Patent Number: 050900447
Section: description

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT Reference will now be made in detail to the presently preferred embodiment of the invention as illustrated in the accompanying drawings, in which like reference characters designate like or corresponding parts throughout the several drawings. One embodiment of the invention will be described with reference to the accompanying drawings. As illustrated in FIG. 1, an X-ray examination apparatus embodying the invention comprises an X-ray imaging device 100 and a bed 200 provided in the vicinity of the X-ray imaging device 100. The X-ray imaging device 100 comprises an X-ray radiation means 101 for radiating X-rays to a subject P (see FIG. 3) lying on the bed 200 and an X-ray image receiving means 103 for receiving X-rays penetrating the subject P. The X-ray radiation means 101 comprises an X-ray tube 102 for generating X rays and a movable X-ray iris, not shown, for adjusting an expansion of X-rays emitted by the X-ray tube 102. The X-ray image receiving means 103 has functions to have an X-ray penetration image converted into a visible image by an image intensifier 104, have the visible image imaged by a TV camera 109 for output to a monitor TV, or to have the visible image recorded on cine films by a cine camera 110. The X-ray image receiving means 103 has a film changer 105 for recording an X-ray penetration image from the subject P on X-ray sensitive films. The image intensifier 104 and the film changer 105 are selectively used. The X-ray radiation means 101 and the X-ray image receiving means 103 are held at both ends of a support arm 106 of substantially a letter C-shaped configuration. The support arm 106 is held in a guide groove formed in a spherical surface 107a of an arm guide 107 and movable in a circumferential direction of the spherical surface 107a. The arm guide 107 is rotatably secured on a side surface of a vertical support post 108 via a rotary shaft 107b. The vertical support post 108 is vertically set on the floor. As shown in FIG. 2, the bed 200 includes a bed body 201 placed on the floor of the examination site and a slidable plate 202 mounted on the bed body 201 and which is slidable in the longitudinal direction thereof. The bed 200 has two arm rests 203 for supporting arms of the subject P when an operator inserts a catheter into a blood vessel of the subject P from the brachial region. The arm rests 203 are connected to both sides of the slidable plate 202, and are rotatable in a horizontal direction and removable by means of connector units 204. The connector unit 204 is, as shown in FIGS. 4 and 5, formed, for example, of a fixing plate 205 secured on the bottom surface of the arm rest 203, a shaft 206 vertically suspending from the bottom surface of the fixing plate 205, a metal member 207 for rotatably supporting the shaft 206, and a fixing screw 208 for fixedly securing the metal member 207 on the slidable plate 202 at each side thereof. On each arm rest 203 is mounted, at a position closer to its pivotal end, an X-ray shield 209 for protecting the operator's hands/arms to shield scattered X-rays reflected from the surface of the body of the subject P. The X-ray shield 209 is formed of an X-ray shielding material, such as, lead-containing acrylic resin. As best illustrated in FIG. 6, the shield 209 includes a front wall 210 mounted on the arm rest 203 with its front surface directed to the carcass of the subject P, and edge walls 211 connected to all sides of the front wall 210 (except for the bottom side) and which extend towards the remote end of the arm rest 203, so that the hands and arms of the operator handling a catheter may be surrounded and shielded by the front wall 210 and the edge walls 211 from exposure to scattered X-rays reflected from the subject P. The front wall 210 has an opening 212 in the central bottom portion to permit the subject's arm to be passed therethrough. Further, the X-ray shield 209 preferably has approximately the same width as the arm rest 203 and a height equal to or greater than the thickness of the body of the subject P. The arm rest 203 has a supporting unit 213 for supporting the X-ray shield 209 at one side of it. The supporting unit 213 includes a substantially vertically extending support pin 214 which is secured at one side of the X-ray shield 209 to removably support a hollow cylindrical member 215. The supporting unit 213 has hinge means 216 for moving the X-ray shield 209 from the arm rest 203 sidewardly thereof. The supporting unit 213 is secured to one side of the arm rest 203 by a fixing screw 217. The arm rest 203 is provided with guide grooves 223 at its both side faces. The guide grooves 223 receive a cover plate 222 for covering a bottom surface of the arm rest 203, the cover plate 222 being slidable in the longitudinal direction of the arm rest 203. The cover plate 222 is formed of the same X-ray shielding material as the shield 209, such as lead-containing acrylic resin, for shielding scattered X-rays reflected for example from the floor surface. The cover 222 is provided with a fixing screw 224 at its bottom central portion, which fastens the cover 222 to the arm rest 203 at a desired longitudinal position. The length of the cover 222 may for example be 20 to 30 cm when the length of the arm rest 203 is 60 to 70 cm. By the above arrangement of the various component members, the operator's hands may be protected from exposure to scattered X-rays at the time of inserting a caterter into the blood vessel of the subject P from the brachial region. This may decrease dosage rate applicable to the operator. In addition, since the operator need not wear X-ray protection gloves, a fine touch may be easily conveyed onto the operator's hands. According to the foregoing embodiment, the cover plate 222 is mounted on the arm rest 203 so as to be slidable in the longitudinal direction, so that X-ray fluoroscopy in the area of insertion of a catheter may be performed by rearwardly moving the cover plate 222. Further, according to the embodiment, the shield 209 which is removable from the arm rest 203 and movable from the upper surface of the arm rest 203 sidewardly of the arm rest 203 is not an obstacle to placing the arm on the arm reset 203. Additional embodiments of the present invention will be apparent to those skilled in the art from consideration of the specification and practice of the present invention disclosed herein. It is intended that the specification and examples be considered as exemplary only with the true scope of the present invention being indicated by the following claims.