X-ray or gamma ray systems or devices – Source support – Including object support or positioning
Reexamination Certificate
2000-04-07
2002-10-01
Kim, Robert H. (Department: 2882)
X-ray or gamma ray systems or devices
Source support
Including object support or positioning
C378S195000, C378S197000
Reexamination Certificate
active
06457858
ABSTRACT:
BACKGROUND OF THE INVENTION
Description of the Related Art
FIG. 4
 shows an apparatus for X-ray fluoroscopy, including an X-ray imaging system 
60
 and control system 
59
. The imaging system 
60
 has a table 
40
 for resting a person thereon. A X-ray tube 
23
 is disposed under the table 
40
. An X-ray imaging part includes an operation panel 
25
, a snap shot device 
16
, an image intensifier 
15
, and a TV camera 
14
.
The X-ray tube 
23
 and the X-ray imaging part are linked by a supporting column 
24
 and they travel as one united body. The X-ray tube 
23
 and the X-ray imaging part are movable in the Y axis direction 
18
, along the person's length, and also the X axis direction 
17
, along the person's width. These movements are carried out by manual operation or motor drive through operation of a handle 
47
. The X-ray imaging part is also designed to be movable in the Z axis direction 
19
, up and down with respect to the person. Enlargement fluoroscopy is carried out by adjusting the X-ray imaging part along the Z axis direction.
The operation panel 
25
 has various switches. Operation of some of these switches makes it possible to move the table 
40
, by motor drive in the Y axis direction 
21
 and the X axis direction 
20
, independently of the movement of the X-ray imaging part. Since the X-ray imaging part and table 
40
 are movable independently of each other, it is possible to place the center of the X-ray imaging part at a region of concern in the person. The X-ray imaging system 
60
 is also designed to incline by using switches on the operation panel 
25
 so that the person on the table 
40
 is held at a position between the horizontal position and the standing position.
The adjacent operation apparatus has a monitor 
46
 near the X-ray imaging system 
60
. When performing X-ray fluoroscopy using this apparatus, under irradiation of weak X-rays, an operator grasps the handle 
47
 to move the X-ray imaging system 
60
 first. The operator moves the table 
40
 and places the center of the X-ray imaging part at a region of concern of the person while watching an X-ray image on the monitor 
46
. Then, a radiography of the region of concern is carried out by pushing an imaging switch 
48
.
The control system 
59
 controls an X-ray high voltage generator 
41
 according to X-ray parameters preset ahead. When the X-ray high voltage generator 
41
 provides the X-ray tube 
23
 with high voltage, the X-ray tube 
23
 irradiates X-ray. The X-ray transmitted through the person is detected and also changed into a visible image by the image intensifier 
15
. The TV camera 
14
 converts the visible image output by the image intensifier 
15
 into video signals. An A/D converter 
42
 converts the video signals into digital signals. An image processor 
43
 carries out image processing of the digital signals to obtain a proper X-ray image. Output data of the image processor 
43
 are stored in the memory 
45
. The output data are also converted by a D/A converter 
44
 into analog signals and then provided to the monitor 
46
 and a TV monitor 
26
 of the control system 
59
 to show an X-ray image thereon.
In case that angiography of a relatively wide range, such as a blood vessel in a leg part, is carried out by using the above mentioned X-ray fluoroscopy apparatus, the X-ray imaging part is moved, thorough use of the handle 
47
, to track a blood stream (typically contrasted by a contrast medium). Radiography of the blood stream is carried out while tracking the blood stream by using the switch 
48
. When angiography of a large person is carried out, since it is necessary to have the X-ray imaging part travel for about one meter, an X-ray imaging system which has the X-ray imaging part travel for a long distance is needed. However, the entire structure of the X-ray imaging system becomes very large when the X-ray imaging part is able to travel for a long distance.
In case of carrying out angiography of the whole body or a leg part, it is necessary to have the table 
40
 travel at velocity faster than the flow of blood; intermittent X-ray irradiation is repeated, having the table 
40
 move intermittently to get a target blood stream live image. However, this requires a high powered motor able to move the table to chase the X-ray imaging part, which is expensive.
SUMMARY OF THE INVENTION
It is therefore desirable to provide an apparatus for X-ray fluoroscopy and a method of angiography which carries out angiography over a wide range without making the apparatus large. It is also desirable to provide an apparatus for X-ray fluoroscopy and a method of angiography which make it possible to chase contrasted blood flow very easily.
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patent: 5386453 (1995-01-01), Harrawood et al.
patent: 5463668 (1995-10-01), Kagaya
patent: 5497408 (1996-03-01), Kayser
patent: 5682414 (1997-10-01), Saito
patent: 5841830 (1998-11-01), Barni et al.
patent: 5870450 (1999-02-01), Khutoryansky et al.
patent: 6075836 (2000-06-01), Ning
Taber, Clarence Wilbur, Taber's Cycolpedic Medical Dictionary, 1997, 18thEd., pp. 150 and 151.*
Taber, Clarence Wilbur, Taber's Cyclopedic Medical Dictionary, ed. 18, Pub. F.A. Davis Company, pp. 150-151.
Araki Tatsuya
Katoh Mikihiko
Masuo Katsuhiro
Nakamura Kouji
Kao Chih
Kim Robert H.
Rader & Fishman & Grauer, PLLC
Shimadzu Corporation
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