TWI571254B - Medical device for use in radiotherapy - Google Patents
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Description
本發明是有關於一種醫療輔助裝置，且特別是有關於一種應用於放射治療領域的醫療輔助裝置。The present invention relates to a medical aid, and more particularly to a medical aid used in the field of radiation therapy.
放射治療主要係利用高能量的放射線毒殺癌細胞誘發細胞死亡，故，只要接收到高能量的放射線無論是正常細胞或癌細胞皆會受到破壞。因此，放射治療的過程中需準確定位個體接受放射線照射的範圍，以提高治療效率並避免副作用的發生。然而，在放射治療過程中，因個體的呼吸作用導致腫瘤會因為呼吸造成橫隔膜上升或下降造成腫瘤位移，其中又以個體頭腳向(SI向)的位移量最大，此一現象對於肺、肝腫瘤進行放射治療的影響最為嚴重，往往造成腫瘤脫靶，使得治療靶體積的體積將擴大造成周遭正常組織與器官的放射照射量增加。Radiation therapy mainly uses high-energy radiation to kill cancer cells to induce cell death. Therefore, as long as high-energy radiation is received, normal cells or cancer cells will be destroyed. Therefore, in the process of radiotherapy, it is necessary to accurately locate the range of radiation exposure of an individual to improve the treatment efficiency and avoid side effects. However, during the course of radiation therapy, the tumor may be displaced due to the increase or decrease of the diaphragm due to the respiratory action of the individual, and the displacement of the individual's head and foot (SI direction) is the largest. This phenomenon is for the lungs, Radiation therapy of liver tumors is the most serious, often resulting in tumor off-target, so that the volume of the treatment target volume will be enlarged to cause an increase in the radiation exposure of normal tissues and organs around.
為解決上述問題，目前先前技術已有多種補償呼吸位移的方法，分別為移動包圍法(Motion-encompassing methods)、呼吸閘門法(Respiratory gating methods)、呼吸憋氣法(Breath-hold methods)、上腹部壓迫淺式呼吸法(Forced shallow breathing with abdominal compression)和即時腫瘤位置追蹤法(Real-time tumor-tracking methods)。所述移動包圍法使用slow CT或是 4DCT來觀察整體的腫瘤靶區移動範圍，將整個治療靶區給包圍起來，以防止脫靶為目的，但此一方法造成治療靶區範圍較廣，造成副作用的發生。所述呼吸閘門法係利用X射線正交影像或遠紅外線觀察體個體表外胸廓變化，或是在個體體內植入金屬標誌，追踨金屬標誌的移動。當病人呼吸周期停在某一特定相位時才開啟照射。此方法的缺點在於個體僅在特定呼吸相位下才開啟照射，大幅增加照射的總時間，且體表追踨並不代表真正的腫瘤運動軌跡，因此，若個體有不規則呼吸的現象，易造成誤差。呼吸憋氣法同呼吸閘門法需利用X射線正交影像或遠紅外線觀察體表外胸廓變化，或者是在病人體內植入金屬標誌，追踨金屬標誌的移動。此一方法除了同呼吸閘門法的缺點外，亦需要個體配合，較無法準確提升治療效果。上腹部壓迫淺式呼吸法需藉由壓迫板壓迫減少呼吸運動的位移量，需適合的個體才能接受此種治療方式。最後，即時腫瘤位置追蹤法需使用多種影像導引設備及時追蹤腫瘤的位置，同時間精確投射所需的劑量於治療標靶上。即時腫瘤位置追蹤法的缺點是需植入侵內性記號於腫瘤區，施用的設備複雜、昂貴，且施用過程需投予大量人力和時間。In order to solve the above problems, the prior art has various methods for compensating for respiratory displacement, namely, Motion-encompassing methods, Respiratory gating methods, Breath-hold methods, Upper abdomen. Forced shallow breathing with abdominal compression and Real-time tumor-tracking methods. The mobile enclosure method uses slow CT or 4DCT to observe the overall range of tumor target movement, and surrounds the entire treatment target area to prevent off-targeting, but this method results in a wide range of therapeutic target areas, causing side effects. happened. The sluice gate method uses X-ray orthogonal images or far-infrared rays to observe changes in the external thoracic body of the individual body, or implants a metal mark in the individual body to track the movement of the metal mark. Irradiation is turned on when the patient's breathing cycle is stopped at a particular phase. The disadvantage of this method is that the individual only turns on the illumination at a specific respiratory phase, which greatly increases the total time of the irradiation, and the surface tracking does not represent the true tumor trajectory. Therefore, if the individual has irregular breathing, it is easy to cause error. Respiratory hernia method and respiratory sluice method need to use X-ray orthogonal image or far-infrared to observe the external thoracic changes of the body surface, or implant a metal mark in the patient's body to trace the movement of the metal sign. In addition to the shortcomings of the snoring method, this method also requires individual coordination, which is less able to accurately improve the treatment effect. Upper abdominal compression shallow breathing method requires compression of the compression plate to reduce the displacement of respiratory movement, and the appropriate individual can accept this treatment. Finally, instant tumor location tracking requires the use of multiple image-guided devices to track the location of the tumor in time while accurately projecting the desired dose onto the therapeutic target. The shortcoming of the instant tumor location tracking method is that the invasive internal marker needs to be implanted in the tumor area, the equipment applied is complicated and expensive, and the application process requires a large amount of manpower and time.
有鑑於此，目前臨床應用於放射線照射治療的方法皆有其限制，為了改善放射線治療的效率，減少不必要的照射劑量，本領域亟需一種改良的醫療輔助裝置，以改善先前技術的不足。In view of this, the current methods for clinical application of radiation irradiation have their limitations. In order to improve the efficiency of radiation therapy and reduce unnecessary radiation dose, there is a need in the art for an improved medical aid to improve the deficiencies of the prior art.
發明內容旨在提供本揭示內容的簡化摘要，以使閱讀者對本揭示內容具備基本的理解。此發明內容並非本揭示內容的完整概述，且其用意並非在指出本發明實施例的重要/關鍵元件或界定本發明的範圍。SUMMARY OF THE INVENTION The Summary of the Disclosure is intended to provide a basic understanding of the present disclosure. This Summary is not an extensive overview of the disclosure, and is not intended to be an
為解決上述問題，本揭示內容揭示一種醫療輔助裝置，能補償個體因呼吸運動造成體內腫瘤位移，使個體腫瘤能確實位於腫瘤靶區，讓放射治療設備能精確投予適當的放射線治療劑量。另一方面，因本發明醫療輔助裝置的設置，能確實將腫瘤固定於特定的相位上，能避免個體腫瘤周邊正常組織接受不必要的照射劑量。In order to solve the above problems, the present disclosure discloses a medical auxiliary device capable of compensating for an individual's tumor displacement caused by respiratory motion, so that an individual tumor can be surely located in a tumor target area, so that the radiotherapy apparatus can accurately dose an appropriate radiation therapeutic dose. On the other hand, due to the arrangement of the medical auxiliary device of the present invention, it is possible to surely fix the tumor to a specific phase, and it is possible to prevent the normal tissue surrounding the individual tumor from receiving an unnecessary irradiation dose.
本揭示內容為一種協助一個體接受放射治療的醫療輔助裝置。所述醫療輔助裝置用以於一放射治療過程中感測一個體身上至少一標記物的位置而相應地移動個體的治療位置，以讓個體達到最佳的放射治療效果。在結構上，所述醫療輔助裝置包含一基座、一驅動器、一長形活動板和一感測器，其中所述長形活動板設於基座上用以支撐個體的軀體，且與驅動器耦接。感測器是用來偵測至少一標記物於放射治療過程中因個體呼吸所致的位置變化。所述控制器分別與驅動器和感測器電性耦接，用以接收並處理來自感測器基於所述至少一標記物的位置變化訊號而產生一位移訊號。所述驅動器可依據該位移訊號，驅動該長形活動板沿著基座的長度方向前後位移，進而能達成相應地移動該個體的治療位置。The present disclosure is a medical aid that assists a subject in receiving radiation therapy. The medical aid device is configured to sense a position of at least one marker on a body during a radiation therapy and correspondingly move the treatment position of the individual to achieve an optimal radiation therapy effect. Structurally, the medical auxiliary device comprises a base, a driver, an elongated movable plate and a sensor, wherein the elongated movable plate is disposed on the base for supporting the body of the individual, and the driver Coupling. The sensor is used to detect a change in position of at least one marker due to individual breathing during radiotherapy. The controller is electrically coupled to the driver and the sensor, respectively, for receiving and processing a displacement signal generated by the sensor based on the position change signal of the at least one marker. The driver can drive the elongated movable plate to be displaced back and forth along the length direction of the base according to the displacement signal, thereby achieving corresponding movement of the individual treatment position.
在非限制的實施方式中，所述至少一標記物於實際使用過程是放在個體的胸部、腹部或其組合。在一實施方式中，在實際使用過程中，可將二個標記物分別放於個體的胸部和腹部上。In a non-limiting embodiment, the at least one marker is placed on the chest, abdomen, or a combination thereof of the individual during actual use. In one embodiment, two markers can be placed on the chest and abdomen of the individual during actual use.
在可任選的實施方式中，所述感測器是影像感測器或雷射感測器，且與控制器電性耦接。In an optional embodiment, the sensor is an image sensor or a laser sensor and is electrically coupled to the controller.
在一實施方式中，本揭示內容醫療輔助裝置更包含一顯示裝置，與感測器和控制器電性耦接。In an embodiment, the medical aid device of the present disclosure further includes a display device electrically coupled to the sensor and the controller.
依據本揭示內容另一實施方式，本揭示內容之顯示裝置可依據控制器所產生的位移訊號顯示該個體的一呼吸範圍。在另一實施方式中，所述顯示裝置可顯示一憋氣範圍。在一實施方式中，所述顯示裝置可顯示個體的呼吸振幅。According to another embodiment of the present disclosure, the display device of the present disclosure can display a breathing range of the individual according to the displacement signal generated by the controller. In another embodiment, the display device can display a range of helium. In an embodiment, the display device can display an individual's respiratory amplitude.
依據本揭示內容一實施方式，所述感測器更包含一第一支架跨設於長形活動板上，且與感測器耦接。在結構上，第一支架包括二側板和一橫跨件，其中二側板分別沿著長型活動板的長度方向設置，且分別具有一第一溝槽，所述橫跨件沿著長型活動板的寬度方向跨設並橫越該長型活動板，且橫跨件的二側分別與上述二側板的二第一溝槽耦接，其中橫跨件可沿著每一側板的第一溝槽滑動。According to an embodiment of the present disclosure, the sensor further includes a first bracket spanning on the elongated movable panel and coupled to the sensor. Structurally, the first bracket comprises two side plates and a cross member, wherein the two side plates are respectively disposed along the length direction of the long movable plate, and respectively have a first groove, the cross member is along the long type of activity The width direction of the plate spans and traverses the long movable plate, and the two sides of the cross member are respectively coupled to the two first grooves of the two side plates, wherein the cross member is along the first groove of each side plate The slot slides.
依據揭示內容另一實施方式，所述長型活動板上設有二支撐部，分別位於長型活動板的二側且靠近長型活動板的中間處，且每一支撐部上分別設有一第二溝槽用以與第一支架之側板底部耦接。According to another embodiment of the disclosure, the long movable plate is provided with two supporting portions respectively located on two sides of the long movable plate and adjacent to the middle of the long movable plate, and each supporting portion is respectively provided with a first The two grooves are coupled to the bottom of the side plate of the first bracket.
在一非限定的實施方式中，所述控制器包含一增益鈕，其與驅動器電性耦接，用以調整長形活動板的位移量及位移頻率。In a non-limiting embodiment, the controller includes a gain button electrically coupled to the driver for adjusting the displacement amount and the displacement frequency of the elongated movable plate.
在另一實施方式中，本揭示內容之醫療輔助裝置更包含一固定件，設於長形活動板上，用以固定該個體的軀幹。In another embodiment, the medical assist device of the present disclosure further includes a fixing member disposed on the elongated movable plate for fixing the torso of the individual.
在可任選的實施方式中，所述顯示裝置可以是指針型顯示裝置或電子顯示裝置。In an optional embodiment, the display device may be a pointer type display device or an electronic display device.
依據本揭示內容一實施方式，本發明醫療輔助裝置更包含一第二支架，設於驅動器或基座上。另外，為了提升本發明醫療輔助裝置的功效，本發明醫療輔助裝置可包含二感測器，分別設於第一支架和第二支架上。According to an embodiment of the present disclosure, the medical auxiliary device of the present invention further comprises a second bracket disposed on the driver or the base. In addition, in order to improve the efficacy of the medical auxiliary device of the present invention, the medical auxiliary device of the present invention may comprise two sensors, which are respectively disposed on the first bracket and the second bracket.
在參閱下文實施方式後，本發明所屬技術領域中具有通常知識者當可輕易瞭解本發明之基本精神及其他發明目的，以及本發明所採用之技術手段與實施態樣。The basic spirit and other objects of the present invention, as well as the technical means and implementations of the present invention, will be readily apparent to those skilled in the art of the invention.
為了使本揭示內容的敘述更加詳盡與完備，下文針對了本發明的實施態樣與具體實施例提出了說明性的描述；但這並非實施或運用本發明具體實施例的唯一形式。實施方式中涵蓋了多個具體實施例的特徵以及用以建構與操作這些具體實施例的方法步驟與其順序。然而，亦可利用其他具體實施例來達成相同或均等的功能與步驟順序。The description of the embodiments of the present invention is intended to be illustrative and not restrictive. The features of various specific embodiments, as well as the method steps and sequences thereof, are constructed and manipulated in the embodiments. However, other specific embodiments may be utilized to achieve the same or equivalent function and sequence of steps.
雖然用以界定本發明較廣範圍的數值範圍與參數皆是約略的數值，此處已盡可能精確地呈現具體實施例中的相關數值。然而，任何數值本質上不可避免地含有因個別測試方法所致的標準偏差。在此處，「約」通常係指實際數值在一特定數值或範圍的正負10%、5%、1%或0.5%之內。或者是，「約」一詞代表實際數值落在平均值的可接受標準誤差之內，視本發明所屬技術領域中具有通常知識者的考量而定。除了實驗例之外，或除非另有明確的說明，當可理解此處所用的所有範圍、數量、數值與百分比（例如用以描述材料用量、時間長短、溫度、操作條件、數量比例及其他相似者）均經過「約」的修飾。因此，除非另有相反的說明，本說明書與附隨申請專利範圍所揭示的數值參數皆為約略的數值，且可視需求而更動。至少應將這些數值參數理解為所指出的有效位數與套用一般進位法所得到的數值。在此處，將數值範圍表示成由一端點至另一段點或介於二端點之間；除非另有說明，此處所述的數值範圍皆包含端點。Although numerical ranges and parameters are used to define a broad range of values for the present invention, the relevant values in the specific embodiments have been presented as precisely as possible. However, any numerical value inherently inevitably contains standard deviations due to individual test methods. As used herein, "about" generally means that the actual value is within plus or minus 10%, 5%, 1%, or 0.5% of a particular value or range. Alternatively, the term "about" means that the actual value falls within the acceptable standard error of the average, depending on the considerations of those of ordinary skill in the art to which the invention pertains. Except for the experimental examples, or unless otherwise explicitly stated, all ranges, quantities, values, and percentages used herein are understood (eg, to describe the amount of material used, the length of time, the temperature, the operating conditions, the quantity ratio, and the like. Are all modified by "about". Therefore, unless otherwise indicated to the contrary, the numerical parameters disclosed in the specification and the appended claims are intended to be At a minimum, these numerical parameters should be understood as the number of significant digits indicated and the values obtained by applying the general carry method. Ranges of values are expressed herein as being from one endpoint to another or between two endpoints; unless otherwise stated, the numerical ranges recited herein are inclusive.
所述「個體」或「患者」等詞係指可利用本發明提出醫療輔助裝置進行放射治療治療的動物，包含人類。除非特別指明，「個體」或「患者」涵蓋雄性與雌性動物。在一較佳的實施方式中，使用本發明醫療輔助裝置的動物為人類。The terms "individual" or "patient" refer to an animal, including a human, that can be treated with a medical aid by the present invention. Unless otherwise specified, "individual" or "patient" covers both male and female animals. In a preferred embodiment, the animal using the medical aid of the present invention is a human.
所述「放射治療」一詞係指利用放射治療儀器產生的放射線束進行治療。所述放射治療設備包含但不限於，三度空間順形放射治療(3D conformal radiotherapy, 3D-CRT)、強度調控放射治療（Intensity modulated radiotherapy, IMRT）、影像導航放射治療（Image Guided Radiotherapy, IGRT）、螺旋刀(Tomotherapy) 和弧形強度調控放射治療機 (ArcIMRT)等。The term "radiation therapy" refers to the treatment with a radiation beam produced by a radiotherapy apparatus. The radiotherapy apparatus includes, but is not limited to, 3D conformal radiotherapy (3D-CRT), intensity modulated radiotherapy (IMRT), and Image Guided Radiotherapy (IGRT). , Tomotherapy and Arc intensity control radiotherapy (ArcIMRT).
除非本說明書另有定義，此處所用的科學與技術詞彙之含義與本發明所屬技術領域中具有通常知識者所理解與慣用的意義相同。此外，在不和上下文衝突的情形下，本說明書所用的單數名詞涵蓋該名詞的複數型；而所用的複數名詞時亦涵蓋該名詞的單數型。The scientific and technical terms used herein have the same meaning as commonly understood by those of ordinary skill in the art to which the invention pertains, unless otherwise defined herein. In addition, the singular noun used in this specification covers the plural of the noun in the case of no conflict with the context; the plural noun of the noun is also included in the plural noun used.
本發明為一種改良的醫療輔助裝置，用以於一患者接受放射照射以治療腫瘤的過程中，配合因患者呼吸所產生的位移而同步移動患者位置，使得放射照射位置能固定在原規畫好的腫瘤靶區，不致偏移。此一特點能縮減先前技術放射線治療的照射範圍，避免腫瘤治療標的周圍的正常組織受到不必要的放射照射，因此能提升放射治療的準確度及照射效率。The invention is an improved medical auxiliary device for synchronously moving a patient's position in response to a displacement caused by a patient's breathing in a process in which a patient receives radiation irradiation to treat a tumor, so that the radiation irradiation position can be fixed in the original plan. Tumor target area, no offset. This feature can reduce the range of irradiation of prior art radiation therapy, avoid unnecessary radiation exposure of normal tissues around the tumor treatment target, and thus can improve the accuracy and illumination efficiency of radiation therapy.
為達到上述目的，本發明醫療輔助裝置在放射治療過程中，能夠感測一個體身上至少一標記物的位置而相應地移動該個體的治療位置，所述醫療輔助裝置在結構上包括一基座、一長形活動板、一驅動器、一感測器和一控制器。在實際使用的過程中，可將二個標記物分別置放在個體胸部及腹部，再透過能偵測此至少一標記物位置的感測器，而能精確的偵測個體呼吸頻率及幅度，再相應地驅動患者所躺臥的長形活動板移動相應的距離，以抵消患者因自由呼吸造成所欲照射腫瘤脫離預定靶位的影響；此外，亦可藉由本發明醫療輔助裝置，導引個體配合臨床放射治療擬定的呼吸技術方案（例如，呼吸憋氣法），大幅降低個體自由呼吸造成的干擾，以改善習知臨床放射治療準確度不佳的缺陷。In order to achieve the above object, the medical auxiliary device of the present invention can sense the position of at least one marker on a body and correspondingly move the treatment position of the individual during the radiation therapy, and the medical auxiliary device includes a base structurally. , an elongated movable plate, a drive, a sensor and a controller. In the actual use process, the two markers can be placed on the chest and the abdomen of the individual, and then the sensor can detect the position of the at least one marker, and the respiratory rate and amplitude of the individual can be accurately detected. Correspondingly, the long movable plate lying on the patient is moved to move the corresponding distance to offset the influence of the patient's intended irradiation of the tumor to the predetermined target position due to free breathing; in addition, the individual can be guided by the medical aid device of the present invention. In combination with clinical radiation therapy proposed respiratory technology (for example, respiratory hernia), the interference caused by free breathing of individuals is greatly reduced to improve the defects of poor clinical radiotherapy accuracy.
第1A圖為依據本發明一實施方式所示之本發明醫療輔助系統101的架構圖，其包含一醫療輔助裝置100及一與此醫療輔助裝置100彼此無線連接的計算機裝置169。使用者(如醫師或臨床操作人員)可藉由此計算機裝置169來操控該醫療輔助裝置100的移動量，進而改善腫瘤標靶治療中腫瘤脫靶的現象。適合的計算機裝置169可以是例如，電腦、個人數位助理（Personal Digital Assistant）、智慧型手機或穿戴式裝置（如，智慧型眼鏡或智慧型手錶）等。1A is a block diagram of a medical assistance system 101 of the present invention shown in accordance with an embodiment of the present invention, including a medical assistance device 100 and a computer device 169 that is wirelessly coupled to the medical assistance device 100. The user (such as a physician or a clinical operator) can manipulate the amount of movement of the medical assist device 100 by the computer device 169, thereby improving the phenomenon of tumor off-target in tumor target treatment. A suitable computer device 169 can be, for example, a computer, a Personal Digital Assistant, a smart phone, or a wearable device (eg, smart glasses or smart watches).
在另一實施方式中，在未設置計算機裝置169的情況下，亦可利用硬體的配置直接在醫療輔助裝置100上經由控制裝置160操控該醫療輔助裝置100的移動量。In another embodiment, in the case where the computer device 169 is not provided, the amount of movement of the medical assistance device 100 can be directly manipulated on the medical assist device 100 via the control device 160 by using the hardware configuration.
所述醫療輔助裝置100包括一基座110、一驅動器120、一長形活動板130、一感測器150以及一控制器160，各構件的外觀結構及具體配置方式請參見第1B圖和1C所揭示的內容。The medical auxiliary device 100 includes a base 110, a driver 120, an elongated movable plate 130, a sensor 150, and a controller 160. For the appearance and specific configuration of each component, refer to FIG. 1B and FIG. The content revealed.
請參見第1A及1B圖，實際運作時，先讓患者躺位在由基座110支撐的長形活動板130上，接著分別在患者胸部及腹部上放置兩標記物(圖中未繪示)，兩標記物的位置會隨患者呼氣或吸氣而改變，此一位置變化可由感測器150感知並測量，再傳送至控制器160，經過處理後產生一位移訊號，再由控制器160依據此位移訊號令驅動器120驅動長形活動板130沿著基座110的長度方向移動相應的距離，以補償患者身上腫瘤因呼吸所致的位移，亦即偏離原先放射束設定的照射位置(或脫靶)。Please refer to Figures 1A and 1B. In actual operation, the patient is placed on the elongated movable plate 130 supported by the base 110, and then two markers are placed on the chest and abdomen of the patient (not shown). The position of the two markers may change according to the patient's exhalation or inhalation. The position change may be sensed and measured by the sensor 150, and then transmitted to the controller 160. After processing, a displacement signal is generated, and then the controller 160 generates a displacement signal. According to the displacement signal, the driver 120 drives the elongated movable plate 130 to move along the length of the base 110 by a corresponding distance to compensate for the displacement of the tumor caused by the breathing on the patient, that is, the position of the irradiation set from the original radiation beam (or Off target).
如第1B圖所示，在結構上，本發明長形活動板130設於基座110上，且與驅動器120耦接。長形活動板130為一床板，供欲治療個體(即，患者)平躺，故，長形活動板130的尺寸需足以支撐欲治療個體的軀幹。所述驅動器120為一線性運動驅動器，用以驅動長形活動板130相對於基座110的長度方向前後滑動。As shown in FIG. 1B, in the structure, the elongated movable plate 130 of the present invention is disposed on the base 110 and coupled to the driver 120. The elongate flap 130 is a bed for the individual to be treated (i.e., the patient) to lie flat, so the elongate flap 130 is sized to support the torso of the individual to be treated. The driver 120 is a linear motion driver for driving the elongated movable plate 130 to slide back and forth with respect to the longitudinal direction of the base 110.
上述兩標記物較佳係由反光材料所製成(例如反光布)，並可貼附在受測個體的胸或腹部上。所述感測器150可以是一影像感測器或一雷射感測器，可基於光反射及折射原理而偵測到該兩標記物所產生的亮點，並精確記錄其位置。此一位置訊號再被傳送至控制器160，其包含微處理器和記憶體單元(未示出)，可處理感測器150所傳送來的上述標記物的位置訊號，並據以產生一位移訊號，用以令驅動器120驅動該長形活動板130沿著基座110的長度方向移動一相應的距離，以保持受測個體身上的腫瘤不致脫離原設定的治療位置。Preferably, the two markers are made of a reflective material (e.g., a reflective cloth) and can be attached to the chest or abdomen of the subject to be tested. The sensor 150 can be an image sensor or a laser sensor, which can detect the bright spots generated by the two markers based on the principle of light reflection and refraction, and accurately record the position thereof. The position signal is further transmitted to the controller 160, which includes a microprocessor and a memory unit (not shown) for processing the position signal of the marker transmitted by the sensor 150, and generating a displacement accordingly. The signal is used to cause the driver 120 to drive the elongated movable plate 130 to move a corresponding distance along the length of the base 110 to keep the tumor on the subject from being removed from the original treatment position.
在一非必要的實施方式中，本發明之醫療輔助裝置100更包含一第一支架156，其主要由一橫跨件151和二側板(153A和153B)所組成，其中各該側板(153A和153B)上分別設有一第一溝槽(155A和155B)，橫跨件151沿著長形活動板130的寬度方向跨設並橫越長形活動板130上方設置，且橫跨件151的兩端與分別與該二側板上的二個第一溝槽(155A和155B)耦接。在非限制的實施方式中，橫跨件151與第一溝槽(155A和155B)係利用卡合結構或透過一螺桿而彼此耦接。在實際使用過程中，橫跨件151可沿著側板上的第一溝槽(155A和155B)滑動，使用者可適實際使用的需求調整橫跨件151的位置，再以卡合結構或螺桿固定。In a non-essential embodiment, the medical assist device 100 of the present invention further includes a first bracket 156 which is mainly composed of a cross member 151 and two side plates (153A and 153B), wherein each side plate (153A and A first groove (155A and 155B) is respectively disposed on the 153B), and the cross member 151 is disposed across the width of the elongated movable plate 130 and disposed across the elongated movable plate 130, and two of the cross members 151 The ends are coupled to the two first grooves (155A and 155B) on the two side plates, respectively. In a non-limiting embodiment, the cross member 151 and the first grooves (155A and 155B) are coupled to one another by a snap fit or by a screw. In actual use, the cross member 151 can slide along the first grooves (155A and 155B) on the side plate, and the user can adjust the position of the cross member 151 according to the needs of practical use, and then adopt the engaging structure or the screw. fixed.
在本實施例中，所述感測器150是架設於所述第一支架156的橫跨件151上且位於中間處，以偵測個體胸部和腹部上的標記物。在其他實施方式中，所述感測器150亦可設於本醫療輔助裝置100其他位置，例如，設於長形活動板130上。在此，本實施例感測器150的配置僅作為例示，非用以限定感測器150的實際設置位置。在非限制的實施方式中，感測器150可設於任何一處，只要能偵測到標記物的訊號即可，例如，可將感測器150設於醫療輔助裝置100上，或獨立設置於醫療輔助裝置100外。類似的，本發明醫療輔助裝置100之控制器（圖中未繪示）亦可設於所述裝置鍾任一處，只要能與驅動器120和感測器150電性耦接即可。在非必要的實施方式中所述控制器更包含一增益鈕，讓使用者依據實際使用狀況，自行調整長形活動板前後位移量或頻率。In this embodiment, the sensor 150 is mounted on the cross member 151 of the first bracket 156 and located in the middle to detect the markers on the chest and the abdomen of the individual. In other embodiments, the sensor 150 can also be disposed at other locations of the medical assist device 100, for example, on the elongated movable panel 130. Here, the configuration of the sensor 150 of the present embodiment is merely an example, and is not used to define the actual set position of the sensor 150. In a non-limiting embodiment, the sensor 150 can be disposed at any location as long as the signal of the marker can be detected. For example, the sensor 150 can be disposed on the medical assist device 100, or can be independently set. Outside the medical aid device 100. Similarly, the controller (not shown) of the medical auxiliary device 100 of the present invention may be disposed at any position of the device clock as long as it can be electrically coupled to the driver 120 and the sensor 150. In an unnecessary embodiment, the controller further includes a gain button, which allows the user to adjust the amount of displacement or frequency before and after the long movable plate according to the actual use condition.
第1C圖為上述本發明醫療輔助裝置100之第一支架156的局部放大圖。此圖目的是為了讓使用者更清楚瞭解上述第一支架156的具體細部結構。如圖所示，側板153A上設有一第一溝槽155A，且橫跨件151一端透過一螺栓163固定於該第一溝槽155A上。再者，在一非必要的實施方式中，所述任一側板(153A或和153B)上可額外設有一尺規165(參見第1C圖)。Fig. 1C is a partially enlarged view of the first holder 156 of the medical assist device 100 of the present invention. The purpose of this figure is to provide a clearer understanding of the specific details of the first bracket 156 described above. As shown in the figure, a first groove 155A is defined in the side plate 153A, and one end of the cross member 151 is fixed to the first groove 155A through a bolt 163. Furthermore, in a non-essential embodiment, one of the side plates (153A or 153B) may be additionally provided with a ruler 165 (see FIG. 1C).
第2A圖為依據本發明另一實施方式所示之醫療輔助裝置200。本發明醫療輔助裝置200的元件大致上與第1B-1C圖所示之醫療輔助裝置100相同，故，相同的元件在此不另贅述。Fig. 2A is a medical assist device 200 according to another embodiment of the present invention. The components of the medical auxiliary device 200 of the present invention are substantially the same as those of the medical auxiliary device 100 shown in FIG. 1B-1C. Therefore, the same components are not described herein.
本發明醫療輔助裝置200不同於上述醫療輔助裝置100的特徵在於，本實施方式的第一支架256為可拆卸的構件，其係卡合於長形活動板230上。此一特點使臨床技術人員在使用上更便利。The medical assist device 200 of the present invention is different from the above-described medical assist device 100 in that the first bracket 256 of the present embodiment is a detachable member that is engaged with the elongated movable plate 230. This feature makes it more convenient for clinical technicians to use.
第2B圖為第2A圖醫療輔助裝置200的***示意圖。如圖所示，所述長形活動板230更設有二個插槽（232A、232B），用以容置第一支架256的底座（242A、242B），且於插槽（232A和232B）內分別設有導電材料(235A、235B)，用以使感測器250、控制器（圖中未繪示）和驅動器220電性耦接。類似的，所述第一支架256的底座（242A、242B）之底部也分別設有相對應於導電材料(235A、235B)的金屬片（圖中未繪示），以便達成電性耦接。Fig. 2B is a schematic exploded view of the medical assist device 200 of Fig. 2A. As shown, the elongated movable plate 230 is further provided with two slots (232A, 232B) for receiving the bases (242A, 242B) of the first bracket 256, and in the slots (232A and 232B). Conductive materials (235A, 235B) are respectively disposed therein for electrically coupling the sensor 250, the controller (not shown) and the driver 220. Similarly, the bottoms of the bases (242A, 242B) of the first bracket 256 are also respectively provided with metal sheets (not shown) corresponding to the conductive materials (235A, 235B) for electrical coupling.
在非必要的實施方式中，本發明第一支架256和長形活動板230之間，更設有卡合結構，使第一支架256可穩固地結合於長形活動板230上。舉例而言，長形活動板230上的插槽（232A和232B）與第一支架256的底座242A和242B設有相對應的凹凸卡合結構。所述卡合結構並不限於特定形式，所屬技術領域中具有通常知識者可利用其經驗修改並配置適合的卡合結構，以順利地將第一支架256固接於長形活動板230上。In an unnecessary embodiment, the first bracket 256 and the elongated movable plate 230 of the present invention are further provided with a snapping structure, so that the first bracket 256 can be firmly coupled to the elongated movable plate 230. For example, the slots (232A and 232B) on the elongated movable panel 230 and the bases 242A and 242B of the first bracket 256 are provided with corresponding concave-convex engaging structures. The snap-fit structure is not limited to a particular form, and one of ordinary skill in the art can use its experience to modify and configure a suitable snap-fit structure to successfully secure the first bracket 256 to the elongated flap 230.
第2C圖繪示出本發明醫療輔助裝置200的基座210和長形活動板230的一種實施方式。同上述各實施方式，所述基座210和長形活動板230彼此電性耦接，長形活動板230可以線性運動的方式沿著長形活動板230的長度方向前後位移。FIG. 2C depicts an embodiment of the base 210 and the elongated movable panel 230 of the medical assist device 200 of the present invention. As with the above embodiments, the base 210 and the elongated movable plate 230 are electrically coupled to each other, and the elongated movable plate 230 can be displaced back and forth along the length direction of the elongated movable plate 230 in a linear motion manner.
此外，本發明醫療輔助裝置200可更設有一顯示裝置260於基座210上(請參見第2C圖)。所述顯示裝置260包含一螢幕266，其中所述螢幕266可顯示受測個體的呼吸頻率、振幅和循環週期。再者，本實施例控制器的增益鈕262是設於顯示裝置260上，其與控制器（圖中未繪示）和顯示裝置260電性耦接，讓使用者可以藉由增益鈕262自行改變長形活動板230前後位移量或頻率。In addition, the medical auxiliary device 200 of the present invention may further be provided with a display device 260 on the base 210 (see FIG. 2C). The display device 260 includes a screen 266, wherein the screen 266 can display the respiratory rate, amplitude, and cycle time of the individual being tested. Furthermore, the gain button 262 of the controller of the embodiment is disposed on the display device 260, and is electrically coupled to the controller (not shown) and the display device 260, so that the user can use the gain button 262. The amount or frequency of displacement of the elongated movable plate 230 is changed.
在另一實施方式中，所述顯示裝置260亦可以無線方式與控制器（圖中未繪示）耦接，用以顯示感測器250所偵測到的訊號，例如，利用WiFi、藍牙、紅外線或其他已知的通訊方式。In another embodiment, the display device 260 can also be coupled to a controller (not shown) in a wireless manner to display signals detected by the sensor 250, for example, using WiFi, Bluetooth, or the like. Infrared or other known means of communication.
第2D圖繪示出本發明醫療輔助裝置的基座210和長形活動板230的另一種實施方式。在此實施方式中，所述長形活動板230的一側更設有尺規265，供操作者觀察長形活動板230相對於基座210的位移量。再者，本發明醫療輔助裝置200可更包含一固定件270。所述固定件270係用以固定個體臀部，且於上方設有一網布275，用以覆蓋個體的身軀並將其確實固定於固定件270上，使個體能確實隨著長形活動板230前後位移。FIG. 2D depicts another embodiment of the base 210 and elongated movable panel 230 of the medical assist device of the present invention. In this embodiment, one side of the elongated movable plate 230 is further provided with a ruler 265 for the operator to observe the amount of displacement of the elongated movable plate 230 relative to the base 210. Furthermore, the medical auxiliary device 200 of the present invention may further include a fixing member 270. The fixing member 270 is used for fixing the buttocks of the individual, and a mesh cloth 275 is disposed on the upper part to cover the body of the individual and securely fix it on the fixing member 270, so that the individual can surely follow the long movable plate 230. Displacement.
第3A和第3B圖為依據本發明另一實施方式所示之醫療輔助裝置300。本發明醫療輔助裝置300的元件大致上與第1圖所示之醫療輔助裝置100相同，故，相同的元件在此不另贅述。3A and 3B are medical aid devices 300 according to another embodiment of the present invention. The components of the medical assist device 300 of the present invention are substantially the same as those of the medical assist device 100 shown in Fig. 1, and therefore the same components will not be described herein.
本發明醫療輔助裝置300不同於上述醫療輔助裝置100的特徵在於，除了本實施方式的第一支架356為可拆卸的構件外，所述長形活動板330的構型亦與第1或2圖之醫療輔助裝置不同。The medical auxiliary device 300 of the present invention is different from the above-described medical auxiliary device 100 in that, in addition to the first bracket 356 of the present embodiment being a detachable member, the configuration of the elongated movable plate 330 is also the same as that of the first or second figure. The medical aids are different.
如圖所示，所述長形活動板330的二長邊分別設有二支撐部(331A和331B)，分別與該第一支架356的二側板(353A和353B)底部耦接。具體而言，所述二支撐部(331A和331B)上分別設有第二溝槽(355A和355B)。第一支架356之側板(353A和353B)底部的構形為一類似「ㄈ字型」的結構，可夾合所述支撐部(331A和331B)，並透過一螺栓（圖中未繪示）穿設側板(353A和353B)底部和長形活動板330的第二溝槽(355A和355B)，而能透過旋緊螺栓將所述第一支架356固定於長形活動板330上。As shown in the figure, the two long sides of the elongated movable plate 330 are respectively provided with two supporting portions (331A and 331B) respectively coupled to the bottoms of the two side plates (353A and 353B) of the first bracket 356. Specifically, second grooves (355A and 355B) are respectively disposed on the two supporting portions (331A and 331B). The bottom plates of the side plates (353A and 353B) of the first bracket 356 are configured like a "ㄈ" type structure, and the support portions (331A and 331B) can be clamped and transmitted through a bolt (not shown). The bottom plates (353A and 353B) are pierced with the second grooves (355A and 355B) of the elongated movable plate 330, and the first bracket 356 can be fixed to the elongated movable plate 330 by means of a tightening bolt.
此外，請參見第3B圖，此為第3A圖所示之醫療輔助裝置300的***圖。在非限定的實施方式中，所述長形活動板330可設有至少一對孔洞於長型活動板上。如圖所示，本實施方式的長形活動板330設有二對孔洞（335A和335B）(335C和335D），其中孔洞335A和335B係對應受治療個體腹部位置而設置，而孔洞335C和335D則係對應個體腿部位置而設置。在非限制的實施方式中，可利用一束帶穿設所述孔洞335A和335B，或者是孔洞335C和335D，以將個體固定在長形活動板330上，讓個體於使用本發明醫療輔助裝置300的過程中可以隨著長形活動板330擺動，確實達到位移補償效果。In addition, please refer to FIG. 3B, which is an exploded view of the medical assist device 300 shown in FIG. 3A. In a non-limiting embodiment, the elongated movable plate 330 may be provided with at least one pair of holes on the elongated movable plate. As shown, the elongate flap 330 of the present embodiment is provided with two pairs of holes (335A and 335B) (335C and 335D), wherein the holes 335A and 335B are positioned corresponding to the abdomen position of the treated individual, while the holes 335C and 335D are provided. It is set corresponding to the position of the individual's legs. In a non-limiting embodiment, the holes 335A and 335B, or the holes 335C and 335D, may be pierced with a strap to secure the individual to the elongate flap 330 for use by the individual in the use of the medical assist device of the present invention. In the process of 300, the long movable plate 330 can be swung, and the displacement compensation effect is indeed achieved.
第4A圖為依據本發明另一實施方式所示之醫療輔助裝置400。本發明醫療輔助裝置400的元件大致上與第3圖所示之醫療輔助裝置300相同，故，相同的元件在此不另贅述。Fig. 4A is a medical assisting device 400 according to another embodiment of the present invention. The components of the medical auxiliary device 400 of the present invention are substantially the same as those of the medical auxiliary device 300 shown in FIG. 3, and therefore, the same components will not be described herein.
本發明醫療輔助裝置400不同於上述醫療輔助裝置300的特徵在於本實施方式的醫療裝置400更設有一顯示裝置460與控制器(圖中未繪示)電性耦接。The medical auxiliary device 400 of the present invention is different from the above-described medical auxiliary device 300 in that the medical device 400 of the present embodiment is further provided with a display device 460 electrically coupled to a controller (not shown).
在可任選的實施方式中，所述顯示裝置460可設於本發明醫療輔助裝置400的任一側。在本實施方式中，所述顯示裝置460是設於醫療輔助裝置400的長邊上且接近個體的頭部位置，不僅利於臨床技術人員操作，亦可讓受治療的個體觀看。In an optional embodiment, the display device 460 can be disposed on either side of the medical aid device 400 of the present invention. In the present embodiment, the display device 460 is disposed on the long side of the medical auxiliary device 400 and is close to the head position of the individual, and is not only beneficial to the operation of the clinical technician, but also allows the treated individual to view.
在一具體的實施方式中，所述顯示裝置460為電子顯示裝置。在實際使用的過程中，藉由標記物（圖中未繪示）隨著個體呼氣及吸氣過程的胸、腹部的起伏物理量的改變，同時以感測器450連續偵測設於個體胸部及腹部上的標記物之實際位移狀況，將偵測到的原始訊號傳送至控制器(圖中未繪示)，並經由控制器處理後將胸、腹部的起伏物理量同步呈現於所述顯示裝置460的螢幕466上。In a specific embodiment, the display device 460 is an electronic display device. In the actual use process, the marker (not shown) changes the physical quantity of the chest and the abdomen of the individual during the exhalation and inhalation process, and simultaneously detects the set on the individual chest by the sensor 450. And detecting the actual displacement condition of the marker on the abdomen, transmitting the detected original signal to the controller (not shown), and processing the undulating physical quantity of the chest and the abdomen synchronously on the display device after being processed by the controller 460 on the screen 466.
具體而言，所述顯示裝置460會將感測器450實際上偵測到的訊號同步轉換成卡通示意圖，讓使用者清楚的知道呼吸物理量變化範圍。Specifically, the display device 460 synchronously converts the signals actually detected by the sensor 450 into a cartoon schematic, so that the user can clearly know the range of changes in the physical quantity of the breathing.
請參見第4B圖，此圖為顯示裝置460螢幕466畫面示意圖。如圖所示，螢幕466畫面上主要有一個刻度478和指標479，所述指標479依據個體呼吸過程會沿著刻度478前後移動。舉例而言，所述個體吐氣胸腹部於低位時，該指標479位於刻度478最左方，隨著個體吸氣胸部及腹部向上***時，所述指標479會相對應地沿著刻度478向右方移動；接著，個體吐氣時，指標479又相對應地沿著刻度478向左移動，以此不斷循環。Please refer to FIG. 4B, which is a schematic diagram of the screen of the display device 460 screen 466. As shown, the screen 466 has a major scale 478 and an indicator 479 that moves back and forth along the scale 478 depending on the individual breathing process. For example, when the individual exhales the chest and abdomen in a low position, the indicator 479 is located at the leftmost side of the scale 478. When the individual inhales the chest and the abdomen is raised upward, the indicator 479 is correspondingly rightward along the scale 478. The square moves; then, when the individual exhales, the indicator 479 moves correspondingly to the left along the scale 478, thereby continuously circulating.
此外，在可任選的實施方式中，本螢幕466可顯示其他不同的資訊，例如，個體呼吸範圍、憋氣範圍和呼吸振幅。如圖所示，於螢幕466畫面上可顯示個體呼吸範圍，即，圖中以虛線表示A-A。再者，螢幕466畫面上亦可顯示一憋氣範圍，即，圖中以虛線表示B-B。再者，在本實施例中，控制器的增益鈕462設於顯示裝置460的螢幕466上，使用者（如，臨床技術人員）可依據受治療個體生理條件的不同，透過增益鈕462調整長形活動板430的位移量和位移率。Moreover, in an alternative embodiment, the screen 466 can display other different information, such as individual breathing ranges, hernia ranges, and respiratory amplitudes. As shown, the individual breathing range can be displayed on the screen 466, i.e., A-A is indicated by a dashed line in the figure. Furthermore, a range of helium can also be displayed on the screen 466, that is, B-B is indicated by a broken line in the figure. Furthermore, in the present embodiment, the gain button 462 of the controller is disposed on the screen 466 of the display device 460, and the user (eg, a clinical technician) can adjust the length through the gain button 462 according to the physiological condition of the treated individual. The displacement amount and displacement rate of the movable plate 430.
舉例而言，於實際使用的過程中，臨床技術人員可依據受治療個體呼氣吐氣的實際狀況設定一呼吸範圍（即，A-A），受治療個體藉由該呼吸範圍（A-A）的標示控制其呼吸胸腹部起伏的狀況。再者，臨床技術人員亦可設定一憋氣範圍（即，B-B），使得在治療過程中能導引受治療個體於特定位置下憋氣。For example, in actual use, a clinical technician can set a range of breathing (ie, AA) according to the actual condition of the breath exhaled by the treated individual, and the subject is controlled by the indication of the breathing range (AA). Breathing chest and abdomen undulations. Furthermore, the clinical technician can also set a range of helium (ie, B-B) to direct the subject to suffocate at a particular location during treatment.
第4C圖為第4A圖所示之醫療輔助裝置400的操作示意圖。請同時參照第4A圖和第4C圖，於實際使用的過程中，請個體先平躺於長形活動板430上，將第一支架456卡合於長形活動板430上的第二溝槽455A和455B。接著，將標記物440A和440B分別設於個體的腹部和胸部上，其中標記物440A和440B可利用黏貼的方式固定。在可任選的實施方式中，所述標記物（440A和440B）的形狀可以是能被感測器450偵測的任何構形，包含，但不限於，片狀、球體、正方體或多邊體等。Fig. 4C is a schematic view showing the operation of the medical auxiliary device 400 shown in Fig. 4A. Please refer to FIG. 4A and FIG. 4C at the same time. In the actual use process, the individual is first laid on the elongated movable plate 430, and the first bracket 456 is engaged with the second groove on the elongated movable plate 430. 455A and 455B. Next, markers 440A and 440B are respectively placed on the abdomen and chest of the individual, wherein the markers 440A and 440B can be fixed by means of pasting. In an optional embodiment, the markers (440A and 440B) may be in any configuration that can be detected by the sensor 450, including, but not limited to, a sheet, a sphere, a cube, or a polygon. Wait.
所述感測器450偵測標記物440A和440B的位移量，即時並連續監控個體個體呼氣和吸氣的過程，藉由該位移量界定一呼吸範圍，顯示於顯示裝置460的螢幕466上。個體可藉由標示的呼吸範圍，配合臨床技術人員的指示，自我控制呼吸的深淺使胸腹部的起伏能控制所標示的呼吸範圍內，必要時亦可利用顯示裝置460導引患者施用呼吸閘門法或呼吸憋氣法，以達到更佳的治療效果。於實際使用的過程中，當個體呼吸或吐氣時，感測器450藉由標記物440A和440B的位移量，可監控個體胸腹部起伏的狀況，並可將實際呼吸狀況同步顯示於顯示裝置460的螢幕466上；同時，控制器藉由感測器450所偵測到的標記物440A和440B移動的原始訊號產生一位移訊號，依據該位移訊號藉由驅動器420驅動長形活動板430相對於基座410的長度方向前後滑動，以補償個體呼吸過程橫隔膜上升、下降造成腫瘤相位改變。The sensor 450 detects the displacement of the markers 440A and 440B, and continuously and continuously monitors the process of exhalation and inhalation of the individual, by which a range of breathing is defined and displayed on the screen 466 of the display device 460. . The individual can control the depth of the breathing by the indicated breathing range and the instructions of the clinical technician, so that the fluctuation of the chest and abdomen can control the indicated breathing range, and if necessary, the display device 460 can be used to guide the patient to apply the respiratory gate method. Or breathe the hernia method to achieve better therapeutic results. During actual use, when the individual breathes or exhales, the sensor 450 can monitor the condition of the individual's chest and abdomen undulation by the displacement amount of the markers 440A and 440B, and can display the actual respiratory condition on the display device 460 simultaneously. At the same time, the controller generates a displacement signal by the original signal of the markers 440A and 440B detected by the sensor 450, and drives the elongated movable plate 430 by the driver 420 according to the displacement signal. The length of the base 410 slides back and forth to compensate for the change in the phase of the tumor caused by the rise and fall of the diaphragm during the breathing process of the individual.
所述位移訊號的分析可針對個體吸氣或呼氣造成個體胸腹腔***或復位過程的起伏程度，換算腫瘤位置的位移量。所述控制器針對位移訊號驅動長形活動板430進行與腫瘤位移的相反方向的線性運動，例如，當腫瘤往個體頭部方向位移時，控制器驅動長形活動板430往個體足部的方向進行相對應之位移，因此，個體的腫瘤將靜止不動固定於放設治療的標靶區域內，此一優點能大幅度提升放射治療的照射效率，亦可避免周邊正常組織接受不必要的放射線照射。The analysis of the displacement signal may be directed to the degree of fluctuation of the tumor position by the inhalation or exhalation of the individual, and the degree of displacement of the individual's chest and abdomen bulge or reset process. The controller drives the elongated movable plate 430 to perform a linear motion in the opposite direction to the tumor displacement, for example, when the tumor is displaced toward the individual's head, the controller drives the elongated movable plate 430 toward the individual's foot. The corresponding displacement is performed. Therefore, the individual's tumor will be immobilized in the target area of the placement treatment. This advantage can greatly improve the irradiation efficiency of the radiation treatment, and can also avoid the unnecessary radiation exposure of the surrounding normal tissue. .
此外，臨床技術人員亦可依據個體不同的生理條件，利用增益鈕微調長形活動板前後位移量、頻率或調整指針擺動的弧度，以確實補償個體呼吸作用造成的位移。In addition, the clinical technician can also use the gain knob to finely adjust the amount of displacement and frequency of the long movable plate before and after, or adjust the arc of the pointer to adjust the displacement caused by the individual's respiration according to different physiological conditions of the individual.
第5圖為依據本發明另一實施方式所示之醫療輔助裝置500。本發明醫療輔助裝置500的元件大致上與第1B圖所示之醫療輔助裝置100相同，故，相同的元件在此不另贅述。Fig. 5 is a medical assisting device 500 according to another embodiment of the present invention. The components of the medical assist device 500 of the present invention are substantially the same as those of the medical assist device 100 shown in FIG. 1B, and therefore, the same components will not be described herein.
在此，本實施方式的醫療輔助裝置500與其他實施方式的裝置不同在於，本發明的醫療輔助裝置500除了原第一支架556外，更包含一第二支架580，且設有二個感測器（550A和550B）分別設於第一支架556和第二支架580上。在此，本醫療輔助裝置500利用多點感測技術，以提升本醫療輔助裝置500的效能。Here, the medical assisting device 500 of the present embodiment is different from the device of the other embodiments in that the medical assisting device 500 of the present invention includes a second bracket 580 in addition to the original first bracket 556, and is provided with two sensings. The devices (550A and 550B) are respectively disposed on the first bracket 556 and the second bracket 580. Here, the medical assist device 500 utilizes multi-point sensing technology to enhance the performance of the medical assist device 500.
如圖所示，本發明第一支架556設置的位置接近驅動器520，相對應受測個體膝蓋至腳部的位置。所述第二支架580為直立桿狀結構設於驅動器520上方，該二構件可以是一體成型的構件，但不限於此。第二支架580在結構上設有一第三溝槽582沿著其長度方向設置，用以接收所述感測器550B。所述感測器550B上設有一滑塊552用以卡合固定於該第三溝槽582上且能沿著第三溝槽582滑動，以調整感測器550B於第二支架580上的高度。在非限制的實施方式中，所述滑塊552可以依據實際實用的狀況更換其他先前技術已知能與溝槽相結合的構件。在其他實施方式中，所述滑塊552可更設有一旋轉機構（圖中未繪示）使感測器550B可以進行旋轉，調整其擺設的角度。As shown, the first stent 556 of the present invention is positioned adjacent to the driver 520, corresponding to the position of the individual's knee to foot. The second bracket 580 is disposed above the driver 520 in an upright rod-like structure, and the two members may be integrally formed members, but are not limited thereto. The second bracket 580 is structurally disposed with a third groove 582 disposed along its length for receiving the sensor 550B. A slider 552 is disposed on the sensor 550B for engaging and fixing on the third groove 582 and sliding along the third groove 582 to adjust the height of the sensor 550B on the second bracket 580. . In a non-limiting embodiment, the slider 552 can be replaced with other components known in the prior art that can be combined with the grooves, depending on the actual application. In other embodiments, the slider 552 can be further provided with a rotating mechanism (not shown) to enable the sensor 550B to rotate and adjust the angle of the display.
在非限制的實施方式中，所述第二支架可以是一長桿狀結構，所屬技術領域具有通常知識者能依據其通常經驗修改第二支架的構型。In a non-limiting embodiment, the second stent can be a long rod-like structure, and one of ordinary skill in the art can modify the configuration of the second stent in accordance with its usual experience.
第6圖為依據本發明另一實施方式所示之第二支架680與感測器650A和650B的結構示意圖。FIG. 6 is a schematic structural view of a second bracket 680 and sensors 650A and 650B according to another embodiment of the present invention.
如圖所示，本發明第二支架680上設有二第三溝槽682A和682B。感測器650A和650B分別設有一滑塊652與第三溝槽682A和682B相接，使得感測器650A和650B能沿著第三溝槽682A和682B滑動並固定於第三溝槽682A和682上。另外，所述滑塊652可設有一旋轉機構654，使得感測器650A和650B可360度翻轉。如圖所示，感測器650A和650B可依據實際使用的需求調整適當的擺放角度。As shown, the second bracket 680 of the present invention is provided with two third grooves 682A and 682B. The sensors 650A and 650B are respectively provided with a slider 652 to be in contact with the third grooves 682A and 682B, so that the sensors 650A and 650B can slide along the third grooves 682A and 682B and be fixed to the third groove 682A and 682. Additionally, the slider 652 can be provided with a rotating mechanism 654 such that the sensors 650A and 650B can be flipped 360 degrees. As shown, the sensors 650A and 650B can adjust the appropriate placement angle depending on the needs of the actual use.
在非限制實施方式中，所述感測器650A和650B上分別可更設有一快拆構件（圖中未繪示）與該滑塊652耦接，使感測器650A和650B能與第二支架680上的滑塊652分離。在另一非限制的實施方式中，所屬技術領域中具有通常知識者，可依照其實際使用的需求改變第三溝槽682A和682B的長度及深度。In a non-limiting embodiment, each of the sensors 650A and 650B can be further provided with a quick release member (not shown) coupled to the slider 652 to enable the sensors 650A and 650B to be coupled to the second The slider 652 on the bracket 680 is separated. In another non-limiting embodiment, those of ordinary skill in the art can vary the length and depth of the third trenches 682A and 682B in accordance with their actual use requirements.
雖然上文實施方式中揭露了本發明的具體實施例，然其並非用以限定本發明，本發明所屬技術領域中具有通常知識者，在不悖離本發明之原理與精神的情形下，當可對其進行各種更動與修飾，因此本發明之保護範圍當以附隨申請專利範圍所界定者為準。Although the embodiments of the present invention are disclosed in the above embodiments, the present invention is not intended to limit the invention, and the present invention may be practiced without departing from the spirit and scope of the invention. Various changes and modifications may be made thereto, and the scope of the invention is defined by the scope of the appended claims.
100、200、300、400、500‧‧‧醫療輔助裝置
101‧‧‧醫療輔助系統
110、210、410‧‧‧基座
120、220、420、520‧‧‧驅動器
130、230、330、430‧‧‧長形活動板
440A、440B‧‧‧標記物
150、250、450、550A、550B、650A、650B‧‧‧感測器
151‧‧‧橫跨件
153A、153B、353A、353B‧‧‧側板
155A、155B‧‧‧第一溝槽
156、256、356、456、556‧‧‧第一支架
163‧‧‧螺栓
165、265‧‧‧尺規
169‧‧‧計算機裝置
232A、232B‧‧‧插槽
235A、235B‧‧‧導電材料
242A、242B‧‧‧底座
260、460‧‧‧顯示裝置
262、462‧‧‧增益鈕
266、466‧‧‧螢幕
270‧‧‧固定件
275‧‧‧網布
331A、331B‧‧‧支撐部
335A、335B、335C、335D‧‧‧孔洞
355A、355B、455A、455B‧‧‧第二溝槽
478‧‧‧刻度
479‧‧‧指標
552、652‧‧‧滑塊
580、680‧‧‧第二支架
582、682A、682B‧‧‧第三溝槽100, 200, 300, 400, 500‧‧‧ medical aids
101‧‧ medical aid system
110, 210, 410‧‧‧ base
120, 220, 420, 520‧‧‧ drive
130, 230, 330, 430‧‧‧ long movable panels
440A, 440B‧‧‧ mark
150, 250, 450, 550A, 550B, 650A, 650B‧‧‧ sensors
151‧‧‧crossing parts
153A, 153B, 353A, 353B‧‧‧ side panels
155A, 155B‧‧‧ first trench
156, 256, 356, 456, 556‧‧‧ first bracket
163‧‧‧ bolt
165, 265‧‧ ‧ rule
169‧‧‧Computer equipment
232A, 232B‧‧ slots
235A, 235B‧‧‧ conductive materials
242A, 242B‧‧‧ base
260, 460‧‧‧ display device
262, 462‧‧‧ Gain button
266, 466‧‧‧ screen
270‧‧‧Fixed parts
275‧‧‧Mesh
331A, 331B‧‧‧ support
335A, 335B, 335C, 335D‧‧ holes
355A, 355B, 455A, 455B‧‧‧ second trench
478‧‧‧ scale
479‧‧ indicators
552, 652‧‧‧ slider
580, 680‧‧‧ second bracket
582, 682A, 682B‧‧‧ third trench
為讓本發明的上述與其他目的、特徵、優點與實施例能更明顯易懂，所附圖式之說明如下： 第1A圖為依據本發明一實施方式所示之醫療輔助系統101的架構圖； 第1B圖為依據本發明一實施方式所示之醫療輔助裝置100的外觀示意圖； 第1C圖為依據本發明一實施方式所示之感測器156的局部放大圖； 第2A圖為依據本發明另一實施方式所示之醫療輔助裝置200的外觀示意圖； 第2B圖為第2A圖所示之醫療輔助裝置200的***圖； 第2C圖為依據本發明一實施方式所示之醫療輔助裝置基座210和長形活動板230的外觀示意圖； 第2D圖為依據本發明一實施方式所示之醫療輔助裝置基座210、長形活動板230和固定件270的外觀示意圖； 第3A圖為依據本揭示內容另一實施方式所示之醫療輔助裝置300的外觀示意圖； 第3B圖為第3A圖所示之醫療輔助裝置300的***圖； 第4A圖為依據本揭示內容又一實施方式所示之醫療輔助裝置400的外觀示意圖； 第4B圖為4A圖所示之顯示裝置460上的螢幕466畫面示意圖； 第4C圖為第4A圖所示之醫療輔助裝置400的使用示意圖； 第5圖為依據本發明一實施方式所示之醫療輔助裝置500的外觀示意圖；以及 第6圖為依據本發明另一實施方式所示之第二支架680與感測器650A和650B的結構示意圖。The above and other objects, features, advantages and embodiments of the present invention will become more apparent and understood. The description of the drawings is as follows: FIG. 1A is a structural diagram of the medical assistance system 101 according to an embodiment of the present invention. FIG. 1B is a schematic view showing the appearance of the medical auxiliary device 100 according to an embodiment of the present invention; FIG. 1C is a partial enlarged view of the sensor 156 according to an embodiment of the present invention; FIG. 2B is an exploded view of the medical auxiliary device 200 shown in FIG. 2A; FIG. 2C is a medical auxiliary device according to an embodiment of the present invention; 2D is a schematic view showing the appearance of the medical auxiliary device base 210, the elongated movable plate 230 and the fixing member 270 according to an embodiment of the present invention; FIG. 3A is a schematic view of the outer structure of the base plate 210 and the elongated movable plate 230; A schematic diagram of the appearance of the medical auxiliary device 300 according to another embodiment of the present disclosure; FIG. 3B is an exploded view of the medical auxiliary device 300 shown in FIG. 3A; FIG. 4A is a view according to the present disclosure A schematic diagram of the appearance of the medical auxiliary device 400 shown in still another embodiment; FIG. 4B is a schematic diagram of a screen 466 on the display device 460 shown in FIG. 4A; and FIG. 4C is a view of the medical auxiliary device 400 shown in FIG. 4A. FIG. 5 is a schematic diagram of the appearance of a medical assisting device 500 according to an embodiment of the present invention; and FIG. 6 is a second bracket 680 and sensors 650A and 650B according to another embodiment of the present invention. Schematic.
根據慣常的作業方式，圖中各種特徵與元件並未依比例繪製，其繪製方式是為了以最佳的方式呈現與本發明相關的具體特徵與元件。此外，在不同圖式間，以相同或相似的元件符號來指稱相似的元件/部件。The various features and elements in the figures are not drawn to scale, and are in the In addition, similar elements/components are referred to by the same or similar element symbols throughout the different drawings.
100‧‧‧醫療輔助裝置 100‧‧‧ medical aids
110‧‧‧基座 110‧‧‧Base
120‧‧‧驅動器 120‧‧‧ drive
130‧‧‧長形活動板 130‧‧‧Long movable board
150‧‧‧感測器 150‧‧‧ sensor
151‧‧‧橫跨件 151‧‧‧crossing parts
153A、153B‧‧‧側板 153A, 153B‧‧‧ side panels
155A、155B‧‧‧第一溝槽 155A, 155B‧‧‧ first trench
156‧‧‧第一支架 156‧‧‧First bracket
Claims (13)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW105100532A TWI571254B (en) | 2016-01-08 | 2016-01-08 | Medical device for use in radiotherapy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW105100532A TWI571254B (en) | 2016-01-08 | 2016-01-08 | Medical device for use in radiotherapy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| TWI571254B true TWI571254B (en) | 2017-02-21 |
| TW201725019A TW201725019A (en) | 2017-07-16 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
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| TW105100532A TWI571254B (en) | 2016-01-08 | 2016-01-08 | Medical device for use in radiotherapy |
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| TW (1) | TWI571254B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI723504B (en) * | 2019-08-20 | 2021-04-01 | 申昌生化科技有限公司 | Installing method of a positioning mark prior to radiation therapy |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2020092725A (en) * | 2017-03-31 | 2020-06-18 | 住友重機械工業株式会社 | Bed for neutron capture therapy |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWM319754U (en) * | 2007-04-09 | 2007-10-01 | Jr-Yi Lu | Human body care system |
| TW201038260A (en) * | 2009-04-27 | 2010-11-01 | Der-Chi Tien | Method of assisting radiotherapy and apparatus thereof |
| US20100305042A1 (en) * | 2009-05-01 | 2010-12-02 | Olesen Tine Kold | Pharmaceutical compositions and methods for the treatment of prostate cancer |
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2016
- 2016-01-08 TW TW105100532A patent/TWI571254B/en not_active IP Right Cessation
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWM319754U (en) * | 2007-04-09 | 2007-10-01 | Jr-Yi Lu | Human body care system |
| TW201038260A (en) * | 2009-04-27 | 2010-11-01 | Der-Chi Tien | Method of assisting radiotherapy and apparatus thereof |
| US20100305042A1 (en) * | 2009-05-01 | 2010-12-02 | Olesen Tine Kold | Pharmaceutical compositions and methods for the treatment of prostate cancer |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI723504B (en) * | 2019-08-20 | 2021-04-01 | 申昌生化科技有限公司 | Installing method of a positioning mark prior to radiation therapy |
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| TW201725019A (en) | 2017-07-16 |
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