EP0129885A1 - Table à inclinaison réglable pour l'élongation corporelle - Google Patents

Table à inclinaison réglable pour l'élongation corporelle Download PDF

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Publication number
EP0129885A1
EP0129885A1 EP84107211A EP84107211A EP0129885A1 EP 0129885 A1 EP0129885 A1 EP 0129885A1 EP 84107211 A EP84107211 A EP 84107211A EP 84107211 A EP84107211 A EP 84107211A EP 0129885 A1 EP0129885 A1 EP 0129885A1
Authority
EP
European Patent Office
Prior art keywords
support
lower leg
head
couch
holding device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP84107211A
Other languages
German (de)
English (en)
Other versions
EP0129885B1 (fr
Inventor
Jens Therkorn
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Therkorn Jens
Original Assignee
Therkorn Jens
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Therkorn Jens filed Critical Therkorn Jens
Priority to AT84107211T priority Critical patent/ATE38772T1/de
Publication of EP0129885A1 publication Critical patent/EP0129885A1/fr
Application granted granted Critical
Publication of EP0129885B1 publication Critical patent/EP0129885B1/fr
Expired legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218—Drawing-out devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00—Additional characteristics concerning the patient
    • A61H2203/04—Position of the patient
    • A61H2203/0481—Hanging
    • A61H2203/0493—Hanging by hanging the patient upside down or inclined downwardly

Definitions

  • the invention relates to an incline-adjustable couch, in particular for body stretching in the head-down position, with a couch support and one which can be fixed on the support in different inclinations, with a foot or.
  • the stretching of body joints, especially the spine, is an important therapeutic measure in connection with the therapy of rheumatic diseases, muscle tension, postural damage or the like.
  • stretching the body can contribute to an increase in well-being, in particular to promoting relaxation.
  • Horizontal stretching tables are known in which the body is stretched by slightly pulling a foot strap and a head strap apart using a corresponding mechanism.
  • the disadvantage of this is that the body is under the applied tensile force over its entire length between the clamping points, so that, for example, the cervical vertebrae are under the same tensile stress as both knee joints together.
  • the tensile force naturally decreases in the head underlay from the feet to the head, since the residual body length to be carried by the respective joint decreases towards the head.
  • a head bearing is provided, on which the head is supported.
  • the head bearing can be set in different positions on the support table for setting different body sizes;
  • it is not possible to change the head position or the holding device position during the stretching treatment that is to say when the bed is in a head-down position.
  • the joint and muscle strains that occur as desired during the stretching treatment result in an increase in body size of up to 1-2 cm.
  • the object of the invention is to provide a tilt-adjustable deck to Why it is possible to provide a tilt-adjustable deck to Why it is possible to adjust and maintaining a desired state of strain during stretching treatment, regardless of the compassionlticianung.
  • the body support length between the holding device and the head bearing when the table is occupied, inclined in the head-down position is continuously or finely adjustable in accordance with the increasing body stretch. With increasing body elongation, the body support length is adjusted accordingly, so that constant tension results.
  • the couch support surface In the known horizontal stretching table and the known reclining couch, the couch support surface, apart from upholstery, is essentially flat.
  • the body With muscle tension, spinal torsion, rheumatic diseases or the like, the body adopts a so-called gentle posture, in which pain is felt least.
  • the protective posture consists of an angling of the knee joints as well as the thigh-pelvic joints.
  • Such flexion also corresponds to a relaxation position of healthy people (posture of the unborn child in the womb). If one assumes such a gentle or relaxation position of the body during stretching treatment, the risk of additional tension or even injuries (joint injuries, micro-muscle tears or the like) is practically eliminated.
  • a support on the squat side in accordance with a further development of the invention now makes it possible to take such a protective or relaxation posture, possibly supplemented by a back support and an articulated joint in the Achilles tendon area and in the neck area.
  • the desired continuous or fine-tuned adjustability of the body support length between the holding device and the head bearing can be achieved in a simple manner by the corresponding adjustability of the support on the squat side, provided that the distance between the holding device and is not correspondingly increased when the squat angle is increased the head bearing enlarged, which is the case with the so-called heart parts of hospital beds.
  • the support on the squat consists of a thigh support and a lower leg support; the thigh support is articulated to the bed frame with its end near the buttocks and is articulated to the lower leg support with its knee-side end.
  • the foot end of the lower leg Support is slidably guided on the bed frame in its longitudinal direction.
  • the lower leg support together with the holding device is articulated on the support table,
  • the lack of support for the thighs in this case can be accepted due to the lower position of the head (any angle of inclination of the support table plane to the horizontal, for example between 20 ° and 90 °, with additional belt securing, in particular lap belt securing of the body), since a corresponding contact pressure of the thigh decreases with the angle of inclination.
  • the support length of the lower leg support can be adapted to the lower leg length of the person to be treated.
  • the distance of the holding device from the head bearing In order to be able to change the distance of the holding device from the head bearing to compensate for body elongation regardless of the angle of the knee, it is provided that the distance of the holding device from the head bearing, if necessary, remains unchanged Adjustment of the squat support, continuously or finely adjustable. Additionally or alternatively, it can be provided that the articulation point of the lower leg support on the support table can be continuously or finely displaced in relation to the support table in the longitudinal direction of the table.
  • a back support is provided in a development of the invention.
  • the back support as such can be displaced on the support table in order to precisely adapt the support surface to the person to be treated.
  • the back support can also be designed to be displaceable when the table is occupied and inclined.
  • the adaptation of the couch shape to the respective body shape is further improved by joints.
  • Articulated joints in the Achilles tendon area and in the neck area enable the person to be treated to perform appropriate bending movements if necessary - these movements are often helpful, especially in the relaxation position (appropriate movements are carried out by the unborn child in the womb).
  • the pivoting of the buttock support plate enables the correction of certain postural defects (e.g. scoliosis).
  • the ability of the buttock support plate to bend allows extensive adaptation to the respective body shape.
  • the horizontal inclination axis of the support table In order to be able to lower the support table to a lower height for climbing, it is proposed to design the horizontal inclination axis of the support table to be vertically displaceable.
  • the adjustment functions can also be obtained with a technically simple, robust, reliably working means when the inclined table is occupied, if, according to a development of the invention, actuating drives, preferably hydraulic actuating drives or stepping motor actuating drives, are used to carry out at least some of the adjusting functions of the bed.
  • actuating drives preferably hydraulic actuating drives or stepping motor actuating drives
  • At least one sensor is provided for measuring tensile or compressive stresses exerted by the body on the support table essentially in the longitudinal direction of the body.
  • the values measured by these sensors are indicative of the actual body pull or Pressure loads in the area of the respective sensor.
  • a pressure-tension sensor in the area of the head bearing the tensile or pressure load in the critical head-neck area can be checked.
  • a corresponding tension sensor in the area of the foot or Lower leg holding device allows the control of tensile loads in the area of the lower extremities of the body.
  • the general tensile stress on the body can also be estimated. The higher the tensile stress in the foot area and the lower the compressive tension in the head area, the greater the tensile stress on the body.
  • the sensors can be connected to an optical and / or acoustic display, which allows manual adjustment of the bed by appropriate manual control of the actuators.
  • it can also be one with the sen sensors coupled, preferably program-controlled, control and regulating circuits can be provided, with the aid of which a predetermined body tension state can be set and also maintained during a stretching treatment.
  • the control and regulating circuit can be designed to enter a treatment program, so that corresponding treatment programs can be carried out automatically.
  • the train or Pressure on the body, especially in the sensitive head and neck area can be set to a constant value regardless of the length of the body, or can be changed in a predetermined manner according to the progress of the treatment.
  • the tensile stress measured by the sensor in the foot area allows direct conclusions to be drawn about the tensile load on the ankle and indirectly on the adjoining joints (knee joint and pelvic area).
  • Applications are also conceivable in which the bed is inclined in the opposite direction, that is to say with the head lying above the feet, in which case compressive stresses can also occur in the foot area, which can also be used for regulation.
  • the head underlay is preferred in most cases, since the tensile stress then occurring due to gravity decreases towards the head and is therefore complementary to the load on the upright body.
  • the support table is provided with a heating pad, which allows the body to heat up and thus counteracts the risk of injury.
  • the preferably heatable pillow allows a body support without local stress peaks, which is particularly important when treating injured people.
  • the tilt-adjustable couch is generally designated 10 in FIGS. 1 and 2 '. It consists of a bed support 12 and a support table 14 which is attached to the bed by an approximately Z-shaped bracket 16 Carrier 12 is pivotally mounted about a horizontal axis 18.
  • the bed support consists of two inclined columns 20, which lie in a plane perpendicular to the axis 18 and, proceeding from a common support head 22, move away from one another in the direction of the floor 24.
  • the inclined columns 20 are welded with their lower ends to a foot 26 with a U-profile running parallel to the axis 18 and resting on the floor 24. Stiffening plates 28 between the feet 26 and inclined columns 20 and in the area of the head 22 in the angle formed between the inclined columns 20 ensure the required mechanical stability.
  • the couch support 12 can also have a different shape, provided that only a sufficiently high level of stability, even with an inclined support table 14, is guaranteed.
  • the upper, horizontal leg 16a of the bracket 16 in FIGS. 1 and 2 serves as a rotating shaft, for which purpose it is rotatably mounted in a corresponding pivot bearing sleeve 22a of the support head 22.
  • a hydraulic rotary motor 22b permits a pivoting movement of the bracket 16 and a fixing of the bracket 16 in the respectively set pivot position. 1 and 2, the lowest position of the bracket 16 is shown in a solid outline, in which the bracket 16 lies in a vertical plane. In this position, the support table 14 is in a horizontal plane. With a dash-dotted outline, a pivot position 16 'of the bracket 16 is indicated in Fig. 1, which corresponds to a pivot angle CL relative to the vertical plane of about 45 °. Accordingly, the support table 14 is inclined at 45 ° to the horizontal plane. The foot end of the table is raised compared to the head end of the table.
  • both a lower leg support 30 to be explained with reference to FIG. 3 and a back support 32 separately shown in FIG. 4 can be moved attached, namely in such a way that both supports can be pivoted relative to the table 14 about an axis of articulation parallel to the axis 18 and also, by corresponding displacement of the respective joint relative to the table 14, can be displaced in the table plane.
  • both supports 30 and 32 are each articulated with a carriage 34 and 36, which carriage in turn can be moved back and forth within a frame 38 of the table 14 in the longitudinal direction of the table.
  • the frame 38 is formed by two C-profile longitudinal beams 38a with mutually facing C-profile openings and two crossbeams 38b at both table ends.
  • the two longitudinal beams 38a lie in the center of length on the lower horizontal leg 16b of the bracket 16, with which they are welded.
  • Approximately triangular stiffening plates 40 in the angular range between the longitudinal beam 38a closer to the inclined columns 20 and the central leg 16c of the bracket 16 which runs vertically upward provide the necessary rigidity.
  • the two slides 34 and 36 each engage with two spaced-apart guide rollers 42 in the C-profile opening of one and the other frame longitudinal member 38a. This ensures the desired displaceability in the longitudinal direction of the table 14 (double arrows A and B in FIG. 1).
  • a pin lock is used, for example, to fix the slide 44 in a selected position with the aid of a pin (not shown) which is parallel to the axis 18 and which is to be inserted into one of the two longitudinal beams 38a from the side for engaging in one of a plurality of pin holes 48 of the carriage 44, indicated in FIG. 1.
  • a hydraulic actuator 50 is provided, the cylinder 52 of which is rigidly attached to the carriage 34 via a web 54 projecting downward from the carriage 34, and the piston rod 56 of which Table 14 engages, in the example shown on the horizontal leg 16b of the bracket 16.
  • the slide 34 can be displaced in the desired manner by correspondingly applying pressure medium to the cylinder 52. By blocking the flow of pressure medium, the slide position set in each case is blocked.
  • Another hydraulic actuator 58 serves to pivot the lower leg support 30.
  • the cylinder 60 is articulated on the web 54 opposite the cylinder 50.
  • the piston rod 62 engages a link 64 which is rigidly connected to the lower leg support 30.
  • 2 is formed by an elongated side leg 66a of a U-shaped support bracket 66.
  • the middle leg 66b of the U-shape is rigidly attached to the underside of a lower leg support board 68.
  • Both side legs 66a and 66c are articulated on the slide 34 to form a pivot axis 70 parallel to the axis 18.
  • the hinge point of the longer side leg 66a lies approximately in the middle between the board 68 and the piston rod joint 74.
  • the back support 32 on the slide 36 can also be pivoted back and forth in the direction of the double arrow E shown by means of a hydraulic actuator 78 about a pivot axis 76 parallel to the axis 18.
  • the Hydraulic actuator drive in turn consists of a cylinder 83 articulated on a web 80 of the slide 36 projecting vertically downwards and a piston rod 84 engaging a link 82 of the back support 32.
  • a foot holding device is provided on the lower leg support in the form of a T-shaped bracket 96, the foot of which the T -Shaped corresponding leg 96a is inserted with its free end through a through opening 98 of the lower leg support 30.
  • the passage opening 98 is located in a corner formed by the board 68 and a sole support board 100, between the two placed feet.
  • the two legs 96b starting from the leg 96a and forming the bar of the T-shape are provided with a padding 102 which rests on the feet in the instep area.
  • a nut 104 is screwed onto the end of the leg 96a which is pushed through the opening 98 in order to fix the bracket 96.
  • Other types of fixing the feet are also conceivable, such as e.g. Attachment loops or the like.
  • the board 100 and the board 68 are provided with padding 106, 108 and, if necessary, recesses 110 for anatomically adapting the contact surface to the body lying thereon.
  • the support length a of the lower leg support 30 can be changed, namely that the board 68 is divided into individual plate elements 112 in the form of narrow plate elements 112 parallel to the axis 18 with adjacent strips at the end of the knee Last by piano tape-like hinges 114 on the side facing away from the support surface 116.
  • the desired length a more or less many elements 112 (in FIG. 3 3 elements) are now supported on the back, namely by two bars 118 running parallel to one another in the longitudinal direction of the lower leg support 30.
  • Each bar 118 is attached by means of two tabs 119 the bottom of the board 68 slidably supported.
  • the back support 32 is shown in more detail, namely in the section along line IV-IV in Fig. 2 (coinciding with the section line III-III in Fig. 2 for the sectional view in Fig. 3).
  • the back support 32 consists of a board 120, which is provided with padding 122 and formations 124 for adaptation to the body shape.
  • a head board 128 provided with padding 126 is attached to the end of the board 32 which is further away from the axis 76 and projects at a right angle therefrom.
  • the support length b of the back support 32 can in turn be changed similarly to the lower leg support 30 according to FIG. 3.
  • rod-like support elements 130 are provided, this time at the support end J closer to the pivot axis 76, which in turn are connected to one another on their inside with hinges 132 similar to piano tapes.
  • the board 120 and the elements 130 are guided laterally in two C-shaped longitudinal beams 134 of a backrest frame 136.
  • the two longitudinal beams 134 are rigidly connected to one another by cross beams 138 indicated in FIG. 4 '.
  • the plate 120 is moved down as far as ge postponed until one or more elements 130 out of engagement with the C-profile opening of the two longitudinal members 134 ge - long and then fold downwardly. Once the desired support length b has been reached, the plate 120 is fixed to the frame 136 in a manner not shown, for example by pinning.
  • the corresponding person 94 goes onto the support table 14, which has already been roughly adjusted to the body dimensions, by corresponding actuation of the hydraulic actuators 58, 50, 78 and 86.
  • a greater angle of the body will be preferable, that is, a greater inclination of the lower leg support 30 and the back support 32 with a correspondingly reduced distance between the two slides 34 and 36 from each other.
  • the intermediate slide 44 which can be equipped with a seat trough, is brought into a corresponding intermediate position. With the help of the bracket 96, the feet are fixed to the lower leg support 30.
  • the support lengths a and b may be adapted to the body dimensions of the person lying on the table 14.
  • the support length of the table 14 as the sum of the two support lengths a and b plus a support length c indicated in FIG. 1 (length of the support indicated in FIG. 1, following the underside of the body between the knee-side end of the lower leg support 30 and the buttock end of the Back support 32) now corresponds exactly to the support length of the body of the person 94 on the table 14.
  • the person 94 thus touches the footplate 100 with the soles of his feet and the headboard 128 with his head.
  • the support table 14 is activated by the corresponding actuation of the hydraulic rotary motor 22b 1, ie with the feet ahead, «pivoted, for example by an angle ⁇ of 45 °.
  • the body support length is determined in such a way that there is no tensile or compressive stress on the vertebrae located in the neck area.
  • the supporting table in the opposite direction (ie, in a counterclockwise direction of Fig. 1) to pivot, for example up in the Wegstellun g.
  • the couch can also be used for orthopedic gymnastics or as an operating table.
  • FIG. 5 The embodiment of the invention shown in FIG. 5 is characterized by particular simplicity. Components of this couch designated 210, which components 1-4 correspond with the same reference numerals, each increased by the number 200.
  • the carrier 212 for the support table 214 now consists of two vertically running rails 252 with a U-profile attached to a vertical wall 250.
  • the U-profile openings of the spaced-apart rails 252 face one another and each receive a lateral guide roller 254 at a longitudinal end of the support table 214.
  • At the other end of the table there are two floor casters 256. If you raise the left longitudinal end of table 214 in Fig. 5, for example by corresponding actuation of a block and tackle (not shown) attached to the ceiling and attacking this end of the table, the left moves Table end, guided by the guide rollers 254 running in the rails 252, in a vertical direction upwards. Accordingly, any inclination angle ⁇ of the table 214 with respect to the horizontal can be set between 0 and 180.
  • the table 214 is provided with a lower leg support 230 and a back support 232.
  • the lower leg support 230 in turn consists of a lower leg support board 268 and a sole plate 3.00.
  • a bracket 296 with foam padding 302 is used to fix the feet to the lower leg support 230.
  • the lower leg support 230 is articulated on the table 214 (hinge axis 270).
  • the required angle of inclination can be achieved with the help of an arcuate web 260 at the knee end of the lower leg support 230, which can either be fixed via a pin connection (pin 262; pin recesses 264 in the web 260) or in some other way (snap connection; frictional connection) on the table 214 .
  • the back support 232 is also articulated on the table 214 (pivot axis 276) using an arch-shaped web 270 to determine the respective pivot angle.
  • the articulation point there is the possibility of moving the articulation point.
  • the bed 214 in the horizontal position of the table 214 is also adapted to the body size of the person to be treated, so that the sole of the foot board 300 and the head board 328 lie against the corresponding part of the body .
  • the feet are fixed to the lower leg support 230 using the bracket 296.
  • the pulley or another drive such as 3. a vertical spindle drive
  • the wall-side table end raised until the desired angle of inclination ⁇ is reached.
  • the inclination angle ⁇ of the lower leg support 230 is now slightly increased by a second person compared to the table plane.
  • a relatively large initial value for the angle ⁇ is chosen, in particular in the case of severely tense patients. This angle is gradually reduced in later stretching treatments.
  • the inclination adjustment of the lower leg support 30; 230 and the back support 32; 232 and, if necessary, also the displacement of the respective joint axis 70; 270; 76; 276 in the longitudinal direction of the table can be carried out continuously (couch 210) or finely graduated (couch 10) to lengthen the body to be able to follow as far as possible during the stretch treatment.
  • the size of an adjustment step preferably corresponds to a change in the body support length, i.e. size c of less than 1 cm, better less than 0.5 cm, best of about 1 mm or less.
  • both an articulated joint 68a of the lower leg support board 68 and an articulated joint 32a of the back support 32 can each be provided Axis 18 parallel articulation axis.
  • the former joint 68a is located on the Achilles tendon area and the other joint 32a in the neck area.
  • Both articulation joints are designed in a manner not shown for the optional adjustment and locking of the respective articulation, for which purpose hydraulic actuators can again be used if necessary.
  • a pressure sensor 600 can be attached, which measures the pressure force of the head of the person to be treated, especially the longitudinal component that is approximately parallel to the spine.
  • This longitudinal component is a direct measure of the tensile or compressive stress on the body in the head and neck area.
  • the pressure sensor 600 therefore indicates whether the cervical and neck vertebrae are under tensile or compressive stress, indicating the magnitude of the stress.
  • the pressure sensor is connected via a line 602 to a corresponding optical or acoustic display 604, so that the couch can be adjusted in a desired manner by a corresponding operator, for example in such a way that neither pressure nor tensile stress on the cervical and neck vertebrae is exercised.
  • the pressure sensor is coupled via the display 604 and a line 605 to a control and regulating circuit 606, which enables the setting and possibly retention tion of a predetermined body voltage condition by appropriate control of the actuators.
  • control and regulating circuit 606 is connected to the hydraulic actuators via a control line 608 which is shown broken off.
  • the control and regulating circuit 606 can optionally be designed to be programmable in order to be able to automatically carry out standard programs or individual individual programs for the person to be treated. In such a program, if necessary, time-dependent voltages are set / preset and by appropriate control of the adjusting drives the clamping body detected by the sensor 600 - voltage values approximate to the target voltages.
  • tension tension sensors can be provided on the bed, in particular a tension tension sensor 610 in the foot area (for example on the bracket 96 of the foot holding device). This is connected via a line 612 to the display 604 and via line 605 to the control and regulating circuit 606. Sensor 610 allows control of body tension in the lower extremities. By comparing the compressive stress in the head area with the tensile stress in the foot area, one obtains an indication of the general tensile stress of the body that can be used for the control of the actuators.
  • the support table can be provided with a heating pad, not shown.
  • a heatable cushion can be placed on the support table as an underlay for the person to be treated, so that as little pressure as possible, especially in the case of injured persons, can be placed.
  • the patient is placed on the table swiveled horizontally and the table in this way set that the pressure force measured from the head to the head cushion 26 and from the sensor 600 disappears in the longitudinal direction of the body.
  • the tensile stress in the foot region should also be just zero or assume a predetermined initial value. If the table is now inclined, there is an increase in the pressure in the head area and the tension in the foot area, depending on the respective setting of the couch, in particular depending on the angles of the back and lower leg support and in Dependency on the connective tissue properties, especially the elasticity of the connective tissue of the individual body segments of the patient.
  • the measured tension in the foot area allows direct conclusions to be drawn about the tensile load on the ankle and indirectly on the adjoining joints (knee joint and pelvic area).
  • the patient can now be subjected to stretching treatment, the body tension states measured indirectly via the sensors being checked and used to regulate the bed setting.
  • the bed described thus allows stretching treatments that take into account the different body stretch properties.
  • the duration of therapy can be reduced to the shortest possible value without the risk of excessive pulling or pulling. Pressure on the body.
  • FIGS. 6 and 7 show a further embodiment of the bed, generally designated 310, components which correspond to components of the bed 10 according to FIGS. 1-4 being provided with the same reference numbers, each increased by the number 300.
  • Embodiment 310 is characterized in that the horizontal axis of inclination 318 is not stationary, as in FIG. 1, but is vertically displaceable.
  • a vertical rail 452 with a C-profile, for example attached to a vertical wall 450 is provided, which receives a slide 454.
  • the outline the slider 454 is indicated by dashed lines in FIG. 6.
  • a height adjustment drive engages on the slider 454, which can be formed by a cable winch, a rack and pinion drive with a vertical rack or by a telescopic hydraulic cylinder.
  • the slider 454 is formed with an extension protruding from the inside of the profile with a flange plate 456, to which flange plate a hydraulic rotary motor 422b is flanged (corresponding to the motor 22b in FIGS. 1 and 2).
  • a square tube 416 corresponding to the bracket 16 is welded to the rotary shaft 458 of the motor and carries the support table 314.
  • the rail 452 is screwed to the vertical wall 450 by means of lateral fastening tabs 460 on both rail ends (screws 462).
  • the person to be treated can comfortably climb the low support table 314 (solid line in FIG. 6). Then the table 314 is moved vertically upwards, along the rail 452 (direction arrow A) to the position indicated by the broken line in FIG. 6. In this position, the table 314 can be pivoted about the axis 318 by any angle.
  • FIG. 8 schematically shows an incline-adjustable seat support plate 502 as part of the modified slide 544 corresponding to the slide 44 in FIG. 4. Corresponding rollers 546 on both slide ends are indicated in FIG. 8.
  • the inclination adjustment of the seat support plate 502 can again be carried out, for example, via a hydraulic actuator 504, with a hydraulic cylinder 506, which is pivotably attached to a slide-fixed tab 508, and with a piston rod 510, the free end of which hinges to a link 512.
  • the handlebar 512 goes from the plate 502 vertically downward and is pivotally mounted about a horizontal axis on a pivot pin 514 on the carriage 544 in the region of its longitudinal center.
  • An additional plate 516 can be attached to the plate 502 so as to be adjustable in inclination, with a horizontal pivot axis 518 indicated in FIG. 8.
  • the axes 518 and 514 are parallel to the axis 18 according to FIGS. 1 and 2.
  • the swivel angle ⁇ between the plate 502 and the additional plate 516 can be changed according to the respective body shape by hand or by motor using a hydraulic actuator (not shown).
EP84107211A 1983-06-28 1984-06-22 Table à inclinaison réglable pour l'élongation corporelle Expired EP0129885B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT84107211T ATE38772T1 (de) 1983-06-28 1984-06-22 Neigungsverstellbare liege zur koerperdehnung.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3323310A DE3323310A1 (de) 1983-06-28 1983-06-28 Neigungsverstellbare liege zur koerperdehnung
DE3323310 1983-06-28

Publications (2)

Publication Number Publication Date
EP0129885A1 true EP0129885A1 (fr) 1985-01-02
EP0129885B1 EP0129885B1 (fr) 1988-11-23

Family

ID=6202615

Family Applications (2)

Application Number Title Priority Date Filing Date
EP84107211A Expired EP0129885B1 (fr) 1983-06-28 1984-06-22 Table à inclinaison réglable pour l'élongation corporelle
EP84902513A Pending EP0179764A1 (fr) 1983-06-28 1984-06-22 Couchette a inclinaison reglable pour l'extension du corps

Family Applications After (1)

Application Number Title Priority Date Filing Date
EP84902513A Pending EP0179764A1 (fr) 1983-06-28 1984-06-22 Couchette a inclinaison reglable pour l'extension du corps

Country Status (5)

Country Link
US (1) US4638793A (fr)
EP (2) EP0129885B1 (fr)
AT (1) ATE38772T1 (fr)
DE (2) DE3323310A1 (fr)
WO (1) WO1985000104A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0166464A2 (fr) * 1984-02-28 1986-01-02 F.B.M.- HUDSON ITALIANA S.p.A. Lit pour la rééducation motrice d'un patient
DE3546200A1 (de) * 1985-12-27 1987-07-02 Kurt Oswald Massagebett
EP0378063A2 (fr) * 1989-01-13 1990-07-18 Oy Back Doc Sales Ltd Une banquette de traitement
DE29614213U1 (de) * 1996-08-16 1996-11-21 Kundisch Microtech Gmbh & Co K Therapiegerät für die Wirbelsäule
CN109431741A (zh) * 2018-10-29 2019-03-08 王美玉 一种心内科应急检测固定架

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US7597656B2 (en) * 2002-10-29 2009-10-06 Encore Medical Asset Corporation Therapeutic exercise device
HUE047505T2 (hu) * 2008-05-29 2020-04-28 Jilin Zhang Gerincgyógyászati háromdimenziós ortopédiai készülék
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DE102012008998B4 (de) * 2012-05-04 2021-07-22 Alcon Inc. Einrichtung für die lasergestützte Augenchirurgie
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US11963918B2 (en) 2020-04-20 2024-04-23 Hill-Rom Services, Inc. Patient bed having active motion exercise
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EP0166464A2 (fr) * 1984-02-28 1986-01-02 F.B.M.- HUDSON ITALIANA S.p.A. Lit pour la rééducation motrice d'un patient
EP0166464A3 (fr) * 1984-02-28 1986-11-20 F.B.M.- HUDSON ITALIANA S.p.A. Lit pour la rééducation motrice d'un patient
DE3546200A1 (de) * 1985-12-27 1987-07-02 Kurt Oswald Massagebett
EP0378063A2 (fr) * 1989-01-13 1990-07-18 Oy Back Doc Sales Ltd Une banquette de traitement
EP0378063A3 (fr) * 1989-01-13 1991-07-17 Oy Back Doc Sales Ltd Une banquette de traitement
DE29614213U1 (de) * 1996-08-16 1996-11-21 Kundisch Microtech Gmbh & Co K Therapiegerät für die Wirbelsäule
CN109431741A (zh) * 2018-10-29 2019-03-08 王美玉 一种心内科应急检测固定架
CN109431741B (zh) * 2018-10-29 2021-02-02 王美玉 一种心内科应急检测固定架

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Publication number Publication date
EP0179764A1 (fr) 1986-05-07
US4638793A (en) 1987-01-27
DE3475266D1 (en) 1988-12-29
DE3323310A1 (de) 1985-01-10
WO1985000104A1 (fr) 1985-01-17
ATE38772T1 (de) 1988-12-15
EP0129885B1 (fr) 1988-11-23

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