JP5186369B2 - 動作を制御された処置台及びその使用方法 - Google Patents
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- JP5186369B2 JP5186369B2 JP2008526187A JP2008526187A JP5186369B2 JP 5186369 B2 JP5186369 B2 JP 5186369B2 JP 2008526187 A JP2008526187 A JP 2008526187A JP 2008526187 A JP2008526187 A JP 2008526187A JP 5186369 B2 JP5186369 B2 JP 5186369B2
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- 210000003127 knee Anatomy 0.000 description 19
- 238000001356 surgical procedure Methods 0.000 description 18
- 230000033001 locomotion Effects 0.000 description 13
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- 238000011540 hip replacement Methods 0.000 description 8
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- 210000004394 hip joint Anatomy 0.000 description 2
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- WVCHIGAIXREVNS-UHFFFAOYSA-N 2-hydroxy-1,4-naphthoquinone Chemical compound C1=CC=C2C(O)=CC(=O)C(=O)C2=C1 WVCHIGAIXREVNS-UHFFFAOYSA-N 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/123—Lower body, e.g. pelvis, hip, buttocks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
- A61G13/0063—Orthopaedic operating tables specially adapted for knee surgeries
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
- A61G13/0081—Orthopaedic operating tables specially adapted for hip surgeries
-
- 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
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
- A61G2203/12—Remote controls
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本発明は処置台及び医療支援に関し、特に、股関節置換手術、膝代替手術などの処置中に患者を支援するのに有益な処置台及び医療支援に関する。
外科における最近の発展は、より小さく及び/又は僅かな切開を用いて、従来の処置における筋肉組織の分離や切断を必要としない低侵襲的処置に焦点をあてている。例えば、低侵襲的股関節置換手術は患者の肢の前方で侵入を利用する。この侵入点で、施術者は従来の処置のように多数の切開又は長さ数十インチの複数の切開をなすのではなく、長さ約4インチ(約10cm)のただ一つの切開をなしながら、股関節置換手術を実行できる。更に、肢の中の筋肉は、これらの処置における分離や切断で損なわれることがないので、はるかに速い回復時間がもたらされる。これらの処置は依然として寛骨臼へのアクセスを必要としており、補綴の挿入の前に寛骨臼に穴を広げなければならない。 更に、大腿部の適切な操作とポジショニングは前進人工股関節置換手術外科を実行するのに不可欠である。
本発明の様々な実施形態よるシステム及び方法は、股関節及び膝関節形成処置などのための既存の処置台及び支援構造体における能力不足を克服できる。本願の譲受人は、そのような処置のための処置台の分野で既に長足の進歩を遂げており、Union City(カリフォルニア)のOSIから入手可能なPROfx(登録商標)整形外科用処置台などの処置台を生産している。そのような台100の説明図を図1に示す。そのような手術を受ける患者102は、外科手術のために通常は麻酔をかけられて処置台100に乗せられる。患者の背中は処置台のプラットホーム部分104に乗せられ、患者の肢106,108は処置台のスパー(spar)110,112上に乗せられる。各スパーはそれぞれが、患者の肢を収容する牽引システム114(左肢のために見えない)を有しており、その肢を所定位置に保持する。この牽引システムは患者の肢に所望量の力を加える設定機構116を持つことができる。患者の臀部118はプラットホーム部分104とスパー110,112との間のピボット継手に隣接して置かれ、患者の肢が前進股関節手術のためなど処置に適切な位置へ移動させることを可能にする。この図においては、患者は右肢106に関連している臀部の手術のために位置させられている。牽引システムによる牽引を確実にするために牽引ブーツ120,122を使用できる。 大腿部支持フック126を上げ下ろしするために手動処置台ジャッキ124を使用でき、傾斜ブラケット部材128によりジャッキに接続されている。ジャッキ124の上げ下ろしは回動又は回転シャフト130を介して実行でき、その動きは方向矢印132によって示されている。 また、傾斜ブラケット128はジャッキ124に対して回転でき、外科処置を実行している施術者が、位置の内外へフックを回動させて、右肢106の中の大腿部に対する支持体128の位置決めの完全な調節を与えて、フックの端部は処置期間中に大腿部を収容して支えるために形状付けられている。適切なフックは係属中の米国特許出願第10/930,809号(発明の名称”Surgical Support for Femur”Jeal M.Matta,2004年9月1日出願、2006年3月23日に米国公報第2006,0064103号として公開)に説明されており、これは参照により本明細書に組み込まれている。フック及び対応する部品が処置台の各側面にあることができ、これは各肢について一つであって、患者のどちらの側面でも手術を可能にするためである。
Claims (1)
- 関節形成術のための手術台であって、
a)ベースと、
b)このベースへ連結された患者用プラットホームと、
c)この患者用プラットホームの垂直な位置を調整するように操作可能な第1のモータと、
d)第2及び第3のモータであり、この第2及び第3のモータの各々は前記患者用プラットホームの側方傾斜及びトレンデレンブルグ傾斜との両方を調節するように動作可能な第2及び第3のモータと、
e)第2のモータに関連して動作可能な第1のアクチュエータであり、この第1のアクチュエータは、拡張自在部材と、前記患者用プラットホームから延伸する第1の支持部材とを含み、第1のアクチュエータは第1の支持部材に連結される第1のアクチュエータと、
f)第3のモータに関連して動作可能な第2のアクチュエータであり、この第2のアクチュエータは、拡張自在部材と、前記患者用プラットホームから延伸する第2の支持部材とを含み、第2のアクチュエータは第2の支持部材に連結される第2のアクチュエータと、
g)前記患者用プラットホームへ接続された大腿支持デバイスとを備え、その大腿支持デバイスは、この大腿支持デバイスの支持部材の実質的に垂直な位置を調節するように動作可能な電動リフト機構を含む手術台。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US70708005P | 2005-08-10 | 2005-08-10 | |
US60/707,080 | 2005-08-10 | ||
PCT/US2006/031154 WO2007021806A2 (en) | 2005-08-10 | 2006-08-10 | Medical table having controlled movement and method of use |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2009504262A JP2009504262A (ja) | 2009-02-05 |
JP2009504262A5 JP2009504262A5 (ja) | 2009-09-24 |
JP5186369B2 true JP5186369B2 (ja) | 2013-04-17 |
Family
ID=37440599
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008526187A Active JP5186369B2 (ja) | 2005-08-10 | 2006-08-10 | 動作を制御された処置台及びその使用方法 |
Country Status (7)
Country | Link |
---|---|
US (1) | US9119610B2 (ja) |
EP (1) | EP1931298B1 (ja) |
JP (1) | JP5186369B2 (ja) |
KR (1) | KR101336214B1 (ja) |
CN (2) | CN101299982B (ja) |
AU (1) | AU2006280003B2 (ja) |
WO (1) | WO2007021806A2 (ja) |
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