EP0255938B1 - Table d'opération, particulièrement pour le soin des accidentés - Google Patents

Table d'opération, particulièrement pour le soin des accidentés Download PDF

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Publication number
EP0255938B1
EP0255938B1 EP87111251A EP87111251A EP0255938B1 EP 0255938 B1 EP0255938 B1 EP 0255938B1 EP 87111251 A EP87111251 A EP 87111251A EP 87111251 A EP87111251 A EP 87111251A EP 0255938 B1 EP0255938 B1 EP 0255938B1
Authority
EP
European Patent Office
Prior art keywords
axis
set forth
table board
bars
operation table
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.)
Expired - Lifetime
Application number
EP87111251A
Other languages
German (de)
English (en)
Other versions
EP0255938A2 (fr
EP0255938A3 (en
Inventor
Franz Josef Dr. Med. Krips
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to AT87111251T priority Critical patent/ATE60898T1/de
Publication of EP0255938A2 publication Critical patent/EP0255938A2/fr
Publication of EP0255938A3 publication Critical patent/EP0255938A3/de
Application granted granted Critical
Publication of EP0255938B1 publication Critical patent/EP0255938B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/0036—Orthopaedic operating tables

Definitions

  • the invention relates to an operating table, in particular for the care of accident victims.
  • operating tables are known in which a table top can be raised and lowered on a telescopically extendable and shortenable column.
  • the column can be fixed stationary on the floor of an operating room or arranged on a chassis.
  • it is also known to tilt it around an axis that runs parallel to the table top and parallel to the narrow edge of the table top.
  • From GB-A-481 836 it is also known to design an operating table in such a way that its table top can be tilted both about an axis parallel to the narrow edge and about an axis running parallel to the longitudinal axis of the table top.
  • the known tables have numerous other defects, including in particular a necessary length of the bars, so that they take up unnecessarily much space when the table is not in use.
  • the invention relates to an operating table, in particular for the care of accident victims, the table top of which can be tilted about an axis running parallel to its longitudinal axis and rotatable about an axis running perpendicular to it, the tilting axis running underneath the table top and being characterized by it that a swivel joint for rotating the table top about the axis perpendicular to it is arranged in the area between the tilt axis and the table top.
  • a tilting movement about the X axis and simultaneous rotation of the table about the Z axis can produce a body position in which the thigh is easily accessible for nailing and at the same time remains well accessible to the image intensifier and from all directions .
  • the tilt axis runs below the table top at a distance from it and the swivel joint is arranged between the tilt axis and the table top.
  • a chassis which has two spars running parallel to one another and two spars running at an angle to one another.
  • the parallel bars to the head end of the table top and therefore the bars at an angle to the foot end of the table top indicate, the limited rotatability of the table top around the Z-axis can be adjusted so that the range of rotation above the two is at an angle to each other Holme ends, so that an unstable position cannot be reached, even with heavy patients.
  • the castors at the ends of the parallel bars, that is, at the head end of the table, so that the foot end of the table is connected to the floor in a particularly stable manner.
  • a slide which can be moved parallel to this and in the transverse direction of the table top is arranged under the table top, and arm sections can be attached to the ends thereof pointing towards the longitudinal edges of the table top.
  • arm operations can be performed without having to attach the previously required additional parts to the table.
  • the arm distance can be adapted to the body mass of the patient and finally the upper arm fracture can be easily set up.
  • the arm section can be pivoted and locked about axes running parallel to the longitudinal edges of the table top, then the part receiving the forearm can hang down by swiveling it down and then swung up to treat the forearm.
  • the Holmanordnundg can have a beam-like central extension, to which two intermediate bars are connected via two joints with vertical axes, an end bar being connected to each of the intermediate bars via a joint with a horizontal axis. It is particularly advantageous if the central extension can be moved and locked in a receiving channel arranged below the table top, which runs parallel to the table top and in its longitudinal direction. In this way, the position of the spar arrangement can be easily adapted to the patient's body mass.
  • Another advantage of the operating table according to the invention consists in a receiving opening penetrating the table top with the cross section of a regular polygon for the foot of a crotch holder having a corresponding cross section, the foot and head of the crotch holder being connected eccentrically to one another. This allows the step Move the holder head into several different positions, which in turn is useful for adapting to the patient's body mass and it is no longer necessary to lock the step holder in the table.
  • An embodiment of an operating table according to the invention is described below with reference to the drawing. It shows
  • Figure 1 is a side view of
  • Figure 2 is a plan view of the operating table.
  • FIG. 3 shows, on the basis of a view of the operating table, the devices for mounting the patient's arms and, at the foot end of the table, the mounting for a central extension, which is shown in FIG
  • Figure 5 is shown in side view.
  • Figure 6 shows a side view of a step holder that can be inserted into the table
  • the operating table shown in side view in FIG. 1 has a chassis which is designated in its entirety by 1 and is described in more detail below.
  • a telescopically variable column is attached, the lower part with 2 and the upper part with 3.
  • the upper part 3 of the column is connected in its entirety with 4 designated storage area, which in turn carries a table top 5.
  • the bearing surface 4 is not full-surface, but rather, for example, frame-like, and the table top 5 consists of a radiation-permeable material, for example of wood.
  • the column 2, 3 can be extended or shortened in order to raise or lower the bearing surface 4 and the table top 5 in the direction of their vertical longitudinal axis, designated z in FIG.
  • crankcase 7 there is a transmission gear connected to the propeller shaft 6, so that the hand crank can either be plugged directly onto the propeller shaft 6 or onto the drive axis of the gearbox, so that the table can be raised or lowered at a lower or higher speed
  • a joint is arranged between the upper part 3 of the column and the bearing surface 4, the axis x of which runs horizontally and parallel to the table top 5.
  • the table By actuating the drive of this joint, which is not shown in detail in the drawing, the table is tilted about its longitudinal axis. The tilting movement is possible on both sides, but only by limited angular amounts.
  • the drive shaft is accessible from both narrow sides of the table, so that the hand crank used for the drive can optionally be attached to one or the other side of the table.
  • the gear which is expediently designed as a worm gear, is either self-locking or provided with a lock to prevent unintentional tipping movements.
  • a swivel joint by means of which the table top 5 can be rotated about an axis running perpendicular to it, which is designated z in FIG. 1.
  • the rotary movement can take place in both directions, but only by limited angular amounts.
  • the drive of the swivel joint is designed in a similar manner to that of the tilt joint.
  • the chassis designated in its entirety by 1 has two bars 8 running parallel to one another and two bars 9 running at an angle to one another.
  • Fixed rollers 10 are arranged in the bars 9, which point to the foot end of the table, while there are 8 castors 11 on the bars pointing to the head end of the table.
  • castors 11 On the castors 11 there are braking devices and locking devices, the actuation of which can prevent any unintentional movement of the chassis 1.
  • FIG. 2 there are 4 device carrier rails 12, 13 and 14 on the bearing surface, which serve for fastening supports and other devices, depending on how and where they are used.
  • a side support 15 is inserted into a device support rail 12, which supports the patient when the table is inclined about its longitudinal axis x.
  • FIG. 2 denotes an extendable arm section, which can be better seen in FIG. 3, a view of the bearing surface 4 while leaving the table top 5.
  • the arm section 16 is fastened to a rectangular frame consisting of rods 17 and cross members 18, namely depending on the need for one or the other of the crossbeams 18.
  • the arm section 16 can be pivoted un the longitudinal axis of the crossbeam 18 and can be locked in any angular position by toggle locks 19.
  • the rods 17 are displaceable together in the longitudinal direction by a drive (not shown in the drawing) located in the substructure 4.
  • the drive has a self-locking transmission, the drive shaft of which ends in the crankcase 7
  • a receiving opening 20 for the step holder 21 shown in FIGS. 6 and 7 is arranged in the bearing surface 4 and penetrates the table top 5.
  • the receiving opening 20 has a square cross section which corresponds to the square step foot 22.
  • a step holder head 24 is connected to the step holder foot 22 via a plate 23 and in such a way that it is arranged eccentrically to the step holder foot 22.
  • FIGS. 1 to 3 there is a receiving channel 25 which runs horizontally and in the longitudinal direction of the table in the bearing surface 4 below the table top 5.
  • the receiving channel 25 has a square cross section and serves to receive a central extension 26, a beam-shaped body with a square cross-section.
  • the central extension 26 is longitudinally displaceable in the receiving channel 25 and can be locked in it by a knob 27 in the desired position.
  • the central extension 26 is part of a spar arrangement.
  • This spar arrangement which generally serves to hold the patient's legs, is shown in a top view in FIG. 4 and in a side view in FIG.
  • two joints 28 are arranged symmetrically to the longitudinal axis of the central extension.
  • the joints 28 have vertical axes and serve to connect two intermediate spars 29 to the central extension 26.
  • the intermediate bars 29 can be pivoted independently of one another in a horizontal plane against the longitudinal axis of the central extension 26 by means of the joints 28 and can be locked in any position by toggle locks 30.
  • End bars 32 are connected to the intermediate bars 29 via joints 31.
  • the axes of the joints 31 run horizontally, so that the end bars 33 can be pivoted up and down in vertical planes against the intermediate bars 29, whereby they can be locked in the desired position by toggle fasteners 33.
  • Extension slides 14 can be moved on the end bars 32.
  • the end rails 32 are designed as toothed racks and in the extension slides 34 there are toothed drives which are actuated by hand in order to move the extension slides 34 on the end rails 32 into the desired position.
  • the pinions of the extension slides 34 are provided with unlockable backstops, which prevent an unintentional movement of the extension slides on the end rails, which would otherwise be possible due to the high weight of the extension slides.
  • the extension slides 34 are provided with locking devices which serve to fix the positions of the extension slides 34 on the end rails 32 as desired.
  • extension slides 34 on which foot plates or other devices for attaching the patient's feet can be attached, the connection of these parts, not shown in the drawing, to the support brackets 35 being expediently carried out via lockable ball joints .
  • the extension slide 34 can be used on each of the end rails 32, so that their displaced support supports 35 can be arranged either between the end rails or outside the end rails.
  • the unlockability of the pinions or backstops in the extension slide 34 makes it possible to first bring these slides into the desired position on the end rails 32 by hand and then to actuate them with the help of handwheels, for example To move pinions in the way necessary to set up a break.
  • the joints 28 and 31 make it possible to bring the intermediate bars 29 and in particular the end bars 32 into a space-saving stowage position when the table is not in use, if the entire bar arrangement is not removed from the table when stowing, by pulling the central extension 26 out of the receiving channel 25 .
  • To adjust the spar arrangement to the patient's body mass only the suitable positioning of the central extension 26 in the receiving channel 25 is required, not manipulations on two spars.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Disintegrating Or Milling (AREA)
  • Ladders (AREA)
  • Treatments For Attaching Organic Compounds To Fibrous Goods (AREA)
  • Passenger Equipment (AREA)
  • Spinning Or Twisting Of Yarns (AREA)

Claims (11)

1. Table d'opérations, particulièrement pour pendre soin de blessés d'accident, dont la plaque de table (5) est culbutable autour d'un axe (x) s'étendant parallèlement à son axe longitudinal, et rotative autour d'un axe perpendiculaire sur celui-ci, l'axe de renversement (x) s'étendant au dessous de la plaque de table (5) espacé de celle-ci, caractérisée par le fait qu'une articulation tournante destinée à la rotation de la plaque de table (5) autour de l'axe perpendiculaire sur elle, est disposée entre l'axe de renversement (x) et la plaque de table (5).
2. Table d'opérations selon la revendication 1, caractérisée par un chariot (1) présentant deux barres (8) s'étendant parallèlement, et deux barres (9) s'étendant angulairement l'une relativement à l'autre.
3. Table d'opérations selon la revendication 2, caractérisée par le fait que les barres s'étendant parallèlement (8) visent vers la tête de la plaque de table (5).
4. Table d'opérations selon la revendication 2 ou 3, caractérisée par le fait que des poulies de guidage (11) sont disposées aux extrémités des barres (8) parallèles.
5. Table d'opérations selon l'une ou plusieurs des revendications 1-4, caractérisée par le fait qu'un glissoir (17, 18) déplacable parallèlement à la plaque de table et en direction transversale de celle-ci, est disposé sous la plaque de table (5), des dispositifs d'allongement des bras (16) étant montables aux extrémités du glissoir montrant vers les arêtes longitudinales de la plaque de table (5).
6. Table d'opérations selon la revendication 5, caractérisée par le fait que les dispositifs d'allongement des bras sont arrêtables (19) et pivotables autour d'axes (18) s'étendant parallèlement aux arêtes longitudinales de la plaque de table (5).
7. Table d'opérations selon l'une ou plusieurs des revendications 1-6, caractérisée par une disposition de barres destinée à reçevoir les jambes du patient, et dont les barres (32) sont pivotables chacune autour d'un axe (28) s'étendant perpendiculairement sur la plaque de table (5) et autour d'un axe (31) s'étendant parallèlement à la petite arête de la plaque de table (5).
8. Table d'opérations selon la revendication 7, caractérisée par le fait que des glissoires d'extension (34) sont déplacables sur les barres (32).
9. Table d'opérations selon la revendication 7 ou 8, caractérisée par le fait que la disposition de barres a un dispositif d'étirage central (26) en forme de poutre, auquel deux barres intermédiaires (29) sont raccordées par deux articulations ayant des axes perpendiculaires (28), une barre finale (32) étant raccordée à chacune des barres intermédiaires (29) par une articulation ayant des axes horizontaux (31).
10. Table d'opérations selon la revendication 9, caractérisée par le fait que le dispositif d'étirage central (29) est déplacable et arrêtable dans une conduite de réception (25) disposée au dessous de la plaque de table (5) et s'étendant parallèlement à la plaque de table (5) et dans sa direction longitudinale.
11. Table d'opérations selon l'une ou plusieurs des revendications 1-10, caractérisée par une ouverture de réception (20) passant par la plaque de table (5) et ayant la section transversale d'un polygone régulier pour le pied (22) d'un support d'entre-jambes (21) ayant une section transversale correspondante, le pied et la tête du support d'entre-jambes (21) étant reliés excentriquement.
EP87111251A 1986-08-05 1987-08-04 Table d'opération, particulièrement pour le soin des accidentés Expired - Lifetime EP0255938B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT87111251T ATE60898T1 (de) 1986-08-05 1987-08-04 Operationstisch, insbesondere zur versorgung unfallverletzter.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP86110806 1986-08-05
EP86110806 1986-08-05

Publications (3)

Publication Number Publication Date
EP0255938A2 EP0255938A2 (fr) 1988-02-17
EP0255938A3 EP0255938A3 (en) 1988-09-07
EP0255938B1 true EP0255938B1 (fr) 1991-02-20

Family

ID=8195318

Family Applications (1)

Application Number Title Priority Date Filing Date
EP87111251A Expired - Lifetime EP0255938B1 (fr) 1986-08-05 1987-08-04 Table d'opération, particulièrement pour le soin des accidentés

Country Status (3)

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EP (1) EP0255938B1 (fr)
AT (1) ATE60898T1 (fr)
DE (1) DE3768059D1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102017124315A1 (de) 2017-10-18 2019-04-18 Condor Gmbh Medicaltechnik Seitenstütze an einem OP- oder Röntgentisch

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE297104C (fr) *
DE66409C (de) * E. MÜLLER in München Glieder-Streckapparat
GB481836A (en) * 1937-05-14 1938-03-18 Adam Gruca Improved operating table particularly for use in orthopaedic surgery
US2258782A (en) * 1939-12-19 1941-10-14 Rogers W Mckean Physician's examining table
DE1054663B (de) * 1955-12-10 1959-04-09 Schuster & Schmidt Masch Operationstisch
GB1312050A (en) * 1970-02-24 1973-04-04 Hugus Mek Verkstad Ab Arrangement in operation tables for big animals
DE8621065U1 (de) * 1986-08-06 1986-11-13 Krips, Franz Josef, Dr. med., 4048 Grevenbroich Operationstisch, insbesondere zur Versorgung Unfallverletzter

Also Published As

Publication number Publication date
EP0255938A2 (fr) 1988-02-17
ATE60898T1 (de) 1991-03-15
EP0255938A3 (en) 1988-09-07
DE3768059D1 (de) 1991-03-28

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