JP2008092990A - Patient's head fixing device for medical/dental x-ray imaging apparatus, and medical/dental x-ray imaging apparatus using the same - Google Patents

Patient's head fixing device for medical/dental x-ray imaging apparatus, and medical/dental x-ray imaging apparatus using the same Download PDF

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JP2008092990A
JP2008092990A JP2006274817A JP2006274817A JP2008092990A JP 2008092990 A JP2008092990 A JP 2008092990A JP 2006274817 A JP2006274817 A JP 2006274817A JP 2006274817 A JP2006274817 A JP 2006274817A JP 2008092990 A JP2008092990 A JP 2008092990A
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JP4314260B2 (en
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Masanori Otsuka
正則 大塚
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J Morita Manufaturing Corp
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J Morita Manufaturing Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a patient's head fixing device which is used for a medical/dental X-ray imaging apparatus, positions and fixes a patient's head more reliably, and is excellent in operability, and to provide a medical/dental X-ray imaging apparatus using the same. <P>SOLUTION: The patient's head fixing device 9 includes a supporting part 10, a pair of temporal part pressing parts 11, 11 provided on the supporting part 10 for pressing both temporal parts of the patient P, an actuation mechanism part 16 for activating the temporal part pressing parts 11, 11 to press against the temporal parts of the patient P and to cancel the pressing, a biasing means 17 for biasing the actuation mechanism part 16 in the pressing direction, and an operational part 19 for operating the actuation mechanism part 16 in the direction of canceling the pressing to act against the biasing force of the biasing means 17. The X-ray imaging apparatus includes the patient's head fixing device 9. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は、医科歯科用X線撮影装置における患者頭部固定装置の改良とこれを用いた医科歯科用X線撮影装置に関する。   The present invention relates to an improvement of a patient head fixing device in a medical / dental X-ray imaging apparatus and a medical / dental X-ray imaging apparatus using the same.

医科歯科用X線撮影装置としては、パノラマ撮影装置、セファロ撮影装置、CT装置、更にはパノラマ撮影機能とセファロ撮影機能とを備えたX線撮影装置が実用化されている。このような医科歯科用X線撮影装置は、X線発生器と、X線検出器と、これらを対向させて支持する支持手段と、X線発生器及びX線検出器の間に患者の頭部を保持させる為の患者頭部固定装置とを備え、この患者頭部固定装置に患者の頭部を固定保持させた状態で、X線発生器及びX線検出器を作動させ、患者頭部の目的部位(歯列弓、歯牙、顎関節、上顎洞、頚椎、鼻骨等)のX線撮影を行うものである。従って、診断情報として有益な撮影精度の高いX線画像を得る為には、患者の頭部を所定位置に安定的に位置づけさせることが重要であり、他方、この位置づけの為に患者に不快感や不安感を与えないこと、更には、術者或いは補助者がその位置づけを簡易に行えることも重要である。   As medical and dental X-ray imaging apparatuses, a panoramic imaging apparatus, a cephalo imaging apparatus, a CT apparatus, and an X-ray imaging apparatus having a panoramic imaging function and a cephalo imaging function have been put into practical use. Such a medical / dental X-ray imaging apparatus includes an X-ray generator, an X-ray detector, support means for supporting them in opposition to each other, and a patient's head between the X-ray generator and the X-ray detector. A patient head fixing device for holding the head, and operating the X-ray generator and the X-ray detector in a state where the patient head fixing device is fixed and held by the patient head fixing device. X-ray imaging of the target part (dental arch, tooth, temporomandibular joint, maxillary sinus, cervical vertebra, nasal bone, etc.). Therefore, in order to obtain an X-ray image with high imaging accuracy useful as diagnostic information, it is important to stably position the patient's head at a predetermined position. It is also important not to give a sense of anxiety or to allow the operator or assistant to easily perform the positioning.

特許文献1及び特許文献2には、上記のような医科歯科用X線撮影装置における頭部固定装置が開示されている。特許文献1の患者頭部固定装置は、前頭部押さえ若しくはチンレスト、一対の対向する側頭部押え片、後頭部押さえ手段等により構成され、側頭部押え片は左右の移動調整が可能とされ、また、後頭部押さえ手段は、伸縮性のバンド、可撓性のバンド、弾性突片及びばね付勢され垂直面域で揺動可能な押え片等からなる。特許文献2の患者頭部固定装置は、チンレストと側頭部押さえからなり、側頭部押さえは、ダイヤル、ヘリカルギヤ、ラックギヤ等から構成される開閉機構により相互に接近・離反可能に構成され、また、チンレストは支持台内部に設けられた圧縮ばねによりその変位にブレーキがかかるよう構成されている。
実開平5−000110号公報 特開平7−275239号公報
Patent Document 1 and Patent Document 2 disclose a head fixing device in the medical and dental X-ray imaging apparatus as described above. The patient head fixing device of Patent Document 1 includes a forehead press or chin rest, a pair of opposing side presser pieces, a occipital presser means, and the like, and the side presser piece can be adjusted to move left and right. The occipital region pressing means includes an elastic band, a flexible band, an elastic protrusion, and a presser piece that is spring-biased and can swing in a vertical surface area. The patient head fixing device of Patent Document 2 includes a chin rest and a temporal head press, and the temporal head press is configured to be able to approach and separate from each other by an opening / closing mechanism including a dial, a helical gear, a rack gear, and the like. The chin rest is configured so that the displacement is braked by a compression spring provided inside the support base.
Japanese Utility Model Publication No. 5-000110 JP 7-275239 A

上記特許文献1及び特許文献2に開示された患者頭部固定装置における側頭部押さえは、いずれも、術者若しくは補助者が患者の頭部を所定の位置に導入した後、適宜ハンドル操作等によりその位置調整をした上で左右の位置決めをするものであるが、この位置調整作業は少なからず煩わしさを伴うものであった。また、位置調整が不十分であったり、位置調整をし忘れたりすることがあり、その為、X線撮影が失敗し、再撮影によって患者に負担を強いることもあった。更には、調整機構が複雑であり、部品コスト、組立コストがかかるため、その改善が望まれていた。また、特許文献1の患者頭部固定装置における後頭部押さえ手段は、面ファスナーの係止、小孔と突起との係止、ハンドル操作による押え片の揺動等のように術者若しくは補助者に煩わしい作業が求められる上に、これらの作業が不十分になされると、X線の撮影精度が低下することにもなる。   As for the temporal pressing in the patient head fixing device disclosed in Patent Document 1 and Patent Document 2, the operator or an assistant introduces the patient's head to a predetermined position, and then appropriately operates the handle etc. However, this position adjustment work is not a little troublesome. In addition, the position adjustment may be insufficient, or the position adjustment may be forgotten. For this reason, X-ray imaging may fail, and the patient may be burdened by re-imaging. Furthermore, since the adjustment mechanism is complicated and requires parts cost and assembly cost, the improvement has been desired. Further, the occipital region pressing means in the patient head fixing device of Patent Document 1 can be used by an operator or an assistant such as hooking a hook-and-loop fastener, locking a small hole and a protrusion, and swinging a presser piece by a handle operation. In addition to requiring cumbersome operations, if these operations are insufficient, the X-ray imaging accuracy is also reduced.

本発明は、上記に鑑みて為されたものであり、より確実な患者頭部の位置付け固定が可能とされ、且つ操作性の良い医科歯科用X線撮影装置における患者頭部固定装置と、これを用いた医科歯科用X線撮影装置を提供することを目的とする。   The present invention has been made in view of the above, a patient head fixing device in a medical / dental X-ray imaging apparatus capable of more reliable positioning and fixing of the patient's head and good operability, and the same An object of the present invention is to provide a medical / dental X-ray imaging apparatus using the above.

第1の発明に係る医科歯科用X線撮影装置の患者頭部固定装置は、支持部と、該支持部に設けられ患者の両側頭部を押える一対の側頭部押え部と、該側頭部押え部を患者の側頭部に押当させ且つ押当を解除するよう動作させる為の作動機構部と、該作動機構部を押当方向に付勢する付勢手段と、作動機構部を該付勢手段の付勢力に抗して押当解除方向に操作する為の手動操作部とを備えたことを特徴とする。   A patient head fixing device of a medical / dental X-ray imaging apparatus according to a first aspect of the present invention includes a support portion, a pair of temporal head pressing portions that are provided on the support portion and press both sides of the patient, and the temporal head An actuating mechanism for pushing the pressing part against the patient's temporal region and releasing the pushing, an urging means for urging the actuating mechanism in the pushing direction, and an actuating mechanism. And a manual operation unit for operating in the pushing release direction against the urging force of the urging means.

本発明において、前記支持部が、チンレスト及び患者前頭部押え部の少なくともいずれかを更に有し、前記各側頭部押え部は、その先端又は先端近傍に患者の後頭部を押える後頭部押え片を備えているものとすることができる。この場合、前記後頭部押え片は、患者の側頭部より後頭部にかけての形状に略沿った円弧形状とされ、前記側頭部押え部に対して水平面域内で揺動可能に取付けられているものとすることができる。更に、この後頭部押え片は、その後頭部側が常時は互いに離反するよう弾性付勢されているものとすることができる。   In the present invention, the support portion further includes at least one of a chin rest and a patient frontal head pressing portion, and each of the temporal head pressing portions includes a rear head pressing piece for pressing the patient's rear head at or near the front end thereof. It can be provided. In this case, the occipital region pressing piece has an arc shape substantially along the shape from the patient's temporal region to the occipital region, and is attached to the temporal region pressing unit so as to be swingable within a horizontal plane area. can do. Further, the back head pressing piece can be elastically biased so that the back head side is always separated from each other.

また、第2の発明に係る医科歯科用X線撮影装置は、X線発生器と、X線検出器と、これらを対向させて支持する支持手段と、上記X線発生器及びX線検出器の間に患者の頭部を保持させる為の患者頭部固定装置とを備えた医科歯科用X線撮影装置であって、上記患者頭部固定装置が、上記のいずれかの患者頭部固定装置からなることを特徴とする。   A medical / dental X-ray imaging apparatus according to the second invention includes an X-ray generator, an X-ray detector, support means for supporting them in opposition to each other, and the X-ray generator and X-ray detector. A medical and dental X-ray imaging apparatus including a patient head fixing device for holding a patient's head between the patient head fixing device and the patient head fixing device. It is characterized by comprising.

上記第1の発明に係る患者頭部固定装置及び第2の発明に係る医科歯科用X線撮影装置によれば、側頭部押え部を患者の側頭部に押当させ且つ押当を解除するよう動作させる為の作動機構部が、常時は付勢手段によって押当方向に付勢されており、手動操作部によってこの付勢力に抗して押当解除が可能なように構成されているから、この手動操作部を操作するだけで患者頭部の撮影位置への導入が、患者に不快感や不安感を与えることなく円滑になされる。そして、操作部の操作を止め付勢手段による付勢力を解放すると、側頭部押え部は、付勢手段によって押当方向に作動し、患者頭部を両側部より挟むように押えてその位置付け固定が自動的且つ的確になされる。従って、従来のように位置調整が不十分な為に或いは位置調整のし忘れ等によるX線撮影の失敗を招く懸念がなくなる。   According to the patient head fixing device according to the first invention and the medical / dental X-ray imaging device according to the second invention, the temporal pressing part is pressed against the patient's temporal part and the pressing is released. The actuating mechanism for operating is normally urged in the pushing direction by the urging means, and the pushing operation can be released against the urging force by the manual operation unit. Therefore, the introduction of the patient's head into the photographing position can be smoothly performed only by operating the manual operation unit without giving the patient discomfort or anxiety. Then, when the operation of the operation unit is stopped and the urging force by the urging means is released, the temporal head pressing part is operated in the pressing direction by the urging means, and the patient's head is positioned so as to be sandwiched from both sides. Fixing is done automatically and accurately. Accordingly, there is no concern that the X-ray imaging may fail due to insufficient position adjustment as in the past or forgetting to adjust the position.

上記発明において、前記支持部が、チンレスト及び患者前頭部押え部の少なくともいずれかを更に有し、前記各側頭部押え部が、その先端又は先端近傍に患者の後頭部を押える後頭部押え片を備えているものとすれば、後頭部押え片と、チンレスト及び患者前頭部押え部の少なくともいずれかとにより、患者頭部を前後に挟むように固定することができるから、上記側頭部押え部による機能とも相俟って、患者頭部の位置付け固定がより的確になされる。特に、チンレストと後頭部押え片とを組合せた場合、患者頭部に対して前後・左右・上下方向から挟持する力が作用し、より安定した固定がなされる。   In the above invention, the support part further includes at least one of a chin rest and a patient frontal part pressing part, and each of the temporal part pressing parts includes a occipital part pressing piece for pressing the patient's occipital part at or near the front end thereof. If it is provided, it can be fixed so that the patient's head is sandwiched in the front and back by the back head pressing piece and at least one of the chin rest and the patient front head pressing portion. Combined with the function, the patient's head can be positioned and fixed more accurately. In particular, when a chin rest and a back head pressing piece are combined, a force for clamping the patient's head from the front, rear, left, and right directions acts, and more stable fixation is achieved.

この場合、前記後頭部押え片を、患者の側頭部より後頭部にかけての形状に略沿った円弧形状とし、前記側頭部押え部に対して水平面域内で揺動可能に取付け、更には、この後頭部押え片を、その後頭部側が常時は互いに離反するよう弾性付勢された状態とすれば、患者頭部の測定位置への導入及び測定位置からの退出誘導が円滑になされる。特に、後頭部押え片が上記のように円弧形状とされているので患者頭部の形状に適合し易く、しかも、その後頭部側が常時は互いに離反するよう弾性付勢されているので、患者導入の際の妨げとならず、患者導入後は後頭部押え片の側頭部側部分が患者頭部の側頭部に弾接して、上記適合がより確実なものとなる。   In this case, the occipital region pressing piece is formed in an arc shape substantially along the shape from the patient's temporal region to the occipital region, and is attached to the temporal region pressing part so as to be able to swing within a horizontal plane region. If the pressing piece is elastically biased so that the head side is always separated from each other thereafter, introduction of the patient's head into the measurement position and guidance of withdrawal from the measurement position are performed smoothly. In particular, since the back head pressing piece has an arc shape as described above, it is easy to adapt to the shape of the patient's head, and the back side of the head is always elastically biased away from each other. After the patient is introduced, the temporal portion of the occipital region pressing piece elastically contacts the temporal region of the patient's head, so that the above-mentioned adaptation is more reliable.

以下、本発明の最良の形態について図面に基づき説明する。図1は本発明の医科歯科用X線撮影装置の一例としての歯科用X線撮影装置の正面図、図2は同歯科用X線撮影装置に採用される患者頭部固定装置の平面図、図3は同患者頭部固定装置における側頭部押え部の作動機構部を示す図、図4(a)(b)は同患者頭部固定装置における後頭部押え片の動作状態を示す図、図5(a)(b)は同患者頭部固定装置による患者頭部の位置付け固定の要領を示す図、図6及び図7は患者頭部固定装置における側頭部押え部の作動機構部の他の実施形態を示す図3と同様図である。   Hereinafter, the best mode of the present invention will be described with reference to the drawings. FIG. 1 is a front view of a dental X-ray imaging apparatus as an example of the medical / dental X-ray imaging apparatus of the present invention, and FIG. 2 is a plan view of a patient head fixing device employed in the dental X-ray imaging apparatus. FIG. 3 is a view showing an operating mechanism portion of a temporal head pressing portion in the patient head fixing device, and FIGS. 4A and 4B are views showing an operating state of a occipital pressing piece in the patient head fixing device. FIGS. 5 (a) and 5 (b) are diagrams showing a procedure for positioning and fixing the patient's head by the patient head fixing device, and FIGS. 6 and 7 show other operating mechanisms of the temporal pressing portion in the patient head fixing device. It is a figure similar to FIG. 3 which shows this embodiment.

図1に示す歯科用X線撮影装置Aは、パノラマ撮影、CT撮影及びセファロ撮影が可能とされるものであり、床面に設置される基台1上に支柱2が立設され、該支柱2に対して昇降機構(不図示)を介して本体3が上下昇降可能に支持されている。該本体3のC字型(側面視して)本体フレーム3aには水平方向のセファロ撮影用アーム4が固設され、その先端にはセファロ撮影用ユニット5が装備されている。該セファロ撮影用ユニット5は、垂直軸周りに回動自在なベース板5aの下面に、患者頭部保持部(耳抑え等を含む)5bを配し、更に該患者頭部保持部5bを挟むようにセファロ撮影用1次スリット5c及びセファロ撮影用X線検出部5dを配して構成されている。   A dental X-ray imaging apparatus A shown in FIG. 1 is capable of panoramic imaging, CT imaging, and cephalometric imaging. A column 2 is erected on a base 1 installed on a floor surface. The main body 3 is supported with respect to 2 through an elevating mechanism (not shown) so as to be movable up and down. A C-shaped (in a side view) body frame 3a of the main body 3 is fixedly provided with a horizontal cephalo photographing arm 4, and a cephalo photographing unit 5 is provided at the tip thereof. The cephalometric imaging unit 5 includes a patient head holding portion (including ear restraints) 5b on the lower surface of a base plate 5a that is rotatable around a vertical axis, and further sandwiches the patient head holding portion 5b. In this way, the cephalometric imaging primary slit 5c and the cephalometric imaging X-ray detector 5d are arranged.

上記本体フレーム3aの上辺部には、逆凹型の旋回アーム(支持手段)6が吊持され、該旋回アーム6は、本体フレーム3aあるいは旋回アーム6自身に内蔵された回転テーブル及びX−Yテーブル(いずれも不図示)によって水平旋回或いは水平面域での2次元移動が可能とされ、パノラマ撮影あるいはCT撮影時に旋回駆動するよう構成されている。該旋回アーム6は、図例のような形状のものに限らず、リング状であってもよく、また、上記のような水平移動に限らず上下傾動する機能をも備えるものでも良い。該旋回アーム6の一端には、X線発生器7が、他端には該X線発生器7に対向するようX線検出器8が支持されている。X線検出器8の前面には、X線検知センサ基板及び2次スリット板(いずれも不図示)をユニット化したカセットユニット8aが装着されている。該カセットユニット8aを着脱可能とし、セファロ撮影用X線検出部5dに代えてセファロ撮影用ユニット5に装着可能とすることで、パノラマ撮影、CT撮影、及びセファロ撮影におけるX線検出器を共通化した構成としても良い。そして、このX線発生器7及びX線検出器8の間には、患者の頭部を保持する患者頭部固定装置9が配設されている。以下、上記構成のX線撮影装置Aを基に実施の形態を説明するが、本願発明に係る患者頭部固定装置は、例えば、旋回アーム6に代えて基台1の周囲に回転盤(不図示)を設け、回転盤より上方へ延設された支持アーム(不図示)の先端にX線発生器7とX線検出器8とを対向させて設けたX線撮影装置など、様々な実施態様に適用可能であることは、言うまでもない。   A reverse-recessed swivel arm (support means) 6 is suspended from the upper side of the main body frame 3a. The swivel arm 6 includes a rotary table and an XY table built in the main body frame 3a or the swivel arm 6 itself. (Both not shown) enables horizontal turning or two-dimensional movement in a horizontal plane area, and is configured to be driven to turn during panoramic imaging or CT imaging. The swivel arm 6 is not limited to the shape shown in the figure, but may be a ring shape, or may be provided with a function of tilting up and down without being limited to the horizontal movement as described above. An X-ray generator 7 is supported at one end of the swivel arm 6, and an X-ray detector 8 is supported at the other end so as to face the X-ray generator 7. A cassette unit 8a in which an X-ray detection sensor substrate and a secondary slit plate (both not shown) are unitized is mounted on the front surface of the X-ray detector 8. The cassette unit 8a can be attached and detached, and can be attached to the cephalo imaging unit 5 in place of the cephalo imaging x-ray detector 5d, so that the X-ray detector can be shared in panoramic imaging, CT imaging, and cephalo imaging. It is good also as the structure which carried out. Between the X-ray generator 7 and the X-ray detector 8, a patient head fixing device 9 for holding the patient's head is disposed. Hereinafter, an embodiment will be described based on the X-ray imaging apparatus A having the above-described configuration. For example, the patient head fixing apparatus according to the present invention may be a rotating disk (non-rotating plate) around the base 1 instead of the swivel arm 6. Various implementations such as an X-ray imaging apparatus provided with an X-ray generator 7 and an X-ray detector 8 facing each other at the tip of a support arm (not shown) extending upward from the rotating disk Needless to say, this is applicable to the embodiment.

図1及び図2に基づけば、頭部固定装置9は、上記本体フレーム3aの下辺部を構成する支持台(支持部)10と、該支持台10に左右接近・離反可能に設けられた左右一対の側頭部押え部11,11と、該支持台10上に設けられたチンレスト12と、本体フレーム3aの上辺部より垂下された患者前頭部押え部13等により構成される。各側頭部押え部11の先端部には、患者の側頭部より後頭部にかけての形状に略沿った円弧形状の後頭部押え片14が水平面域内で揺動可能に取付けられ、該後頭部押え片14の後頭部側14Aは、後記する弾性部材14aによって互いに離反するよう弾性付勢された状態とされている(図4参照)。本体フレーム3aの垂直面部にはミラー3bが設置され、また、支持台10の下面には基台1上に立つ患者が把持するハンドル3cが設けられている。   1 and 2, the head fixing device 9 includes a support base (support part) 10 that constitutes the lower side of the main body frame 3a, and a left and right side provided on the support base 10 so as to be able to approach and separate from each other. A pair of temporal head pressing portions 11, 11, a chin rest 12 provided on the support base 10, a patient front head pressing portion 13 suspended from the upper side portion of the main body frame 3 a, and the like. An arc-shaped occipital retainer piece 14 is attached to the distal end of each temporal retainer portion 11 so as to be able to swing in a horizontal plane region, and is substantially slidable along the shape from the patient's temporal region to the occipital region. The rear head side 14A is elastically biased so as to be separated from each other by an elastic member 14a described later (see FIG. 4). A mirror 3b is installed on the vertical surface of the main body frame 3a, and a handle 3c that is held by a patient standing on the base 1 is provided on the lower surface of the support base 10.

次に、上記側頭部押え部11,11を左右接近・離反させる為の機構、即ち、側頭部押え部11,11を患者の側頭部に押当させ且つ押当を解除させる為の作動機構部16について説明する。図3は上記支持台10のカバーケース(不図示)を取外した状態を示しており、同図において、上記支持台10のベースプレート10a上には、その略中央部に十字状の作動板18が前後方向に摺動可能に設置されている。尚、前後方向とは図3における上下方向を意味し、以後の記載も同様とする。この作動板18は、その後端部と支持台10の後壁部との間に張架された引張ばね(付勢手段)17によって図示矢印aのように後方(支柱2側)に弾力付勢されている。この作動板18上には、前後方向に延びるラックギヤ18aが固設され、このラックギヤ18aには、支持台10の側部に突出する回動操作ノブ(操作部)19に同心的に連結されたピニオンギヤ19aが噛合している。作動板18の横向板部には上記摺動方向に対して45°の角度をなす一対のガイド溝18b,18bが逆ハの字状に形成されている。   Next, a mechanism for moving the temporal presser portions 11 and 11 toward and away from each other, that is, for pressing the temporal presser portions 11 and 11 against the patient's temporal region and releasing the pressing. The operation mechanism unit 16 will be described. FIG. 3 shows a state in which the cover case (not shown) of the support base 10 has been removed. In FIG. 3, a cross-shaped operation plate 18 is formed on the base plate 10a of the support base 10 at a substantially central portion thereof. It is installed to be slidable in the front-rear direction. In addition, the front-back direction means the up-down direction in FIG. 3, and the following description is also the same. The actuating plate 18 is elastically biased rearward (in the column 2 side) as indicated by an arrow a by a tension spring (biasing means) 17 stretched between the rear end portion and the rear wall portion of the support base 10. Has been. A rack gear 18 a extending in the front-rear direction is fixed on the operation plate 18, and the rack gear 18 a is concentrically connected to a rotation operation knob (operation unit) 19 protruding from the side of the support base 10. The pinion gear 19a is meshed. A pair of guide grooves 18b, 18b, which form an angle of 45 ° with respect to the sliding direction, are formed in a reverse C shape on the lateral plate portion of the working plate 18.

上記ベースプレート10a上には2本の平行なスライド棒20,20が横向き(作動板18の摺動方向に直交する方向)に横架され、このスライド棒20,20に、側頭部押え部11,11を支持する左右一対の支持基板21,21が左右摺動可能に支持されている。両支持基板21,21の下面にはガイドピン21a,21aが突設され、該ガイドピン21a,21aは、上記作動板18のガイド溝18b,18bにその長手方向に沿って摺接可能に嵌挿されている。両支持基板21,21の前端部は支持台10の前方に突出し、結合部材21b,21bを介してやや前方傾斜状態で支持棒11a,11aが立設され、この支持棒11a,11aの上端に湾曲形状の患者側頭部押え部11,11が互いに向き合うように固設されている。   On the base plate 10a, two parallel slide bars 20, 20 are horizontally mounted (in a direction perpendicular to the sliding direction of the operating plate 18), and the side head pressing portion 11 is mounted on the slide bars 20, 20. , 11 is supported so as to be slidable left and right. Guide pins 21a and 21a project from the lower surfaces of the support substrates 21 and 21, and the guide pins 21a and 21a are fitted in the guide grooves 18b and 18b of the operating plate 18 so as to be slidable along the longitudinal direction thereof. It is inserted. The front end portions of both the support substrates 21 and 21 protrude forward of the support base 10, and support rods 11a and 11a are erected in a slightly forward inclined state via the coupling members 21b and 21b, and are formed at the upper ends of the support rods 11a and 11a. The curved patient-side head pressing portions 11 and 11 are fixed so as to face each other.

上記側頭部押え部11,11の先端部には、連結ピン11b,11bを介し、後頭部押え片14,14が該連結ピン11b,11b回りに水平面域内で揺動可能に取付けられている。後頭部押え片14,14は、上記のように、患者の側頭部から後頭部にかけての形状に略沿った円弧形状とされ、その略中央部で上記連結ピン11b,11bによって連結支持されている。上記弾性部材14aは、樹脂製薄板(厚さ0.5mm程度)等からなり、図4(a)(b)に示すように、一端がビス11cによって連結ピン11bに固定され、他端側が後頭部押え片14の内壁に弾接するよう屈曲した状態で組み込まれている。   Rear head pressing pieces 14 and 14 are attached to the front end portions of the side head pressing portions 11 and 11 via connecting pins 11b and 11b so as to be swingable around the connecting pins 11b and 11b in a horizontal plane area. As described above, the occipital region pressing pieces 14 and 14 have an arc shape that substantially conforms to the shape from the patient's temporal region to the occipital region, and are connected and supported by the connection pins 11b and 11b at substantially the center thereof. The elastic member 14a is made of a thin resin plate (thickness of about 0.5 mm) or the like, and as shown in FIGS. 4 (a) and 4 (b), one end is fixed to the connecting pin 11b by a screw 11c and the other end side is the back of the head. It is assembled in a bent state so as to elastically contact the inner wall of the presser piece 14.

上記のような構成の患者頭部固定装置9による患者頭部の位置付け固定要領について、図5(a)(b)をも参照して説明する。図3において操作ノブ19を矢印b方向に回動操作すると、ピニオンギヤ19aとラック18aとの噛合によって、作動板18は引張ばね17の引張弾力に抗して反a方向に摺動する。この作動板18の反a方向への摺動に伴い、ガイド溝18b、18b内をガイドピン21a,21aが相対摺接する。この相対摺接によって、作動板18の前後方向の動作が支持基板21,21の横方向への運動に変換され、支持基板21,21がスライド棒20,20に沿って互いに離反する方向に摺動する。図3及び図5(a)は、支持基板21,21が最も離反した状態であって、側頭部押え部11,11の間隔が最も大きく開いた状態となっていることを示している。また、後頭部押え片14,14は、上記弾性部材14a,14aの復元弾力により、その後頭部側14A,14A(連結ピン11bによる支持部より先側)が互いに離反し、大きく開いた状態となっている。   The procedure for positioning and fixing the patient's head by the patient's head fixing device 9 configured as described above will be described with reference to FIGS. 5 (a) and 5 (b). In FIG. 3, when the operation knob 19 is rotated in the direction of arrow b, the operating plate 18 slides in the anti-a direction against the tensile elasticity of the tension spring 17 due to the engagement between the pinion gear 19 a and the rack 18 a. As the operating plate 18 slides in the direction opposite to the a-direction, the guide pins 21a and 21a are in relative sliding contact with the guide grooves 18b and 18b. By this relative sliding contact, the longitudinal movement of the operating plate 18 is converted into the lateral movement of the support substrates 21, 21, and the support substrates 21, 21 are slid along the slide bars 20, 20 in directions away from each other. Move. 3 and 5A show that the support substrates 21 and 21 are most distant from each other, and the space between the temporal pressing portions 11 and 11 is the largest. Further, the back head pressing pieces 14 and 14 are in a state of being largely opened due to the back head sides 14A and 14A (front side of the support portion by the connecting pin 11b) being separated from each other by the restoring elasticity of the elastic members 14a and 14a. Yes.

この状態で、図5(a)に示すよう、患者Pの頭部を白抜矢示のように開いた側頭部押え部11,11間に導入し、患者Pの顎をチンレスト12上に載せ、更には前頭部押え部13(図1参照)に患者Pの前頭部を宛がった上で、操作ノブ19の操作力を緩め、引張ばね17の復元弾力により作動板18を矢印a方向(図3参照)へ後退させる。この作動板18の後退動作に伴い、ガイドピン21a,21aが上記とは逆の方向にガイド溝18b,18bを摺接し、これに伴い支持基板21,21はスライド棒20,20に沿って互いに接近する方向に摺動する。従って、側頭部押え部11,11も患者Pの両側頭部に押当する方向に動作し、押当がなされた時点で操作ノブ17を手離すと側頭部押え部11,11が患者Pの両側頭部に弾性押当し、患者頭部の左右の位置付け固定がなされる。このように患者頭部の左右の位置付け固定は、操作ノブ19を回動操作した後に手離すだけで簡易且つ的確になされる。   In this state, as shown in FIG. 5 (a), the head of the patient P is introduced between the temporal pressing portions 11 and 11 opened as indicated by white arrows, and the jaw of the patient P is placed on the chin rest 12. Further, after the frontal head of the patient P is applied to the forehead presser 13 (see FIG. 1), the operating force of the operating knob 19 is loosened, and the operating plate 18 is moved by the restoring elasticity of the tension spring 17. Retract in the direction of arrow a (see FIG. 3). As the operating plate 18 moves backward, the guide pins 21a and 21a slide in contact with the guide grooves 18b and 18b in the opposite direction, and the support substrates 21 and 21 move along the slide bars 20 and 20 with each other. Slide in the approaching direction. Accordingly, the temporal pressing portions 11 and 11 also operate in the direction of pressing against both heads of the patient P, and when the operation knob 17 is released when the pressing is performed, the temporal pressing portions 11 and 11 The left and right positioning of the patient's head is fixed by elastic pressing against both sides of P. In this way, the right and left positioning and fixing of the patient's head can be simply and accurately performed by simply releasing the operation knob 19 after turning it.

上記患者Pの導入の際、後頭部押え片14,14の側頭部側14B、14B(連結ピン11bによる支持部より後側)が互いに接近した状態となっているから、患者Pの側頭部によって側頭部側14B、14Bが押し広げられ、これにより連結ピン11b,11bを支点として後頭部側14A、14Aが弾性部材14a,14aの屈曲変形を伴い、閉じるように患者Pの後頭部にフィットした状態で当接し、図5(b)に示す状態となる。従って、後頭部押え片14,14による患者Pの後頭部の当接と、前記チンレスト12及び前頭部押え部13に対する位置付けとにより、患者頭部の前後方向及び上下方向の位置付けも的確になされる。この状態で旋回アーム6を旋回作動させ、また必要に応じて水平面域での2次元移動を組み合わせ、X線発生器7及びX線検出器8を作動させることによって、患者Pの全顎パノラマ撮影やCT撮影等の目的のX線撮影を精度良く実施することができる。   When the patient P is introduced, the temporal regions 14B and 14B of the back head pressing pieces 14 and 14 (the rear side from the support portion by the connecting pin 11b) are close to each other. The side heads 14B and 14B are pushed and spread by this, and the back heads 14A and 14A are fitted to the back of the head of the patient P so as to be closed with the bending deformation of the elastic members 14a and 14a with the connecting pins 11b and 11b as fulcrums. It contacts in a state and it will be in the state shown in FIG.5 (b). Accordingly, the patient head is positioned in the front-rear direction and the vertical direction by the contact of the back of the patient P with the back head pressing pieces 14 and 14 and the positioning with respect to the chin rest 12 and the front head pressing portion 13. In this state, the swivel arm 6 is swung, and if necessary, two-dimensional movement in a horizontal plane area is combined, and the X-ray generator 7 and the X-ray detector 8 are operated, so that panoramic imaging of the patient P is performed. And X-ray imaging for the purpose such as CT imaging can be performed with high accuracy.

撮影終了後、患者Pを退出させる際は、操作ノブ19を上記と同様矢印b方向に回動操作し、側頭部押え部11,11を患者Pの側頭部から離して押当を解除させると、後頭部押え片14,14も患者Pの頭部から離れる。これにより、後頭部押え片14,14が、屈曲された弾性部材14a,14aの復元弾力により、図4(b)の矢印c方向に旋回揺動して図4(a)の状態に戻る。従って、図3或いは図5(a)に示すように側頭部押え部11,11が開き、後頭部押え片14,14の後頭部側14A,14Aも開いた状態とされるから、患者Pは何ら不快感を伴うことなく撮影位置から退出することができる。   When the patient P is withdrawn after the photographing is finished, the operation knob 19 is rotated in the direction of the arrow b in the same manner as described above, and the temporal pressing portions 11 and 11 are separated from the temporal region of the patient P to release the pressing. Then, the back head pressing pieces 14 and 14 are also separated from the patient P's head. As a result, the back head pressing pieces 14 and 14 are swung in the direction of arrow c in FIG. 4B and returned to the state in FIG. 4A due to the restoring elasticity of the bent elastic members 14a and 14a. Accordingly, as shown in FIG. 3 or FIG. 5 (a), the temporal head pressing portions 11 and 11 are opened, and the occipital side pressing pieces 14 and 14 are also opened. It is possible to leave the shooting position without causing discomfort.

図6は、患者頭部固定装置9の他の実施形態を示し、側頭部押え部11,11を患者の側頭部に押当させ且つ押当を解除させる為の作動機構部16を、押当方向に付勢する為の付勢手段が上記実施形態と異なる。即ち、この場合の付勢手段17は、作動板18の後端に連結されたワイヤ(或いは紐)17aと、滑車17bを介して該ワイヤ17aの先端に吊持された錘17cとよりなる。滑車17b及び錘17cは、支柱2内に設けられる。錘17cによって、作動板18には常時矢印a方向に付勢力が付加される。その他の構成は上記と同様とされるから、操作ノブ19の矢印b方向への回動操作により上記同様作動板18の前方への摺動がなされ、側頭部押え部11,11及び後頭部押え片14,14は上記と同様に動作して、患者頭部の導入・退出が可能とされる。そして、操作ノブ19の操作停止と手離しにより患者頭部の位置付け固定が上記同様に的確になされる。尚、上記実施形態と共通するその他の部分には同一の符号を付し、その説明は割愛する。   FIG. 6 shows another embodiment of the patient head fixing device 9, and an operating mechanism portion 16 for pressing the temporal pressing portions 11, 11 against the patient's temporal region and releasing the pressing, The biasing means for biasing in the pushing direction is different from that in the above embodiment. That is, the urging means 17 in this case includes a wire (or string) 17a connected to the rear end of the operating plate 18, and a weight 17c suspended from the tip of the wire 17a via a pulley 17b. The pulley 17 b and the weight 17 c are provided in the column 2. The urging force is always applied to the operation plate 18 in the direction of the arrow a by the weight 17c. Since the other configuration is the same as described above, the operation plate 18 is slid forward by the rotation operation of the operation knob 19 in the direction of the arrow b, and the side head pressing portions 11 and 11 and the back head pressing are performed. The pieces 14 and 14 operate in the same manner as described above, so that the patient's head can be introduced and withdrawn. Then, the positioning and fixing of the patient's head is accurately performed as described above by stopping the operation knob 19 and releasing it. In addition, the same code | symbol is attached | subjected to the other part which is common in the said embodiment, and the description is omitted.

図7は、患者頭部固定装置9の更に他の実施形態を示し、側頭部押え部11,11を患者の側頭部に押当させ且つ押当を解除させる為の作動機構部16を、押当方向に付勢する為の付勢手段が上記実施形態と異なる。即ち、この場合の付勢手段17は、支持基板21,21間に張架された引張ばねによりなり、この引張ばね17によって支持基板21,21は互いに接近する方向(矢印d方向)に弾力付勢されている。その他の構成は上記と同様であり、従って、操作ノブ19の矢印b方向への回動操作により作動板18の前方への摺動がなされ、支持基板21,21が上記付勢弾力に抗して互いに離反するよう動作する。これにより側頭部押え部11,11及び後頭部押え片14,14が上記と同様に動作して、患者頭部の導入・退出が可能とされる。また、操作ノブ19の操作停止と手離しにより、上記同様患者頭部の位置付け固定が的確になされる。尚、上記実施形態と共通するその他の部分には同一の符号を付し、ここでもその説明は割愛する。   FIG. 7 shows still another embodiment of the patient head fixing device 9, and an operation mechanism portion 16 for pressing the temporal pressing portions 11, 11 against the temporal region of the patient and releasing the pressing. The urging means for urging in the pushing direction is different from the above embodiment. In other words, the urging means 17 in this case is constituted by a tension spring stretched between the support substrates 21 and 21, and the support substrates 21 and 21 are elastically applied by the tension spring 17 in a direction in which they approach each other (arrow d direction). It is energized. The rest of the configuration is the same as described above. Therefore, the operating plate 18 is slid forward by the turning operation of the operation knob 19 in the direction of the arrow b, and the support substrates 21 and 21 resist the biasing elasticity. To move away from each other. As a result, the temporal head pressing portions 11 and 11 and the back head pressing pieces 14 and 14 operate in the same manner as described above, so that the patient's head can be introduced and withdrawn. Further, the positioning and fixing of the patient's head can be accurately performed by stopping and releasing the operation knob 19 as described above. In addition, the same code | symbol is attached | subjected to the other part which is common in the said embodiment, and the description is omitted here.

尚、セファロ撮影用ユニット5の患者頭部保持部5bにも上記患者頭部固定装置9を適用することができる。また、図1ではチンレスト12及び前頭部押え部13を備えた例を示しているが、これらはどちらか一方のみでも良く、またこれらの代わりに鼻下点を押さえる構成を採用しても良い。更に、側頭部押え部11,11は、旋回アーム6の旋回基部を支持部として、下方に延びるよう構成しても良い。加えて、付勢手段17としては、上記実施形態以外に、例えば、支持基板21,21とベースプレート10aの側壁との間に一対の圧縮ばねを介在させること、支持基板21,21間を紐等で繋ぎその中央に錘を取付けること、更にはばね以外の弾性体により上記と同様の付勢弾力を付加させること等、種々の手段が採用可能である。また、付勢手段17の付勢力に抗して側頭部押え部11を互いに離反させる操作部として、操作ノブ19を例に上記実施形態を説明したが、操作ノブに限らず、例えば操作スイッチでモータ(いずれも不図示)を駆動し、そのモータの駆動によって側頭部押え部11を互いに離反させるといった構成も採用可能であり、このような構成の場合、操作スイッチは手押し式とすることもでき、足踏み式フートスイッチとすることもできる。   The patient head fixing device 9 can also be applied to the patient head holding part 5b of the cephalo imaging unit 5. Moreover, although the example provided with the chin rest 12 and the frontal part pressing part 13 is shown in FIG. 1, these may be only one, and the structure which presses down a nose point may be employ | adopted instead of these. . Further, the side head pressing portions 11 and 11 may be configured to extend downward with the turning base portion of the turning arm 6 as a support portion. In addition, as the biasing means 17, in addition to the above embodiment, for example, a pair of compression springs are interposed between the support substrates 21 and 21 and the side wall of the base plate 10 a, and a string or the like is provided between the support substrates 21 and 21. Various means can be employed, such as connecting with a weight and attaching a weight to the center thereof, and applying an urging elastic force similar to the above by an elastic body other than a spring. Further, the above embodiment has been described by taking the operation knob 19 as an example of the operation unit that separates the temporal pressing portions 11 from each other against the urging force of the urging means 17, but is not limited to the operation knob. It is also possible to employ a configuration in which a motor (none of which is not shown) is driven and the temporal pressing portions 11 are separated from each other by driving the motor. In such a configuration, the operation switch is a hand-push type. It can also be a foot-operated foot switch.

本発明の医科歯科用X線撮影装置の一例としての歯科用X線撮影装置の正面図である。1 is a front view of a dental X-ray imaging apparatus as an example of a medical and dental X-ray imaging apparatus of the present invention. 同歯科用X線撮影装置に採用される患者頭部固定装置の平面図である。It is a top view of a patient head fixing device adopted for the dental X-ray imaging apparatus. 同患者頭部固定装置における側頭部押え部の作動機構部を示す図である。It is a figure which shows the action | operation mechanism part of the temporal part pressing part in the patient head fixing device. (a)(b)は同患者頭部固定装置における後頭部押え片の動作状態を示す図である。(A) (b) is a figure which shows the operation state of the back head pressing piece in the patient head fixing device. (a)(b)は同患者頭部固定装置による患者頭部の位置付け固定の要領を示す図である。(A) and (b) are figures which show the point of the positioning fixation of the patient's head by the patient head fixing device. 患者頭部固定装置における側頭部押え部の作動機構部の他の実施形態を示す図3と同様図である。It is the same figure as FIG. 3 which shows other embodiment of the action | operation mechanism part of the temporal part pressing part in a patient's head fixing device. 患者頭部固定装置における側頭部押え部の作動機構部の更に他の実施形態を示す図3と同様図である。It is the same figure as FIG. 3 which shows other embodiment of the action | operation mechanism part of the temporal part pressing part in a patient's head fixing device.

符号の説明Explanation of symbols

6 旋回アーム(支持手段)
7 X線発生器
8 X線検出器
9 患者頭部固定装置
11 側頭部押え部
12 チンレスト
13 前頭部押え部
14 後頭部押え片
14A 後頭部押え片の後頭部側
16 作動機構部
17 付勢手段
19 操作ノブ(操作部)
A (医科)歯科用X線撮影装置
P 患者
6 Rotating arm (supporting means)
7 X-ray generator 8 X-ray detector 9 Patient head fixing device 11 Side head pressing portion 12 Chin rest 13 Front head pressing portion 14 Rear head pressing piece 14A Rear head pressing piece rear head side 16 Actuation mechanism portion 17 Energizing means 19 Operation knob (operation unit)
A (Medical) Dental X-ray system P Patient

Claims (5)

支持部と、該支持部に設けられ患者の両側頭部を押える一対の側頭部押え部と、該側頭部押え部を患者の側頭部に押当させ且つ押当を解除するよう動作させる為の作動機構部と、該作動機構部を押当方向に付勢する付勢手段と、作動機構部を該付勢手段の付勢力に抗して押当解除方向に操作する為の操作部とを備えたことを特徴とする医科歯科用X線撮影装置の患者頭部固定装置。   A support portion, a pair of temporal pressing portions that are provided on the supporting portion and press the patient's both side heads, and that the temporal pressing portion is pressed against the patient's temporal region and the pressing is released. An operation mechanism for biasing, an urging means for urging the actuation mechanism in the pushing direction, and an operation for operating the actuation mechanism in the pushing release direction against the urging force of the urging means A patient head fixing device of a medical / dental X-ray imaging apparatus. 請求項1に記載の医科歯科用X線撮影装置の患者頭部固定装置において、
前記支持部は、チンレスト及び患者前頭部押え部の少なくともいずれかを更に有し、前記各側頭部押え部は、その先端又は先端近傍に患者の後頭部を押える後頭部押え片を備えていることを特徴とする医科歯科用X線撮影装置の患者頭部固定装置。
In the patient head fixing device of the medical / dental X-ray imaging apparatus according to claim 1,
The support part further includes at least one of a chin rest and a patient frontal pressing part, and each of the temporal pressing parts includes a occipital pressing piece for pressing the patient's occipital area at or near the front end thereof. A patient head fixing device of a medical / dental X-ray imaging apparatus.
請求項2に記載の医科歯科用X線撮影装置の患者頭部固定装置において、
前記後頭部押え片は、患者の側頭部より後頭部にかけての形状に略沿った円弧形状とされ、前記側頭部押え部に対して水平面域内で揺動可能に取付けられていることを特徴とする医科歯科用X線撮影装置の患者頭部固定装置。
In the patient head fixing device of the medical / dental X-ray imaging apparatus according to claim 2,
The occipital region pressing piece has an arc shape substantially along the shape from the patient's temporal region to the occipital region, and is attached to the temporal region pressing part so as to be able to swing within a horizontal plane area. Patient head fixing device for medical and dental X-ray imaging apparatus.
請求項3に記載の医科歯科用X線撮影装置の患者頭部固定装置において、
前記後頭部押え片は、その後頭部側が常時は互いに離反するよう弾性付勢された状態とされていることを特徴とする医科歯科用X線撮影装置の患者頭部固定装置。
In the patient head fixing device of the medical / dental X-ray imaging apparatus according to claim 3,
A patient head fixing device of a medical / dental X-ray imaging apparatus, wherein the back head pressing piece is elastically biased so that the rear head side is always separated from each other.
X線発生器と、X線検出器と、これらを対向させて支持する支持手段と、上記X線発生器及びX線検出器の間に患者の頭部を保持させる為の患者頭部固定装置とを備えた医科歯科用X線撮影装置であって、
上記患者頭部固定装置が、請求項1乃至請求項4のいずれかに記載された患者頭部固定装置からなることを特徴とする医科歯科用X線撮影装置。
X-ray generator, X-ray detector, support means for supporting them in opposition, and patient head fixing device for holding the patient's head between the X-ray generator and the X-ray detector A medical and dental X-ray imaging apparatus comprising:
A medical / dental X-ray imaging apparatus, wherein the patient head fixing apparatus comprises the patient head fixing apparatus according to any one of claims 1 to 4.
JP2006274817A 2006-10-06 2006-10-06 Patient head fixing device for medical / dental X-ray imaging apparatus and medical / dental X-ray imaging apparatus using the same Active JP4314260B2 (en)

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