Source: https://patents.google.com/patent/CN105125364B/en
Timestamp: 2020-08-08 04:18:10
Document Index: 651408338

Matched Legal Cases: ['art 2', 'art 13', 'art 24', 'art 24', 'art 25', 'art 34', 'art 34', 'art 34', 'art 24', 'art 36', 'art 3', 'art 66', 'art 42', 'art 77', 'art 81', 'arts 105', 'arts 107', 'arts 105', 'art 125', 'art 125', 'art 125', 'art 125', 'arts 107', 'art 125', 'art 125', 'art 125', 'arts 107', 'art 125', 'art.\n3']

CN105125364B - Equipment for being supported during medical procedure and positioning patient - Google Patents
Equipment for being supported during medical procedure and positioning patient Download PDF
CN105125364B
CN105125364B CN201510350452.7A CN201510350452A CN105125364B CN 105125364 B CN105125364 B CN 105125364B CN 201510350452 A CN201510350452 A CN 201510350452A CN 105125364 B CN105125364 B CN 105125364B
CN105125364A (en
2011-06-21 Application filed by 华沙整形外科股份有限公司 filed Critical 华沙整形外科股份有限公司
238000005096 rolling process Methods 0.000 claims description 54
210000001217 Buttocks Anatomy 0.000 description 6
A kind of equipment for being supported during medical procedure and positioning patient, including a pair of supporter for capableing of separately adjustable height, each supporter are connected in patient support.Patient support can independently rise, reduce, roll or tilt around longitudinal axis, lateral movement and angulation upward or downward.Position sensor is set as sensing all above-mentioned movements.Sensor passes data to computer, with the medial end of patient support during these movements, is adjusted to and is maintained at close in phase position in.Longitudinal translation device provides the compensation in the length to structure in the upward angulation of supporter or downward angulation.Patient's body translation device provided in the upward angulation of patient support or downward angulation patient's upper body on direction posteriorly or anteriorly along the translational motion of the coordination of corresponding patient support, to keep spinal biomechanics appropriate and avoid excessive spinal traction or compression.
Equipment for being supported during medical procedure and positioning patient
The application be the applying date be on June 21st, 2011, application No. is 201180039162.0 (PCT/US2011/ 001101) divisional application of the application for a patent for invention of, entitled " patient positioning supports' structure with body translation device ".
The disclosure relates generally to one kind for checking and treating --- the doctor including being, for example, image, surgical operation etc. Treatment process --- period supports in desired position and keeps the structure of patient.More specifically, this disclosure relates to one kind has The structure of patient support module, wherein patient support module can be independently adjusted so that surgeon can select patient Property position in order to approach operative region, and allow to manipulate patient during operation, be included in patient and be in and lie on the back substantially , prostrate or lateral position while so that the body of patient and/or joint are tilted, are displaced sideways, are pivoted, are at an angle of Or bending.Present disclosure also relates to it is a kind of for adjust and/or keep the spatial relationship between the medial end of patient support with And the knot for the upper body of synchronous translational patient when the medial end of two patient supports is at an angle of up and down Structure.
Surgical practice all combines image method and technology during the entire process of patient's inspection, diagnosing and treating at present.Example Such as, minimally invasive surgery method --- being such as percutaneously inserted into spinal implant --- includes by real-time in art that is continuous or repeating The small notch that image technology is oriented to.These images can be handled using computer software programs, wherein computer software journey Sequence generates 3-dimensional image and is referred in the course of surgery for surgeon.If patient support surface is not radioparent or is not It is compatible with image technology, then it may need regularly to interrupt operation, so that patient is moved to individual surface to be imaged, Then patient transfer is turned round and stretched out the hand into art support surface to be further continued for surgical procedure.By using radioparent system and it is other at As compatible system, this patient's transfer for imaging purpose can avoid.Patient support system should also be as being constructed to allow image Equipment and other surgical apparatus surround patient in the case where not polluting aseptic area during the entire process of operating procedure, are suffering from Person top and the accessible motion below patient.
Patient support system is constructed to provide and is also necessary close to approach to the best of operative region by operating team.One A little process needs in different times in different ways position the part of patient body during the process.Some mistakes Journey --- for example, spinal surgery --- includes the channel across more than one operative site or operative region.Due to all These regions may not in same plane or anatomical position, therefore patient support surface should be can adjust and energy It is enough to be provided in the Different Plane of the different piece of patient body and in the different location of the given part of body or direction Support force.Preferably, support surface should can be adjusted, with to patient body head and upper torso part, body Lower torso and pelvis part and each limbs independently provided in individual plane and in different directions Support force.
The certain form of surgical operation of for example, orthomorphia may need one by patient or patient during process Part is repositioned, while keeping aseptic area in some cases.In needle to for example such as by installing manually In the case of the movement retention process of joint, spinal ligament and total crestal surface prosthese etc., during operation, surgeon must be Certain joints can be controlled while supporting the selected part of patient body in surgical procedure, to be conducive to surgical procedure. It is also required to can to test the motion range in the joint that operation is repaired or consolidated before wound closure and observation is reconstructed The sliding motion or artificial ligament on hinged prosthesis surface, the tension of dilator and other types of dynamic fixing piece and flexible Property.This operation can be used for for example examining the vertebra shoulder disc prosthesis of implantation, backbone dynamic longitudinal direction to connect during surgical procedures Connection member, intervertebral opening device or joint replacement body be properly positioned and function.When operation is found that for example osteoporosis may The adhesion of the adjacent vertebrae of generation, suboptimum are positioned or are even squeezed, then when patient keeps anaesthetizing, can remove prosthese, and Fuse adjacent vertebrae.On the other hand, with, will avoid it is postoperative in addition may be by hindering caused by " tentative " use of implantation material Evil, and to the anesthesia of the second wheel and operation to remove implantation material or prosthese and be modified, fuse or the need of corrective surgery It wants.
It there is a need for being able to rotation, hinged and angled patient support surface, enabling move patient from prone position It moves supine position or is moved to 90 degree of position from prone position, and therefore can realize at least part of of backbone Stretching, extension and buckling in art.Patient support surface must also be able in the case where being not required to remove patient or process is caused to be interrupted substantially Carry out the adjusting of simple selectivity.
For the certain form of surgical procedure of such as spinal surgery, it may be necessary to for continuous front and back process Patient is positioned.Patient support surface should also be able to enclose and rotate about the axis, to be during this continuous process Surgeon and imaging device provide correct patient's positioning and optimal accessibility.
Orthopaedic procedures may also require that with draft gear, for example, cable, clamp, belt wheel and counterweight.Patient support system System must include structure for being anchored this device, and the structure must provide to the sufficient support force of this device with Keep out the non-uniform power caused by drawing.
Hinged mechanical arm is increasingly used execution surgical method.These units be typically designed to it is mobile compared with Short distance and execute point-device work.Dependent patient support construction executes any desired Large Amplitude Motion of patient It is beneficial, if movement is to move synchronously or the coordinated movement of various economic factors is especially true.These units are required to smoothly carry out multi-party To the operation support surface of movement, otherwise this will be executed by the medical worker trained.Therefore it is also required to machine in this application Combination between people's technology and patient's location technology.
Although traditional operating table has generally comprised and patient support surface is enable to be tilted or rotated along longitudinal axis Structure, but pervious operation support device always strives to answer by the way that cantilevered patient support surface is arranged on one end To the needs close to approach.The substrate of this usually used massiveness of design is to balance the supporting member of extension, or makes With the frame structure of big overhead with support provided from above.Increased basal component associated with this cantilever design The problem of be increased basal component can and hamper really C-arm and O shapes arm movable fluorescent imaging device and The movement of other devices.Operating table with overhead frame structure is huge and may need to use dedicated operation Room, this is because they cannot easily be removed in some cases.These design any one of be all not easy transport or Storage.
It needs to be used for compensating branch using the radial type operating table for the cantilevered support surface that can be at an angle of up and down Change of the medial end of support body in the spatial relationship when the angular position to above or below horizontal plane is raised and lowered in it The structure of change.When the medial end of supporter rises or reduces, the medial end of supporter forms triangle, operating table Horizontal plane forms the bottom edge of the triangle.Unless the bottom edge is correspondingly shortened, otherwise by the shape between the medial end of supporter At gap.
This be at an angle of up and down of patient support has also accordingly resulted in the prostrate being located on supporter Correspondingly buckling or the stretching, extension of the lumbar vertebrae of patient.The medial end for promoting patient support is typically resulted in as lordosis reduces And around buttocks pelvis joining or corresponding rear portion rotation, the lumbar vertebrae buckling of the patient of prostrate.Work as pelvis Top when being rotated in rear direction, the top of pelvis pulls lumbar vertebrae and attempts rearward upwardly toward the foot of patient Mobile or translation thoracic vertebrae.If the trunk of patient, entire upper body and head and neck can not being rotated in posterior pelvic It along supporting body surface free shift or moves in corresponding backward directions, then can take place along entire backbone but especially exists The hyper-traction of lumbar region.On the contrary, reduce patient support medial end and downwards be at an angle of can cause with backbone The rotation of preceding Qu Zeng great and joining front pelvis around buttocks, the lumbar vertebrae stretching, extension of the patient of prostrate.When the top of pelvis When front side rotates up, the top of pelvis pushes and attempts forwards upwardly toward the translational head thoracic vertebrae of patient. If the trunk and upper body of patient can not be during waist be stretched as front pelvis rotates in corresponding forward direction On freely translate or move along the longitudinal axis of support surface, then can lead to not needing in vertebra especially lumbar region Compression.
Therefore, there is still a need for such a patient support system：The patient support system provides for medical staff and device It is convenient close to approach, can without using massive balanced supporting structure in multiple horizontal planes easily and It quickly locates and repositions, and be without the use of dedicated operating room.Also need to such a system：The system allows to prop up The medial end of support body individual or with around longitudinal axis rotation or being at an angle of up and down of being combined of rolling, and make End is kept in the previously selected spatial relationship, and at the same time allow the upper body of patient it is corresponding backward or The translation of coordination in forward direction, therefore to avoid the excessive compression or traction to vertebra.
The disclosure is directed to a kind of patient positioning supports' structure, which permits in up to multiple individual planes to patient Head and upper body, the lower part of the body and limbs carry out the positioning that can be adjusted, repositioning and selective lockable support, while it is accurate Perhaps rolled or tilted to patient by medical staff and device, be displaced sideways, be angled or curved with it is other operation and fill Divide and free close.The system of the present invention includes at least one support end or support column that can adjust height.It is illustrated Embodiment includes a pair of end support column that is opposed, being capable of separately adjustable height.The end support column can be independent Or it is connected to substrate.Longitudinal translation structure setting is to allow to adjust the distance between support column or interval.One support column can be with Couple with in-wall mounting seat or other fixed support bodies.Support column is connected with corresponding patient support respectively, also, is set Be equipped with patient support for making to be connected accordingly rise, reduce, rolling around longitudinal axis or tilting, lateral movement and The structure of angulation and for during these movements adjust and/or keep patient support medial end between distance or between Every longitudinal translation structure.
Patient support can be respectively that can be equipped with the opening of supporting pad, sling or trolley for keeping patient Frame or other patient support devices, or for for example provide substantially flat surface imaging device or other tops it is other Structure.Each patient support by roll accordingly or tilt, hinged or angulation regulating mechanism is connected to corresponding support column, To be positioned to patient support relative to its end supporter and relative to another patient support.Rolling tilts Regulating mechanism with pivot and height adjustment mechanism cooperate offer patient support in multiple selected locations and relative to The lockable positioning of support column, including roll or tilt in phase, angulation (positive anti-espionage Lun Delunbai in phase up and down Trellis position), the angle that fractures up and down and towards surgeon lateral movement and far from surgeon be displaced sideways.
At least one support column includes that support column is moved towards another support column or far from another support column Structure, so that the distance between support column is adjusted and/or kept when patient support moves.Lateral (the court of patient support To surgeon or far from surgical) movement provides by bearing base member.It is used for branch in a patient support The body translation device for supportting patient cooperates with whole above structures, especially cooperates with the angulation adjustment structure that fractures up and down, With provide patient body top, respectively on corresponding direction posteriorly or anteriorly along the length of a patient support Degree, synchronous translational motion, to keep suitable spinal biomechanics and avoid excessive spinal traction or compression.
Sensor is set with measure patient support system it is all it is vertical, horizontal or lateral displacement, angulation, incline Oblique or tumbling motion and longitudinal translation.Connect to sensor electronic computer and to computer transmission data, computer meter The movement for calculating and adjusting patient's body translation device and longitudinal translation structure, in order to provide the association with suitable biomechanics The patient support of tune.
According to the one side of the disclosure, a kind of equipment for being supported during medical procedure and positioning patient, institute are provided Stating equipment includes：A) opposed first end supporter and the second end supporter, the first end supporter and described Two end supporters are upwardly extended from longitudinally spaced corresponding first substrate opened and the second substrate being located on floor respectively； B) the first support component and the second support component, first support component and second support component are connected to corresponding institute State first end supporter and the second end supporter, wherein first support component and second support component Respectively include the angulation and rolling sub-component of actuating；C) extend between first support component and second support component Patient support, the patient support have the first patient support structure and the second patient support structure, wherein institute It states the first patient support structure and the second patient support structure respectively includes outboard end and medial end；D) its In, the outboard end of the first patient support structure and the second patient support structure passes through corresponding described The angulation and rolling sub-component of actuating are connected to a corresponding branch in first support component and second support component Support component；E) wherein, the medial end of the first patient support structure and the second patient support structure is logical Cross inside articulated mounting connection；F) wherein, the angulation of the actuating and rolling sub-component are operable to make first patient Supporting body structure and the second patient support structure are supported relative to the first end supporter and the second end Body carries out selective positioning with multiple at the inside articulated mounting at angular orientation；And g) wherein, the angulation of the actuating It is same at being moved not along floor in longitudinally spaced first substrate opened and second substrate with rolling subunit configurations When during the first patient support structure and the second patient support structure selectivity position so that with close to Mode together moves.
According to another aspect of the present disclosure, a kind of equipment for being supported during medical procedure and positioning patient is provided, The equipment includes：A) opposed first end supporter and the second end supporter, the first end supporter and described The second end supporter prolongs from longitudinally spaced corresponding first substrate opened and the second substrate being located on floor upwards respectively It stretches；B) the first support component and the second support component, first support component and second support component are connected to accordingly The first end supporter and the second end supporter, wherein first support component and it is described second support Component respectively includes the angulation and rolling sub-component of actuating；C) between first support component and second support component The patient support of extension, the patient support have the first patient support structure and the second patient support structure, In, the first patient support structure and the second patient support structure respectively include outboard end and medial end； D) wherein, the outboard end of the first patient support structure and the second patient support structure passes through corresponding The angulation and rolling sub-component of the actuating are connected to corresponding one in first support component and second support component A support component；E) wherein, the inner end of the first patient support structure and the second patient support structure Portion is connected through the hinge；F) wherein, the angulation of each actuating and rolling sub-component are operable to make corresponding described the One patient support structure and the second patient support structure are relative to the first end supporting mass and the second end Another end supporter in portion's supporter carries out active and selectivity positioning with multiple at the hinge at angular orientation；With And g) wherein, the angulation of the actuating and rolling subunit configurations are in longitudinally spaced first substrate and described second opened Substrate is while remains stationary on the floor in the first patient support structure and the second patient support knot Structure with it is the multiple positioned at angular orientation at least some of angular orientation during so that moving toward and away from one another.
According to the another aspect of the disclosure, a kind of equipment for being supported during medical procedure and positioning patient is provided, The equipment includes：A) opposed first end supporter and the second end supporter, the first end supporter and described The second end supporter prolongs from longitudinally spaced corresponding first substrate opened and the second substrate being supported on floor upwards respectively It stretches, the opposed first end supporter and the second end supporter are connected respectively to support component, wherein Mei Gesuo State the angulation and rolling sub-component that support component includes actuating；B) the first patient support structure and the second patient support knot Structure, wherein the first patient support structure and the second patient support structure respectively include outboard end and inside End, the outboard end are pivotally connected to by the angulation and rolling sub-component of the corresponding actuating described in one of them Support component, wherein the medial end passes through a pair of of hinge connection；C) wherein, the angulation of each actuating and rolling Component is configured to provide at least one of the first patient support structure and the second patient support structure patient Supporting body structure optional and lifting, angulation and the rolling coordinated, thus the first patient support structure and described second Patient support structure can relative to longitudinally spaced first substrate opened and second substrate with it is multiple optionally at Angular orientation is positioned；And d) wherein, the angulation of each actuating and rolling subunit configurations are opened at longitudinally spaced First substrate and second substrate not while being moved on the floor in the first patient support structure and So that moving toward and away from one another during at least one of described second patient support structure carries out angulation.
According to the another further aspect of the disclosure, a kind of equipment for being supported during medical procedure and positioning patient is provided, The equipment includes：A) opposed first end supporter and the second end supporter supported, the first end support Body and the second end supporter are respectively from longitudinally spaced corresponding first substrate opened and the second base being located on floor Bottom upwardly extends；B) in the first support group for being connected to corresponding the first end supporter and the second end supporter The patient support extended between part and the second support component, wherein the patient support includes head end part and foot End part, wherein the head end part and foot's end part respectively include outboard end and medial end, also, institute It states medial end and passes through a pair hinge connection spaced apart；C) outside of the head end part and foot's end part End is connected to a support component in first support component and second support component；D) wherein, described first A bearing assembly in support component and second support component includes angulation and roll sub-component, the angulation and rolling Sub-component is operable to that the head split-phase is made to carry out selectivity at angular orientation for foot's end part with multiple Positioning；And e) wherein, the angulation and rolling subunit configurations in first substrate and second substrate described On floor while remains stationary the head end part with it is the multiple positioned at angular orientation during so that direction and Far from opposed with one end supporter another in the first end supporter and the second end supporter A end supporter movement.
The various objects and advantages of this patient support structure will be apparent from the description made below in conjunction with attached drawing, attached Some embodiments of the disclosure are given in figure by way of illustration and example.
Attached drawing forms part of this specification, and attached drawing includes illustrative embodiments and shows these exemplary realities Apply the different purposes and feature of mode.
Fig. 1 is the side view of the embodiment of patient positioning supports' structure according to the present invention.
Fig. 2 is the stereogram of the structure of Fig. 1, and wherein body translation component is shown in the position of removal with the virtual image.
Fig. 3 is the partial perspective view of the amplification of one of patient support structure of Fig. 1 support column.
Fig. 4 is the partial perspective view of the amplification of another support column of patient positioning supports' structure of Fig. 1, and which part is disconnected It opens to show the details of underlying structure.
Fig. 5 is the transverse sectional view taken along the line 5-5 of Fig. 1.
Fig. 6 is the sectional axonometric drawing taken along the line 6-6 of Fig. 1.
Fig. 7 is the side view of the structure of Fig. 1 shown in the position of lateral tilt, and wherein patient support is being rolled over upwards In disconnected position, and two ends are in lower position.
Fig. 8 is the amplification transverse sectional view taken along the line 8-8 of Fig. 7.
Fig. 9 is the stereogram of the structure of Fig. 1, and wherein patient support is shown to be in the inclined position of plane, is suitable for Patient is located in high pelvic position (Trendelenburg ' position).
Figure 10 is the partial perspective view of the amplification of a part for the structure of Fig. 1.
Figure 11 is the stereogram of the structure of Fig. 1, is shown as carrying out alternate figures 1 with the patient support surface of a pair of of plane Patient support.
Figure 12 is the amplification stereogram of a part for the structure of Figure 10, and which part is disconnected to show angulation/rotation subgroup The details of part.
Figure 13 is the amplification stereogram of the body translation device shown in a manner of not engaged with the structure of Fig. 1.
Figure 14 is the side view of the structure of Fig. 1 shown in optional plane obliquity.
Figure 15 is the amplification stereogram of the structure of the second end support column, and which part is disconnected to show horizontal shift subgroup The details of part.
Patient positioning supports' structure that Figure 16 is the mechanical joint for the medial end for being combined with patient support, substituting Amplify partial perspective view, it illustrates the patient support in position angled downwards, and body translation device is from hinge Place removes.
Figure 17 is view similar with Figure 16, and it illustrates engaged with body translation device so that translation device is positioned at around hinge The linear actuators that the pivot of chain is mutually coordinated.
As requested, it is disclosed that the specific implementation mode of patient positioning supports' structure.It should be appreciated, however, that disclosed Embodiment be only equipment example, which can implement in a variety of forms.Therefore, specific structure disclosed herein And the details of function should not be construed as restrictive, and should be interpreted that basis only as claim and as teaching Show that those skilled in the art actually use the representative base of the disclosure in any suitable concrete structure in different ways Plinth.
Referring now to attached drawing, generally marked by reference numeral 1 according to the embodiment of patient positioning supports' structure of the disclosure It is bright, and shown in Fig. 1-12.Structure 1 includes that the first and second upright end support pier components or end support column assembly 3 and 4, the first and second upright end support piers or column assembly 3 and 4 are shown as through elongated connection track or track groups Part 2 is connected to each other in its bases.It is contemplated that column support component 3 and 4 is it is so structured that independent using ground as the branch of substrate Support body, rather than interconnected shown in embodiment as shown.It is further envisioned that in some embodiments, end branch One or both of support component can be substituted by in-wall mounting seat or other architectural support structure connectors or one of its substrate or The two can be fixedly coupled to ground structure.First upright support column assembly 3 is connected to generally 5 the first support group Part, and the second upright support column assembly 4 is connected to the second support component 6.First and second support components 5 and 6 support respectively Play corresponding first or second patient holding or support construction 10 or 11.Although illustrating cantilevered patient support 10 and 11, But it is contemplated that patient support 10 can be connected with 11 by removable hinge member.
Column assembly 3 and 4 is supported by corresponding first and second basal component for being generally 12 and 13, each basal component 12 Or 13 be illustrated as being equipped with optional carriage assembly, carriage assembly include a pair of spaced apart castor or wheel 14 and 15 (Fig. 9 and Figure 10).Second base part 13 further includes one group of optional pedestal 16, and pedestal 16 has the jack 17 for capableing of engaging base (Figure 11), so that platform 1 is fixed to ground and prevents 15 movement of wheel.It is contemplated that support column assembly 3 and 4 is configured to make The scale of construction for obtaining column assembly 3 is bigger than the scale of construction of support column assembly 4, or makes the scale of construction of support column assembly 4 than the scale of construction of column assembly 3 Greatly, to adapt to the non-uniform distribution of weight of human body.The reduction of the size of this base position in system 1 may be used at some realities It applies in mode, in order to which medical staff and device are close.
The first basal component 12 best illustrated in Fig. 4 and Fig. 7 is usually located at the bottom of structure 1 or base end Place, and longitudinal translation or compensation sub-component 20 are accommodated and are connected to, longitudinal translation or compensation sub-component 20 include being installed on top There are the fulcrum bearing or support plate 21 of slidable upper body 22.Removable shield 23 is connected across the side of fulcrum bearing 21 with after Opening at portion, to be covered in following workpiece.Shield 23 prevent from may damaging upper body in fulcrum bearing 21 to Afterwards with the foot of forward sliding motion, dust or compared with the intrusion of small articles.
A pair linear bearings part 24a and 24b (Fig. 5) spaced apart are mounted in fulcrum bearing 21, with along the longitudinal direction of structure 1 Axis orientation.Linear bearings part 24a and 24b is slideably received within corresponding mounted on the surface downwards of upper body 22 On a pair of of linear track or guide part 25a and 25b.When upper body 22 is driven by driving screw or power screw 26 (Fig. 4), Upper body 22 is rearwardly and a forwardly slided above fulcrum bearing 21, wherein driving screw or power screw 26 by motor 31 via tooth The driving of the (not shown) such as wheel, chain and sprocket wheel.Motor 31 for the fastener of bolt or other suitable devices for example, by installing It is held in position in fulcrum bearing 21, and by upright motor cover board 32.Driving screw 26 is threaded through mounted on spiral shell Nut on female load-bearing part 34, wherein nut load-bearing part 34 are fastened to the surface downwards of upper body 22.Motor 31 includes The position sensing apparatus or sensor 27 of computer 28 is electronically connected.Sensor 27 determines the lengthwise position of upper body 22 simultaneously Convert thereof into the code for being transferred to computer 28.Sensor 27 is preferably with origin switch or limit switch 27a (Fig. 5) Rotary encoder, wherein origin switch or limit switch 27a can pass through linear track 25a, 25b or translation compensation sub-component 20 Any other moving parts starts.Rotation sensor 27 can be mechanical, optical, binary-coded or Ge Lei (Gray) The sensor device of coding or its can be can by obtain incremental count from rotary shaft sense move horizontally and will The information coding and any other suitable structure for being transferred to computer 28.Origin switch 27a provides zero for measurement Point or origin reference position.
It is longitudinal flat to operate to drive the driving screw 26 of for example, Ai Kemu (Acme) thread forms by driven motor 31 Sub-component 20 is moved, wherein driving driving screw 26 results in nut 33 and attached nut load-bearing part 34 advances along screw rod 26, because This makes linear track 25a and 25b advance along corresponding linear bearings part 24a and 24b, and makes attached 22 edge of upper body It moves at the opposite both ends for longitudinal axis towards or away from structure 1 as shown in Figure 10.Motor 31 can be by operator by making It is selectively activated with the control piece (not shown) on controller or control panel 29 or motor 31 can be by by calculating Response control that machine 28 is transmitted according to previously selected parameter instructs to activate, wherein by previously selected parameter with from detection The data ratio received at the sensor of the movement --- movement including activating origin switch 27a --- of the different components of structure 1 Compared with.
This structure makes the distance between support column assembly 3 and 4 whole length of operating table structure 1 (substantially) can be from Fig. 1 and position shown in Fig. 2 are shortened, to tilt position when patient support 10 and 11 is positioned at plane for example as shown in Figure 9 When setting or during as shown in Figure 7 upward (or downwards) angled or the position that fractures and/or still as shown in Figure 7 Part rotation or inclined position in when, keep the distance between medial end D and D ' of patient support 10 and 11.It is this Structure also makes the distance between support column assembly 3 and 4 that can be repositioned at water in patient support 10 and 11 as shown in Figure 1 It is stretched when in average face and is back to initial position.Since upper body 22 rises and is forwardly and rearwardly slided above fulcrum bearing 21 It is dynamic, therefore when patient support 10 and 11 rises and reduces, upper body 22 will not be run to the foot of patient care team.Second Longitudinal translation sub-component 20 may be connected to the second basal component 13 to allow both substrate 12 and 13 mobile, to compensate patient support The angulation of body 10 and 11.It is also contemplated that translation component can be alternatively connected to one of the first and second support components 5 and 6 or Multiple shells 71 and 71 ' (Fig. 2), to be positioned closer to patient support surface 10 and 11.It is also contemplated that rail assembly 2 can be configured to Telescoping mechanism, longitudinal translation sub-component 20 are incorporated in telescoping mechanism.
The second basal component 13 shown at the head end of structure 1 includes the shell being mounted on wheel 15 and the top of pedestal 16 37 (Fig. 2).Therefore, the top of shell 37 and the top of the upper body 22 of the first basal component 12 are typically in a plane In.It includes vertically-oriented elbow 35 to connect track 2, so that track 2 is capable of providing between the first and second substrates 12 and 13 The connection of basic horizontal.Connecting track 2 has the overall configuration of essentially Y shape, wherein the Y shape part or yoke-like part 36 of bifurcated Close to the first basal component 12 (Fig. 2, Fig. 7), in the part of first level support component 5 in lower position and upper body 22 receive the part of first level support component 5 when being pushed ahead above track 2.It is contemplated that the first and second substrates The orientation of component 12 and 13 can exchange so that and the first basal component 12 is located at the head end of patient support structure 1, and the Two basal components 13 are located at foot end.
First and second basal components 12 and 13 are equipped with the corresponding first and second upright end supporters or column liter on top It comes down to a lower group part 3 and 4.Each column lifting assembly includes a pair of column 3a and 3b being laterally spaced apart or 4a and 4b (Fig. 2, Fig. 9), each pair of By end cap 41 or 41 on the capital of lateral spacing ' covering.Each column includes two or more telescopic lifting arm section, exterior section 42a and 42b and 42a ' and 42b ' and interior section 43a and 43b and 43a ' and 43b ' (Fig. 5 and Fig. 6).Bearing 44a, 44b with And 44a ' and 44b ' is so that work as exterior section 42 or 42 ' by by the guide screw of corresponding motor 46 (Fig. 4) or 46 ' (Fig. 6) drivings When bar or power screw activate, exterior section 42 or 42 ' can be in corresponding interior section 43 or 43 ' top sliding motion.With This mode, column assembly 3 and 4 are risen and are landed by corresponding motor 46 and 46 '.
Motor 46 and 46 ' respectively include determining lifting arm section 42a, 42b and 42a ', 42b ' and 44a, 44b and 44a ', The vertical position or height of 44b ' and convert thereof into code be transferred to computer 28 position sensing apparatus or sensor 47, 47 ' (Fig. 9 and Figure 11), sensor 47,47 ' are preferably the rotation with foregoing origin switch 47a, 47a ' (Fig. 5 and Fig. 6) Turn encoder.
As best illustrated in Fig. 4, motor 46 is installed to substantially L-shaped holder 51, holder 51 for example, by For bolt etc. fastener be fastened to upper shell 22 bottom part upwardly surface.As shown in fig. 6, motor 46 ' is similar Ground is fastened to holder 51 ', and holder 51 ' is fastened to the inner surface of the bottom part of the second substrate shell 13.The fortune of motor 46 and 46 ' Turn the corresponding sprocket wheel 52 (Fig. 5) of driving and 52 ' (Fig. 6).Chain 53 and 53 ' (Fig. 4 and Fig. 6) around its corresponding drive sprocket and Its corresponding driven sprocket 54 (Fig. 4) is fastened, 54 drive shaft 55 of driven sprocket when motor 46 and 46 ' operates.Each axis 55 drives Dynamic worm gear 56a, 55b and 56a for being connected to driving screw 45a and 45b or 45a ' and 45b ' ', 56b ' (Fig. 5, Fig. 6).Nut 61a, 61b and 61a ', 61b ' are by driving screw 45a, 45b and 45a ', 45b ' be attached to bolt 62a, 62b and 62a ', 62b ', bolt 62a, 62b and 62a ', 62b ', which are fastened to, is connected to internal lifting arm section 43a, 43b and 43a ', stem cover 63a, 63b of 43b ' and 63a’、63b’.In this manner, operating driving driving screw 45a, 45b and 45a ', the 45b ' of motor 46 and 46 ', driving screw 45a, 45b and 45a ', 45b ', which are promoted and reduced relative to outside lifting arm section 42a, 42b and 42a ', 42b ', internal lifts arm section 43a, 43b and 43a ', 43b ' (Fig. 1, Figure 10).
Each of first and second support components 5 and 6 (Fig. 1) include 64 He of the second vertical lifting sub-component substantially 64 ' (Fig. 2 and Fig. 6), sideways or horizontally displacement sub-component 65 and 65 ' (Fig. 5 and Figure 15) and angulation/inclination or rolling subgroup Part 66 and 66 ' (Fig. 8, Figure 10 and Figure 12).Second support component 6 further includes patient's body translation component or body translation device 123 (Fig. 2, Fig. 3, Figure 13), they interconnect and include being linked to computer 28 and controller as described in more detail below The associated power supply and circuit of 29 (Fig. 1) is to coordinate and uniformly activate and operate.
Column lifting assembly 3,4 and the second vertical lifting sub-component 64 and 64 ' and angulation and rolling or inclination sub-component 66 and 66 ' cooperations jointly allow the rolling of the longitudinal axis around structure 1 in conjunction with patient support 10 and 11 or inclined, Huan Zhezhi Selectivity of the selective angulation and patient support 10 and 11 of support body 10 and 11 at desired height level and height gain It fractures.Displacement sub-component 65 and 65 ' enables patient support 10 and 11 before any of above action progress sideways or horizontally Or along the axis of the longitudinal axis orthogonal with structure 1, level is moved selectively, in phase during any of above action carries out Dynamic (Figure 15).With column lifting assembly 3 and 4 and second vertical lifting sub-component 64 and 64 ' synergistically, angulation and rolling or tilt Sub-component 66 and 66 ' enables patient support 10 and 11 in phase, selectively to be promoted and reduced, to realize that selection is promoted Incline with the planar horizontal position (Fig. 1, Fig. 2, Figure 11) of reduction, for example, plane of high pelvic position and its backward position Loxosis sets (Fig. 9, Figure 14), along with patient support structure 1 around the lateral rolling of the longitudinal axis of structure 1 or tilts (Fig. 8) Angulation of the patient support surface in upward (Fig. 7) and the downward angle that fractures, these are all in required height level and height At increment.
Due to angle of the bottom edge folded by the medial end by supporter 10 and 11 of the triangle formed by supporter Increased or decrease and elongate or shorten (Fig. 7, Fig. 9, Figure 10 and Figure 14), therefore during all mentioned operations, longitudinal translation Sub-component 20 allow the first basal component position coordination adjust, to keep patient support 10 and 11 medial end it Between distance D and D '.
Body translation component 123 (Fig. 2, Fig. 3, Figure 13) enables the upper body of patient as desired along patient support The longitudinal axis of body 11 moves in phase, to keep normal spinal biomechanics and avoid due to by supporter 10 and 11 To the excessive drawing of backbone or compression caused by the increaseing or decreasing of angle folded by medial end.
First and second horizontal support members 5 and 6 (Fig. 2) respectively include the shell with whole substantially hollow rectangular configuration Body 71 and 71 ', internal structure, which is formed, a pair of receives external lifting arm section 42A, 42B and 42a ', 42b ' it is vertically-oriented Channel (Fig. 5, Fig. 6).The inner surface of each shell 71 and 71 ' covers (Fig. 2) by loading plate 72,72 '.Second vertical lifting Component 64 and 64 ' (Fig. 2, Fig. 5 and Fig. 6) respectively includes motor 73 and 73 ', and motor drives worm gear (not shown), worm gear to be contained in Shell 71 or 71 is connected in the gear-box 74 or 74 of upper bottom portion surface ' '.Engage to worm-drive driving screw or power screw 75 and 75 ', the top of driving screw or power screw 75 and 75 ' is connected to the lower surface or bottom of corresponding end cap 41 and 41 '.
Motor 73 and 73 ' includes each corresponding position sensing apparatus or height sensor 78,78 ' (Fig. 9 and Figure 11), position It sets sensing device further or height sensor 78,78 ' determines the vertical position of corresponding shell 70 and 71 and converts thereof into coding and passes It is handed to computer 28.Sensor 78 and 78 ' be preferably foregoing rotary encoder and with corresponding origin switch 78a and 78a ' (Fig. 5 and Fig. 6) cooperates.A kind of embodiment of the height sensing devices of replacement is said in United States Patent (USP) No.4,777,798 Bright, this disclosure is incorporated by reference.When worm gear is made to rotate ', the motor 73 or 73 ' driving when motor 73 or 73 Driving screw 75 or 75 ', therefore lead to shell 71 or 71 ' moved up or down on external lifting arm part 42 and 42 '.Therefore Motor 73 and 73 ' it is selectively activated so that corresponding shell 71 and 71 ' can be on column 3a and 3b and 4a and 4b in end cap Uplink and downlink (Fig. 7, Fig. 9 and Figure 14) between 41 and 41 ' and basal component 12 and 13.Column motor 46 and 46 ' and second is vertically The collaboration of lift motor 73 and 73 ' activates so that shell 71 and 71 ' and its corresponding attached loading plate 72 and 72 ' and then patient Supporter 10 and 11 can be promoted to maximum height as shown in Fig. 9 and Figure 14 or alternatively be reduced to minimum constructive height.
Fig. 5 and the sub-component 65 and 65 ' of displacement sideways or horizontally shown in figure 15 respectively include a pair of mounted on corresponding plate Linear track 76 or 76 on 72 or 72 ' medial surface '.Corresponding linear bearings part 77 and 77 ' is mounted on shell 71 and 71 ' Madial wall on.Nut load-bearing part 81 or 81 ' is attached to the trailing flank of each plate 72 and 72 ' to connect with horizontal screw thread connection orientation The driving screw or power screw 82 or 82 of receipts nut, by motor 83 or 83 ' driving ' pass through nut.Each motor 83,83 ' includes Corresponding position sensing apparatus or sensor 80,80 ' (Figure 11 and Figure 15), the position sensing apparatus or sensor 80,80 ' determine Plate 72 or 72 ' lateral movement or movement and convert thereof into the code for being transferred to computer 28.Sensor 80,80 ' is preferably Rotary encoder as described above and (Fig. 5 and Figure 15) is cooperated with origin switch 80a and 80a '.
The operating of motor 83 and 83 ' drives corresponding screw rod 82 and 82 ', results in nut load-bearing part and nut load-bearing part is attached Plate 72 and 72 ' even advances along screw rod 82 and 82 ' together.In this manner, plate 72 and 72 ' is relative to 71 and 71 ' side of shell It moves to ground, therefore is laterally moved also relative to the longitudinal axis of patient support 1.The reversion of motor 83 and 83 ' leads to plate 72 and 72 ' move on opposite lateral so that sub-component 65 and 65 ' being capable of flatly lateral movement or flatly back and forth Movement.It is contemplated to run single-motor 83 or 83 ' to move single sub-component 65 or 65 in a lateral direction '.
Although it have been described that the lateral displacement sub-component of linear track type, it is contemplated that can also be come using worm gear arrangement Realize the identical movement of loading plate 72 and 72 '.
Angulation and inclination shown in Fig. 8, Figure 10, Figure 12 and Figure 14 or rolling sub-component 66 and 66 ' respectively include generally The rack 84 and 84 ' (Fig. 7) of groove shape, rack 84 and 84 ' are mounted on the corresponding carrying of horizontal shift sub-component 65 or 65 ' Plate 72 or 72 ' on.Each rack 84 and 84 ' includes multiple holes spaced apart, hole be dimensioned for receiving in the form of crosspiece across A series of vertically spaced towing pins 85 (Figure 10) and 85 ' (Fig. 8) of rack 84 and 84 '.In the head end of structure 1 Rack 84 ' be shown as in Fig. 1 and Fig. 7 length be slightly shorter than foot end rack 84 so that when support component 6 be in figure When the lower position illustrated in 7, rack 84 ' will not hit elbow 35.Each rack 84 and 84 ' is supported on side at top and bottom To perforation to receive the seat of honour 86 (Figure 12) or 86 ' (Figure 15) of a pair of of towing pin 85 and 85 '.Each seat of honour 86 and 86 ' With substantially rectangular footprints, it is sized to receive in the trench wall of rack by pin 85 and 85 '.Draw bar connects The seat of honour 86 and 86 ' is held in place by outbound 85 and 85 ' on rack, and is made it possible to by removing pin 85 and 85 ', determining again Position seat simultaneously reinserts pin at new position and the seat of honour 86 and 86 ' is quickly and easily repositioned at platform upward or downward At multiple and different height on frame 84 and 84 '.
Each seat 86 and 86 ' includes multiple holes 91 for receiving fastener 92 at its lower end, and wherein fastener 92 will Actuator adapter plate 93 or 93 ' it is connected to the seat of honour 86 and 86 ' (Figure 12 and Figure 14).Each seat of honour further includes as universal joint Groove or joint portion 94 and 94 ' are used to receive the bar part of generally T-shaped york piece 95,95 ' (Fig. 7 and Figure 12).Groove The bar part of wall and each york piece 95 and 95 ' is perforated from front to back, and to receive pivot pin 106 (Figure 12), pivot pin 106 will The bar part of york piece is maintained at joint portion 94 or 94 ' in appropriate location, while allow york piece around pin rotate left and right.Each york piece It perforates also along its length 95 and 95 ' lateral part.
Each york piece supports generally U-shaped plate 96 and 96 ' (Figure 12 and Fig. 8), plate 96 and 96 ' and first patient's branch of support Corresponding one (Fig. 3 and Figure 12) in support body 10 and the second patient support 11.U-shaped base plate 96 and 96 ' respectively includes a pair Independent inside ear parts 105 and 105 ' (Fig. 8 and Figure 12) spaced apart.Ear parts trepanning to receive pivot pin 111 and 111 ', Its pivot pin 111 and 111 ' extends between corresponding a pair of of ear parts, and across the lateral part of york piece, thus by york piece It is held in place in a manner of with 96 or 96 ' positioned in spaced relation of corresponding bottom plate.Bottom plate 96 ' mounted on the head end of structure 1 is gone back Including a pair of outside ear parts 107 (Fig. 9) for installing translation device assembly 123, hereafter will be discussed in more detail.
Pivot pin 111 and 111 ' enable be connected to the patient support 10 and 11 of associated floor 96 and 96 ' relative to York piece 95 and 95 ' pivots up and down.By this method, angulation and rolling or inclination sub-component 66 and 66 ' are in each patient's branch Mechanical articulation is provided at the outboard end of support body 10 and 11.It hereafter will be discussed in more detail in each patient support 10 and 11 Other at medial end is hinged.
As shown in Fig. 2, each patient support or frame 10 and 11 are the open frame being substantially formed in a U-shape, there is a pair Elongated, the substantially parallel arm or support spaced apart that bending part or curved portion from outboard end extend inwardly Roofbolt 101a and 101b and 101a ' and 101b '.The patient support frame 10 of the foot end of structure 1 be shown as have than The longer roofbolt of the roofbolt of frame 11 at the head end of structure 1, to accommodate the longer lower body of patient.It is contemplated that All roofbolt and patient support frame 10 and 11 can also can compare with the roofbolt of equal length or frame 11 The roofbolt of frame 10 is longer so that the entire length of frame 11 is bigger than the entire length of frame 10.Cross-brace column 102 can be arranged Between the longer roofbolt 101a and 101b at the foot end of structure 1, to provide additional stability and support force.Each frame Equipped with outside or posterior bracket 103 or 103 on the bending part or curved portion top of the outboard end of frame ', wherein posterior bracket 103 or 103 ' are connected to corresponding support baseboard 96 or 96 ' by bolt or other suitable fasteners.Clamp holder 104a and 104b and 104a ' and 104b ' also with the relationship that is spaced apart with posterior bracket 103 and 103 ' be mounted on each roofbolt 101a and On the top of 101b and 101a ' and 101b '.Clamp holder is also secured to corresponding support baseboard 96 and 96 ' (Fig. 1, Figure 10).Often The inner surface of a holder 104a and 104b and 104a ' and 104b ' plays the role of upper actuator mounting plate (Fig. 3).
Angulation and rolling sub-component 66 and 66 ' further include respectively a pair of of linear actuators 112a and 112b and 112a ' and 112b ' (Fig. 8 and Figure 10).Each actuator is connected to corresponding actuator adapter plate 93 or 93 ' and another at one end Corresponding clamp holder 104a, 104b or a 104a are connected at end ', the inner surface of 104b '.Each linear actuators connects Mouth connection computer 28.Each actuator includes fixed cover or shell, and the cover or shell accommodate actuating lifting arm or bar 113a Or the motor (not shown) of 113b or 113a ' or 113b ' (Figure 12, Figure 14).Actuator is connected by ball-type accessory 114, ball Type accessory 114 connects the bottom of each actuator and connects the end of each lifting arm.Each lower part ball-type accessory 114 connects To corresponding actuator adapter plate 93 or 93 ', and the accessory 114 of each topmost be connected to corresponding clamp holder 104a or The inner surface of 104b or 104a ' or 104b ', these connect all through the fastener 115 equipped with washer 116 (Figure 12) It connects, to form ball joint.
Each linear actuators 112a, 112b, 112a ', 112b ' include integrated position sensing apparatus (substantially by phase The reference numeral for the actuator answered is indicated).Wherein position sensing apparatus determines the position of actuator, converts thereof into code and incites somebody to action Code is sent to computer 28.Since linear actuators is via holder 104a, 104b and 104a ', 104b ' and roofbolt 101a, 101b and 101a ', 101b ' connection, computer 28 can determine the angle of corresponding roofbolt using the data.It is contemplated that Corresponding origin switch (not shown) and position sensor can be attached in the actuator devices.
Angulation and rolling mechanism 66 and 66 ' by using switch or other similar devices to actuator 112a, 112b, 112a ', 112b ' power to operate.The wherein described switch or other similar devices are incorporated in controller 29, with by operator or Started by computer 28.The selectivity of actuator, coordinate operation cause lifting arm 113a and 113b and 113a ' and The mobile corresponding roofbolt 101a and 101b and 101a ' and 101b ' of 113b '.Lifting arm can equably lift patient support Two roofbolts on 10 or 11 so that ear parts 105 and 105 ' is pivoted around pin 111 and 111 ' on york piece 95 and 95 ', causes to suffer from Person's supporter 10 or 11 upward or downward with substrate 12 and 13 and to connect track 2 angled.By actuator 112a, 112b and The operation of the coordination of 112a ', 112b ' extends and/or withdraws its corresponding lifting arm, can realize patient support 10 and 11 Angulation to upward (Fig. 7) or downward broken positions or arrives plane angular position (Fig. 9) in phase, or can make patient's branch Support body 10 and 11 differentially angulation be so that each supporter and underlying floor surface are upwardly directed to or refer to downward at different To angle.As exemplary embodiment, linear actuators 112a, 112b, 112a ', 112b ' can make roofbolt 101a, 101b, 101a ', 101b ' end elongation for horizontal plane at the upward angle for being up to about 50 degree and with horizontal plane at up to big About 30 degree of downward angle.
Can also make the roofbolt of each supporter 10 and/or 11 differently angulation, that is to say, that roofbolt 101a is promoted or It reduces more than roofbolt 101b and/or is promoted or reduced roofbolt 101a ' to be more than roofbolt 101b ' so that can cause Longitudinal axis relative to structure 1 or so rolling or the inclination as shown in Figure 7 and Figure 8 of corresponding supporter 10 and/or 11.As showing Example property embodiment can make patient support with respect to the horizontal plane deasil roll or rotate up to about around longitudinal axis 17 degree of angles, and with respect to the horizontal plane widdershins roll or rotate around longitudinal axis and reach about 17 degree of angles, therefore give and suffer from Person's supporter 10 and 11 is up to about 34 degree of rotating range around longitudinal axis or rolling or tilts up to about 34 degree Ability.
As shown in figure 4, patient support 10 is equipped with a pair of of buttocks or lumbar support pads 120a, 120b.Buttocks or waist Supporting pad 120a, 120b are selectively positioned to support the buttocks of patient, and are pacified by a pair of of clamp bracket or hip pad Dress seat 121a, 121b be held in position in, wherein clamp bracket or hip pad mounting base 121a, 121b with corresponding roofbolt The outboard end of 101a, 101b relationship spaced apart are on the top of corresponding roofbolt 101a, 101b.Each mounting base 121a and 121b is connected to the nearly buttocks backing plate 122 (Fig. 4) extended middlely at a downward angle.Therefore hip pad 120 is supported on one Determine the position that angle tilted or faced the longitudinal center axis of supported patient towards the longitudinal center axis of the patient supported Place.It is contemplated that plate can pivotally be adjusted, and it is revocable.
Chest, shoulder, arm and the head of patient supports (Fig. 2, Figure 13) by body or trunk translation device assembly 123, Middle body or trunk translation device assembly 123 enable supported patient head and upper body rearwardly and a forwardly pair Make translational motion along the second patient support 11 on direction.The translational motion of body translation device 123 and patient support 10 and The angulation up and down of 11 medial end is coordinated to carry out.As shown in Fig. 2 best, translation device assembly 123 is module Structure, easily to remove and replace from structure 1 on demand.
Translation device assembly 123 is constructed to removable component or module, is to be detached from and move from structure 1 in figure 13 illustrates From removing and being carried out from the head end of patient.It translates device assembly 123 and includes head support portion or trolley 124, head support portion or platform Vehicle 124 extends and is supported by it between a pair of of elongated support or trolley guidance part 125a and 125b.The ruler of each guidance part A part of roofbolt a 101a ' and 101b ' very little and that be shaped to reception patient support 11.Guidance part is preferably in it It is lubricated on surface, in order to move back and forth along roofbolt.Guidance part 125a and 125b passes through support at its medial end The transverse bar of breastbone pad 127, lateral support or track 126 (Fig. 3) interconnect.Arm is shelved Support bracket 131a or 131b and is connected It is connected to each trolley guidance part 125a and 125b (Figure 13).Support bracket is with the overall configuration for being approximately Y shape.Each supporting leg It extends downwardly end and terminates at widened substrate 132a or 132b so that the supporting leg of two brackets is formd for being translated by body The holder (Fig. 2) of body translation device assembly 123 is supported when device assembly 123 is removed from platform 1.Each bracket 131a and 131b support phase Arm the rest portion 133a or 133b answered.It is contemplated that arm support retaining frame or sling can substitute arm rest portion 133a and 133b。
It includes a pair of linear actuators 134a, 134b (Figure 13), each linear actuators that body, which translates device assembly 123, 134a, 134b include motor 135a or 135b, shell 136 and extendible axis 137.Each linear actuators 134a and 134b Including integrated position sensing apparatus or sensor (usually being indicated by corresponding actuator reference numeral), wherein as previously mentioned, The position sensing apparatus or sensor, which determine the position of actuator and convert thereof into code, is sent to motor 28.Due to linearly causing Dynamic device connection body translates device assembly 123 so that computer 28 can determine that body translates device assembly 123 using the data Position relative to roofbolt 101a ' and 101b '.It is also contemplated that each linear actuators can be with integrated origin switch (usually Indicated by corresponding actuator reference numeral) it combines.
Each trolley guidance part 125a and 125b include the (figure of independent flange 141 of the end for being connected to axis 137 3).In the opposite end of each linear actuators 134, motor 135 and shell 136 are connected to flange 142 (Figure 13), convexity Edge 142 includes the pillar for receiving towing pin 143.Towing pin passes through the outside of pillar and bottom plate 96 ' Ear parts 107 (Fig. 9) extends, therefore linear actuators 134a and 234b are removably connected to bottom plate 96 ' (Fig. 8, Fig. 9).
Translation device assembly 123 is operated by being activated through integrated computer software to actuator 134a and 134b power supply, With automatically with angulation and rolling or tilt sub-component 66 and 66 ' and lateral displacement sub-component 66 and 66 ', column lifting assembly 3, 4, vertical lifting sub-component 64 is mutually coordinated with 64 ' with the operation of vertical shift sub-component 20.Component 123 can also be borrowed by user Help the switch being incorporated in controller 29 or other similar devices to operate.
The positioning of translation device assembly 123 be in response to the input in operator based on the position data by computer collect into Capable.Component 123 is initially positioned or is calibrated in computer by cooperated learning process and traditional triangulation calculation.With this side Formula, body translation device assembly 123 are controlled as advancing or moving with the medial end of patient support 10 and 11 upward or downward The variation corresponding distance of the overall length on the bottom edge of triangle is formed by when angulation.The bottom edge of triangle is equal to patient support 10 and 11 the distance between outboard end.With the upward angulation of medial end and downward angulation, the bottom edge is by translating component 20 movement is shortened, and closes on relationship to keep medial end.Can calibrate translation component 123 travel distance, with trouble The variation of the distance between the outboard end of person's supporter is equal or it can be approximatively identical.In supporter 10 and 11 liters When high and reduction, the position of supporter 10 and 11 is measured, thus the position of positioning component 123 and measurement assembly.Later by this The data point that sample rule of thumb obtains is programmed into computer 28.Computer 28 also from sensor 27,47,47 ', 78,78 ', 80, 80 ' and 112a, 112b and 112a ', 112b ' collects about longitudinal translation, from column assembly 3 and 4 and second lifting assembly 73, both 73 ' height, the position data of lateral movement and inclined orientation and these position datas are handled.Using being received After the data point calibration body translation device assembly 123 of collection, computer 28 is handled using these data parameters about from sensing Device 112a, 112b, 112a ', the position data of angular orientation that receives at 112b ' and from body translation device sensor 134a, 134b The position data of feedback, to determine the coordinated manipulation of the motor 135a and 135b of linear actuators 134a, 134b.
Actuator by with roofbolt 101a, 101b, 101a ', in a manner of the 101b ' coordinated movements of various economic factors along roofbolt 101a ', 101b ' To and fro driving support trolley 124, chest pad 127 and arm rest portion 133a and 133b trolley guidance part 125a and 125b.When When the end of roofbolt rises to the angle to fracture upwards (Fig. 7), by being operated in phase at angular orientation with supporter 10 and 11 Actuator 134a and 134b, trolley 124 and associated structure are moved or are translated in a rearward direction, to along roofbolt 101a ' and 101b ' advances in the side of patient feet upwardly toward the inside articulated section of patient support 11, therefore avoids to suffering from The hyper-traction of person's backbone.On the contrary, when the end of roofbolt is reduced to the angle to fracture downwards, pass through reverse operating actuator 134a and 134b, trolley 124 and associated structure are moved or are translated in a forward direction, to along roofbolt 101a ' and 101b ' advances in the side on the head of patient upwardly toward the outside articulated section of patient support 11, therefore avoids to patient's ridge The excess compression of column.It is contemplated that the operation of actuator can also be coordinated with the inclined orientation of supporter 10 and 11.
It when not in use, can be easily by pulling out towing pin 143 and disconnecting electrically connected (not shown) Remove translation device assembly 123.As shown in figure 11, when translating the removal of device assembly 123, for example, it is imaged plane patient's branch at top Support element 144 and 144 ' roofbolt 101a, 101b and 101a can be separately mounted to ', 101b ' above.It is contemplated that can only there are one Plane component is mounted on roofbolt 101a, 101b and 101a ', 101b ' above so that planar support element 144 or 144 ' can be with Hip pad 120a and 120b or translation device assembly 123 are applied in combination.Still it is foreseeable that translation device modular support guidance part 125a and 125b can change with the lateral edge of receiving plane supporter 144 ', so that translation device assembly can be with planar support 144 ' are used in combination.Still it is foreseeable that shown patient support roofbolt 101a, 101b and 101a ', the medial end of 101b ' or plane The medial end of support component 144 and 144 ' do not have the empty of mechanical connection, opening or unassembled can hingedly replace Be connected through the hinge for property part or other suitable elements is mechanically hinged.
In use, body translation device assembly 123 above the end of roofbolt 101a ', 101b ' preferably by slidably supporting Guidance part 125a and 125b and in the patient support 10 and 11, wherein chest pad 127 is towards patient positioning supports' structure 1 Center oriented, and arm rest portion 133a and 133b extend towards the second support component 6.It slides at 123 headward end of translation device It is dynamic, until flange 142 touches the outside ear parts 107 of bottom plate 96 ' and their corresponding hole alignment.Towing pin 143 are inserted into the hole of alignment, and translation device 123 is fixed to the bottom plate 96 ' of support roofbolt 101a ' and 101b ', and are used for The electrical connection of motor 135 is realized.
Patient support 10 and 11 can be positioned in horizontal or other convenient orientations and height, in order to by patient It is transferred on translation device assembly 123 and support surface 10.Patient can be positioned in the position of for example, basic prostrate, wherein head Portion is supported on trolley 124, and trunk and arm are respectively supported in chest pad 127 and arm support portion 133a and 133b On.If desired, head supporting pad can also be set on the top of trolley 124.
By activate in the foregoing manner column assembly 3 and 4 lifting arm section and/or vertical lifting sub-component 64 and/ Or 64 ', patient can in the position of basic horizontal (Fig. 1, Fig. 2) or in the orientation that foot is upward or head is upward (figure 9, Figure 14) it rises or reduces.Meanwhile as the United States Patent (USP) No.7 of applicant passes through court shown in 343,635 Figure 32 and Figure 33 Longitudinal direction side to structure 1 or the longitudinal direction side far from structure 1 activate lateral displacement sub-component 65 and/or 65 ', patient support One or both of 10 and 11 (with attached translation device assemblies 123) can independently be displaced sideways, wherein applicant The disclosure of United States Patent (USP) No.7,343,635 is incorporated herein by reference.Similarly at the same time, patient support 10 With 11 one of (with attached translation device assemblies 123) or the two can pass through and activate angulation and roll or tilt sub-component 66 and/or 66 ' and independently rotate with left and right rolling or tilt (Fig. 7, Fig. 8 and Figure 15).Simultaneously, patient support 10 and 11 One of (with attached translation device assembly 123) or the two can be independently relative to basal component 12 and 13 and track 2 are at an angle of upward or downward.Still it is foreseeable that passing through the selectively lifting arm section of actuating column lifting assembly 3 and 4 as previously described And/or the second vertical lifting sub-component 64 and/or 64 ', patient can be located in such as United States Patent (USP) No.7,343,635 Attached drawing 26 shown in 90 degree of position/90 degree kneel formula and lie prostrate in position.
When patient support 10 and 11 as shown in Figure 7 navigates to reduction, lateral tilt position patient support simultaneously The patient that is supported in the position for the angulation that fractures upwards of medial end spinal curvature when, height sensor 47,47 ' and 78,78 ' and linear actuators 112a, 112b and 112a ', the integrated position sensor in 112b ' will be about Highly, inclined orientation and the information or data at angular orientation are transferred to computer 28, and device assembly 123 is translated from attached with automatic actuating Mobile trolley used 124 and associated structure at position described in Fig. 1 so that the end direction of support guidance part 125a and 125b The medial end of roofbolt 101a ' and 101b ' are slidably moved into, as shown in Figure 7.This makes the head of patient, trunk and arm court It is moved in a rearward direction to foot, therefore alleviates the excessive traction of the backbone along patient.Similarly, when patient's branch Support body 10 and 11 be positioned to medial end fracture downwards angulation position in so as to cause patient spinal compression when, sensor By about height, inclined orientation and at angular orientation data transfer to computer 28 so that trolley 124 is far from roofbolt 101a ' And the medial end movement of 101b '.This enables head, trunk and the arm of patient are headward to move in a forward direction It is dynamic, therefore mitigate the excess compression of the backbone along patient.
Mutually coordinate or close with the angulation of patient support 10 and 11 and inclination by making body translate the movement of device assembly 123 Connection, the upper body of patient can be slided along patient support 11, to keep suitable ridge during operation or medical procedure Column biomechanics.
As previously mentioned, computer 28 also use from position sensing apparatus 27,47,47 ', 78,78 ', 80,80 ', 112a, 112b, 112a ', the data collected of 112b ' and 134a, 134b, to coordinate the movement of longitudinal translation sub-component 20.Sub-component 20 is adjusted The entire length for saving operating table structure 1, to compensate support column lifting assembly 3 and 4, horizontal support members 5 and the 6, second vertical liter Sub-component 64 and 64 ', horizontal shift sub-component 65 and 65 ' and angulation and rolling or the movement for tilting sub-component 66 and 66 ' are dropped. In this manner, in all promotion, reduction, lateral movement, rolling or the inclination of above-mentioned patient support 10 and 11 and angulation The distance between the end of period, the distance between end of roofbolt 101a and 101a ' D and roofbolt 101b and 101b ' D ' can Continuously to adjust.Distance D and D ' may remain in previously selected or fixed value or it can be again fixed on demand Position.Therefore, the medial end of patient support 10 and 11 can be kept into closely spaced apart or other relationships spaced apart, Or it can be selectively repositioned.It is contemplated that distance D and distance D ' they can be equal or unequal, and It can independently change.
Come command range D and D ' using such coordination and cooperation to be used for providing in each patient support 10 and 11 Unassembled or mechanically separated inside at side end is hinged.Different from the outboard end in each patient support 10 and 11 The inside of mechanical articulation at portion, this structure 1 is hingedly that imaginary hinge connects, and provides from the coordination of aforementioned mechanical organ and coordinates To the pivot or connector that can move between patient support 10 and 11, without in patient support 10 and 11 Actual machinery between side end is pivotally connected or engages.Therefore roofbolt 101a, 101b and 101a ', the end of 101b ' still It is free end, is not connected by any mechanical organ.But the cooperation for passing through aforementioned components so that roofbolt 101a, 101b and 101a ', 101b ' end can run with being seemingly connected to.It is also contemplated that inside can be hingedly the machinery of for example, hinge Articulated mounting.
This coordination can be operator's actuating by means of using controller 29 to be activated together with integrated computer software, Or computer 28 can according to the parameter or value of preprogramming and from position sensor 27,47,47 ', 78,78 ', 80,80 ', 117a, 117b, 117a ', the data that receive at 117b ' and 138a, 138b automatically coordinate all these movements.
The second embodiment of patient positioning supports' structure is generally referred to by reference numeral 200, and attached drawing 16 to It is shown in attached drawing 17.Structure 200 is substantially similar with structure shown in Fig. 1 to Figure 15 1, and includes the first and second patients Supporter 205 and 206, each patient support 205 and 206 have the medial end interconnected by knuckle joint 203, hinge Chain joint 203 include be, for example, shown in joint pin 204 suitable pivotal connector.Each patient support 205 and 206 is wrapped A pair of of roofbolt 201 is included, and the roofbolt 201 of the second patient support 206 supports patient's body to translate component 223.
Body translation device 223 is engaged with patient support 206, and in addition to body translation device 223 passes through linkage 234 It is connected to except knuckle joint 203, is substantially as previously described and to show.Linkage, which is connected to knuckle joint 203, to be made Proper patient support it is multiple at angular orientation in position when, in response to the relative motion of patient support 205 and 206, along Patient support 206 positions body translation device 223.
In use, body translation device 223 is engaged with patient support 206, and in response to patient support it is upward at Angle and be slidably moved into towards knuckle joint 203.This enable patient head, trunk and arm towards foot backward It is moved on direction.As shown in figure 17, in response to the downward angulation of patient support 206, body translation device 224 can be far from hinge Connector 203 moves.This enables head, trunk and the arm of patient are headward to move in a forward direction.
It is foreseeable that linkage can be control-rod, cable or its can be actuator 234 as shown in figure 17, the cause Dynamic device 234 is operable to selectively locate body translation device 223 along patient support 206.Actuator 234 and calculating Machine 28 docks, as previously mentioned, computer receives angulation directional data from sensor and will be controlled in response to the variation at angular orientation Signal processed is sent to actuator 234, so that the position of body translation device and patient support 206 are coordinated at angular orientation.Joining In the case that dynamic device is control-rod or cable, the movement of body translation device 223 by bar or cable mechanically with trouble Person's supporter 206 is coordinated at angular orientation.
It will be appreciated that though the particular form of patient positioning supports' structure has been shown and described herein, but should Structure should not be limited by the concrete form or arrangement of described and shown component.
1. a kind of equipment for being supported during medical procedure and positioning patient, the equipment include:
A) opposed first end supporter and the second end supporter, the first end supporter and the second end branch Support body is upwardly extended from longitudinally spaced corresponding first substrate opened and the second substrate being located on floor respectively；
B) the first support component and the second support component, first support component and second support component are connected to phase The first end supporter and the second end supporter answered, wherein first support component and second described Support component respectively includes the angulation and rolling sub-component of active drive；
C) patient support extended between first support component and second support component, the patient support With the first patient support structure and the second patient support structure, wherein the first patient support structure and described Second patient support structure respectively includes outboard end and medial end；
D) wherein, the outboard end of the first patient support structure and the second patient support structure passes through phase The angulation and rolling sub-component for the active drive answered are connected in first support component and second support component A corresponding support component；
E) wherein, the medial end of the first patient support structure and the second patient support structure passes through interior Side articulated mounting connection；
F) wherein, the angulation of the active drive and rolling sub-component be operable to make the first patient support structure and The second patient support structure is relative to the first end supporter and the second end supporter in the inside At articulated mounting selective positioning is carried out at angular orientation with multiple；And
G) wherein, the angulation of the active drive and rolling subunit configurations are in longitudinally spaced first substrate opened and institute It states while the second substrate is moved not along floor in the first patient support structure and the second patient support knot During structure selectively positioning so that by towards or away from moving in a manner of mutual.
2. equipment according to claim 1, wherein the inside articulated mounting is a pair of knuckle joint spaced apart.
3. equipment according to claim 2, wherein：
A) angulation of each active drive and rolling sub-component include angular transducer, described in the angular transducer sensing First patient support structure and the second patient support structure at angular orientation；
B) angular transducer and computer interface；And
C) computer determines the first patient support structure and institute using the data from the angular transducer State the second patient support structure at angular orientation.
4. a kind of equipment for being supported during medical procedure and positioning patient, the equipment include：
B) the first support component and the second support component, first support component and second support component are connected to accordingly The first end supporter and the second end supporter, wherein first support component and it is described second support Component respectively includes the angulation and rolling sub-component of active drive；
C) patient support extended between first support component and second support component, the patient support Body has the first patient support structure and the second patient support structure, wherein the first patient support structure and institute It states the second patient support structure and respectively includes outboard end and medial end；
E) wherein, the medial end of the first patient support structure and the second patient support structure passes through hinge Chain link；
F) wherein, the angulation of each active drive and rolling sub-component are operable to make the corresponding first patient branch Corresponding one in support body structure and the second patient support structure relative to the first end supporter and described In the second end supporter with another in the first patient support structure and the second patient support structure A corresponding end supporter carries out active and selectivity positioning with multiple at the hinge at angular orientation；And
G) wherein, the angulation of the active drive and rolling subunit configurations are in longitudinally spaced first substrate opened and institute The second substrate is stated while remains stationary on the floor in the first patient support structure and the second patient branch Support body structure with it is the multiple positioned at angular orientation at least some of angular orientation during so that toward and away from one another It is mobile.
5. equipment according to claim 4, wherein：
6. equipment according to any one of claim 1 to 5, wherein first support component and second support A support component in component includes lateral displacement mechanism, the lateral displacement mechanism and the first patient support structure With the connection of one of the outboard end of the second patient support structure.
7. equipment according to any one of claim 1 to 5, wherein the opposed first end supporter and described The second end supporter includes：
Vertical supporting column, the vertical supporting column include multiple lifting arm section, and the multiple lifting arm section is operable to Selectively raise and reduce the first patient support structure and the second patient support structure.
8. a kind of equipment for being supported during medical procedure and positioning patient, the equipment include：
A) opposed first end supporter and the second end supporter, the first end supporter and the second end branch Support body is upwardly extended from longitudinally spaced corresponding first substrate opened and the second substrate being supported on floor respectively, opposed institute It states first end supporter and the second end supporter is connected respectively to support component, wherein each support component Angulation including active drive and rolling sub-component；
B) the first patient support structure and the second patient support structure, wherein the first patient support structure and institute It states the second patient support structure and respectively includes outboard end and medial end, the outboard end passes through the corresponding active The angulation and rolling sub-component of driving are pivotally connected to one of them described support component, wherein the medial end passes through A pair of of hinge connection；
C) wherein, the angulation of each active drive and rolling subunit configurations are at offer the first patient support structure With the optional of at least one of the second patient support structure patient support structure and the lifting coordinated, angulation and turn over Rolling, thus the first patient support structure and the second patient support structure can be relative to the longitudinally spaced institutes opened It states the first substrate and second substrate is optionally positioned at angular orientation with multiple；And
D) wherein, the angulation of each active drive and rolling subunit configurations are in longitudinally spaced first substrate opened With second substrate not while being moved on the floor in the first patient support structure and second patient So that moving toward and away from one another during at least one of supporting body structure carries out angulation.
9. according to the equipment described in any one of claim 1 to 5 and 8, wherein active drive described at least one of which at Angle and rolling sub-component are initiatively translated along the longitudinal direction to sub close to the angulation of another active drive and rolling The mode of component moves.
10. a kind of equipment for being supported during medical procedure and positioning patient, the equipment include：
A) opposed first end supporter and the second end supporter supported, the first end supporter and described Two end supporters are upwardly extended from longitudinally spaced corresponding first substrate opened and the second substrate being located on floor respectively；
B) in the first support component for being connected to the corresponding first end supporter and the second end supporter and the The patient support extended between two support components, wherein the patient support includes head end part and foot's end part, Wherein, the head end part and foot's end part respectively include outboard end and medial end, also, the inner end Portion passes through a pair hinge connection spaced apart；
C) outboard end of the head end part and foot's end part is connected to first support component and institute State a support component in the second support component；
D) wherein, a support component in first support component and second support component include active drive at Angle and rolling sub-component, the angulation of the active drive and rolling sub-component be operable to make the head split-phase for Foot's end part carries out selective positioning with multiple at angular orientation；And
E) wherein, the angulation of the active drive and rolling subunit configurations exist in first substrate and second substrate On the floor while remains stationary the head end part with it is the multiple positioned at angular orientation during so that court To with far from the first end supporter and the second end supporter be connected to one support component Another opposed end supporter movement of one end supporter.
11. equipment according to claim 10, wherein the angulation includes actuator with rolling sub-component, to make State head end part it is the multiple at angular orientation in selectively position.
CN105125364A CN105125364A (en) 2015-12-09
CN105125364B true CN105125364B (en) 2018-07-31
US (7) US9186291B2 (en)
EP (2) EP3269343B1 (en)
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CN103637895B (en) 2005-08-10 2017-04-12 瑞穗整形外科系统公司 Medical table having controlled movement and method of use
2011-06-21 EP EP17162141.0A patent/EP3269343B1/en active Active
2011-06-21 BR BR112012032517A patent/BR112012032517A2/en not_active IP Right Cessation
2018-12-20 US US16/227,758 patent/US10531998B2/en active Active
2019-12-06 US US16/705,866 patent/US20200138660A1/en active Pending
US10531998B2 (en) 2020-01-14
US20200138660A1 (en) 2020-05-07
EP3269343B1 (en) 2020-01-01
ES2608615T3 (en) 2017-04-12 Femur support for a medical table
US20170181908A1 (en) 2017-06-29 Patient positioning support apparatus with virtual pivot-shift pelvic pads, upper body stabilization and fail-safe table attachment mechanism