EP3373884B1 - Ausrüstung für die handchirurgie - Google Patents
Ausrüstung für die handchirurgie Download PDFInfo
- Publication number
- EP3373884B1 EP3373884B1 EP16798431.9A EP16798431A EP3373884B1 EP 3373884 B1 EP3373884 B1 EP 3373884B1 EP 16798431 A EP16798431 A EP 16798431A EP 3373884 B1 EP3373884 B1 EP 3373884B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- pole
- patient
- equipment
- foot
- support
- 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.)
- Active
Links
- 238000002683 hand surgery Methods 0.000 title description 4
- 238000001356 surgical procedure Methods 0.000 claims description 7
- 238000004659 sterilization and disinfection Methods 0.000 claims description 4
- 238000004873 anchoring Methods 0.000 claims description 2
- 239000000463 material Substances 0.000 description 6
- 230000002421 anti-septic effect Effects 0.000 description 3
- 210000003414 extremity Anatomy 0.000 description 3
- 210000000245 forearm Anatomy 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 230000000903 blocking effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000036515 potency Effects 0.000 description 2
- 238000005096 rolling process Methods 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- 230000006978 adaptation Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000001680 brushing effect Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 238000010422 painting Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
Images
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
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/124—Hands or wrists
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
- A61G13/0045—Orthopaedic operating tables specially adapted for hand or wrist surgeries
Definitions
- the present invention relates to equipment specifically adapted for hand surgery.
- an operating table In the field of surgical procedures, the patient is generally lying on a support called an operating table.
- This operating table also serves as a support for many accessories, generally lateral, which are either general (supports for instruments or medicated bottles, etc.) or specific to the nature of the operation. Mention will be made, for the present case, of an oblong lateral tablet whose major axis is perpendicular to the operating table and which is fixed to a lateral edge thereof, its other end being generally supported by a foot.
- This table supports the patient's arm perpendicular to his body and therefore the hand to be operated on. It also serves as a support for the forearms of the surgeon and his assistant which face each other on either side of the table and as a support for the instruments to be used during the operation.
- This equipment is relatively small and corresponds poorly to modern procedures which require the increasingly frequent use of numerous surgical instruments and a bulky imaging device.
- the invention is a response to this need, starting from a detailed analysis of the procedures implemented to perform surgery on a hand.
- the present invention therefore relates to equipment for the surgical operation of the hand of a patient, characterized in that it comprises a bracket comprising a mast, a mast foot parallel and offset relative to the axis of the mast and connected to the latter by a crank arm, a means for fixing said mast foot to a fixed support for the limb of the patient to be operated on, in which means the mast can take at least two symmetrical positions with respect to the axis of the patient's foot. the gallows, and an upper cross member contained in the plane defined by the mast and the foot and comprising at least one overhanging portion of the crank arm.
- this bracket can be fixed, for example along a side edge of an operating table, with the crank arm below the level of the table.
- the mast can be placed between the fixing foot and, for example, the end of the operating table supporting the patient's legs, regardless of the side of the table to which the bracket is attached.
- the mast can always be in the correct position relative to the patient (in the vicinity of his armpit), which is advantageous for the surgeon having to prepare to support, manipulate and operate on the patient's limb.
- the portion of the cross member of the stem overhanging the crank arm constitutes a fastening member for several elements.
- One of them is a sling for suspending the patient's arm during its preparation (painting and disinfection).
- the most important of these possible elements is a hoop extending from this crosspiece until it rests on the support of the patient's arm and whose projection on this support is substantially in the axis of this arm, this arch constituting an adjustable anchoring means of a device for traction of the patient's arm. It is thus possible, thanks to this hoop, to extend the arm, either in the horizontal plane of the table, or substantially perpendicular to the latter.
- the mast of the bracket wedged in the vicinity of the patient's armpit, constitutes the means of blocking the patient's body against the tensile force applied to the arm from the hand .
- the arch is preferably formed of interlocking tubular sections to facilitate sterilization.
- the mast will advantageously be provided with a secondary cross member which is orientable around the mast and adjustable in position along the latter to form either a stop for blocking the arm at the level of the elbow or the arm in order to make possible a vertical extension of the hand and forearm, or a support for the arm during, for example, its antiseptic brushing.
- the fixed support provided with the means for fixing the foot of the mast of the gallows consists of an independent table mounted on immobilizable rolling means and forming the support of the patient's arm carrying the hand to be operated on. .
- the auxiliary table has an oblong main part, provided at one of its ends with the aforesaid means for receiving and fixing the foot of the mast and offering at its other end removable fixing means for an extension of the length of the table.
- the equipment of the invention will comprise two interchangeable extensions in order to be able to have two possible longitudinal dimensions of the table.
- the reference 1 is assigned to a conventional operating table which has on its side at least one side rail 2, known in itself, which constitutes a means of securing to the table for numerous accessories.
- auxiliary table 3 for the surgery of an upper limb and in particular of the hand.
- This table forms the support of the patient's arm and comprises fixing means 4 to the main table 1 supporting the patient and an end foot 5.
- An important element of the equipment according to the invention consists of a bracket 6 attached in the case of the figure to the table 1 by means 7 for fixing its foot to the rail 2.
- This stem 6 is shown in detail on figure 2 . It comprises a mast 6a and a foot 6b (crank pin) parallel to the mast and connected to the latter by a crank arm 8. These elements are contained in a plane P as well as an upper cross member 9 of which a branch 10 is overhanging. of the crank arm 8 and the opposite branch of which is in the form of a rack 11 for the suspension of various accessories usual in the operating room.
- the branch 10 is, for its part, equipped with a fixing means for the end of a hoop 13 shown in figures 1 , 4,5 and 6 .
- This fixing means comprises a sleeve 12 and a clamping means, for example a screw.
- the means 7 for fixing the bracket for example to the rail 2 of a table 1, is shown in figure 3 and comprises a sleeve 14 of circular section to accommodate and support and / or fix the foot 6b of the bracket.
- the fixing of the part 7 to the table 1 is carried out by any known means (keys, various flanges, etc.).
- a transverse pin 15 at the bottom of this sleeve makes it possible to index the orientation of the gallows (in its plane P) whose foot is cut in V 6c as illustrated by figure 2 .
- the sleeve may have a square section like the foot 6b of the stem 6 (variant not shown) so that the indexing of the stem is achieved by correspondence of shape.
- the equipment comprises an independent operating table 16, shown in figures 4, 5 and 6 .
- This table has a base 17 at the base of which there are provided rolling means 18 which can be immobilized, in a manner known per se.
- This table 16 has an oblong main part 19.
- One end of this table is equipped with the means 7 for fixing the bracket 6 while the other end is equipped with a small extension 20 ( figures 4 and 5 ) or a large extension 21 ( figure 6 ) to be able to vary the dimension of the useful surface of this table.
- the interchangeable extensions have slides which cooperate in a well-known manner with slides under the central part 19 of the table.
- the hoop 13 ( figures 1 , 4,5 and 6 ) is composed of a succession of sections 13a, 13b, 13c, ... which are assembled by interlocking. Each section is of a length compatible with that of the sterilization chambers.
- the first section 13a is held in the cross member of the bracket by being housed in the sleeve 12 of the latter and blocked by a radial screw while the section at the other end has a pad 22 for bearing on the table 3 ( figure 1 ).
- this end section can be wedged on the table 16 by means of inserting the end of the hoop into a perforated strip 23 which is fixed to this table and which has a series of discrete orifices 24 to take take into account the possible variation in the length of the arch adapted to the length of the patient's arm.
- FIG. figure 4 An attachment nut 25 of an extension device (not shown) of the patient's arm is shown in Fig. figure 4 and in more detail at figure 7 .
- This nut can be immobilized anywhere along the hoop 13 and in particular in the vicinity of the means 23, 24 for a horizontal extension of the arm and in the vicinity of the bracket 6 for a vertical extension of the forearm.
- the mast 6a is provided with a stop for locking the arm upstream of the elbow, formed by a secondary cross member 26 parallel to the upper cross member 9 to extend to the level of the patient's arm.
- the position of this cross member is adjustable along the mast by any known means (sleeve and screw for example). It can also serve as a support for the patient's arm, in particular during the antiseptic coating of the latter.
- crank arm 8 connecting the crankpin foot 6b to the mast 6a is located under the work surface of the table (3 or 16) so that it does not constitute an obstacle to the placement of this arm on Table.
- a single bracket is sufficient to be able to intervene both on the left hand and on the right hand of a patient.
- the installation is very simple and in combination with the table 16, independent of the operating table it allows to intervene without having to plan the left or right interventions, which makes the succession of interventions even more fluid than a surgeon must practice during the day, in addition to the fluidity already obtained by maintaining the patient on his stretcher.
- the material of the invention is reduced to a gallows with, if necessary, an arch, which leaves a free operating space for the surgeon and his assistant. It is then easy to place in this space any ancillary useful for the intervention from the support of the arm, the whitewash antiseptic, blood drainage and an imaging device and to attach auxiliary instruments such as for example a mirror, a camera, etc. to the bracket, which allows the patient to be provided with an image of the operation.
- the bracket can also constitute the support of a video camera to transmit the film of an intervention to a display and allow discussion or collaboration between surgeons.
- the plate and the extensions of the table 16 are made of a material transparent to the rays of the imaging.
- this auxiliary table can be that of the invention provided with the bracket described above and the hoop for extending the foot, if necessary.
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)
- Orthopedic Medicine & Surgery (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Claims (6)
- Ausrüstung für eine chirurgische Operation der Hand eines Patienten, umfassend einen Galgen (6), der eine Stange (6a) enthält, einen in Bezug auf die Achse der Stange parallelen und versetzten Stangenfuß (6b), der mit der Stange über einen Kurbelarm (8) verbunden ist, Befestigungsmittel (7) zur Befestigung des Stangenfußes an einer ortsfesten Stütze (3, 16) für eine Gliedmaße des zu operierenden Patienten, wobei in den besagten Mitteln die Stange (6a) mindestens zwei in Bezug auf die Achse des Fußes (6b) des Galgens symmetrische Positionen einnehmen kann, sowie einen oberen Querträger (9), der in der von der Stange (6a) und dem Fuß (6b) definierten Ebene enthalten ist und mindestens einen über den Kurbelarm überhängenden Abschnitt umfasst, wobei die Ausrüstung dadurch gekennzeichnet ist, dass sie einen Bogen (13) umfasst und dass der Abschnitt (10) des Querträgers (9) des Galgens, der über den Kurbelarm (8) überhängt, ein Befestigungsorgan (12) trägt, das den Bogen (13) befestigt, wobei sich dieser Bogen (13) von diesem Querträger (9) bis in Anlage an der Stütze (3, 16) erstreckt, damit seine Projektion auf diese Stütze im Wesentlichen in der Achse der Gliedmaße ist, wobei dieser Bogen (13) verstellbare Verankerungsmittel zur verstellbaren Verankerung einer Zugvorrichtung für die Gliedmaße des Patienten bildet.
- Ausrüstung nach Anspruch 1, dadurch gekennzeichnet, dass der Bogen (13) aus ineinander steckbaren, rohrförmigen Abschnitten (13a, 13c, 13c) gebildet ist, um seine Sterilisation zu erleichtern.
- Ausrüstung nach Anspruch 1 oder Anspruch 2, dadurch gekennzeichnet, dass die Stange (6a) mit einem zweiten Querträger (26) zum Stützen oder Blockieren des Arms des Patienten stromaufwärts des Ellbogens versehen ist, der entlang der Stange und in Ausrichtung um dieselbe verstellbar ist.
- Ausrüstung nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass die ortsfeste Stütze, die mit den Befestigungsmitteln (7) zur Befestigung des Fußes der Stange des Galgens versehen ist, von einem unabhängigen Tisch (16) gebildet ist, der auf feststellbaren Rollmitteln montiert ist und die Stütze für den Arm des Patienten bildet, der die zu operierende Hand trägt.
- Ausrüstung nach Anspruch 4, dadurch gekennzeichnet, dass der unabhängige Tisch (16) einen länglichen Hauptteil (19) umfasst, der an einem seiner Enden mit den oben genannten Mitteln (7) zur Aufnahme und Befestigung des Fußes der Stange versehen ist und an seinem anderen Ende Mittel zur lösbaren Befestigung einer Verlängerung (20, 21) der Länge des Tisches bietet.
- Ausrüstung nach Anspruch 5, dadurch gekennzeichnet, dass der Tisch mindestens zwei austauschbare Verlängerungen (20, 22) umfasst, um über mindestens zwei unterschiedliche Längsabmessungen verfügen zu können.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1560711A FR3043325B1 (fr) | 2015-11-09 | 2015-11-09 | Materiel pour chirurgie de la main |
PCT/EP2016/077176 WO2017081103A1 (fr) | 2015-11-09 | 2016-11-09 | Materiel pour chirurgie de la main |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3373884A1 EP3373884A1 (de) | 2018-09-19 |
EP3373884B1 true EP3373884B1 (de) | 2020-09-23 |
Family
ID=54979833
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP16798431.9A Active EP3373884B1 (de) | 2015-11-09 | 2016-11-09 | Ausrüstung für die handchirurgie |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP3373884B1 (de) |
FR (1) | FR3043325B1 (de) |
WO (1) | WO2017081103A1 (de) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR3075035A1 (fr) * | 2017-12-15 | 2019-06-21 | Herve Lamarre | Materiel perfectionne pour chirurgie de precision |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4045011A (en) | 1976-10-27 | 1977-08-30 | Ford John L | Armboard |
US4054282A (en) | 1976-11-19 | 1977-10-18 | Louis O. Scheu, Jr. | Auxiliary operating table for hand surgery and the like |
DE2946987A1 (de) | 1979-11-21 | 1981-06-04 | Stierlen-Maquet Ag, 7550 Rastatt | Einrichtung zum lagern eines patienten und verfahren zur aenderung der lage eines patienten unter verwendung der einrichtung |
US7131955B2 (en) * | 2004-03-05 | 2006-11-07 | Price Geoffrey M | Orthopedic traction tower system |
US7832035B2 (en) * | 2007-01-22 | 2010-11-16 | Walczyk Stephen L | Surgical support for patient limb |
-
2015
- 2015-11-09 FR FR1560711A patent/FR3043325B1/fr active Active
-
2016
- 2016-11-09 WO PCT/EP2016/077176 patent/WO2017081103A1/fr active Application Filing
- 2016-11-09 EP EP16798431.9A patent/EP3373884B1/de active Active
Non-Patent Citations (1)
Title |
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None * |
Also Published As
Publication number | Publication date |
---|---|
WO2017081103A1 (fr) | 2017-05-18 |
FR3043325A1 (fr) | 2017-05-12 |
EP3373884A1 (de) | 2018-09-19 |
FR3043325B1 (fr) | 2021-07-30 |
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