CN205994517U - Preventer for the ray equipment of ERCP - Google Patents

Preventer for the ray equipment of ERCP Download PDF

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Publication number
CN205994517U
CN205994517U CN201620545078.6U CN201620545078U CN205994517U CN 205994517 U CN205994517 U CN 205994517U CN 201620545078 U CN201620545078 U CN 201620545078U CN 205994517 U CN205994517 U CN 205994517U
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CN
China
Prior art keywords
ercp
preventer
protective cover
bed
ray equipment
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.)
Expired - Fee Related
Application number
CN201620545078.6U
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Chinese (zh)
Inventor
赵进沛
高革
杨会锁
张富利
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Beijing Military Area Command Of Chinese People's Liberation Army Disease Prevention And Control Center
Original Assignee
Beijing Military Area Command Of Chinese People's Liberation Army Disease Prevention And Control Center
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Priority to CN201620545078.6U priority Critical patent/CN205994517U/en
Application granted granted Critical
Publication of CN205994517U publication Critical patent/CN205994517U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

This utility model discloses a kind of preventer of the equipment of the ray for ERCP, including the suspension protective cover covering image amplifier;This protection is located at the surface of radiographic source tube head equipment on beam axle, lifts on the ceiling by suspension apparatus, can do level or the regulation of above-below direction in certain limit;It is designed with semicircle or half elliptic front hole and rear hole in the protective cover lower edge of the corresponding head of a bed and tailstock direction, above-mentioned hole is provided with lead curtain.The method that this invention is combined using suspension protective cover and bed protective jacket; strictly ray contamination is controlled the subrange between the X-ray tube head and image amplifier of lead material closing; protect the other operator of bed to greatest extent; and the nimble property and accuracy of staff ERCP operation is not had any impact; also have structure simple simultaneously; feature easy to make, with low cost.

Description

Preventer for the ray equipment of ERCP
Technical field
This utility model is related to medical X-ray equipment radiation protection technique field, more particularly, to a kind of penetrating for ERCP Traditional thread binding standby preventer.
Background technology
It is one kind of interventional radiology operation through endoscopic retrograde cholangiopancreatography (ERCP).Due to interventional radiology bed Other operation, employee exposed to radiation is inevitably subject to the occupational exposure of larger dose, therefore intervenes the protection of practitioner Problem is always emphasis and the difficult point of radiation protection research.
Currently for the protection of intervention radiation practitioner, more with the design of masking operation person's angle, such as whole body The wearing such as personal protective equipment such as lead clothing, lead cap, lead muffler, lead glovess, lead glasses is representative, and the shortcoming of this design is to grasp Author's heavy burden is larger, affects operation technique, and is difficult to accomplish tightly to shield.A kind of utility model patent " Toluidine blue O operation Protection suspender belt " (CN104783902A), devising one can cover bucket with the lead material of self-sustained and movement, and has reserved lead sleeve Bearing a heavy burden it is achieved that reducing medical personnel with lead glass window, liberating the purpose of medical personnel's body as much as possible, but still there is shadow Ring nimble property and the accuracy of operation, and the problem that apparatus structure is complex.
A kind of mode is also had to be then in operator and radiation source middle setting screen, such as setting lead screen, suspension lead Glass etc., this kind of mode does not often reach tight alpha ray shield effect, therefore often uses with staff wear personal protection Product support the use.(CN103550865A) devises a kind of base to patent of invention " a kind of radiation protector for medical use " ten thousand Removable to wheel, the upper rotary sleeve of column setting and lower rotary sleeve and its telescopic arm hang with round lead cover and cutting means enclosure respectively, And it is respectively equipped with lead observation window and anti-oversleeve, this design is compared with common lead screen, mobile flexible, easy to use, but still deposits Protecting not tight and impact operated by personnel problem.
For the feature of ERCP operation, the present invention is carried out with the angle of radioactive source shielding, the protection to radiation practitioner New design.
ERCP is that duodenoscope is inserted to descendant duodenum, finds vater's papilla, is inserted into by biopsy pipeline To nipple peristome, after injecting contrast agent, x line takes the photograph piece, to show pancreaticobiliary technology to angiography catheter.Its operating procedure includes:1、 Slotting mirror:Patient is made to take ventricumbent position, duodenoscope orally passes sequentially through esophaguses, stomach, enters duodenum fall section, finds 12 Duodenum 12 nipple.2. intubation:Insert conduit through biopsy hole, and insert the catheter into nipple.3. radiography:Contrasted conduit under fluoroscopy Injection contrast agent, sees bile duct or ductus pancreaticus development, lesions showed on fluorescent screen.4. make film:After pancreatic duct development, made film Storage.5. treat:According to patient's pancreaticobiliary duct disease situation, take different Endoscopic Treatment measures (as Sphincterotomy takes stone, puts Put drainage tube or support alleviates obstruction of bile duct, the placement of fistula support etc.).
ERCP operation is had substantially with other common interventional radiology (NormalInterventionalRadiology) operations Difference.In other common intervention radiation operations, the operating position of medical personnel may close on the irradiation visual field, the body of medical personnel There may come a time when to be directly exposed to main beam, and the needs due to diagnosis and treatment, X-ray tube head and guard bed position and angle all may be used Large change can occur, be not suitable for being protected using the method for radioactive source shielding.And ERCP operation needs medical personnel in handss The other patients head position of art bed is operated, and irradiates the visual field and is then substantially secured to patient's abdominal region, so, medical personnel's body Substantially it is not exposed under useful beam, patient body position is relatively fixed, during operation, the relative position of X-ray tube head and diagnosis and treatment bed is not Need big adjustment.It is therefore possible to perfect protection effect is realized to practitioner by the method for radioactive source shielding, simultaneously Also nimble property and the accuracy of operation of diagnosis and treatment are ensured.
Due to ERCP device therefor non-mainstream ray equipment, this project is not typically located at typical radiation section office, therefore yet The design and construction of its protective equipment fails by enough attention, and medical worker is typically entered using the method wearing lead-containing materials protective garment , there is medical personnel's burden weight, shield incomplete problem in row protection.Therefore, above-mentioned designed suitable ERCP operation is special Had important practical significance with preventer and practical value.
Content of the invention
For the deficiencies in the prior art, the utility model proposes a kind of radioprotector of ERCP special C-shaped arm, its base Present principles are the methods using surrounding radioactive source shielding, reach effective, the simple and direct practicality of protection, while cost relatively low purpose, also The heavy burden caused by medical personnel's whole body protection can be mitigated, and keep the nimble and accurate of ERCP operation.
Specifically, the preventer of the disclosed ray equipment for ERCP of this utility model, covers in ERCP Image amplifier, including:Protective cover is formed by nylon adhesion bonding;This protection is located at radiographic source tube head on beam axle and sets Standby surface, lifts on the ceiling by suspension apparatus, in the protective cover lower edge design in the corresponding head of a bed and the direction of tailstock There are semicircle or half elliptic front hole and rear hole.
This front hole and rear hole are respectively equipped with lead curtain.
This protective cover is pyramid type or cylinder.
This suspension apparatus includes steel wire, pulley and driving means, and this suspension apparatus is ceiling mounted.
This suspension apparatus includes suspension, steel wire, pulley and the driving means of vertical and horizontal movement, and this suspension is installed On the ceiling.
This driving means is motor or rotating handles.
The side of this protective cover is provided with circular hole, and circular hole arranges lead curtain.
This preventer also includes diagnosis and treatment bed surface and the protective jacket of diagnosis and treatment bed side.Protective jacket leaves slot in bed surface, Leave foursquare hole on the protective jacket face of the bed side on operator opposite, this hole arranges lead protection curtain.In image amplifier pair Answer on the protective cover in operator direction, leave a hole that can go deep into arm, be also provided with lead curtain.
From above technical scheme, compare with the various preventers for the operation of general interventional radiology, this Bright advantage is:Structure is simple, and protection effect is definite, the operation of staff is affected little.
Brief description
Fig. 1 is the C-arm and composition figure of the present utility model for ERCP;
Fig. 2 is side view of the present utility model;
Fig. 3 is Local map of the present utility model;
Fig. 4 is planar development schematic diagram of the present utility model.
Specific embodiment
Below by accompanying drawing, this utility model is described in detail.
Ray Ordnance Protection device disclosed in this utility model, be mainly used in ERCP it can also be used to other adopt C-arm but Tube head X does not need to do the interventional radiology operation of relative motion by a relatively large margin relative to diagnosis and treatment bed.
Fig. 1 is the generalized section that C-arm and composition of the present utility model for ERCP are equipped, and including C-arm 12, penetrates Line source tube head equipment 14, image amplifier 11, computer-processing equipment and display screen.Patient 13 lies on diagnosis and treatment bed 15.Examining Treat bed head of a bed direction, tailstock direction and side, cut out the protective jacket 16 making lead-containing materials respectively, protective jacket joint has 10cm Long overlap, and being tightly connected in nylon adhesion mode, so, protective jacket is by the head-tail of the surrounding under diagnosis and treatment bed and bed surface Bit mask, only in the square hole leaving an a diameter of 60cm × 40cm centered on beam axle, (this hole is less than this diagnosis operation table Pyramid type protective cover lower edge), accept ray and be transmitted process etc. for actinoscopy X, image amplifier.
Fig. 2 is side view of the present utility model.
Disclosed in this utility model shown in the preventer as Fig. 1 of ray equipment, 2 and Fig. 3, Fig. 4 Local map and expanded view, Including:Protective cover 1, suspension apparatus 2 (in Fig. 1, dotted line frame interior part is referred to as suspension apparatus), wherein:
Protective cover 1 is cut out and is formed by a monoblock lead material or lead-containing materials cloth, is by nylon in C-arm 12 and the back side Adhesive tape 7 bonding forms, and sees Fig. 3;The shape of protective cover is determined according to the shape of image amplifier 11, can be pyramid type, cylinder Shape and various irregularly shaped, Fig. 3 only draws its Local map.
Suspension apparatus 2 include:Steel wire 3, pulley 4 and driving means 5, driving means can be able to be manual for electronic (remote control) (rotating handles), carries out height up and down by adjustable pulley to protective cover, realizes arbitrarily moving and determine in vertical range Position.Protective cover top is lifted on pulley 4 by this steel wire 3, and this pulley 4 is by the suspension that can move horizontally in certain limit 6 fix on the ceiling, by adjustable pulley 4 and suspension 6, pyramid type protective cover can be carried out with vertical and horizontal direction one Determine the regulation of scope;Suspension 6 forms for more piece, and vertically section 61 is fixing on the ceiling, horizontal to be connected with vertical nodal axisn Section 62 can be with horizontal hunting, can be L-shaped, or Z-shaped, can carry out upper and lower horizontal adjustment protective cover.
Suspension apparatus 2 may be alternatively configured universal joint, when needing to carry out position adjustment to C-arm, can be adjusted up and down Whole protective cover.Protective cover lower edge is in close contact diagnosis and treatment bed, and cone ports are sized to be slightly smaller than bedside outer.
Protective cover is in the place joining with C-arm, tight using nylon adhesion bonding.
Protective cover designs semicircle or half elliptic front hole in the protective cover lower edge of the corresponding head of a bed and the direction of tailstock Hole 8 and rear hole 9, are shown in Fig. 4 planar development of the present utility model schematic diagram.
Front hole 8 and rear hole 9 are respectively equipped with lead curtain 81 and lead curtain 91, can be before cutting out or cutting lead-containing materials It is designed it is also possible to adhesion lead curtain afterwards.The top semi-circular shape of lead curtain or half elliptic hole are in and adult's buttockss The similar arcuation of back body radian, so that protective cover lower edge has sealing to greatest extent to connect with the human body on the prostrate bed in diagnosis and treatment Close.
At the height of image amplifier 11 handle, in the side of taper protective cover respective operations personnel, stay one can stretch Enter the circular hole of arm, this circular hole sets a lead curtain, be easy to by inspection people is prostrate put in place after, operator can put in arm by C-arm Push-and-pull move, be aligned needs operation or the position of monitoring, such as pancreas gallbladder position;This hole can not also be stayed, by directly pushing away Draw the outside of protective cover at movable image booster, C-arm is positioned.Bed surface leaves long 60cm centered on X-ray beam axle Pass through area with the cuboid of wide 40cm as ray main beam, for X-ray examination or film making;On the downside of the bed on operator opposite Face, the junction on the downside of C-arm with bed, the square space of the 40cm length of side is stayed on lead sheath, and lead curtain is set, While shielding scattered sand permeation to greatest extent, X-ray tube head is enable to go deep under bed and can move in certain limit.
Operational approach step is as follows:
Step 1, makes during operation on the prostrate bed in diagnosis and treatment of person under inspection, and so that its gallbladder pancreas position is aligned on diagnosis operation bed surface Slot center;
Step 2, by adjusting pyramid type protective lead cover height, makes the cutting means enclosure position of protective cover lower edge semi-circular portions maximum Limit and person under inspection's body sealing engagement;
Step 3, carries out ERCP operation, including the inspection under actinoscopy X or operation technique.First adjust C-arm position to be allowed to Be aligned pancreatic duct position, then withdraw from arm and carry out fluoroscopic observation pathological changes, now the scattered rayss after X-ray transparent person under inspection body with And X-ray tube head sand permeation is shielded by the confined space of pyramid type protective cover and diagnosis and treatment bed protective jacket composition, operation by bed Employee exposed to radiation will not be subject to dissipate sand permeation irradiate.
In addition, protective jacket disclosed in this utility model, diagnosis and treatment bed surface and bed side protective jacket can also be included, will be whole for diagnosis and treatment bed Individual wrap up, the scattered rayss after Radiolucent person under inspection's body, and tube head X leak ray by pyramid type protective cover and The confined space of diagnosis and treatment bed surface and bed side protective jacket composition is shielded, and by bed, the radiation medical personnel of operation will not be subject to diffusion The roentgenization of scattering leakage.Diagnosis and treatment bed protective jacket leaves the slot of Radiolucent in bed surface.
Therefore, this utility model is according to the particularity of ERCP operation, after having considered pipe ball sand permeation, acting on human body Radioparent and the radiation pollution factor such as scattered rayss, the method being combined using suspension protective cover and bed protective jacket, strictly will Ray contamination controls the subrange between the X-ray tube head and image amplifier of lead material closing, protects to greatest extent The other operator of bed, and the nimble property and accuracy of staff's interventional procedure do not had any impact, also have simultaneously Structure is simple, feature easy to make, with low cost.

Claims (8)

1. a kind of preventer of the ray equipment for ERCP, for covering image amplifier in ERCP it is characterised in that being somebody's turn to do Device includes:The protective cover that lead material or lead-containing materials cloth are cut out is formed by nylon adhesion bonding;This protective cover sets The surface of radiographic source tube head equipment on beam axle, lifts on the ceiling by suspension apparatus, in the corresponding head of a bed and bed The protective cover lower edge in the direction of tail is designed with semicircle or half elliptic front hole and rear hole.
2. it is used for as claimed in claim 1 the preventer of the ray equipment of ERCP it is characterised in that this front hole and rear hole It is respectively equipped with lead curtain.
3. it is used for the preventer of the ray equipment of ERCP as claimed in claim 1 it is characterised in that this protective cover is pyramid type Or it is cylindrical.
4. the preventer of ray equipment being used for ERCP as claimed in claim 1 is it is characterised in that this suspension apparatus includes steel Silk, pulley and driving means, this suspension apparatus is ceiling mounted.
5. the preventer of ray equipment being used for ERCP as claimed in claim 1 is it is characterised in that this suspension apparatus includes Suspension, steel wire, pulley and driving means lower and that move horizontally, this suspension is ceiling mounted.
6. the preventer of ray equipment being used for ERCP as described in claim 4 or 5 is it is characterised in that this driving means is Motor or rotating handles.
7. the preventer of ray equipment being used for ERCP as claimed in claim 1 is it is characterised in that the side of this protective cover sets It is equipped with circular hole, circular hole arranges lead curtain.
8. the preventer of ray equipment being used for ERCP as claimed in claim 1 is it is characterised in that this preventer also includes Diagnosis and treatment bed surface and the protective jacket of diagnosis and treatment bed side.
CN201620545078.6U 2016-06-06 2016-06-06 Preventer for the ray equipment of ERCP Expired - Fee Related CN205994517U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620545078.6U CN205994517U (en) 2016-06-06 2016-06-06 Preventer for the ray equipment of ERCP

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201620545078.6U CN205994517U (en) 2016-06-06 2016-06-06 Preventer for the ray equipment of ERCP

Publications (1)

Publication Number Publication Date
CN205994517U true CN205994517U (en) 2017-03-08

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201620545078.6U Expired - Fee Related CN205994517U (en) 2016-06-06 2016-06-06 Preventer for the ray equipment of ERCP

Country Status (1)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108742689A (en) * 2018-06-21 2018-11-06 中国人民解放军***总医院 Intervention operation shielding
CN109512454A (en) * 2018-12-14 2019-03-26 杭州市第人民医院 A kind of shielding and its ray bed

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108742689A (en) * 2018-06-21 2018-11-06 中国人民解放军***总医院 Intervention operation shielding
CN108742689B (en) * 2018-06-21 2021-09-03 中国人民解放军***总医院 Radiation-proof device for interventional operation
CN109512454A (en) * 2018-12-14 2019-03-26 杭州市第人民医院 A kind of shielding and its ray bed

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20170308

Termination date: 20210606

CF01 Termination of patent right due to non-payment of annual fee