EP1785122B1 - Device for adjusting the lying surface of an operating table - Google Patents
Device for adjusting the lying surface of an operating table Download PDFInfo
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- EP1785122B1 EP1785122B1 EP06123443A EP06123443A EP1785122B1 EP 1785122 B1 EP1785122 B1 EP 1785122B1 EP 06123443 A EP06123443 A EP 06123443A EP 06123443 A EP06123443 A EP 06123443A EP 1785122 B1 EP1785122 B1 EP 1785122B1
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- bed
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- operating
- patient
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- 210000002414 leg Anatomy 0.000 claims description 10
- 210000000689 upper leg Anatomy 0.000 claims description 9
- 230000006870 function Effects 0.000 claims description 7
- 230000008859 change Effects 0.000 claims description 4
- 230000003213 activating effect Effects 0.000 claims 4
- 238000006073 displacement reaction Methods 0.000 claims 1
- 238000010586 diagram Methods 0.000 description 3
- 230000004075 alteration Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000008033 biological extinction Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 230000006386 memory function Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
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Classifications
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- 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
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- 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
- A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
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- 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
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- 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
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
- A61G2203/12—Remote controls
Definitions
- the present invention relates to a device for adjusting the lying surface of a surgical table, according to the preamble of claim 1 comprises.
- the input device is usually formed by an operating device with a control surface, are arranged on the buttons for adjusting the various segments.
- the buttons for adjusting the individual segments are arranged on the buttons for adjusting the various segments.
- pictograms of the lying surface are typically shown in a side view, in which the relevant segment is highlighted in color. Using the pictograms, the user recognizes the button provided for adjusting a particular segment.
- the lying surface When a patient in the usual way, i. in a so-called normal position, is stored on the lying surface, corresponds to each of the segments of the lying surface with a particular body part or body portion.
- the lying surface may comprise a back segment, by the adjustment in the normal position of the patient, the back is raised or lowered, etc.
- Non-normal position storage is a so-called "reverse storage” in which the patient is rotated in relation to the normal position by 180 ° so that the head and foot are reversed.
- a reverse storage may be required for reasons of space. However, it is also used more frequently in neurological operations in the head area, for example.
- the body parts of the patient are at least partially on other segments of the lying surface, as in the normal position, to adjust a certain body part usually other segments of the bed are adjusted, as in the normal position.
- the user must therefore always consider which of the segments in the current position of the patient on the lying surface must be adjusted in order to change the position of a particular body part.
- the correct adjustment of the bed surface can be made even more difficult in practice, if the view of the storage area is adjusted by drapes or devices, so that the user can not see which segment is to adjust to change the position of a body part.
- Another difficulty is that the reclining surfaces of modern operating tables are often asymmetric, so that the representation of the pictograms with which the buttons of the operating device are marked, only the view from one side to accurately reflect, but not the view from the other side. If the user is on this other side of the operating table, the selection of the right button is additionally difficult.
- the US Pat. No. 5,754,997 describes a device specified in the preamble of claim 1, wherein the head portion of the patient support surface of the operating table can be selectively infected at one longitudinal end or at the other longitudinal end of the patient support surface, so that the patient are stored on the patient support surface in two mutually offset by 180 ° layers can.
- the head part of the central control of the operating table By repositioning the head part of the central control of the operating table the intended location of the patient is reported on the storage area. As a result, all adjustable on the control unit functions of the patient's position are automatically adjusted.
- the invention has for its object to provide a device of the type mentioned, in which the adjustment of the position of individual body parts is simplified despite different positions of the patient on the bed.
- the adjustment commands are abstracted from the segments and instead are body part-related, i. directed to the adjustment of the position of a body part or body part of the patient.
- the device determines itself taking into account the current operating mode, which in turn corresponds to the position of the patient on the lying surface, which of the segments must be adjusted as to implement the body part-related adjustment command.
- the user is deprived of the "rethinking" that traditionally requires the different possible layers. This relieves him and mistakes can be avoided.
- the device has an electronic control unit, which comprises at least one input for body-related adjustment commands and which is programmed to generate control signals for the actuators from a body-related adjustment command received via the at least one input and from information about the current operation mode To effect adjustment of one or more segments according to the body menu related adjustment command.
- an electronic control unit which comprises at least one input for body-related adjustment commands and which is programmed to generate control signals for the actuators from a body-related adjustment command received via the at least one input and from information about the current operation mode To effect adjustment of one or more segments according to the body menu related adjustment command.
- the device comprises a memory in which various positions of the lying surface can be stored, and means to select one of the various stored positions and to actuate the actuators according to the selected position.
- a memory in which various positions of the lying surface can be stored, and means to select one of the various stored positions and to actuate the actuators according to the selected position.
- the device may comprise means for storing a current position of the lying surface in a memory and means to retrieve such a stored position and to control the actuators according to the retrieved position.
- a "short memory function" is realized, in which a current position of the lying surface can be stored, so that after an interim adjustment can easily be found back to her. This is necessary, for example, if a surgical intervention is interrupted at a certain position of the lying surface for illuminating the patient, during which the lying surface must be leveled, and then the lying surface should be moved back to the original position.
- the input device is formed by an operating device with a control surface and at least part of the means for entering body part-related adjustment commands and / or the means for inputting the non-body part adjustment commands and / or the means for inputting the operating mode by buttons or buttons, the are arranged on the control surface.
- a human body is preferably shown on the control surface and the buttons or buttons for entering body part-related adjustment commands in the vicinity of the corresponding body part of the figure are arranged.
- a device 10 for adjusting a lying surface 12 of a surgical table is shown schematically as a block diagram.
- the lying surface 12 of the embodiment of Fig. 1 is formed of six segments 14a to 14f, which are adjustable relative to one another by associated actuators 16a to 16f. By adjusting the segments 14a to 14f, the lying surface 12 can be adjusted to different positions both before and during the operation.
- the device 10 comprises an operating device 18 with a control surface 20, an electronic control unit 22 and a memory 24.
- the control surface 20, the electronic control unit 22 and the memory 24 shown spatially separated.
- the electronic control unit 22 and the memory 24 are located in a housing 26 of the operating device 18, which in Fig. 2 is shown in a plan view.
- the control surface 20 is formed on the top of the control unit 18.
- the control unit 18 is portable and sized in size and shape so that it can be held in one hand and thereby operated with the thumb of the same hand.
- the electronic control unit 22 is connected via signal lines 28 to the control surface 20, the memory 24 and the actuators 16a to 16f.
- the operating device 18 may also be wireless and transmit the control commands, for example via an IR interface to a control unit in the column of the operating table.
- the signal lines 28 may be formed by a system bus.
- an LCD display 30 At the top of the control surface 20 is an LCD display 30. Immediately below two softkeys 32 and two scroll keys 34 are arranged. With the Softkeys 32 and the scroll keys 34 can be the program functions of the control unit 18 interactively press. The functions provided in the device 10 are offered in the form of a so-called menu on the display 30 and selected by means of the scroll keys 34.
- Body-related adjustment commands are those commands which are directed to the adjustment of the position of a body part or body part of the patient, which is mounted on the lying surface 12 of the operating table. Therein differ body part-related adjustment commands of adjustment commands that would be directed to the adjustment of a particular segment 14a to 14f.
- said buttons for inputting body-related adjustment commands comprise the upper back raising and lowering knobs 42 and 44, and the lower back raising and lowering knobs 46 and 48 (and thus the entire upper body since the upper back segment hinged to the segment of the lower back), the buttons 50 and 52 for raising and lowering the thighs (and thus the entire legs) and the buttons 54 and 56 for raising or lowering the lower legs of the patient.
- both upper and lower legs are adjusted simultaneously by pressing the buttons 50 to 56.
- a selection button 58 By pressing a selection button 58, however, a single leg can be selected, which is then adjusted by operation of the buttons 50 to 56. If the left leg of the patient is selected, it will be indicated by the illumination of an LED 60. In this state, by pressing one of the buttons 50 to 56 of the upper leg or lower leg of the adjusted left leg. By pressing the selection button 58 is switched to the right leg, which is indicated by the extinction of the LED 60 and the lighting of an LED 62. In this case, by pressing the buttons 50 to 56, the position of the upper leg or lower leg of the right leg is effected. By pressing the selection button 58 again, both LEDs 60 and 62 light up and the legs are again adjusted together.
- buttons 42 to 56 for inputting body-related adjustment commands are disposed in the vicinity of the corresponding body part of the human body image 40.
- the right button for each desired body-related adjustment command if one orients to the figure 40 of a human body.
- buttons for entering non-body part related adjustment commands are in this embodiment, such adjustment commands that affect an adjustment of the entire bed surface.
- the operating surface 20 includes the following buttons for non-body part adjustment commands: buttons 64 and 66 for changing the inclination of the reclining surface 12 longitudinally such that the head end is raised or lowered, buttons 68 and 70 for changing the inclination of the reclining surface 12 so in that the right or left side of the body of the patient seated thereon is lowered, buttons 72 and 74 for raising or lowering the lying surface 12 as a whole, and buttons 76 and 78 for translating the lying surface 12 in their longitudinal direction in the direction of the head or foot Foot end.
- a knob 80 for selecting one of three modes of operation in which the device 10 is operable.
- each of the operating modes corresponds to a specific position of the patient on the lying surface 12.
- the first operating mode corresponds to a median or normal position of the patient on the lying surface 12, and this position is symbolized by the pictogram 82 on the operating surface 20.
- an LED 84 is illuminated, which is arranged above the icon 82.
- a second operating mode corresponds to a situation in which the patient is displaced in the longitudinal direction of the lying surface 12 in the direction of the head end in relation to the normal position. This position of the second operating mode is symbolized by the icon 86. When this second mode of operation is selected, an associated LED 88 lights up.
- the third operating mode corresponds to a situation in which the patient is displaced in the direction of the foot end in relation to the normal position in the longitudinal direction of the lying surface 12. This position of the third operating mode is symbolized by the icon 90, and an LED 92 lights up when selecting this third mode of operation.
- the three different modes of operation correspond to different positions of a patient on the reclining surface 12. Different operations may require or at least benefit different positions of the patient on the reclining surface. For example, it may be advantageous for reasons of space for some interventions to move the patient towards a normal position in the direction of the foot or head end of the lying surface. So while, for example, in the representation of Fig. 1 in a first position (normal position) of the thighs of a patient on segment 14b, in a second position (corresponding to the second mode of operation) in which the patient is displaced towards the head end, the lower leg could lie on segment 14b, while the thighs would be at least partially on segment 14c. On the other hand, in a third position where the body is displaced towards the foot end with respect to the first layer, the thigh could be on the segment 14a and the pelvis on the segment 14b.
- buttons 42 to 58 are not related to a certain segment 14a to 14f but to a body part or a body part. If the patient is in one of the three predetermined positions, which correspond to the three operating modes, stored on the deck surface 12, only at the beginning by pressing the button 80, the correct operating mode must be selected. Then, when one of the body-part adjustment commands buttons 42-56 is pressed, the electronic control unit 22 provides the appropriate body control commands for the actuators 16a-16f from the received body-related adjustment command and the current operation mode information.
- control signals causing the position of a body part corresponding to the body part-related adjustment command in the current position of the patient on the lying surface 12 (i.e., the first, second or third position).
- the user therefore no longer has to rethink between the different layers, but the respective position of the patient on the lying surface 12 is automatically taken into account by the electronic control unit.
- the operation of the operating device 18 is abstracted from the specific position of the patient on the lying surface 12, whereby the operation is greatly simplified and errors can be avoided.
- the device 10 is operable in six different modes corresponding to the possible combinations of the three shift modes and the two orientations of the head. Note that the buttons 64 and 66 for changing the inclination of the lying surface 12 in the longitudinal direction, the buttons 68 and 70 for changing the inclination of the lying surface 12 in the transverse direction and the buttons 76 and 78 for a translation of the lying surface 12 in the longitudinal direction are also buttons for entering body part related adjustment commands.
- the short memory key 38 by pressing the short memory key 38, the current position of the lying surface 12 can be stored. This is for example advantageous if the bed surface 12 is briefly adjusted in an operation by pressing the button 36 to illuminate the patient, and then to be moved back to the previous position. By pressing the scroll keys 34 and / or the softkeys 32, the lying surface 12 can then be quickly moved back into the stored using the short memory button 38 position.
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Abstract
Description
Die vorliegende Erfindung betrifft eine Einrichtung zum Verstellen der Liegefläche eines Operationstisches, gemäß dem Oberbegriff des Anspruchs 1 umfasst.The present invention relates to a device for adjusting the lying surface of a surgical table, according to the preamble of claim 1 comprises.
Bei derartigen bekannten Einrichtungen wird die Eingabevorrichtung üblicherweise durch ein Bediengerät mit einer Bedienfläche gebildet, auf der Knöpfe zum Verstellen der verschiedenen Segmente angeordnet sind. Dazu sind typischerweise neben den Knöpfen zum Verstellen der einzelnen Segmente Piktogramme der Liegefläche in einer Seitenansicht abgebildet, bei denen das betreffende Segment farbig hervorgehoben ist. Anhand der Piktogramme erkennt der Benutzer den zum Verstellen eines bestimmten Segments vorgesehenen Knopf.In such known devices, the input device is usually formed by an operating device with a control surface, are arranged on the buttons for adjusting the various segments. For this purpose, in addition to the buttons for adjusting the individual segments, pictograms of the lying surface are typically shown in a side view, in which the relevant segment is highlighted in color. Using the pictograms, the user recognizes the button provided for adjusting a particular segment.
Wenn ein Patient in der üblichen Weise, d.h. in einer sogenannten Normallage, auf der Liegefläche gelagert ist, korrespondiert ein jedes der Segmente der Liegefläche mit einem bestimmten Körperteil oder Körperabschnitt. Beispielsweise kann die Liegefläche ein Rückensegment umfassen, durch dessen Verstellung in der Normallage des Patienten der Rücken angehoben oder abgesenkt wird, etc.When a patient in the usual way, i. in a so-called normal position, is stored on the lying surface, corresponds to each of the segments of the lying surface with a particular body part or body portion. For example, the lying surface may comprise a back segment, by the adjustment in the normal position of the patient, the back is raised or lowered, etc.
In der Praxis tritt jedoch der Fall auf, dass Patienten abweichend von der Normallage auf der Liegefläche gelagert werden. Ein wichtiger Fall besteht in einer von der Normallage abweichenden Lagerung, bei der der Patient relativ zur Normallage in Richtung auf das Kopfende oder Fußende verschoben ist. Für eine solche von der Normallage abweichende Lagerung kann es unterschiedliche Gründe geben. Beispielsweise kann es für einen speziellen Eingriff erforderlich sein, dass zusätzliche medizinische Geräte, z.B. ein Operationsmikroskop, in die Nähe eines zu behandelnden Körperteils gebracht werden müssen, und dass dies aus Platzgründen nicht geht, wenn der Patient in der Normallage gelagert ist. Ein anderer Grund kann darin bestehen, dass ein bestimmtes Körperteil auf dem Operationstisch liegend durchleuchtet werden soll und dass dies in der Normallage nicht möglich ist. Von der Normallage abweichende Lagerungen können aber auch durch bestimmte Operationstechniken, neuartige Eingriffe, anatomische Besonderheiten oder die Vorlieben eines Chirurgen erforderlich werden.In practice, however, the case occurs that patients are stored deviating from the normal position on the bed. An important case consists in a storage deviating from the normal position, in which the patient is displaced relative to the normal position in the direction of the head end or foot end. There may be different reasons for such a storage deviating from the normal position. For example, a special procedure may require that additional medical devices, e.g. a surgical microscope, must be placed in the vicinity of a body part to be treated, and that this is not due to lack of space when the patient is stored in the normal position. Another reason may be that a particular body part lying on the operating table should be illuminated and that this is not possible in the normal position. However, deviations from the normal position may also be required due to certain surgical techniques, novel interventions, anatomical features or the preferences of a surgeon.
Ein weiteres Beispiel für eine von der Normallage abweichende Lagerung ist eine so genannte "Reverse-Lagerung", bei der der Patient in Bezug auf die Normallage so um 180° gedreht ist, dass Kopf- und Fußende vertauscht sind. Auch eine derartige Reverse-Lagerung kann aus Platzgründen erforderlich sein. Sie wird aber beispielsweise auch bei neurologischen Operationen im Kopfbereich häufiger verwendet.Another example of a non-normal position storage is a so-called "reverse storage" in which the patient is rotated in relation to the normal position by 180 ° so that the head and foot are reversed. Such a reverse storage may be required for reasons of space. However, it is also used more frequently in neurological operations in the head area, for example.
Wenn der Patient in einer anderen als der Normallage auf der Liegefläche gelagert ist, tritt folgendes Problem auf: da in der von der Normallage abweichenden Lage die Körperteile des Patienten zumindest teilweise auf anderen Segmenten der Liegefläche liegen, als in der Normallage, müssen zur Verstellung eines bestimmten Körperteils in der Regel andere Segmente der Liegefläche verstellt werden, als in der Normallage. Der Benutzer muss sich also stets überlegen, welches der Segmente in der gegenwärtigen Lage des Patienten auf der Liegefläche verstellt werden muss, um die Lage eines bestimmten Körperteils zu verändern. Durch dieses "Umdenken" zwischen den unterschiedlichen Lagen des Patienten auf der Liegefläche wird der Benutzer, d.h. der Chirurg oder die OP-Schwester, zusätzlich beansprucht, und es können beim Verstellen Fehler auftreten.If the patient is stored in a lying on the lying surface other than the normal position, the following problem occurs: since in the deviating from the normal position, the body parts of the patient are at least partially on other segments of the lying surface, as in the normal position, to adjust a certain body part usually other segments of the bed are adjusted, as in the normal position. The user must therefore always consider which of the segments in the current position of the patient on the lying surface must be adjusted in order to change the position of a particular body part. By this "rethinking" between the different positions of the patient on the bed surface, the user, ie the surgeon or the operating room nurse, additionally claimed, and it can occur when adjusting errors.
Das richtige Verstellen der Liegefläche kann in der Praxis sogar noch erschwert werden, wenn der Blick auf die Lagerfläche durch Abdecktücher oder Geräte verstellt ist, so dass der Benutzer nicht nachsehen kann, welches Segment zu verstellen ist, um die Lage eines Körperteils zu verändern. Eine weitere Schwierigkeit besteht darin, dass die Liegeflächen moderner Operationstische oft asymmetrisch sind, so dass die Darstellung der Piktogramme, mit denen die Knöpfe des Bediengerätes gekennzeichnet sind, nur die Ansicht von einer Seite zutreffend wiedergeben, nicht aber die Ansicht von der anderen Seite. Wenn sich der Benutzer auf dieser anderen Seite des Operationstisches aufhält, ist die Auswahl des richtigen Knopfes zusätzlich erschwert.The correct adjustment of the bed surface can be made even more difficult in practice, if the view of the storage area is adjusted by drapes or devices, so that the user can not see which segment is to adjust to change the position of a body part. Another difficulty is that the reclining surfaces of modern operating tables are often asymmetric, so that the representation of the pictograms with which the buttons of the operating device are marked, only the view from one side to accurately reflect, but not the view from the other side. If the user is on this other side of the operating table, the selection of the right button is additionally difficult.
Die
Der Erfindung liegt die Aufgabe zugrunde, eine Einrichtung der eingangs genannten Art anzugeben, bei der die Verstellung der Lage einzelner Körperteile trotz unterschiedlicher Lagen des Patienten auf der Liegefläche vereinfacht wird.The invention has for its object to provide a device of the type mentioned, in which the adjustment of the position of individual body parts is simplified despite different positions of the patient on the bed.
Diese Aufgabe wird bei der Einrichtung der eingangs genannten Art durch die im Anspruch 1 genannten Merkmale gelöst.This object is achieved in the device of the type mentioned by the features mentioned in claim 1.
Bei der erfindungsgemäßen Einrichtung sind also die Verstellbefehle von den Segmenten abstrahiert und statt dessen körperteilbezogen, d.h. auf die Verstellung der Lage eines Körperteils oder Körperabschnitts des Patienten gerichtet. Die Einrichtung bestimmt dann selbst unter Berücksichtigung des aktuellen Betriebsmodus, welcher wiederum der Lage des Patienten auf der Liegefläche entspricht, welche der Segmente wie verstellt werden müssen, um den körperteilbezogenen Verstellbefehl umzusetzen. Vereinfacht gesagt wird dem Benutzer das "Umdenken", welches die unterschiedlichen möglichen Lagen herkömmlicherweise erforderlich machen, von der Einrichtung abgenommen. Dadurch wird er entlastet, und es können Fehler vermieden werden.In the device according to the invention, therefore, the adjustment commands are abstracted from the segments and instead are body part-related, i. directed to the adjustment of the position of a body part or body part of the patient. The device then determines itself taking into account the current operating mode, which in turn corresponds to the position of the patient on the lying surface, which of the segments must be adjusted as to implement the body part-related adjustment command. In simple terms, the user is deprived of the "rethinking" that traditionally requires the different possible layers. This relieves him and mistakes can be avoided.
Vorzugsweise hat die Einrichtung eine elektronische Steuereinheit, die mindestens einen Eingang für körperbezogene Verstellbefehle umfasst, und die so programmiert ist, dass sie aus einem über den mindestens einen Eingang empfangenen körperbezogenen Verstellbefehl und aus Information über den aktuellen Betriebsmodus Steuersignale für die Aktuatoren erzeugt, die eine Verstellung eines oder mehrerer Segmente entsprechend dem körperteübezogenen Verstellbefehl bewirken.Preferably, the device has an electronic control unit, which comprises at least one input for body-related adjustment commands and which is programmed to generate control signals for the actuators from a body-related adjustment command received via the at least one input and from information about the current operation mode To effect adjustment of one or more segments according to the body menu related adjustment command.
In einer vorteilhaften Weiterbildung umfasst die Einrichtung einen Speicher, in dem verschiedene Stellungen der Liegefläche speicherbar sind, und Mittel, um aus den verschiedenen gespeicherten Stellungen eine auszuwählen und die Aktuatoren entsprechend der ausgewählten Stellung anzusteuern. In dem Speicher können somit bewährte oder häufiger benötigte Einstellungen der Liegefläche gespeichert werden und jederzeit schnell hergestellt werden. Dadurch kann Zeit und Mühe bei der Operation gespart werden. Außerdem können in diesem Speicher voreingestellte geeignete Lagen des Operationstisches schon ab Werk eingespeichert sein.In an advantageous development, the device comprises a memory in which various positions of the lying surface can be stored, and means to select one of the various stored positions and to actuate the actuators according to the selected position. Thus, proven or more frequently required settings of the lying surface can be stored in the memory and made quickly at any time. This saves time and effort during the operation. In addition, pre-set suitable positions of the operating table can already be stored in the factory from the factory.
Ferner kann die Einrichtung Mittel zum Abspeichern einer gegenwärtigen Stellung der Liegefläche in einem Speicher sowie Mittel umfassen, um eine derartige gespeicherte Stellung abzurufen und die Aktuatoren entsprechend der abgerufenen Stellung anzusteuern. Durch diese Mittel wird eine "Kurzspeicherfunktion" realisiert, in der eine aktuelle Stellung der Liegefläche gespeichert werden kann, so dass nach einer zwischenzeitlichen Verstellung leicht zu ihr zurückgefunden werden kann. Dies ist beispielsweise notwendig, wenn ein chirurgischer Eingriff bei einer gewissen Stellung der Liegefläche zum Durchleuchten des Patienten unterbrochen wird, während dessen die Liegefläche eben gestellt werden muss, und dann die Liegefläche in die ursprüngliche Stellung zurückverstellt werden soll.Furthermore, the device may comprise means for storing a current position of the lying surface in a memory and means to retrieve such a stored position and to control the actuators according to the retrieved position. By this means a "short memory function" is realized, in which a current position of the lying surface can be stored, so that after an interim adjustment can easily be found back to her. This is necessary, for example, if a surgical intervention is interrupted at a certain position of the lying surface for illuminating the patient, during which the lying surface must be leveled, and then the lying surface should be moved back to the original position.
Vorzugsweise ist die Eingabevorrichtung durch eine Bediengerät mit einer Bedienfläche gebildet und zumindest ein Teil der Mittel zum Eingeben von körperteilbezogenen Verstellbefehlen und/oder der Mittel zum Eingeben der nicht-körperteilbezogenen Verstellbefehle und/oder der Mittel zum Eingeben des Betriebsmodus durch Knöpfe oder Tasten gebildet, die auf der Bedienfläche angeordnet sind. Dabei ist vorzugsweise auf der Bedienfläche ein menschlicher Körper abgebildet und sind die Knöpfe oder Tasten zum Eingeben körperteilbezogener Verstellbefehle in der Nähe des entsprechenden Körperteils der Abbildung angeordnet. Somit ist es leicht, für jeden erwünschten körperbezogenen Verstellbefehl den passenden Knopf zu finden, wenn man sich an der Abbildung des menschlichen Körpers orientiert.Preferably, the input device is formed by an operating device with a control surface and at least part of the means for entering body part-related adjustment commands and / or the means for inputting the non-body part adjustment commands and / or the means for inputting the operating mode by buttons or buttons, the are arranged on the control surface. In this case, a human body is preferably shown on the control surface and the buttons or buttons for entering body part-related adjustment commands in the vicinity of the corresponding body part of the figure are arranged. Thus, it is easy to find the right button for any desired body-related adjustment command, if one orients the image of the human body.
Zum besseren Verständnis der vorliegenden Erfindung wird im Folgenden auf das in den Zeichnungen dargestellte bevorzugte Ausführungsbeispiel Bezug genommen, welches an Hand 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
- Figur 1
- ein Blockdiagramm einer Einrichtung zum Verstellen der Liegefläche eines Operationstisches und
- Figur 2
- eine Draufsicht auf ein Bediengerät der Einrichtung von
Figur 1 .
- FIG. 1
- a block diagram of a device for adjusting the bed surface of a surgical table and
- FIG. 2
- a plan view of an operating device of the device of
FIG. 1 ,
In
Die Einrichtung 10 umfasst ein Bediengerät 18 mit einer Bedienfläche 20, einer elektronischen Steuereinheit 22 und einem Speicher 24. In dem Blockdiagramm von
Wie in
Im Folgenden wird unter Bezugnahme auf
Ganz oben auf der Bedienfläche 20 befindet sich ein LCD-Display 30. Unmittelbar darunter sind zwei Softkeys 32 und zwei Scrolltasten 34 angeordnet. Mit den Softkeys 32 und den Scrolltasten 34 lassen sich die Programmfunktionen des Bediengerätes 18 interaktiv betätigen. Die in der Einrichtung 10 vorgesehenen Funktionen werden in Form eines sogenannten Menüs auf der Anzeige 30 angeboten und mit Hilfe der Scrolltasten 34 ausgewählt.At the top of the
Als Nächstes folgen ein Schalter 36, durch dessen Betätigung die Liegefläche 12 in die ebene, waagerechte Stellung gestellt wird, und eine Kurzspeichertaste 38, deren Funktion unten näher beschrieben wird.Next follow a
In einem mittleren Abschnitt der Bedienfläche 20 befindet sich eine schematische Abbildung 40 eines menschlichen Körpers. Links und rechts dieser Abbildung 40 befinden sich Knöpfe zum Eingeben körperbezogener Verstellbefehle. Körperbezogene Verstellbefehle sind solche Befehle, die auf die Verstellung der Lage eines Körperteils oder Körperabschnitts des Patienten gerichtet sind, der auf der Liegefläche 12 des Operationstisches gelagert ist. Darin unterscheiden sich körperteilbezogene Verstellbefehle von Verstellbefehlen, die auf die Verstellung eines bestimmten Segmentes 14a bis 14f gerichtet wären.In a central portion of the
Konkret umfassen die genannten Knöpfe zum Eingeben von körperbezogenen Verstellbefehlen die Knöpfe 42 und 44 zum Anheben bzw. Absenken des oberen Rückens, die Knöpfe 46 und 48 zum Anheben bzw. Absenken des unteren Rückens (und damit des kompletten Oberkörpers, da das Segment des oberen Rückens am Segment des unteren Rückens angelenkt ist), die Knöpfe 50 und 52 zum Anheben bzw. Absenken der Oberschenkel (und damit der gesamten Beine) und die Knöpfe 54 und 56 zum Anheben bzw. Absenken der Unterschenkel des Patienten.Concretely, said buttons for inputting body-related adjustment commands comprise the upper back raising and lowering
Im Normalfall werden durch Betätigung der Knöpfe 50 bis 56 beide Ober- bzw. Unterschenkel gleichzeitig verstellt. Durch Drücken eines Auswahlknopfs 58 kann jedoch ein einzelnes Bein ausgewählt werden, welches dann durch Betätigung der Knöpfe 50 bis 56 verstellt wird. Wenn das linke Bein des Patienten ausgewählt ist, wird dies durch Aufleuchten einer LED 60 angezeigt. In diesem Zustand wird durch Betätigen eines der Knöpfe 50 bis 56 der Ober- bzw. Unterschenkel des linken Beins verstellt. Durch Drücken des Auswahlknopfs 58 wird auf das rechte Bein umgeschaltet, was durch das Erlöschen der LED 60 und das Aufleuchten einer LED 62 angezeigt wird. In diesem Fall wird durch Betätigen der Knöpfe 50 bis 56 die Lage des Ober- oder Unterschenkels des rechten Beins bewirkt. Durch nochmaliges Drücken des Auswahlknopfes 58 leuchten beide LEDs 60 und 62, und die Beine werden wieder gemeinsam verstellt.Normally, both upper and lower legs are adjusted simultaneously by pressing the
Wie aus der obigen Beschreibung deutlich wird, sind auf der Bedienfläche 20 die Knöpfe 42 bis 56 zum Eingeben körperbezogener Verstellbefehle in der Nähe des entsprechenden Körperteils der Abbildung 40 des menschlichen Körpers angeordnet. Somit ist es leicht, für jeden erwünschten körperbezogenen Verstellbefehl den passenden Knopf zu finden, wenn man sich an der Abbildung 40 eines menschlichen Körpers orientiert.As is apparent from the above description, on the
Auf der unteren Hälfte der Bedienfläche 20 befinden sich Knöpfe zum Eingeben nicht-körperteilbezogener Verstellbefehle. Die nicht-körperteilbezogenen Verstellbefehle sind bei dieser Ausführungsform solche Verstellbefehle, die eine Verstellung der gesamten Liegefläche betreffen. Konkret umfasst die Bedienfläche 20 die folgenden Knöpfe für nicht-körperteilbezogene Verstellbefehle: Knöpfe 64 und 66 zum Ändern der Neigung der Liegefläche 12 in Längsrichtung derart, dass das Kopfende angehoben bzw. abgesenkt wird, Knöpfe 68 und 70 zum Ändern der Neigung der Liegefläche 12 derart, dass die rechte bzw. linke Körperseite des darauf gelagerten Patienten abgesenkt wird, Knöpfe 72 und 74 zum Anheben bzw. Absenken der Liegefläche 12 als Ganzes und Knöpfe 76 und 78 für eine Translation der Liegefläche 12 in deren Längsrichtung in Richtung auf das Kopf- bzw. Fußende.On the lower half of the
Schließlich befindet sich am unteren Ende der Bedienfläche 20 ein Knopf 80 zum Auswählen eines von drei Betriebsmodi, in denen die Einrichtung 10 betreibbar ist. Dabei entspricht ein jeder der Betriebsmodi einer bestimmten Lage des Patienten auf der Liegefläche 12. Der erste Betriebsmodus entspricht einer mittleren oder Normallage des Patienten auf der Liegefläche 12, und diese Lage ist durch das Piktogramm 82 auf der Bedienfläche 20 symbolisiert. Wenn der erste Betriebsmodus ausgewählt ist, leuchtet eine LED 84 auf, die oberhalb des Piktogramms 82 angeordnet ist.Finally, located at the lower end of the
Ein zweiter Betriebsmodus entspricht einer Lage, bei der der Patient bezogen auf die Normallage in Längsrichtung der Liegefläche 12 in Richtung auf das Kopfende verschoben ist. Diese Lage des zweiten Betriebsmodus ist durch das Piktogramm 86 symbolisiert. Wenn dieser zweite Betriebsmodus ausgewählt ist, leuchtet eine zugehörige LED 88 auf. Der dritte Betriebsmodus entspricht einer Lage, bei der der Patient gegenüber der Normallage in Längsrichtung der Liegefläche 12 in Richtung auf das Fußende verschoben ist. Diese Lage des dritten Betriebsmodus ist durch das Piktogramm 90 symbolisiert, und eine LED 92 leuchtet bei Auswahl dieses dritten Betriebsmodus auf.A second operating mode corresponds to a situation in which the patient is displaced in the longitudinal direction of the lying
Im Folgenden wird die Funktion der Einrichtung 10 erläutert. Wie oben beschrieben wurde, entsprechen die drei unterschiedlichen Betriebsmodi unterschiedlichen Lagen eines Patienten auf der Liegefläche 12. Unterschiedliche Operationen können unterschiedliche Lagen des Patienten auf der Liegefläche erforderlich oder zumindest vorteilhaft machen. Beispielsweise kann es aus Platzgründen für manche Eingriffe vorteilhaft sein, den Patienten gegenüber einer Normallage in Richtung auf das Fuß- oder Kopfende der Liegefläche zu verschieben. Während also beispielsweise in der Darstellung von
Dies hat zur Folge, dass zur Verstellung desselben Körperteils in den drei unterschiedlichen Lagen des Patienten jeweils ein anderes der Segmente 14a bis 14f verstellt werden muss. Bei einem herkömmlichen Bediengerät, bei dem die Knöpfe zum Eingeben von Verstellbefehlen stets mit einem der verstellbaren Segmente assoziiert sind, muss der Benutzer je nach Lage des Patienten umdenken, um zum Verstellen des gewünschten Körperteils auch den richtigen Knopf zu drücken.As a result, in order to adjust the same body part in the three different positions of the patient, one of the different segments 14a to 14f has to be adjusted in each case. In a conventional operating device, wherein the buttons for entering Verstellbefehlen always with one of the adjustable segments Depending on the position of the patient, the user has to rethink to also press the correct button to adjust the desired body part.
Bei der Einrichtung 10 nach einer Weiterbildung der Erfindung tritt diese Schwierigkeit hingegen nicht auf. Statt dessen sind die Knöpfe 42 bis 58 nicht auf ein gewisses Segment 14a bis 14f, sondern auf ein Körperteil oder einen Körperabschnitt bezogen. Wenn der Patient in einer der drei vorbestimmten Lagen, denen die drei Betriebsmodi entsprechen, auf der Liegefläche 12 gelagert ist, muss nur zu Beginn durch Betätigen des Knopfes 80 der richtige Betriebsmodus ausgewählt werden. Wenn dann einer der Knöpfe 42 bis 56 für körperteilbezogene Verstellbefehle gedrückt wird, stellt die elektronische Steuereinheit 22 aus dem empfangenen körperbezogenen Verstellbefehl und der Information über den aktuellen Betriebsmodus die geeigneten Steuersignale für die Aktuatoren 16a bis 16f bereit, d.h. die Steuersignale, die bei der gegenwärtigen Lage des Patienten auf der Liegefläche 12 (d.h. der ersten, zweiten oder dritten Lage) eine Verstellung der Lage eines Körperteils entsprechend dem körperteilbezogenen Verstellbefehl bewirken. Der Benutzer muss daher nicht mehr zwischen den unterschiedlichen Lagen umdenken, sondern die jeweilige Lage des Patienten auf der Liegefläche 12 wird von der elektronischen Steuereinheit automatisch berücksichtigt. Insofern wird die Bedienung des Bediengerätes 18 von der konkreten Lage des Patienten auf der Liegefläche 12 abstrahiert, wodurch die Bedienung wesentlich vereinfacht wird und Fehler vermieden werden können.In the
Es wird zusätzlich bezüglich der Orientierung des Kopfes des Patienten auf der Liegefläche 12 zwischen der Normallage und der eingangs beschriebenen "Reverse-Lage" unterschieden, bei der bezogen auf die Normallage das Kopf- und das Fußende vertauscht sind. Die Reverse-Lage kann über die Softkeys 32 und/oder die Scrolltasten 34 eingegeben werden. Die Einrichtung 10 ist in sechs unterschiedlichen Modi betreibbar, die den möglichen Kombinationen aus den drei Verschiebungs-Modi und den beiden Orientierungen des Kopfes entsprechen. Man beachte, dass die Knöpfe 64 und 66 zum Ändern der Neigung der Liegefläche 12 in Längsrichtung, die Knöpfe 68 und 70 zum Ändern der Neigung der Liegefläche 12 in Querrichtung und die Knöpfe 76 und 78 für eine Translation der Liegefläche 12 in deren Längsrichtung ebenfalls Knöpfe zum Eingeben körperteilbezogener Verstellbefehle sind.It is additionally distinguished with respect to the orientation of the head of the patient on the lying
In dem Speicher 24 sind verschiedene Stellungen der Liegefläche 12 speicherbar. Durch Betätigung der Scrolltasten 34 können diese gespeicherten Stellungen aus einem auf der Anzeige 30 dargestellten Menü ausgewählt werden. Dadurch können bewährte oder häufiger benötigte Einstellungen der Liegefläche 12, die im Speicher 24 gespeichert sind, jederzeit hergestellt werden. Anstelle des Speichers 24 kann jedoch auch ein Speicher in der Säule des Operationstisches vorgesehen sein.In the
Ferner kann durch Drücken der Kurzspeichertaste 38 die aktuelle Stellung der Liegefläche 12 gespeichert werden. Dies ist beispielsweise dann von Vorteil, wenn die Liegefläche 12 in einer Operation kurzzeitig durch betätigen der Taste 36 eben eingestellt wird, um den Patienten zu durchleuchten, und dann wieder in die vorhergehende Stellung zurückverstellt werden soll. Durch Betätigen der Scrolltasten 34 und/oder der Softkeys 32 kann die Liegefläche 12 dann rasch in die mit Hilfe der Kurzspeichertaste 38 gespeicherte Lage zurückverstellt werden.Furthermore, by pressing the
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.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.
Claims (11)
- Apparatus (10) for adjusting the bed (12) of an operating table, the said bed comprising a plurality of segments (14a to 14f) adjustable in relation to one another, at least some of the adjustable segments (14a to 14f) being provided with actuators (16a to 16f) which can be activated in order to adjust the associated segments (14a to 14f), with an input device (18) for the input of commands for the adjustment of at least some of the segments (14a to 14f) provided with actuators (16a to 16f), the apparatus (10) being operable in at least two operating modes which correspond in each case to a specific position of a patient on the bed (12), and the input device (18) having means (42 to 58) for the input of body-part-related adjustment commands which are associated with the adjustment of the position of a body part or body portion of the patient, and the apparatus (10) comprising means (22) for activating the actuators (16a to 16f), which are suitable for activating the actuators (16a to 16f) as a function of the current operating mode and of a body-part-related adjustment command, such that an adjustment of one or more segments (14a to 14f) is brought about in accordance with the body-part-related adjustment command, characterized in that the input device comprises means (76, 78, 80) for the input of the operating mode and that the positions of the patient on the bed (12), to which the operating modes correspond, differ from one another in a displacement of the patient in the longitudinal direction of the bed (12).
- The apparatus (10) according to Claim 1, in which the adjustments associated with the body-part-related adjustment commands comprise the raising and lowering of one or more of the following body parts: the upper back, the lower back, the left thigh, the right thigh, both thighs in synchronism, the left lower leg, the right lower leg and both lower legs in synchronism.
- The apparatus (10) according to Claim 1 or 2, in which positions of the patient on the bed (12) to which the operating modes correspond differ from one another in an interchange of the head end and foot end.
- The apparatus (10) according to one of the preceding claims, in which the input device (18) comprises means (64 to 78) for the input of non-body-part-related adjustment commands which relate to one or more of the following adjustments of the entire bed (12): the raising and lowering of the bed (12), the change in the inclination of the bed (12) in its longitudinal direction, the change in the inclination of the bed (12) in its transverse direction, and the translation of the bed (12) in its longitudinal direction.
- The apparatus (10) according to one of the preceding claims, with an electronic control unit (22) which comprises at least one input for body-related adjustment commands and which is programmed such that, from a body-related adjustment command received via the at least one input and from information relating to the current operating mode, it generates control signals for the actuators (16a to 16f) which bring about an adjustment of one or more segments (14a to 14f) in accordance with the body-part-related adjustment command.
- The apparatus (10) according to one of the preceding claims, with a memory (24), in which various positions of the bed (12) can be stored, and with means (32, 34, 22) for selecting one of the various stored positions and for activating the actuators (16a to 16f) in accordance with the selected position.
- The apparatus (10) according to one of the preceding claims, with means (38) for storing a present position of the bed (12) in a memory (24) and with means (34, 22) for retrieving such a stored position and for activating the actuators (16a to 16f) in accordance with the retrieved position.
- The apparatus (10) according to one of the preceding claims, in which the input device is formed by an operating instrument (18) with an operating face (20), and at least part of the means (42 to 58) for the input of body-part-related adjustment commands and/or of the means (64 to 78) for the input of the non-body-part-related adjustment commands and/or of the means (80) for the input of the operating mode are formed by buttons or keys which are arranged on the operating face (20).
- The apparatus (10) according to Claim 8, in which a human body (40) is depicted on the operating face (20), and the buttons or keys (42 to 56) for the input of body-part-related adjustment commands are arranged in the vicinity of the corresponding body part of the image (40).
- The apparatus (10) according to Claim 8 or 9, in which a display, in particular an LCD display (30), is provided on the operating face (10).
- The apparatus (10) according to one of Claims 8 to 10, in which the operating instrument (18) is portable and is dimensioned in size and shape such that it can be held in the hand.
Priority Applications (1)
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PL06123443T PL1785122T3 (en) | 2005-11-10 | 2006-11-03 | Device for adjusting the lying surface of an operating table |
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DE102005053754A DE102005053754A1 (en) | 2005-11-10 | 2005-11-10 | Device for adjusting the lying surface of a surgical table |
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EP1785122B1 true EP1785122B1 (en) | 2010-03-31 |
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US (1) | US7669261B2 (en) |
EP (1) | EP1785122B1 (en) |
JP (1) | JP4994791B2 (en) |
KR (1) | KR101176234B1 (en) |
CN (1) | CN101011311B (en) |
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2005
- 2005-11-10 DE DE102005053754A patent/DE102005053754A1/en not_active Withdrawn
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2006
- 2006-11-03 DE DE502006006565T patent/DE502006006565D1/en active Active
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CN101011311A (en) | 2007-08-08 |
US7669261B2 (en) | 2010-03-02 |
US20070101500A1 (en) | 2007-05-10 |
RU2006139737A (en) | 2008-05-27 |
KR20070050387A (en) | 2007-05-15 |
DK1785122T3 (en) | 2010-06-21 |
BRPI0604551B8 (en) | 2021-06-22 |
CN101011311B (en) | 2011-12-14 |
ATE462396T1 (en) | 2010-04-15 |
RU2345750C2 (en) | 2009-02-10 |
BRPI0604551B1 (en) | 2018-12-18 |
DE102005053754A1 (en) | 2007-05-16 |
BRPI0604551A (en) | 2007-08-28 |
JP2007130476A (en) | 2007-05-31 |
EP1785122A1 (en) | 2007-05-16 |
PT1785122E (en) | 2010-05-20 |
PL1785122T3 (en) | 2010-09-30 |
JP4994791B2 (en) | 2012-08-08 |
DE502006006565D1 (en) | 2010-05-12 |
CA2567535A1 (en) | 2007-05-10 |
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