Abstract:
The height of a platform relative to a support surface is adjustable by rotating a drive shaft to actuate a first height-adjusting device and a second height-adjusting device, thereby changing the height of the respective ends of the first and second height-adjusting devices relative to the support surface. The drive shaft is selectively drivable by either a drive motor or a manually-operable drive.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
       [0001]    This application claims priority to German patent application no. 10 2014 210 250.2 filed on May 28, 2014, the contents of which are fully incorporated herein by reference. 
       TECHNICAL FIELD 
       [0002]    Exemplary embodiments relate to an adjusting device for a height-adjustable platform, for example a patient table, and a method for changing the height of the platform, for example, a patient table. 
       BACKGROUND 
       [0003]    Height-adjustable platforms are used in widely-differing applications. For example, the platform can be loaded and/or unloaded at a first height. At another height, an item (object) or a person that or who lies on the platform can be treated, inspected, and/or examined. Such platforms can be used in medical applications, for example, as couches, tables, patient tables, or the like. Due to the height-adjustability of the platform, a patient, for example, can be brought to a height at which the patient can be treated, transferred to another platform or table and/or can also leave the platform again. A variety of adjusting devices can be used to adjust the height of the platform. 
         [0004]    In addition to the need to make possible a precise and exact height adjustment, such adjusting devices for a height-adjustable platform or a method for adjusting the platform are subject to a whole series of further requirements, for example, with respect to low vibration, low noise development, and high reliability. 
       SUMMARY 
       [0005]    Exemplary embodiments relate to an adjusting device for a height-adjustable platform (platform, table, tray, shelf, plank, board, planar structure, etc.), for example a patient table, which comprises at least one drive motor, which is configured to change the height of the adjusting device. The adjusting device further comprises a drive shaft, which is configured to change a first height-adjusting device and a second height-adjusting device in their height. Thus in some exemplary embodiments a particularly robust and stable adjusting device can be provided. A height adjustment can potentially be effected particularly uniformly. This can be important, for example, in a method of patients. 
         [0006]    The drive shaft can be disposed, for example, perpendicular to the two height-adjusting devices. In certain circumstances the drive shaft can be disposed parallel to a platform, on which, for example, a patient lies, and/or parallel to a plane whose height is adjusted using the adjusting device. The drive shaft can be disposed, for example, along its main extension parallel to a main extension of the adjusting device or along a longitudinal extension of the adjusting device. In certain circumstances the drive shaft can drive a height-adjusting device using each end. 
         [0007]    Furthermore, in some exemplary embodiments the adjusting device can also comprise at least one manual drive, which is also configured to change the height of the adjusting device. In certain circumstances the manual drive can also be configured to drive the drive shaft, or to rotate it about an axis of rotation. The manual drive can potentially also be omitted. 
         [0008]    According to a further aspect, exemplary embodiments relate to a method for changing the height of a platform, for example, of a patient table, wherein a motor-driven adjusting of the height of the platform is effected by a drive motor. For this purpose two height-adjusting devices can potentially be simultaneously adjusted via one drive shaft. In certain circumstances the changing of the height of the platform can also be effected by a manual drive. For this purpose, in certain circumstances the manual drive can also drive the drive shaft. 
         [0009]    Since the adjusting device includes a manual drive and a drive motor to change the height of the adjusting device, in some exemplary embodiments it can be made possible that the height of the platform potentially can be adjusted by the manual drive during a power outage or if the drive motor does not function. This can be important, for example, in cases when a patient lies on the platform who is unable to move or is limited in his movement, to make possible a safe getting-on and/or -off. Nevertheless, in a normal process operation, the comfort of an automatic or motor-driven height-adjustment can be used to change the height without the operator having to expend energy. 
         [0010]    The drive motor can be, for example, an electric- and/or a hydraulic-motor. Thus in some exemplary embodiments the drive motor can be configured in a particularly low-noise manner. 
         [0011]    Additionally or alternatively, in some exemplary embodiments the manual drive is configured to be friction-fit- and/or interference-fit-coupled to the adjusting device, wherein the friction-fit and/or interference-fit is separable. In some exemplary embodiments it can thus be made possible that the manual drive or its individual components are not also moved when the adjustment is provided by the drive motor. It can thereby be prevented, for example, that additional vibrations are coupled into the adjusting device by the manual drive or its components. In some exemplary embodiments the adjusting device can thus be configured in particularly low-vibration manner. This can, for example, increase the comfort during an adjusting of a platform, above all for a person who lies on the platform. Furthermore, in some exemplary embodiments it can thus also be made possible that no additional noise is generated by moving of the components of the manual drive when the height adjustment is effected by the drive motor. A lowest-possible-noise operation of the adjusting device or an adjusting of the platform can thus be achieved, if necessary. Above all, when treating or examining a patient, but also with other uses, a particularly low-noise operation can be desired. 
         [0012]    Additionally or alternatively, in some exemplary embodiments the adjusting device comprises a retaining device, which is configured to separate the friction-fit. In certain circumstances, in some exemplary embodiments a separating of the friction-fit can thus be ensured in a simple manner. The desired noise- and vibration-reduction can thereby also potentially be achieved during a motor operation. 
         [0013]    For example, the retaining device can comprise a spring element, which preloads the manual drive such that the friction-fit and thus potentially also an interference-fit between the elements, which can be for transmitting the torque in an interference fit, is separated. In some exemplary embodiments it can thus be ensured that the friction fit is reliably separated without the intervention of an operator. 
         [0014]    Optionally the adjusting device can comprise a spring element, which is configured to preload the manual drive such that a friction-fit arises between the manual drive and the adjusting device in order to change the height of the adjusting device. Thus in some exemplary embodiments it can be made possible that, when an actuation of the adjusting device is to occur via the manual drive, the friction-fit between the manual drive and the adjusting device occurs via the spring element and need not be additionally generated by an operator who rotates the manual drive. In some exemplary embodiments the operating of the manual drive can thereby be designed as comfortable as possible for the operator. 
         [0015]    In such exemplary embodiments the retaining device can be configured, for example, as a latch or interlock. In some exemplary embodiments it can thus be made possible that a friction-fit between the adjusting device and the manual drive is actually disconnected in a reliable manner when it is not desired. 
         [0016]    In some further exemplary embodiments the manual drive is configured to enter into engagement with a drive shaft of the adjusting device in order to transmit a torque to the drive shaft. For example, for this purpose the manual drive can enter directly into contact with the drive shaft. A direct contact can occur, for example, at an unchanged rotational speed, i.e. without interposing of a transmission and/or of a gear wheel. The manual drive can possibly include a gear that rotates at the same rotational speed at which the manual drive is rotated by an operator. This gear can engage, for example, in a gear that is attached to the drive shaft for rotation therewith. In some exemplary embodiments it can thus be made possible that the manual drive engages on the same element of the adjusting device as the drive motor. In some further exemplary embodiments the drive shaft is configured to change, via at least one transmission, the length of a height-adjusting devicen that is adjustable in its length. For example, in adjusting devices wherein a plurality of height-adjusting devices are driven via the drive shaft, the manual drive can replace the torque of the drive motor. Additionally or alternatively, in such exemplary embodiments the manual drive can also be disposed directly on the height adjusting device. For example, in adjusting devices wherein a plurality of height-adjusting devices are driven via the drive shaft, the manual drive can thus replace the drive motor in a substantially equivalent manner. 
         [0017]    In some exemplary embodiments, an axis of rotation of the manual drive is disposed at an angle of substantially 90° to the drive shaft, for example, at an angle of 75° to 105°. Thus in certain circumstances it can be made possible that an operating of the adjusting device is possible for an operator via the manual drive from a similar position as during an operation via the electric drive. For example, for this purpose the operator can also stand on a long side of the platform, under which the adjusting device is disposed, and along which the drive shaft extends. In cases wherein a patient lies on the platform, the operator, although he must operate the manual drive, can assume an identical or similar position as during an adjusting via the drive motor. For example, a control element for the drive motor can be located in the vicinity of the manual drive. For assembly and/or manufacturing reasons, due to space conditions or for other reasons an angle of substantially 90° here can also deviate from a 90° angle by an angle between 0° and 15° in any direction. 
         [0018]    In certain circumstances the manual drive can have a shorter length along its axis of rotation than the drive shaft along its axis of rotation. In certain circumstances the drive shaft and/or a length of the platform can be longer by at least 50%, 60%, 70%, 80%, 90%, 100%, 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, or 210% than the manual drive. In some exemplary embodiments this can lead to a very stable construction. 
         [0019]    Additionally or alternatively, in some exemplary embodiments the manual drive includes a gear, which is configured to be at least temporarily in engagement with a gear of the drive shaft, so that a torque from the manual drive is transmissible to the drive shaft. Optionally the manual drive can comprise a bevel gear, which is configured to at least temporarily mesh with a bevel gear of the drive shaft, so that a torque is transmissible from the manual drive to the drive shaft. In some exemplary embodiments a reliable torque transmission from the manual drive to the adjusting device can be made possible either by the gear or the bevel gear. 
         [0020]    Exemplary embodiments also relate to a platform that is height-adjustable, for example, a patient table including an adjusting device according to at least one of the exemplary embodiments and a platform plate wherein the adjusting device is configured to change the position of the platform plate relative to the surface on which the platform stands. 
         [0021]    Additionally or alternatively, in some exemplary embodiments the manual drive is supported on the platform or on components of the platform. For example, the manual drive can thus be preloaded in a simple manner with respect to the adjusting device, or a friction-fit between the manual drive and the adjusting device can be separated. Furthermore, for example, accessibility of the manual drive can thereby be simplified. Thus an operation of the manual drive can be improved or designed so as to be as comfortable as possible. 
         [0022]    In some exemplary embodiments the manual drive is supported on a transverse strut of the platform or on a transverse strut that connects legs or feet of the platform or of a patient table. 
         [0023]    The exemplary embodiments and their individual features disclosed in the above description, the following claims, and the accompanying Figures can be meaningful and implemented both individually and in any combination for the realization of an exemplary embodiment in its various designs. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0024]      FIG. 1  shows a schematic depiction of a perspective view of an adjusting device according to an exemplary embodiment 
           [0025]      FIG. 2A  shows a schematic depiction of a side view of the adjusting device according to  FIG. 1 . 
           [0026]      FIG. 2B  shows a schematic depiction of a plan view of the adjusting device according to  FIGS. 1 and 2A . 
           [0027]      FIG. 2C  shows an enlarged detail of  FIG. 2B . 
           [0028]      FIG. 3  shows a schematic depiction of a method for changing the height of the platform. 
       
    
    
     DETAILED DESCRIPTION 
       [0029]    In the following description of the accompanying Figures, like reference numbers refer to like or comparable components. Furthermore, summarizing reference numbers are used for components and objects that appear multiple times in an exemplary embodiment or in an illustration, but that are described together in terms of one or more common features.Components or objects that are described with the same or summarizing reference numbers can be embodied identically, but also optionally differently, in terms of individual, multiple, or all features, their dimensions, for example, as long as the description does not explicitly or implicitly indicate otherwise. 
         [0030]      FIGS. 1 to 2A  show different depictions of an adjusting device  1  for a height-adjustable platform, for example a patient table. The adjusting device  1  comprises at least one drive motor  3 , which is configured to change the height H of the adjusting device  1 . The adjusting device  1  also further comprises a manual drive  5 , which is configured to change the height H of the adjusting device  1 . 
         [0031]    In some further, not-depicted exemplary embodiments the manual drive can also be omitted. 
         [0032]    Here a height H of the adjusting device  1  can be an extension of the adjusting device  1  perpendicular to a base or a surface on which the adjusting device  1  stands. 
         [0033]    The manual drive  5  as well sa the drive motor  3  can drive a drive shaft  25  such that the drive shaft  25  rotates about an axis of rotation R. The drive motor  3  can be, for example, an alternating-current motor. The drive shaft  25  is disposed perpendicular to a direction, i.e., the height H, in which the adjusting device  1  can be adjusted. A height-adjusting device  7  can be driven or changed in its height via the drive shaft  25 . In the exemplary embodiment of the Figures, the adjusting device  1  also comprises a second height-adjusting device  9  in addition to the first height-adjusting device  7 . Each of the height-adjusting devices  7  and  9  is disposed on an opposite end of the drive shaft  25 . In the exemplary embodiment of the Figures, the height-adjusting devices  7  and  9  each have two mutually-opposingly disposed ball screws. The adjusting device  1  thus comprises four ball screws. In some further, not-depicted exemplary embodiments the height-adjusting devices can also comprise other linear drives or linear guides. 
         [0034]    Furthermore, the adjusting device  1  also comprises a first guide structure  11  and a second guide structure  13 . The two guide structures  11  and  13  are disposed outside the two height-adjusting devices  7  and  9  in the direction of the axis of rotation R. The two guide structures  11  and  13 , as well as the two height-adjusting devices  7  and  9 , are each connected to a base plate  15  as well as to a platform plate  17 . In  FIG. 1  the platform plate  17  in a driven-out state is indicated by reference number  17 ′ and depicted in a dash-line manner. The platform plate  17  serves, for example, for attaching or receiving of a bed surface or receiving surface for a patient or an object, who or which is to be received on the platform. The base plate  15  is disposed on the surface whereon the adjusting device  1  stands. The platform plate  17  is disposed substantially parallel to the base plate  15 . In the present exemplary embodiment the base plate  15  and the platform plate  17  have similar dimensions. In some further, not-depicted exemplary embodiments the base plate and the platform plate can also have different dimensions. 
         [0035]    The guide structures  11  and  13  serve to guide and stabilize an adjusting movement by the height-adjusting devices  7  and  9 , and include no drive themselves. The guide structures  11  and  13  are each similarly-constructed, telescopically-movable columns. Therefore in the following only the guide structure  11  is described in more detail. The guide structure  11  comprises three tubes  19 ,  21 , and  23 , which each have a rectangular cross-section. The tube  19  having a largest cross-section is connected to the base plate  15 . The tube  21  having a medium cross section is movably disposed and guided in the direction of the height H in the tube  19  having the largest cross-section. In the tube  21 , a further tube  23  having a smallest cross-section is also movably disposed and guided in the direction of the height H. The tube  23  having the smallest cross-section is connected to the platform plate  17 . Due to the cross-section shape, the tubes  19  to  23  cannot rotate relative to one another. The two guide structures  11  and  13  can also be referred to as two telescopic columns, each including three cylindrical-shaped pullout segments, which comprise aluminum as the material. In some further, not-depicted exemplary embodiments the adjusting device can also comprise no guide structures, only one guide structure, or another type of guide structure, for example, a different linear guiding unit. Optionally the adjusting device can also comprise a different number and/or type of height- adjusting devices, for example, a lead screw, a cylindrical screw, or the like. 
         [0036]    The height-adjusting device  7  is configured substantially analogously to the height-adjusting device  9  and is also driven by the drive shaft  25  in an analogous manner. Therefore in the following only the height-adjusting device  7  is described in more detail. The height-adjusting device  7  comprises, as components of the already-mentioned ball screw, two hollow shafts  29  and  31 , which each comprise not-depicted gear wheels. These are located in the transmission  27 , which can also be referred to as the gearbox. The drive shaft  25  engages with a corresponding gear in the gear wheels on the hollow shafts  29  and  31  in order to transmit a drive movement of the drive shaft  26  to the hollow shafts  39  and  31 . Here the rotational movement is redirected by 90°. The rotational speed is maintained. Here an amplifying or reducing can also optionally be effected. 
         [0037]    A threaded rod  33  is disposed in the hollow shaft  29  concentric to the hollow shaft  29 , which is in engagement with the hollow shaft  29  via a not-depicted nut. The threaded rod  33 , which can also be referred to as the spindle, can be moved out of the hollow shaft  29  in the direction of the height H or can be sunk further in the hollow shaft  29  by a rotational movement of the hollow shaft  29 . The threaded rod  33  pushes against the platform plate  17 . The threaded rod  33  is connected to the base plate  15  and platform plate  17  via a connector. A threaded rod  35  is also analogously disposed in the hollow shaft  31 . It protrudes out of the hollow shaft  31  so that it can be in contact with the base plate  15 . As was described for the threaded rod  33  and the hollow shaft  29 , the threaded rod  35  can be moved out of the hollow shaft  31  or sunk further therein by a rotational movement of the hollow shaft  31 . If the threaded rods  33  and  35  are moved out of the hollow shafts  29  and  31 , and the corresponding threaded rods of the height-adjusting device  9  are moved out of their hollow shafts  29  and  31 , they raise the platform plate  17 . With the counter-movement, the platform plate  17  is lowered. 
         [0038]    The drive shaft  25  includes a coupling  37  between the drive motor  3  and each of the adjusting device  7  and  9 , respectively, or the corresponding transmissions. The couplings  37  can, for example, a reliable connection and torque transmission In addition, the coupling serves to eliminate deviations between the motor shaft and the transmission shaft. In the exemplary embodiment of the Figures, each coupling  37  comprises two half-shell coupling elements. In some further, not-depicted exemplary embodiments, the coupling can also be configured in another manner, or can be omitted. 
         [0039]      FIG. 2C  shows an enlarged detail of  FIG. 2B  including the manual drive  5 . In  FIG. 2B  the platform plate  17  is not depicted to improve clarity. The manual drive  5  is configured to be coupled to the adjusting device  1  or to the drive shaft  25 . A mechanical coupling of two components encompasses both a direct and an indirect coupling. In the exemplary embodiment of the Figures, the manual drive  5  comprises a bevel gear  41  as a gear, which is configured to be friction-fit coupled with the drive shaft  25  and thus to the adjusting device  1 . With a friction-fit coupling or the producing of a friction-fit, a coupling, for example, of two components can be understood such that a flow of forces and/or a torque can be transmitted. This can be effected via different transmission- and/or coupling-mechanisms. For example, for this purpose the two components can be in interference-fit engagement with each other, like gear wheels. The manual drive  5  also comprises a manual drive shaft  45 . In some further, not-depicted exemplary embodiments, the manual drive can also include another gear or another gear wheel that is configured to enter into engagement with the drive shaft. Furthermore the adjusting device  1  and the manual drive can also be coupled via other and/or additional components. 
         [0040]    The bevel gear  41  is connected to the manual drive shaft  45  so as to rotate therewith. Without actuation, for example, by an operator, the manual drive  5  is disposed without friction-fit with respect to the drive shaft  25 . For this purpose the manual drive  5  is supported on a transverse strut  39  of the platform or of the adjusting device  1  and preloaded by a spring element  43  such that a friction-fit between the bevel gear  41  and the drive shaft  25  is separated. In some further, not-depicted exemplary embodiments, the manual drive can also be supported on another component of the adjusting device. 
         [0041]    The manual drive shaft  45  is disposed in a shaft  47 . The shaft  47  includes a bore in which the manual drive shaft  45  is concentrically received. The shaft  47  further includes a flange  49  on an end that is disposed opposite to the bevel gear  41 . The shaft  47  abuts with the flange  49  on an outer side  51  of the transverse strut  39 . Here the side of the transverse strut  39  is indicated by the outer side  51 , which faces away from the drive motor  3  and the drive shaft  25 . The shaft  47  engages through a bore in the transverse strut  39 . The shaft  47  is attached to the transverse strut  39  via a further attachment device  53  on an inner side of the transverse strut  39 , i.e., on a side facing away from the outer side  51 . For example, the shaft  47  can include an external thread, and the attachment device  53  can be a nut that is screwed onto the shaft  47  against the transverse strut  39 . The shaft  47  further includes a depression  55  concentric to its bore. The depression  55  has a depth that is slightly larger than an extension or a bore of the flange  49  as well as an extension of the transverse strut  39 , but is shorter than the entire shaft  47 , so that a stop  57  for an end of the spring element  43  results. The stop  57  here is disposed substantially perpendicular to an axis of rotation M of the manual drive shaft  45 . An end of the spring element  43  opposing the stop  57  in the direction of the axis of rotation M is connected to the manual drive shaft  45  via a securing ring  59 . In some further, not-depicted exemplary embodiments, the preload of the manual drive, so that the friction-fit of the drive shaft is separated, can also be effected in another manner. 
         [0042]      FIG. 2B  shows the situation when the manual drive  5  is not in friction-fit connection with a corresponding other bevel gear  61  of the drive shaft  25 . The manual drive  5  is thus removed from a torque transmission path, via which a torque for changing the height H of the adjusting device  1  is transmitted when a drive torque is provided by the drive motor  3 . The drive shaft  25  comprises the bevel gear  61  as a gear, which is disposed concentric to the drive shaft  25  and is disposed in the axial direction R between the drive motor  3  and the height-adjusting device  7  or between the coupling  37  and the drive motor  3 . The manual drive  35  includes a polygon  63  on an end facing away from the bevel gear  41 . Here this can be a hexagon, for example. Using a corresponding tool, the manual drive  5  or the bevel gear  41  can be rotated. Furthermore, in order to produce a friction-fit with the drive shaft  25  and to transmit the torque from the manual drive  5  to the drive shaft  25 , the preload of the spring element  43  must be overcome. An operator can rotate, and press towards the drive shaft  25 , the manual drive  5 . In some further, not-depicted exemplary embodiments the manual drive can also include a grip and/or a crank. 
         [0043]    Alternatively in some further, not-depicted exemplary embodiments, the manual drive can be preloaded such that the friction-fit with the drive shaft is effected via the preload. The the manual drive or the bevel gear can be fixed to the platform against the force of the preload by a fixing device in order to separate the friction-fit. 
         [0044]    In one operation mode of the adjusting device  1 , which can be referred to, for example, as normal operation, the drive shaft  25  is driven by the drive motor  3  and the height H of the height-adjusting devices  7  and  9  is adjusted. For this purpose the drive shaft  25  rotates and engages with a not-depicted gear in the transmission  27  of the height-adjusting device  7 , and the corresponding transmission of the height-adjusting device  9  in a corresponding gear on the hollow shafts  29  and  31  or the corresponding hollow shafts of the height-adjusting device  9 . Depending on the direction of rotation, the threaded rods  33  and  35  are driven out from the hollow shafts  29  and  31  and the height-adjusting device  9  is also correspondingly adjusted such that a height H of the adjusting device  1  increases or lengthens. Here the individual tubes  19 ,  21 , and  23  of the guide structures  11  and  13  are also moved apart telescopically. This state is depicted in a dashed manner in  FIG. 1 . Accordingly a height H of the adjusting device  1  can be reduced again by an opposite rotational movement of the drive shaft  25 . 
         [0045]    In one mode of operation of the adjusting device  1 , which can be referred to as the manual-drive mode, the rotation of the drive shaft  25  is effected via the manual drive  5 . For this purpose it is brought into friction-fit with the drive shaft  25  For this purpose the manual drive and the drive shaft can be coupled or connected to each other such that a torque from the manual drive can be projected above to the drive shaft. This can be effected by a direct coupling without the interposing of other transmission elements, or by an indirect coupling via further transmission elements. In the exemplary embodiment of the Figures, the gear wheel of the manual drive engages in an interference-fit manner in a gear wheel of the drive-shaft. By rotating the manual drive  5 , the torque is transmitted to the drive shaft  25 . In such cases, a brake, for example, an electromechanical brake, which is used to lock the drive shaft  25  when the motor is not used, must be released. The height-adjusting devices  7  and  9  are then adjusted in the described manner via the drive shaft  25 , as also in normal operation. In cases in which the motor  3  does not function for some reason, for example due to a power outage, the height H of the adjusting device  1  can thus be adjusted via the manual drive  5 . The manual drive  5  offers the possibility to move the adjusting device  1  even without electrical energy. 
         [0046]    In the adjusting device  1 , a transmission wheel or a gear wheel, which can be moved with respect to the drive shaft  25 , is thus added to the drive shaft  25  as a manual drive  5  in order to enter into a friction-fit with the drive shaft  25 . This enables usage of a conventional tool, for example, a wrench, to move the adjusting device  1  or the platform up and/or down. In order to ensure that during a normal operation, i.e., when the drive motor  3  provides the drive torque, the second gear wheel is not in friction-fit or in engagement with the drive shaft  24 , the spring element  43  or a spring is used that pulls the second gear wheel out of the friction-fit of the main shaft or out of the movement region of the main shaft. Since the manual drive  5  is not in contact with the drive shaft  25 , or is not in friction-fit with the drive shaft  25  via the drive motor  3  during a driving of the drive shaft  25 , it can be prevented that the manual drive  5  also rotates or also moves. Thus, for example, the introduction of additional vibrations or the like or additional noise can be avoided or at least reduced. 
         [0047]      FIG. 3  shows a schematic depiction of a method  70  for changing a height of a platform, which can be embodied, for example, with the adjusting device  1 . In other exemplary embodiments the method  70  can also be embodied with another adjusting device. 
         [0048]    In the method  70  a motor-driven adjusting of a height of the platform using a drive motor occurs in a process  72 . Further, a manual adjusting of a height of the platform using a manual drive occurs in a process  74 . Here the processes  72  and  74  can be carried out in different orders. The process  74  can possibly also be omitted. For example, if the platform has been motor-driven into an elevated position and then the power fails, a non-motor-driven adjusting using the manual drive to lower the platform can subsequently occur. In other cases, for example, if a height of the platform or of the adjusting device is to be increased without power or without the drive, this can be effected manually using the manual drive. If power is then available again later, the reducing of the height of the adjusting device can be effected in a motor-driven manner. The increasing of a height of the adjusting device can also be effected partially in a motor-driven manner and partially using the manual drive. Likewise the decreasing of a height of the adjusting device can also be effected partially manually and partially using the drive motor. 
         [0049]    The adjusting device  1 , a platform including the adjusting device, or the method  70  can, as described for the Figures, be used in all possible medical applications, for example, for the adjusting of couches, beds, patient tables, or the like. The adjusting device can be used, for example, as a lifting unit for a medical table. Such applications can be, for example, all possible applications or examinations, in particular, X-ray applications or examinations, CT, CRT, MRT, and/or MRI examinations. In order to increase comfort for a patient and/or also for an operator, it is important in such applications that only slight noise and slight-as-possible vibrations occur. However, the adjusting device  1  and the method  70  can also be used other than as described for the exemplary embodiments of the Figures, in all possible other applications and fields of use, such as, for example, in manufacturing, for assembly purposes, or the like. 
         [0050]    The exemplary embodiments and their individual features disclosed in the above description, the following claims, and the accompanying Figures can be meaningful and implemented both individually and in any combination for the realization of an exemplary embodiment in its various designs. 
         [0051]    In some further exemplary embodiments, features that are disclosed in other exemplary embodiments as device features can also be implemented as method features. Furthermore, features that are implemented in some exemplary embodiments as method features can also optionally be implemented in other exemplary embodiments as device features. 
       REFERENCE NUMBER LIST 
       [0052]      1  Adjusting device 
         [0053]      3  Drive motor 
         [0054]      5  Manual drive 
         [0055]      7  First height-adjusting device 
         [0056]      9  Second height-adjusting device 
         [0057]      11  First guide structure 
         [0058]      13  Second guide structure 
         [0059]      15  Base plate 
         [0060]      17  Platform plate 
         [0061]      19  Tube of largest cross-section 
         [0062]      21  Tube of medium cross-section 
         [0063]      23  Tube of smallest cross-section 
         [0064]      25  Drive shaft 
         [0065]      27  Transmission 
         [0066]      29  Hollow shaft 
         [0067]      31  Hollow shaft 
         [0068]      33  Threaded rod 
         [0069]      35  Threaded rod 
         [0070]      37  Coupling 
         [0071]      39  Transverse strut 
         [0072]      41  Bevel gear 
         [0073]      43  Spring element 
         [0074]      45  Manual drive shaft 
         [0075]      47  Shaft 
         [0076]      49  Flange 
         [0077]      51  Outer side 
         [0078]      53  Attachment device 
         [0079]      55  Depression 
         [0080]      57  Shoulder 
         [0081]      59  Securing ring 
         [0082]      61  Bevel gear 
         [0083]      63  Polygon 
         [0084]      71  Method 
         [0085]      72  Process 
         [0086]      74  Process 
         [0087]    H Height of Adjustment-device 
         [0088]    R Drive-shaft axis of rotation 
         [0089]    M Manual-drive axis of rotation