Method and system for supporting an imaging transceiver

Information

  • Patent Grant
  • 6565050
  • Patent Number
    6,565,050
  • Date Filed
    Thursday, July 26, 2001
    23 years ago
  • Date Issued
    Tuesday, May 20, 2003
    21 years ago
  • Inventors
  • Examiners
    • Braun; Leslie A.
    • Wujciak, III; A. Joseph
    Agents
    • Simmons, Perrine, Albright & Ellwood, PLC
Abstract
A system and method for supporting an ultrasound transducer or other medical device from a position above a patient support surface using an arched overhead boom and a tool balancer or multi-directional articulating extendable mount.
Description




BACKGROUND OF INVENTION




In recent years, handheld medical imaging transceivers, such as ultrasound and gamma ray transceivers, have been used extensively for various medical imaging situations. In certain situations, such as trans-rectal and trans-vaginal procedures, the imaging transceiver is coupled to a transceiver mount that is either floor or wall mounted or mounted to the bed or examination table. These transceiver mounts typically have some mechanism for stabilizing the transceiver from a point originating from the side of the patient or below the patient.




While these transceiver mounts have been used extensively in the past, they do have some drawbacks. First of all, the use of patient level and below support mechanisms often result in wires and other apparatus being placed on or in the near proximity of the patient. Increased contact of a transceiver wire with the patient increases the likelihood that distant movements of the patient (e.g., moving a leg with a wire draped over it), may result in unwanted motion of the transceiver. Secondly, these mounts are typically too cumbersome to be used regularly in certain applications like wide area, non-invasive scanning procedures, such as general fetal examinations. When the transceiver mounts are not used, their benefits are not realized.




It should also be noted that it is well known in the medical field to employ overhead lamps on adjustable booms over a patient.




Consequently, there exists a need for improved methods and systems for supporting a medical imaging transceiver in an efficient manner.




SUMMARY OF INVENTION




It is an object of the present invention to provide a system and method for stabilizing a medical imaging transceiver in an efficient manner.




It is a feature of the present invention to utilize an overhead support mechanism for a medical imaging transceiver.




It is another feature of the present invention to include a counter-balancing overhead medical imaging transceiver support.




It is another feature of the present invention to include a multi-directional jointed articulating overhead support arm for medical imaging transceivers.




It is another feature of the present invention to include a stabilizing mattress board.




It is another feature of the present invention to include a stabilizing bed clamp.




It is another feature of the present invention to include a rolling floor stand with locking wheels.




It is an advantage of the present invention to achieve improved efficiency in supporting medical imaging transceivers.




The present invention is an apparatus and method for supporting medical imaging transceivers, designed to satisfy the aforementioned needs, provide the previously stated objects, include the above-listed features, and achieve the already articulated advantages. The present invention is carried out in a “wasted time-less” manner in a sense that the time consumed with temporarily storing and retrieving the stored transceiver has been greatly reduced. Similarly, the present invention is a “fatigue-less” mount in the sense that the fatigue associated with holding a medical imaging transceiver can be reduced.




Accordingly, the present invention is a system and method including an overhead medical imaging transceiver support device which simultaneously provides support and an ability to maneuver and manipulate a transceiver without encroaching, with equipment and/or wires, into a zone, about the patient, defined at its upward extent by the lowest portion of the transceiver and at its lowest extent, a plane upon which the patient rests.











BRIEF DESCRIPTION OF DRAWINGS




The invention may be more fully understood by reading the following description of the preferred embodiments of the invention, in conjunction with the appended drawings wherein:





FIG. 1

is a side view of a system of the present invention.











DETAILED DESCRIPTION




Now referring to the drawings wherein like numerals refer to like matter throughout, and more specifically referring to

FIG. 1

, there is shown an overhead medical imaging transceiver support system of the present invention generally designated


100


. Overhead medical imaging transceiver support system


100


includes an examination table, bed or other patient support device


110


, which has a mattress, cushion or patient resting surface


112


thereon for supporting the patient above the floor. Overhead medical imaging transceiver support system


100


includes a medical imaging transceiver system terminal end


120


, which includes a medical imaging transceiver


122


. These transceivers are well known in the medical imaging field. They may include ultrasound transducers, gamma ray transceivers, or any other type of device which emits a signal and receives reflections therefrom and then provides a signal to a medical imaging system


190


for generating an image of a portion of a human body. The term “medical device” is used herein to include medical imaging transceivers, medical instruments, cryotherapy devices and other medical tools, but the term shall specifically exclude devices which are merely adjustable overhead lamps. It should be understood that the present invention is intended to include systems which substitute medical devices for the medical imaging transceivers described herein. Medical imaging transceiver power and signal cable


124


is used to connect medical imaging transceiver


122


with medical imaging system


190


. Medical imaging transceiver power and signal cable


124


can provide power and signals in one or more lines. Medical imaging transceiver balancer


126


is a device which is used to support the weight of medical imaging transceiver


122


. Medical imaging transceiver balancer


126


can be any type of device which is capable of maintaining an upward pressure on the medical imaging transceiver


122


so as to hold it in place once the physician or technician's hand is removed from the medical imaging transceiver


122


or the medical imaging transceiver adapter


128


which surround and supports and couples the medical imaging transceiver


122


with the medical imaging transceiver balancer support line


127


. Medical imaging transceiver balancer


126


can be constructed like a tool balancer which are well known in the field of factory automation and ergonomic engineering. Medical imaging transceiver balancer


126


may have a tension adjuster


125


which is used to control the requisite force to pull medical imaging transceiver balancer support line


127


further out of medical imaging transceiver balancer


126


. Tension adjuster


125


can be tuned to just hold the medical imaging transceiver


122


suspended. Medical imaging transceiver balancer


126


may also include a line actuator


123


which, if manipulated in a predetermined manner, causes the medical imaging transceiver balancer support line


127


to return without the need to make an adjustment to the tension adjuster. Line actuator


123


could also be configured, upon a different manipulation, to function as a lock on the medical imaging transceiver balancer support line


127


, not allowing it to move in either direction. The details of the designs of medical imaging transceiver balancer


126


with line actuator


123


, and tension adjuster


125


are believed to be sufficiently described, so that a person having ordinary skill in the art of prior art tool balancers, with the aid of this description, could make and use the same without undue experimentation.




Medical imaging transceiver adapter


128


may be any type of adapter and may be a universal adapter for coupling with various types of transceivers. Medical imaging transceiver adapter


128


may be a contoured clamshell-shaped clamp which has contours adapted and configured to fit to a commercially available medical imaging transceiver


122


. The medical imaging transceiver adapter


128


has a screw actuated variable clamp force characteristic. Depending upon the weight of the medical imaging transceiver


122


actually used, the tension provided by medical imaging transceiver balancer


126


can be adjusted using tension adjuster


125


.




Medical imaging transceiver system terminal end


120


is disposed on the arched overhead pivoting boom


130


. Arched overhead pivoting boom


130


is preferably made of a rigid material, such as a stainless steel rod or any other suitable material and configuration. Preferably, arched overhead pivoting boom


130


can be pivoted around third twisting retraction control joint


188


or any other mechanism which would allow pivoting. Arched overhead pivoting boom


130


has coupled thereto a wire guide


132


which guides the medical imaging transceiver power and signal cable


124


as the arched overhead pivoting boom


130


is pivoted and translated up and down, as well as when the medical imaging transceiver


122


is moved in and out of the medical imaging transceiver balancer


126


. Wire guide


132


can be a simple tube disposed on arched overhead pivoting boom


130


, or it can be a series of loops, etc. If arched overhead pivoting boom


130


is hollow, medical imaging transceiver power and signal cable


124


can be made to run therein. Medical imaging transceiver power and signal cable


124


can run, as shown by dashed line


124


A, to medical imaging transceiver


122


, shown as


122


A if it is disposed in non-dangling medical imaging transceiver adapter


136


. Multi-axis articulating assembly


134


is coupled to non-dangling medical imaging transceiver adapter


136


to provide support in combination with arched overhead pivoting boom


130


. Multi-axis articulating assembly


134


can be any type of multi-axis adjustable joint, including a ball-and-socket-type joint. Also shown is joint


135


, which allows three degrees of freedom: 1) rotation around the vertical section


133


of arched overhead pivoting boom


130


; 2) translation up and down on vertical section


133


; and 3) horizontal translation along mini-boom


131


.




The Figure shows non-dangling medical imaging transceiver adapter


136


and medical imaging transceiver adapter


128


as alternative adapters. They may be both mounted on arched overhead pivoting boom


130


at the same time, or they may be alternately mounted. Medical imaging transceiver power and signal cable


124


is shown as being alternately positionable between medical imaging transceiver adapter


128


and non-dangling medical imaging transceiver adapter


136


, but it should be understood that a second independent medical imaging transceiver power and signal cable could be used to run from medical imaging system


190


to a second independent medical imaging transceiver (not shown). Medical imaging transceiver adapter


128


and non-dangling medical imaging transceiver adapter


136


are shown as being coupled and supported by arched overhead pivoting boom


130


. It should be understood that these adapters could also be coupled to some other overhead support system, such as a ceiling-mounted support or a wall-mounted support mounted at an overhead location. The term “overhead” is used herein to refer to an elevated location at least 24 inches above the mattress, cushion or patient resting surface


112


, but in a preferred embodiment, it refers to an elevated position above the head of a physician or other medical technician involved in the imaging procedure.




Arched overhead pivoting boom


130


is coupled to or is integrated with third internal extension pole segment


189


, which is coupled through third twisting retraction control joint


188


to third hollow vertical upright support pole


187


. Third hollow vertical upright support pole


187


is coupled to or is integrated with second internal extension pole segment


179


, which is coupled through second twisting retraction control joint


178


to second hollow vertical upright support pole


177


. Second hollow vertical upright support pole


177


is coupled to or is integral with first internal extension pole segment


149


, which is coupled through first twisting retraction control joint


148


to first hollow vertical upright support pole


147


.




Third internal extension pole segment


189


, third twisting retraction control joint


188


and third hollow vertical upright support pole


187


are representative of any type of known telescopic support system which could be substituted. It is also possible that the arched overhead pivoting boom


130


is coupled to a non-telescopic support.




First hollow vertical upright support pole


147


is shown as a part of floor stand assembly


140


, which contains floor stand framework


142


, wheels


144


and wheel locks


146


.




Overhead medical imaging transceiver support system


100


can also include a bed rail stabilizing system


150


, which is used to stabilize the overhead medical imaging transceiver support system


100


by providing an anchor to an examination table, bed or other patient support device


110


through a bed rail or other structural member


114


coupled thereto. Bed rail stabilizing system


150


includes a bed rail stabilizing boom


152


which is coupled to first internal extension pole segment


149


via bed rail stabilizer boom to upright joint


156


. Bed rail stabilizer boom to upright joint


156


is preferably capable of providing three degrees of freedom to bed rail clamp


154


. First of all, bed rail stabilizer boom to upright joint


156


is capable of 1) being moved vertically along first internal extension pole segment


149


; and 2) capable of having bed rail stabilizing boom


152


slid therethrough; and 3) is capable of rotation around an axis defined by first internal extension pole segment


149


. Bed rail stabilizer boom to upright joint


156


can be a rigid 90-degree angle between bed rail stabilizing boom


152


and first internal extension pole segment


149


or any other angle. Bed rail stabilizer boom to upright joint


156


could also be an adjustable joint which allows the angle between bed rail stabilizing boom


152


and first internal extension pole segment


149


to be varied, depending upon the particular needs of the user. Bed rail or other structural member


114


is coupled to bed rail stabilizing boom


152


through a bed rail clamp


154


. Like bed rail stabilizer boom to upright joint


156


, bed rail clamp


154


can have a fixed angular relationship, or it can be angularly adjustable.




Patient platform stabilizing system


160


is provided to give additional stabilization, when necessary. Patient platform stabilizing system


160


includes a patient platform stabilizing boom


162


coupled through patient platform stabilizer boom to upright joint


166


to first internal extension pole segment


149


. Patient platform stabilizer boom to upright joint


166


can be similar to bed rail stabilizer boom to upright joint


156


. Patient platform stabilizing boom


162


is coupled to a patient platform


164


, which is placed upon mattress, cushion or patient resting surface


112


, and the patient either sits or lies thereon. The weight of the patient and the resulting friction and engagement with the mattress, cushion or patient resting surface


112


, provides a quick and easy and bed type independent method of providing stabilization. The notion of using a paddle or platform underneath the patient to stabilize medical equipment has been known in the prior art. Similarly, it has been known in the prior art to have an ultrasound transceiver coupled to a bed to provide stabilization.




The overhead medical imaging transceiver support system


100


includes a medical imaging system


190


, which can be any type of imaging system including but not limited to ultrasound, gamma ray, etc. Medical imaging system


190


includes medical imaging electronics


192


and medical imaging display and input device


194


.




In operation, the apparatus and method of the present invention as described in

FIG. 1

, could function as follows:




a patient is situated on an examination table, bed or other patient support device


110


;




a medical professional moves a medical imaging transceiver


122


from a top supported overhead position to a top supported lower position nearer the patient situated on examination table, bed or other patient support device


110


;




an imaging procedure is done and the medical imaging transceiver


122


is released from the medical professional's hand;




the medical imaging transceiver


122


remains substantially at a constant elevation while it is not grasped by the medical professional;




the medical professional views an image on medical imaging display and input device


194


;




the medical professional again grasps the medical imaging transceiver


122


and performs an imaging procedure.




The medical professional again releases grasp of the medical imaging transceiver


122


and then actuates line actuator


123


by pressing a button, thereby causing medical imaging transceiver balancer support line


127


to retract until line actuator


123


is released by releasing the button.




Medical imaging transceiver


122


is thereby caused to rise to an elevated position.




The medical professional then can swing the medical imaging transceiver


122


away from the patient by moving arched overhead pivoting boom


130


, or by rolling overhead medical imaging transceiver support system


100


on wheels


144


.




In an alternate method, a multi-axis articulating assembly


134


and non-dangling medical imaging transceiver adapter


136


are used to position and support the medical imaging transceiver


122


.




Throughout this description, reference is made to a medical imaging system, because it is believed that the beneficial aspects of the present invention would be most readily apparent when used in connection with medical imaging; however, it should be understood that the present invention is not intended to be limited to imaging, and should be hereby construed to include other medical tools, equipment and methodologies as well.




Throughout this document, references are made to “vertical” and “horizontal” these terms are intended to mean “substantially vertical” and “substantially horizontal”. Minor deviations from vertical and minor deviations from horizontal are intended to be included therein.




It is thought that the method and apparatus of the present invention will be understood from the foregoing description and that it will be apparent that various changes may be made in the form, construct steps, and arrangement of the parts and steps thereof, without departing from the spirit and scope of the invention or sacrificing all of their material advantages. The form herein described is merely a preferred exemplary embodiment thereof.



Claims
  • 1. An apparatus for top supporting a medical imaging transceiver from an elevated position comprising:a medical device of the type having a medical device cable coupled thereto; a medical device adapter, adapted and configured for coupling with and retaining therein said medical device; a patient physical support device; a vertically adjustable support structure disposed above said patient physical support device; the support structure coupled to said medical device adapter and further adapted and configured to maintain support, from a first elevated position, of said medical device adapter in a second elevated position without continuous human intervention, where said second elevated position is lower than said first elevated position; said support structure is adapted and configured to allow for repositioning of said medical device adapter to a third elevated position and for maintaining support, from said first elevated position, of said medical device adapter in said third elevated position without human intervention; wherein a first to second separation distance existing between said first elevated position and said second elevated position is different from a first to third separation distance existing between said first elevated position and said third elevated position; said support structure further having cable supports which are adapted and configured to retain said medical device cable in a location other than in a variably sized zone; where said variably sized zone is defined: at a highest extent by a lowest portion of said medical device; at a lowest extent by a patient supporting surface; and at lateral edges by vertical planes extending upward from a periphery of said patient supporting surface; wherein said medical device is a medical imaging transceiver; said medical device adapter is a medical imaging transceiver adapter and said medical device cable is a medical imaging transceiver power and signal cable; said support structure supports said medical imaging transceiver adapter in a suspended configuration, where said medical imaging transceiver adapter is suspended by a support line from above; and wherein said medical device is a medical imaging transceiver which emits a signal and receives an echo of the signal, and determines a distance to an object by a time delay between emission of said signal and receipt of said echo.
  • 2. An apparatus of claim 1 wherein said support structure has a tension adjuster which is configured to permit adjustment of tension on said support line.
  • 3. An apparatus of claim 2 wherein said support structure further comprises a line actuator which is adapted to permit said line to retract only upon a manual manipulation of said line actuator.
  • 4. An apparatus of claim 3 wherein said line actuator further comprises a support line lock which prohibits any retraction and extraction of said support line when said line actuator is in a locked configuration.
  • 5. An apparatus of claim 1 wherein said support structure supports said medical imaging transceiver adapter with a plurality of substantially rigid elongated members coupled by a plurality of joints, each of which allow more than two degrees of freedom.
  • 6. An apparatus of claim 1 wherein said support structure is ceiling mounted.
  • 7. An apparatus for top supporting a medical imaging transceiver from an elevated position comprising:a medical device of the type having a medical device cable coupled thereto; a medical device adapter, adapted and configured for coupling with and retaining therein said medical device; a patient physical support device; a vertically adjustable support structure disposed above said patient physical support device; the support structure coupled to said medical device adapter and further adapted and configured to maintain support, from a first elevated position, of said medical device adapter in a second elevated position without continuous human intervention, where said second elevated position is lower than said first elevated position; said support structure is adapted and configured to allow for repositioning of said medical device adapter to a third elevated position and for maintaining support, from said first elevated position, of said medical device adapter in said third elevated position without human intervention; said support structure further having cable supports which are adapted and configured to retain said medical device cable in a location other than in a variably sized zone; where said variably sized zone is defined: at a highest extent by a lowest portion of said medical device; at a lowest extent by a patient supporting surface; and at lateral edges by vertical planes extending upward from a periphery of said patient supporting surface; wherein said medical device is a medical imaging transceiver; said medical device adapter is a medical imaging transceiver adapter and said medical device cable is a medical imaging transceiver power and signal cable; said support structure supports said medical imaging transceiver adapter in a suspended configuration, where said medical imaging transceiver adapter is suspended by a support line from above; wherein said patient physical support device is of a type which is configured to entirely support, on said patient supporting surface, a patient in each of a reclined position, a sitting position and an intermediate position between said reclined position and said sitting position; wherein said support structure is floor mounted; wherein said support structure comprises an overhead pivoting boom having a first laterally extending section disposed above said medical imaging transceiver adapter and a first vertical section at least a portion of which is disposed below said patient supporting surface; wherein said overhead pivoting boom pivots around an axis defined by said first vertical section; wherein said first vertical section is telescopic; further comprising a first stabilizer which cooperates with said patient physical support device to provide stabilization of said first vertical section; wherein said first stabilizer is a patient platform stabilizing system comprising: a patient platform stabilizing boom, coupled to said first vertical section with at least two degrees of freedom; a patient platform coupled to said boom which is configured for engagement with said patient physical support device when at least a portion of a patient's weight is placed upon said patient platform, where said engagement results in a stabilizing effect upon said first laterally extending section; and further comprising a second stabilizer, which cooperates with said patient physical support device; where said second stabilizer comprises: a bed rail stabilizing boom coupled to said first vertical section; a bed rail clamp coupled to said bed rail stabilizing boom; and, a bed rail stabilizer boom to first vertical section joint.
  • 8. A method of supporting, at variable elevations, a medical device comprising the steps of:providing an overhead boom disposed over a patient; supporting, at a vertically variable point lower than said overhead boom, a medical device, from said overhead boom; maintaining a power cable extending between remotely located medical electronics and said medical device, outside of a zone defined at a top end by a lowest point of said medical device, at a bottom end by a supporting surface directly beneath the patient; and laterally by vertical planes extending from a periphery of said supporting surface; and wherein said medical device is a medical imaging transceiver which emits a signal and receives an echo of the signal, and determines a distance to an object by a time delay between emission of said signal and receipt of said echo.
  • 9. A method of claim 8 wherein said medical device is a medical imaging transceiver and said step of supporting at a vertically variable point includes a step of manipulating a line from which said medical imaging transceiver is suspended.
  • 10. A method of claim 9 further comprising the step of stabilizing the overhead boom by engaging a stabilizing boom with said supporting surface.
  • 11. A method of claim 10 wherein said stabilizing boom is coupled to a bed rail.
  • 12. An apparatus comprising:an ultrasound transducer disposed in a medical imaging transceiver adapter; said ultrasound transducer having a medical imaging transceiver power and signal cable coupled thereto; a medical imaging system coupled to said medical imaging transceiver power and signal cable; an examination table; an arched overhead pivoting boom coupled to a first internal extension pole segment, coupled to a first twisting retraction control joint and a first hollow vertical upright support pole; a medical imaging transceiver balancer coupled to said arched overhead pivoting boom; said medical imaging transceiver balancer having a medical imaging transceiver balancer support line extending therefrom, which is coupled to said medical imaging transceiver adapter; said medical imaging transceiver balancer having a line actuator for controlling movement of said support line with respect to said medical imaging transceiver balancer; a wire guide coupled to said arched overhead pivoting boom, which is adapted and configured to maintain said medical imaging transceiver power and signal cable from contact with a patient that is in contact with said ultrasound transducer; a patient platform stabilizing system comprising: a patient platform; a patient platform stabilizing boom coupled to the patient platform; said patient platform stabilizing boom coupled to a vertical pole; a bed rail stabilizing system comprising: a bed rail clamp; a bed rail stabilizing boom coupled to said bed rail clamp and a vertical pole; and, a floor stand assembly coupled to said first hollow vertical upright support pole.
US Referenced Citations (16)
Number Name Date Kind
1537140 Russell et al. May 1925 A
1571959 Mulligan Feb 1926 A
3475075 Stone, Jr. Oct 1969 A
3891301 Heller Jun 1975 A
3991317 Kunne et al. Nov 1976 A
4365344 Dornheim Dec 1982 A
4548373 Komura Oct 1985 A
4741014 Lajus Apr 1988 A
4881709 Nakamura Nov 1989 A
4894855 Kresse Jan 1990 A
5023899 Ohlson Jun 1991 A
5157707 Ohlson Oct 1992 A
5933191 Ariga et al. Aug 1999 A
6178225 Zur et al. Jan 2001 B1
6183415 Gartner Feb 2001 B1
20010034530 Malackowski et al. Oct 2001 A1
Non-Patent Literature Citations (3)
Entry
Sure-Point, Stepping & Stabilizing Systems for Seed Implantation, Amertek Medical, Inc.
RTP-600 Precision Stabilizer, Radiation Therapy Products, 1998.
AccuSeed 3D Pro, The future of brachytherapy, Tayman Medical, 1999.