DE3036217A1 - Infrared beam appts. for medical examinations - incorporates three transmission units, one on each face of console containing accumulator and mounted on stand - Google Patents
Infrared beam appts. for medical examinations - incorporates three transmission units, one on each face of console containing accumulator and mounted on standInfo
- Publication number
- DE3036217A1 DE3036217A1 DE19803036217 DE3036217A DE3036217A1 DE 3036217 A1 DE3036217 A1 DE 3036217A1 DE 19803036217 DE19803036217 DE 19803036217 DE 3036217 A DE3036217 A DE 3036217A DE 3036217 A1 DE3036217 A1 DE 3036217A1
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- Germany
- Prior art keywords
- control box
- medical device
- control
- notices
- transmitter
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4476—Constructional features of apparatus for radiation diagnosis related to motor-assisted motion of the source unit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B46/00—Surgical drapes
- A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0017—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system transmitting optical signals
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4423—Constructional features of apparatus for radiation diagnosis related to hygiene or sterilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/46—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient
- A61B6/467—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient characterised by special input means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/54—Control of apparatus or devices for radiation diagnosis
- A61B6/548—Remote control of the apparatus or devices
Abstract
Description
Medizinisches GerätMedical device
Die Erfindung bezieht sich auf ein medizinisches Gerät mit einem losgelöst vom übrigen Gerätekörper benutzbaren, die Bedienungselemente zur Auslösung der Gerätefunktionen tragenden Bedienkästchen.The invention relates to a medical device with a detached from the rest of the device body usable, the controls for triggering the device functions load-bearing control box.
Es ist bereits ein Röntgenuntersuchungsgerät bekannt, bei dem die Steuerelemente zur Auslösung der Gerätefunktionen in einem kleinen separaten, mit einem Kabel mit dein Rintgenuntersuchungsgerät verbundenen Bedienkästchen zusammengefaßt untergebracht sind. Diese Konstruktion erlaubt es, das Röntgenuntersuchungsgerät, innerhalb der Reichweite des Kabels von einem beliebigen Ort aus zu steuern. Diese Konstruktion bringt es aber mit sich, daß das am Boden herumliegende Kabel eine ständige Stolpergefahr darstellt und das Vorbeifahren von Gegenständen jedlicher Art, wie z.B. von Krankenliegen behindert. Außerdem verschmutzt das am Boden herumliegende Kabel mit der Zeit. Dies ist um so gravierender, als das Kabel die Abgrenzung zwischen unsterilen (Fußboden) und sterilen Bereich (Bedienfläche) durchbricht.There is already an X-ray examination device known in which the Control elements for triggering the device functions in a small separate, with a cable with the control box connected to your X-ray examination device are housed. This construction allows the X-ray examination device, controlled from anywhere within the reach of the cable. These But construction means that the cable lying around on the floor has a represents a constant risk of tripping and the passing of objects for everyone Kind, such as handicapped by sick beds. In addition, the things lying around on the floor get dirty Cable over time. This is all the more serious as the cable is the demarcation between breaches unsterile (floor) and sterile area (control surface).
Der Erfindung liegt die Aufgabe zugrunde eine Lösung zu finden, die eine freizügigere Wahl des Ortes, von dem aus ein medizinisches Gerät bedient werden kann ermöglich. Gleichzeitig sollte die Stolpergefahr und die sonstigen Behinderungen, die durch ein am Boden herumliegendes Kabel verursacht werden, vermindert werden. SchliElich sollte die angestrebte Lösung auch den hygienischen Anforderungen, die im Operationssaal gestellt werden, genügen.The invention is based on the object of finding a solution that a more liberal choice of where to operate a medical device can be made possible. At the same time, the risk of tripping and other obstructions, caused by a cable lying on the floor can be reduced. Ultimately, the solution sought should also meet the hygienic requirements be placed in the operating room are sufficient.
Bei einem medizinischen Gerät der eingangs genannten Art beinhaltet daher das Bedenkästchen einen Sender für die drahtlose Übermittlung der Steuerbefehle an das zu steuernde Gerät, eine Schaltanordnung zur Steuerung des Senders in Abhängigkeit von den Bedienungselementen und einen Energiespeicher. Infolge der drahtlosen Übermittlung der Steuerbefehle an das zu steuernde Gerät entfallen alle am Boden herumliegenden Kabel. Der Bodenraum um das zu steuernde Gerät herum kann frei ohne jede Behinderung betreten und befahren werden. Die Verwendung eines Energiespeichers befreit das Bedenungskästchen auch von einer Stromzuführungsleitung. Zugleich wird hierdurch auch die Freizügigkeit hinsichtlich der Wahl des Bedienungsortes bedeutend erhöht.Included in a medical device of the type mentioned at the outset hence the concern box a transmitter for the wireless transmission of the control commands to the device to be controlled, a switching arrangement for controlling the transmitter as a function of the controls and an energy store. As a result of wireless transmission of the control commands to the device to be controlled are omitted all lying around on the floor Cable. The floor space around the device to be controlled can be freely unobstructed be entered and driven on. The use of an energy storage device frees that Control box also from a power supply line. At the same time it will also the freedom of movement with regard to the choice of the service location increased significantly.
Die Betriebssicherheit des medizinischen Gerätes läßt sich wesentlich erhöhen, wenn das Bedienkästchen in zweckmäßiger Weiterbildung der Erfindung nur an bestimmten hierfür vorgesehenen Orten einschaltbar ist.The operational safety of the medical device can be significantly increase if the control box in an expedient development of the invention only can be switched on at certain locations provided for this purpose.
Eine solchesMaßnahme erlaubt es die Bedienung auf jene Orte zu begrenzen, die einen Blickkontakt auf das medizinische Gerät bzw. auf den Patienten, der mit dem Gerät untersucht bzw. belilandelt wird, elmöglicht.Such a measure allows the operation to be limited to those locations eye contact on the medical device or on the patient who is with the device is examined or treated.
In zweckmäßiger Ausgestaltung der Erfindung kann an den für die Bedienung vorgesehenen Orten ein mit einer Gegenfläche des Bedienkästchens in Eingriff bringbares Stellelement verfügbar sein. Mit einem solchen Stellelement läßt sich ein Steuerbefehl an den zugelassenen Bedienorten vornehmen, der das Bedienungskästchen in einem betriebsbereiten Zustand versetzt und anderen Orts nicht vorzunehmen ist.In an expedient embodiment of the invention, the for operation Provided places a with a counter surface of the control box can be brought into engagement Actuator be available. With such an adjusting element, a control command at the approved operating locations, the operating box in a ready-to-operate State shifted and other location is not to be done.
In einer anderen besonders zweckmäßigen Ausgestaltung der Erfindung kann an dem für die Bedienung vorgesehenen Orten ein eine Schaltfunktion im Bedienkästchen auslösendes magnetisches Feld verfügbar sein. Das magnetische Feld läßt sich, beispielsweise durch Anbringen eines Permanentmagneten, in einfachster Weise an beliebigen Stellen der zugelassenen Bedienungsorte, wie z.B. an Tischen, Ablageborden, Konsolen, im Fußboden usw., anbringen. Dabei ist eine exakte Positionierung oder gar Ausrichtung des Bedienkästchens zum Magneten nicht erforderlich.In another particularly expedient embodiment of the invention a switching function can be activated in the control box at the locations intended for operation triggering magnetic field must be available. The magnetic field can, for example by attaching a permanent magnet, in the simplest way at any point the approved operating locations, e.g. on tables, shelves, consoles, in the Attach the floor, etc. This involves exact positioning or even alignment of the control box to the magnet is not required.
Eine besonders gute Anpassung an die recht unterschiedlichen Bedienungserfordernisse bei medizinischen Geräten läßt sich erreichen, wenn, in besonders zweckmäßiger Weiterbildung der Erfindung, den einzelnen Kanälen des Senders teils einzelne, teils Kombinationen mehrerer gleichzeitig zu gebender Steuerbefehle zugeordnet sind und die Schaltanordnung alle gleichzeitig ausgelösten Steuerbefehle dem dieser Kombination von Steuerbefehlen reservierten Kanal zuordnet. Dies ermöglicht es mit einem Sender auszukommen, mit dem gleichzeitig nur auf einem Kanal gesendet werden kann und teuere Zeitmultiplexeinrichtungen zu vermeiden und trotzdem sowohl einzelne Steuerfunktionen als auch mehrere gleichzeitig ablaufende Steuerfunktionen gemeinsam zu veranlassen.A particularly good adaptation to the very different operating requirements in the case of medical devices, this can be achieved if, in particularly expedient further training of the invention, the individual channels of the transmitter partly individual, partly combinations several control commands to be given simultaneously are assigned and the switching arrangement all simultaneously triggered control commands to this combination of control commands assigned to the reserved channel. This makes it possible to get along with one transmitter, with which can only be sent on one channel at a time and expensive time division multiplex devices to avoid and still both individual control functions and several at the same time to initiate running control functions together.
Dies ist insbesondere deshalb von Bedeutung, weil man in der Medizintechnik unter Umständen gezwungen ist, bestimmte Gerätefunktionen mal einzeln mal gemeinsam mit anderen Gerätefunktionen ablaufen zu lassen.This is particularly important because it is used in medical technology may be forced to use certain device functions, sometimes individually, sometimes together to run with other device functions.
Die Anpassung an die im Operationssaal herrschenden Bedingungen wird besonders erleichtert, wenn das Bedienkästchen in vorteilhafter Weiterbildung der Erfindung von einer für die Sendefrequenz durchlässigen sterili- sierbaren Umhüllung umschlossen ist. In solchen Fällen kann das Bedienkästchen im Bedarfsfall vom Operateur mit seinen sterilen Operationshandschuhen angefaßt und bedient werden, ohne Letztere steril zu machen.The adaptation to the prevailing conditions in the operating room will particularly facilitated when the control box in an advantageous development of the Invention of a sterile, permeable to the transmission frequency adjustable Wrapping is enclosed. In such cases, the control box can be used if necessary be touched and operated by the surgeon with his sterile surgical gloves, without making the latter sterile.
In vorteilhafter Weiterbildung der Erfindung können die Bedientasten des Bedienkästchens zum Zwecke der Bedienung ohne Blickkontakt in charakteristischer Weise unterschiedlich geformt und angeordnet sein.In an advantageous development of the invention, the control buttons of the control box for the purpose of operation without eye contact in a characteristic Way to be shaped and arranged differently.
Hierdurch wird die bedienende Person nicht gezwungen die jeweiligen Funktionen der einzelnen Steuerelemente mit den Augen zu suchen,um die Bedienung auslösen zu können. Vielmehr kann sie die Funktion auslösen ohne dabei ihr Augenmerk von dem zu steuernden medizinischen Gerät bzw. vom Patienten zu lassen. Im Operationsraum ermöglicht diese charakteristische Formgebung und Anordnung der Steuerelemente auf dem Tastenfeld ihre Benutzung auch wenn sie mit einer optisch undurchsichtigen sterilen Hülle umgeben sind.As a result, the operator is not forced to use the respective Functions of the individual controls with the eyes to look for the operation to be able to trigger. Rather, it can trigger the function without paying attention to it from the medical device to be controlled or from the patient. In the operating room enables this characteristic shape and arrangement of the controls the keypad their use even if they are sterile with an optically opaque Sheath are surrounded.
In zweckmäßiger Ausgestaltung der Erfindung kann das Bedienkästchen auch als Fußschalter ausgebildet sein.In an expedient embodiment of the invention, the control box can also be designed as a foot switch.
Dies ermöglicht es dem Operateur, die Hände während der Bedienung frei zu halten.This allows the surgeon to keep hands off the operation keep free.
Weitere Einzelheiten der Erfindung werden anhand mehrerer in den Figuren dargestellter Ausführungsbeispiele erläutert. Es zeigen: Fig. 1 eine schaubildliche Ansicht eines mittels eines Bedienkästchens fernsteuerbaren Röntgenuntersuchungsgerätes, Fig. 2 eine teilweise aufgebrochene Darstellung des Bedienkästchens sowie einer zugeordneten Ladekonsole, Fig. 3 eine #chaltanordnung zur Steuerung des im Bedienkästchen untergebrachten Senders, Fig. 4 ein auf einer Tischplatte stehendes steril verpacktes Bedienkästchen und Fig. 5 ein als Fußschalter ausgebildetes Bedienkästchen.Further details of the invention are based on several in the figures illustrated embodiments explained. They show: FIG. 1 a diagrammatic view View of an X-ray examination device that can be remotely controlled by means of a control box, FIG. 2 shows a partially broken away illustration of the control box and one assigned charging console, 3 shows a switching arrangement for the control of the transmitter housed in the control box, Fig. 4 a on a table top upright sterile packaged control box and FIG. 5 shows a foot switch Control box.
In der Fig. 1 erkennt man ein mittels eines losgelöst vom übrigen Gerät benutzbaren Bedienkästchens 1 fernsteuerbares medizinisches Gerät. Im vorliegenden Fall handelt es sich dabei um ein Röntgenuntersuchungsgerät 2. Letzteres besitzt eine an einem Fußgestell 3 um eine horizontale Kippachse 4 motorisch kippbares Tischgestell 5, ein auf dem Tischgestell motorisch längsverschiebbare Patientenlagerungsplatte 6 und einen schwenkbaren Röhrenturm 7. Die Bedienungselemente 8, 9, 10, 11 für die Verstellung des Röntgenuntersuchungsgerätes sind auf der Oberseite 12 des Bedienkästchens 1 angebracht.In Fig. 1 you can see a by means of a detached from the rest Device usable control box 1 remotely controllable medical device. In the present In this case, it is an X-ray examination device 2. The latter has a table frame that can be tilted by motor on a base 3 about a horizontal tilt axis 4 5, a motorized longitudinally displaceable patient support plate on the table frame 6 and a swiveling tubular tower 7. The controls 8, 9, 10, 11 for the Adjustments of the X-ray examination device are on the top 12 of the control box 1 attached.
Sie sind so unterschiedlich geformt und auf dem Bedienkästchen angeordnet, daß sie auch blind ertastet und aufgefunden werden können. An seiner einen rückwärtigen Seitenkante 13 trägt das Bedienkästchen zwei Einhängelaschen 14, 15, mit denen es in der Darstellung der Fig. 1 an einem Bügel 16 einer Konsole 17 eingehängt ist. Ein gleichartiger Bügel 18 ist an der Seitenwand des Tischgestells 5 des Röntgenuntersuchungsgerätes 2 zu erkennen. An den übrigen Seitenkanten 20, 21, 22 des Bedienkästchens 1 ist je ein Infrarotsender 23, 24, 25 befestigt. An den Seitenkanten des Tischgestells 5 des Röntgenuntersuchungsgerätes 2 ist je ein Infrarotdetektor 26, 27 (nur zwei Stück dargestellt) befestigt.They are shaped so differently and arranged on the control box, that they can also be felt and found blindly. On one of his backs Side edge 13 carries the control box two hanging straps 14, 15 with which it 1 is suspended from a bracket 16 of a bracket 17 in the illustration in FIG. A similar bracket 18 is on the side wall of the table frame 5 of the X-ray examination apparatus 2 to recognize. On the other side edges 20, 21, 22 of the control box 1 is an infrared transmitter 23, 24, 25 each attached. On the side edges of the table frame 5 of the X-ray examination device 2 is an infrared detector 26, 27 (only two Piece shown) attached.
In der Seitenansicht der Fig. 2 erkennt man den Aufbau des Bedienkästchens 1 und der Konsole 17. Das Be- dienkästchen trägt auf seiner Oberseite-12 die Bedienungselemente 8, 9, 10,11undan seiner einen rückwärtigen StìrnseRe13die zwei Einhängelaschen 14, 15, mit denen es an einem Bügel 16, 18 eingehängt werden kann. Unterhalb der Einhängelaschen ist, wie die Fig. 2 zeigt, ein Puffer 28 am Gehäuse des Bedienkästchens 1 angebracht, mit dem sich das am Bügel eingehängte Bedienkästchen unterhalb des jeweiligen Bügels an der Wand abstützen kann. Im Innern des Bedienkästchens ist durch den Durchbruch in der Gehäusewand ein kleiner Akkumulator 29 für die interne Stromversorgung und eine Schaltanordnung 30, die die Infrarotsender 23, 24, 25 in einer Abhängigkeit von denen mit den Bedienungselementen 8, 9, 10, 11 gegebenen Steuerbefehlen steuert. Im Bedienkästchen ist ferner ein Nockenschalter 31 eingebaut, dessen Stellglied 32 an der Innenseite der einen Einhängelasche 14 herausgeführt ist. Am Boden des Bedienkästchens befindet sich ein Reedkontakt 33, der parellal zum Nockenschalter 31 geschaltet ist.The structure of the control box can be seen in the side view of FIG. 2 1 and the console 17. The loading service box carries on its top-12 the operating elements 8, 9, 10, 11 and on its one rear eyelet area two hanging straps 14, 15 with which it can be hung on a bracket 16, 18 can. As shown in FIG. 2, a buffer 28 is located below the suspension straps Housing of the control box 1 attached, with which the hooked on the bracket Can support the control box below the respective bracket on the wall. At the inside of the control box is a small accumulator through the opening in the housing wall 29 for the internal power supply and a switching arrangement 30 for the infrared transmitter 23, 24, 25 depending on those with the operating elements 8, 9, 10, 11 controls given control commands. There is also a cam switch in the control box 31 installed, the actuator 32 of which on the inside of the one hanging tab 14 is led out. At the bottom of the control box there is a reed contact 33, which is connected in parallel to the cam switch 31.
Die Konsole 17, im wesentlichen eine auf einem verbreiterten Fuß 34 stehende Säule 35, auf der ein kleines rechteckiges Gehäuse 36 befestigt ist, trägt an der einen Stirnseite des Gehäuses 36 den Bügel 16, in dem die Einhängelaschen 14, 15 des Bedienkästchens eingreifen können. Im Innern des Gehäuses 36 ist eine Speisespannungsquelle 37 eingebaut, die an je einem federnden Kontakt 38 (nur einer dargestellt) angeschlossen ist, der im Bereich der beiden in den Bügel 16 eingehängten Einhängelaschen 14, 15 des eingehängten Bedienungskästchens 1 aus dem Gehäuse 36 herausragen.The console 17, essentially one on a widened foot 34 standing column 35, on which a small rectangular housing 36 is attached, carries on one end of the housing 36, the bracket 16, in which the hanging tabs 14, 15 of the control box can intervene. Inside the housing 36 is a Built-in supply voltage source 37, each connected to a resilient contact 38 (only one shown) is connected, which is suspended in the bracket 16 in the area of the two Suspension lugs 14, 15 of the suspended control box 1 from the housing 36 stick out.
Die Fig. 3 zeigt den Aufbau der Schaltanordnung 30 für die Steuerung des Sendegerätes 39 der Sender 23, 24, 25 des Bedienkästchens 1 in Abhängigkeit von den Bedienungselementen 8, 9, 10, 11. Hierzu ist ein handelsüblicher Schaktkreis 40 (PMOS-SAB 3210) verwendet, der in Abhängigkeit von je einem an einem der Spalteneingänge S1 ... Sn und einen der Zeileneingänge Z1 ... Zn anliegenden Potential am Ausgang eine binäre Zahllildet, die über einen ebenfalls handelsüblichen binären Schalter 41 den entsprechenden Kanal des Sendegerätes 39 schaltet. Um eine möglichst große Zahl von Steuerbefehlen übertragen zu können, sind die jedem der auf dem Bedienkästchen 1 zweidimensional verschibbaren Bedienungselemente 9, 10, 11 zugeordneten vier Schalter 9 (53 bis 5n>' 10 (S3 bis Auf 11 (53 bis Sn) nach Art einer Matrix angeordnet. 3 shows the structure of the switching arrangement 30 for the control of the transmitter 39 of the transmitter 23, 24, 25 of control box 1 depending on the operating elements 8, 9, 10, 11. A commercially available one is used for this Schaktkreis 40 (PMOS-SAB 3210) used, depending on one at one of the column inputs S1 ... Sn and one of the row inputs Z1 ... Zn Potential at the output forms a binary number that is also available via a commercially available binary switch 41 switches the corresponding channel of the transmitter 39. To a To be able to transmit as large a number of control commands as possible is the responsibility of each of the on the control box 1 two-dimensionally movable control elements 9, 10, 11 assigned four switches 9 (53 to 5n> '10 (S3 to Auf 11 (53 to Sn) after Arranged kind of a matrix.
Auf diese Weise ist jeder einzelne dieser zwölf Schalter durch eine ganz bestimmte Zuordnung eines der S3 ... 5n Eingänge zu einem der Z1 . Zn Eingänge bestimmt. Damit enspricht ihm auch eine ganz bestimmte binäre Zahl am Ausgang des binären Schalters 40.That way, every single one of these twelve switches is through one very specific assignment of one of the S3 ... 5n inputs to one of the Z1. Zn inputs certainly. This also corresponds to a very specific binary number at the output of the binary switch 40.
Weil der Schaltkreis 40 jeweils nur eine winzige Zuordnung eines der Eingänge S1 ... Sn zu einem einzigen der Eingänge Z1 ... Zn und somit auch nur eine einzige Schalterfunktion gleichzeitig verarbeiten kann, im medizinischen Betrieb bestimmte Steuerbefehle aber auch gemeinsam mit anderen Steuerbefehlen ausführbar sein müssen, ist das Bedienungselement 8, welches zusammen mit je einer Schaltfunktion eines der anderen Bedienungselemente 9, 10, 11 betätigbar sein muß, entsprechend seinen drei Schaltzusiäi'den an drei verschiedene Spalten S1, S2, S3 angeschlossen. Dadurch sind für dieses Bedienungselement 8 entsprechend seinen drei Schaltzuständen: "keine Durchleuchtung", "Durchleuchtung" und "Aufnahme" am Eingang des Schaltkreises 40 drei Eingänge S1, S2. S3 reserviert, die zusammen mit jedem der übrigen Schalter geschaltet werden können.Because the circuit 40 only has a tiny mapping of one of the Inputs S1 ... Sn to a single one of the inputs Z1 ... Zn and thus only one single switch function can process at the same time, in medical operation however, certain control commands can also be executed together with other control commands must be, is the control element 8, which together with a switching function one of the other controls 9, 10, 11 must be operable, accordingly its three Schaltzusiäi'den connected to three different columns S1, S2, S3. This means that for this control element 8, according to its three switching states: "no fluoroscopy", "fluoroscopy" and "recording" at the input of the circuit 40 three inputs S1, S2. S3 is reserved, along with each of the remaining switches can be switched.
Werden nun die Bedienungselemente des Bedienkästchens 1 betätigt, so werden von Ihnen je eine der Spalten (S n Sn) undZeilen(Z1 . Zn) miteinander verbunden Jede dieser möglichen Schalterstellungen entspricht einer binären Zahl am Ausgang des Schaltkreises 40 und einer bestimmten, einen bestimmten Kanal des Sendegerätes 39 wählende Schalterstellung des binären Schalters 41. Dabei ist es, wie am Beispiel des Aufnahmeschalters 8 gezett wurde, möglich, mit einem Sendekanal gleichzeitig mehrere Schaltfunktionen anzusteuern. Dies gilt auch, wenn anstelle des Infrarotsenders Sender anderer Sendefrequenz verwendet werden.If the control elements of control box 1 are now operated, so each one of the columns (S n Sn) and rows (Z1, Zn) are linked connected Each of these possible switch positions corresponds to a binary number at the output of the circuit 40 and a specific, a specific channel of the Transmitter 39 selecting switch position of the binary switch 41. It is as shown in the example of the recording switch 8, possible with one transmission channel to control several switching functions at the same time. This also applies if instead of of the infrared transmitter, transmitters with a different transmission frequency can be used.
Die Fig. 4 zeigt das auf einer Tischplatte 42 gestellte Bedienkästchen 1 der Fig. 1 und 2. Das Bedienkästchen 1 ist für die Verwendung im Operationssaal in einer transparenden, sterilen Plastikfolie 43 eingepackt.4 shows the control box placed on a table top 42 1 of Figs. 1 and 2. Control box 1 is for use in the operating room packed in a transparent, sterile plastic film 43.
In der Tischplatte 42 ist, wie die aufgebrochene Stelle erkennen läßt, ein Permanentmagnet 44 eingelassen. Wird das Bedienkästchen nun oberhalb der Stelle der Tischplatte, an der der Permanentmagnet 44 eingelassen ist aufgesetzt, so betätigt der Permanentmagnet den Reedkontakt 33 im Bodenbereich des Bedienkästchens 1, welcher die Stromversorgung des Bedienkästchens einschaltet. Dies funktioniert auch dann, wenn das Bedienkästchen, wie im Operationssaal üblich, steril verpackt ist.In the table top 42, as the broken point shows, a permanent magnet 44 let in. The control box will now be above the point the table top, on which the permanent magnet 44 is placed, is actuated the permanent magnet the reed contact 33 in the bottom area of the control box 1, which switches on the power supply to the control box. This also works if when the control box is packaged sterile, as is usual in the operating theater.
Das Bedienkästchen kann nun mit einem seiner Infrarotsender 23, 24, 25 auf das Röntgenuntersuchungsgerät 2 zugedreht werden. Dabei ist wegen des breiten Abstrahlwinkels und der Reflexion der Infrarotstrahlung an Wanden, Möbeln und dgl. nur eine ungefähre optische Verbindung zwischen den Infrarotsendern 23, 24, 25 und den Infrarotdetektoren 26, 27 am Röntgenuntersuchungsgerät 2 erforderlich. Bei der Verwendung von sterilen Tiichern oder Knststoffolien 43 ist die Absorption der Infrarotstrahiung so gering, daß die Steuerfuriktion dadurch nicht nennenswert beeinträchtigt ist. Infolge der unterschiedlichen Formung und typischen Anordnung der Bedimelemente 8, 9, 10, 11 auf dem Bedienkästchen 1 ist die Steuerung des medizinischen Gerätes 2 durch solche sterilen Abdeckungen 43 hindurch, auch wenn letztere nicht durchscheinend sind, ohne weiteres möglich. Das führt dazu, daß der Bedienende die Bedienungselemente, ohne sein Augenmerk von dem zu steuernden Gerät bzw. dem Patienten abzuwenden, ertasten und betätigen kann. Dabei braucht er nicht zu befürchten, daß seine sterilen Operationshandschuhe unsteril werden.The control box can now with one of its infrared transmitters 23, 24, 25 are turned towards the X-ray examination device 2. It is because of the wide Beam angle and the reflection of the infrared radiation on walls, furniture and the like. only an approximate optical connection between the infrared transmitters 23, 24, 25 and the infrared detectors 26, 27 on the X-ray examination device 2 required. In the Use of sterile Tiichern or plastic foils 43 is the one The absorption of the infrared radiation is so low that it does not affect the control is significantly impaired. As a result of the different shaping and typical The arrangement of the control elements 8, 9, 10, 11 on the control box 1 is the control of the medical device 2 through such sterile covers 43, too if the latter are not translucent, easily possible. This leads to, that the operator controls the controls without paying attention to the one to be controlled Device or the patient to turn away, feel and operate. Needs he does not have to worry that his sterile surgical gloves will become unsterile.
Die Fig. 5 zeigt ein Bedienkästchen, das als Fußschalter 45 ausgebildet ist. Es besteht aus einem am Fußboden aufzustellenden Gehäuse 46, auf dem durch einen Tragbügel 47 getrennt, zwei Schalterplatten 48, 49 angeordnet sind, von denen jede nach vier Richtungen hin kippbar ist. Jeder der Kipprichtungen entspricht eine bestimmte Schaltfunktion. Seitlich der beiden Schalterplatten, von diesen etwas in der Höhe abgesetzt, befindet sich eine weitere Schalterplatte 50 für die Auflösung der Aufnahme bzw. der Durchleuchtung. An der Stirnseite des Bedienkästchens 46 sind zwei Infrarotsender 51, 52 zu erkennen und an einer weiteren Seitenwand der Schlüssel 53 eines Schlüsselschalters (nicht dargestellt), mit dem das Bedienkästchen 45 außer Funktion gesetzt werden kann. Der innere Aufbau des Bedienkästchens der Fig. 5 entspricht im wesentlichen dem Aufbau des Bedienkästchens 1 der Fig. 1 bis 4. Lediglich die Funktion des Reedkontaktes und des Nockenschalters sind durch den Schlüsselschalter ersetzt worden.FIG. 5 shows a control box which is designed as a foot switch 45 is. It consists of a housing 46 to be set up on the floor, on which by a support bracket 47 separated, two switch plates 48, 49 are arranged, of which each can be tilted in four directions. Each of the tilt directions corresponds to one certain switching function. On the side of the two switch plates, some of them offset in height, there is another switch plate 50 for the resolution the recording or fluoroscopy. At the front of the control box 46 are two infrared transmitters 51, 52 to be seen and the key on another side wall 53 of a key switch (not shown) with which the control box 45 except Function can be set. The internal structure of the control box corresponds to FIG. 5 essentially the structure of the control box 1 of FIGS. 1 to 4. Only the Function of the reed contact and the cam switch are through the key switch been replaced.
Bei allen Bedienkästchen kann eine Lad;kontrolle für die Überwachung des Ladezustandes des Energiespeichers, die sich optisch oder akustisch bemerkbar macht, vorgesehen sein.A load control for monitoring can be used for all control boxes the state of charge of the energy storage device, which is noticeable optically or acoustically power, be provided.
5 Figuren 13 Patentansprüche5 Figures 13 claims
Claims (14)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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DE3036217A DE3036217C2 (en) | 1980-09-25 | 1980-09-25 | Remote-controlled medical device |
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Application Number | Priority Date | Filing Date | Title |
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DE3036217A DE3036217C2 (en) | 1980-09-25 | 1980-09-25 | Remote-controlled medical device |
Publications (2)
Publication Number | Publication Date |
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DE3036217A1 true DE3036217A1 (en) | 1982-04-08 |
DE3036217C2 DE3036217C2 (en) | 1986-12-18 |
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DE3036217A Expired DE3036217C2 (en) | 1980-09-25 | 1980-09-25 | Remote-controlled medical device |
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