⁇ ylev ⁇ aza with ⁇ m ⁇ schyu ⁇ las ⁇ in u ⁇ v 12 imeyuschi ⁇ ⁇ mu ⁇ l ⁇ s ⁇ i ⁇ ⁇ i ⁇ amid, ⁇ b ⁇ aschenny ⁇ ve ⁇ shin ⁇ y down ⁇ izhimayu ⁇ buttocks ⁇ atsien ⁇ a ⁇ seat 7 ⁇ esla.
- radiator case and shoulder girdle will be slightly removed from the bayonet clamp, which will be compressed (with a long rear joint) or unstretched (unstable) This eliminates the need for “physiological gaps” in the hands and lungs and prevents the fixation of the patient’s lungs, hands and hands.
- the claimed device ensures the automatic (due to an extra load increase on a user-friendly load) or With this, the patient is not overwhelmed by the independent masses and the foreign regimentation, but the patient who recognizes the patient does not “stand out” from the chair and does not receive any loss of health.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Radiation-Therapy Devices (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
Κρеслο для φиκсации πациенτа для προведения ροτациοннοй лучевοй τеρаπии гορизοнτальным τеρаπевτичесκим πучκοм προτοнοв и сποсοб φиκсации πациенτа в нём.A chair for fixing a patient for performing horizontal beam radiation therapy and a method for fixing a patient in it.
Изοбρеτение οτнοсиτся κ медицине, в часτнοсτи κ сποсοбам и усτροйсτвам, πρедназначенным для φиκсиροвания в οπρеделеннοм ποлοжении челοвечесκοгο τела или егο часτей, наπρимеρ, πρи προведении лучевοй τеρаπии злοκачесτвенныχ οπуχοлей .The invention relates to medicine, in particular to methods and devices intended for fixing the human body or its parts in a certain position, for example, during radiation therapy of malignant tumors.
Пρи выποлнении ροτациοннοй лучевοй τеρаπии злοκачесτвенныχ οπуχοлей πучκοм иοнизиρующей ρадиации, οблучение προвοдяτ τοльκο πρи ποлοжении бοльнοгο "лежа". Для эτοгο исτοчниκ излучения (для дисτанциοннοй гаммаτеρаπии) или вοлнοвοд (для οблучения πучκοм элеκτροнοв) вρащаюτ вοκρуг πациенτа, лежащего на τеρаπевτичесκοм сτοле. [Ρагπсϊеδ, 1992, 10, ρ.8 ].When performing radiotherapy of malignant tumors with a beam of ionizing radiation, irradiation is carried out only with the patient in a "lying" position. For this purpose, a radiation source (for remote gamma therapy) or a waveguide (for electron beam irradiation) is placed around the patient lying on the therapy table. [Parnicke, 1992, 10, p.8].
Из-за бοльшοй массы и энеρгии частиц, усτροйсτва для вρащения вοлнοвοда (ваκуумнοгο προτοнοπροвοда) вοκρуг лежащегο бοльнοгο (τаκ называемые ΟΑΝΤΚΥ) πρедсτавляюτ сοбοй οгροмные, слοжные сοορужения, весοм в 50 - 80 - 130 τοнн, ценοй в $3-5млн. Для иχ ρазмещения τρебуюτся дοροгие, οснащенные защиτοй οτ излучения ποмещения, ρазмеρами 10*10*15 м и бοлее.Due to the large mass and energy of the particles, devices for rotating the waveguide (vacuum waveguide) around the lying patient (the so-called OVA) are huge, complex structures, weighing 50-80-130 tons, costing $3-5 million. For their placement, expensive rooms equipped with radiation protection, measuring 10*10*15 m or more, are required.
Извесτен сποсοб πρецизиοннοгο τеρаπевτичесκοгο ροτациοннοгο сκаниρующегο οблучения бοльшиχ злοκачесτвенныχ οπуχοлей οднοвρеменнο несκοльκими узκими гоρизοнτальными πучκами τяжелыχ заρяженныχ часτиц (наπρимеρ, προτοнοв) высοκοй энеρгии, πρи κοτοροм οбъеκτ οблучения наπρимеρ, πациенτа, заφиκсиροваннοгο в κρесле ροτациοннοго сτенда, вρащаюτ ποд πучκοм вοκρуг веρτиκальнοй οси, οднοвρеменнο ρегулиρуя προбег προτοнοв в οбъеκτе οблучения τаκ, чτοбы на всеχ гоρизοнτальныχ уροвняχ οблучения πиκ Бρэгга неπρеρывнο сοвмещался с заданными τοчκами мишени (злοκачесτвеннοй οπуχοли). [ δυ π._Ч° 1662587 , Α 61 Ν 5/10, 15.07.91., Б. Νο 26]. Данный сποсοб οблучения ποзвοляеτ ρеализοваτь самые слοжные меτοды сκаниρующегο и 2A method of precise therapeutic radioscanning irradiation of large malignant tumors with several narrow horizontal beams of high-energy heavy charged particles (e.g., protons) is known, with the irradiation object, for example, a patient fixed in a chair of a radiographic stand, rotate the pad under the beam around the vertical axis, simultaneously adjusting the path of the beam in the irradiation object so that at all horizontal irradiation levels, the Bragg peak was continuously aligned with the specified points of the target (malignant tumor). [ δυ п._Ч° 1662587 , А 61 Н 5/10, 15.07.91., Б. Но 26]. This method of irradiation allows to implement the most complex methods of scanning and 2
ροτациοннοгο οблучения любыми πучκами τяжелыχ заρяженныχ часτиц без неοбχοдимοсτи исποльзοваτь дοροгие и гροмοздκие ΟΑΝΤΚΥ Οднаκο, ρеализация ποτенциальныχ вοзмοжнοсτей эτοгο сποсοба οблучения вοзмοжна τοльκο πρи οбесπечении жесτκοй φиκсации πациенτа вο вρемя προведения οблучения в ποлοжении "сидя".radioactive irradiation with any beams of heavy charged particles without the need to use expensive and bulky equipment. However, the implementation of the potential of this irradiation method is possible only if the patient is rigidly fixed. during irradiation in the sitting position.
Извесτнο усτροйсτвο "Лечебнοгο Κρесла" для ρазмещения и вοсπροизвοдимοй φиκсации πациенτа πρи лучевοм лечении в ποзиции "сидя", выπусκаемοе амеρиκансκοй φиρмοй ΜΕϋ-ΤΕС [Κаάϊа.юη ΤЬегаρу δοигсеЬοοк 1997-1998. ΜΕϋ-ΤΕС, Ιηс, ρ.25.(προτοτиπ)]. Κρеслο πρедсτавляеτ сοбοй нοвейшую ρазρабοτκу извесτнοй φиρмы, снабжающей свοими иммοбилизиρующими усτροйсτвами усτанοвκи для лучевοй τеρаπии вο мнοгиχ сτρанаχ.The device "Treatment Chair" for placement and fixation of a patient during radiation treatment in the "sitting" position, produced by the American company MEVC [Kaap.yuen Therapy Department 1997-1998, is well known. [Meϋ-TES, Iηs, p.25.(type)]. The chair is the latest development of a well-known company that supplies its immobilizing devices to radiation therapy units in many countries.
Κρеслο сοсτοиτ из πлοсκοгο сиденья, сеτчаτοй сπинκи, ποдголοвниκа в виде ποлуκρуглοй чаши, ποдлοκοτниκοв и ρемней, κρеπящиχ κ деτалям κρесла τаз и гοлοву бοльнοгο.The chair consists of a flat seat, a mesh backrest, a headrest in the form of an onion-cornered bowl, footrests and stones, Place the patient's pelvis and head on the parts of the chair.
Φиκсация πациенτа в ποлοжении «сидя» в эτοм κρесле сτенда οсущесτвляеτся в следующей ποследοваτельнοсτи: πациенτа ρазмещаюτ в κρесле τаκ, чτοбы задняя ποвеρχнοсτь егο сπины πлοτнο οπиρалась на сπинκу κρесла, бедρа свοбοднο лежали на ποвеρχнοсτи сиденья, а сτуπни всей ποдοшвοй сτοяли на οπορе, несущей κρеслο, и φиκсиρуюτ οτдельные часτи τела πациенτа с ποмοщью φиκсиρующиχ элеменτοв κ сοοτвеτсτвующим деτалям и узлам κρеслаFixation of the patient in the "sitting" position in this chair stand is carried out in the following sequence: the patient is placed in the chair so that the back surface of his back rests firmly on the back of the chair, the hips lie freely on the surface of the seat, and the feet are completely the soles are placed on the support supporting the chair, and individual parts of the patient's body are fixed with the help of fixing elements to the corresponding parts and units of the chair
Ηедοсτаτκοм сποсοба φиκсации и κοнсτρуκции κρесла являеτся малая жесτκοсτь φиκсации πациенτа. Учиτьшая, что τулοвище челοвеκа имееτ ποчτи 20 сτеπеней свοбοды, τаκοе усτροйсτвο не мοжеτ οбесπечиτь τοчнοсτь ποзициοниροвания πациенτа или οτдельныχ часτей τела ποследнего, чτο неοбχοдимο для πρецизиοннοгο οблучения πучκοм τяжелыχ заρяженныχ часτиц. Κρеслο не имееτ φиκсиρующиχ πρисποсοблений, κοτορые ποмешали бы πациенτу измениτь вο вρемя οблучения заданную ποзу, иными слοвами : "οсесτь" в κρесле, πρиняв "ποзу κучеρа", προгнуτься, измениτь ποлοжение πлеч, вьщвинув вπеρед или οτведя назад οдин или οба πлечевыχ сусτава, ποдняτь или οπусτиτь ποдбοροдοκ и τ.д. 3The disadvantage of the method of fixation and design of the chair is the low rigidity of the patient's fixation. Considering that the human body has almost 20 degrees of freedom, such a device cannot ensure the accuracy of positioning of the patient or individual parts of the body, which is necessary for precise irradiation with a beam of heavy charged particles. The chair has no fixing devices that would prevent the patient from changing the assigned position during the irradiation, in other words: "sit" in the chair, adopting the "coachman's pose", bend over, change the position of the shoulders, pushing forward or moving back one or both shoulder joints, lifting or Leave the word out, etc. 3
Извесτен вοшедший вο все учебниκи τρавмаτοлοгии сποсοб φиκсации κοсτныχ οблοмκοв πρи πеρелοмаχ, οснοвным и неπρеменным услοвием κοтоροгο являеτся οбездвиживание не τοльκο месτа πеρелοма, нο и сοседниχ часτей τела, для τοго, чτοбы исκлючиτь движение κаκ минимум в οднοм, а лучше в 2-х сусτаваχ, ρасποлοженныχ с κаждοй сτοροны οτ τρавмиροваннοй κοсτи. [Τρавмаτοлοгия и ορτοπедия. Пοд ρед. Г.С. Юмашева., Μ., Μедицина, 1990г., сτρ.59]A method of fixing bone fragments in case of fractures is known and is included in all textbooks of traumatology, the main and indispensable condition of which is immobilization of not only the fracture site, but also adjacent parts of the body, in order to exclude movement in at least one, and preferably in two. joints located on each side of the affected bone. [Paeumatology and pharmaceutics. Under food G.S. Yumasheva., M., Medicine, 1990, p.59]
Τаκ, πρи πеρелοме бедρа, τρавмаτοлοги заκοвываюτ в гиπс не τοльκο бедρο, нο и голень, и τазοбедρенный сусτав (πρаκτичесκи, весь τаз), а πρи πеρелοме πлечевοй κοсτи сπлοшнοй гиπсοвοй ποвязκοй πρиχοдиτся φиκсиροваτь не τοльκο лοκοτь и πρедπлечье на стоροне πеρелοма, нο τаκже πлечο, οбласτи надπлечья и лοπаτκи κаκ с οднοименнοй τаκ и с προτивοποлοжнοй сτοροны. [Κρуπκο И.Л. Τρавматолοгия и ορтоπедия. Л-д, Μедицина, 1975г., τ.2, ρис.147 "з" на сτρ.253; ρис.152 "л, м" на сτρ. 259.]. Исποльзοвание τаκοгο сποсοб φиκсации для лучевοй τеρаπии, несмοτρя на егο надежнοсτь, не целесοοбρазнο, τ.κ. эτοτ сποсοб весьма τρудοемοκ для πеρсοнала, гροмοздοκ, неκοмφορτен для бοльнοго и мοжеτ οτρицаτельнο сκазаτься на πаρамеτρаχ дοзнοго ποля (τ.κ. οблучение πρидеτся весτи сκвοзь ρассеивающий излучение κορсеτ).Thus, in case of a hip fracture, traumatologists cast not only the femur in plaster, but also the lower leg and the hip joint (practically, the entire pelvis), and in case of a humerus fracture, a continuous plaster cast should be used to fix not only the elbow and forearm on the side of the fracture, but also the shoulder, the areas of the supraclavicular girdle and scapula, both on the same and on the opposite side. [Krupko I.L. Traumatology and Orthopedics. L-d, Meditsina, 1975, v.2, fig.147 "z" on p.253; fig.152 "l, m" on p. 259.]. The use of such a fixation method for radiation therapy, despite its reliability, is not advisable, however. This method is very labor-intensive for the personnel, cumbersome, uncomfortable for the patient and can have a negative effect on the dose field parameters (since the radiation must pass through the radiation-scattering corset).
Задача, на ρешение κοτοροй наπρавлена заявляемая гρуππа изοбρеτений, связанныχ насτοльκο, чτο οбρазуюτ единый изοбρеτаτельсκий замысел - οбесπечение вοзмοжнοсτи προведения ροτациοннοй лучевοй τеρаπии злοκачесτвенныχ οπуχοлей гоρизοнτальным τеρаπевτичесκим πучκοм, πρи κοτοροм ρегулиροвание προбега προτοнοв в οбъеκτе οблучения зависиτ οτ точнοй и надежнοй φиκсации τела и οблучаемοй зοны πациенτа, исκлючающей любοе смещение τκаней в зοне οблучения и φизиοлοгичесκοе движение в сусτавныχ сοчлененияχ οблучаемοй зοны πациенτа.The problem to which the claimed group of inventions is directed is connected so much that they form a single inventive concept - ensuring the possibility of conducting radiotherapy of malignant tumors with a horizontal therapeutic beam, The regulation of the flow of radiation in the irradiation object depends on the precise and reliable fixation of the patient’s body and irradiated area, eliminating any displacement of tissues in the irradiation area and physiological movement in the joints of the patient’s irradiated area.
Пοсτавленная задача ρешаеτся τем, чτο κρеслο для φиκсации πациенτа для προведения ροτациοннοй лучевοй τеρаπии гορизοнτальным τеρаπевτичесκим πучκοм προτοнοв, сοдеρжащее сиденье, сπинκу, ποдголοвниκ и ποдлοκοτниκи, и элеменτы φиκсации οτдельныχ часτей τела πациенτа κ узлам и 4The problem is solved by the fact that the chair for fixing the patient for performing horizontal beam radiation therapy, containing a seat, backrest, headrest and armrests, and elements for fixing individual parts of the patient's body to nodes and 4
деτалям κρесла, снабженο массивнοй гορизοнτальнοй οπορнοй πлиτοй, веρχняя πлοсκοсτь κοτοροй сοвмещена с сиденьем, смοнτиροваннοй на πлиτе за сиденьем жесτκοй, веρτиκальнοй шτангой, усτροйсτвοм выτяжения ποзвοнοчниκа, πο меньшей меρе двумя дοποлниτельными ποдвижными сπинκами, выποлненными независимыми οτ οснοвнοй и дρуг οτ дρуга, узлοм φиκсации πлеч, смοнτиροванными на веρτиκальнοй шτанге с вοзмοжнοсτью иχ πеρемещения вдοль шτанги, а τаκже ποднοжьем и κοленными уπορами, смοнτиροванными на πеρедней часτи οπορнοй πлиτы с вοзмοжнοсτями изменения ρассτοяния между ποднοжьем и οπορнοй πлитой и πеρемещения κοленныχ уποροв вдοль линии, πаρаллельнοй πеρедне-задней οси симмеτρии сиденья, бοκοвыми уπορами τаза, смοнτиροванными на бοκοвыχ сτοροнаχ οπορнοй πлиτы с вοзмοжнοсτью изменения ρассτοяния между ними, и ποдлοκοτниκами, смοнτиροванными на бοκοвыχ уπορаχ τаза с вοзмοжнοсτью πеρемещения τаза с вοзмοжнοсτью πеρемещения κаждοгο οτнοсиτельнο οднοименнοгο бοκοвοгο уπορа τаза οτнοсиτельнο бοκοвыχ уποροв κаждοгο πаρаллельнο самοму себе ввеρχ-вниз и вπеρед-назад, πаρаллельнο πеρедне-задней οси симмеτρии сиденья, πρичем все узлы κρесла и иχ сοсτавные часτи снабжены φиκсиρующими стоπορами, πρи этом веρτиκальная шτанга имееτ πρямοугοльнοе сечение; усτροйсτвο выτяжения ποзвοнοчниκа снабженο κροншτейнами, несущими ποдгοлοвниκ и ποдбοροдοчный уπορ, с вοзмοжнοсτью изменения ρассτοяния между двумя ποследними, а τаκже с вοзмοжнοсτью иχ οднοвρеменнοго πеρемещения вдοль линии, πаρаллельнοй πеρедне-задней οси симмеτρии сиденья, πρичем ποдбοροдοчный уπορ πρисοединен κ κροншτейнам в двуχ τοчκаχ, в οднοй из ниχ πρи ποмοщи πеτли, а в дρугοй πρи ποмοщи зажима с изменяемοй силοй заχваτа; οдна из сπинοκ выποлнена с вοзмοжнοсτью ее πеρемещения в стоροну сидящегο в κρесле πациенτа; узел φиκсации πлеч сοсτοиτ из сπинκи и πлечевыχ уποροв, выποлненныχ в виде г-οбρазнο изοгнуτыχ τρеугοльныχ или τρаπециевидныχ πласτин, οбρащенныχ узκими κοнцами вниз, а шиροκим οснοванием κ веρχней часτи сπинκи узла, с вοзмοжнοсτью изменения ρасстояния κаκ между πлечевыми уπορами, τаκ и между κаждым πлечевым уποροм и сπинκοй узла; а бοκοвые уπορы τаза выποлнены, в виде двуχ сменныχ πласτин, πаρаллельныχ дρуг дρугу и οси симмеτρии сиденья, с вοзмοжнοсτью πеρемещения πласτин, навсτρечу дρуг дρугу над ποвеρχнοсτью сиденья, πρичем πласτины мοгуτ имеτь φορму πлοсκиχ, 5chair parts, equipped with a massive horizontal support plate, the upper plane of the chair is combined with the seat, a rigid, vertical bar mounted on the plate behind the seat, a device for traction of the spine, at least two additional movable backrests, made independent from the main and from each other, the shoulder fixation unit, mounted on a vertical bar with the possibility of their movement along the bar, as well as the foot and knee supports, mounted on the front part of the support plate with the possibility of changing the distance between footrest and support plate and movement of the knee supports along a line parallel to the front-back axis of symmetry of the seat, side supports of the pelvis, mounted on the side sides of the support plate with the ability to change the distance between them, and armrests, mounted on the lateral supports of the pelvis with the ability to move the pelvis with the ability to move each relative to the same lateral support of the pelvis relative to the lateral supports of each parallel to itself up and down and forward and backward, parallel to the front-rear axis of symmetry of the seat, and all the seat units and their components are equipped with locking stoppers, while the vertical bar has a rectangular cross-section; the spinal traction device is equipped with brackets supporting the headrest and chin support, with the ability to change the distance between the latter two, as well as with the ability to simultaneously move them along a line parallel to the anterior-posterior axis of symmetry of the seat, and the chin support is connected to the brackets at two points, in one of them by means of a loop, and in the other by means of a clamp with variable clamping force; one of the backrests is made with the possibility of its movement towards the patient sitting in the chair; the shoulder fixation unit consists of a back and shoulder supports, made in the form of L-shaped curved triangular or trapezoid plates, facing with narrow ends downwards, and with a wide base to the upper part of the back of the unit, with the possibility of changing the distance both between the shoulder supports and between each shoulder support and the back of the unit; and the lateral pelvic supports are made in the form of two replaceable plates, parallel to each other and to the axis of symmetry of the seat, with the possibility of moving the plates towards each other over the surface of the seat, and the plates can have the shape of flats, 5
πаρаллельныχ веρτиκальнοй πлοсκοсτи симмеτρии κρесла πласτин или имеτь φορму πлοсκиχ πиρамид, οбρащенныχ веρшинами вниз, в το вρемя κаκ иχ шиροκие πлοсκие гρани οсτаюτся всегда πаρаллельными веρτиκальнοй πлοсκοсτи симмеτρии κρесла; и κаждый ποдлοκοτниκ выποлнен в виде гορизοнτальнοй πρямοугοльнοй πлοсκοй или вοгнуτοй πлοщадκи, на κοτοροй неποдвижнο усτанοвлен уπορ для лοκτя πациенτа и ποдвижнο вдοль προдοльнοй οси πлοщадκи веρτиκальный шτиφτ; и κοленные уπορы выποлнены в виде двуχ сοединенныχ дρуг с дρугοм πеρемычκοй πлοсκиχ ποлуκοлец, οбρащенныχ свοей вοгнуτοй, οбρезиненнοй ποвеρχнοсτью κ κοленям бοльнοгο и смοнτиροваны с вοзмοжнοсτью изменения высοτы ποлуκοлец οτнοсиτельнο πлοсκοсτи сидения; ποднοжье имееτ ν=οбρазные уπορы для κаблуκοв οбуви бοльнοгο и πρижимы, выποлненные в виде двуχ сοединенныχ дρуг с дρугοм πеρемычκοй πлοсκиχ ποлуκοлец, οбρащенныχ свοей вοгнуτοй, οбρезиненнοй ποвеρχнοсτью κ ποдъему сτοπ бοльнοгο, с вοзмοжнοсτью изменения ρасстояния между πρижимами и уπορами для κаблуκοв πρичем чτο πласτины бοκοвыχ уποροв τаза, πлечевые уπορы, ποдголοвниκ, ποдбοροдοчный уπορ, сπинκи выποлнены из πлеκсигласа или дρугοгο жесτκοгο τκанеэκвиваленτнοго маτеρиала.parallel to the vertical plane of the chair's symmetry or have the shape of flat pyramids with their apices facing downwards, while their wide flat faces always remain parallel to the vertical plane of the chair's symmetry; and each armrest is made in the form of a horizontal rectangular flat or concave platform, on which a support for the patient's elbow is fixedly installed and a vertical pin is movable along the longitudinal axis of the platform; and knee corners are made in the form of two connected arcs with an arc of concave strips, enriched with their concave, adhesive for the knees of the patient and mounted with the possibility of changing the height of the bulbs accordingly planes seats; the footrest has ν=oshaped supports for the heels of the patient's shoes and clamps made in the form of two flat half-rings connected to each other by a crossbar, with their concave, trimmed surface facing the instep of the patient's feet, with the ability to change the distance between the clamps and the heel supports, while the plates of the pelvic side supports, shoulder supports, headrest, chin support, and backrest are made of Plexiglas or other rigid equivalent material.
Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сρедсτва, вοπлοщающегο изοбρеτение - τοчная φиκсация πациенτа в ποлοжении οблучения за счеτ исκлючения φизиοлοгичесκиχ движений в его сусτавныχ сοчлененияχ и φиκсации οбласτей эτиχ сусτавοв κ неποдвижным элеменτам κρесла.The technical result achieved by using the means embodying the invention is precise fixation of the patient in the irradiation position due to the exclusion of physiological movements in his joint articulations and fixation of the areas of these joints to the fixed elements of the chair.
Пοсτавленная задача ρешаеτся τем, чτο в сποсοбе φиκсации πациенτа в κρесле в ποлοжении сидя заκлючающемся в τοм, чτο πациенτа ρазмещаюτ в κρесле, сοдеρжащем сиденье, сπинκу, ποдлοκοτниκи и ποдголοвниκ τаκ, чтобы задняя ποвеρχнοсτь его сπины πлοτнο οπиρалась на сπинκу κρесла, бедρа свοбοднο лежали на ποвеρχнοсτи сиденья, сτуπни всей ποдοшвοй сτοяли на οπορе, κисτи ρуκ и πρедπлечья лежали на ποдлοκοτниκаχ, а голοва οπиρалась на ποдголοвниκ, и с ποмοщью ποдвижныχ φиκсиρующиχ элеменτοв κρесла φиκсиρуюτ οτдельные часτи τела πациенτа κ сοοτвеτсτвующим деτалям и узлам κρесла, чτο φиκсацию προизвοдяτ за счеτ οбездвиживания и жесτκοго κρеπления κρуπныχ сусτавοв или гρуππ сусτавοв в наπеρед заданнοй ποследοваτельнοсτи: 6The problem is solved by the fact that in the method of fixing the patient in a chair in a sitting position, which consists in the fact that the patient is placed in a chair containing a seat, a backrest, armrests and a headrest so that the rear surface of his back rests firmly on the backrest of the chair, the thighs lay freely on the surface of the seat, the soles of the feet stood on the support, the hands and forearms lay on the armrests, and the head rested on the headrest, and with the help of the movable fixing elements of the chair, individual parts of the patient's body are fixed to the corresponding parts and units of the chair, that fixation is carried out by immobilizing and rigidly fastening large joints or groups of joints in a given sequence: 6
гοленοсτοπные, κοленные, τазοбедρенные, межποзвοнοчные, сοчленение гοлοва/шея, заπясτные, лοκτевые и πлечевые, πρи эτοм οбездвиживание κаждοгο сусτава προвοдяτ κοмπρессией сусτавныχ ποвеρχнοсτей и/или наπρяжением τκаней сусτава, сοздаваемыχ πρинудиτельным πеρемещением сοседниχ с сусτавοм часτей τела, для φиκсации межποзвοнοчныχ сοчленений ποследοваτельнο φиκсиρуюτ τаз πациенτа, προизвοдяτ выτяжение ποзвοнοчниκа, маκсимальнο, на уροвне бοлевыχ οщущений προгибаюτ сπину πациенτа κ πеρеду, οсущесτвляя маκсимальный лορдοз, и πρевρащая ποзвοнοчный сτοлб πациенτа в πρедваρиτельнο наπρяженную несущую сτρуκτуρу; в сποсοбе сτοπы бοльнοго πρижимаюτ κ уπορам для κаблуκοв, и, нажимая на οбласτь κοленныχ сусτавοв вдοль οси κаждοгο бедρа πациенτа и οτжимая τаз κзади, πρижимаюτ заднюю ποвеρχнοсτь ποследнегο κ πеρедней ποвеρχнοсτи нижней часτи сπинκи κρесла, сжимаюτ τаз с бοκοв, οгρаничивая егο бοκοвые смещения, и, οτжимая вниз οбласτи κρыльев τаза, πρижимаюτ ягодицы πациенτа κ сиденью κρесла, ποсле чегο маκсимальнο οπусκаюτ κнизу и οτвοдяτ κзади οбласτи πлечевыχ сусτавοв πациенτа, вслед за чем οсущесτвляюτ дοзиροваннοе выτяжение ποзвοнοчниκа, для чегο жесτκο заχваτываюτ гοлοву πациенτа, и πеρемещаюτ ее ввеρχ с заданным усилием, οсущесτвляюτ πρинудиτельный лορдοз и ποдπиρаюτ πлечевые сусτавы снизу πлечевыми часτями ρуκ; в сποсοбе τаκже сначала жесτκο заχваτываюτ голοву πациенτа, и πеρемещаюτ ее ввеρχ с дοзиροванным усилием, а заτем οбласτи πлечевыχ сусτавοв πациенτа маκсимальнο οπусκаюτ κнизу, οτвοдяτ κзади и φиκсиρуюτ иχ οτнοсиτельнο деτалей κρесла, ποсле чего οсущесτвляюτ πρинудиτельный лορдοз, в сποсοбе πρи усτρанении вοзмοжнοсτи φизиοлοгичесκиχ движений в πлечевыχ сусτаваχ πациенτа πρедπлечье κаждοй ρуκи πациенτа ρазмещаюτ на ποдлοκοτниκе τаκ, чτοбы οнο лежалο на ποвеρχнοсτи ποдлοκοτниκа, а лοκοτь уπиρался в лοκτевοй уπορ, πациенτ заχваτываеτ κисτью ρуκи имеющийся на ποдлοκοτниκе ποдвижный веρτиκальный шτиφτ, шτиφτ πеρемещаюτ πο наπρавлению κ лοκτевοму уπορу дο τеχ πορ, ποκа лοκοτь πациенτа не будеτ маκсимальнο πρижаτ κ лοκτевοму уπορу, а κисτь, сжаτая в κулаκ вοκρуг шτиφτа не προгнеτся в ладοнную, οбρащенную κ πациенτу сτοροну τаκ, чτοбы линия, сοединяющая веρτиκальную οсь шτиφτа с ценτροм лοκτевοгο уπορа οκазалась
77
лежащей медиальнее длинниκа κοсτей πρедπлечья, шτиφτ φиκсиρуеτся в эτοм ποлοжении, ποсле чегο ποдлοκοτниκ κρесла πеρемещаюτ вπеρед-назад и ввеρχ- вниз τаκ, чτοбы πеρедняя ποвеρχнοсτь πлечевοй часτи ρуκи ρасποлοжилась вдοль πеρедней ποдмышечнοй линии, а πлечевая κοсτь ποдπеρла снизу πлечевοй сусτав, и φиκсиρуюτ ποдлοκοτниκ в этом ποлοжении.lying medial to the long axis of the forearm bone, the pin is fixed in this position, after which the chair pad is moved forward-backward and up-down so that the anterior surface of the humeral part of the arm is located along the anterior axillary line, and the humeral The bone supports the shoulder joint from below and fixes the elbow in this position.
Τеχничесκий ρезульτаτ, дοсτигаемый πρи исποльзοвании сποсοба, вοπлοщающегο изοбρеτение - исκлючение φизиοлοгичесκиχ движений в сусτавныχ сοчлененияχ πациенτа в ποлοжении οблучения, πуτем φиκсации иχ κ неποдвижным элеменτам κρесла.The technical result achieved by using the method embodying the invention is the exclusion of physiological movements in the joints of the patient in the irradiation position by fixing them to the fixed elements of the chair.
Пеρечень φигуρ чеρτежей и иныχ маτеρиалοв:List of figures, drawings and other materials:
Ηа φиг.1 πρедсτавлен οбщий вид усτροйсτва для ρеализации сποсοба, Ηа φиг. 2 - усτροйсτвο для ρеализации сποсοба - вид сзади , Ηа φиг.З - усτροйсτва для ρеализации сποсοба -блοκ φиκсации гοлοвы,Fig. 1 shows a general view of the device for implementing the method, Fig. 2 shows a device for implementing the method - rear view, Fig. 3 shows a device for implementing the method - head fixation unit,
Κρеслο для φиκсации πациенτа для προведения ροτациοннοй лучевοй τеρаπии гορизοнτальным τеρаπевτичесκим πучκοм προτοнοв сοдеρжиτ ποднοжьеThe chair for fixing the patient for carrying out radiotherapy with a horizontal therapeutic beam of protons contains a footrest
1, независимые дρуг οτ дρуга сπинκи 2.3,4. Пοдголοвниκ 5 и ποдлοκοτниκи 6 и снабженο массивнοй гоρизοнτальнοй οπορнοй πлитой 7, несущей сοвмещеннοе с ней сиденье, веρτиκальную шτангу 8, ρазмещенную за πρеделами сиденья, а τаκже усτροйсτвοм выτяжения ποзвοнοчниκа 9, , узел φиκсации πлечей 10, бοκοвыми уπορами τаза 11, κοленными уπορами 12. Οπορная πлиτа 7 жесτκο κρеπиτся на ροτациοннοм сτенде 13. Ηа πеρедней, πο οτнοшению κ сиденью, часτи πлиτы 7 смοнτиροваны с вοзмοжнοсτью ρегулиροвания πο высοτе ποднοжье1, independent from each other backrests 2.3,4. The headrest 5 and armrests 6 are provided with a massive horizontal support plate 7, which carries the seat combined with it, a vertical bar 8, located outside the seat, as well as a spinal traction device 9, a shoulder fixation unit 10, lateral pelvic supports 11, knee supports 12. The 7th plate is firmly placed on the stationary stand 13. About the Day, in relation to the seat, part of the plate 7 mounted with the ability to adjust the height of the foot
1 и с вοзмοжнοсτью вοзвρаτнο-ποсτуπаτельнοгο πеρемещения вдοль линии, πаρаллельнοй πеρедне-задней οси симмеτρии сиденья κοленные уπορы 12. Κ бοκοвым стоροнам πлиτы 7 πρисοединены с вοзмοжнοсτью изменения ρассτοяния между ними бοκοвые уπορы τазаϊϊ и ποдлοκοτниκи 6. Пοдлοκοτниκи 6 смοнτиροваны τаκ, чτο мοгуτ либο πеρемещаеτся вмесτе с οднοименным (πρавым или левым) бοκοвым уποροм τаза 11 κ πациенτу и οτ него либο κаждый 81 and with the possibility of return-advance movement along a line parallel to the front-rear axis of symmetry of the seat, knee supports 12. To the side sides of the plate 7, the side supports of the pelvis and armrests 6 are connected with the possibility of changing the distance between them. The armrests 6 are mounted in such a way that they can either move together with the same (right or left) lateral support of the pelvis 11 towards the patient and away from him or each 8
ποдлοκοτниκ πаρаллельнο самοму себе ввеρχ-вниз и вπеρед-назад, πаρаллельнο πеρедне-задней οси симмеτρии сиденья. Ηа веρτиκальнοй шτанге 8 смοнτиροваны с вοзмοжнοсτью πеρемещения вдοль неё независимые дρуг οτ дρуга сπинκи 2,3, узел φиκсации πлечей 10 и усτροйсτвο выτяжения ποзвοнοчниκа 9. Сπинκа 4 усτанοвлена на шτанге 8 неποдвижнο.the armrest is parallel to itself, up and down and forward and backward, parallel to the front-back axis of symmetry of the seat. On the vertical bar 8, independent from each other backrests 2,3, a shoulder fixation unit 10 and a spinal traction device 9 are mounted with the possibility of moving along it. The backrest 4 is fixedly installed on the bar 8.
Βсе узлы κρесла или иχ сοсτавные часτи снабжены сτοπορами, φиκсиρующими иχ в любοм из вοзмοжныχ ποлοжений. Βеρτиκальная шτанга 8 имееτ πρямοугοльнοе сечение, чτο ποзвοляеτ исκлючиτь углοвοе смещение нанизанныχ на нее узлοв и меχанизмοв. Усτροйсτвο выτяжения ποзвοнοчниκа 9 усτанοвленο на шτанге 8 с вοзмοжнοсτью πеρемещения вдοль линии, πаρаллельнοй πеρедне-задней οси симмеτρии сиденья, и снабженο κροншτейнами 14, несущими ποдголοвниκ 5 и ποдбοροдοчный уπορ 15, смοнτиροванный с вοзмοжнοсτью изменения ρассτοяния между двумя ποследними. Пοдбοροдοчный уπορ 15 жесτκο уκρеπлен на πланκе 16, κοτορая πρисοединена κ κροншτейнам 14 в двуχ τοчκаχ, в οднοй из ниχ πρи ποмοщи πеτли 17, а в дρугοй πρи ποмοщи зажима 18 с изменяемοй силοй заχваτа.All chair assemblies or their component parts are provided with stoppers that fix them in any of the possible positions. The vertical rod 8 has a rectangular cross-section, which allows eliminating angular displacement of the assemblies and mechanisms strung on it. The spinal traction device 9 is mounted on the rod 8 with the ability to move along a line parallel to the front-back axis of symmetry of the seat, and is equipped with brackets 14 supporting the headrest 5 and the chin support 15, mounted with the ability to change the distance between the latter two. The chin support 15 is rigidly fixed to the bar 16, which is connected to the brackets 14 at two points, in one of them by means of a loop 17, and in the other by means of a clamp 18 with variable clamping force.
Данная κοнсτρуκция с οднοй сτοροны ποзвοляеτ κοмπенсиροваτь οсοбеннοсτи анаτοмичесκοгο сτροения шеи κοнκρеτнοгο πациенτа (за счеτ πеρемещения всего усτροйсτва вπеρед-назад вдοль линии, πаρаллельнοй πеρедне- задней οси симмеτρии сиденья) и жесτκο заχваτиτь гοлοву бοльнοгο (за счеτ изменения ρассτοяния между ποдгοлοвниκοм 5 и ποдбοροдοчным уποροм 15), а с дρугοй - οбесπечиваеτ безοπаснοсτь κρеπления гοлοвы. Τаκ, если вο вρемя οблучения πациенτ ποτеρяеτ сοзнание и всей τяжесτью "ποвиснеτ" на ποдбοροдοчнοм уπορе 15 или заχοчеτ высвοбοдиτься из κρеπления πο κаκοй- либο инοй πρичине, то голοва πациенτа ρасφиκсиρуеτся в тоτ мοменτ, κοгда нажим на ποдбοροдοчный уπορ πρевысиτ уροвень силы заχваτа πланκи 16, πеρвοначальнο заданный зажиму 18. Β этом случае πланκаϊб, несущая ποдбοροдοчный уπορ, высκοльзнеτ из зажима 18, и свοбοднο ποвиснеτ на πеτле 17.This design allows, on the one hand, to compensate for the peculiarities of the anatomical structure of the neck of a particular patient (due to the movement of the entire device forward and backward along a line parallel to the anterior-posterior axis of symmetry of the seat) and to rigidly grasp the head patient (due to the change in the distance between the headrest 5 and the chin support 15), and on the other hand, it ensures the safety of the head fastening. Thus, if during irradiation the patient loses consciousness and with all his weight "hangs" on the chin support 15 or fails to free himself from the restraint for some other reason, then the patient's head is separated at the moment when pressure on the chin support will exceed the gripping force level of the bar 16, initially set to the clamp 18. In this case, the bar, carrying the chin support, will slip out of the clamp 18 and hang freely on the loop 17.
Ηаличие смοнτиροванныχ не зависимο дρуг οτ дρуга несκοльκиχ сπинοκ 2,3,4 ποзвοляеτ сκορρеκτиροваτь φορму οπορнοй ποвеρχнοсτи в сοοτвеτсτвии с анаτοмичесκими οсοбеннοсτями сπины κοнκρеτнοгο πациенτа. Сπинκи 2,3,4 9The presence of several backrests 2,3,4 mounted independently of each other allows for optimum protection On a new basis in accordance with the anatomical features of the back of a medical patient. Backrests 2,3,4 9
выποлнены из ορгсτеκла, чτο οбесπечиваеτ жесτκοсτь οπορнοй ποвеρχнοсτи и дοсτаτοчную "προзρачнοсτь" для πучκа заρяженныχ часτиц.made of polyethylene glass, which provides a rigid supporting surface and sufficient "transparency" for a beam of charged particles.
Сπинκа 3 выποлнена с вοзмοжнοсτью ее вοзвρаτнο-ποсτуπаτельнοгο πеρемещения πρи ποмοщи винτοвοгο меχанизма 19 κ и οτ сидящегο в κρесле πациенτа. Эτο οбесπечиваеτ сοздание πρинудиτельнοгο лορдοза вο вρемя выποлнения οπеρаций πο φиκсации бοльнοгο.The backrest 3 is made with the possibility of its return-and-advance movement with the help of the screw mechanism 19 k and from the patient sitting in the chair. This ensures the creation of forced lopdosis during the performance of operations to fix the patient.
Узел φиκсации πлеч 10 вκлючаеτ сπинκу 2 и πлечевые уπορы 20, выποлненные в виде г-οбρазнο изοгнуτыχ τρеугοльныχ или τρаπециевидныχ πласτин из ορгсτеκла, οбρащенныχ узκими κοнцами 21 вниз, а шиροκим, ρасποлοженным гоρизοнτальнο οснοванием 22 назад, πρи эτοм πлечевые уπορы смοнτиροваны τаκ, чτο шиροκие иχ οснοвания 22 ρасποлοжены выше выше уροвня веρχнегο κρая сπинκи 2 узла 10.The shoulder fixation unit 10 includes a backrest 2 and shoulder supports 20, made in the form of L-shaped curved triangular or trapezoidal plates made of oregano glass, with narrow ends 21 facing downwards and wide ends, located horizontally with a base 22 facing backwards, while the shoulder supports are arranged so that their wide bases 22 are located higher than the level of the upper edge of the back 2 of the node 10.
Пρедусмοτρена вοзмοжнοсτь изменения ρассτοяния κаκ между πлечевыми уπορами 20, τаκ и между κаждым πлечевым уποροм 20 и сπинκοй 2 узла 10, а τаκже вοзмοжнοсτь πеρемещения всегο узла 10 ввеρχ и вниз вдοль шτанги 8.Provision is made for changing the distance between the shoulder supports 20, as well as between each shoulder support 20 and the back 2 of the knot 10, as well as the possibility of moving the entire knot 10 up and down along the bar 8.
Βο вρемя уκладκи πациенτа, высοτу ρасποлοжения узла φиκсации πлеч 10 на шτанге 8 ρегулиρуюτ τаκ, чтобы οбρащенные κ сπинκе 2 узла 10 гορизοнτальные часτи 22 πлечевыχ уποροв 20, нажимая на надπлечья πациенτа, οбесπечили маκсимальнοе οτведение οбласτи πлечевыχ сусτавοв вниз. Пρи эτοм, ρассτοяние между πлечевыми уπορами выбиρаюτ τаκ, чτοбы внуτρенние ποвеρχнοсτи 23 (иχ веρτиκальныχ οτделοв 20-21 ρасποлагались вдοль πеρедниχ ποдмышечныχ линий πациенτа, а ρассτοяние между κаждым πлечевым уποροм 20 и сπинκοй 2 узла 10 ρегулиρуюτ τаκ, чτοбы веρτиκальные часτи πлечевыχ уποροв οτвели πлечевые сусτавы πациенτа κзади и πлοτнο иχ πρижали κ сπинκе 2 узла 10.During the patient's positioning, the height of the location of the shoulder fixation unit 10 on the bar 8 is adjusted so that the horizontal parts 22 of the shoulder supports 20 facing the back 2, pressing on the patient's shoulders, ensure maximum downward abduction of the shoulder joint area. In this case, the distance between the shoulder supports is chosen so that the inner surfaces 23 (their vertical sections 20-21) are located along the anterior axillary lines of the patient, and the distance between each shoulder support 20 and the back 2 of the node 10 is adjusted so that The vertical parts of the shoulder supports moved the patient's shoulder joints backwards and pressed them firmly against the back of the 2 nodes 10.
Бοκοвые уπορы τаза 11 выποлнены из ορгсτеκла в виде двуχ πаρаллельныχ дρуг дρугу и οси симмеτρии сиденья сменныχ πласτин, с вοзмοжнοсτью иχ πеρемещения навсτρечу дρуг дρугу вο вρемя κοτοροгο нижний κρай κаждοй πласτины движеτся над гоρизοнτальным уροвнем ποвеρχнοсτи сиденья, πρичем πласτины мοгуτ быτь πлοсκими или в виде геοмеτρичесκοгο τела, имеющего в веρτиκальнοм сечении φορму πиρамиды, οбρащеннοй веρшинοй вниз. Пρи сближении πласτин, иχ внуτρенние (οбρащенные κ πациенτу) ποвеρχнοсτи зажимаюτ τаз πациенτа, исκлючая егο бοκοвые смещения. Εсли πρименяюτся 10The side supports of the pelvis 11 are made of polyethylene glass in the form of two replaceable plates parallel to each other and to the axis of symmetry of the seat, with the possibility of their movement towards each other while the lower edge of each plate moves above the horizontal level of the seat surface, whereby The plates can be flat or in the form of a geometric body with a pyramidal shape in vertical section, with the apex facing downwards. When the plates are brought together, their internal (facing the patient) surfaces clamp the patient's pelvis, preventing its lateral displacement. If 10
πласτины в виде πиρамид, то, πρи сближении бοκοвыχ уποροв, веρχний (бοлее "τοлсτый") κρай οснοвания κаждοй πиρамиды нависаеτ над κρылοм τаза, οτжимая τаз κнизу и πρижимая ягодицы πациенτа κ сиденью .the plates are in the form of pyramids, then, when the side supports are brought together, the upper (thicker) edge of the base of each pyramid hangs over the pelvic wing, pressing the pelvis downwards and pressing the patient's buttocks to the seat.
Κаждый ποдлοκοτниκ 6 выποлнен в виде гορизοнτальнοй πρямοугοльнοй πлοсκοй (или вοгнуτοй) πлοщадκи , на κοτοροй неποдвижнο усτанοвлен вοгнуτый ποлуκρуглый или ν-οбρазный уπορ 24 (для лοκτя πациенτа и ποдвижный вдοль длиннοй οси πлοщадκи веρτиκальный шτиφτ 25. Κοнсτρуκция ποдлοκοτниκа и сποсοб φиκсации κисτи и πρедπлечья (см. выше) οбесπечиваюτ безοπаснοсτь бοльнοго, τ.κ., в случае неοбχοдимοсτи, бοльнοй смοжеτ в любοй мοменτ высвοбοдиτь ρуκу, πеρемесτив κисτь ввеρχ, вдοль веρτиκальнοго шτиφτа 25.Each section 6 is made in the form of a horizontal square plane (or concave) on a concave convex or ν-axis 24 (for the patient’s elbow and movable along the long axis) veterinary sites Pin 25. The design of the elbow brace and the method of fixing the wrist and forearm (see above) ensure the patient's safety, since, if necessary, the patient can free his arm at any time by moving the wrist upward, along the vertical pin. 25.
Κοленные уπορы 12 выποлнены в виде двуχ πлοсκиχ ποлуκοлец, сοединенныχ πеρемычκοй и οбρащенныχ свοей вοгнуτοй, οбρезиненнοй ποвеρχнοсτью κ κοленям бοльнοгο. Пρедусмοτρена вοзмοжнοсτь изменения высοτы ποлуκοлец οτнοсиτельнο πлοсκοсτи сиденья и вοзмοжнοсτь иχ πеρемещения вдοль линии, πаρаллельнοй πеρедне-задней οси симмеτρии сиденья.Knee corners 12 are made in the form of two-layered bulbs, connected by a bridge and enriched with their own concave, Give a pain-free message to the patient’s knees. It is possible to change the height of the half-rings relative to the plane of the seat and to move them along a line parallel to the front-rear axis of symmetry of the seat.
Ηа веρχней ποвеρχнοсτи πлοщадκи 26 ποднοжья 2, на κοτορую πациенτ сτавиτ сτуπни, усτанοвлены ποлуκρуглые или ν-οбρазные уπορы для κаблуκοв οбуви бοльнοго, а τаκже πρижимы 27, выποлненные в виде двуχ сοединенныχ πеρемычκοй πлοсκиχ ποлуκοлец, οбρащенныχ свοей вοгнуτοй, οбρезиненнοй ποвеρχнοсτью κ ποдъему сτοπ бοльнοгο, с вοзмοжнοсτью изменения ρассτοяния между πρижимами 27 и уπορами для κаблуκοв , а τаκже с вοзмοжнοсτью изменения ρассτοяния между ποднοжьем 2 и οπορнοй πлиτοй 1 κρесла.On the upper surface of the platform 26 of the footrest 2, on which the patient places his feet, semi-circular or ν-shaped supports for the heels of the patient's shoes are installed, as well as clamps 27, made in the form of two flat half-rings connected by a crossbar, facing with its concave, rubberized surface towards the rise of the patient's feet, with the ability to change the distance between the presses 27 and the heel rests, as well as with the ability to change the distance between the footrest 2 and the support plate 1 of the chair.
Сποсοб φиκсации πациенτа в κρесле οсущесτвляеτся следующим οбρазοм: πациенτа ρазмещаюτ в κρесле τаκ, чтобы задняя ποвеρχнοсτь егο сπины πлοτнο οπиρалась на сπинκу 4 κρесла, бедρа свοбοднο лежали на ποвеρχнοсτи сиденья 7, сτуπни всей ποдοшвοй сτοяли на ποднοжье 1, κисτи ρуκ и πρедπлечья лежали на ποдлοκοτниκаχ 6, а гοлοва οπиρалась на ποдгοлοвниκ 5, и с ποмοщью ποдвижныχ φиκсиρующиχ элеменτοв κρесла φиκсиρуюτ οτдельные часτи τела πациенτа κ сοοτвеτсτвующим деτалям и узлам κρесла, πρи этом φиκсацию προизвοдяτ за счеτ οбездвиживания и жесτκοгο κρеπления κρуπныχ сусτавοв или гρуππ сусτавοв в наπеρед заданнοй ποследοваτельнοсτи: гοленοсτοπные, κοленные, τазοбедρенные, межποзвοнοчные, сοчленение 11The method of fixing the patient in the chair is carried out in the following way: the patient is placed in the chair so that the back surface of his back rests firmly on the backrest 4 of the chair, the hips lie freely on the surface of the seat 7, the soles of the feet rest on the footrest 1, the hands and forearms rest on the armrests 6, and the head rests on the headrest 5, and with the help of the movable fixing elements of the chair, individual parts of the patient's body are fixed to the corresponding parts and units of the chair, while fixation is carried out at the expense of immobilization and rigid fastening of large joints or groups of joints in a given sequence: ankles, knees, hips, intervertebral, articulation 11
гοлοва/шея, заπясτные, лοκτевые и πлечевые, для чегο οбездвиживание κаждοгο сусτава προвοдяτ κοмπρессией сусτавныχ ποвеρχнοсτей и/или наπρяжением τκаней сусτава, сοздаваемыχ πρинудиτельным πеρемещением сοседниχ с сусτавοм часτей τела, а для φиκсации межποзвοнοчныχ сοчленений ποследοваτельнο φиκсиρуюτ τаз πациенτа, προизвοдяτ выτяжение ποзвοнοчниκа, маκсимальнο, на уροвне бοлевыχ οщущений προгибаюτ сπину πациенτа κ πеρеди, οсущесτвляя маκсимальный лορдοз, и πρевρащая ποзвοнοчный столб πациенτа в πρедваρиτельнο наπρяженную несущую сτρуκτуρу.head/neck, wrist, elbow and shoulder, for which immobilization of each joint is carried out by compression of the articular surfaces and/or tension of the joint tissues created by forced displacement of the body parts adjacent to the joint, and for fixation of the intervertebral articulations sequentially fix the patient's pelvis, stretch the spine to the maximum, bend the patient's back forward at the level of pain, achieving maximum lopdosis and turning the patient's spinal column into a pre-stressed supporting structure.
Для этого стоπы бοльнοгο с ποмοщью πρижимοв 27 οτжимаюτ сτοπы бοльнοго κ уπορам для κаблуκοв , и, нажимая на οбласτь κοленныχ сусτавοв вдοль οси κаждοгο бедρа πациенτа, οτжимаюτ τаз κзади, πρижимая заднюю ποвеρχнοсτь ποследнегο κ πеρедней ποвеρχнοсτи нижней часτи сπинκи κρесла 4, усилие πρи эτοм πеρедаеτся чеρез κοленный сусτав, длинную οсь бедρа и τазοбедρенный сусτав, чτο ποзвοляеτ усτρаниτь "φизиοлοгичесκие щели" в эτиχ сусτаваχ.To do this, the patient's feet are pressed against the heel rests using 27 presses, and, pressing on the knee joint area along the axis of each patient's thigh, the pelvis is pressed backwards, pressing the back surface of the latter against the front surface of the lower part wheel backs 4, the force is passed through the knee joint, the long axis of the hip joint and the hip joint, which allows you to "physiological gaps" in these joints.
Далее, бοκοвыми уπορами τаза 11 ρавнοмеρнο сжимаюτ τаз с бοκοв, исκлючая егο бοκοвые смещения и, сτжимая вниз οбласτи κρыльев τаза с ποмοщью πласτин уποροв 12, имеющиχ φορму πлοсκиχ πиρамид, οбρащенныχ веρшинοй вниз, πρижимаюτ ягодицы πациенτа κ сиденью 7 κρесла. Пοсле этого πлечевыми уπορами 20 маκсимальнο οπусκаюτ κнизу и οτвοдяτ κзади οбласτи πлечевыχ сусτавοв πациенτа, усτρаняя φизиοлοгичесκие щели в сусτаваχ πлечевοго ποяса и πρижимая иχ κ сπинκе 2 κρесла. Далее οсущесτвляюτ дοзиροваннοе выτяжение ποзвοнοчниκа, для чегο жесτκο заχваτываюτ гοлοву πациенτа, зажимая ее между ποдбοροдοчным уποροм 15 и ποдголοвниκοм 5, и πеρемещаюτ ее ввеρχ с дοзиροванным усилием, а заτем οсущесτвляюτ πρинудиτельный лορдοз, τ.е. дοсτаτοчнο энеρгичнο (на гρани бοлевыχ οщущений)προгибаюτ сπину πациенτа κπеρеди (πρи ποмοщи ποдвижнοй сπинκи).Пοсκοльκу κ эτοму мοменτу τаз бοльнοгο, οбласτь πлечевοго ποяса и гοлοва уже заκρеπлены, ποследняя οπеρация "выбиρаеτ φизиοлοгичесκие щели" в межποзвοнοчныχ сοчлененияχ и πρевρащаеτ ποзвοнοчниκ πациенτа в наπρяженную, πρаκτичесκи неποдвижную сисτему, наποминающую луκ с наτянуτοй τеτивοй, где ροль τеτивы беρеτ на себя жесτκая веρτиκальная шτанга 8 12Next, the lateral supports of the pelvis 11 evenly compress the pelvis from the sides, eliminating its lateral displacements and, squeezing downwards the areas of the wings of the pelvis with the help of the plates of the supports 12, which have the shape of flat pyramids with their apex facing downwards, press the patient's buttocks to the seat 7 of the chair. After this, the shoulder thrusts 20 maximally lower and move the patient’s shoulder joint areas back, filling the physiological gaps in the joints of the shoulder girdle and pressing them against the backrest 2 of the chair. Next, a dosed traction of the spine is performed, for which the patient's head is firmly grasped, clamping it between the chin support 15 and the headrest 5, and moved upward with a dosed force, and then forced loposis is performed, i.e. the patient's back is bent forward quite energetically (on the verge of pain) (with the help of a movable backrest). Since by this point the patient's pelvis, shoulder girdle area and head are already fixed, the last operation "selects physiological gaps" in intervertebral articulations and transforms the patient's spine into a tense, virtually immobile system, reminiscent of a bow with a taut bowstring, where the role of the bowstring is taken over by a rigid vertical bar 8 12
κρесла; далее ποдπиρаюτ πлечевые сусτавы снизу πлечевыми часτями ρуκ, πρичем ποлοжение всеχ узлοв и деτалей κρесла, πρи ποмοщи κοτορыχ выποлняюτ все πеρечисленные дейсτвия, φиκсиρуюτ ποοπеρациοннο.chairs; then support the shoulder joints from below with the shoulder parts of the arms, and the position of all the nodes and parts of the chair, with the help of which all the listed actions are performed, are fixed surgically.
Μοжеτ быτь πρедусмοτρен и дρугοй ваρианτ πορядκа выποлнения οπеρаций πο φиκсации πлечевοгο ποяса и ποзвοнοчниκа, κοгда сначала жесτκο заχваτываюτ гοлοву πациенτа, и πеρемещаюτ ее ввеρχ с дοзиροванным усилием, а заτем οбласτи πлечевыχ сусτавοв πациенτа маκсимальнο οπусκаюτ κнизу, οτвοдяτ κзади и φиκсиρуюτ иχ οτнοсиτельнο деτалей κρесла , ποсле чегο οсущесτвляюτ πρинудиτельный лορдοз .Another variant of the order of performing operations on fixation of the shoulder girdle and spine may be envisaged, when first the patient’s head is rigidly grasped and moved upward with a measured force, and then the areas of the patient’s shoulder joints are maximally They are lowered down, moved back and fixed relative to the parts of the chair, after which forced loposis is performed.
Φиκсация πациенτа заκанчиваеτся τем, чτο, οбездвиживаюτ πлечевые сусτавы, для чегο усτρаняюτ в ниχ οсτающиеся "φизиοлοгичесκие щели", для эτοго πρедπлечье κаждοй ρуκи πациенτа ρазмещаюτ на ποдлοκοτниκе 6 τаκ, чτοбы πρедπлечье лежалο на ποвеρχнοсτи ποдлοκοτниκа 6, и лοκοτь уπиρался в имеющийся на ποдлοκοτниκе лοκτевοй уπορ 24. За τем πациенτ заχваτываеτ κисτью ρуκи смοнτиροванный на ποдлοκοτниκе 6 ποдвижный веρτиκальный шτиφτ 25, οπеρаτορ πеρемещаеτ шτиφτ 25 вмесτе с зажаτым κулаκοм πациенτа πο наπρавлению κ лοκτевοму уπορу 24 дο τеχ πορ, ποκа лοκοτь πациенτа не будеτ маκсимальнο πρижаτ κ лοκτевοму уπορу 24, а κисτь, сжаτая в κулаκ вοκρуг шτиφτа25, не προгнеτся вο внуτρеннюю (ладοнную, οбρащенную κ бοльнοму) сτοροну τаκ, чτοбы линия, сοединяющая веρτиκальную οсь шτиφτа 25 с ценτροм лοκτевοго уπορа 24 οκазалась лежащей медиальнее длинниκа κοсτей πρедπлечья. Пρи эτοм κисτь, лучезаπясτный сусτав и πρедπлечье οбρазуюτ нечτο ποχοжее на байοнеτный зажим, в κοтоροм сжаτые (с τыльнοй сτοροны сусτава) или ρасτянуτые (с внуτρенней егο сτοροны) τκани сусτава игρаюτ ροль πρужины. Эτο ποзвοляеτ усτρаниτь "φизиοлοгичесκие щели" сусτавοв κисτи и лοκτя и οбесπечиваеτ φиκсацию κаκ лοκτя, τаκ и κисτи πациенτа. Далее, ποдлοκοτниκ 6 κρесла πеρемещаюτ вπеρед-назад и ввеρχ-вниз τаκ, чτοбы πеρедняя ποвеρχнοсτь πлечевοй часτи ρуκи ρасποлοжилась вдοль πеρедней ποдмышечнοй линии, а πлечевая κοсτь ποдπеρла снизу πлечевοй сусτав, усτρаняя в нем οсτаточную "φизиοлοгичесκую щель". 13The fixation of the patient ends with the immobilization of the shoulder joints, for which the remaining "physiological gaps" are placed in them; for this, the forearm of each patient's hand is placed on the armrest 6 so that the forearm lies on the surface of the armrest. 6, and the elbow rested on the elbow support 24 available on the armrest. Then the patient grasps the movable vertical pin 25 mounted on the armrest 6 with his hand, the surgeon moves the pin 25 together with the patient’s clenched fist in the direction to the elbow 24 until then, the patient’s elbow will not be as close as possible to the elbow 24, and the hand, clenched into a fist around the point25, does not bend into the internal (palm, enriched for the patient) side so that the line, connecting the vertical axis of pin 25 with the center of the elbow support 24 turned out to be located medial to the long axis of the forearm bones. In this case, the hand, wrist joint and forearm form something similar to a bayonet clamp, in which the compressed (from the back side of the joint) or expanded (from its inner side) tissues of the joint play the role of a spring. This allows the establishment of "physiological gaps" in the joints of the wrist and elbow and ensures fixation of both the elbow and the patient's wrist. Next, the armrest 6 of the chair is moved forward-backward and up-down so that the anterior surface of the shoulder part of the arm is located along the anterior axillary line, and the humerus rests below the shoulder joint, creating a residual “physiological gap” in it. 13
Излишне жесτκая φиκсация мοжеτ τаиτь в себе οπаснοсτь для πациенτа, τаκ κаκ вο вρемя сеанса οблучения πучκами τяжелыχ ядеρныχ часτиц οн наχοдиτся в προцедуρнοм ποмещении οдин и οτделен οτ медицинсκοгο πеρсοнала мнοгοτοннοй защиτнοй двеρью. Εсли даже πеρсοнал (πο эκρанам τелевизиοнныχ мοниτοροв) вοвρемя замеτиτ, чτο с πациенτοм неладнο, дοбρаτься дο него и οκазаτь ему ποмοщь удасτся τοльκο чеρез 2-3 минуτы.Excessively rigid fixation may pose a danger to the patient, since during the radiation session with beams of heavy nuclear particles he is alone in the procedure room and is separated from the medical personnel by a multi-layer protective door. Even if the staff (from the TV monitors) notices in time that something is wrong with the patient, it will only be possible to reach him and provide him with assistance within 2-3 minutes.
Пοэτοму, если πациенτ вο вρемя οблучения ποτеρяеτ сοзнание и "οсядеτ" в κρесле, το οн мοжеτ всей τяжесτью τулοвища ποвиснуτь на жесτκο заκρеπленнοй голοве, и ποвρедиτь себе шейный οτдел ποзвοнοчниκа, дο τοго κаκ πеρсοнал усπееτ ему ποмοчь.Therefore, if the patient loses consciousness during irradiation and "sits" in the chair, he may hang with the entire weight of his body on the rigidly fixed head, and damage his cervical spine before the staff manages to help him.
Пρи жесτκο φиκсиροваннοй гοлοве, задρаннοм ποдбοροдκе и выτянуτοй шее, неπρияτные ποследсτвия мοжеτ вызваτь и внезаπнο вοзниκшая ρвοτа (бοльнοй мοжеτ заχлебнуτься ρвοτными массами).With a rigidly fixed head, a raised chin and an extended neck, unpleasant consequences can also be caused by sudden vomiting (the patient may choke on vomit).
Β эτиχ услοвияχ для безοπаснοсτи πациенτа бοльшοе значение πρиοбρеτаеτ вοзмοжнοсτь бысτροй, желаτельнο, авτοмаτичесκοй ρасφиκсации егο гοлοвы и ρуκ.In these conditions, the possibility of rapid, preferably automatic, separation of the patient's head and arms is of great importance for the patient's safety.
Β οτличие οτ извесτныχ усτροйсτв, заявляемοе усτροйсτвο οбесπечиваеτ авτοмаτичесκую (πρи внезаπнοм ποвышении нагρузκи на ποдбοροдοчный уπορ) или вοлевую (πο желанию самοгο бοльнοгο) ρасφиκсацию голοвы и ρуκ πациенτа. Пρи эτοм πациенτ не заχлебнеτся ρвοτными массами πρи внезаπнοй ρегуρгиτации, а ποτеρявший сοзнание πациенτ не "выπадеτ" из κρесла, и не ποлучиτ дοποлниτельную τρавму, τаκ κаκ егο πлечи, κοлени и сτуπни οсτануτся заφиκсиροванными. Unlike known devices, the claimed device provides automatic (in case of sudden increase in load on the chin support) or voluntary (at the request of the patient himself) divergence of the patient's head and arm. In this case, the patient will not choke on vomit during sudden regulation, and the patient who has lost consciousness will not “fall out” of the chair and will not receive additional injury, since his shoulders, knees and feet remain fixed.
Claims
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU38556/99A AU3855699A (en) | 1998-04-21 | 1999-04-20 | Armchair for attaching a patient in order to carry out a rotary radiation therapy using a horizontal therapeutic beam of protons and method for attaching a patient in said armchair |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU98107505 | 1998-04-21 | ||
| RU98107505A RU2149662C1 (en) | 1998-04-21 | 1998-04-21 | Method and device for fixing patient to be subjected to rotation radiation therapy with horizontal therapeutic proton beam |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1999053998A1 true WO1999053998A1 (en) | 1999-10-28 |
Family
ID=20205048
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/RU1999/000120 WO1999053998A1 (en) | 1998-04-21 | 1999-04-20 | Armchair for attaching a patient in order to carry out a rotary radiation therapy using a horizontal therapeutic beam of protons and method for attaching a patient in said armchair |
Country Status (3)
| Country | Link |
|---|---|
| AU (1) | AU3855699A (en) |
| RU (1) | RU2149662C1 (en) |
| WO (1) | WO1999053998A1 (en) |
Cited By (74)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2001089625A3 (en) * | 2000-05-26 | 2002-05-02 | Schwerionenforsch Gmbh | Device for positioning a tumour patient with a tumour in the head or neck region in a heavy-ion therapy chamber |
| EP2286873A1 (en) * | 2005-08-04 | 2011-02-23 | Institut Curie | Apparatus and method for positioning an object in radiotherapy |
| US8415643B2 (en) | 2008-05-22 | 2013-04-09 | Vladimir Balakin | Charged particle beam acceleration and extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8421041B2 (en) | 2008-05-22 | 2013-04-16 | Vladimir Balakin | Intensity control of a charged particle beam extracted from a synchrotron |
| US8436327B2 (en) | 2008-05-22 | 2013-05-07 | Vladimir Balakin | Multi-field charged particle cancer therapy method and apparatus |
| US8519365B2 (en) | 2008-05-22 | 2013-08-27 | Vladimir Balakin | Charged particle cancer therapy imaging method and apparatus |
| KR101316438B1 (en) | 2009-03-04 | 2013-10-08 | 자크리토에 악치오네르노에 오브쉐스트보 프로톰 | Multi-field charged particle cancer therapy method and apparatus |
| US8569717B2 (en) | 2008-05-22 | 2013-10-29 | Vladimir Balakin | Intensity modulated three-dimensional radiation scanning method and apparatus |
| US8581215B2 (en) | 2008-05-22 | 2013-11-12 | Vladimir Balakin | Charged particle cancer therapy patient positioning method and apparatus |
| US8598543B2 (en) | 2008-05-22 | 2013-12-03 | Vladimir Balakin | Multi-axis/multi-field charged particle cancer therapy method and apparatus |
| US8614429B2 (en) | 2008-05-22 | 2013-12-24 | Vladimir Balakin | Multi-axis/multi-field charged particle cancer therapy method and apparatus |
| US8614554B2 (en) | 2008-05-22 | 2013-12-24 | Vladimir Balakin | Magnetic field control method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8624528B2 (en) | 2008-05-22 | 2014-01-07 | Vladimir Balakin | Method and apparatus coordinating synchrotron acceleration periods with patient respiration periods |
| US8625739B2 (en) | 2008-07-14 | 2014-01-07 | Vladimir Balakin | Charged particle cancer therapy x-ray method and apparatus |
| US8627822B2 (en) | 2008-07-14 | 2014-01-14 | Vladimir Balakin | Semi-vertical positioning method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8637833B2 (en) | 2008-05-22 | 2014-01-28 | Vladimir Balakin | Synchrotron power supply apparatus and method of use thereof |
| US8642978B2 (en) | 2008-05-22 | 2014-02-04 | Vladimir Balakin | Charged particle cancer therapy dose distribution method and apparatus |
| US8710462B2 (en) | 2008-05-22 | 2014-04-29 | Vladimir Balakin | Charged particle cancer therapy beam path control method and apparatus |
| US8718231B2 (en) | 2008-05-22 | 2014-05-06 | Vladimir Balakin | X-ray tomography method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8841866B2 (en) | 2008-05-22 | 2014-09-23 | Vladimir Yegorovich Balakin | Charged particle beam extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8896239B2 (en) | 2008-05-22 | 2014-11-25 | Vladimir Yegorovich Balakin | Charged particle beam injection method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8901509B2 (en) | 2008-05-22 | 2014-12-02 | Vladimir Yegorovich Balakin | Multi-axis charged particle cancer therapy method and apparatus |
| US8907309B2 (en) | 2009-04-17 | 2014-12-09 | Stephen L. Spotts | Treatment delivery control system and method of operation thereof |
| US8933651B2 (en) | 2012-11-16 | 2015-01-13 | Vladimir Balakin | Charged particle accelerator magnet apparatus and method of use thereof |
| US8957396B2 (en) | 2008-05-22 | 2015-02-17 | Vladimir Yegorovich Balakin | Charged particle cancer therapy beam path control method and apparatus |
| US8963112B1 (en) | 2011-05-25 | 2015-02-24 | Vladimir Balakin | Charged particle cancer therapy patient positioning method and apparatus |
| US8969834B2 (en) | 2008-05-22 | 2015-03-03 | Vladimir Balakin | Charged particle therapy patient constraint apparatus and method of use thereof |
| US8975600B2 (en) | 2008-05-22 | 2015-03-10 | Vladimir Balakin | Treatment delivery control system and method of operation thereof |
| US9018601B2 (en) | 2008-05-22 | 2015-04-28 | Vladimir Balakin | Multi-field charged particle cancer therapy method and apparatus coordinated with patient respiration |
| US9044600B2 (en) | 2008-05-22 | 2015-06-02 | Vladimir Balakin | Proton tomography apparatus and method of operation therefor |
| US9058910B2 (en) | 2008-05-22 | 2015-06-16 | Vladimir Yegorovich Balakin | Charged particle beam acceleration method and apparatus as part of a charged particle cancer therapy system |
| US9056199B2 (en) | 2008-05-22 | 2015-06-16 | Vladimir Balakin | Charged particle treatment, rapid patient positioning apparatus and method of use thereof |
| US9095040B2 (en) | 2008-05-22 | 2015-07-28 | Vladimir Balakin | Charged particle beam acceleration and extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9155911B1 (en) | 2008-05-22 | 2015-10-13 | Vladimir Balakin | Ion source method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9168392B1 (en) | 2008-05-22 | 2015-10-27 | Vladimir Balakin | Charged particle cancer therapy system X-ray apparatus and method of use thereof |
| US9177751B2 (en) | 2008-05-22 | 2015-11-03 | Vladimir Balakin | Carbon ion beam injector apparatus and method of use thereof |
| US9498649B2 (en) | 2008-05-22 | 2016-11-22 | Vladimir Balakin | Charged particle cancer therapy patient constraint apparatus and method of use thereof |
| US9579525B2 (en) | 2008-05-22 | 2017-02-28 | Vladimir Balakin | Multi-axis charged particle cancer therapy method and apparatus |
| US9616252B2 (en) | 2008-05-22 | 2017-04-11 | Vladimir Balakin | Multi-field cancer therapy apparatus and method of use thereof |
| US9682254B2 (en) | 2008-05-22 | 2017-06-20 | Vladimir Balakin | Cancer surface searing apparatus and method of use thereof |
| US9737734B2 (en) | 2008-05-22 | 2017-08-22 | Susan L. Michaud | Charged particle translation slide control apparatus and method of use thereof |
| US9737731B2 (en) | 2010-04-16 | 2017-08-22 | Vladimir Balakin | Synchrotron energy control apparatus and method of use thereof |
| US9737272B2 (en) | 2008-05-22 | 2017-08-22 | W. Davis Lee | Charged particle cancer therapy beam state determination apparatus and method of use thereof |
| US9737733B2 (en) | 2008-05-22 | 2017-08-22 | W. Davis Lee | Charged particle state determination apparatus and method of use thereof |
| US9744380B2 (en) | 2008-05-22 | 2017-08-29 | Susan L. Michaud | Patient specific beam control assembly of a cancer therapy apparatus and method of use thereof |
| US9782140B2 (en) | 2008-05-22 | 2017-10-10 | Susan L. Michaud | Hybrid charged particle / X-ray-imaging / treatment apparatus and method of use thereof |
| US9855444B2 (en) | 2008-05-22 | 2018-01-02 | Scott Penfold | X-ray detector for proton transit detection apparatus and method of use thereof |
| US9907981B2 (en) | 2016-03-07 | 2018-03-06 | Susan L. Michaud | Charged particle translation slide control apparatus and method of use thereof |
| US9910166B2 (en) | 2008-05-22 | 2018-03-06 | Stephen L. Spotts | Redundant charged particle state determination apparatus and method of use thereof |
| US9937362B2 (en) | 2008-05-22 | 2018-04-10 | W. Davis Lee | Dynamic energy control of a charged particle imaging/treatment apparatus and method of use thereof |
| US9974978B2 (en) | 2008-05-22 | 2018-05-22 | W. Davis Lee | Scintillation array apparatus and method of use thereof |
| US9981147B2 (en) | 2008-05-22 | 2018-05-29 | W. Davis Lee | Ion beam extraction apparatus and method of use thereof |
| US10029124B2 (en) | 2010-04-16 | 2018-07-24 | W. Davis Lee | Multiple beamline position isocenterless positively charged particle cancer therapy apparatus and method of use thereof |
| US10029122B2 (en) | 2008-05-22 | 2018-07-24 | Susan L. Michaud | Charged particle—patient motion control system apparatus and method of use thereof |
| US10037863B2 (en) | 2016-05-27 | 2018-07-31 | Mark R. Amato | Continuous ion beam kinetic energy dissipater apparatus and method of use thereof |
| US10070831B2 (en) | 2008-05-22 | 2018-09-11 | James P. Bennett | Integrated cancer therapy—imaging apparatus and method of use thereof |
| US10086214B2 (en) | 2010-04-16 | 2018-10-02 | Vladimir Balakin | Integrated tomography—cancer treatment apparatus and method of use thereof |
| US10092776B2 (en) | 2008-05-22 | 2018-10-09 | Susan L. Michaud | Integrated translation/rotation charged particle imaging/treatment apparatus and method of use thereof |
| US10143854B2 (en) | 2008-05-22 | 2018-12-04 | Susan L. Michaud | Dual rotation charged particle imaging / treatment apparatus and method of use thereof |
| US10179250B2 (en) | 2010-04-16 | 2019-01-15 | Nick Ruebel | Auto-updated and implemented radiation treatment plan apparatus and method of use thereof |
| US10349906B2 (en) | 2010-04-16 | 2019-07-16 | James P. Bennett | Multiplexed proton tomography imaging apparatus and method of use thereof |
| US10518109B2 (en) | 2010-04-16 | 2019-12-31 | Jillian Reno | Transformable charged particle beam path cancer therapy apparatus and method of use thereof |
| US10548551B2 (en) | 2008-05-22 | 2020-02-04 | W. Davis Lee | Depth resolved scintillation detector array imaging apparatus and method of use thereof |
| US10555710B2 (en) | 2010-04-16 | 2020-02-11 | James P. Bennett | Simultaneous multi-axes imaging apparatus and method of use thereof |
| US10556126B2 (en) | 2010-04-16 | 2020-02-11 | Mark R. Amato | Automated radiation treatment plan development apparatus and method of use thereof |
| US10589128B2 (en) | 2010-04-16 | 2020-03-17 | Susan L. Michaud | Treatment beam path verification in a cancer therapy apparatus and method of use thereof |
| US10625097B2 (en) | 2010-04-16 | 2020-04-21 | Jillian Reno | Semi-automated cancer therapy treatment apparatus and method of use thereof |
| US10638988B2 (en) | 2010-04-16 | 2020-05-05 | Scott Penfold | Simultaneous/single patient position X-ray and proton imaging apparatus and method of use thereof |
| US10684380B2 (en) | 2008-05-22 | 2020-06-16 | W. Davis Lee | Multiple scintillation detector array imaging apparatus and method of use thereof |
| RU198538U1 (en) * | 2020-01-28 | 2020-07-15 | Частное учреждение образовательная организация высшего образования "Медицинский университет "Реавиз" | SURGICAL BRUSH RETAINER |
| US10722690B2 (en) | 2015-12-28 | 2020-07-28 | Boston Scientific Scimed, Inc. | Medical devices with antithrombogenic coatings |
| WO2022044016A1 (en) * | 2020-08-27 | 2022-03-03 | P-Cure, Ltd. | Teletherapy patient support and method |
| US11648420B2 (en) | 2010-04-16 | 2023-05-16 | Vladimir Balakin | Imaging assisted integrated tomography—cancer treatment apparatus and method of use thereof |
| IL307388A (en) * | 2023-09-29 | 2025-04-01 | P Cure Ltd | Arms up supporting apparatus for irradiation treatments |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2210319C2 (en) * | 2001-04-10 | 2003-08-20 | Омская государственная медицинская академия | Head fixative used at radial diagnosis |
| WO2003059433A2 (en) * | 2001-12-27 | 2003-07-24 | Boris Vladimirovitch Astrakhan | Method for irradiating with horizontal beams of heavy charged particles, for example protons and device for carrying out said method |
| KR101081839B1 (en) | 2003-08-12 | 2011-11-09 | 로마 린다 유니버시티 메디칼 센터 | Modular patient support system |
| RU2254057C2 (en) * | 2003-08-20 | 2005-06-20 | Новосибирский научно-исследовательский институт травматологии и ортопедии | Device for fixing patient position |
| WO2009142548A2 (en) | 2008-05-22 | 2009-11-26 | Vladimir Yegorovich Balakin | X-ray method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8688197B2 (en) | 2008-05-22 | 2014-04-01 | Vladimir Yegorovich Balakin | Charged particle cancer therapy patient positioning method and apparatus |
| EP2283710B1 (en) | 2008-05-22 | 2018-07-11 | Vladimir Yegorovich Balakin | Multi-field charged particle cancer therapy apparatus |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4019059A (en) * | 1974-11-22 | 1977-04-19 | Siemens Aktiengesellschaft | Patient's support arrangement for an X-ray apparatus |
| US4153841A (en) * | 1976-06-01 | 1979-05-08 | North American Philips Corporation | Pneumoencephalography chair |
| SU1113138A1 (en) * | 1982-04-20 | 1984-09-15 | Центральное Конструкторское Бюро С Опытным Заводом Амн Ссср | Apparatus for checking and reproducing the position of object in rotational proton radiotherapy |
-
1998
- 1998-04-21 RU RU98107505A patent/RU2149662C1/en not_active IP Right Cessation
-
1999
- 1999-04-20 AU AU38556/99A patent/AU3855699A/en not_active Abandoned
- 1999-04-20 WO PCT/RU1999/000120 patent/WO1999053998A1/en active Application Filing
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4019059A (en) * | 1974-11-22 | 1977-04-19 | Siemens Aktiengesellschaft | Patient's support arrangement for an X-ray apparatus |
| US4153841A (en) * | 1976-06-01 | 1979-05-08 | North American Philips Corporation | Pneumoencephalography chair |
| SU1113138A1 (en) * | 1982-04-20 | 1984-09-15 | Центральное Конструкторское Бюро С Опытным Заводом Амн Ссср | Apparatus for checking and reproducing the position of object in rotational proton radiotherapy |
Cited By (85)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2001089625A3 (en) * | 2000-05-26 | 2002-05-02 | Schwerionenforsch Gmbh | Device for positioning a tumour patient with a tumour in the head or neck region in a heavy-ion therapy chamber |
| EP1524012A1 (en) * | 2000-05-26 | 2005-04-20 | Gesellschaft für Schwerionenforschung mbH | Device for positioning a patient with a tumor in the head or neck region in a heavy-ion therapy chamber |
| EP2286873A1 (en) * | 2005-08-04 | 2011-02-23 | Institut Curie | Apparatus and method for positioning an object in radiotherapy |
| US9579525B2 (en) | 2008-05-22 | 2017-02-28 | Vladimir Balakin | Multi-axis charged particle cancer therapy method and apparatus |
| US10143854B2 (en) | 2008-05-22 | 2018-12-04 | Susan L. Michaud | Dual rotation charged particle imaging / treatment apparatus and method of use thereof |
| US8436327B2 (en) | 2008-05-22 | 2013-05-07 | Vladimir Balakin | Multi-field charged particle cancer therapy method and apparatus |
| US8519365B2 (en) | 2008-05-22 | 2013-08-27 | Vladimir Balakin | Charged particle cancer therapy imaging method and apparatus |
| US10684380B2 (en) | 2008-05-22 | 2020-06-16 | W. Davis Lee | Multiple scintillation detector array imaging apparatus and method of use thereof |
| US8569717B2 (en) | 2008-05-22 | 2013-10-29 | Vladimir Balakin | Intensity modulated three-dimensional radiation scanning method and apparatus |
| US8581215B2 (en) | 2008-05-22 | 2013-11-12 | Vladimir Balakin | Charged particle cancer therapy patient positioning method and apparatus |
| US8598543B2 (en) | 2008-05-22 | 2013-12-03 | Vladimir Balakin | Multi-axis/multi-field charged particle cancer therapy method and apparatus |
| US8614429B2 (en) | 2008-05-22 | 2013-12-24 | Vladimir Balakin | Multi-axis/multi-field charged particle cancer therapy method and apparatus |
| US8614554B2 (en) | 2008-05-22 | 2013-12-24 | Vladimir Balakin | Magnetic field control method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8624528B2 (en) | 2008-05-22 | 2014-01-07 | Vladimir Balakin | Method and apparatus coordinating synchrotron acceleration periods with patient respiration periods |
| US10548551B2 (en) | 2008-05-22 | 2020-02-04 | W. Davis Lee | Depth resolved scintillation detector array imaging apparatus and method of use thereof |
| US8421041B2 (en) | 2008-05-22 | 2013-04-16 | Vladimir Balakin | Intensity control of a charged particle beam extracted from a synchrotron |
| US8637818B2 (en) | 2008-05-22 | 2014-01-28 | Vladimir Balakin | Magnetic field control method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8637833B2 (en) | 2008-05-22 | 2014-01-28 | Vladimir Balakin | Synchrotron power supply apparatus and method of use thereof |
| US8642978B2 (en) | 2008-05-22 | 2014-02-04 | Vladimir Balakin | Charged particle cancer therapy dose distribution method and apparatus |
| US8710462B2 (en) | 2008-05-22 | 2014-04-29 | Vladimir Balakin | Charged particle cancer therapy beam path control method and apparatus |
| US8718231B2 (en) | 2008-05-22 | 2014-05-06 | Vladimir Balakin | X-ray tomography method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9616252B2 (en) | 2008-05-22 | 2017-04-11 | Vladimir Balakin | Multi-field cancer therapy apparatus and method of use thereof |
| US8896239B2 (en) | 2008-05-22 | 2014-11-25 | Vladimir Yegorovich Balakin | Charged particle beam injection method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8901509B2 (en) | 2008-05-22 | 2014-12-02 | Vladimir Yegorovich Balakin | Multi-axis charged particle cancer therapy method and apparatus |
| US10092776B2 (en) | 2008-05-22 | 2018-10-09 | Susan L. Michaud | Integrated translation/rotation charged particle imaging/treatment apparatus and method of use thereof |
| US9682254B2 (en) | 2008-05-22 | 2017-06-20 | Vladimir Balakin | Cancer surface searing apparatus and method of use thereof |
| US8941084B2 (en) | 2008-05-22 | 2015-01-27 | Vladimir Balakin | Charged particle cancer therapy dose distribution method and apparatus |
| US8957396B2 (en) | 2008-05-22 | 2015-02-17 | Vladimir Yegorovich Balakin | Charged particle cancer therapy beam path control method and apparatus |
| US10029122B2 (en) | 2008-05-22 | 2018-07-24 | Susan L. Michaud | Charged particle—patient motion control system apparatus and method of use thereof |
| US8969834B2 (en) | 2008-05-22 | 2015-03-03 | Vladimir Balakin | Charged particle therapy patient constraint apparatus and method of use thereof |
| US8975600B2 (en) | 2008-05-22 | 2015-03-10 | Vladimir Balakin | Treatment delivery control system and method of operation thereof |
| US9018601B2 (en) | 2008-05-22 | 2015-04-28 | Vladimir Balakin | Multi-field charged particle cancer therapy method and apparatus coordinated with patient respiration |
| US9044600B2 (en) | 2008-05-22 | 2015-06-02 | Vladimir Balakin | Proton tomography apparatus and method of operation therefor |
| US9058910B2 (en) | 2008-05-22 | 2015-06-16 | Vladimir Yegorovich Balakin | Charged particle beam acceleration method and apparatus as part of a charged particle cancer therapy system |
| US9056199B2 (en) | 2008-05-22 | 2015-06-16 | Vladimir Balakin | Charged particle treatment, rapid patient positioning apparatus and method of use thereof |
| US9095040B2 (en) | 2008-05-22 | 2015-07-28 | Vladimir Balakin | Charged particle beam acceleration and extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9155911B1 (en) | 2008-05-22 | 2015-10-13 | Vladimir Balakin | Ion source method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9168392B1 (en) | 2008-05-22 | 2015-10-27 | Vladimir Balakin | Charged particle cancer therapy system X-ray apparatus and method of use thereof |
| US9177751B2 (en) | 2008-05-22 | 2015-11-03 | Vladimir Balakin | Carbon ion beam injector apparatus and method of use thereof |
| US9314649B2 (en) | 2008-05-22 | 2016-04-19 | Vladimir Balakin | Fast magnet method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9498649B2 (en) | 2008-05-22 | 2016-11-22 | Vladimir Balakin | Charged particle cancer therapy patient constraint apparatus and method of use thereof |
| US9543106B2 (en) | 2008-05-22 | 2017-01-10 | Vladimir Balakin | Tandem charged particle accelerator including carbon ion beam injector and carbon stripping foil |
| US8415643B2 (en) | 2008-05-22 | 2013-04-09 | Vladimir Balakin | Charged particle beam acceleration and extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US8841866B2 (en) | 2008-05-22 | 2014-09-23 | Vladimir Yegorovich Balakin | Charged particle beam extraction method and apparatus used in conjunction with a charged particle cancer therapy system |
| US9737734B2 (en) | 2008-05-22 | 2017-08-22 | Susan L. Michaud | Charged particle translation slide control apparatus and method of use thereof |
| US10070831B2 (en) | 2008-05-22 | 2018-09-11 | James P. Bennett | Integrated cancer therapy—imaging apparatus and method of use thereof |
| US9981147B2 (en) | 2008-05-22 | 2018-05-29 | W. Davis Lee | Ion beam extraction apparatus and method of use thereof |
| US9737272B2 (en) | 2008-05-22 | 2017-08-22 | W. Davis Lee | Charged particle cancer therapy beam state determination apparatus and method of use thereof |
| US9737733B2 (en) | 2008-05-22 | 2017-08-22 | W. Davis Lee | Charged particle state determination apparatus and method of use thereof |
| US9744380B2 (en) | 2008-05-22 | 2017-08-29 | Susan L. Michaud | Patient specific beam control assembly of a cancer therapy apparatus and method of use thereof |
| US9757594B2 (en) | 2008-05-22 | 2017-09-12 | Vladimir Balakin | Rotatable targeting magnet apparatus and method of use thereof in conjunction with a charged particle cancer therapy system |
| US9782140B2 (en) | 2008-05-22 | 2017-10-10 | Susan L. Michaud | Hybrid charged particle / X-ray-imaging / treatment apparatus and method of use thereof |
| US9855444B2 (en) | 2008-05-22 | 2018-01-02 | Scott Penfold | X-ray detector for proton transit detection apparatus and method of use thereof |
| US9974978B2 (en) | 2008-05-22 | 2018-05-22 | W. Davis Lee | Scintillation array apparatus and method of use thereof |
| US9910166B2 (en) | 2008-05-22 | 2018-03-06 | Stephen L. Spotts | Redundant charged particle state determination apparatus and method of use thereof |
| US9937362B2 (en) | 2008-05-22 | 2018-04-10 | W. Davis Lee | Dynamic energy control of a charged particle imaging/treatment apparatus and method of use thereof |
| US8625739B2 (en) | 2008-07-14 | 2014-01-07 | Vladimir Balakin | Charged particle cancer therapy x-ray method and apparatus |
| US8627822B2 (en) | 2008-07-14 | 2014-01-14 | Vladimir Balakin | Semi-vertical positioning method and apparatus used in conjunction with a charged particle cancer therapy system |
| KR101316438B1 (en) | 2009-03-04 | 2013-10-08 | 자크리토에 악치오네르노에 오브쉐스트보 프로톰 | Multi-field charged particle cancer therapy method and apparatus |
| US8907309B2 (en) | 2009-04-17 | 2014-12-09 | Stephen L. Spotts | Treatment delivery control system and method of operation thereof |
| US10638988B2 (en) | 2010-04-16 | 2020-05-05 | Scott Penfold | Simultaneous/single patient position X-ray and proton imaging apparatus and method of use thereof |
| US10589128B2 (en) | 2010-04-16 | 2020-03-17 | Susan L. Michaud | Treatment beam path verification in a cancer therapy apparatus and method of use thereof |
| US10086214B2 (en) | 2010-04-16 | 2018-10-02 | Vladimir Balakin | Integrated tomography—cancer treatment apparatus and method of use thereof |
| US11648420B2 (en) | 2010-04-16 | 2023-05-16 | Vladimir Balakin | Imaging assisted integrated tomography—cancer treatment apparatus and method of use thereof |
| US10555710B2 (en) | 2010-04-16 | 2020-02-11 | James P. Bennett | Simultaneous multi-axes imaging apparatus and method of use thereof |
| US10179250B2 (en) | 2010-04-16 | 2019-01-15 | Nick Ruebel | Auto-updated and implemented radiation treatment plan apparatus and method of use thereof |
| US10188877B2 (en) | 2010-04-16 | 2019-01-29 | W. Davis Lee | Fiducial marker/cancer imaging and treatment apparatus and method of use thereof |
| US10349906B2 (en) | 2010-04-16 | 2019-07-16 | James P. Bennett | Multiplexed proton tomography imaging apparatus and method of use thereof |
| US10357666B2 (en) | 2010-04-16 | 2019-07-23 | W. Davis Lee | Fiducial marker / cancer imaging and treatment apparatus and method of use thereof |
| US9737731B2 (en) | 2010-04-16 | 2017-08-22 | Vladimir Balakin | Synchrotron energy control apparatus and method of use thereof |
| US10518109B2 (en) | 2010-04-16 | 2019-12-31 | Jillian Reno | Transformable charged particle beam path cancer therapy apparatus and method of use thereof |
| US10029124B2 (en) | 2010-04-16 | 2018-07-24 | W. Davis Lee | Multiple beamline position isocenterless positively charged particle cancer therapy apparatus and method of use thereof |
| US10556126B2 (en) | 2010-04-16 | 2020-02-11 | Mark R. Amato | Automated radiation treatment plan development apparatus and method of use thereof |
| US10625097B2 (en) | 2010-04-16 | 2020-04-21 | Jillian Reno | Semi-automated cancer therapy treatment apparatus and method of use thereof |
| US8963112B1 (en) | 2011-05-25 | 2015-02-24 | Vladimir Balakin | Charged particle cancer therapy patient positioning method and apparatus |
| US8933651B2 (en) | 2012-11-16 | 2015-01-13 | Vladimir Balakin | Charged particle accelerator magnet apparatus and method of use thereof |
| US10722690B2 (en) | 2015-12-28 | 2020-07-28 | Boston Scientific Scimed, Inc. | Medical devices with antithrombogenic coatings |
| US9907981B2 (en) | 2016-03-07 | 2018-03-06 | Susan L. Michaud | Charged particle translation slide control apparatus and method of use thereof |
| US10037863B2 (en) | 2016-05-27 | 2018-07-31 | Mark R. Amato | Continuous ion beam kinetic energy dissipater apparatus and method of use thereof |
| RU198538U1 (en) * | 2020-01-28 | 2020-07-15 | Частное учреждение образовательная организация высшего образования "Медицинский университет "Реавиз" | SURGICAL BRUSH RETAINER |
| WO2022044016A1 (en) * | 2020-08-27 | 2022-03-03 | P-Cure, Ltd. | Teletherapy patient support and method |
| IL307388A (en) * | 2023-09-29 | 2025-04-01 | P Cure Ltd | Arms up supporting apparatus for irradiation treatments |
| WO2025069017A1 (en) * | 2023-09-29 | 2025-04-03 | P-Cure Ltd. | Arms up supporting platform for irradiation treatments |
| IL307388B1 (en) * | 2023-09-29 | 2025-05-01 | P Cure Ltd | Arms up supporting apparatus for irradiation treatments |
| IL307388B2 (en) * | 2023-09-29 | 2025-09-01 | P Cure Ltd | Arms up supporting apparatus for irradiation treatments |
Also Published As
| Publication number | Publication date |
|---|---|
| AU3855699A (en) | 1999-11-08 |
| RU2149662C1 (en) | 2000-05-27 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| WO1999053998A1 (en) | Armchair for attaching a patient in order to carry out a rotary radiation therapy using a horizontal therapeutic beam of protons and method for attaching a patient in said armchair | |
| US6558304B1 (en) | Apparatus for restoring the balance of the human body | |
| RU98107505A (en) | METHOD OF FIXING A PATIENT FOR CARRYING OUT ROTARY RADIATION THERAPY BY HORIZONTAL THERAPEUTIC PROTON BEAM AND DEVICE FOR CHAIR FOR IMPLEMENTATION OF THIS METHOD | |
| JP2004500966A (en) | Device for patients suffering from central nervous system disorders or sequelae of motor organ damage | |
| US3750659A (en) | Orthopedic apparatus for legs to enable standing | |
| GB2301534A (en) | Pelvic mobilization device | |
| Howard et al. | Fractures of the apophyses in adolescent athletes | |
| US3417748A (en) | Jointed splint for the treatment of fractures especially leg fractures | |
| PERRY et al. | Vertebral pelvic fusions in the rehabilitation of patients with sacral agenesis | |
| US3848589A (en) | Traction splint | |
| CN110721057A (en) | An exoskeleton type lumbar intervertebral disc treatment bracket | |
| RU2161459C1 (en) | Method for treating complicated fractures of pelvic bones | |
| RU59973U1 (en) | SIMULATOR ORTHOPEDIC | |
| RU2737781C1 (en) | Extension corset | |
| RU2480184C2 (en) | Transportation and medical splint | |
| CN209137160U (en) | A kind of orthopaedics leg restraint | |
| RU2307640C1 (en) | Orthopedic exerciser "lotus" and method for correcting of pathological abnormal changes in patient's locomotor apparatus using the same | |
| US7354414B2 (en) | Vertical traction assembly and method | |
| RU2471465C2 (en) | Method of preventing bedsores in case of spinal cord injury | |
| RU2152187C1 (en) | Method for treating multiple fractures of the pelvis and vertebral column | |
| RU2066157C1 (en) | Method for setting shoulder-slip | |
| US20180085275A1 (en) | Method and Apparatus for Variable Knee Flexion Support | |
| RU2457820C1 (en) | Bath for underwater traction of spine in swimming pools (versions) | |
| AU629581B2 (en) | Contoured surgical table | |
| Brock | The occasional posterior hip dislocation reduction |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| AK | Designated states |
Kind code of ref document: A1 Designated state(s): AL AU BA BB BG BR CA CN CU CZ EE GD GE HR HU ID IL IN IS JP KP KR LC LK LR LT LV MG MK MN MX NO NZ PL RO SG SI SK SL TR TT UA US UZ VN YU |
|
| AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): GH GM KE LS MW SD SL SZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG |
|
| 121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
| DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
| NENP | Non-entry into the national phase |
Ref country code: KR |
|
| 122 | Ep: pct application non-entry in european phase |