Device for evaluating a position of balance for the human body

• US 7,955,279 B2
• Filed: 01/10/2001
• Issued: 06/07/2011
• Est. Priority Date: 01/10/2000
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Inventors: Dimnet, Joannès, Berthonnaud, Eric, Roussouly, Pierre
• Primary Examiner(s): MARMOR II, CHARLES ALAN
• Application Number:
  US10/169,783
• Publication Number:
  US 20030004438A1
• Time in Patent Office: 3,800 Days
• Field of Search: 600/587, 600/595, 600/407, 600/436, 600/425, 382/128, 382/132, 378/207, 378/18, 378/62
• US Class Current: 600/595
• CPC Class Codes: A61B 5/4023 Evaluating sense of balance
• CPC Class Codes: A61B 6/04 Positioning of patients; Tiltable beds or the like operating tables A61G13/00; operating chairs A61G15/00
• CPC Class Codes: A61B 6/0487 Motor-assisted positioning
• CPC Class Codes: A61B 6/505 for diagnosis of bone

Abstract

According to the invention, the patient (4) is placed upon a patient support (3) between an X-ray source (1) and a support for the target plate (2) sensitive to the X-rays. The patient support (3) is connected to a device for detecting the horizontal position of the global axis of gravity (5) of the patient when the X-ray source (1) is in operation. The patient (4) can, for example, remain standing. The inventive device can superimpose an image (Hg) of the global axis of gravity (5) on the digital radiographic image of the patient (4).

Claims

1. A system for evaluating an equilibrium position of the human body, including a source of X-rays, means for supporting a target plate sensitive to X-rays to produce on the target plate a radiographic image of a patient, and patient support means for supporting the patient in a fixed position between the source of X-rays and the support means for the target plate and for generating position signals imaging the horizontal position of the global axis of gravity of the patient relative to the source of X-rays and the target plate, the system including:

a) scanning means which digitize the radiographic image of the patient produced on the target plate, and which thereby generate a digitized radiographic image,

b) means for generating, as a function of said position signals, a digitized image of the cast shadow of the global axis of gravity in the plane of the target plate,

c) means for combining with said digitized radiographic image of the patient the digitized image of the cast shadow of the global axis of gravity for generating a combined digitized image, and

d) means for viewing said combined digitized image

wherein the means for generating a digitized image of the cast shadow of the global axis of gravity include;

e) a calculation unit and an associated memory in which geometrical data are stored corresponding to the relative positions of the source of X-rays, the plane of the target plate, and the patient support means in a fixed system of axes, and

f) a program stored in a program memory area of the memory, the program adapted for instructing the calculation unit to store said position signals at the time of taking the radiographic image, to calculate, as a function of said position signals, the straight line segment intersecting the plane of the target plate and the vertical plane passing through the source of X-rays and the horizontal position of the global axis of gravity, and to store the result of this calculation, which constitutes the image of the global axis of gravity.

2. A system according to claim 1, wherein:

the scanning means includes a scanner for scanning the radiographic image produced on the target plate sensitive to X-rays and producing a series of digital signals constituting the digitized radiographic image,

the program is adapted to instruct the calculation unit to receive said digital signals and stores them in the memory,

the program is adapted to provide the means for combining by instructing the calculation unit to modify the stored digitized radiographic image by substituting the image of the global axis of gravity, thereby generating said combined digitized image,

and the program is adapted to provide the means for viewing by instructing the calculation unit to display said combined digitized image on a monitor, or print it out on a support.

3. A system according to claim 1, wherein the program includes a calibration sequence, adapted for instructing the calculation unit to scan the radiographic image of a calibration object with radio-opaque markers, and calculate said geometrical data from known positions and dimensions of the radio-opaque markers of said calibration object, and store the data in the memory.

4. A system according to claim 1, wherein the system includes:

a) the patient support means having a modified weighing machine force plate carried by a plurality of sensors arranged at marked positions relative to the system of axes and producing force signals used by the calculation unit and the program as position signals,

b) a removable calibration weight which can be positioned on the patient support means, has a particular shape, has a first means for marking position which can be made to coincide with a second means for marking position on the patient support means, and has a center of gravity whose position relative to the first means for marking position is known,

c) the stored program includes a calibration sequence that instructs the calculation unit to calculate correction parameters for force signals produced by each sensor to make the calculated center of gravity coincide with the known geometrical position of the real center of gravity of the calibration weight, and store the parameters in memory for subsequent reliable calculation of the position of the global axis of gravity of patients.

5. A system according to claim 1, wherein said fixed system of axes has its center in the vertical plane passing through the source of X-rays and perpendicular to the support means for the target plate sensitive to X-rays.

6. A system according to claim 1, adapted to take a radiographic image of the thoracic area, the lumbar area, the pelvic area and the upper femoral area of the patient.

7. A system according to claim 1, wherein the patient support means are rotatable about a median vertical axis to orient the patient angularly relative to the direction of propagation of rays between the source of X-rays and the support means for the target plate.

8. A system according to claim 7, wherein the patient support means include armrests on which the patient can rest his arms in a defined advanced position.

9. The system according to claim 8, wherein the armrests are attached to a turntable which carries a modified weighing machine force plate on a plurality of force sensors distributed at marked positions relative to the system of axes and producing force signals used as position signals by the calculation unit and the program.

10. A system according to claim 7, including means for indexing the angular position of the patient support means at least every 45°

.