SYSTEMS AND METHODS FOR PASSIVE COLLISION CONTROL DURING MEDICAL IMAGING OR THERAPEUTIC PROCEDURES
20220409149 · 2022-12-29
Inventors
- Kevan James Thompson ANDERSON (Cobourg, CA)
- Lisa Margaret COOPER (North York, CA)
- David Robert GREEN (Toronto, CA)
- Gareth Alan KENWORTHY (Stouffville, CA)
- Garry Ka Chun LIU (Toronto, CA)
- Donald Bruce PLEWES (Toronto, CA)
Cpc classification
G01R33/28
PHYSICS
A61B6/102
HUMAN NECESSITIES
G01R33/283
PHYSICS
International classification
Abstract
Systems and methods are provided for managing and reducing the severity or impact of a collision involving an apparatus secured to a table associated with a medical imaging and/or therapeutic gantry. Example systems are provided in which an apparatus is secured to the table such that a distal region of the apparatus extends beyond a longitudinal end of the table. A pivot joint associated with the apparatus is provided such that when a collision between the distal region of the apparatus and an object occurs due to motion of the table, the resulting force causes the apparatus to rotate relative to the pivot joint, thus passively accommodating the applied force and preventing, or reducing the likelihood of, mechanical buckling of the apparatus in the presence of the force. In some example embodiments, the apparatus is configured to rotate and/or translate as a result of the force applied during the collision.
Claims
1. A medical imaging and/or therapeutic system comprising: a gantry supporting a medical imaging device or a medical therapeutic device; a table translatable relative to said gantry; and an apparatus secured to said table such that a distal portion of said apparatus extends beyond a longitudinal end of said table; said system comprising a pivot joint, said pivot joint being located such that when a force is applied to said distal portion of said apparatus during a collision involving contact of said distal portion with an object during motion of said table, the force results in rotation of a rotatable portion of said apparatus about said pivot joint, said rotatable portion comprising at least said distal portion of said apparatus.
2. The system according to claim 1 wherein said apparatus is configured such that when the collision is a vertical collision resulting from downward motion of said table and the force comprises an upwardly-directed force, said rotatable portion rotates about said pivot joint in response to application of the upwardly-directed force.
3. The system according to claim 2 wherein said apparatus is configured such that when said table is retracted from said gantry with said distal portion residing above an edge of said gantry, and wherein the upwardly-directed force results from contact of said distal portion with said edge of said gantry during the downward motion of said table, said rotatable portion rotates about said pivot joint in response to application of the upwardly-directed force.
4. The system according to claim 1 wherein said apparatus is configured such that when the collision is a horizontal collision resulting from horizontal motion of said table and the force is a horizontally-directed force, said rotatable portion rotates about said pivot joint in response to application of the horizontally-directed force.
5. The system according to claim 4 wherein a center of gravity of said rotatable portion of said apparatus is located such that when the object is a wall and said longitudinal end of said table contacts said wall during the horizontal collision, thereby preventing further horizontal translation of said apparatus, a gravitational torque applied to said rotatable portion opposes further rotation of said rotatable portion.
6. The system according to claim 1 wherein said apparatus is secured to said table through a connection member, and wherein said apparatus is pivotally coupled to said connection member through said pivot joint.
7. The system according to claim 1 wherein said apparatus is secured to said table through a pair of connection members that are respectively received within a first channel of said table and a second channel of said table, and wherein said apparatus is pivotally coupled to each connection member through a respective pivot joint.
8. The system according to claim 1 wherein said pivot joint is located at an intermediate location within said apparatus.
9. The system according to claim 8 wherein said intermediate location resides along an upper surface of said apparatus.
10. The system according to claim 8 wherein said pivot joint is located such that said rotatable portion comprises one or more electrical components and wherein a remaining non-rotatable portion of said apparatus is absent of active electrical components.
11. The system according to claim 8 wherein said rotatable portion is a first rotatable portion and said pivot joint is a first pivot joint, said apparatus further comprising a second rotatable portion that is pivotally connected to said first rotatable portion through said first pivot joint, and wherein said second rotatable portion is pivotally connected to said table through a second pivot joint, such that both said first rotatable portion and said second rotatable portion are rotatable in response to application of the force.
12. The system according to claim 1 further comprising a restoring means for applying a restoring torque to said rotatable portion of said apparatus.
13. The system according to claim 12 wherein said restoring means comprises an elastic member connecting said rotatable portion to a non-rotatable portion of said system.
14. The system according to claim 12 wherein said restoring means comprises a damping member connecting said rotatable portion to a non-rotatable portion of said system.
15. The system according to claim 12 wherein said restoring means comprises a torsion spring.
16. The system according to claim 1 wherein said apparatus is pivotally coupled to said table by at least two adjacent pivot bars, each pivot bar being pivotally coupled to said apparatus and pivotally coupled to said table, such that under application of the force, said at least two adjacent pivot bars rotate in parallel and said rotatable portion of said apparatus is rotated and translated.
17. The system according to claim 1 further comprising a stop means for arresting rotation of said rotatable portion beyond a pre-selected rotation angle.
18. The system according to claim 17 further wherein said stop means comprises a structural member configured to arrest rotation of said rotatable portion beyond the pre-selected rotation angle.
19. The system according to claim 18 wherein said structural member is attached to said rotatable portion of said apparatus such that rotation of said rotatable portion is arrested upon contact of said structural member with said table.
20. The system according to claim 18 wherein said structural member is attached to table such that rotation of said rotatable portion is arrested upon contact of said structural member with said rotatable portion of said apparatus.
21. The system according to claim 17 wherein said stop means comprises a cable connecting said rotatable portion to a non-rotatable portion of said system such that said cable becomes taught when said rotatable portion is rotated to the pre-selected rotation angle.
22. The system according to claim 18 wherein the pre-selected rotation angle is selected to avoid contact of said apparatus with a subject when the subject is positioned on said table such that a distal portion of the subject resides adjacent to said apparatus.
23. The system according to claim 1 further comprising a resistance means for resisting rotation of said rotatable portion beyond a pre-selected rotation angle.
24. The system according to claim 23 wherein said resistance means comprises a compressible stop.
25. The system according to claim 23 wherein said resistance means comprises an elastic cable connecting said rotatable portion to a non-rotatable portion of said system such that said elastic cable becomes taught when said rotatable portion is rotated to the pre-selected rotation angle.
26. The system according to claim 1 wherein said apparatus is configured such when the force is applied to said distal portion during the collision involving contact of said distal portion with the object during motion of said table, the force results in translation of at least said rotatable portion in addition to rotation of said rotatable portion of said apparatus about said pivot joint.
27. The system according to claim 26 wherein said apparatus comprises a first portion that is secured to said table and a second portion that is telescopically extendable from the first portion when the force is applied to said distal portion.
28. The system according to claim 1 wherein said apparatus is configured such that when the collision is a vertical collision resulting from upward motion of said table and the force is a downwardly-directed force, said apparatus is configured to detach from said pivot joint when the downwardly-directed force exceeds a threshold force.
29. The system according to claim 1 wherein said apparatus is a display apparatus for displaying images during a medical imaging or therapeutic procedure.
30. A medical imaging and/or therapeutic system comprising: a gantry supporting a medical imaging device or a medical therapeutic device; a table translatable relative to said gantry; and an apparatus comprising: a first portion secured to said table; and a second portion that is translatable, in a vertical direction, relative to said first portion, said second portion comprising a distal region that extends beyond a longitudinal end of said table, such that when a force is applied to said distal region of said second portion during a collision involving contact of said distal region with an object during motion of said table, the force results in translation of said second portion relative to said first portion.
31. A display system comprising: a support frame; an attachment mechanism comprising a pivot joint for pivotally securing said support frame to a table; a display subsystem supported by said support frame, wherein said display system is configured such that when said support frame is attached to a table and a subject resides on the table, images displayed by said display subsystem are viewable by the subject; said attachment mechanism being configured such that when said support frame is attached to the table with a distal portion of display system extending beyond a longitudinal end of the table, a force applied during a collision involving contact of said distal portion with an object during motion of the table results in rotation of a rotatable portion of said display system about said pivot joint.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0037] Embodiments will now be described, by way of example only, with reference to the drawings, in which:
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DETAILED DESCRIPTION
[0051] Various embodiments and aspects of the disclosure will be described with reference to details discussed below. The following description and drawings are illustrative of the disclosure and are not to be construed as limiting the disclosure. Numerous specific details are described to provide a thorough understanding of various embodiments of the present disclosure. However, in certain instances, well-known or conventional details are not described in order to provide a concise discussion of embodiments of the present disclosure.
[0052] As used herein, the terms “comprises” and “comprising” are to be construed as being inclusive and open ended, and not exclusive. Specifically, when used in the specification and claims, the terms “comprises” and “comprising” and variations thereof mean the specified features, steps or components are included. These terms are not to be interpreted to exclude the presence of other features, steps or components.
[0053] As used herein, the term “exemplary” means “serving as an example, instance, or illustration,” and should not be construed as preferred or advantageous over other configurations disclosed herein.
[0054] As used herein, the terms “about” and “approximately” are meant to cover variations that may exist in the upper and lower limits of the ranges of values, such as variations in properties, parameters, and dimensions. Unless otherwise specified, the terms “about” and “approximately” mean plus or minus 25 percent or less.
[0055] It is to be understood that unless otherwise specified, any specified range or group is as a shorthand way of referring to each and every member of a range or group individually, as well as each and every possible sub-range or sub-group encompassed therein and similarly with respect to any sub-ranges or sub-groups therein. Unless otherwise specified, the present disclosure relates to and explicitly incorporates each and every specific member and combination of sub-ranges or sub-groups.
[0056] As used herein, the term “on the order of”, when used in conjunction with a quantity or parameter, refers to a range spanning approximately one tenth to ten times the stated quantity or parameter.
[0057] The phrase “gantry”, as used herein, is intended to refer to any mechanical support system that is employed to support a medical imaging and/or medical therapeutic device relative to a movable table. Although the preceding example illustrate a closed gantry in the form of a magnetic resonance imaging gantry having a central bore in which a patient can be translated on a table such that the patient is azimuthally surrounded by the gantry, it will be understood that the gantry need not completely surround the patient. For example, a magnetic resonance imaging gantry may be a so-called “open bore” gantry that does not completely surround the patient. In the example embodiments listed above that do not involve magnetic resonance imaging, the gantry may be, for example, a C-arm or an O-arm. In other example embodiments, such as examples involving robotic surgical procedures, the gantry may be mechanical linkage that is controllable to position a medical device or instrument relative to a patient that is positionable on a table.
[0058] In the context of magnetic resonance imaging (MRI), devices and accessories for MRI systems have traditionally been placed outside of the MRI bore. Examples of such devices include screens for displaying images and videos to patient for FMRI and entertainment. Devices and accessories can also be mounted on the gantry table and can follow the patient.
[0059] An example includes a table-mounted patient display. The display enables a patient to see video while the technologist is preparing the examination. Moreover, the video moves with the patient while the patient is being moved into the bore. Movement into a narrow and confined space can induce anxiety and claustrophobia, and distracting a patient with a video that moves with them may alleviate some of this anxiety.
[0060] Referring now to
[0061] The patient 60 resides on a table 10 that is positionable relative to the gantry 50. The table 10 may be manually positionable, or controllably positionable through one or more actuation mechanisms, such as motors, represented in
[0062] The example system of
[0063] A viewing mirror 120 is placed such that the patient can view images projected onto the projection screen 110 through the viewing mirror 120. The viewing mirror 120 may be supported by the support projector housing (or via a support arm or link that is not shown in figure). In the illustrated example embodiment, the projector 100, the projection screen 110, and the viewing mirror 120 are supported in a mutually fixed relationship, and in a manner that is fixed relative to the table 10. As shown in
[0064] In the example implementation shown in
[0065] In some example implementations, magnetic resonance compatibility may be achieved by substituting conventional ferrite core inductors with alternative components, such as, but not limited to, ferrite-free inductors such as phenolic-core, polymer-core, ceramic-core, or carbonyl-core inductors.
[0066] In some example implementations, the projector may be battery powered or may be powered through an external power source. The projector may receive displayable content, such as movies, television, videos, and/or a user interface for selecting content to be displayed, via a wired connection, a wireless connector, or through media stored in internal memory.
[0067] It will be understood that the MRI system can have additional units or components that are not shown for clarity, such as, but not limited to, additional control or input devices, and additional sensing devices, such as devices for cardiac and/or respiratory gating. Furthermore, the various units can be realized other than in the depicted separation of the individual units. It is possible that the different components are assembled into units or that different units are combined with one another. Various units (depicted as functional units) can be designed as hardware, software or a combination of hardware and software.
[0068] In the example system shown in
[0069] The pulse sequence generation module 245 may be implemented using algorithms known to those skilled in the art for pulse sequence generation. During MRI scanning, RF data is received from the RF coils 56. The pulse sequence generation module 245 establishes the sequence of RF pulses and magnetic field gradients depending on the desired imaging sequence, MR signals responsively emitted by the patient and detected by the coils 56 are acquired. The image reconstruction module 245 processes the acquired MRI signals to perform image reconstruction and MRI image generation.
[0070] In some example embodiments, the control and processing hardware, or addition control circuitry, may be employed to control the position of the table relative to the gantry. For example, the table position may be controlled by the table position control module 260 the control and processing hardware 200 by sending signals to the table actuator 40. The table position may by controlled in a closed-loop manner based on feedback obtained from one or more table position sensors. It will be understood that table orientation (e.g. one or more table angles) may additionally or alternatively be controlled.
[0071] In some example embodiments, the control and processing hardware, or addition control circuitry, may be employed to deliver displayable image content (media content) to the projector 100. For example, the media control module 270 may be employed to control the delivery of media content to the projector 100, through a wired or wireless connection. The media control module 270 may be employed to facilitate connection to a remote media delivery service, such as a remote media streaming service, through a connection to the internet.
[0072] It is to be understood that the example system shown in
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[0074] When the table 10 is in the home position, the end of the table lines up with the bore entrance. As a result, equipment is still located in the bore. As shown in
[0075] However, in the event that the table 10 is inadvertently lowered further, a collision occurs as the distal portion of the apparatus 101 contacts the inside bottom surface of the MRI bore, as shown in
[0076] The present inventors set out to develop solutions that would avoid or mitigate risks associated with such collisions, in order to prevent or reduce the likelihood of injury to the subject and damage to equipment. Accordingly, various example embodiments of the present disclosure provide systems and methods that accommodate forces associated with collisions involving an apparatus supported by a table associated with a gantry of a medical imaging or therapeutic system.
[0077] In some example embodiments, a system is provided that includes a gantry supporting a medical imaging device or a medical therapeutic device and a table translatable relative to the gantry. The example system also includes an apparatus that is secured to the table such that a distal portion of the apparatus extends beyond a longitudinal end of the table. In order to accommodate a force applied to the distal portion of the apparatus during a collision with an object during motion of the table, a pivot joint is provided such that the force results in rotation of a portion of the apparatus about the pivot joint. The rotatable portion that rotates about the pivot joint includes at least the distal portion the apparatus. Various example embodiments of the present example solution are described in detail below.
[0078] Referring first to
[0079] For example, in the case of a vertical collision involving an upwardly-directed force applied by the lower inner surface 320 of the gantry when the table is excessively lowered, a torque is applied to the apparatus 101 about the pivot joint, which in turn causes rotation of the apparatus, as shown in
[0080] Although
[0081] As shown in
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[0084] In other example embodiments, a resistance element can be included that resists rotation of the rotatable portion of the apparatus beyond a pre-selected rotation angle. For example, the resistance element can be a compressible stop or, for example, an elastic cable connecting the rotatable portion to a non-rotatable portion of the system such that the elastic cable becomes taught when the rotatable portion is rotated to the pre-selected rotation angle.
[0085] Although many of the example embodiments described herein relate to a display apparatus, it will be understood that the example embodiments may be adapted to a wide variety of different apparatus and devices that are configured to be secured to a table of a medical imaging and/or therapeutic system.
[0086] Referring now to
[0087] Referring now to
[0088] 7E to 7H show additional example embodiments, combining concepts from
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[0094] It will be understood that the example passive collision accommodation mechanisms disclosed above are not intended to be limited to patient displays. Other non-limiting examples of equipment include patient monitoring systems, MR-guided surgical systems, MR-guide high frequency ultrasound systems, remote robotic device navigation systems, MR-compatible incubation systems, MR-compatible anesthetic delivery systems, other types of patient displays.
[0095] The specific embodiments described above have been shown by way of example, and it should be understood that these embodiments may be susceptible to various modifications and alternative forms. It should be further understood that the claims are not intended to be limited to the particular forms disclosed, but rather to cover all modifications, equivalents, and alternatives falling within the spirit and scope of this disclosure.