EP1785121A2 - Table chirurgicale - Google Patents

Table chirurgicale Download PDF

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Publication number
EP1785121A2
EP1785121A2 EP06123721A EP06123721A EP1785121A2 EP 1785121 A2 EP1785121 A2 EP 1785121A2 EP 06123721 A EP06123721 A EP 06123721A EP 06123721 A EP06123721 A EP 06123721A EP 1785121 A2 EP1785121 A2 EP 1785121A2
Authority
EP
European Patent Office
Prior art keywords
bearing surface
operating table
table according
saddle
drive
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
EP06123721A
Other languages
German (de)
English (en)
Other versions
EP1785121B1 (fr
EP1785121A3 (fr
Inventor
Guido Koch
Matthias Kobuss
Heiko Kottmann
Jan Donat Olszewski
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.)
Maquet GmbH
Original Assignee
Maquet GmbH
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 Maquet GmbH filed Critical Maquet GmbH
Priority to PL06123721T priority Critical patent/PL1785121T3/pl
Publication of EP1785121A2 publication Critical patent/EP1785121A2/fr
Publication of EP1785121A3 publication Critical patent/EP1785121A3/fr
Application granted granted Critical
Publication of EP1785121B1 publication Critical patent/EP1785121B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61G13/02—Adjustable operating tables; Controls therefor
    • A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
    • 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
    • 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
    • A61G13/02—Adjustable operating tables; Controls therefor
    • 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
    • A61G13/02—Adjustable operating tables; Controls therefor
    • A61G13/06—Adjustable operating tables; Controls therefor raising or lowering of the whole table surface
    • 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
    • A61G13/02—Adjustable operating tables; Controls therefor
    • A61G13/08—Adjustable operating tables; Controls therefor the table being divided into different adjustable sections

Definitions

  • the invention relates to an operating table comprising a table column with a pedestal and with a column head and a connectable to the column head patient bearing surface which is pivotable about at least one axis parallel to the bearing surface plane relative to the table column.
  • Surgical tables of the aforementioned type are generally mounted pivotably on the column head both about an axis directed transversely to the longitudinal direction of the patient support surface (inclination axis) and about an axis (tilt axis) directed parallel to the longitudinal direction of the patient support surface.
  • the bearing surface must have a relatively large distance to its pivot axes, so that they can perform a sufficiently large pivoting movement in the direction of inclination or inclination before it abuts the column head. If the pivot axes are arranged above the lifting guide in order to achieve sufficient free positioning for the pivoting movements in the direction of tilting and inclining, a lowering of the operating table to a low level is severely limited. On the other hand, the pivot axes are arranged so that they penetrate the lifting guide, this has strong restrictions at least one pivoting movement. This arises from the situation that with the pivoting the bearing surface around the first, mounted on the column head pivot axis, the bearing of the second pivot axis is mitverschwenkt. This then collides quickly with the lifting guide.
  • the invention has for its object to provide an operating table of the type mentioned, which allows a greater latitude in the adjustment of the bearing surface about its inclination axis and / or tilt axis and in the vertical direction.
  • the invention proposes that in an operating table of the type mentioned on the column head a continuously curved around a curvature axis guideway is provided on which a coupled with the bearing surface saddle is mounted so that it is adjustable by means of a saddle drive along the guideway is.
  • the axis of curvature of the guideway lies within the column of the table, so that therefore the guideway is curved convexly upwards.
  • the guide track is arranged on a head frame, which is pivotable relative to the table column by means of a pivot drive about a pivot axis perpendicular to the axis of curvature of the guide track.
  • the storage of this pivot axis can be arranged in front of and / or behind, ie laterally of the lifting guide be, so that the space for this pivotal movement does not limit the lifting movement. In this way, the patient support surface can be pivoted in two directions.
  • the piston is acted upon only in the extension direction with pressure medium.
  • the saddle drive comprises two each connected to an actuator push or pull elements which are arranged and designed so that they work in push-pull.
  • the pivot drive comprises two pressure medium actuated pivot cylinder, which are arranged within the column and on the one hand supported on the column head and on the other hand engage the head frame on both sides of the pivot axis. In this way, the necessary force for pivoting the patient support surface can be conveniently applied.
  • the pivot drive comprises at least one with the head frame rotatably connected and coaxial with the pivot axis arranged worm wheel and a motor driven by the worm wheel in engagement worm.
  • the bearing surface is coupled to the saddle so that its longitudinal direction is parallel to the axis of curvature of the guideway.
  • the Kantungsachse is parallel to the axis of curvature of the guideway.
  • the bearing surface can be coupled to the saddle such that the longitudinal direction of the bearing surface is perpendicular to the axis of curvature of the guideway.
  • the axis of curvature of the guideway is equal to the pitch axis.
  • the patient support surface is divided into individual segments which are adjustable relative to each other.
  • a high degree of flexibility in the adjustment of the patient support surface into different positions suitable for different interventions results when the bearing surface comprises at least two bearing surface segments which are hinged together about a joint axis coaxial to the bearing surface pivot axis, wherein the bearing surface actuator is formed so that the two bearing surface segments together or individually individually or individually individually adjustable.
  • the servomotor of the bearing surface actuator can each be in driving connection via a coupling with one of the bearing surface segments.
  • the pivotal movement of the head frame in the bearing portion 28 by means of two working cylinders 34 which are supported on the one hand on the guide portion 24 of the head portion 22 and on the other hand engage cylinder tubes 36 which the bearing portions 38 of the head frame together connect and their other function will be explained in more detail later.
  • the head frame 30 further comprises two the two bearing sections 38 interconnecting arcuately curved bracket 40, which form a convex curved guide rail 42 for a saddle 44 shown schematically in Figure 5 and Figures 9 to 15, with the patient support surface 12 can be coupled.
  • the saddle 44 is adjustable along the guideway 42 by means of a saddle drive.
  • This saddle drive comprises two actuators in the form of pressure-actuated piston cylinder assemblies 46, consisting of the above-mentioned cylinder tubes 36 and one in each of these displaceable piston 48.
  • the piston 48 is directly connected to a back-rigid push chain 50 and can on its side facing away from the push chain with pressurized fluid be charged.
  • the back-rigid push chain 50 can only turn in one direction and is coupled at its end facing away from the piston 52 with the saddle 44.
  • the thrust chain 50 is guided outside the cylinder tube 36 in each case in a guide slot 54 extending within the bearing section 38 or the bracket 40.
  • a segment of the bearing surface may be connected directly to the saddle 44 and the connecting frame 56, respectively.
  • the inclination of the bearing surface 12 is determined solely by the movement of the saddle on the guide track 42. If the saddle is at its highest point on the guideway 42, the bearing surface 12 assumes a horizontal position, as shown in the schematic representation of FIG. If the saddle 44 moves from this position towards one of the ends of the guide track 42, then the bearing surface 12 is inclined accordingly.
  • the connecting frame 56 also has two from its central plate 58 downwardly projecting side walls 68, of which in Figure 5 only one is shown.
  • On the inside of each side wall 68 is a dashed line in Figure 5 coupling element 70 which is intended to engage in a receiving pocket 72 which is formed on the outside of a side part 74 of the saddle 44, as seen in Figure 5.
  • the connecting frame 56 and thus the bearing surface 12 can be coupled to the saddle 44 in a detachable manner, with the exact nature of the coupling will not be discussed here.
  • each side wall 68 of the connecting frame 56 carries a drive device, generally designated 76, shown in FIG. 6, which is used to adjust the segments 66 of the central portion 64 of the bearing surface 12 is used and will be explained in more detail below with reference to Figures 6 to 8.
  • Figures 7 and 8 each show a side rail 78 of a segment 66, wherein a segment 66 consists of two such side rails on which a cushion 80 ( Figure 1) can be arranged.
  • Each side rail 78 is connected on its underside with a sector disk 82 which carries at its lower arcuately curved edge a sprocket portion 84 with internal teeth.
  • the arrangement is such that the lower edge of a sector disc surrounds the lower edge of the other sector disc, so that the sprocket portions 84 of both sector discs in the axial direction of the shaft 62 are adjacent.
  • the sprocket portions 84 are each intended for engagement with a drive gear 86 which is part of the drive device 76 shown in FIG.
  • the drive gears 86 are rotatably mounted on the side wall 68 of the connecting frame 56 and are each rotatably connected to a worm wheel 88.
  • Each worm wheel 88 is driven via a worm gear 90, which is rotatably mounted in a bearing 92 on the side wall 68 and is connected via a switchable clutch 94 and a gear 96 with two electric motors 98 in drive connection.
  • a single motor could be provided to drive the worm wheels 90.
  • the transmission 96 causes always both motors 98 are in driving connection with both clutches 94. When both clutches 94 are engaged, both drive gears 86 are driven in the same direction.
  • the bearing 92 of the worm gears 90 is axially displaceable against the biasing force of springs 100 ( Figure 6). Further, the bearing 92 is associated with a limit switch 102, which by an axial displacement of the bearing 92 via a plunger 104th is operable. Should a pivoting of one of the segments 66 down this or its associated plate portion of the bearing surface 12 encounter an obstacle so that further movement is blocked, the reaction force causes an axial displacement of the worm gear 90 and its bearing 92, whereby the plunger 104 of the limit switch 102 is actuated. The actuation of the limit switch, the electric motors 98 can be switched off, so that damage to the operating table, the drive device 76 or a risk to the patient and the operator can be avoided.
  • Figure 10 shows the saddle at the highest point of the guideway 42, i. in the middle between their ends.
  • the bearing surface 12 is adjusted horizontally relative to the connecting frame 56.
  • FIG. 11 shows a displacement of the saddle 44 towards one of the ends of the guide track 42.
  • the bearing surface 12 is adjusted relative to the connecting frame 56 so that it in turn assumes a horizontal position. It can be seen that this ultimately corresponds to the position in FIG. 10 of a longitudinal displacement of the bearing surface 12 and a lowering of the bearing surface 12, without the head frame 30 or the entire column head being adjusted in height.
  • Figure 12 shows the saddle 44 at the end of the guideway 42 with simultaneous inclination of the bearing surface 12 relative to the connecting frame 56. It can be seen that the angle of inclination of the bearing surface can be made very large, without the bearing surface abuts the column head.
  • Figure 13 shows the saddle 44 in the same position as in Figure 12, but with the segments 66 pivoted about the axis of the shaft 62 against each other. This makes it possible to adjust the patient support surface without major changes so that patients for rectal procedures can be stored in a suitable manner.
  • Figure 14 shows the head frame after pivotal movement about the axis 32, i. 15, the tilting movement is combined by a pivoting of the head frame with a tilting movement by moving the saddle on the guide track.
  • the bearing surface is coupled to the saddle, that the bearing surface longitudinal direction is directed parallel to the displacement direction of the saddle on the guideway or perpendicular to the axis of curvature of the guideway.
  • the bearing surface 12 thus performs during the displacement of the saddle on the guideway movement about the inclination axis.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Machine Tool Units (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
EP06123721A 2005-11-14 2006-11-09 Table chirurgicale Active EP1785121B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PL06123721T PL1785121T3 (pl) 2005-11-14 2006-11-09 Stół operacyjny

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102005054222A DE102005054222A1 (de) 2005-11-14 2005-11-14 Operationstisch

Publications (3)

Publication Number Publication Date
EP1785121A2 true EP1785121A2 (fr) 2007-05-16
EP1785121A3 EP1785121A3 (fr) 2008-08-06
EP1785121B1 EP1785121B1 (fr) 2011-10-05

Family

ID=37763886

Family Applications (1)

Application Number Title Priority Date Filing Date
EP06123721A Active EP1785121B1 (fr) 2005-11-14 2006-11-09 Table chirurgicale

Country Status (12)

Country Link
US (2) US7694366B2 (fr)
EP (1) EP1785121B1 (fr)
JP (1) JP4864652B2 (fr)
KR (1) KR101176235B1 (fr)
CN (1) CN1973802B (fr)
AT (1) ATE526928T1 (fr)
BR (1) BRPI0604748B8 (fr)
CA (1) CA2568080A1 (fr)
DE (1) DE102005054222A1 (fr)
ES (1) ES2374638T3 (fr)
PL (1) PL1785121T3 (fr)
RU (1) RU2338500C2 (fr)

Cited By (3)

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Publication number Priority date Publication date Assignee Title
EP1943996A3 (fr) * 2006-12-22 2009-02-11 O P T Officina di Protesi Trento S.P.A. Table d'opération basculable
GB2566076A (en) * 2017-09-04 2019-03-06 Eschmann Holdings Ltd Surgical tables
US11602475B2 (en) 2017-09-04 2023-03-14 Steris Solutions Limited Surgical tables

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US7739762B2 (en) * 2007-10-22 2010-06-22 Mizuho Orthopedic Systems, Inc. Surgery table apparatus
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DE102005053755A1 (de) 2005-11-10 2007-05-16 Maquet Gmbh & Co Kg Polsterelement für eine Patientenliegefläche eines Operationstisches
DE102005053754A1 (de) * 2005-11-10 2007-05-16 Maquet Gmbh & Co Kg Einrichtung zum Verstellen der Liegefläche eines Operationstisches
DE102005054175A1 (de) * 2005-11-14 2007-05-16 Maquet Gmbh & Co Kg Gelenkanordnung zur Verbindung zweier Segmente einer Patientenlagerfläche
DE102005054174A1 (de) * 2005-11-14 2007-05-16 Maquet Gmbh & Co Kg Patientenlagerfläche für einen Operationstisch
DE102005054230A1 (de) * 2005-11-14 2007-05-24 Maquet Gmbh & Co. Kg Verfahren und Einrichtung zur bidirektionalen IR-Datenübertragung zwischen einem Operationstisch und einem Bediengerät
DE102005054221A1 (de) * 2005-11-14 2007-05-16 Maquet Gmbh & Co Kg Patientenlagersystem
DE102005054223A1 (de) * 2005-11-14 2007-05-16 Maquet Gmbh & Co Kg Einrichtung zum Verstellen eines Operationstisches
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DE102005054220A1 (de) * 2005-11-14 2007-05-16 Maquet Gmbh & Co Kg Patientenlagersystem
DE202008008574U1 (de) * 2008-06-25 2008-08-28 Maquet Gmbh & Co. Kg Verkleidung einer höhenverstellbaren Stützsäule
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RU2468783C1 (ru) * 2011-08-15 2012-12-10 Юрий Иванович Русанов Устройство для разворота в горизонтальной плоскости многофункционального диагностико-хирургического операционного стола с возможностью информационно-компьютерного управления им. ю.и. русанова
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RU2468778C1 (ru) * 2011-08-15 2012-12-10 Юрий Иванович Русанов Устройство возвратно-поступательного продольного и вертикального перемещения позиционного с разворотным механизмом инструментального стола многофункционального диагностико-хирургического операционного стола с возможностью информационно-компьютерного управления им. ю.и. русанова
RU2468779C1 (ru) * 2011-08-15 2012-12-10 Юрий Иванович Русанов Устройство возвратно-поступательного продольного и вертикального перемещения позиционного с разворотным механизмом инструментального стола многофункционального диагностико-хирургического операционного стола с возможностью информационно-компьютерного управления им. ю.и. русанова
RU2468784C1 (ru) * 2011-08-15 2012-12-10 Юрий Иванович Русанов Устройство вертикального перемещения многофункционального диагностико-хирургического операционного стола с возможностью информационно-компьютерного управления им. ю.и. русанова
RU2468782C1 (ru) * 2011-08-15 2012-12-10 Юрий Иванович Русанов Устройство вертикального наклона многофункционального диагностико-хирургического операционного стола с возможностью информационно-компьютерного управления им. ю.и. русанова
RU2492845C1 (ru) * 2012-07-12 2013-09-20 Юрий Иванович Русанов Устройство вертикального наклона операционного стола диагностико-хирургической и реанимационной робототехнической системы с возможностью информационно-компьютерного управления им. ю.и. русанова
RU2492844C1 (ru) * 2012-07-12 2013-09-20 Юрий Иванович Русанов Устройство инструментального операционного стола диагностико-хирургической и реанимационной робототехнической системы с возможностью информационно-компьютерного управления им. ю.и. русанова
US9730851B2 (en) 2012-09-07 2017-08-15 Allen Medical Systems, Inc. Surgical support system
US9107792B2 (en) 2012-09-07 2015-08-18 Allen Medical Systems, Inc. Carriage for a surgical boot of a hip distractor
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DE102015109078B4 (de) * 2015-06-09 2019-01-03 MAQUET GmbH Operationstisch
CN106377369B (zh) * 2016-08-31 2018-12-25 韩贤珍 一种用于急诊室患者自动翻身的装置
CN107693961B (zh) * 2017-11-14 2019-11-12 徐华 一种调控便捷的放疗防护床
CN108904200A (zh) * 2018-07-23 2018-11-30 玉林市好邦医疗设备有限责任公司 一种x射线导管床
CN112586868B (zh) * 2020-12-11 2022-05-13 中国民航大学 升降式多功能可变形智能桌
DE102021100312A1 (de) * 2021-01-11 2022-07-14 Ewellix AB Vorrichtung zum Ausrichten einer Plattform sowie System und Patientenablage
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ES2374638T3 (es) 2012-02-20
EP1785121B1 (fr) 2011-10-05
PL1785121T3 (pl) 2012-03-30
BRPI0604748B8 (pt) 2021-06-22
EP1785121A3 (fr) 2008-08-06
DE102005054222A1 (de) 2007-05-16
US7694366B2 (en) 2010-04-13
RU2338500C2 (ru) 2008-11-20
US8161586B2 (en) 2012-04-24
US20070107125A1 (en) 2007-05-17
BRPI0604748B1 (pt) 2017-11-07
CA2568080A1 (fr) 2007-05-14
JP2007136178A (ja) 2007-06-07
CN1973802B (zh) 2010-12-01
KR20070051736A (ko) 2007-05-18
JP4864652B2 (ja) 2012-02-01
KR101176235B1 (ko) 2012-08-22
ATE526928T1 (de) 2011-10-15
CN1973802A (zh) 2007-06-06
BRPI0604748A (pt) 2007-08-28
US20100107340A1 (en) 2010-05-06

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