EP4297713A1

EP4297713A1 - Operating table having a load sensor assembly

Info

Publication number: EP4297713A1
Application number: EP22702150.8A
Authority: EP
Inventors: Rodrigo Del Alcazar von Buchwald; Achim Schäfer; Tim Golde; Immanuel Gaiser; Jan Donat Olszewski; Mike Obert
Original assignee: Maquet GmbH
Current assignee: Maquet GmbH
Priority date: 2021-03-29
Filing date: 2022-01-11
Publication date: 2024-01-03
Also published as: CN117136043A; WO2022207150A9; EP4306095A2; WO2022207150A1; DE102021107833A1; US20240016688A1; EP4306095A3; JP2024513216A

Abstract

Disclosed is an operating table (100) comprising a load sensor assembly (102) with a plurality of load sensors for measuring at least one variable from which a load acting on the load sensor assembly (102) can be ascertained, the load sensor assembly (102) being arranged between at least two parts of the operating table (100), said at least two parts essentially not being movable relative to one another.

Description

OPERATING TABLE WITH LOAD SENSOR ARRANGEMENT

The present application claims the priority of German patent application no. 10 2021 107 833.4, which was filed with the German Patent and Trademark Office on March 29, 2021. The disclosure content of German Patent Application No. 10 2021 107 833.4 is hereby incorporated into the disclosure content of the present application.

technical field

The present disclosure relates to an operating table with a load sensor arrangement.

Background to the Revelation

Operating tables are used to position a patient, for example during a surgical procedure. Currently, due to the flexibility in operating table placement, the number of accessories, and the various patient positioning options that the operating table offers, nurses and physicians must consider many important aspects in order to use the operating table properly. Some of these aspects are listed below:

The accessories used should be matched to the patient's weight.

The configuration of the accessories should also be adjusted to the patient's weight. The patient support surface on which the patient is located should only be moved within permitted limits.

If a movement restriction applies, care should be taken not to exceed the permitted limits at any time.

When adjusting the operating table, care should be taken that the operating table does not collide with an external object, such as a C-arm. Furthermore, when adjusting the operating table, care should be taken that the

Patient is properly secured and will not fall or slide off the operating table.

Important information on the points listed above can be found in the instructions for use of the operating table. If the user ignores the instructions for use or does not pay enough attention to collisions and the patient, the following dangerous events can occur:

Overturning of the operating table: Fall of the patient, which can lead to permanent injuries and even death.

Overloading structural parts of accessories and the operating table: This can cause structural parts to permanently bend or break, causing permanent injury or even death to the patient.

Motorized joint overload: Causes limited mobility as the operating table cannot move.

Collision of the operating table with an external object: During movement, the operating table can collide and damage expensive equipment, e.g. C-arms.

Falling of the patient: If the patient is not adequately secured, the patient can start to slide when the table moves, which in the worst case can lead to the patient falling to the floor.

Summary of Revelation

It is an object of the present disclosure to provide an operating table with a load sensor arrangement, wherein the load sensor arrangement is advantageously configured to measure a variable from which a load acting on the load sensor arrangement can be determined.

Another object of the present disclosure is to provide an operating table that generates a signal indicative of a risk of the operating table tipping over. Yet another object of the present disclosure is to provide an operating table that generates a signal indicative of a risk of overloading the operating table and/or a component of the operating table.

According to a first aspect of the present disclosure, an operating table includes a load sensor assembly having a plurality of load sensors. The load sensor arrangement is for measuring at least one variable, i. H. precisely one or more variables, from which a load acting on the load sensor arrangement can be determined.

The load acting on the load sensor arrangement can in particular include all external force values, i. H. Forces and moments that act on the load sensor assembly. The load sensors can be, for example, force sensors, in particular load cells, which each measure a force acting on the respective sensor. In such an arrangement, the measured quantity may be the force measured by each of the force sensors, i. that is, each of the force sensors measures a corresponding quantity. The force sensors can each emit an electrical signal, for example an electrical voltage, as an output signal, from which the respectively measured force can be derived. Furthermore, it can also be provided that the force sensors each output the specific size of the force they measure, for example in digital form.

It is also conceivable that the load sensor arrangement measures a resultant total force as a quantity, with the resultant total force being obtained from the individual forces acting on the different force sensors. In this case, the load sensor arrangement can, in particular, measure precisely one variable, namely the resulting total force. The total force can again be output as an electrical signal, for example as an electrical voltage, from which the force measured in each case can be derived, or as a specific variable, for example in digital form.

The load acting on the load sensor arrangement includes, for example, the load caused by the components of the operating table arranged above the load sensor arrangement, as well as the load caused by the patient lying on the operating table or other objects on the operating table. Furthermore, a person can also cause a load on the operating table, for example by the person standing next to the operating table and leaning on the operating table with a hand or another part of the body. Additionally, external forces generated otherwise may create a load on the operating table. Such loads can also be measured by the load sensor arrangement.

The load sensor arrangement with the multiple load sensors is arranged between at least two parts of the operating table. The at least two parts are essentially immovable with respect to one another. If, during operation, the operating table, in particular the patient storage area, is moved or adjusted, e.g. B. tenlagerfläche when tilting and / or extending the patient, the at least two parts do not move towards each other substantially, d. that is, they remain in substantially the same position relative to each other. This applies both to the distance between the at least two parts and the angle or angles that the at least two parts form with one another.

However, the at least two parts can move very slightly relative to each other to the extent that the load sensors are physically deformed by weight and pressure. Thus, "substantially the same position" includes relative movement of the at least two parts by up to 3 millimeters due to temporary deformation of the load sensors. In an alternative formulation, one could say that the plurality of load sensors or the at least two parts are only movable relative to one another by a maximum of 3 millimeters, and/or they are only movable to the extent that the load sensors are physically deformed.

The at least two parts of the operating table can be arranged directly next to or adjacent to the load sensor arrangement. The load sensor arrangement can be in contact with the two parts. For example, the load sensor assembly can touch the two parts, respectively. At least during operation of the operating table, the two parts can be firmly connected to the load sensor arrangement. The load sensor arrangement can be arranged at different positions in the operating table. For example, the load sensor arrangement can be integrated into the column of the operating table. In this case, a first side of the load sensor arrangement can be connected to at least a first part of the column, and a second side of the load sensor arrangement, which can in particular be opposite the first side, can be connected to a second part of the column. The first and the second part of the column are designed in such a way that they cannot move relative to one another. Furthermore, the first part of the column can be arranged above the second part of the column.

Furthermore, the load sensor assembly may be located at or adjacent to interfaces that the column forms with the patient support surface or pedestal (or base). Consequently, the load sensor arrangement can be arranged, for example, between the patient support surface and the column. In this case, the first side of the load sensor arrangement can be connected to a part of the patient support surface and the second side of the load sensor arrangement can be connected to a part of the column, the two parts being immovable with respect to one another.

Alternatively, the load sensor arrangement can be arranged, for example, between the column and the base. In this case, the first side of the load sensor arrangement can be connected to a part of the column and the second side of the load sensor arrangement can be connected to a part of the base, the two parts being immovable with respect to one another.

The integration of the load sensors between two or more non-moving structural parts of the operating table has several advantages over other solutions, in particular solutions where the load sensors are integrated in joints. For example, it is conceivable that in such solutions, the load sensors are integrated into several universal joints in such a way that the load sensors are each between several, z. B. three mutually movable parts are the. Such a solution is not ideal since dynamic effects lead to major accuracy problems. Also, moving parts tend to wear out over time, making the system less reliable and requiring constant maintenance and calibration. Such problems are reduced or even eliminated by placing the load sensors between at least two structurally non-moving parts. The load sensor arrangement can be integrated into the operating table in such a way that the entire load flows or is transmitted through the load sensor arrangement. In particular, that load can flow through the load sensor arrangement or be transmitted through it, which is caused above the load sensor arrangement.

In one embodiment, the load sensors of the load sensor arrangement can be arranged parallel and in mirror image to one another. For example, the load sensor arrangement can have a total of four force sensors or load cells. This configuration has the advantage of increased accuracy and reliability.

Several or all of the load sensors of the load sensor arrangement can be arranged mirror-symmetrically with respect to a first imaginary axis and mirror-symmetrically with respect to a second imaginary axis. The first and second axes may be orthogonal to each other. The first axis can, for example, run parallel to a main axis of the patient support surface, while the second axis runs perpendicular to this main axis but parallel to the patient support surface. In this case, the load sensor arrangement can be arranged between the patient support surface and the operating table column.

In some forms, the load sensors are arranged in a grid pattern or grid with a plurality of load sensors on each "side". In some embodiments, all load sensors are arranged in a common plane. For example, the load sensors can be arranged in a 2 x 2 grid. The load sensors can be arranged, for example, in a grid arrangement with 2 to 4 load sensors in each dimension.

The mirror-symmetrically arranged load sensors can be aligned in the same direction. In particular, the mirror-symmetrically arranged load sensors can be aligned parallel to one another. The load sensors can each have a main axis aligned parallel to one another.

The load sensors of the load sensor arrangement can be structurally identical. In some embodiments, the load sensors have an elongated shape. For example, the load sensors can be rectangular bodies.

In one configuration, the operating table can have a load determination unit. The load determination unit can be coupled to the load sensor arrangement and can receive the measured at least one variable from the load sensor arrangement. The load sensor arrangement can use the measured at least one variable to determine at least one of the following loads and/or one of the following focal points: a measuring load and/or the focal point of the measuring load; an active load and/or the center of gravity of the active load; and an overall load and/or the center of gravity of the overall load.

For example, the load sensor arrangement can be designed in such a way that it determines either all three of the aforementioned loads and/or their focal points, or a selection of two of the three aforementioned loads and/or their focal points, or only one of the aforementioned loads and/or their focal points.

The measurement load is the load that acts on the load sensor arrangement. The measurement load corresponds to the load generated by all people, objects and forces on the operating table above the load sensors. The measurement load corresponds to the load value measured by the load sensor arrangement.

The active load corresponds to the load which is caused by components that are not assigned to the operating table, and people and external forces, and which acts on the operating table. Components associated with the operating table are components recognized by the operating table, e.g. B. the bearing surface main section and on the bearing surface main section fasten bearing surface secondary sections and/or other accessories recognized by the operation table. The influence of the components assigned to the operating table is not taken into account in the effective load. Only the remaining components of the operating table contribute to the active load, ie the components not assigned to the operating table. This can, for example, be accessories that are not recognized by the operating table. Furthermore, the patient on the operating table contributes to the active load. All external forces acting on the operating table, which are exerted on the operating table by people and/or objects outside the operating table, for example, also contribute to the active load.

The total load is the load that results from the measuring load and from a load caused by components that are assigned to the operating table and are located below the load sensor arrangement. The total load consequently takes into account loads from components that are located below the load sensor arrangement and cannot be measured by the load sensor arrangement and therefore do not contribute to the measurement load. The total load is therefore the load resulting from the entire operating table, the patient, the components assigned to the operating table, the components not assigned to the operating table and other external forces.

In one embodiment, the operating table can also have a safety unit which is coupled to the load determination unit and receives from the load determination unit at least one load value determined by the load determination unit and/or at least one center of gravity determined by the load determination unit. Based on the at least one load and/or the at least one center of gravity, the safety unit can generate a safety signal that indicates whether the operating table is in a safety-critical state. A safety-critical condition exists, for example, when the safety of the patient on the operating table is endangered. For example, this can be the case when there is a risk that the operating table will tip over or be overloaded.

The safety unit can use additional parameters to generate the safety signal, e.g. B. Position data of the operating table, which indicate in which position in particular the patient support surface is located, information about recognized accessories and the Ge weight and center of gravity of the recognized accessories. The safety unit makes it possible to warn the user of the operating table when a safety-critical condition occurs, in order to ensure the safety of the patient. Furthermore, measures can be taken to avert or prevent the safety-critical state.

In one embodiment, one or more measures can be taken if the safety unit generates the safety signal in such a way that it indicates a safety-critical state of the operating table. For example, the operating table can generate an acoustic and/or visual warning signal. Furthermore, a warning signal can be generated in text form, which can be displayed to the user, for example, on a remote control of the operating table. In addition, the movement of the operating table can be restricted. For example, the extension and/or tilting of the patient support surface and/or the movement of the operating table can be slowed down or stopped. In addition, at least one functionality of the operating table can be blocked.

The measures taken can be reduced or canceled when the safety signal again indicates a safe state of the operating table.

In one embodiment, the safety unit can have an anti-tilt unit which, based on the total load and/or the center of gravity of the total load, generates a non-tilt signal that indicates whether there is a risk of the operating table tipping over. The anti-tip signal is therefore a safety signal from the safety unit.

If there is a risk of tipping, for example, acoustic and/or visual warnings can be generated to the user and/or measures can be taken to prevent the operating table from tipping. For example, movements of the operating table can be blocked or the speed of the operating table can be reduced.

In one embodiment, the tilt prevention unit can determine a residual tilting moment for at least one tilting point based on the total load and/or the center of gravity of the total load. Furthermore, the tipping prevention unit compares the determined residual tipping moment with a predetermined residual tipping moment threshold value and generates the tipping safety signal in such a way that it indicates a risk of tipping if the residual tipping moment falls below the residual tipping moment threshold value.

A tipping point is a point or, where appropriate, an axis about which the operating table can tip. For example, a tipping point can be located on a lower side edge of the stand foot, which faces the floor. Furthermore, a tipping point can be characterized by a roller with which the operating table can be moved on the floor.

In some implementations, the tipping points may be defined as all points along the perimeter of a table base or stand that faces (and in some cases touches) the underlying floor. For example, all points along the perimeter of a rectangular table base can be tipping points. In other configurations, e.g. B. when the base has a less regular shape, the tipping points can be defined as all points along the edges of a conceptual polygon defined by the far corners of a base. For example, in the case of an H-shaped base, the tipping points would be the four corners of the H and the edges of a conceptual rectangle formed by the four corners of the H. With a round base, any point on the circumference would be a tipping point.

In general, it can be said that the operating table remains stable when the center of gravity of the total load is above an area bounded by the tipping points. However, if the center of gravity of the total load is not directly above this area, the operating table will tip over.

The residual overturning moment at a tipping point can be determined by multiplying the distance of the tipping point from the center of gravity of the total load by the total load, where the total load is expressed as a force. The residual tipping moment is referred to as "residual tipping torque" in the English-language technical literature. If the specific value for the residual tipping moment is positive, this means that the operating table is stable with respect to this tipping point is. If the residual tilting moment is negative, the operating table will tip over. The larger the value of the residual tilting moment, the more stable the operating table. In this refinement, the residual breakdown torque threshold value is specified, which has a value of 225 Nm, for example. This means that the residual tilting moment should not be less than 225 Nm. If the residual tilting moment falls below the threshold value, the operating table can warn the user acoustically or visually. Other possibilities are blocking movements or reducing the speed of the operating table.

In one configuration, the anti-tipping unit can determine a respective residual tipping moment for a plurality of tipping points, in particular for all possible tipping points. The rollover prevention unit can compare these several residual tipping moments with the threshold value of the residual tipping moment. If only one of the tipping moments falls below the residual tipping moment threshold value, the tipping prevention unit can generate the tipping safety signal in such a way that it indicates a risk of tipping. This creates a high degree of security with regard to the operating table tilting.

In one embodiment, at least one virtual or imaginary line can be specified, which runs through at least one tipping point and which encloses a specified angle, a so-called stability angle, with a specified normal vector, with the anti-tipping unit generating the anti-tipping signal in such a way that it indicates a risk of tipping , if the center of gravity of the total load runs through at least one virtual line. In particular, the tipping safety signal can indicate a risk of tipping when the center of gravity of the total load runs through the at least one virtual line in a direction in which the residual tipping moment decreases. This refinement also includes the case in which the virtual line is shifted in parallel and accordingly does not run through the tipping point. In this case, the center of gravity of the total load must also be shifted accordingly in order to be able to indicate the risk of tipping.

The normal vector can be defined, for example, by the vector of the weight of the operating table when the operating table is on a flat, non-sloping floor. then the normal vector is oriented perpendicular to the ground surface. The normal vector can also be defined, for example, by the base plate of the base or the patient support surface in the normal position. Then the normal vector is aligned perpendicular to the base plate of the stand or perpendicular to the patient support surface in the normal position.

In one embodiment, at least one virtual or imaginary line can be specified for a plurality of tipping points, in particular for all possible tipping points, which runs through the respective tipping point and which encloses a specified angle, a so-called stability angle, with the specified normal vector. The multiple virtual lines define a space. As long as the center of gravity of the total load is within this space, there is no risk of the operating table tipping over. Only when the center of gravity of the total load leaves the space defined or delimited by the virtual lines can the operating table tip over. The tipping prevention unit therefore generates the tipping safety signal in such a way that it indicates a risk of tipping if the center of gravity of the total load leaves the space defined by the virtual lines.

In one embodiment, the predefined stability angle, which the virtual or imaginary line encloses through a tipping point with the predefined normal vector, can depend on the nature of the tipping point. For example, the stability angle can be larger if the tipping point is given by a roller. In comparison, the angle of stability can be smaller if the tipping point does not include a roller, but is located, for example, on a lower side edge of the base.

In one embodiment, a stability angle of 10 degrees can be selected if the tipping point is given by a roller. For all other tipping points, especially rigid bases or substructures, a stability angle of 5 degrees can be selected.

In some configurations, the stability angle is at least 2 or at least 5 degrees, or is in the range of 5 to 15 degrees, or in the range of 3 to 20 degrees. In some configurations with retractable wheels or casters, the angle of stability is at least 2 degrees when the operating table is on the floor and at least 8 degrees when on wheels or rolls. Certain safety regulations require that medical tables remain stable at an incline of 5 degrees when placed directly on the floor and at an incline of 10 degrees when placed on wheels. This technology is useful to meet such security regulations, but is not limited to this purpose.

The two configurations described above, in which the residual tipping moment is compared with the residual tipping moment threshold value or it is checked whether the center of gravity of the total load passes through at least one virtual line can be used independently of one another to generate the tipping safety signal. Furthermore, the two methods can also be combined with one another.

In one embodiment, the safety unit can have an overload protection unit that generates an overload protection signal based on a defined load and/or the center of gravity of the defined load. The defined load is a load from the group of measured, active and total loads. The overload protection signal indicates whether there is a risk of overloading the operating table and/or at least one component of the operating table.

The overload protection signal is a safety signal from the safety unit.

The overload protection unit prevents damage, for example bending or even breaking of a component of the operating table, due to an excessive load acting on the operating table. This also prevents the patient from being endangered.

The at least one component of the operating table for which the risk of overloading is determined can be, for example, a table surface subsidiary section of the patient table or another accessory of the operating table or another component of the operating table, for example a castor or the operating table column. If there is a risk of overloading, for example, acoustic and/or visual warnings can be generated for the user and/or measures can be taken to prevent the operating table from being overloaded. For example, movements of the operating table can be blocked or the speed of the operating table can be reduced.

In one configuration, the overload protection unit can compare the defined load with at least one predetermined overload threshold value. If the defined load exceeds the at least one overload threshold, the overload protection unit generates the overload protection signal in such a way that it indicates a risk of overloading. The at least one overload threshold may be specific to the operating table and/or the at least one component. Consequently, an individual overload threshold can be used for each component of the operating table. This makes it possible to determine the overload risk for components of different stability.

In one configuration, the operating table can have a patient support surface. The patient storage area is used to support the patient, for example during a surgical procedure. The patient support surface can be of modular design and have a main support surface section which can be expanded by coupling various flat support surface sections. For this purpose, the main bearing surface section and the secondary bearing surface sections can have mechanical connecting elements with which the main and secondary bearing surface sections can be detachably connected. For example, minor bearing surface portions may be leg or head portions. Furthermore, secondary bearing surface sections can also be extension or intermediate sections that are inserted, for example, between the main bearing surface section and the head section.

In one configuration, the operating table can have a patient support surface with a main support surface section and at least one secondary support surface section. The at least one minor bearing surface portion may be detachably connected to the major bearing surface portion. In the present embodiment, the at least one minor bearing surface portion is the at least one component. This configuration makes it possible to determine an overload risk for one or more storage area side sections. Furthermore, for several ancillary storage area sections, individual overload risks are indicated and suitable measures are taken in the event of an impending overload.

A bearing surface subsection may have an individual load limit. For a configuration consisting of several interconnected secondary bearing surface sections, there may be a load limit that differs from the load limits of the individual secondary bearing surface sections. In particular, the load limit for the interconnected bearing surface sub-section configuration may be less than the load limit of the individual bearing surface sub-sections. In one embodiment, this fact is taken into account. For this purpose, an overload threshold value can be specified for the configuration in which the secondary bearing surface sections are connected to one another and to the main bearing surface section. The overload protection unit can compare the defined load with the overload threshold predetermined for the configuration of the bearing surface sub-sections and generate the overload protection signal such that it indicates a risk of overload if the defined load exceeds the overload threshold.

In addition to possible overload risks for individual bed sections and a configuration of side bed sections, overload risks for specific sections or areas of the patient bed can also be determined. The areas can extend, for example, along the outer boundaries of the bearing surface secondary sections. In this case, an area comprises a certain number of bearing surface sub-sections. However, it is also conceivable that a region boundary does not run along the outer boundaries of the secondary bearing surface sections. In this case, part of a bearing surface sub-section can belong to one area, while the remaining part of the bearing surface sub-section belongs to the neighboring area. In one embodiment, at least part of the patient bed area can therefore be divided virtually or notionally into a number of areas, and an overload threshold value can be specified for each area. The overload protection unit checks the area in which the center of gravity of the defined load is located and compares the defined load with the overload threshold value specified for this area. If the defined load exceeds the overload threshold specified for this area exceeds the overload protection unit can generate the overload protection signal in such a way that it indicates a risk of overloading.

Furthermore, a graph or a curve can be specified, which extends along at least part of the patient support surface. A respective overload threshold value is specified at each point of the at least one part of the patient support surface by the graph or the curve. The graph or curve can be a straight line, for example. In particular, the straight line can fall towards a distal end of the patient support surface, so that the overload threshold value becomes smaller towards the end of the patient support surface. The overload protection unit can check where the center of gravity of the defined load is on the patient support surface. The phrase "at which point on the patient support surface the center of gravity of the defined load is located" does not necessarily mean that the center of gravity of the defined load is within the patient support surface. The center of gravity can also be outside of the patient support surface. In this case, the corresponding point of the The overload protection unit compares the defined load with the overload threshold specified for the determined location and generates the overload protection signal in such a way that it indicates a risk of overload if the defined load exceeds the limit for this location location exceeds the specified overload threshold.

In one embodiment, the operating table can have at least one drive. The overload protection unit can use the measuring load and/or the center of gravity of the measuring load to determine a load acting on the at least one drive and compare the load determined with at least one predefined overload threshold value. If the determined load exceeds the at least one overload threshold, the overload protection unit may generate the overload protection signal in such a way that it indicates a risk of overloading. This can prevent the drive from being overloaded.

The drive can in particular be an electric drive, for example for adjusting the patient support surface or individual components of the patient support surface, in particular for extending or tilting the patient support surface. The operating table can further include several drives. An individual overload threshold value that is specific to the respective drive can be specified for each of the drives. This allows individual overload risks for the drives to be specified.

According to a second aspect of the present disclosure, a method of operating an operating table is provided. A load sensor arrangement of the operating table comprises a plurality of load sensors and measures at least one variable from which a load acting on the load sensor arrangement can be determined. The load sensor arrangement is arranged between at least two parts of the operating table. The at least two parts are essentially non-movable with respect to one another.

The method according to the second aspect can have all configurations that are described in the present disclosure in connection with the operating table according to the first aspect.

According to a third aspect of the present disclosure, an operating table includes a load sensor assembly having a plurality of load sensors, a load determination unit, and an anti-tilt unit.

The load sensor arrangement with the multiple load sensors is used to measure at least one variable from which a load acting on the load sensor arrangement can be determined. The load determination unit is coupled to the load sensor unit and uses the measured at least one variable to determine a total load and/or the center of gravity of the total load. The total load results from the load acting on the load sensor assembly and from a load caused by components associated with the operating table and located below the load sensor assembly. Based on the total load and/or the center of gravity of the total load, the tilt prevention unit generates a tilt safety signal which indicates whether there is a risk of the operating table tipping over. The operating table and its components according to the third aspect can have all of the configurations that are described in the present disclosure in connection with the operating table and its components according to the first aspect.

If the anti-tilt unit generates the anti-tilt signal in such a way that it indicates a risk of the operating table tipping over, in one embodiment the operating table can generate an acoustic and/or visual warning signal and/or a warning signal in text form and/or a movement of the operating table can be slowed down or stopped and/or at least one functionality of the operating table can be blocked.

In one embodiment, the tipping prevention unit can determine a residual tipping moment for at least one tipping point based on the total load and/or the center of gravity of the total load and can compare the residual tipping moment with a predefined residual tipping moment threshold value. If the residual tipping moment falls below the residual tipping moment threshold value, the tipping safety signal is generated in such a way that it indicates a risk of tipping.

In one embodiment, the tilt prevention unit can determine the residual tilting moment at the at least one tipping point by the tilt prevention unit multiplying the distance of the min at least one tipping point from the center of gravity of the total load by the total load.

In one configuration, the tipping prevention unit can determine a respective residual tipping moment for a plurality of tipping points, in particular for all possible tipping points, and can compare the residual tipping moments with the predefined residual tipping moment threshold value. If at least one of the residual tipping moments falls below the residual tipping moment threshold value, the tipping prevention unit can generate the tipping safety signal in such a way that it indicates a tipping risk.

In one embodiment, at least one virtual line can be specified, which runs through at least one tipping point and which encloses a specified angle, a so-called stability angle, with a specified normal vector. The anti-tilt unit can generate the tipping safety signal in such a way that it indicates a risk of tipping if the center of gravity of the total load passes through the at least one virtual line.

In one embodiment, multiple virtual lines can be specified, each passing through a tipping point and each enclosing a specified angle, a so-called stability angle, with the specified normal vector. The multiple virtual lines can define a space. The tilt prevention unit generates the tilt safety signal such that it indicates a risk of tilting if the center of gravity of the total load leaves the space defined by the multiple virtual lines.

In one embodiment, the predefined stability angle, which a virtual line encloses through a tipping point with the predefined normal vector, can depend on the nature of the tipping point.

In one embodiment, the stability angle can be larger if the tipping point is given by a roller. The stability angle can be smaller if the tipping point does not have a caster.

According to a fourth aspect of the present disclosure, a method of operating an operating table is provided. A load sensor arrangement of the operating table with several load sensors measures at least one variable from which a load acting on the load sensor arrangement can be determined. Based on the measured at least one variable, a total load, which results from the load acting on the load sensor arrangement and from a load caused by components that are assigned to the operating table and are located below the load sensor arrangement, and/or the center of gravity of the total load is determined . Furthermore, based on the total load and/or the center of gravity of the total load, a tilt safety signal is generated that indicates whether there is a risk of the operating table tipping over. The method according to the fourth aspect can have all configurations that are described in the present disclosure in connection with the operating table according to the first aspect and the operating table according to the third aspect.

According to a fifth aspect of the present disclosure, an operating table includes a load sensor assembly having a plurality of load sensors, a load determination unit, and an overload protection unit.

The load sensor arrangement with the multiple load sensors is used to measure at least one variable from which a load acting on the load sensor arrangement can be determined. The load determination unit is coupled to the load sensor unit and uses the measured at least one variable to determine at least one defined load, which can be the measurement load, effective load or total load defined above, and/or the center of gravity of the defined load. Based on the defined load and/or the center of gravity of the defined load, the overload protection unit generates an overload protection signal that indicates whether there is a risk of overloading the operation table and/or at least one component of the operation table.

The operating table and its components according to the fifth aspect can have all of the configurations that are described in the present disclosure in connection with the operating table and its components according to the first aspect.

If the overload protection unit generates the overload protection signal in such a way that it indicates a risk of overload for the operating table and/or the at least one component of the operating table, in one embodiment an acoustic and/or visual warning signal and/or a warning signal in text form can be generated and/or a movement of the operating table is slowed down or stopped and/or at least one functionality of the operating table is blocked.

In one embodiment, the overload protection unit can compare the defined load with at least one predetermined overload threshold value and generate the overload protection signal in such a way that it indicates a risk of overload if the defined load exceeds the at least exceeds an overload threshold. The at least one overload threshold may be specific to the operating table and/or the at least one component.

In one embodiment, the operating table can have a patient support surface with a main support surface section and at least one secondary support surface section that is detachably connected to the main support surface section, the at least one component being the at least one secondary support surface section.

In one embodiment, the patient support surface can have a plurality of secondary support surface sections, an overload threshold value being predetermined for the configuration in which the secondary support surface sections are connected to one another and to the main support surface section. The overload protection unit can compare the defined load with the overload threshold value predetermined for the configuration of the bearing surface subsections and generate the overload protection signal in such a way that it indicates a risk of overloading if the defined load exceeds the overload threshold value.

In one embodiment, at least part of the patient support surface can be virtually divided into a number of areas and an overload threshold value can be specified for each area. The overload protection unit can check the area in which the center of gravity of the defined load is located and compare the defined load with the overload threshold value specified for this area. The overload protection unit can generate the overload protection signal in such a way that it indicates a risk of overloading if the defined load exceeds the overload threshold value specified for this area.

In one embodiment, a respective overload threshold value can be specified for each point of at least part of the patient support surface. The overload protection unit can check at which point on the patient support surface the center of gravity of the defined load is located and compare the defined load with the overload threshold specified for this point. The overload protection unit can generate the overload protection signal in such a way that it indicates a risk of overloading if the defined load exceeds the overload threshold value specified for this point. In one embodiment, the operating table can have at least one drive. The overload protection unit can use the measuring load and/or the center of gravity of the measuring load to determine a load acting on the at least one drive and compare the load determined with at least one predefined overload threshold value. The overload protection signal can be generated in such a way that it indicates a risk of overloading if the determined load exceeds the at least one overload threshold value.

According to a sixth aspect of the present disclosure, a method of operating an operating table is provided. A load sensor arrangement of the operating table with several load sensors measures at least one variable from which a load acting on the load sensor arrangement can be determined. At least one defined load, which can be the measuring load defined above, effective load or total load, and/or the center of gravity of the defined load, are determined on the basis of the measured at least one variable. Based on the defined load and/or the center of gravity of the defined load, an overload protection signal is generated which indicates whether there is a risk of overloading the operating table and/or at least one component of the operating table.

The method according to the sixth aspect can have all configurations that are described in the present disclosure in connection with the operating table according to the first aspect and the operating table according to the fifth aspect.

The present disclosure also includes circuitry and/or electronic instructions for controlling surgical tables.

Brief description of the drawings

Exemplary embodiments of the present disclosure are explained in more detail below with reference to the figures. Show in it: 1 shows a schematic side view of an operating table with a patient positioned on a patient support surface of the operating table;

2 shows a schematic representation of the system architecture of an operating table according to the disclosure with a load sensor arrangement, a load determination unit and a safety unit;

3 shows a schematic representation of an operating table according to the disclosure to illustrate the measuring load, the active load and the total load;

4A to 4C show schematic representations of various embodiments of an operating table according to the invention with a load sensor arrangement arranged between two parts which cannot be moved in relation to one another;

5A to 5D schematic representations of different embodiments of an operating table according to the disclosure with force sensors arranged in parallel and mirror-symmetrically;

6A and 6B are schematic representations to illustrate the forces acting on the force sensors;

7A and 7B are schematic representations to illustrate the reduction of lateral forces due to the symmetrical arrangement of the force sensors.

Fig. 8 is a schematic representation to illustrate the determination of the

gravitational vector at an inclined patient support surface;

9 shows a schematic representation of an operating table according to the disclosure with a load sensor arrangement, a load determination unit and a tilt prevention unit; 10A and 10B schematic representations of an operating table according to the disclosure in a locked and unlocked position with tipping points;

11A and 11B schematic representations of an operating table according to the disclosure with a focus of the total load inside and outside the contact area of the tipping points;

12 shows a schematic representation of an operating table according to the disclosure with virtual 5 or 10 degree lines;

13 shows a schematic representation of an operating table according to the disclosure with a load sensor arrangement, a load determination unit and an overload protection unit;

14 is a schematic representation of an operating table according to the disclosure having a configuration of extension sections;

15A and 15B schematic representations of an operating table according to the disclosure with different load limits in sections or points; and

16 shows a schematic representation of an operating table according to the disclosure in an extreme Trendelenburg position.

Detailed character description

In the following description, reference is made to the drawings by way of example

Embodiments of the present disclosure are described. The drawings are not necessarily to scale, but are merely intended to schematically illustrate the respective features. It should be noted that the features and components described below can each be combined with one another, regardless of whether they have been described in connection with a single embodiment. The combination of features in the respective embodiments only serves to illustrate the basic structure and the mode of operation of the claimed device.

In the figures, identical or similar elements are provided with identical reference symbols, insofar as this is appropriate.

1 shows schematically a mobile operating table 10 which can be used to support and transport a patient 12 during a surgical procedure. The mobile operating table 10 comprises, from bottom to top, a base 14 for placing the operating table 10 on a surface, a vertically arranged operating table column 16 including the base 14 and a patient support surface 18 attached to an upper end of the operating table column 16. The patient support surface 18 can be The operating table column 16 can be firmly connected or, alternatively, can be releasably attached to the operating table column 16 .

The patient support surface 18 has a modular design and is used to support the patient 12. The patient support surface 18 includes a support surface main section 20 connected to the operating table column 16, which can be expanded as desired by coupling various secondary support surface sections. In Fig. 1, a leg section 22, a shoulder section 24 and a head section 26 are coupled to the bearing surface main section 10 as secondary bearing sections.

Depending on the type of surgical intervention to be performed, the patient support surface 18 of the operating table 10 can be brought to a suitable height and can be tilted as well as tilted.

The operating table column 16 is adjustable in height and has an internal mechanism for adjusting the height of the patient support surface 18 of the operating table 10 . The mecha technology is arranged in a housing 28, which protects the components from contamination. The base 14 has two sections SO, 32 of different lengths. Section 30 is a short section associated with a foot end of leg section 22, ie, the end of patient support surface 18 on which the feet of patient 12 to be treated rest. Section 32 is a long section associated with head section 26 of patient support surface 18 .

Furthermore, the base 14 can have wheels or rollers with which the operating table 10 can be moved on the floor. Alternatively, the base 14 can be firmly anchored to the ground ver.

For better illustration, a Cartesian coordinate system X-Y-Z is entered in FIG. 1. The X-axis and the Y-axis are the horizontal axes, the Z-axis is the vertical axis. The X-axis extends along the adjacent bearing surface sections 22, 24, 26.

Fig. 2 shows schematically the system architecture of an operating table 100 according to the disclosure. The operating table 100 has a load sensor arrangement 102, a load determination unit 104, a safety unit 106, a monitoring and calibration unit 108, a data memory 110 and other components 112 of the operating table 100. Furthermore, the safety unit 106 contains a tilt prevention unit 114 and an overload protection unit 116.

The load sensor arrangement 102 contains a plurality of load sensors and is designed to measure at least one variable from which a load acting on the load sensor arrangement 102 can be determined. In the present case, the load sensors are force sensors, each of which measures a force acting on the respective sensor. The force values measured by the individual force sensors are output by the load sensor arrangement 102 as a signal 120 in digital form. Furthermore, the load sensor arrangement 102 contains electronic components which are necessary for the operation of the force sensors. The load determination unit 104 receives the signal 120 with the measured force values and uses it to determine a desired load and/or a load center. In detail, the load determination unit 104 can determine a measurement load, an effective load and/or a total load and the associated load centers.

In order to be able to adequately process and analyze the delivered force values, the load determination unit 104 needs some data on the geometry and the masses or weights of the operating table 100 and the accessories. This data is stored in data memory 110 and is made available to load determination unit 104 by means of a signal 122 . In particular, information on the masses and centers of gravity of the individual components of the operating table 100 and the accessories can be taken from this data. The data memory 110 can be expanded via a connectivity module of the operating table 100 .

The load determination unit 104 generates a signal 124 as an output signal, which contains information about the determined loads and load centers. This information is transmitted to the security unit 106, where all available data is analyzed, including the loads, centers of gravity and the position data of the operating table 100 and the accessories recognized by the operating table 100.

The safety unit 106 decides whether the operating table 100 is safe or whether it is in a dangerous situation. The safety unit 106 generates a safety signal 126 which indicates whether the operating table 100 is in a safety-critical state.

Depending on the severity of the detected situation, the algorithm reacts accordingly. For example, the operating table 100 may only issue a warning or stop moving. The warnings can be given by the operating table 100 via an acoustic or visual signal or in the form of text via the remote control. The measures can vary from slowing down the movement speed to stopping the movement to blocking some functionalities and can last until a state is reached in which the operating table 100 is safe again. It can be provided that the safety functions can be deactivated by the user at any time and the movement of the operating table 100 can be continued at his own risk.

The tilt prevention unit 114 and the overload protection unit 116 are sub-units of the safety unit 106. The tilt prevention unit 114 generates a tilt safety signal 128 based on the total load and/or the center of gravity of the total load, which indicates whether there is a risk that the operating table 100 will tip over. Based on the active load and/or the center of gravity of the active load, the overload protection unit 116 generates an overload protection signal 130 that indicates whether there is a risk of the operating table 100 and/or at least one component of the operating table 100 being overloaded. Alternatively, the overload protection unit 116 can use the measurement load or the total load and/or the center of gravity of one of these loads to generate the overload protection signal 130 . Both the tipping safety signal 128 and the overload protection signal 130 are safety signals of the safety unit 106.

If the stand 14 does not have wheels or rollers and is instead firmly connected to the floor, the anti-tilt unit 114 can be deactivated or not implemented in the safety unit 106 .

Since the system should reliably recognize critical situations, the system also has a monitoring and calibration unit 108. This software module checks the plausibility of the measured values and recognizes whether the system is working incorrectly or whether the system needs to be calibrated or tared. The monitoring and calibration unit 108 generates corresponding output signals 132, 134, which are transmitted to the load determination unit 104 or the components 112 of the operating table 100.

The components 112 of the operating table 100 continuously generate position data, data for the adjustment of individual components and information about the accessories recognized by the operating table 100 . This data is made available to the system with a signal 136 . FIG. 3 schematically illustrates the various loads that the load determination unit 104 can determine based on the data received from the load sensor unit 102 . In Fig. 3, the measurement load, the real load and the total load are indicated by reference numerals 140, 142 and 144, respectively.

The measurement load is the load that acts on the load sensor arrangement 102 . The measurement load corresponds to the load generated by all people, objects and forces on the operating table 100 above the load sensors. The measurement load corresponds to the load value measured by the load sensor arrangement 102 .

The active load corresponds to that load which is caused by components which are not associated with the operating table 100, and people and external forces and which acts on the operating table 100. The influence of the components assigned to the operating table 100 and recognized accessories is not taken into account in the effective load. Only the remaining components of the operating table 100 contribute to the effective load, i. that is, the components not associated with the operating table 100. These can be accessories, for example, which are not recognized by the operating table 100 . Furthermore, the patient on the operating table 100 contributes to the active load. All forces acting externally on the operating table 100, which are exerted on the operating table 100 by persons and/or objects outside the operating table 100, for example, also contribute to the active load. The real load is basically the measurement load without the influence of the known objects like table top parts, detected accessories etc.

The total load is that load which results from the measuring load and from a load caused by components which are assigned to the operating table 100 and are located below the load sensor arrangement 102 . The total load consequently takes into account loads from components that are located below the load sensor arrangement 102 and cannot be measured by the load sensor arrangement 102 and therefore do not contribute to the measurement load. The total load is consequently the load resulting from the entire operating table 100, the patient, the components associated with the operating table 100, the components not associated with the operating table 100 and other external forces. 4A to 4C schematically show an operating table 200 according to the disclosure in various embodiments which. The operating table 200 is largely similar to the operating table 100 shown schematically in FIG. 2. Elements of the operating table 200 that are identical or similar to elements of the operating table 100 are provided with identical reference characters.

The operating table 200 is an operating table according to the first aspect of the present application and can be operated with a method according to the second aspect.

In the operating table 200 the load sensor arrangement 102 with the plurality of load sensors is arranged between at least two parts of the operating table 200 . The at least two parts are essentially immovable with respect to one another. If table 200, in particular the patient support surface 18, is moved or adjusted during operation of the operation, e.g. B. when tilting and / or extending the patient support surface 18, the at least two parts do not move to each other substantially, d. that is, they remain in substantially the same position relative to each other. This applies both to the distance between the at least two parts and to the angle or angles that the at least two parts enclose with one another.

The load sensor arrangement 102 is preferably integrated into the operating table 200 in such a way that the entire load above the load sensors flows or is transmitted through the load sensor arrangement 102 .

The load sensor arrangement 102 can be arranged at different positions in the operating table 200 . In the embodiment shown in FIG. 4A, the load sensor arrangement 102 is arranged between the base 14 and the operating table column 16, while the load sensor arrangement 102 in FIG. 4B is integrated into the operating table column 16. In Fig. 4C, the load sensor assembly 102 is located adjacent to the interface between the patient support surface 18 and the operating table column 16. 5A shows the operating table 200 with a load sensor arrangement 102 arranged between the patient support surface 18 and the operating table column 16. The load sensor arrangement 102 contains four identical force sensors 1a, 1b, 2a and 2b, which are arranged parallel and as mirror images of one another. Two different variants for placing the force sensors 1a, 1b, 2a, 2b are illustrated in FIGS. 5B and 5C. 5B and 5C each show a plan view of the load sensor assembly 102 along line AA indicated in FIG. 5A.

To align the force sensors 1a, 1b, 2a, 2c, a first axis 210 and a second axis 212 are specified, which are perpendicular to one another. The first axis 210 extends parallel to a main axis of the patient support surface 18 , while the second axis 212 runs perpendicular to this main axis but parallel to the patient support surface 18 .

The force sensors 1a, 1b, 2a, 2c each have a main axis which is aligned parallel to the first axis 210 in FIG. 5B. The main axes of the force sensors 1a, 1b, 2a, 2b are aligned parallel to the second axis 212 in FIG. 5C. Furthermore, the force sensors 1a, 1b, 2a, 2b are arranged in pairs with mirror symmetry to the axes 210, 212. The pairs (1a, 1b), (1a, 2a), (1b, 2b) and (2a, 2b) each form a mirror-symmetrical pair of force sensors. In some embodiments, the force sensors 1a, 1b, 2a, 2b are arranged in a 2×2 grid as shown. In some embodiments, the grid arrangement has at least two force sensors 1a, 1b, 2a, 2b on each side. In some embodiments, the force sensors 1a, 1b, 2a, 2b all lie in a single common plane that is intersected by both the first axis 210 and the second axis 212.

The force sensors can also be arranged within the sensor arrangement 102 differently than in FIGS. 5B and 5C. Several exemplary alternative arrangements of the force sensors in the sensor assembly 102 are shown in FIG. 5D.

Using the example of the sensor arrangement 102 shown in FIG. 5B or 5C, the measured load can be calculated by adding all the forces measured by the sensors 1a, 1b, 2a, 2b. The appropriate center of gravity can be calculated using the torque balance equation given below and the forces shown in Figures 6A and 6B. 6A shows a Sectional view along the x-axis and FIG. 6B shows a sectional view along the y-axis. The torque balance equation can be applied in either direction, so the x and y components of the center of gravity can be determined:

Plast ^~ Pia + P2a + Plb + p2b (1)

(2)

(3)

In equations (1) to (3), Fi_ast is the weight force generated by the patient. The forces Fi _a , Fib, F2a and F2b are the forces measured by the sensors 1a, 1b, 2a, 2b. The parameters a and b are the distances between the sensors in the x and y directions. X _cg and Y _cg are the x and y coordinates, respectively, of the center of gravity of the load imposed by the patient.

The real load and total load and their respective center of gravity values can be calculated by adding or subtracting the respective components of the operating table 200 and their center of gravity values stored in the data store 110 .

The arrangement of the sensors 1a, 1b, 2a, 2b proposed in FIGS. 5B and 5C makes the system robust against lateral forces. Because of the symmetrical arrangement, transverse forces are canceled as shown in Figures 7A and 7B.

The cancellation of the transverse forces also allows the described system to reliably measure forces and center of gravity when the patient support surface 18 is in an inclined position. Figure 8 shows how the gravitational vector Fi_ast can be split into two components. One component is lateral to the force sensors and is canceled due to the effects discussed above. The second component F _measured runs perpendicular to the force sensors and is measured reliably. Knowing the angle of inclination a of the patient support surface 18, the actual load on the sensors and their center of gravity can be calculated. FIG. 9 schematically shows an operating table 300 according to the disclosure, which is largely similar to the operating table 100 shown schematically in FIG. Elements of the opera tion table 300 that are identical or similar to elements of the operating table 100 are provided with identical reference numbers.

The operating table 300 is an operating table according to the third aspect of the present application and can be operated with a method according to the fourth aspect.

The operating table 300 comprises a load sensor arrangement 102 with several load sensors, a load determination unit 104 and a tilt prevention unit 114. The load determination unit 104 uses the forces measured by the force sensors to determine the total load of the operating table 300 and the center of gravity of the total load. Based on the total load and/or the center of gravity of the total load, the tilt prevention unit 114 generates a tilt safety signal 128 which indicates whether there is a risk of the operating table 300 tipping over around a tipping point 310 .

10A and 10B show the operating table 300 from the side and from the front, respectively. In FIG. 10A, the operating table 300 is in the lowered or locked position; That is, the base 14 stands on the floor, so that the operating table 300 cannot be moved. In this position, the operating table 300 can tilt around the lower side edges of the stand 14, which face the floor.

In FIG. 10B, the operating table 300 is in the unlocked position; That is, the operating table 300 stands on casters 312 and can be moved on the floor. In this position, possible tipping points are given by the rollers 312.

In principle, the operating table 300 is stable as long as the center of gravity COG of the total load is within the contact area of the tipping points 310, ie directly above an area that is the tipping points 310 is limited. Illustratively, this situation is shown in Figure 11A. However, if the center of gravity COG of the total load is not directly above the contact area of the tipping points 310, as shown in FIG. 11B, the operating table 300 will tip over.

In one embodiment, the tipping prevention unit 114 determines a residual tipping moment M _r at a tipping point 310 by multiplying the distance xi between the tipping point 310 and the center of gravity COG of the total load by the total load. In Fig. 11A and 11B are a Kraftvek tor F as a total load and also the distance xi between the force vector F and the tipping point 310 located. Consequently, M _r =F*xi applies to the residual tilting moment M _r . A positive value for the residual tilting moment M _r means that the operating table 300 is stable with respect to this tilting point 310 (cf. FIG. 11A). As the distance xi becomes smaller, the residual tilting moment M _r also becomes smaller and the operating table 300 becomes less stable. If the residual tipping moment M _r is negative, which means that the center of gravity COG and the force vector F are not directly above the area delimited by the tipping points 310, the operating table 300 tips over (see FIG. 11B). The greater the value of the residual tipping moment M _r , the more stable the operating table 300. A residual tipping moment threshold value is specified, which has a value of 225 Nm, for example. This means that the residual tilting moment should not be less than 225 Nm. If the residual tilting moment threshold value is not reached, the operating table 300 can warn the user acoustically or visually. Other possibilities are blocking movements or reducing the speed of the operating table 300.

Furthermore, the tipping prevention unit 114 can determine a respective residual tipping moment for all possible tipping points and compare these residual tipping moments with the threshold value of the residual tipping moment. If only one of the tipping moments falls below the residual tipping moment threshold value, the tipping prevention unit 114 can determine that there is an increased risk of tipping and appropriate measures can be taken.

A further embodiment for determining the risk of tipping is based on the stability requirements of standard 60601-1. The 60601-1 standard stipulates that the operating table 300 must remain stable at an inclination of 5 degrees under all circumstances of the intended use and that it only remains stable at an inclination of 10 degrees for the defined transport position got to. This requirement can be translated into a virtual 5 degree line 320 at each pivot point and a 10 degree line 322 at each pivot point with a caster 312 as shown in FIG. The angles of 5 and 10 degrees can be referred to as the stability angles. Therefore, in some configurations, there is a first angle of stability when the operating table is standing directly on the floor and a second, larger angle of stability when the operating table is in a transport position on casters or wheels.

The stability angles (of 5 or 10 degrees, for example) are determined using a predefined normal vector 324 . The normal vector 324 can be defined, for example, by the base plate of the stand 14 or the patient support surface 18 in the normal position, i. H. in a non-extended position. The normal vector 324 is aligned perpendicular to the base plate of the stand foot 14 or perpendicular to the patient support surface 18 in the normal position. Instead of the 5 or 10 degree stability angle with the normal vector 324, other suitable stability angles can also be selected for the virtual lines 320, 322.

If the center of gravity COG of the total load violates one of the virtual 5 degree lines 320, i. H. passes, the operating table 300 can warn the user audibly or visually. Other possibilities are the partial or complete blocking of functionalities or the reduction of the speed of the operating table 300. If one of the virtual 10 degree lines 322 is crossed by the center of gravity COG, the motorized transport function of the operating table 300 can be blocked.

A three-dimensional space is defined by the virtual 5-degree lines 320 and the virtual 10-degree lines 322 in each case. Typically, the "walls" of three-dimensional space slope inward as one moves higher up from the base of the operating table 300, such that the center of gravity COG is more laterally restricted with a higher center of gravity COG than with a lower, closer one lying on the ground focus COG. The inward tilt of the "walls" of three-dimensional space is determined by the angle of stability. In one embodiment, the tipping prevention unit 114 can indicate a risk of tipping if the center of gravity COG of the total load leaves one of the defined spaces. FIG. 13 schematically shows an operating table 400 according to the disclosure, which is largely similar to the operating table 100 shown schematically in FIG. Elements of the operating table 400 that are identical or similar to elements of the operating table 100 are given identical reference numbers.

The operating table 400 is an operating table according to the fifth aspect of the present application and can be operated with a method according to the sixth aspect.

The operating table 400 comprises a load sensor arrangement 102 with several load sensors, a load determination unit 104 and an overload protection unit 116. The load determination unit 104 uses the forces measured by the force sensors to determine the active load and/or the center of gravity of the active load. The overload protection unit 116 uses the active load and/or the center of gravity of the active load to determine an overload protection signal 130. The overload protection signal 130 indicates whether there is a risk of the operating table 400 and/or at least one component of the operating table 400 being overloaded.

The overload protection unit 116 can detect if an accessory or a configuration of accessories is not suitable for the load acting on the operating table 400 . The overload protection unit 116 also helps to comply with movement limits that apply to certain weight classes.

Accessories are usually released for a patient weight. When a detection method is performed to identify the accessories and the operating table 400 is thus informed of which accessories are attached, the overload protection unit 116 can check whether the measured weight does not exceed the weight limit for the accessories. If the weight limit of the operating table 400 or the accessories is exceeded, the operating table 400 can warn the user audibly or visually. Other possibilities are blocking movements or reducing the speed of the operating table 400. The surgical table 400 shown in FIG. 13 includes as accessories a head section 402, a leg section 404 and two extension sections 406 and 406 which are connected to a bearing surface main section 408 in the configuration shown. For each of the accessories hearing parts is in Fig. 13 specify a maximum load capacity. The head section 402 has a maximum load capacity of 250 kg, the leg section 404 has a maximum load capacity of 135 kg, each of the extension sections 406 has a maximum load capacity of 454 kg, and the entire operating table 400 has a maximum load capacity of 545 kg. The overload protection unit 116 can check whether one of the components is overloaded.

The accessory can also be overloaded if the configuration in which the accessory is connected is not suitable for the applied load. For example, as shown in FIG. 14, three extension sections 406 can be cascaded in series. Although each of the extension sections 406 is individually suitable for a load of 454 kg, a combination 410 of three extension sections 406 is only suitable for 155 kg. Therefore, in some embodiments, the allowable weight for the table configuration is determined by considering a plurality of extension sections 406 connected to the operating table, with the addition of more extension sections 406 reducing the allowable weight for the table configuration overall compared to configurations with fewer extension sections 406.

Knowing the real load and the configuration of the operating table 400, the overload protection unit 116 can determine whether the permissible weight for the configuration 410 is exceeded or not. If the allowable weight is exceeded, the operating table 400 can warn the user audibly or visually. Other possibilities are blocking movements or reducing the speed of the operating table 400.

It is also conceivable that an overload situation is caused by incorrect positioning of the patient. For example, in FIG. 15A, the case where the patient is seated on the head portion 402 and the center of gravity of the entire patient is over the head portion 402 is shown. Although the accessory 402 is suitable for use with patients weighing 380 kg the accessory 402 is only intended as a headrest, ie it is not allowed to sit on it.

The overload protection unit 116 can check the load and its center of gravity. The overload protection unit 116 can detect if the patient is improperly positioned and if an accessory or configuration of accessories or the entire operating table 400 is overloaded.

Furthermore, the overload protection unit 116 can also determine overload risks for certain sections or areas of the patient support surface 18 . In FIG. 15A, the patient bed area 18 is subdivided into different areas for which maximum load capacities of 155 kg, 250 kg or 55 kg apply. The overload protection unit 116 checks the area in which the center of gravity of the active load is located and compares the active load with the overload threshold value specified for this area, i. i.e. the maximum load capacity. If the active load exceeds the maximum carrying capacity specified for this area, the overload protection unit 116 can generate the overload protection signal 130 in such a way that it indicates a risk of overloading.

Fig. 15B shows a further development of the operating table 400 shown in Fig. 15A. In the embodiment shown in Fig. 15B, the front part of the patient support surface 18, which includes the head section 402, is not divided into different areas, each with a constant overload threshold value; instead, a straight line 420 is shown specified, which extends along the front part of the patient support surface 18 . The straight line 420 specifies a respective overload threshold value for each point on the front part of the patient support surface 18 . Towards the head end of the patient support surface 18, the overload threshold becomes smaller. Line 420 is defined by F/Ms _threshold where F is the force at the center of gravity COG of the active load and Ms _threshold is a constant.

During operation, the overload protection unit 116 checks the point on the patient support surface 18 at which the center of gravity of the active load is and compares the active load with the overload threshold value specified for this determined point. If the active load the exceeds the maximum carrying capacity specified for this area, the overload protection unit 116 can generate the overload protection signal 130 in such a way that it indicates a risk of overload.

Another overload situation occurs when drives of the operating table 400 are overloaded and the operating table 400 cannot return to its original position. This happens, for example, when the movement restrictions are not observed. By way of example, FIG. 16 shows an extreme longitudinal displacement and Trendelenburg position in combination with a heavy patient. This may be a position from which the operating table 400 cannot return to its home position because the drives for the longitudinal translation and the Trendelenburg drives are overloaded. In particular, the Trendelenburg drives cannot apply the torque that is _generated measured by the force F. In addition, the drives for the longitudinal displacement cannot generate the longitudinal force Fi _ongitudinai .

The overload protection unit 116 can determine the load on each drive based on the measurement load and/or the center of gravity of the measurement load. There is a load limit for each drive that should not be exceeded. If this limit is exceeded, the user is warned. Other options are blocking the movements of the overloaded drives or reducing the speed of the operating table 400.

Claims

Expectations

1. Operating table (100, 200), comprising: a load sensor arrangement (102) with a plurality of load sensors (la, lb, 2a, 2b) for measuring at least one variable from which a load acting on the load sensor arrangement (102) can be determined, wherein the load sensor arrangement (102) is arranged between at least two parts of the operating table (100, 200), and wherein the at least two parts are substantially immovable with respect to one another.

2. Operating table (100, 200) according to claim 1, wherein the load sensor arrangement (102) is integrated into the operating table (100, 200) such that the entire load is transferred through the load sensor arrangement (102).

3. Operating table (100, 200) according to claim 1 or 2, wherein the at least two parts are movable relative to one another only up to the extent of the physical deformation of the load sensors (1a, 1b, 2a, 2b), this relative movement not exceeding 3 millimeters amounts to.

4. Operating table (100, 200) according to one of the preceding claims, wherein several of the load sensors (1a, 1b, 2a, 2b) are arranged mirror-symmetrically with respect to a first axis (210) and mirror-symmetrically with respect to a second axis (212), wherein the first and second axes (210, 212) are aligned orthogonally to one another, and the load sensors (1a, 1b, 2a, 2b) which are arranged mirror-symmetrically are aligned in the same direction.

5. Operating table (100, 200) according to one of the preceding claims, wherein several of the load sensors (1a, 1b, 2a, 2b) are arranged mirror-symmetrically with respect to a first axis (210) and mirror-symmetrically with respect to a second axis (212), wherein the first and the second axis (210, 212) are aligned orthogonally to one another, with at least some of the load sensors (1a, 1b, 2a, 2b) lying in a grid arrangement in a common plane, with the grid arrangement having at least two load sensors (1a, 1b, 2a, 2b) on each side, the common plane being located between the at least two parts of the operating table (100, 200); and wherein the load sensors (1a, 1b, 2a, 2b) in the grid arrangement and the at least two parts of the operating table (100, 200) are all fixed essentially immovably in relation to one another.

6. Operating table (100, 200) according to one of the preceding claims, wherein the plurality of load sensors (1a, 1b, 2a, 2b) are arranged in a single common plane between the at least two parts of the operating table (100, 200).

7. Operating table (100, 200) according to one of the preceding claims, further comprising a load determination unit (104) which is coupled to the load sensor arrangement (102) and based on the measured at least one variable at least one of the following loads and/or one of the following Focal points are determined: a measuring load, which is the load acting on the load sensor arrangement (102), and/or the center of mass of the measuring load, an active load, which is a load caused by people and components that are not assigned to the operating table (100, 200), and load caused by external forces and acting on the operating table (100, 200), and/or the center of gravity of the active load, and a total load resulting from the measurement load and from a load caused by components associated with the operating table (100, 200) and located below the load sensor arrangement (102), and/or the center of gravity of the total load.

8. Operating table (100, 200) according to claim 7, further comprising a safety unit (106) which is coupled to the load determination unit (104) and based on at least one of the loads determined by the load determination unit (104) and/or at least one of the a safety signal (126) is generated from the load determination unit (104), which indicates whether the operating table (100, 200) is in a safety-critical state.

9. Operating table (100, 200) according to claim 8, wherein if the safety unit (106) generates the safety signal (126) in such a way that it indicates a safety-critical state of the operating table (100, 200), an acoustic and/or optical warning signal and/or a warning signal is generated in text form and/or a movement of the operating table (100, 200) is slowed down or stopped and/or at least one functionality of the operating table (100, 200) is blocked.

10. Operating table (100, 200, 300) according to claim 8 or 9, wherein the safety unit (106) comprises a tilt prevention unit (114) which generates a tilt safety signal (128) based on the total load and/or the center of gravity of the total load, indicating whether there is a risk that the operating table (100, 200, 300) will tip over.

11. The operating table (100, 200, 300) according to claim 10, wherein the tilting prevention unit (114) uses the total load and/or the center of gravity of the total load to determine a residual tilting moment for at least one tilting point (310) and compares the remaining tilting moment with a predetermined residual tilting moment threshold value and the tipping safety signal (128) is generated in such a way that it indicates a risk of tipping if the residual tipping moment falls below the residual tipping moment threshold value.

12. Operating table (100, 200, 300) according to claim 10 or 11, wherein at least one virtual line (320, 322) is specified, which runs through at least one tipping point (310) and which encloses a specified stability angle with a specified normal vector (324). , wherein the tipping prevention unit (114) generates the tipping safety signal (128) in such a way that it indicates a risk of tipping if the center of gravity of the total load runs through the at least one virtual line (320, 322).

13. Operating table (100, 200, 400) according to one of claims 8 to 12, wherein the safety unit (106) comprises an overload protection unit (116) which is based on a defined load, which is the measured load, the effective load or the total load, and /or the center of gravity of the defined load generates an overload protection signal (130) which indicates whether there is a risk of overloading the operating table (100, 200, 400) and/or at least one component of the operating table (100, 200, 400).

14. Operating table (100, 200, 400) according to claim 13, wherein the overload protection unit (116) compares the defined load with at least one predetermined overload threshold value and generates the overload protection signal (130) in such a way that it indicates a risk of overload if the defined Last exceeds the at least one overload threshold, the at least one overload threshold being specific to the operating table (100, 200, 400) and/or the at least one component.

15. Operating table (100, 200, 400) according to claim 13 or 14, wherein the operating table has a patient bed surface (18) with a bed surface main section (408) and at least one bed surface side section (402, 404, 406) which is detachable with the major bearing surface portion (408), wherein the at least one component is the at least minor bearing surface portion (402, 404, 406).

The operating table (100, 200, 400) according to claim 15, wherein the patient support surface (18) has a plurality of support surface subsections (402, 404, 406), wherein for the configuration (410) in which the support surface subsections (402, 404, 406) are connected to each other and to the main bearing surface section (408), an overload threshold value is specified, and wherein the overload protection unit (116) compares the defined load with the overload threshold value specified for the configuration (410) of the secondary bearing surface sections (402, 404, 406) and that Overload protection signal (130) generated such that it indicates an overload risk if the defined load exceeds the overload threshold.

17. The operating table (100, 200, 400) according to claim 15 or 16, wherein at least part of the patient support surface (18) is virtually divided into several areas and an overload threshold value is specified for each area, and wherein the overload protection unit (116) checks in which area the center of gravity of the defined load is located and compares the defined load with the overload threshold specified for this area and generates the overload protection signal (130) in such a way that it indicates a risk of overload if the defined load exceeds the overload threshold value specified for this area .

18. The operating table (100, 200, 400) according to any one of claims 15 to 17, wherein a respective overload threshold value is specified for each location of at least part of the patient support surface (18), and wherein the overload protection unit (116) checks the location at which the Patient bearing surface (18) is the center of gravity of the defined load and the de defined load with the overload threshold specified for this point compares and generates the overload protection signal (130) in such a way that it indicates an overload risk if the defined load exceeds the overload threshold value specified for this point.

19. Operating table (100, 200, 400) according to one of claims 13 to 18, wherein the operating table (100, 200, 400) has at least one drive, and wherein the overload protection unit (116) based on the measurement load and / or the center of gravity of the measurement load a load acting on the at least one drive is determined and the determined load is compared to at least one predefined overload threshold value and the overload protection signal (130) is generated in such a way that it indicates a risk of overloading if the determined load exceeds the at least one overload threshold value.

20. A method for operating an operating table (100, 200), wherein a load sensor arrangement (102) of the operating table (100, 200) with a plurality of load sensors (1a, 1b, 2a, 2b) measures at least one variable from which a Last sensor arrangement (102) acting load can be determined, wherein the load sensor arrangement (102) between at least two parts of the ope rationstisch (100, 200) is arranged, and wherein the at least two parts are mutually substantially immovable.

21. Operating table (100, 300), comprising: a load sensor arrangement (102) with a plurality of load sensors (1a, 1b, 2a, 2b) for measuring at least one variable from which a load acting on the load sensor arrangement (102) can be determined, a Load determination unit (104), which is coupled to the load sensor unit (102) and, based on the measured at least one variable, a total load, which consists of the load acting on the load sensor arrangement (102) and a load caused by components that are attached to the operating table (100, 300) are assigned and are located below the load sensor arrangement (102), and/or the center of gravity of the total load is determined, and a tipping prevention unit (114) which, based on the total load and/or the

Center of gravity of the total load generates a tipping safety signal (128), which indicates whether there is a risk that the operating table (100, 300) will tip over.

22. The operating table (100, 300) according to claim 21, wherein if the tilt prevention unit (114) generates the tilt safety signal (128) in such a way that it indicates a risk of the operating table (100, 300) tipping over, an acoustic and/or visual warning signal is emitted and/or a warning signal is generated in text form and/or a movement of the operating table (100, 300) is slowed down or stopped and/or at least one functionality of the operating table (100, 300) is blocked.

23. The operating table (100, 300) according to claim 21 or 22, wherein the tilt prevention unit (114) uses the total load and/or the center of gravity of the total load to determine a residual tilting moment for at least one tilting point (310), the residual tilting moment with a predetermined residual tilting moment threshold value and the tipping safety signal (128) is generated in such a way that it indicates a risk of tipping if the residual tipping moment falls below the residual tipping moment threshold value.

24. The operating table (100, 300) according to claim 23, wherein the anti-tipping unit (114) multiplies the distance of the at least one tipping point (310) from the center of gravity of the total load by the total load to determine the residual tipping moment at the at least one tipping point (310).

25. The operating table (100, 300) according to any one of claims 21 to 24, wherein the anti-tipping unit (114) determines a respective residual tipping moment for a plurality of tipping points (310), in particular for all possible tipping points (310), the residual tipping moments compares each threshold with the predetermined residual tipping moment and generates the tipping safety signal (128) in such a way that it indicates a risk of tipping if at least one of the residual tipping moments falls below the residual tipping moment threshold value.

26. Operating table (100, 300) according to one of claims 21 to 25, wherein at least one virtual line (320, 322) is specified, which runs through at least one tipping point (310) and which has a specified stability angle with a specified normal vector (324). includes, wherein the tipping prevention unit (114) generates the tipping safety signal (128) such that it indicates a risk of tipping if the center of gravity of the total load passes through the at least one virtual line (320, 322).

27. Operating table (100, 300) according to claim 26, wherein a plurality of virtual lines (320, 322) are specified, each passing through a tipping point (310) and each containing a specified stability angle with the specified normal vector (324), wherein the a plurality of virtual lines (320, 322) define a space and the tipping prevention unit (114) generates the tipping safety signal (128) in such a way that it indicates a risk of tipping if the center of gravity of the total load leaves the space defined by the plurality of virtual lines (320, 322). .

28. Operating table (100, 300) according to claim 26 or 27, wherein the predetermined stability angle, which a virtual line (320, 322) encloses through a tipping point (310) with the predetermined normal vector (324), depends on the nature of the tipping point ( 310) depends.

29. Operating table (100, 300) according to claim 28, wherein the stability angle is larger when the tipping point (310) is given by a roller (312) and otherwise is smaller.

30. A method for operating an operating table (100, 300), wherein a load sensor arrangement (102) of the operating table (100, 300) with a plurality of load sensors (1a, 1b, 2a, 2b) measures at least one variable from which a Load sensor arrangement (102) can determine the acting load, based on the measured at least one variable, a total load, which consists of the load acting on the load sensor arrangement (102) and a load caused by components that are assigned to the operating table (100, 300) and are located below the load sensor arrangement (102), results, and/or the center of gravity of the total load is determined, and a tilt safety signal (128) is generated based on the total load and/or the center of gravity of the total load, which indicates whether there is a risk of the operating table (100, 300) tipping over.

31. Operating table (100, 400), comprising: a load sensor arrangement (102) with a plurality of load sensors (1a, 1b, 2a, 2b) for measuring at least one variable from which a load acting on the load sensor arrangement (102) can be determined, a Load determination unit (104), which is coupled to the load sensor unit (102) and uses the measured at least one variable to determine at least one defined load, which is a measurement load, an effective load or a total load, and/or the center of gravity of the defined load, and an overload protection unit (116), which generates an overload protection signal (130) based on the defined load and/or the center of gravity of the defined load, which indicates whether there is a risk of overload for the operating table (100, 400) and/or at least one component of the operating table (100, 400 ) where the measurement load is the load acting on the load sensor assembly (102), the real load being a load caused by people and components that are not on the operating table (100, 400) and a load caused by external forces and acting on the operating table (100, 400), and the total load consists of the measuring load and a load caused by components associated with the operating table (100, 400). and located below the load sensor assembly (102).

32. Operating table (100, 400) according to claim 31, wherein when the overload protection unit (116) generates the overload protection signal (130) such that it is a risk of overload for the operating table (100, 400) and/or at least one component of the operating table (100, 400), an acoustic and/or visual warning signal and/or a warning signal in text form are generated and/or the movement of the operating table ( 100, 400) is slowed down or stopped and/or at least one functionality of the operating table (100, 400) is blocked.

33. Operating table (100, 400) according to claim 31 or 32, wherein the overload protection unit (116) compares the defined load with at least one predetermined overload threshold value and generates the overload protection signal (130) in such a way that it indicates a risk of overload if the defined load exceeds the at least one overload threshold, the at least one overload threshold being specific to the operating table (100, 400) and/or the at least one component.

34. Operating table (100, 400) according to one of claims 31 to 33, wherein the operating table (100, 400) has a patient support surface (18) with a support surface main section (408) and at least one support surface secondary section (402, 404, 406), the releasably connected to the major bearing surface portion (408), wherein the at least one component is the at least one minor bearing surface portion (402, 404, 406).

35. The operating table (100, 400) according to claim 34, wherein the patient support surface (18) has a plurality of secondary support surface sections (402, 404, 406), wherein for the configuration (410) in which the secondary support surface sections (402, 404, 406) are arranged one below the other and are connected to the main bearing surface section (408), an overload threshold value is specified, and wherein the overload protection unit (116) compares the defined load with the overload threshold value specified for the configuration (410) of the secondary bearing surface sections (402, 404, 406) and the overload protection signal ( 130) generated in such a way that it indicates a risk of overload if the defined load

Exceeds overload threshold.

36. Operating table (100, 400) according to claim 34 or 35, wherein at least part of the patient support surface (18) is virtually divided into several areas and an overload threshold value is specified for each area, and wherein the overload protection unit (116) checks in which area the center of gravity of the defined load is located and compares the defined load with the overload threshold specified for this area and generates the overload protection signal (130) in such a way that it indicates a risk of overloading if the defined load exceeds the overload threshold value specified for this area.

37. The operating table (100, 400) according to any one of claims 34 to 36, wherein a respective overload threshold value is specified for each location of at least part of the patient support surface (18), and wherein the overload protection unit (116) checks the location of the patient support surface (18) the center of gravity of the defined load is located and comparing the defined load with the overload threshold specified for that location and generating the overload protection signal (130) such that it indicates a risk of overloading if the defined load exceeds the overload threshold specified for that location .

38. The operating table (100, 400) according to any one of claims 31 to 37, wherein the operating table (100, 400) has at least one drive, and wherein the overload protection unit (116) uses the measuring load and/or the center of gravity of the measuring load to determines the load acting on at least one drive and compares the determined load with at least one predefined overload threshold value and generates the overload protection signal in such a way that it indicates a risk of overloading if the determined load exceeds the at least one overload threshold value.

9. A method for operating an operating table (100, 400), wherein a load sensor arrangement (102) of the operating table (100, 400) with a plurality of load sensors (1a, 1b, 2a, 2b) measures at least one variable from which a Load sensor arrangement (102) can be determined effective load, wherein at least one defined load, which is a measurement load, an effective load or a total load, and / or the center of gravity of the defined load are determined based on the measured at least one variable, and wherein based on the defined load and/or the center of gravity of the defined load, an overload protection signal (130) is generated, which indicates whether there is a risk of overloading the operating table (100, 400) and/or at least one component of the operating table (100, 400), the measuring load on the load sensor assembly (102) acting load, the real load being a veru by people and components that are not associated with the opera tion table (100, 400), as well as by external forces is caused and acting on the operating table (100, 400) load, and wherein the total load consists of the measurement load and a load caused by components which are associated with the operating table (100, 400) and are below the load sensor arrangement (102) located, results.