FR2731902A1 - Operating table patient support wedge - Google Patents
Operating table patient support wedge Download PDFInfo
- Publication number
- FR2731902A1 FR2731902A1 FR9503323A FR9503323A FR2731902A1 FR 2731902 A1 FR2731902 A1 FR 2731902A1 FR 9503323 A FR9503323 A FR 9503323A FR 9503323 A FR9503323 A FR 9503323A FR 2731902 A1 FR2731902 A1 FR 2731902A1
- Authority
- FR
- France
- Prior art keywords
- device characterized
- intervention
- patient
- operating table
- deflated
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
- A61G13/1265—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
- A61G7/1013—Lifting of patients by
- A61G7/1021—Inflatable cushions
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Invalid Beds And Related Equipment (AREA)
Abstract
Description
L'invention se rapporte à un dispositif de calage ou hyperextension d'un corps en un endroit précis pour un patient placé sur une table dite table d'opération. The invention relates to a device for wedging or hyperextending a body in a specific location for a patient placed on a table called the operating table.
Par le terme "Billot" on désignera un corps plus ou moins rigide qui sert de cale ou d'hyperextenseur et par le terme "cylindre" on désignera un cylindre parfaitement cylindrique ou non avec un "méplat" éventuel sur sa longueur ou une partie de celle ci.ou toute autre forme anatomique faisant l'objet d'une chirurgie necessitant ce type de support (chirurgie de la main en abord externe par exemple)
Certaines interventions abdominales, thoraciques, gynécologiques ou vasculaires sont difficiles d'abord et afin de mieux exposer le site ou le chirurgien doit intervenir, il est plus aisé pour ses assistants de disposer le patient en hyperextension en un endroit bien précis suivant le cas.Cette hyperextension est en général réalisée au moyen d'un billot confectionné de champs roulés ou d'un bloc de matière plus ou moins malléable, du caoutchouc par exemple, suffisamment moelleux pour ne pas traumatiser le corps dénudé du patient mais suffisamment rigide pour obtenir un effet style arche de pont de la face postérieure ou latérale de l'abdomen par exemple. Il est en principe mis en place avant l'intervention, lorsque le malade est positionné sur la table d'opération et qu'il est juste avant ou au début de son anesthésie.By the term "Billot" we will designate a more or less rigid body which serves as a wedge or hyperextensor and by the term "cylinder" we will designate a perfectly cylindrical cylinder or not with a possible "flat" along its length or part of this one or any other anatomical form undergoing surgery requiring this type of support (hand surgery on external approach for example)
Certain abdominal, thoracic, gynecological or vascular interventions are difficult at first and in order to better expose the site where the surgeon must intervene, it is easier for his assistants to have the patient in hyperextension in a very specific place depending on the case. hyperextension is generally carried out by means of a block made of rolled fields or a block of more or less malleable material, rubber for example, sufficiently soft to not traumatize the naked body of the patient but rigid enough to obtain an effect bridge arch style of the posterior or lateral face of the abdomen for example. In principle, it is put in place before the intervention, when the patient is positioned on the operating table and is just before or at the start of his anesthesia.
Ce calage réalisé, l'équipe chirurgicale peut alors, après la préparation cutanée d'usage, déposer sur le patient les champs stériles prévus à cet effet et qui vont isoler le praticien et ses aides revêtus eux aussi de vetements stériles , du mobilier et autres accessoires, désinfectés certes mais ne présentant pas pour autant les garanties necessaires pour éviter l'infection. Once this is done, the surgical team can then, after the usual skin preparation, place on the patient the sterile drapes provided for this purpose and which will isolate the practitioner and his assistants also dressed in sterile clothing, furniture and other accessories, disinfected certainly but not providing the necessary guarantees to avoid infection.
Le malade est donc très largement recouvert et les champs qui pendent de chaque côté ne laissent plus aux panseuses et autres assistants la possibilité d'accéder à quelque partie que ce soit du plateau de la table ou du patient sans faire prendre à ce dernier un risque infectieux très dommageable. The patient is therefore very largely covered and the fields which hang on each side no longer leave the dressers and other assistants the possibility of accessing any part of the table top or of the patient without making the latter take a risk. very damaging infectious.
Lors de l'incision par le praticien l'extension circulaire, abdominale par exemple, qui résulte de l'effet du billot facilite l'accès des tissus et autres viscères suivants et surtout lui permet de mieux aborder les plans profonds ou il est censé intervenir puisque ceux ci se retrouvent mieux exposés. During the incision by the practitioner the circular extension, abdominal for example, which results from the effect of the block facilitates the access of the tissues and other viscera following and especially allows him to better approach the deep planes where it is supposed to intervene since these are better exposed.
L' intervention terminée, c'est à ce moment la que commence une autre difficulté, celle de la fermeture des différents plans abdominaux, car le patient est toujours en hyperextension , et on l'a vu precedemment il n'est pas possible sans risque majeur pour le patient d'aller retirer ce billot calé sous le patient. The intervention ended, it is at this time that begins another difficulty, that of the closing of the different abdominal plans, because the patient is always in hyperextension, and we saw it previously it is not possible without risk major for the patient to go and remove this block wedged under the patient.
Le but de l'invention est de remédier à cet inconvénient. The object of the invention is to remedy this drawback.
Ce nouveau type de billot est composé d'un cylindre, ayant ou non une partie plate dite sécante du cercle pour en facilité la mise à plat sur un plan tel qu'une table d'opération par exemple et qui peut s'avérer nécessaire dans certaines positions ou types d'intervention, mais que pour des raisons pratiques nous continuerons à appeler ici cylindre. This new type of chopping block is made up of a cylinder, with or without a so-called secant part of the circle for ease of laying flat on a plane such as an operating table for example and which may prove necessary in certain positions or types of intervention, but which for practical reasons we will continue to call cylinder here.
Ce cylindre est composé d'une enveloppe de matière souple type toile étanche à l'air et chargée de conserver un volume d'air constant ou modulable pendant l'intervention. This cylinder is made up of an envelope of flexible material such as airtight canvas and responsible for maintaining a constant or adjustable volume of air during the intervention.
Ce cylindre caractérisé par le fait qu'il est rempli d'une mousse alvéolée préformée (cylindre rond ou préformé suivant le cas) mousse genre mousse plastique par exemple dont l'utilisation est multiple à savoir
- Occuper l'espace vide que représente le cylindre
-Assurer par sa compression une mobilité des formes controlée jusqu'a permettre une mise à plat du cylindre, mise a plat induite par la compression naturelle du patient ou par un geste séparé complémentaire ou non du personnel hospitalier.This cylinder characterized by the fact that it is filled with a preformed cellular foam (round or preformed cylinder as the case may be) foam such as plastic foam for example, the use of which is multiple, namely
- Occupy the empty space represented by the cylinder
-To ensure by its compression a mobility of the forms controlled until allowing a flattening of the cylinder, flattening induced by the natural compression of the patient or by a separate gesture complementary or not of the hospital staff.
- Assurer par sa fonction naturelle de mousse, après la compression, un remise en forme cylindrique automatique par le remplissage simultané de toutes les alvéoles qui composent la mousse, remplissage qui pourrait également être réalisé au moyen d'un compresseur ou de l'installation d'air comprimé du bloc opératoire par exemple. si l'on veut accélerer le processus ou obtenir une pression supérieure initiale à la pression atmosphérique. - Ensure by its natural foam function, after compression, an automatic cylindrical reshaping by the simultaneous filling of all the cells that make up the foam, filling which could also be achieved by means of a compressor or the installation of compressed air from the operating room for example. if you want to speed up the process or get an initial pressure higher than atmospheric pressure.
Le cylindre est de plus caractérisé par le fait qu'il est pourvu d'un tube souple pourvu d'un système d'obturation ou de robinet. Ce tube suffisamment long, permettrait alors au personnel présent et "non stérile" d'avoir accès à l'obturateur et ce malgré la présence des champs. The cylinder is further characterized in that it is provided with a flexible tube provided with a shutter or tap system. This sufficiently long tube would then allow the staff present and "not sterile" to have access to the obturator despite the presence of fields.
Ce qui dans le déroulement des phases d'utilisation de ce billot
MOUSS-AIR, se ferait comme décrit ci après
Le tube étant débouché, le billot se gonfle seul à son volume nominal par l'office de la mousse qui reprend sa forme à l'intérieur du cylindre, ce processus peut être accéléré ou surgonflé si cela s'avère nécessaire.What in the course of the phases of use of this log
MOUSS-AIR, would be done as described below
The tube being uncorked, the block inflates alone to its nominal volume by the foam board which resumes its shape inside the cylinder, this process can be accelerated or overinflated if necessary.
Le tube est alors obstrué et le billot mise en place sous le patient à l'endroit désiré de façon à obtenir l'effet d'hyperextension souhaité. The tube is then obstructed and the block placed under the patient at the desired location so as to obtain the desired hyperextension effect.
Au moment opportun le débouchage partiel de la tubulure qui sera refermée ensuite permettrait éventuellement d'obtenir toutes les positions intermédiaires souhaitées en fonction de l'anatomie propre au patient
Le débouchage permanent complet de la tubulure permet alors d'obtenir un cylindre inerte donc une hyperextension annulée pendant l'intervention ce qui facilitera alors le travail de suture du chirurgien des différents plans par exemple qui se présenteront à lui de façon naturelle et/ou anatomique cette fois. At the appropriate time, the partial uncorking of the tubing which will then be closed would eventually make it possible to obtain all the intermediate positions desired depending on the patient's own anatomy.
The complete permanent unblocking of the tubing then makes it possible to obtain an inert cylinder therefore a hyperextension canceled during the intervention which will then facilitate the suturing work of the surgeon of the different planes for example which will appear to him in a natural and / or anatomical this time.
Enfin on pourra remarquer que, et notamment dans la position dite de décubitus latéral, outre son rôle d'autogonflage du cylindre la mousse joue un rôle de cale et ou elle restera remplie d'air dans le cas de la tubulure bouchée et restera gonflée et devant et derrière le patient permettant ainsi de diminuer sensiblement l'effet de roulement que l'on rencontre avec des billots classiques. Finally, it will be noted that, and in particular in the so-called lateral decubitus position, in addition to its role of self-inflation of the cylinder, the foam plays a role of wedge and or it will remain filled with air in the case of the blocked tubing and will remain inflated and in front and behind the patient, thus making it possible to significantly reduce the rolling effect that is encountered with conventional logs.
Claims (2)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9503323A FR2731902A1 (en) | 1995-03-22 | 1995-03-22 | Operating table patient support wedge |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9503323A FR2731902A1 (en) | 1995-03-22 | 1995-03-22 | Operating table patient support wedge |
Publications (1)
Publication Number | Publication Date |
---|---|
FR2731902A1 true FR2731902A1 (en) | 1996-09-27 |
Family
ID=9477280
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9503323A Pending FR2731902A1 (en) | 1995-03-22 | 1995-03-22 | Operating table patient support wedge |
Country Status (1)
Country | Link |
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FR (1) | FR2731902A1 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2000071070A1 (en) * | 1999-05-20 | 2000-11-30 | Stafford Rubber Company Limited | Method and device for raising loads |
EP2292203A3 (en) * | 2009-09-02 | 2011-06-08 | Tyco Healthcare Group LP | Patient positioning apparatus |
-
1995
- 1995-03-22 FR FR9503323A patent/FR2731902A1/en active Pending
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2000071070A1 (en) * | 1999-05-20 | 2000-11-30 | Stafford Rubber Company Limited | Method and device for raising loads |
EP2292203A3 (en) * | 2009-09-02 | 2011-06-08 | Tyco Healthcare Group LP | Patient positioning apparatus |
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