NON-MAGNETIC MOBILE C-ARM FLUOROSCOPY DEVICE

20170035377 ยท 2017-02-09

    Inventors

    Cpc classification

    International classification

    Abstract

    Applicant has disclosed an x-ray fluoroscopy machine made substantially entirely of parts which cannot be magnetized. By making the machine out of parts which cannot be magnetized, the x-ray machine can be placed in the same room as an MM machine without the fluoroscope affecting the magnetic field of the MRI machine. Both machines therefore are capable of operating (e.g., imaging) simultaneously in the same examination room. In the preferred embodiment, Applicant has disclosed making a mobile C-arm device, disclosed in U.S. Pat. No. 7,300,205, substantially out of materials which cannot be magnetized.

    Claims

    1. A method comprising: a. building a mobile x-ray fluoroscopy machine comprised substantially entirely of materials which cannot be magnetized, wherein: i. the fluoroscopy machine includes an x-ray tube with a rotor and a motor with a core; and ii. only the rotor and the core can be magnetized; b. placing the x-ray fluoroscopy machine in a same examination room as a Magnetic Resonance Imaging machine; and c. whereby, due to the materials which cannot be magnetized, the Magnetic Resonance Imaging machine and the fluoroscopy machine are capable of imaging simultaneously in the room.

    2. The method of claim 1 wherein the mobile x-ray fluoroscopy machine includes a mobile C-arm support device.

    3. A method comprising: a. building a mobile x-ray machine comprised substantially entirely of non-magnetic materials which cannot be magnetized; b. placing the x-ray machine in a same examination room as a Magnetic Resonance Imaging Machine; c. whereby the x-ray machine, due to the materials which cannot be magnetized, does not interfere with a magnetic field created by a Magnetic Resonance Imaging machine and a magnet of the Magnetic Resonance Imaging machine does not affect the x-ray machine; and d. whereby, due to the materials of the x-ray machine which cannot be magnetized, the Magnetic Resonance Imaging machine and the fluoroscopy machine are capable of imaging simultaneously in the room.

    4. The method of claim 3 wherein the mobile x-ray machine is a mobile x-ray fluoroscopy machine.

    5. The method of claim 4 wherein the mobile x-ray fluoroscopy machine includes a mobile C-arm support device.

    6. A method comprising: a. placing an x-ray fluoroscopy machine, comprised substantially entirely of materials which cannot be magnetized, in a same examination room as a Magnetic Resonance Imaging machine; b. wherein the fluoroscopy machine includes an x-ray tube with a rotor and a motor with a core; c. wherein only the rotor and the core of the fluoroscopy machine can be magnetized; and d. whereby, due to the materials which cannot be magnetized, the Magnetic Resonance Imaging machine and the fluoroscopy machine are capable of imaging simultaneously in the room.

    7. A method comprising: a. using an x-ray fluoroscopy machine, comprised substantially entirely of materials which cannot be magnetized, in a same examination room as a Magnetic Resonance Imaging Machine; and b. whereby the fluoroscopy machine, due to the materials which cannot be magnetized, does not interfere with a magnetic field created by a Magnetic Resonance Imaging machine and a magnet of the Magnetic Resonance Imaging machine does not affect the x-ray fluoroscopy machine; and c. whereby, due to the materials which cannot be magnetized, the Magnetic Resonance Imaging machine and the fluoroscopy machine are capable of operating simultaneously in the room.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0023] The above objects and other advantages of the invention will become more readily apparent upon reading the following description and drawings from the U.S. Pat. No. 7,300,205, in which:

    [0024] FIG. 1 is a side view of an Angio Capable Portable X-Ray Fluoroscopy Unit with Sliding C-Arm and Variable Pivot Point, constructed in accordance with the present invention;

    [0025] FIG. 2 is another side plan view of the portable C-arm device with the slider pivot axis raised to 0 degrees (horizontal) from its FIG. 1 orientation and the C slid or translated to a vertical position;

    [0026] FIG. 3 is a front plan view of the portable C-arm device at a cranio-caudal orientation;

    [0027] FIG. 4 is a perspective view of the portable C-arm device in its FIG. 3 orientation;

    [0028] FIG. 5 is a perspective view of the portable C-arm x-ray device with the slider pivot axis set at 0 degrees (horizontal) and the housing having been rotated, along that axis, from a vertical position (shown in phantom) to horizontal;

    [0029] FIG. 6 is a perspective view of the portable C-arm x-ray device with the slider pivot axis set at 60 degrees below horizontal and the housing having been rotated from a cranio-caudal orientation (shown in phantom) at 45 degrees to 0 degrees;

    [0030] FIG. 7 is a perspective view of a portable base, with a side cover removed (as in FIGS. 1 and 2), showing portions of a rotatable tilt bearing means and a sliding pivot point means inside the base; and

    [0031] FIG. 8 shows the portable C-arm x-ray device in the same examination room as an MRI machine.

    BRIEF DESCRIPTION OF THE PREFERRED EMBODIMENTS

    [0032] Applicant hereby incorporates by reference the following patents in their entirety: U.S. Pat. No. 7,300,205 to Grady (Grady '205), and U.S. Pat. No. 6,789,941 to Grady (Grady '941).

    [0033] The drawings of Grady '205 show a sample mobile C-arm, which externally would not look different, except perhaps for the materials used, from the preferred embodiment of this present invention. Applicant's invention is to build a mobile C-arm x-ray fluoroscopy machine (e.g., the machine disclosed in Grady '205) substantially entirely out of materials which cannot be magnetized. That results in a new capabilityinteroperability of the mobile C-arm with an MRI machine in proximity to it (e.g., in the same roomsee FIG. 8) without any shielding partition. Both the C-Arm fluoroscopy machine and the MRI machine are capable of operating (e.g., imaging) simultaneously, without interfering with each other, due to the C-arm machine being constructed substantially entirely out of materials which cannot be magnetized.

    [0034] Referring to FIGS. 1-7, Applicant has disclosed a preferred embodiment of an Angio Capable Portable X-Ray Fluoroscopy Unit with Sliding C-Arm and Variable Pivot Point 100. The unit includes a C-arm support apparatus 101 comprising a large radius C-arm 104 having slide travel rails (e.g., 106) on opposite sides of the C-arm. These slide rails, together with a mid-length of the C-arm 104, can travail within an outer, shorter C-sleeve (a.k.a. C-slider housing) 108. The rails are driven by sprockets (not shown) turned by an electric motor (not shown).

    [0035] FIGS. 1-7 are identical to the drawings in Grady '205 except: the C-arm support apparatus is referenced by 101 in this application.

    [0036] One end portion of the C-arm 104 and its slide rails (e.g., 106) are placed behind an image receptor assembly 114 centerline 116. That way, the C-arm can pass by the image receptor assembly 114 without interfering with (i.e., hitting) the assembly 114.

    [0037] The C-arm projection itself, at either end, or just the end nearest the image receptor, contains balance weights at 116. These weights offset the unbalancing moment of the C-arm mass and source assembly to allow manual motion of the slide axis. These counterweights are similar to the technique found in Grady '941.

    [0038] Applicant's present drawings include: a rotatable tilt bearing means 120 for pivoting the arc (and C-slider) in a Z-plane around a pivot axis (a.k.a. C-slider axis) 122; and a sliding pivot point means 124 for repositioning the tilt bearing means 120, and pivot axis 122, in the X-Y plane along an arcuate path. The tilt bearing means 120 and the sliding pivot point means 124 combine to create extreme compound angles related to cardiac catheterization (cath).

    [0039] Applicant's illustrated mobile C-arm x-ray device 100 has an x-ray source 102, an image receptor assembly 114, and a C-arm 104 which slides through a fixed C-slider housing 108 mounted onto a portable base 126, the improvement comprising: the C-slider housing 108 is mounted onto the portable base 126 through the rotatable tilt bearing means 120 for pivoting the arc (and C-slider housing 108) in a Z-plane around C-slider rotational axis 122; and, the C-slider rotational axis 122, plus C-slider 108, can be repositioned along an arcuate slot 130 (in the base 126) by the sliding pivot point means 124 from approximately a horizontal position to a position between approximately 60 degrees and 40 degrees below horizontal in a vertical plane.

    [0040] Sliding pivot point means 124 preferably includes an arcuate pivot carriage guide track 132, aligned with slot 130 and mounted within the base 126. Track 132 and slot 130 have similar arcuate lengths. Those lengths are shown as 60 degrees.

    [0041] Track 132 has upper and lower surfaces, plus closed ends, that form an internal curved housing for a C-slider pivot carriage 134. Carriage 134 has guide rollers for sliding the carriage 134 within the confines of the guide track housing.

    [0042] As best shown in FIG. 7, carriage 134 is attached to the C-slider 108 by a rotatable tilt bearing 136 that rides atop a slot (not shown) in guide track 132. A drive gear motor 137 selectively slides the carriage 134 and C-slider 108 by a drive chain 138. The drive chain 138 rides over sprockets 140 and 142, and is fixed to the underside of the carriage by a set screw 143.

    [0043] As best shown in FIG. 7, tilt bearing means 124 preferably comprises a reversible drive motor 144 removably attached to the rotatable tilt bearing 136 by any suitable means, such as pinning. Motor 144 preferably has a drive shaft which extends through a slot in the bottom of the track 132 housing, up through a hole in the carriage 134. Motor 144 preferably is mounted on a tab 146 that runs in a lower slot of the guide track between the guide rollers. Other mounts and attachments would also do. A user (not shown) can utilize the motor to selectively rotate C-slider housing 108 about the C-slider axis 122.

    [0044] Without excluding any particular materials or techniques, some examples of Applicant's non-magnetic approach are: (i) carbon fiber for C-arm 104, C-arm guide track 132, pivot carriage 134, C-slider housing 108 and portable base 126; (ii) aluminum or brass or plastic for brackets (not shown) and small parts such as drive chain 138, sprockets 140, 142 and set screw 143; (iii) polyethylene for wheel hubs, such as the drive hubs of motors 137, 144, and for bearings, such as the rotatable tilt bearing 136; (iv) Kevlarg belts for rope (not shown) and for the drive gears of motors 137, 144; (v) ceramics for bearings, such as the rotatable tilt bearing 136, and for the C-arm 104, C-arm guide track 132, pivot carriage 134, C-slider housing 108 and portable base 126; or (vi) stainless steel (non-magnetic) for panels, such as the panels of the base 126, for chassis, such as guide track 132 for the rotor (not shown) of the x-ray tube and for fasteners.

    [0045] This concept uses the absolute minimum of materials which can be magnetized. Other parts, such as the rotor of the x-ray tube and its motor core must be magnetic. Even those perhaps can be eliminated by a stationary anode tube with tungsten embedded in a massive cooled copper casting, as is known from therapy x-ray tubes. The image reception end, of the flat panel design, is in general immune to magnetic effects.

    [0046] It is the intent of this filing to claim variations on the basic idea, wherein as much steel or iron as possible has been deleted, with the expressed intent to enable use of the x-ray imaging in proximity to an MRI machine by use of materials, which cannot be magnetized, targeted toward fabricating an x-ray system to use with an MRI machine. Both machines are capable of operating simultaneously in the same examination room without interference from the x-ray machine, due to its materials which cannot be magnetized.

    [0047] FIG. 8 shows the illustrated mobile C-arm x-ray fluoroscopy machine 100, constructed substantially entirely with materials, which cannot be magnetized, in the same examination room 146 as an MRI machine 148. The MRI and C-arm machines can share the same table or stretcher, as shown in FIG. 8. The illustrated table is on a guide track on the floor. By pulling the C-arm device on its wheels away from (perpendicularly) to the table, the table can move through pulleys or gearing (not shown) simultaneously along its guide track next to the MRI. If the table is long enough (e.g., at least 10 feet), the table can transit back and forth, in-line, to bring imaged patient areas into view for both the MRI and C-arm devices. The MRI and fluoroscopy machines are capable of operating simultaneously, due to the materials of the fluoroscopy device which cannot be magnetized.

    [0048] Though not shown in FIG. 8, there is a travel guide or travel limitation (e.g, a stop) in or on the floor, to prevent inadvertently moving the C-arm too close to the MRI magnet. There will be some residual metal in the C-arm, despite best efforts, and the MRI's magnet could suck the C-arm toward it violently without that travel limitation.

    [0049] Applicant's invention can be thought of in method terms as follows: building a mobile x-ray machine with materials which cannot be magnetized; and placing the x-ray machine in a same examination room as an MRI machine; whereby the x-ray machine does not interfere with a magnetic field created by the MRI machine and a magnet of the MRI machine does not affect the x-ray machine. Due to the materials of the x-ray machine which cannot be magnetized, both the MRI and x-ray machines are capable of operating simultaneously in the same examination room.

    [0050] It should be understood by those skilled in the art that obvious structural modifications can be made without departing from the spirit of the invention. For example, while a mobile C-arm support has been referred to, various x-ray positioners or holders such as a parallelogram (see, e.g., U.S. Pat. No. 3,892,967 to Grady et al.) or variation of existing C-arms could be constructed substantially without any materials which can be magnetized. Accordingly, reference should be made primarily to the appended claims rather than the foregoing description to determine the scope of the invention.