DE102004013585B4 - Transport and storage system for patients in the clinical area - Google Patents

Abstract

Transport- and storage system for patients in the clinical or diagnostic technical area consisting of at least a patient transporter (1), (1 ') one or two patient support tables (2), (86), (87) and one or two removable patient support plates (3), (88), (89) wherein the patient support plate (3), (88), (89) by means of roller guide by longitudinal displacement from the patient transporter (1), (1 ') to the patient table (2), (86), (87) or vice versa can be and the role leadership the patient transporter (1), (1 ') and the patient support table (2), (86), (87) each have at least 4 rollers (13) perpendicular to the patient support plate plane standing roller shafts (15), wherein the rollers (13) on each end face conical Have moldings (14) and engage in trapezoidal guide grooves (6), the guide grooves (6) on both lateral longitudinal surfaces of the patient support plate (3), (88), (89) are arranged.

Description

The The invention relates to a transport and storage system for patients in the clinical or diagnostic field, consisting of at least one Patient transporter, one or two patient support tables and one or two replaceable patient support plates, wherein the patient support plate by means of roller guide by longitudinal displacement from the patient transporter to the patient table or vice versa can be and the patient support plate with the patient table flexible in space in any angled diagnostic or treatment position can be spent.

at known systems, the patients are lying on a patient support plate to the operating room or to a diagnostic system with a patient transporter method. The patient support plate is an integral part of the patient carrier. Also known is a use of Hospital beds for the patient transport. The rearrangement of patients on operating tables or on patient transporter in the OR is very common held by hand. In newer facilities, the patient is treated with a Tape transporter taken from bed at the OP lock and placed on a patient support plate an OP patient transporter stored and from this with the patient support plate handed over to an operating table stand and positioned on the table stand with two vertical pins and locked. The locking is when starting up the table tripod automatically executed. OP patient transporter, patient support plate and operating table stand form an isolated solution. The rearrangement of patients from the OP patient transporter to patient tables of diagnostic systems of angiography, X-ray, computed tomography or to magnetic resonance devices can be done only by hand. This form of rearrangement requires heavy effort in heavy patients. For traumatized Patients also need special precautions when relocating necessary.

Out The clinical use also includes patient transporters with interchangeable ones Patient support plates known in which the patient together with the Patient positioning plate to a patient table in the operating room or to one of an angiography system by vertical movement of the Transfer patient table becomes. The patient support plate stores firmly in a table frame and is staked in the front with pins and at the back through a hook system locked.

As well are from publications on rails Patient positioning tables with two columns known in which the Patient is transferred from the patient transporter with a transfer board.

Of the Table can be placed between OP and CT, in rails laid on the floor, be moved.

All aforementioned system solutions are individual solutions due to their geometric design, not at all diagnostic and treatment stations can be adapted. They let the handover a patient with patient support plate from one to the other System not too.

In the DE 101 27 210 A1 a Patientlagerungs- and transport system is proposed, which consists of a portable patient bed and a trolley for transporting the patient bed with patient and a variety of assignable adapter plates, the patient bed is removable from the trolley and arranged on different diagnostic or treatment stations using the matching adapter plates can be. The transfer of the patient bed to the diagnostic or treatment stations should be done by lifting, placing, transverse displacement or longitudinal displacement with the aid of matching adapter plates.

The longitudinal displacement of the patient bed on magnetic resonance tomographs should take place without an adapter plate, directly above the existing patient bed in sliding guides, which are designed as dovetail grooves, T-grooves or flat grooves. The groove shapes are in the 2 . 8th and 9 of the DE 101 17 210 A1 shown. One embodiment is characterized in that a diagnostic or treatment station has a bearing which is designed as a counterpart to the longitudinally displaceable mounting of the patient bed, such that the patient bed can be pushed by the transport cart directly into the diagnosis or treatment station, for which purpose the aforementioned sliding guides are used ,

The disadvantages of in the DE 101 27 210 A1 proposed patient storage and transport systems are on the one hand when using different adapter plates, which make the handling complicated. On the other hand, the immediate transfer by longitudinal displacement of the patient bed in the sliding friction grooves designed difficult and power consuming.

In DE 199 55 119 A1 a longitudinally and transversely displaceable bearing surface for medical examination tables is proposed, consisting of a tabletop of radiolucent material, an upper guide housing with the guide for the longitudinal movement and a lower guide housing with the guide for the transverse movement, wherein for guiding the longitudinal movement no guide elements made of metal are used and they are in direct contact with the table top. As guide elements rolls that roll directly on the table top, proposed. Several rollers are combined in pivoting roller blocks that can adapt to any deformations of the table top. The roller assembly is such that their axes are aligned parallel to the patient support plane. The disadvantage of this arrangement is that only relatively small rollers with low load capacity can be used, so that several roles must be summarized to roll blocks. A lateral guidance of the table top is not realized by this roller arrangement but must be generated by separate guide rails.

Of the The present invention is based on the object in clinical Area transporting patients, handing them over to OR or diagnostic tables from X-ray, Angiography, computed tomography and magnetic resonance systems, which are also part of the invention, without rearrangement of the patient in a simple way and their spatial Positioning, storage or movement in the OR or the above Diagnostic systems universally possible to contribute to an improvement in patient handling.

The Task is achieved by the features listed in claim 1 solved. Advantageous embodiments are given in claims 2 to 60.

Further and features of the invention will be apparent from the in 1 to 11.2 illustrated embodiments will be explained.

It demonstrate:

1 Transport and storage system for patients in the clinical or diagnostic area consisting of patient table, patient transporter and patient support plate

2 Side view patient table with patient support plate, platform patient table and tripod with inclined column

2.1 Side view Tripod with inclined column with docked platform Patient table

2.2 Side view Tripod with vertical column with coupled platform Patient table

2.3 Cut patient table with tripod with inclined column

3 Perspective view Platform patient table with roller guide

3.1 View platform patient table with roller guide and patient support plate

3.2 Longitudinal section platform patient table

4 Connection system for tripod with platform Patient positioning table or for patient transporter with platform Patient transporter

5 Hook-locking positioning system for patient transporter and patient table

6a Hollow shaft drive block patient support table view

6b Hollow shaft drive block Patient positioning table Sectional view

7 Patient transporter without patient support plate

8th Patient table with patient transport on C-arm X-ray device with tripod with inclined column

9.1 Patient table in combination with a computer tomograph and a C-arm X-ray unit when used on CT

9.2 Patient table in combination with a computed tomography scanner and a C-arm X-ray machine for use in angiography

10 Two patient tables one-sided in front of a computer tomograph for the alternate examination of patients

11.1 Two patient tables swiveled out on both sides in front of a computed tomography system in the receiving and dispensing position of patients

11.2 Two patient tables placed on both sides in front of a computer tomograph pans to the continuous examination of a patient

The object is achieved by a transport and storage system for patients in the clinical area, consisting of at least one patient transporter 1 , a patient table 2 and a patient support plate 3 as it is in 1 is solved, with the bedside or traumatized patient between emergency room or bed to surgery or for diagnosis always on the same patient support plate 3 lying down and deliveries of patients from the patient transporter 1 to the patient table 2 or vice versa without rearrangements take place. The patient transporter is handed over 1 frontally to the patient table 2 positioned and locked as it is in 5 is shown. After releasing a brake 18 on the patient transporter 1 as they are in 3 is shown, the patient support plate 2 moved from there together with the patient in the longitudinal direction with the roller guide of the patient transporter in the roller guide of the patient support table and there with a brake 18 be determined. The patient transporter 1 will thereafter without patient support plate 3 from the patient table 2 decoupled.

In 3.1 is a sectional view through a patient support plate 3 shown, which is designed as a self-supporting sandwich construction with a constant over the longitudinal axis cross-sectional profile. In both longitudinal surfaces are trapezoidal grooves 6 admitted. The ends of the trapezoidal guide grooves 6 are widened. At least one longitudinal surface is a toothing 7 along the entire patient support plate 3 educated.

On the undersides of the two lateral flange surfaces, at the top of the patient support plate 3 , are longitudinal grooves 8th formed in which from the side of the flange plugged accessories can be locked. The outer skin 9 the patient support plate 3 consists of CFRP and the core 10 made of rigid foam.

According to the invention, the outer skin 9 The patient support plate also consist entirely or partially of aluminum. The structure is irradiated by X-rays well and without shading. According to possess the in 1 illustrated patient transporter 1 and the patient table 2 essentially identical platforms, platform patient table 4 and platform patient transporter 5 , for receiving, storing, longitudinal movement and fixing the patient support plates 3 ,

In the 3 shown, platform patient table 4 or platform patient transporter 5 , is modular in design and fits with the substructure of the patient transporter 1 or from the patient table 2 through a detachable connection system 11 . 12 according to 4 connected. Thus, the platforms for receiving geometrically different patient support plates can easily at both facilities 3 be replaced. Both platforms, the platform patient table 4 and the platform patient transporter 5 , are according to 3 to 3.2 with a roller guide, formed from the rollers 13 , and a brake and fixing system formed from the brake 18 , the roller shaft 15 and the gear 17 that is in the splines 7 the patient support plate 3 engages, equipped. For storage and guidance of the patient support plate 3 owns every platform 4 and 5 at least four roles 13 with conical formations 14 on each end face and with standing perpendicular to the patient support plate plane roller shafts 15 with rolling bearings 16 , Two rolls each 13 grip on both lateral longitudinal surfaces of the patient support plates 3 precisely fitting in the trapezoidal guide grooves 6 one. At least one role 13 is a gear 17 with the roller shaft 15 firmly connected in the aforementioned spline 7 the patient support plate 3 intervenes. One with the roller shaft 15 connected, releasable brake 18 positions the patient support plate 3 at rest, in relation to the platform patient table 4 or the platform patient transporter 5 , firmly. At the platform patient table 4 is additionally a gear with the aforementioned roller shaft 19 with motor and position transmitter 20 , electric gear drive 19 . 20 called, connected. A rotary motion on the roller shaft 15 generated at the patient support plate 3 a longitudinal movement. To transfer the patient support plate 3 from the patient carrier 1 to the patient table 3 or vice versa, these, according to 5 , frontally coupled together. For coupling and positioning the platforms 4 . 5 among themselves, the platform has patient transporters 5 two cone-shaped positioning pins on each end face 21 , The platform patient table 4 has two positioning holes each 22 on both ends, in which the positioning pins 21 the platform patient transporter 5 intervention. Each positioning pin 21 is with a hook lock 23 equipped in the positioning holes 22 automatically via a spring 24 locked. The hook lock 23 is after passing a patient support plate 3 with the lever 25 again detachable.

As in 2.3 . 3 to 3.2 and 6b shown in the invention, each platform patient support table 4 positioned on its vertical axis of rotation a central coupling device 26 for electrical power, air, oxygen and vacuum, with an associated Rotary union 27 on the tripod 36 a patient table 2 is connected when putting on. At the coupling device 26 The media are branched via individual lines and at coupling and junction boxes 28 on the platform patient table 4 , as in 2 shown, providing a simple connection of clinical equipment directly to the patient table 2 made possible.

At each platform patient table 4 is how in 3 and 3 .1, a sensor platform 29 with data radio device 30 installs, with which by radio state and measured data of the patient and the position of the patient support plates 3 to a centrally arranged central control 31 can be transmitted.

The Platform Patient Transporter 5 , of in 7 illustrated patient transporters 1 , is on a trolley with double T-shaped base frame 32 with parallelogram lift linkage 33 according to the invention on a connecting plate above 11 , of in 4 illustrated connection system 11 . 12 , mounted and with the connection plate below 12 locked. The parallelogram lift linkage 33 is about a lever 34 from a hydraulic cylinder 35 emotional.

According to the invention, the platform becomes a patient table 4 on the tripod 36 put on and at its connection plate above 11 locked as it is in 2 to 2.3 is shown. In this case also the centrally arranged coupling device 26 the platform patient table 4 with the rotary feedthrough 27 on the tripod 36 connected.

The task of in 2 to 2.3 shown tripod 36 is according to the invention the largest possible planar movement of its connection plate above 11 and to position these additionally in each spatial position. The tripod 36 is to do this in development of the invention with its bottom plate 37 attached to the floor. In the bottom plate 37 is a first roller bearing axis of rotation DA1 38 arranged, the top flange 39 with an outside pillar located on it 40 connected is. The outer column 40 can in their position to the bottom plate 37 take every angle between vertical and horizontal position. Particularly advantageous is an inclination at an angle, preferably below 45 ° to the vertical, proved.

In the outer column 40 is an inner column 41 rotatable with rotation axis DA2 42 and height-adjustable with sliding axis SA1 43 stored, the upper end is formed at an angle, preferably 45 ° obliquely to its longitudinal axis. At the end of the inner column 41 is a rotation axis DA3 44 connected and via an intermediate piece 45 with the connection plate above 11 connected.

For the tripod version, according to 2.1 , with angled to the bottom plate 37 and top flange 39 standing outer pillar 40 are the bottom and top of the intermediate piece 45 arranged parallel to each other. For the tripod version with vertical on the bottom plate 37 and top flange 39 standing outer pillar 40 , according to 2.2 , forms the intermediate piece 45 between its bottom and top the same angle as that of the inner column 41 to its upper end. With vertical outside column 40 is the bottom plate 37 preferably without rotation axis DA1 38 rigid with the outer column 40 connected. In its place is on the in 2.2 illustrated intermediate piece 45 a rotation axis DA4 46 arranged.

All axes are driven according to the invention by drive motors with flanged gears, brakes and position sensors. For a basic version of the tripod 36 , according to 2.1 , can the rotation axis DA1 38 and the rotation axis DA3 44 be executed without drive motors and gear and be moved by hand.

In an advantageous embodiment of the tripod 36 are according to 2.3 the outer column 40 and the inner column 41 designed as tubes with a circular cross-section.

The tripod 36 is due to its constructive and functional structure according to the invention also for receiving the in 8th pictured C-arm X-ray machine 48 , wherein the C-arch support 47 directly on the connection plate above 11 is attached.

Based on 2 becomes the function of the tripod 36 described with 45 ° inclined outer column. In this construction, the leads with the bottom plate 37 connected, inclined column, outer column 40 and inner column 41 , with its connection plate above 11 in the vertical projection, a rotation on a circular path about the lower axis of rotation DA1 38 out. One on the connection plate 11 mounted component leads to a cranking rotation about the axis of rotation DA1 38 out.

When moving the connection plate above 11 around the axis of rotation DA3 44 is the same in the vertical projection to the axis of rotation DA1 38 parallel axis of rotation DA3 44 turned. One on the connection plate 11 assembled component leads to a rotation about the axis of rotation DA3 44 out. If both axes of rotation DA1 38 and DA3 44 preferably simultaneously rotated in opposite directions, so leads one on the connection plate above 11 mounted component a rotating parallel movement on a circular path about the axis of rotation DA1 38 out, by the patient be particularly advantageous between two positions can be laid.

By movement of the sliding axis SA1 43 becomes the inner column 41 shifted obliquely, which changes the column height and the design.

When moving the axis of rotation DA2 42 , Rotation of the inner column 41 , the connection plate will be up 11 moved from its horizontal position out in any spatial position to the vertical position. One on the connection plate above 11 mounted component leads to a Drehkippung about the axis of rotation DA2 42 out. By simultaneous rotation of all axes of rotation, DA1 38 , DA2 42 and DA3 44 can be a pure tilting of the terminal plate above 11 respectively. Due to this tripod construction, one on the connection plate above 11 mounted medical technical component in a defined space any spatial location in a simple manner.

With a tripod 36 with vertical column 42 according to 2 .2 is the spatial movement possibility of the connection plate above 11 the same, but it eliminates the rotation of the connection plate above 11 on the circular path around the axis of rotation DA1 38 ,

In an advantageous embodiment of the invention accommodates the tripod 36 with an inclined column in its interior the in 6a to 6c represented, positioned on the axis of symmetry, rotationally symmetric Hohlwellenantriebsblock 49 consisting of a motor 50 with gearbox 51 with hollow, splined, long drive shaft 52 on the up to four shifters 53.1 . 53.2 . 53.3 and 53.4 of the hollow shaft gear 53 attached to drive the tripod axles and with gearbox 51 and engine 50 be braced into a block. On its underside is the hollow shaft drive block 49 over a pipe 54 and over a hollow cardan joint below 55 on the fixed base plate 37 torsionally rigid connected. Electric cables coming from the ground 56 , Control cables 57 as well as air pipes 58 , Gas pipes 59 and vacuum lines 60 can through the free cross-section of the universal joint below 55 and the tube 54 to the engine 50 , to the slip-on gears 53.1 . 53.2 . 53.3 and 53.4 and to supply consumers above the tripod 36 without using a lower rotary feedthrough in the tripod 36 passed and through the hollow shafts, drive shaft 52 , Intermediate pipe 71 and threaded spindle 70 , and the hollow cardan joint above 75 for rotary feedthrough 27 at the connection plate above 11 of the tripod 36 to get redirected. On the engine 50 Flanged according to the invention is a Vorschaltgetriebe 51 with hollow, splined, long drive shaft 52 , Each of the essentially identical slip-on gearbox 53.1 . 53.2 . 53.3 and 53.4 , has a combined, spring-loaded disc brake with clutch function at the entrance 61 , which is switched electromagnetically. Through power connection, the brake disc is thereby out of the spring-loaded braking position through the induction coil 62 with the inner transmission input shaft 63 connected, whereby the rotation of the hollow, splined, long drive shaft 52 of the gearbox 51 to the slip-on gear 53.1 . 53.2 . 53.3 or 53.4 passed on and stockpiled to a frontally arranged output flange 64 is transmitted. Each output flange 64 the slip-on gearbox 53.1 . 53.2 , and 53.3 is with the respective tripod axis via an intermeshing sliding sleeve pair 65 . 66 , Inner sleeve 66 and outer sleeve 65 , according to 6c connected. The sliding sleeve pair 65 . 66 preferably has intermeshing splines 67 with torsionally stiff positive locking and allows the length compensation between the slip-on gears when the tripod slide axis SA1 moves 53.1 . 53.2 , and 53.3 and the coupled axes of rotation, DA1 38 , DA2 42 and DA3 44 , The slip-on gear 53.3 has according to the invention a Zwischenradstufe 68 to reverse the direction of rotation. As a result, the output directions of rotation of slip-on 53.1 and 53.3 in opposite directions, whereby with simultaneous coupling to the drive shaft 52 of the gearbox 51 the previously described parallel rotational displacement of a on the tripod 36 mounted platform patient table 4 with patient support plate 3 can be done. The output flange 64 of slip-on gearbox 53.1 is via a previously described sliding sleeve pair 65 ; 66 with the outer column 40 of the tripod 36 torsionally rigid connected. The output flange 64 of slip-on gearbox 53.2 is via a previously described sliding sleeve pair 65 . 66 with the inner column 41 of the tripod 36 torsionally rigid connected. The output flange 64 of slip-on gearbox 53.3 is with a previously described sliding sleeve pair 65 . 66 with the hollow cardan joint above 75 connected to the intermediate piece 45 and the connection plate above 11 of the tripod 36 is screwed. With the output flange 64 of slip-on gearbox 53.4 is a threaded nut 69 firmly connected, in which a non-rotatable, hollow threaded spindle 70 which in turn is inside the hollow drive shaft 52 of the gearbox 51 is positioned. Between the hollow drive shaft 52 and the threaded spindle 70 is an intermediate pipe 71 concentrically arranged and with the gearbox 51 spatially connected. The threaded spindle 70 has on its outside a continuous longitudinal groove 72 on in the one at the upper end of the intermediate tube 71 embedded feather key 73 intervenes. A rotary movement of the threaded nut 69 thus generates a linear sliding movement of the threaded spindle 70 and thus a shift on the sliding axis SA1 43 of the tripod 36 , The upper end of the threaded spindle 70 is via a connecting flange 74 ball bearing in the lower part of the universal joint above 75 radially and axially supported and stored. Through the formed hollow cross-section of intermediate pipe 71 , Threaded spindle 69 and cardan joint above 75 The above-mentioned electrical cables as well as air, gas and vacuum lines are made using spiral cables 76 and spiral tubes 77 to the one with the connection plate above 11 connected rotary union 27 forwarded and there for the coupling device 26 the platform patient table 4 provided. Due to the spiral design of the spiral cable 76 and spiral tubes 77 According to the invention, the length compensation when moving apart of the tripod 36 allows.

Due to the above-described construction of the patient support tables 2 , made of tripod 36 , Platform patient table 4 and patient support plate 3 in conjunction with the patient transporters 1 In addition to their use in the OR, they are particularly suitable for application to diagnostic equipment.

In 8th is an application as an angiography system 78 represented, in accordance with the invention, the patient table 2 and the side-mounted C-arm X-ray machine 48 with the tripod 36 equipped. By the degrees of freedom in the patient positioning and the positioning of the X-ray source, a fluoroscopy of the patient is universally possible.

The 9.1 and 9.2 show a computer tomograph 79 with a patient support table arranged in front of a front side 2 and with a side-mounted C-arm X-ray machine 47 . 48 and 36 , According to the invention, the patient can in this arrangement by pivotal movement 81 of the tripod 36 be moved from one to the other diagnostic device, whereby a particularly advantageous use of both devices is possible.

By arranging two patient tables 82 and 83 in front of a front of a computer tomograph 79 left and right next to the fluoroscopy hole 80 , as in 10 According to the invention, an alternate examination of patients is possible, whereby the non-productive times between the examinations can be significantly reduced. There is a patient table 82 by pivoting movement 84 in front of the computer tomograph 79 with patient support plate 3 in diagnostic position. The patient table 83 is due to pivotal movement 85 in the receiving position of the patient support plate 3 from a patient carrier 1 ,

In the 11.1 and 11.2 is a computer tomograph 79 shown in front of the two end faces, in front of the fluoroscopy hole 80 , one patient table each 86 and 87 is placed. With this arrangement, the invention provides a whole body fluoroscopy of a patient by transferring the patient support plate 3 from the first patient table 86 to the second patient table 87 through the fluoroscopy hole 80 of the computer tomograph 79 in a simple way with a high throughput speed.

In 11.1 At the left side of the computer tomograph is a patient with a patient support plate 88 from the patient carrier 1 to the patient table 86 passed to the examination. The patient table 87 on the right side of the computer tomograph has an examined patient with patient support plate 89 to a second patient transporter 1' handed over for transport.

at 11.2 there are both patient tables 86 and 87 in working position in front of the computer tomograph 79 swung in, with patient table 86 after 90 ° rotational displacement of the patient support plate 88 these in front of the computer tomographs 79 has moved and currently through the computer tomograph 79 moves longitudinally moved and on the other side of the swiveled patient table 87 passes.

1

patient Stretcher

1'

patient Stretcher

2

Patient table

3

Patient support plate

4

platform Patient table

5

platform patient Stretcher

6

guide

7

spline

8th

longitudinal groove

9

shell

10

core

11

connecting plate above

12

connecting plate below

11 12

connection system

13

role

14

conical shape

15

roller shaft

16

roller bearing

17

gear

18

brake

19

transmission

20

engine with positioner

19 20

electrical gear drive

21

positioning

22

positioning bore

21 22

positioning

23

hook lock

24

feather

25

lever

26

coupling device

27

Rotary union

28

clutch and junction boxes

29

sensor platform

30

Data radio

31

Central control

32

base frame

33

Parallelogrammhubgestänge

34

lever

35

hydraulic cylinders

36

tripod

37

baseplate

37.1

lower flange

38

axis of rotation DA1

39

top flange

40

outer column

41

inner column

42

axis of rotation DA2

43

sliding axis SA1

44

axis of rotation DA3

45

connecting piece

46

axis of rotation DA4

47

C- signature support

48

C- Arc X-ray machine

49

Hollow shaft drive block

50

engine

51

Primary gear

52

drive shaft

53

Hollow shaft gear

53.1, 53.2, 53.3, 53.4

Shaftmounted

54

pipe

55

universal joint below

56

electrical cables

57

control lines

58

air line

59

gas pipe

60

vacuum line

61

disc brake with coupling function

62

induction coil

63

Transmission input shaft

64

output flange

65

outer sleeve

66

inner sleeve

65, 66

Sliding sleeve couple

67

Splines

68

Zwischenradstufe

69

threaded nut

70

screw

71

intermediate pipe

72

longitudinal groove

73

Adjusting spring

74

flange

75

universal joint above

76

spiral cable

77

spiral hoses

78

angiography system

79

CT Scanner

80

fluoroscopy hole

81

pivotal movement

82

Patient table

83

Patient table

84

pivotal movement

85

pivotal movement

86

Patient table

87

Patient table

88

Patient support plate

89

Patient support plate

Claims (60)

Transport and storage system for patients in the clinical or diagnostic field consisting of at least one patient transporter ( 1 ) 1' ) one or two patient support tables ( 2 ) 86 ) 87 ) and one or two replaceable patient support plates ( 3 ) 88 ) 89 ) wherein the patient support plate ( 3 ) 88 ) 89 ) by means of roller guidance by longitudinal displacement of the patient transporter ( 1 ) 1' ) to the patient table ( 2 ) 86 ) 87 ) or vice versa and the roller guide of the patient transporter ( 1 ) 1' ) and the patient table ( 2 ) 86 ) 87 ) at least 4 roles ( 13 ) with roller shafts perpendicular to the patient support plate plane ( 15 ), wherein the rollers ( 13 ) at each end face conical formations ( 14 ) and in trapezoidal guide grooves ( 6 ), wherein the guide grooves ( 6 ) on both lateral longitudinal surfaces of the patient support plate ( 3 ) 88 ) 89 ) are arranged. Transport and storage system for patients according to claim 1, characterized in that patient transporters ( 1 ) 1' ) and patient support tables ( 2 ) 86 ) 87 ) Substantially identical, exchangeable platforms, platform patient table ( 4 ) and platform patient transporter ( 5 ), for receiving geometrically different patient support plates ( 3 ) 88 ) 89 ). Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platforms ( 4 ) and ( 5 ) on the patient table ( 2 ) 86 ) 87 ) and on the patient transporter ( 1 ) 1' ) by easily detachable connection systems ( 11 ) 12 ) are connected by bayonet locks. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platforms ( 4 ) and ( 5 ) central coupling devices ( 26 ) for air, gas, vacuum and electric currents in rotary joints ( 27 ) on the patient's couch table ( 2 ) 86 ) 87 ) and on the patient transporter ( 1 ) 1' ) are plugged. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platforms ( 4 ) and ( 5 ) Coupling and junction boxes ( 28 ) for air, gas, vacuum and electrical currents on your outside. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platforms ( 4 ) and ( 5 ) a sensor platform ( 29 ) with data radio device ( 30 ) has to send and receive. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on at least one roller ( 13 ) a gear ( 17 ) with the roller shaft ( 15 ) is firmly connected. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the with the gear ( 17 ) connected roller shaft ( 15 ) with a switchable brake ( 18 ) connected is. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the with the gear ( 17 ) connected roller shaft ( 15 ) with an electric gear drive ( 19 ) 20 ), consisting of a transmission ( 19 ) and a motor with position transmitter ( 20 ), connected is. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the transmission ( 19 ) consists of a worm gear with a downstream planetary gear. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the transmission ( 19 ) consists of a bevel gear with a downstream harmonic drive gear. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platform patient transporter ( 5 ) and the platform patient table ( 4 ) at least one positioning system ( 21 ) 22 ) with hook lock ( 23 ) for coupling the platforms with each other. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platform patient transporter ( 5 ) at least two positioning pins ( 21 ) owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platform patient table ( 4 ) on each end face at least two positioning holes ( 22 ) owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platform patient transporter ( 5 ) on each end a switchable hook lock ( 23 ) for coupling with the platform patient table ( 4 ) owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the exchangeable patient support plate ( 3 ) 88 ) 89 ) is designed as a self-supporting sandwich construction with a cross-sectional profile which is constant over the longitudinal axis. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the removable patient support plate ( 3 ) 88 ) 89 ) on at least one longitudinal surface a toothing ( 7 ) is formed along the entire patient plate. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the removable patient support plate ( 3 ) 88 ) 89 ) at both longitudinal upper flanges in the lower surfaces longitudinal grooves ( 8th ) are formed, in which from the side on the flange plugged accessories can be locked. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the removable patient support plate ( 3 ) 88 ) 89 ) the outer skin ( 9 ) made of CFRP and the core ( 10 ) consists of rigid foam. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the outer skin ( 9 ) of the exchangeable patient support plate ( 3 ) 88 ) 89 ) consists entirely or partially of aluminum. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the platform ( 5 ) of the patient transporter ( 1 ) 1' ) with a Trolley with double T-shaped base frame ( 32 ) with Parallelogrammhubgestänge ( 33 ) on the connection plate above ( 11 ), which are part of the detachable connection system ( 11 ) 12 ) is connected. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the Parallelogrammhubgestänge ( 33 ) of the patient transporter ( 1 ) by a lever ( 34 ) from a hydraulic cylinder ( 35 ) is movable. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the patient table ( 2 ) 86 ) 87 ) from a tripod ( 36 ), a detachable platform patient table ( 4 ) and a removable patient support plate ( 3 ) 88 ) 89 ) is formed. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the tripod ( 36 ) has up to four axes of movement, wherein at least one axis of rotation forms an angle 0 ° ≤ α ≤ 90 ° with an axis standing vertically on the ground. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) the platform patient table ( 4 ) and at its connection plate ( 11 ) is locked. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the bottom plate ( 37 ) of the tripod ( 36 ) a fixed lower flange, a roller bearing axis of rotation DA1 ( 38 ) and a rotatable upper flange ( 39 ) owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ), on the upper flange ( 39 ) of the bottom plate ( 37 ), an outdoor column ( 40 ) at an angle 0 ° ≤ α ≤ 90 °. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) the plane of the upper flange ( 39 ) of the bottom plate ( 37 ) with the outer column ( 40 ) forms an angle α of 45 °. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) the plane of the upper flange ( 39 ) of the bottom plate ( 37 ) with the outer column ( 40 ) forms an angle α of 90 °. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) in the outer column ( 40 ) an inner column ( 41 ) rotatable to the axis of rotation DA2 ( 42 ) is stored. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) in the outer column ( 40 ) an inner column ( 41 ) height-displaceable to the sliding axis SA1 ( 43 ) is arranged. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) the upper end surface of the inner column ( 41 ) at an angle α, preferably 45 °, to the axis of rotation DA2 (FIG. 42 ) is arranged. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) at the upper end surface of the inner column ( 41 ) a pivot bearing with axis of rotation DA3 ( 44 ) and via an intermediate piece ( 45 ) with the connection plate above ( 11 ) connected is. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) whose bottom plate ( 37 ) with the outer column ( 40 ) forms an angle α ≠ 0 ° α ≠ 90 °, the lower and upper side of the intermediate piece ( 45 ) are parallel to each other. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) with perpendicular to the bottom plate ( 37 ) external column ( 40 ) the lower and upper side of the intermediate piece ( 45 ) form the same angle α as that of the inner column ( 41 ) to its upper end surface. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the tripod ( 36 ) with vertical column standing on the bottom plate ( 40 ) the bottom plate ( 37 ) without rolling bearing axis DA1 ( 38 ) rigidly with the outer column ( 40 ) and in its place on the intermediate piece ( 45 ) a rotation axis DA4 ( 46 ) is arranged. Transport and storage system for patients according to at least one of the preceding An claims characterized in that the tripod ( 36 ) All axles are driven by drive motors with flanged gears, brakes and position sensors. Transport and storage system for patients according to at least one of the preceding claims, characterized in that on the stand ( 36 ) the outer column ( 40 ) and the inner column ( 41 ) are formed as tubes with a circular cross-section. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the tripod ( 36 ) in its interior a positioned on the axis of symmetry, rotationally symmetric Hohlwellenantriebsblock ( 49 ), consisting of a motor ( 50 ), a primary gear ( 51 ) with hollow, splined, long drive shaft ( 52 ) on the up to four slip-on gearboxes ( 53.1 . 53.2 . 53.3 . 53.4 ) of the hollow shaft gear ( 53 ) for driving the tripod axes, axis of rotation DA1 ( 38 ) or rotary axis DA4 ( 46 ), Axis of rotation DA2 ( 42 ), Sliding axis SA1 ( 43 ) and axis of rotation DA3 ( 44 ), and with the Vorschaltgetriebe ( 51 ) and the engine ( 50 ) are braced to a block owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) on its underside via a pipe ( 54 ) with a hollow cardan joint below ( 55 ) with the fixed part of the bottom plate ( 37 ) is rigidly connected. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) on the engine ( 50 ) a primary gear ( 51 ) with the output side arranged hollow, splined, long drive shaft ( 52 ) is flanged and connected to the motor shaft. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) each of the substantially identical built-shaft ( 53.1 to 53.4 ) at the entrance a combined, spring-loaded disc brake ( 61 ), which is switched electromagnetically to clutch function. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) by power connection, the brake disc of the disc brake ( 61 ) from the spring-loaded braking position out of an induction coil ( 62 ) with the inner transmission input shaft ( 63 ) is connected. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) each of the slip-on gear ( 53.1 to 53.4 ) on one end face an output flange ( 64 ) owns. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) each of the slip-on gear ( 53.1 to 53.4 ) between disc brake ( 61 ) and output flange ( 64 ) has at least one planetary gear. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) each of the slip-on gear ( 53.1 to 53.4 ) between disc brake ( 61 ) and output flange ( 64 ) has at least one harmonic drive gear. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) with the radial outer surfaces of the output flanges ( 64 ) of the slip-on gear ( 53.1 ) 53.2 ) and ( 53.3 ) each a pair of interlocking sliding sleeves ( 65 ) 66 ) are connected and these produce a connection to the respective tripod axis displaced. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) the slip-on gear ( 53.3 ) with the upper hollow universal joint ( 75 ) by a sliding sleeve pair ( 65 ) 66 ) connected is. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) each pair of sliding sleeves ( 65 ) 66 ) intermeshing splines ( 67 ) has torsionally rigid positive locking. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) the slip-on gear ( 53.3 ) an intermediate wheel stage ( 68 ) to reverse the direction of rotation. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) with the output flange ( 64 ) from the slip-on gear ( 53.4 ) a threaded nut ( 69 ), in which a non-rotatable, hollow threaded spindle ( 70 ), in turn inside the hollow, splined, long output shaft ( 52 ) from the primary gearbox ( 51 ) is positioned. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) the upper end of the threaded spindle ( 70 ) via the connected flange ( 74 ) ball-bearing in the lower part of the cardan joint above ( 75 ) is mounted and supported radially and axially. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) the power supply and control of the motor ( 50 ) and the disc brakes ( 61 ) without bottom rotary feedthrough coming from the ground through the hollow universal joint below ( 55 ) can be supplied. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) through the hollow shaft drive block ( 49 ), the hollow cardan joint below ( 55 ) and hollow cardan joint above ( 75 ), the electrical cables coming from the ground ( 56 ), Control lines ( 57 ), Air, gas and vacuum lines ( 58 ) 59 ) 60 ), via spiral cable ( 76 ) and spiral hoses ( 77 ) to those with the cardan joint above ( 75 ) connected rotary feedthrough ( 27 ) can be forwarded. Transport and storage system for patients according to at least one of the preceding claims, characterized in that the hollow shaft drive block ( 49 ) of the tripod ( 36 ) through the spiral cable ( 76 ) and spiral hoses ( 77 ) the length compensation in the process of the sliding axis SA1 ( 43 ) of the tripod ( 36 ). Transport and storage system for patients according to at least one of the preceding claims, characterized in that the tripod ( 36 ) also a C-arm X-ray machine ( 48 ), wherein the C-arch support ( 47 ) directly on the connecting flange above ( 11 ) is attached. Angiography system ( 78 ) with a transport and storage system for patients according to at least one of the preceding claims, characterized in that the patient table ( 2 ) and the laterally arranged C-arm X-ray machine ( 48 ) with a tilted tripod ( 36 ) are equipped. Computer tomograph ( 79 ) with a C-arm X-ray device ( 48 ) with a transport and storage system for patients according to at least one of claims 1-56, characterized in that a symmetrical in front of the computer tomograph ( 79 ) arranged patient table ( 2 ) the computer tomograph ( 79 ) with a laterally placed C-arm X-ray machine ( 47 ), wherein the patient with the patient support plate ( 3 ) by pivoting movement ( 81 ) of the tripod ( 36 ) from the computer tomograph ( 79 ) to the C-arm X-ray machine ( 47 ) or vice versa can be moved. Computer tomograph ( 79 ) with a transport and storage system for patients according to at least one of claims 1-56, characterized in that two patient support tables ( 82 ) and ( 83 ) in front of a front side of the computer tomograph ( 79 ) to the left and right of the fluoroscopy hole ( 80 ) are arranged and make a mutual examination of patients possible. Computer tomograph ( 79 ) with a transport and storage system for patients according to at least one of claims 1-56, characterized in that in front of both end faces of the computer tomograph ( 79 ) symmetrically in front of the radiographic bore ( 80 ) one patient table each ( 86 ) and ( 87 ), whereby a whole-body examination of a patient by transfer of the patient plate ( 88 ) from the first patient table ( 86 ) to the second patient table ( 87 ) through the radiographic bore ( 80 ) of the computer tomograph ( 79 ) is made possible in a simple manner with high throughput.