Adjustable couch and medical couch system comprising same

An embodiment of the present disclosure provides an adjustable couch that can be mounted on a medical couch, the adjustable couch comprising: a first couch provided with a fixing means to be fixed to the medical couch; and a second couch disposed on the first couch and provided with a rotating-coupling means to be coupled rotatably about a first axis perpendicular to an upper surface of the first couch.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is the National Stage entry under 35 U.S.C. § 371 of International Application Number PCT/KR2019/012441 filed on Sep. 25, 2019, published on Apr. 30, 2020 under publication number WO 2020/085659 A1, which claims the benefit of priority under 35 U.S.C. § 119 of Korean patent application number 10-2018-0128318 filed Oct. 25, 2018.

TECHNICAL FIELD

Embodiments of the present disclosure relates to an adjustable couch and a medical couch system comprising same.

BACKGROUND ART

Radiation treatment is a method of clinical medicine for treating patients by using radiation having very short wavelengths and high energy, and is one of the three major cancer treatment methods along with surgery and chemotherapy. This usually treats malignant tumors referred to as cancers but also treats benign tumors and some benign diseases. The radiation treatment may be classified into external radiation treatment and brachytherapy according to the position of an irradiator.

The external radiation treatment is a treatment method of irradiating with radiation by using various pieces of equipment outside the body, and may be classified into photon beam treatment, electron beam treatment, and particle beam treatment such as neutron treatment and proton treatment according to the type of radiation used. Meanwhile, the brachytherapy is a method of irradiating a limited region with radiation by positioning a radiation generator or radioactive isotopes in or on the body, and may be classified into intracavitary treatment, intraluminal treatment, interstitial treatment, contact treatment, or the like according to the insertion space or method thereof.

Meanwhile, when the radiation treatment is performed, successful radiation treatment is possible only by intensively irradiating a target site with high dose while minimizing the damage to normal organs due to the radiation. However, a conventional radiation treatment apparatus, especially, a tomotherapy apparatus is provided such that a roll direction of a couch is adjustable, and thus, when the couch is tilted in the roll direction, it may be adjusted, but there is a problem that adjustment in a yaw direction is impossible.

The background art described above is technical information possessed to derive the present disclosure or learned in the course of deriving the present disclosure by the inventor, and cannot necessarily be said to be a known art published to the general public before filing of the present disclosure.

DESCRIPTION OF EMBODIMENTS

Technical Problem

Embodiments of the present disclosure provides an adjustable couch, which is adjustable in a yaw direction, and a medical couch system comprising same.

Solution to Problem

An embodiment of the present disclosure provides an adjustable couch that can be mounted on a medical couch, the adjustable couch comprising: a first couch provided with a fixing means to be fixed to the medical couch; and a second couch disposed on the first couch and provided with a rotating-coupling means to be coupled rotatably about a first axis perpendicular to an upper surface of the first couch.

Advantageous Effects of Disclosure

An adjustable couch according to embodiments of the present disclosure is provided detachably on a medical couch, and thus it is not necessary to replace the entire medical couch used in radiation treatment for adjustment in a yaw direction, thereby making it possible to achieve an effect of reducing costs. Also, the adjustable couch is adjusted in the yaw direction, and then the radiation treatment may be performed. Through this, the medical couch system may not only decrease the number of retakes as much as possible to reduce the total treatment time, but also accordingly reduce the risk of developing secondary cancer, increase the patient reproducibility, and reduce pains.

BEST MODE

An embodiment of the present disclosure provides an adjustable couch mountable on a medical couch, the adjustable couch comprising: a first couch provided with a fixing means to be fixed to the medical couch; and a second couch disposed on the first couch and provided with a rotating-coupling means to be coupled rotatably about a first axis perpendicular to an upper surface of the first couch.

In an embodiment of the present disclosure, the fixing means may be disposed on a lower surface of the first couch on the opposite side from the upper surface, and may be constituted by one or more first protrusions corresponding to one or more first grooves provided in the medical couch.

In an embodiment of the present disclosure, when the first grooves are constituted by a plurality grooves, the number of the first protrusions may be less than the number of the first grooves.

In an embodiment of the present disclosure, the rotating-coupling means may be constituted by a second protrusion which is disposed on a lower surface of the second couch which is in contact with the upper surface of the first couch.

In an embodiment of the present disclosure, a second groove may be formed, at a position corresponding to the second protrusion, in the upper surface of the first couch.

In an embodiment of the present disclosure, the rotating-coupling means may be constituted by the same material as the second couch.

In an embodiment of the present disclosure, the rotating-coupling means may be disposed on the first axis, but may be disposed at a position different from a center of the first couch.

In an embodiment of the present disclosure, the second couch may be further provided with a rotation angle checking portion through which a rotation angle about the first axis is checked.

An embodiment of the present disclosure provides a medical couch system comprising: a medical couch provided with one or more first grooves; a support for supporting the medical couch; and an adjustable couch which is detachably mounted on the medical couch, and comprises a first couch provided with a fixing means to be fixed to the medical couch and a second couch disposed on the first couch and provided with a rotating-coupling means to be coupled rotatably about a first axis perpendicular to an upper surface of the first couch.

In an embodiment of the present disclosure, the fixing means may be disposed on a lower surface of the first couch on the opposite side from the upper surface, and may be constituted by one or more first protrusions corresponding to one or more first grooves provided in the medical couch.

In an embodiment of the present disclosure, the first grooves may be constituted by a plurality of grooves and disposed at both edges on an upper surface of the medical couch along a first direction in which a length of the medical couch extends, wherein the number of the first protrusions is less than the number of the first grooves.

In an embodiment of the present disclosure, the rotating-coupling means may be constituted by a second protrusion which is disposed on a lower surface of the second couch which is in contact with the upper surface of the first couch.

In an embodiment of the present disclosure, a second groove may be formed, at a position corresponding to the second protrusion, in the upper surface of the first couch.

In an embodiment of the present disclosure, the rotating-coupling means may be constituted by the same material as the second couch.

In an embodiment of the present disclosure, the rotating-coupling means may be disposed on the first axis, but may be disposed at a position different from a center of the first couch.

In an embodiment of the present disclosure, the second couch may be further provided with a rotation angle checking portion through which a rotation angle about the first axis is checked.

Aspects, features, and advantages other than those described above will become apparent from the accompanying drawings, the claims, and the detailed description.

MODE OF DISCLOSURE

Since the present disclosure may be diversely modified and have various embodiments, specific embodiments are exemplified in the drawings and described in detail in the detailed description. Effects and features of the present disclosure, and implementation methods thereof will be clarified through following embodiments described in detail with reference to the drawings. However, the present disclosure is not limited to the embodiments set forth herein, but may be embodied in various forms.

Hereinafter, embodiments of the present disclosure are described in detail with reference to the accompanying drawings, and when describing with reference to the drawings, the identical or corresponding components are given with the same reference numerals, and their duplicated descriptions will be omitted.

In the following embodiments, terms “first” and “second” are used to distinguish one component from another component, but these components should not be limited by these terms.

In the following embodiments, the singular forms include the plural forms as well, unless the context clearly indicates otherwise.

In the following embodiments, the terms “includes” or “including” when used in this specification are to specify the presence of stated features or components, but do not preclude the addition of one or more other features or components.

In the following embodiments, when a portion such as a layer, a region, or a component is referred to as being “above” or “on” another portion, it can be directly on another portion, or another layer, region, or component may also be present therebetween.

In the drawings, the dimensions of elements may be exaggerated or downscaled for convenience of description. For example, since the size and thickness of each component shown in the drawings are arbitrarily shown for convenience of description, and the present disclosure is not necessarily limited thereto.

In the following embodiments, when a layer, a region, a component, and the like are referred to as being connected to each other, not only are the layer, the region, and the component directly connected to each other, but the layer, the region, and the component are indirectly connected to each other with another layer, region, and component interposed therebetween. For example, when a layer, a region, a component, and the like are referred to as being electrically connected to each other in the specification, not only are the layer, the region, and the component directly electrically connected to each other, but the layer, the region, and the component are indirectly electrically connected to each other with another layer, region, and component interposed therebetween.

FIG.1is a view schematically illustrating a medical couch system1according to an embodiment of the present disclosure.

Referring toFIG.1, the medical couch system1may be provided with a radiation treatment device11, a medical couch12, a support13, and an adjustable couch20.

The radiation treatment device11may be provided with a gantry and a radiation irradiation unit. The gantry is provided in the form of arc and may rotate about a patient. For example, the gantry may be provided in the cylindrical structure having a bore, and this may comprehensively mean a partially cylindrical case. Particularly, a bore may be formed in the gantry from one side of the gantry to the other side of the gantry, and the patient may be guided into the bore.

The radiation irradiation unit is disposed on one side of the bore and may irradiate the patient guided into the bore with radiation beams. For example, the radiation irradiation unit may irradiate the patient with the radiation beams to measure tissue displacement or obtain CT images prior to the radiation treatment, and may irradiate the patient with the radiation beams for the radiation treatment during the radiation treatment. Particularly, the radiation irradiation unit may include a linear accelerator and a multi-leaf collimator (MLC). Also, the MLC may investigate the intensity or pattern of radiation beams discharged from the linear accelerator. For example, when a large or small amount of radiation beams is required to treat treatment target tissues of the patient, the intensity of radiation beams may be adjusted in the MLC, and when the treatment target tissues of the patient are displaced, the pattern of the radiation beams are adjusted in the MLC so that the treatment target tissues of the patient are irradiated with the radiation beams.

The medical couch12may be provided as a table on which a patient may lie, and one or more first grooves g1may be provided in an upper surface thereof. The medical couch12may be supported by the support13which is disposed on a lower surface of the medical couch12. The medical couch12may move into the bore of the radiation treatment device11. The medical couch12may be provided with an adjustable means which is adjustable with respect to a pitch direction (x-axis rotation) and a roll direction (y-axis rotation).

The medical couch system1having the above-described configuration is not provided with an adjustable means with respect to a yaw direction inside the medical couch12, and the adjustment with respect to the yaw direction is possible through the adjustable couch20detachably mounted on the medical couch12.

FIG.2is a view for describing the adjustable couch20ofFIG.1, andFIGS.3aand3bare enlarged cross-sectional views in which some portions are extracted to describe a rotating-coupling means b2ofFIG.2.

Referring toFIG.2, the adjustable couch20may be provided with a first couch100and a second couch200and may be detachably provided on the medical couch12.

Particularly, the first couch100may be provided with a fixing means b1to be fixed to the medical couch12. The fixing means b1may be disposed on a lower surface100B of the first couch100on the opposite side from an upper surface100A, and may be constituted by one or more first protrusions corresponding to one or more first grooves g1provided in the medical couch12.

As illustrated inFIG.1, the medical couch12may be provided with the plurality of first grooves g1on an upper surface thereof. The plurality of first grooves g1may be arranged in a line along both edges on the upper surface of the medical couch12in a longitudinal direction (y-axis direction) of the medical couch12. The fixing means b1is provided as the first protrusions disposed at positions corresponding to the first grooves g1, and as the first protrusions are inserted into the first grooves g1, the adjustable couch20including the first couch100may be mounted to the medical couch12.

Here, the number of first protrusions may be less than the number of first grooves g1. For example, the first grooves g1may be disposed in a line on both the edges of the medical couch12along the longitudinal direction, and the first protrusions may be constituted by a pair of protrusions which are disposed symmetrically with respect to the longitudinal direction (the y-axis direction) to be able to correspond to any one pair of first grooves g1among the first grooves g1. Through this, the fixing means b1may be stably fixed to an upper end of the medical couch12. However, the technical idea of the present disclosure is not limited thereto, and in another embodiment, any means such as a clamp capable of fixing the adjustable couch20on the medical couch12may be applied.

Meanwhile, the first couch100may be provided with a second groove g2in the upper surface100A thereof.

The second couch200is disposed on the first couch100, and may be provided with a rotating-coupling means b2to be coupled rotatably about a first axis Ax1perpendicular to the upper surface100A of the first couch100. The rotating-coupling means b2may be constituted by a second protrusion which is disposed on a lower surface200B of the second couch200which is in contact with the upper surface100A of the first couch100. The rotating-coupling means b2constituted by the second protrusion is inserted into the second groove g2of the first couch100and may couple the first couch100and the second couch200.

Referring toFIGS.2and3a, the second protrusion b2, which is the rotating-coupling means, is formed in a cylindrical shape, and may couple the first couch100and the second couch200and also allow the second couch200to be rotatable with respect to the first couch100fixed to the medical couch12. Particularly, the rotating-coupling means b2may rotate the second couch200about the first axis Ax1perpendicular to a plane direction (the x-y direction) of the medical couch12. Here, the first axis Ax1may not overlap a center O1of the first couch100or a center O2of the second couch200. In other words, the first axis Ax1is disposed at a position different from the center O1of the first couch100or the center O2of the second couch200and, for example, may be disposed biased to a region in which the epigastrium of the patient is positioned. Since there are many cases where a radiation treatment target is positioned on the epigastrium of the patient, the adjustable couch20enables accurate adjustment of the yaw direction for a radiation treatment position through the rotation about the first axis Ax1disposed to be biased as described above.

Referring toFIG.3b, in another embodiment, a rotating-coupling means b2is formed of a protrusion, and may include a pillar portion b21protruding from a lower surface200B of a second couch200and a fixing portion b22provided on one side of the pillar portion b21. Here, a diameter of the fixing portion b22may be greater than a diameter of the pillar portion b21. A second groove g2of a first couch100is formed in a shape corresponding thereto and, particularly, may be formed of a guide groove g21corresponding to the pillar portion b21and a fixing groove g22corresponding to the fixing portion b22. That is, as the fixing portion b22of the rotating-coupling means b2is engaged in the fixing groove g22of the second groove g2, the second couch200may rotate about the first axis Ax1while being fixed to the first couch100. The technical idea of the present disclosure is not limited thereto, and it is possible for the rotating-coupling means b2to have any form enabling the second couch200to be rotatably coupled to the first couch100.

Meanwhile, the rotating-coupling means b2is formed extending from the second couch200and may be constituted by the same material as the second couch200. In an embodiment, the second couch200may be constituted by a carbon material through which the radiation may be transmitted, and the first couch100may also be constituted by the same carbon material. The radiation irradiation unit of the radiation treatment device11is disposed below the medical couch12and may irradiate a patient with the radiation, but when the adjustable couch20disposed above the medical couch12is constituted by a material preventing the transmission of radiation, it may be difficult to perform accurate treatment. In the adjustable couch20according to an embodiment of the present disclosure, as at least a region irradiated with the radiation is formed of only a material through which the radiation is transmitted, it is possible to perform more accurate radiation treatment. When the rotating-coupling means b2is constituted by the pillar portion b21and the fixing portion b22as illustrated inFIG.3b, it is reasonable that they are also constituted by a carbon material.

Referring toFIG.2again, the second couch200may be further provided with a rotation angle checking portion210through which a rotation angle about the first axis Ax1may be checked. The adjustable couch20may be further provided with a rotation driving means for rotating the second couch200about the first axis Ax1, but the rotation driving means is not further provided, and a user may manually rotate the second couch200. When the second couch200is rotated manually, a separate rotation driving means is not necessary, and thus the entire adjustable couch20may be constituted by a radiation transmittable material, enabling the accurate radiation treatment as described above. If the rotation driving means is provided, the rotation driving means is provided at a position spaced a certain distance from a radiation irradiated region, and thus the radiation in the radiation irradiated region may be transmitted as much as possible.

A user may check a rotation degree of the second couch200through the rotation angle checking portion210. The rotation angle checking portion210may be provided as a through-hole passing through the second couch200. Through the through-hole of the rotation angle checking portion210, a reference line L1provided in the upper surface100A of the first couch100may be checked. The rotation angle checking portion210is further provided with an angle display portion211adjacent to the through-hole, and after the zero point is set with respect to the reference line L1, the angle due to rotation may be checked. Here, the reference line L1may be formed along a second axis Ax2that crosses the first axis Ax1and passes the center O1of the first couch100. The reference line L1may be formed over the entire region along the second axis Ax2as illustrated inFIG.2, but may be formed only in a region which may be checked in the rotation angle checking portion210.

FIGS.4and5are views for describing that the adjustable couch20according to an embodiment of the present disclosure is adjusted in the yaw direction.

Referring toFIGS.4and5, a user who is an inspector sets the zero point with respect to the reference line L1formed in the first couch100in a state in which the adjustable couch20is mounted to the medical couch12. Subsequently, the medical couch12enters the bore of the gantry to obtain a medical image, and here, the medical couch system1may compare the medical image with a treatment planning image obtained when a user works out a radiation treatment plan, and derive how much the medical couch12is tilted in the yaw direction. The inspector may be informed of the degree of tilting derived as above through a display portion (not shown) that displays a result value to the outside. Subsequently, the inspector rotates the second couch200by the above-described result value with respect to the first couch100and positions the patient on a correct position when the radiation treatment planning is worked out, and then the radiation treatment may be performed.

Here, the adjustable couch20may include at least one of a first guide rail310and a second guide rail320between the first couch100and the second couch200, which guide the rotation of the second couch200. The first guide rail310may be positioned in an upper portion of the adjustable couch20, and the second guide rail320may be positioned in a lower portion of the adjustable couch20. As the first guide rail310and the second guide rail320are disposed spaced apart from the radiation irradiated region, interference in the transmittance of radiation due to other components in the radiation irradiated region may be reduced as much as possible.

As described above, the adjustable couch according to embodiments of the present disclosure is provided detachably on the medical couch, and thus it is not necessary to replace the entire medical couch used in radiation treatment for adjustment in the yaw direction, thereby making it possible to achieve an effect of reducing costs. Also, the adjustable couch is adjusted in the yaw direction, and then the radiation treatment may be performed. Through this, the medical couch system may not only decrease the number of retakes as much as possible to reduce the total treatment time, but also accordingly reduce the risk of developing secondary cancer, increase the patient reproducibility, and reduce pains.

Therefore, the spirit of the present disclosure should not be limited and determined by the above-described embodiments, and not only the claims which will be described below but also all the scope equivalent to the claims or equivalently modified therefrom fall within the scope of the spirit of the present disclosure.

INDUSTRIAL APPLICABILITY

According to the present disclosure, provided is an adjustable couch that can be mounted on a medical couch. Also, embodiments of the present disclosure may be applied to a medical couch or the like used in industry.