EP1785119B1 - Operating table - Google Patents

Operating table Download PDF

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Publication number
EP1785119B1
EP1785119B1 EP06123598A EP06123598A EP1785119B1 EP 1785119 B1 EP1785119 B1 EP 1785119B1 EP 06123598 A EP06123598 A EP 06123598A EP 06123598 A EP06123598 A EP 06123598A EP 1785119 B1 EP1785119 B1 EP 1785119B1
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EP
European Patent Office
Prior art keywords
bed
operating table
column
bearing surface
operating
Prior art date
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Active
Application number
EP06123598A
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German (de)
French (fr)
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EP1785119A1 (en
Inventor
Markus Bürstner
Thomas Biehl
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Maquet GmbH
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Maquet GmbH
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Priority to PL06123598T priority Critical patent/PL1785119T3/en
Publication of EP1785119A1 publication Critical patent/EP1785119A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/08Adjustable operating tables; Controls therefor the table being divided into different adjustable sections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/128Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
    • A61G13/1285Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having modular surface parts, e.g. being replaceable or turnable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/10General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
    • A61G2203/12Remote controls
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort
    • A61G2203/80General characteristics of devices with special adaptations, e.g. for safety or comfort for connecting a trolley to a device, e.g. bed or column table

Definitions

  • the present invention relates to an operating table according to the preamble of claim 1.
  • Such an operating table is known from DE 197 51 320 A1 known.
  • the operating device is typically a portable remote control, which communicates with a control unit which is arranged in the column of the operating table.
  • the adjustment commands are transmitted to the control unit of the column.
  • the control unit of the column controls in response to the received adjustment signals to the actuators of the operating table, by which this is adjusted.
  • On the one hand actuates the electronic control unit on the one hand actuators within the column, whereby the position of the bearing surface is adjusted as a whole, on the other hand via a signal coupling between the column and the bearing surface actuators of the bearing surface, whereby the different segments of the bearing surface are adjusted relative to each other.
  • the bearing surface is mounted on the column, thereby both the position of the bearing surface as a whole, as well as the shape of the bearing surface can be adjusted in many ways, so that the patient can be optimally stored during the operation.
  • the storage area is used not only under the operation but also for pre- and post-operative transport to and from the operating room.
  • the bearing surface is set in a level position that is best suited for transferring a patient from and to the bearing surface.
  • the flat position of the bearing surface is not ideal for medical and physiological reasons.
  • some anesthetics that are introduced into the operating room prior to transportation may require positioning of the patient with the upper body raised, such as peridual anesthesia.
  • peridual anesthesia is at the from the DE 197 51 320 A1 known operating table, the storage area directly connected to the control unit.
  • the adjustment commands for adjusting the segments of the bearing surface relative to each other are transmitted to the actuators of the bearing surface, and the adjustment commands for adjusting the column-side actuators are transmitted via a signal coupling to the column.
  • storage surfaces used in conjunction with the operating table column are necessarily equipped with all adjustment functions.
  • storage areas can be used, which can not be adjusted in itself. In this case, even such simple storage areas would have to have an input for the cable of the operating device in order to transmit the adjustment commands to the operating table pillar via the bearing surface and the signal coupling. This would make the storage area more complicated in its construction than it would have to be in terms of its function.
  • the object of the invention is to allow for an operating table of the type mentioned also the use of storage areas that are not or only partially adjustable.
  • the adjustment of the operating table preferably comprises an adjustment of segments of the bearing surface relative to each other and additionally one or more of the following adjustments of the bearing surface as a whole: a height adjustment of the bearing surface, a rotation of the bearing surface about a vertical axis, a tilting of the bearing surface about its transverse axis, a Tilting of the bearing surface about its longitudinal axis and a translation of the bearing surface in its longitudinal direction.
  • the bearing surface comprises a first electronic control unit having an input for adjustment commands and which is programmed to generates control signals for the actuators for adjusting the operating table from the adjustment commands received via the input.
  • a second electronic control unit which has an input for adjustment commands and which is programmed so that it generates control signals for actuators for adjusting the operating table from the adjustment commands received via its input.
  • the bearing surface has electrically driven actuators for adjusting their segments relative to one another and an electrical connection for a mobile voltage source.
  • the mobile power source may then provide the electrical voltage to actuate the actuators during pre- and postoperative bearing surface transfer.
  • the invention further relates to an operating system comprising an adjustable operating table, which has a column on which an adjustable bearing surface is releasably secured, a device for adjusting the operating table according to one of the embodiments described above and a trolley, which is used to transport the bearing surface is suitable with a patient mounted thereon, wherein the transport carriage comprises a voltage source which is suitable to supply the actuators of the bearing surface with voltage.
  • the bearing surface and the column via a column coupling simultaneously both mechanically and electrically connectable and a coupling part is provided on the trolley, which is mechanically and electrically coupled with a bearing surface side coupling part of the column coupling.
  • the bearing surface for pre- and postoperative transfer can be attached to the trolley in the same way as it is attached to the operating table pillar for the operation, in particular, the electrical power supply for the actuators of the storage area is automatically included.
  • FIG.1 an operating table 10 is shown in a side view, which is adjustable with a device according to a development of the invention.
  • the operating table 10 comprises a column 12 with a column head 14 to which a bearing surface 16 is releasably secured.
  • the bearing surface 16 comprises six segments 18a to 18f, which are adjustable relative to each other.
  • a socket 20 is provided, into which a cable of an operating device (in Fig.1 not shown) with an associated plug can be inserted.
  • An identical bush 22 is also arranged on the column head 14.
  • a device 24 is provided for adjusting the same according to a development of the invention, which in Fig.2 is shown in a block diagram.
  • the device 24 further comprises an operating device 26, to which a cable 28 is attached, which in Fig.2 is inserted into the socket 20 of the bearing surface 16.
  • the cable 28 in the development of the device 24 of Fig.2 be plugged into the socket 22 of the column 12, which is indicated by the dashed line of the cable 28 in Fig.2 is indicated.
  • the case where the cable 28 is inserted into the socket 22 of the pillar 12 will be described below separately.
  • the operating device 26 has a control surface 30 on which a plurality of buttons or buttons is provided. Adjustment commands for adjusting the operating table 10 can be entered via these buttons or buttons.
  • the adjustment commands entered into the operating device 26 are input via the cable 28 and the socket 20 into a first electronic control unit 32, which is contained in the bearing surface 16.
  • the electronic control unit 32 in response to the adjustment commands from the operating device 26, actuates actuators 34a to 34f through which the segments 18a to 18f (see FIG Fig.1 ) are adjustable relative to each other.
  • the first electronic control unit 32 sends control signals via a signal coupling 36 provided between the pillar 12 and the bearing surface 16 to a second electronic control unit 38 provided in the pillar 12.
  • These control signals represent, among other things, the adjustment commands, which relate to an adjustment of the column 12 of the column head 14.
  • a voltage source 42 is also provided, via which the actuators 40a to 40c of the column 12 are supplied with voltage. If the bearing surface 16 is fixed on the column head 14 of the column 12 via a column coupling not described here, an electrical connector 44 is closed in addition to a mechanical connection and the closing of the signal coupling 36, via which the bearing surface 16 with the voltage source 42 of the column 12th is connected. Thereby, the electric voltage for operating the actuators 34a to 34f of the bearing surface 16 is provided.
  • the control unit 26 can be left with its cable 28 plugged into the socket 20.
  • the bearing surface 16 is mounted on a trolley (not shown) comprising a mobile power source.
  • a trolley (not shown) comprising a mobile power source.
  • the actuators 34a to 34f can also be actuated when the bearing surface 16 is mounted on the transport carriage.
  • the bearing surface 16 can be adjusted on the trolley with the same operating device 26 as under the operation.
  • all adjustment functions of the bearing surface 16 are in principle also available during the pre- and post-operative transfer of the bearing surface 16, whereby the patient can be stored optimally.
  • the operating device In conventional operating tables, the operating device is not in the storage area, but only in the column plugged, for example via a socket similar to the sleeve 22 of the column 12 of Fig.2 , During operation, the operating device 26 is often attached to the bearing surface 16. In conventional systems, if the HMI device is inadvertently hung on the bearing surface and left plugged into the column, the connection cable may be damaged when attempting to transport the bearing surface out of the operating room. This danger is at the device 24 of Fig.2 thereby eliminating the fact that the cable 28 is regularly inserted in the bush 20 of the bearing surface 16.
  • the device is 24 of Fig.2
  • a socket 22 provided on the column in which the cable 28 of the operating device 26 can be inserted.
  • the additional socket 22 on the column 12 is advantageous when simpler storage areas than those in Fig.1 and 2 shown bearing surface 16 are used, which are in themselves little or no adjustable. In such simple storage areas, it would be very expensive to provide an extra input for the adjustment commands, only to then transfer them via the bearing surface in the column 12 in order to control the actuators 40a to 40c of the column 12. In such cases, it is easier to insert the cable 28 of the operating device 26 directly via the socket 22 of FIG. 12.

Abstract

The device has a storage area (16), which is detachably fixed to a column (12). An operating unit (26) is provided for the input of adjusting instructions for adjusting an operation table (10). A cable (28) and a connector (20) are provided for direct transfer of the instructions from the operating unit to the area. One end of the cable is connected with the operating unit and the other end of the cable is connected with the area.

Description

Die vorliegende Erfindung betrifft einen Operationstisch gemäß dem Oberbegriff des Anspruchs 1. Ein solcher Operationstisch ist aus der DE 197 51 320 A1 bekannt.The present invention relates to an operating table according to the preamble of claim 1. Such an operating table is known from DE 197 51 320 A1 known.

Bei bekannten Einrichtungen der eingangs genannten Art ist das Bediengerät typischerweise eine tragbare Fernbedienung, die mit einer Steuereinheit kommuniziert, die in der Säule des OP-Tisches angeordnet ist. Die Verstellbefehle werden auf die Steuereinheit der Säule übertragen. Die Steuereinheit der Säule steuert dann in Antwort auf die empfangenen Verstellsignale die Aktuatoren des Operationstisches an, durch die dieser verstellt wird. Dabei steuert die elektronische Steuereinheit einerseits Aktuatoren innerhalb der Säule an, wodurch die Lage der Lagerfläche als Ganzes verstellt wird, andererseits über eine Signalkupplung zwischen der Säule und der Lagerfläche Aktuatoren der Lagerfläche, wodurch die unterschiedlichen Segmente der Lagerfläche relativ zueinander verstellt werden. Wenn die Lagerfläche auf der Säule befestigt ist, lässt sich dadurch sowohl die Lage der Lagerfläche als Ganzes, als auch die Form der Lagerfläche auf vielfältige Weise verstellen, so dass der Patient unter der Operation optimal gelagert werden kann.In known devices of the type mentioned above, the operating device is typically a portable remote control, which communicates with a control unit which is arranged in the column of the operating table. The adjustment commands are transmitted to the control unit of the column. The control unit of the column then controls in response to the received adjustment signals to the actuators of the operating table, by which this is adjusted. On the one hand actuates the electronic control unit on the one hand actuators within the column, whereby the position of the bearing surface is adjusted as a whole, on the other hand via a signal coupling between the column and the bearing surface actuators of the bearing surface, whereby the different segments of the bearing surface are adjusted relative to each other. If the bearing surface is mounted on the column, thereby both the position of the bearing surface as a whole, as well as the shape of the bearing surface can be adjusted in many ways, so that the patient can be optimally stored during the operation.

Die Lagerfläche wird jedoch nicht nur unter der Operation, sondern auch zum prä- und postoperativen Transport in und aus dem Operationssaal verwendet. Für diesen prä- und postoperativen Lagerflächentransfer wird die Lagerfläche in eine ebene Stellung eingestellt, die zum Umbetten eines Patienten von der und auf die Lagerfläche am besten geeignet ist.However, the storage area is used not only under the operation but also for pre- and post-operative transport to and from the operating room. For this pre- and postoperative bearing surface transfer, the bearing surface is set in a level position that is best suited for transferring a patient from and to the bearing surface.

In vielen Fällen ist jedoch die ebene Stellung der Lagerfläche aus medizinischen und physiologischen Gründen nicht ideal. Insbesondere können manche Narkosen, die bereits vor dem Transport in den Operationssaal eingeleitet werden, eine Lagerung des Patienten mit angehobenem Oberkörper erforderlich machen, wie beispielsweise eine Peridualanästhesie. Zu diesem Zweck ist bei dem aus der DE 197 51 320 A1 bekannten Operationstisch die Lagerfläche direkt mit dem Bediengerät verbunden.In many cases, however, the flat position of the bearing surface is not ideal for medical and physiological reasons. In particular, some anesthetics that are introduced into the operating room prior to transportation may require positioning of the patient with the upper body raised, such as peridual anesthesia. For this purpose is at the from the DE 197 51 320 A1 known operating table, the storage area directly connected to the control unit.

Wenn das Kabel des Bediengerätes in der Lagerfläche eingesteckt ist, werden die Verstellbefehle zum Verstellen der Segmente der Lagerfläche relativ zueinander an die Aktuatoren der Lagerfläche übertragen, und die Verstellbefehle zum Verstellen der säulenseitigen Aktuatoren werden über eine Signalkupplung auf die Säule übertragen. Jedoch sind nicht notwendigerweise alle Lagerflächen, die in Verbindung mit der Operationstisch-Säule verwendet werden, mit sämtlichen Verstellfunktionen ausgestattet. Insbesondere können auch Lagerflächen zur Anwendung kommen, die sich in sich gar nicht verstellen lassen. In diesem Fall müssten auch solche einfachen Lagerflächen einen Eingang für das Kabel des Bediengeräts haben, um über die Lagerfläche und die Signalkupplung die Verstellbefehle auf die Operationstisch-Säule zu übertragen. Dadurch würde die Lagerfläche in ihrem Aufbau komplizierter, als sie es von ihrer Funktion her sein müsste.When the cable of the operating device is inserted in the bearing surface, the adjustment commands for adjusting the segments of the bearing surface relative to each other are transmitted to the actuators of the bearing surface, and the adjustment commands for adjusting the column-side actuators are transmitted via a signal coupling to the column. However, not all storage surfaces used in conjunction with the operating table column are necessarily equipped with all adjustment functions. In particular, storage areas can be used, which can not be adjusted in itself. In this case, even such simple storage areas would have to have an input for the cable of the operating device in order to transmit the adjustment commands to the operating table pillar via the bearing surface and the signal coupling. This would make the storage area more complicated in its construction than it would have to be in terms of its function.

Aufgabe der Erfindung ist es, bei einem Operationstisch der eingangs genannten Art auch die Verwendung von Lagerflächen zu gestatten, die gar nicht oder nur teilweise verstellbar sind.The object of the invention is to allow for an operating table of the type mentioned also the use of storage areas that are not or only partially adjustable.

Hierzu wird vorgeschlagen, an der Operationstisch-Säule ein weiteres Steckverbindungselement anzuordnen, an dem das Kabel des Bediengerätes einsteckbar ist, so dass die Verstellbefehle, die die Operationstisch-Säule betreffen, direkt in die Säule eingegeben werden können und nicht zwangsläufig den Umweg über die Lagerfläche nehmen müssen. Außerdem lassen sich dadurch bereits im Bestand vorhandene Lagerflächen, an denen das Kabel des Bediengeräts nicht einsteckbar ist, im gleichen System weiter verwenden. Das Bediengerät kann wahlweise an der Lagerfläche oder an der Säule eingesteckt werden.For this purpose, it is proposed to arrange on the operating table column another connector element on which the cable of the operating device can be inserted is, so that the adjustment commands that relate to the operating table column can be entered directly into the column and not necessarily have to take the detour over the storage area. In addition, existing storage areas on which the cable of the HMI device can not be plugged in can continue to be used in the same system. The HMI device can optionally be plugged into the storage area or on the column.

Das Verstellen des Operationstisches umfasst vorzugsweise eine Verstellung von Segmenten der Lagerfläche relativ zueinander und zusätzlich eine oder mehrere der folgenden Verstellungen der Lagerfläche als ganzes: eine Höhenverstellung der Lagerfläche, eine Drehung der Lagerfläche um eine vertikale Achse, eine Kippung der Lagerfläche um ihre Querachse, eine Kippung der Lagerfläche um ihre Längsachse und eine Translation der Lagerfläche in ihrer Längsrichtung.The adjustment of the operating table preferably comprises an adjustment of segments of the bearing surface relative to each other and additionally one or more of the following adjustments of the bearing surface as a whole: a height adjustment of the bearing surface, a rotation of the bearing surface about a vertical axis, a tilting of the bearing surface about its transverse axis, a Tilting of the bearing surface about its longitudinal axis and a translation of the bearing surface in its longitudinal direction.

Vorzugsweise umfasst die Lagerfläche eine erste elektronische Steuereinheit, die einen Eingang für Verstellbefehle hat und die so programmiert ist, dass sie aus den über den Eingang empfangenen Verstellbefehlen Steuersignale für die Aktuatoren zum Verstellen des Operationstisches erzeugt.Preferably, the bearing surface comprises a first electronic control unit having an input for adjustment commands and which is programmed to generates control signals for the actuators for adjusting the operating table from the adjustment commands received via the input.

Vorzugsweise ist in der Operationstisch-Säule eine zweite elektronische Steuereinheit vorgesehen, die einen Eingang für Verstellbefehle hat und die so programmiert ist, dass sie aus den über ihren Eingang empfangenen Verstellbefehlen Steuersignale für Aktuatoren zum Verstellen des Operationstisches erzeugt.Preferably, in the operating table column, a second electronic control unit is provided which has an input for adjustment commands and which is programmed so that it generates control signals for actuators for adjusting the operating table from the adjustment commands received via its input.

Vorzugsweise hat die Lagerfläche elektrisch angetriebene Aktuatoren zum Verstellen ihrer Segmente relativ zueinander und einen elektrischen Anschluss für eine mobile Spannungsquelle. Die mobile Spannungsquelle kann dann während des prä- und postoperativen Lagerflächentransfers die elektrische Spannung zum Betätigen der Aktuatoren bereitstellen.Preferably, the bearing surface has electrically driven actuators for adjusting their segments relative to one another and an electrical connection for a mobile voltage source. The mobile power source may then provide the electrical voltage to actuate the actuators during pre- and postoperative bearing surface transfer.

Die Erfindung betrifft ferner ein OP-System, umfassend einen verstellbaren Operationstisch, welcher eine Säule hat, auf der eine verstellbare Lagerfläche lösbar zu befestigen ist, eine Einrichtung zum Verstellen des Operationstisches nach einer der oben beschriebenen Weiterbildungen und einen Transportwagen, der zum Transportieren der Lagerfläche mit einem darauf gelagerten Patienten geeignet ist, wobei der Transportwagen eine Spannungsquelle umfasst, die geeignet ist, die Aktuatoren der Lagerfläche mit Spannung zu versorgen.The invention further relates to an operating system comprising an adjustable operating table, which has a column on which an adjustable bearing surface is releasably secured, a device for adjusting the operating table according to one of the embodiments described above and a trolley, which is used to transport the bearing surface is suitable with a patient mounted thereon, wherein the transport carriage comprises a voltage source which is suitable to supply the actuators of the bearing surface with voltage.

Vorzugsweise sind bei dem OP-System ferner die Lagerfläche und die Säule über eine Säulenkupplung gleichzeitig sowohl mechanisch als auch elektrisch verbindbar und ist an dem Transportwagen ein Kupplungsteil vorgesehen, welches mit einem lagerflächenseitigen Kupplungsteil der Säulenkupplung mechanisch und elektrisch kuppelbar ist. Dadurch kann die Lagerfläche zum prä- und postoperativen Transfer auf die gleiche Weise am Transportwagen befestigt werden, wie sie für die Operation an der Operationstisch-Säule befestigt wird, wobei insbesondere die elektrische Stromversorgung für die Aktuatoren der Lagerfläche automatisch mitangeschlossen wird.Preferably, in the surgical system further, the bearing surface and the column via a column coupling simultaneously both mechanically and electrically connectable and a coupling part is provided on the trolley, which is mechanically and electrically coupled with a bearing surface side coupling part of the column coupling. Thereby, the bearing surface for pre- and postoperative transfer can be attached to the trolley in the same way as it is attached to the operating table pillar for the operation, in particular, the electrical power supply for the actuators of the storage area is automatically included.

Zum besseren Verständnis der vorliegenden Erfindung wird im Folgenden auf das in den Zeichnungen dargestellte bevorzugte Ausführungsbeispiel Bezug genommen, welches anhand spezifischer Terminologie beschrieben ist. Es sei jedoch darauf hingewiesen, dass der Schutzumfang der Erfindung dadurch nicht eingeschränkt werden soll, da derartige Veränderungen und weitere Modifizierungen an der gezeigten Einrichtung sowie derartige weitere Anwendungen der Erfindung, wie sie darin aufgezeigt sind, als übliches derzeitiges und künftiges Fachwissen eines zuständigen Fachmanns angesehen werden. Die Figuren zeigen ein Ausführungsbeispiel der Erfindung, nämlich

  • Fig.1 eine Seitenansicht eines Operationstisches und
  • Fig.2 ein Blockdiagramm, in dem der Operationstisch und ein Bediengerät schematisch dargestellt sind.
For a better understanding of the present invention, reference will now be made to the preferred embodiment illustrated in the drawings, which is described by reference to specific terminology. It should be understood, however, that the scope of the invention should not be so limited since such alterations and other modifications to the illustrated device, as well as such other uses of the invention as set forth herein, are deemed to be the common present and future knowledge of a person skilled in the art become. The figures show an embodiment of the invention, namely
  • Fig.1 a side view of a surgical table and
  • Fig.2 a block diagram in which the operating table and an operating device are shown schematically.

In Fig.1 ist ein Operationstisch 10 in einer Seitenansicht dargestellt, der mit einer Einrichtung nach einer Weiterbildung der Erfindung verstellbar ist. Der Operationstisch 10 umfasst eine Säule 12 mit einem Säulenkopf 14, an dem eine Lagerfläche 16 lösbar befestigt ist. Die Lagerfläche 16 umfasst sechs Segmente 18a bis 18f, die relativ zueinander verstellbar sind. An der Lagerfläche 16 ist eine Buchse 20 vorgesehen, in die ein Kabel eines Bediengerätes (in Fig.1 nicht gezeigt) mit einem zugehörigen Stecker einsteckbar ist. Eine identische Buchse 22 ist auch am Säulenkopf 14 angeordnet.In Fig.1 an operating table 10 is shown in a side view, which is adjustable with a device according to a development of the invention. The operating table 10 comprises a column 12 with a column head 14 to which a bearing surface 16 is releasably secured. The bearing surface 16 comprises six segments 18a to 18f, which are adjustable relative to each other. On the bearing surface 16, a socket 20 is provided, into which a cable of an operating device (in Fig.1 not shown) with an associated plug can be inserted. An identical bush 22 is also arranged on the column head 14.

Bei dem Operationstisch 10 von Fig.1 ist eine Einrichtung 24 zum Verstellen desselben nach einer Weiterbildung der Erfindung vorgesehen, die in Fig.2 in einem Blockdiagramm dargestellt ist.At the operating table 10 of Fig.1 a device 24 is provided for adjusting the same according to a development of the invention, which in Fig.2 is shown in a block diagram.

Im Blockdiagramm von Fig.2 sind die Säule 12 und die Lagerfläche 16 schematisch dargestellt. Die Einrichtung 24 umfasst ferner ein Bediengerät 26, an dem ein Kabel 28 befestigt ist, welches in Fig.2 in die Buchse 20 der Lagerfläche 16 eingesteckt ist. Alternativ kann das Kabel 28 bei der Weiterbildung der Einrichtung 24 von Fig.2 auch in die Buchse 22 der Säule 12 eingesteckt werden, was durch die gestrichelte Darstellung des Kabels 28 in Fig.2 angedeutet ist. Der Fall, bei dem das Kabel 28 in die Buchse 22 der Säule 12 eingesteckt ist, wird unten separat beschrieben.In the block diagram of Fig.2 the column 12 and the bearing surface 16 are shown schematically. The device 24 further comprises an operating device 26, to which a cable 28 is attached, which in Fig.2 is inserted into the socket 20 of the bearing surface 16. Alternatively, the cable 28 in the development of the device 24 of Fig.2 be plugged into the socket 22 of the column 12, which is indicated by the dashed line of the cable 28 in Fig.2 is indicated. The case where the cable 28 is inserted into the socket 22 of the pillar 12 will be described below separately.

Das Bediengerät 26 hat eine Bedienfläche 30, auf der eine Mehrzahl von Knöpfen oder Tasten vorgesehen ist. Über diese Knöpfe oder Tasten können Verstellbefehle zum Verstellen des Operationstisches 10 eingegeben werden.The operating device 26 has a control surface 30 on which a plurality of buttons or buttons is provided. Adjustment commands for adjusting the operating table 10 can be entered via these buttons or buttons.

Die in das Bediengerät 26 eingegebenen Verstellbefehle werden über das Kabel 28 und die Buchse 20 in eine erste elektronische Steuereinheit 32 eingegeben, die in der Lagerfläche 16 enthalten ist. Die elektronische Steuereinheit 32 steuert in Antwort auf die Verstellbefehle aus dem Bediengerät 26 Aktuatoren 34a bis 34f an, durch welche die Segmente 18a bis 18f (siehe Fig.1) relativ zueinander verstellbar sind. Ferner sendet die erste elektronische Steuereinheit 32 Steuersignale über eine Signalkupplung 36, die zwischen der Säule 12 und der Lagerfläche 16 vorgesehen ist, zu einer zweiten elektronischen Steuereinheit 38, die in der Säule 12 vorgesehen ist. Diese Steuersignale repräsentieren u.a. die Verstellbefehle, die eine Verstellung der Säule 12 des Säulenkopfes 14 betreffen. Dies sind insbesondere Befehle durch die die Lagerfläche 16 als ganzes verstellt wird, und sie betreffen im gezeigten Ausführungsbeispiel eine Höhenverstellung der Lagerfläche 16, eine Drehung der Lagerfläche 16 um eine vertikale Achse, eine Kippung der Lagerfläche 16 um ihre Quer- oder Längsachse und eine Translation der Lagerfläche 16 in ihrer Längsrichtung. Um diese Verstellung durchzuführen steuert die zweite elektronische Steuereinheit 38 geeignete Aktuatoren 40a bis 40c der Säule 12 an.The adjustment commands entered into the operating device 26 are input via the cable 28 and the socket 20 into a first electronic control unit 32, which is contained in the bearing surface 16. The electronic control unit 32, in response to the adjustment commands from the operating device 26, actuates actuators 34a to 34f through which the segments 18a to 18f (see FIG Fig.1 ) are adjustable relative to each other. Further, the first electronic control unit 32 sends control signals via a signal coupling 36 provided between the pillar 12 and the bearing surface 16 to a second electronic control unit 38 provided in the pillar 12. These control signals represent, among other things, the adjustment commands, which relate to an adjustment of the column 12 of the column head 14. These are in particular commands by which the bearing surface 16 is adjusted as a whole, and they relate in the embodiment shown, a height adjustment of the bearing surface 16, a rotation of the bearing surface 16 to a vertical axis, a tilting of the bearing surface 16 about its transverse or longitudinal axis and a translation of the bearing surface 16 in its longitudinal direction. To perform this adjustment, the second electronic control unit 38 controls suitable actuators 40a to 40c of the column 12.

In der Säule 12 ist ferner eine Spannungsquelle 42 vorgesehen, über die die Aktuatoren 40a bis 40c der Säule 12 mit Spannung versorgt werden. Wenn die Lagerfläche 16 auf dem Säulenkopf 14 der Säule 12 über eine hier nicht näher beschriebene Säulenkupplung befestigt ist, wird neben einer mechanischen Verbindung und dem Schließen der Signalkupplung 36 eine elektrische Steckverbindung 44 geschlossen, über die die Lagerfläche 16 mit der Spannungsquelle 42 der Säule 12 verbunden wird. Dadurch wird die elektrische Spannung zum Betreiben der Aktuatoren 34a bis 34f der Lagerfläche 16 bereitgestellt.In the column 12, a voltage source 42 is also provided, via which the actuators 40a to 40c of the column 12 are supplied with voltage. If the bearing surface 16 is fixed on the column head 14 of the column 12 via a column coupling not described here, an electrical connector 44 is closed in addition to a mechanical connection and the closing of the signal coupling 36, via which the bearing surface 16 with the voltage source 42 of the column 12th is connected. Thereby, the electric voltage for operating the actuators 34a to 34f of the bearing surface 16 is provided.

Wenn die Lagerfläche 16 nach der Operation von der Säule 12 getrennt wird, um einen darauf gelagerten Patienten aus dem Operationssaal zu transportieren, kann das Bediengerät 26 mit seinem Kabel 28 in der Buchse 20 eingesteckt gelassen werden. Die Lagerfläche 16 wird auf einem Transportwagen (nicht gezeigt) befestigt, der eine mobile Spannungsquelle umfasst. Beim Befestigen der Lagerfläche 16 auf dem Transportwagen geht der lagerflächenseitige Teil der elektrischen Steckverbindung 44 eine Steckverbindung mit einem Verbinder des Transportwagens ein, über die die Lagerfläche 16 auf dem Transportwagen von dessen mobiler Spannungsquelle mit Spannung versorgt wird. Dadurch können die Aktuatoren 34a bis 34f auch dann betätigt werden, wenn die Lagerfläche 16 auf dem Transportwagen befestigt ist. Somit kann die Lagerfläche 16 auf dem Transportwagen mit demselben Bediengerät 26 verstellt werden, wie unter der Operation. Dadurch sind sämtliche Verstellfunktionen der Lagerfläche 16 prinzipiell auch während des prä- und postoperativen Transfers der Lagerfläche 16 verfügbar, wodurch der Patient optimal gelagert werden kann.When the bearing surface 16 is disconnected from the column 12 after operation to transport a patient stored therefrom from the operating room, the control unit 26 can be left with its cable 28 plugged into the socket 20. The bearing surface 16 is mounted on a trolley (not shown) comprising a mobile power source. When attaching the bearing surface 16 on the trolley of the bearing surface side part of the electrical connector 44 is a plug connection with a connector of the trolley, via which the bearing surface 16 is supplied on the trolley from its mobile power source with voltage. As a result, the actuators 34a to 34f can also be actuated when the bearing surface 16 is mounted on the transport carriage. Thus, the bearing surface 16 can be adjusted on the trolley with the same operating device 26 as under the operation. As a result, all adjustment functions of the bearing surface 16 are in principle also available during the pre- and post-operative transfer of the bearing surface 16, whereby the patient can be stored optimally.

Bei herkömmlichen Operationstischen ist das Bediengerät nicht in der Lagerfläche, sondern nur in der Säule einsteckbar, z.B. über eine Buchse ähnlich der Buchse 22 der Säule 12 von Fig.2. Während der Operation wird das Bediengerät 26 oft an der Lagerfläche 16 angehängt. Wenn bei herkömmlichen Systemen versehentlich das Bediengerät an der Lagerfläche eingehängt und an der Säule eingesteckt gelassen wird, kann das Verbindungskabel beim Versuch, die Lagerfläche aus dem Operationssaal zu transportieren, beschädigt werden. Diese Gefahr ist bei der Einrichtung 24 von Fig.2 dadurch ausgeräumt, dass das Kabel 28 regelmäßig in der Buchse 20 der Lagerfläche 16 eingesteckt ist.In conventional operating tables, the operating device is not in the storage area, but only in the column plugged, for example via a socket similar to the sleeve 22 of the column 12 of Fig.2 , During operation, the operating device 26 is often attached to the bearing surface 16. In conventional systems, if the HMI device is inadvertently hung on the bearing surface and left plugged into the column, the connection cable may be damaged when attempting to transport the bearing surface out of the operating room. This danger is at the device 24 of Fig.2 thereby eliminating the fact that the cable 28 is regularly inserted in the bush 20 of the bearing surface 16.

Trotzdem ist bei der Einrichtung 24 von Fig.2 zusätzlich eine Buchse 22 an der Säule vorgesehen, in der das Kabel 28 des Bediengerätes 26 einsteckbar ist. Die zusätzliche Buchse 22 an der Säule 12 ist dann von Vorteil, wenn einfachere Lagerflächen als die in Fig.1 und 2 gezeigte Lagerfläche 16 verwendet werden, die in sich nur wenig oder gar nicht verstellbar sind. Bei derartigen einfachen Lagerflächen wäre es sehr aufwendig, extra einen Eingang für die Verstellbefehle vorzusehen, nur um sie dann über die Lagerfläche in die Säule 12 zu übertragen, um die Aktuatoren 40a bis 40c der Säule 12 anzusteuern. In solchen Fällen ist es einfacher, das Kabel 28 des Bediengerätes 26 direkt über die Buchse 22 der 12 einzustecken.Nevertheless, the device is 24 of Fig.2 In addition, a socket 22 provided on the column, in which the cable 28 of the operating device 26 can be inserted. The additional socket 22 on the column 12 is advantageous when simpler storage areas than those in Fig.1 and 2 shown bearing surface 16 are used, which are in themselves little or no adjustable. In such simple storage areas, it would be very expensive to provide an extra input for the adjustment commands, only to then transfer them via the bearing surface in the column 12 in order to control the actuators 40a to 40c of the column 12. In such cases, it is easier to insert the cable 28 of the operating device 26 directly via the socket 22 of FIG. 12.

Obgleich in den Zeichnungen und in der vorhergehenden Beschreibung ein bevorzugtes Ausführungsbeispiel aufgezeigt und detailliert beschrieben ist, sollte dies als rein beispielhaft und die Erfindung nicht einschränkend angesehen werden. Es wird darauf hingewiesen, dass nur das bevorzugte Ausführungsbeispiel dargestellt und beschrieben ist und sämtliche Veränderungen und Modifizierungen, die derzeit und künftig im Schutzumfang der Ansprüche liegen, geschützt werden sollen.Although a preferred embodiment has been shown and described in detail in the drawings and foregoing description, this should be considered as illustrative and not restrictive of the invention. It should be noted that only the preferred embodiment is presented and described and all changes and modifications that are presently and in the future within the scope of the claims to be protected.

Claims (7)

  1. Operating table (10) having a column (12), an adjustable bed (16) which is to be fastened releasably on said column, and a device (24) for adjusting the operating table (10), the device comprising an operating implement (26) for the input of adjustment commands for adjusting the operating table (10) and a cable (28) for direct transmission of the adjustment commands from the operating implement (26) to the adjustable bed (16), whereby one end of the cable (28) is connected or connectable to the operating implement (26) and the other end can be plugged in on the bed (16) via a plug connection (20), characterized in that the cable (28) can additionally be plugged in on the column (12) via a plug connection (22).
  2. Operating table according to Claim 1, characterized in that the adjustment of the operating table (10) includes the adjustment of segments (18a to 18f) of the bed (16) in relation to one another and additionally includes one or more of the following adjustments of the bed (16) as a whole: a height adjustment of the bed (16), a rotation of the bed (16) about a vertical axis, a tilting of the bed (16) about its transverse axis, a tilting of the bed (16) about its longitudinal axis, and a translation of the bed (16) in its longitudinal direction.
  3. Operating table according to Claim 1 or 2, characterized in that the bed (16) includes a first electronic control unit (32) which has an input for adjustment commands and which is programmed such that, from the adjustment commands received via the input, it generates control signals for actuators (34a to 34f, 40a to 40c) for adjusting the operating table (10).
  4. Operating table according to one of the preceding claims, characterized in that a second electronic control unit (38) is provided in the column (12), which second electronic control unit has an input for adjustment commands and is programmed such that, from the adjustment commands received via the input, it generates control signals for actuators (34a to 34f, 40a to 40c) for adjusting the operating table (10).
  5. Operating table according to one of the preceding claims, characterized in that the bed (16) has electrically driven actuators (34a to 34f) for adjusting its segments (18a to 18f) in relation to one another and an electrical connection (44) for a mobile voltage source.
  6. Operating table system comprising an operating table according to claim 5 and a trolley which is suitable for transporting the bed (16) together with a patient supported on it,
    the trolley comprising a voltage source which is suitable for supplying the actuators (34a to 34f) of the bed (16) with voltage.
  7. Operating table system according to Claim 6, in which the bed (16) and the column (12) can be connected simultaneously both mechanically and electrically via a column coupling, and in which, on the trolley, a coupling part is provided which can be coupled mechanically and electrically to the bed-side coupling part of the column coupling.
EP06123598A 2005-11-14 2006-11-07 Operating table Active EP1785119B1 (en)

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CN (1) CN1973801B (en)
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CA (1) CA2568074A1 (en)
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EP2325502A1 (en) 2009-11-19 2011-05-25 MAQUET GmbH & Co. KG Assembly and method for connecting an accessory with an operating table
DE102009053966A1 (en) 2009-11-19 2011-05-26 Maquet Gmbh & Co. Kg Arrangement and method for connecting an accessory to an operating table
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CA2568074A1 (en) 2007-05-14
JP4846530B2 (en) 2011-12-28
ATE433737T1 (en) 2009-07-15
EP1785119A1 (en) 2007-05-16
BRPI0604790A (en) 2007-08-28
KR101176243B1 (en) 2012-08-24
PT1785119E (en) 2009-09-02
DK1785119T3 (en) 2009-09-14
RU2412680C2 (en) 2011-02-27
CN1973801A (en) 2007-06-06
ES2325417T3 (en) 2009-09-03
PL1785119T3 (en) 2009-11-30
KR20070051738A (en) 2007-05-18
DE102005054223A1 (en) 2007-05-16
DE502006003979D1 (en) 2009-07-30
CN1973801B (en) 2011-01-26
JP2007136179A (en) 2007-06-07
RU2006139970A (en) 2008-05-20
US20070107126A1 (en) 2007-05-17
US7810185B2 (en) 2010-10-12

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