JP6262184B2 - ブーツあぶみ - Google Patents
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- JP6262184B2 JP6262184B2 JP2015209732A JP2015209732A JP6262184B2 JP 6262184 B2 JP6262184 B2 JP 6262184B2 JP 2015209732 A JP2015209732 A JP 2015209732A JP 2015209732 A JP2015209732 A JP 2015209732A JP 6262184 B2 JP6262184 B2 JP 6262184B2
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- 125000006850 spacer group Chemical group 0.000 claims description 151
- 210000001699 lower leg Anatomy 0.000 claims description 54
- 244000309466 calf Species 0.000 claims description 26
- 210000003127 knee Anatomy 0.000 claims description 26
- 230000014759 maintenance of location Effects 0.000 claims description 24
- 210000002414 leg Anatomy 0.000 claims description 21
- 230000006835 compression Effects 0.000 claims description 12
- 238000007906 compression Methods 0.000 claims description 12
- 210000003414 extremity Anatomy 0.000 claims description 11
- 238000007373 indentation Methods 0.000 claims description 10
- 238000001356 surgical procedure Methods 0.000 claims description 6
- 210000002683 foot Anatomy 0.000 description 53
- 210000003423 ankle Anatomy 0.000 description 13
- 239000006260 foam Substances 0.000 description 8
- 239000000853 adhesive Substances 0.000 description 3
- 230000001070 adhesive effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 210000003141 lower extremity Anatomy 0.000 description 2
- 230000036544 posture Effects 0.000 description 2
- 230000007423 decrease Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000001172 regenerating effect Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000003756 stirring Methods 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
- A61G13/125—Ankles or feet
-
- 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
- A61G13/10—Parts, details or accessories
- A61G13/101—Clamping means for connecting accessories to the operating table
-
- 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
- A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
- A61G13/129—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having surface parts for adaptation of the size, e.g. for extension or reduction
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Description
Claims (35)
- 手術台と共に使用するための保持アームであって、前記保持アームが、
近位端、前記近位端から間隔を置いた遠位端、および前記保持アームの縦軸に沿って前記近位端と前記遠位端の間に延長するアクチュエータロッドを持つスパーと、
前記スパーの前記近位端で前記アクチュエータロッドに連結され、前記手術台に連結されたロック可能な旋回接合部であって、前記ロック可能な旋回接合部が、前記手術台に対する複数の軸の周りの前記スパーの動きを許容するように構成されているロック可能な旋回接合部と、
前記スパーの前記遠位端に連結されており、前記スパーに連結されたハンドルハウジング、および前記アクチュエータロッドに連結されて直線的かつ前記ハンドルハウジングに対して前記縦軸にほぼ平行に動き、前記アクチュエータロッドを、前記ロック可能な旋回接合部がロックされている第一の配向と前記ロック可能な旋回接合部がロックされていない第二の配向との間で前記縦軸の周りを回転させるように構成されたスパーレバーを含むスパーハンドルと、
を含む保持アーム。 - 前記スパーレバーが、前記アクチュエータロッドの周りに配置されたレバースライド、および前記縦軸に対して前記レバースライドから離れて放射状に延長するレバーハンドルを含み、前記レバースライドが前記レバーハンドルと共に動き、前記レバーハンドルが直線的に前記縦軸に対してほぼ平行に動かされる時、前記アクチュエータロッドを、前記第一の配向と第二の配向の間で回転させるように構成されている、請求項1に記載の保持アーム。
- 前記レバースライドが、内面、前記内面から放射状に間隔を置いた外面、および前記内面と外面の間を前記レバースライドを通って放射状に延長する側壁を含み、前記側壁が軸方向および円周方向に前記レバースライドに沿って延長するスロットを定義するように形成されており、前記スパーがそれと共に動くように前記アクチュエータロッドに連結されたアクチュエータ軸をさらに含み、前記アクチュエータ軸が前記スロット内に延長する、請求項2に記載の保持アーム。
- 前記アクチュエータ軸が前記アクチュエータロッドを通って前記スロット内に延長し、前記レバースライドが、前記縦軸に沿って直線的に動いて、前記側壁を前記アクチュエータ軸に噛み合わせ、前記アクチュエータ軸を前記縦軸の周りを円周方向に動かして、前記アクチュエータロッドを前記第一の配向と第二の配向との間で回転させるように配置されている、請求項3に記載の保持アーム。
- 前記アクチュエータ軸がピンおよび、前記ピンの周りに配置されたベアリングを含み、前記ピンが前記アクチュエータロッドを通って前記スロット内に延長し、前記ベアリングが前記ピンと前記側壁の間に位置付けられている、請求項4に記載の保持アーム。
- 手術中に使用するためのブーツあぶみであって、前記ブーツあぶみが、
請求項1〜5のいずれか一つに記載された、縦軸を持つ保持アームと、
患者の足を保持するように形成された足保持部分および、前記足保持部分に固定されたブーツハンドルを含む手術ブーツと、
前記保持アームに連結され、前記手術ブーツに連結されたロック可能な接合部とを備え、
前記ロック可能な接合部が、前記ロック可能な接合部が前記保持アームに対する前記縦軸に沿った前記手術ブーツの動きおよび前記保持アームに対する前記縦軸の周りの前記手術ブーツの回転を許容するロック解除位置と、前記ロック可能な接合部が前記保持アームに対する前記縦軸に沿った前記手術ブーツの動きおよび前記保持アームに対する前記縦軸の周りの前記手術ブーツの回転を阻止するロックされた位置との間で動くように構成されており、前記ロック可能な接合部が、前記ブーツハンドルに対して動いて前記ロック可能な接合部をロック解除するように構成された解除レバーを含むブーツあぶみ。 - 前記ロック可能な接合部がレバー軸を持ち、前記解除レバーが、前記解除レバーが前記ブーツハンドルから間隔を置いている第一の配向と、前記解除レバーが前記ブーツハンドルに隣接している第二の配向の間を、レバー軸の周りを旋回可能である、請求項6に記載のブーツあぶみ。
- 前記ロック可能な接合部が、前記解除レバーが前記第一の配向にある時は前記ロック位置にあり、前記解除レバーが前記第二の配向にある時は前記ロック解除位置にある、請求項7に記載のブーツあぶみ。
- 前記ロック可能な接合部が、前記保持アームの周りに配置されたアームクランプおよび前記アームクランプに連結されたクランプアクチュエータをさらに含み、前記クランプアクチュエータが、クランプロッド、および前記クランプロッドが前記アームクランプに噛み合って前記アームクランプが閉鎖位置になるようにする第一の位置と、クランプロッドがアームクランプから外れてアームクランプが開放位置になるようにする第二の位置の間を、アームクランプに対してクランプロッドを動かすように構成されたアクチュエータユニットを含む、請求項6に記載のブーツあぶみ。
- 前記ロック可能な接合部が、前記縦軸に概して垂直な横軸および前記横軸に沿って延長する前記クランプロッドを含む、請求項9に記載のブーツあぶみ。
- 前記ロック可能な接合部が、横軸、および前記横軸と間隔を置いて概して平行なレバー軸を含み、前記クランプロッドが前記横軸に沿って延長し、前記解除レバーが前記レバー軸の周りを旋回可能な、請求項9に記載のブーツあぶみ。
- 前記アクチュエータユニットがスペーサー組立品を含み、前記クランプロッドが前記スペーサー組立品に連結されており、前記スペーサー組立品が、前記スペーサー組立品が前記クランプロッドを前記アームクランプに噛み合わせて前記アームクランプを前記閉鎖位置に動かす拡張位置と、前記スペーサー組立品が前記クランプロッドに前記アームクランプを外させて前記アームクランプを前記開放位置に動かす圧縮位置の間で移動可能である、請求項9に記載のブーツあぶみ。
- 前記アクチュエータユニットが、前記スペーサー組立品に連結され、第一のスライドプレートが前記スペーサー組立品を前記拡張位置に動かす第一の位置と、前記第一のスライドプレートが前記スペーサー組立品を前記圧縮位置に動かす第二の位置の間を動くように構成された第一のスライドプレートをさらに含む、請求項12に記載のブーツあぶみ。
- 前記第一のスライドプレートが、上面、上面から間隔を置いた下面、および上面と下面の間に延長して狭い端および幅広の端を持つスロットを形成する側壁を含み、前記第一のスライドプレートが前記第一の位置にある時、前記スペーサー組立品の一部が前記スロット内に延長して前記スロットの前記幅広の端で前記側壁と噛み合って前記スペーサー組立品が前記拡張位置になるようにし、前記第一のスライドプレートが前記第二の位置にある時、前記スペーサー組立品の前記一部が前記スロットの前記狭い端で前記側壁と噛み合って前記スペーサー組立品が前記圧縮位置になるようにする、請求項13に記載のブーツあぶみ。
- 前記ロック可能な接合部が横軸を含み、前記アクチュエータユニットが第一のスライドプレートをさらに含み、前記スペーサー組立品が第一のスペーサー、第二のスペーサー、およびバイアス部材を含み、前記第一および第二のスペーサーが前記横軸と整列しており、前記クランプロッドが前記第一および第二のスペーサーを通って延長し、それと共に動くように前記第一のスペーサーに連結されており、前記ロック可能な接合部が前記ロック位置にある時、前記バイアス部材が前記第二のスペーサーから離れるように前記第一のスペーサーにバイアスをかけて前記第一のスペーサーおよび前記クランプロッドを前記第二のスペーサーから遠ざけて前記クランプロッドが前記アームクランプに噛み合って前記アームクランプを前記閉鎖位置に動かすように構成されており、前記ロック可能な接合部が前記ロック解除位置にある時、前記第一のスライドプレートが、前記第一および第二のスペーサーと噛み合って前記第一のスペーサーおよび前記クランプロッドを前記第二のスペーサーに向かって動かし前記クランプロッドを前記アームクランプから外して前記アームクランプを前記開放位置に動かすように構成されている、請求項12に記載のブーツあぶみ。
- 前記解除レバーが、前記ブーツハンドルに向かって引かれて前記ロック可能な接合部のロックを解除するグリップ部分を含む、請求項6に記載のブーツあぶみ。
- 前記グリップ部分が前記ブーツハンドルの下に位置し、前記グリップ部分が前記ブーツハンドルに向かって上向きに引かれて、前記ロック可能な接合部のロックを解除する、請求項16に記載のブーツあぶみ。
- 前記ブーツハンドルが前記足保持部分の足底から延長する、請求項17に記載のブーツあぶみ。
- 前記ブーツハンドルが前記手術ブーツのかかと保持領域から延長する、請求項6に記載のブーツあぶみ。
- 前記手術ブーツは、
下腿保持部分と、
前記足保持部分に連結され、前記下腿保持部分に連結されたコネクタとを備え、前記コネクタが異なるサイズの患者の脚に適応するために、前記足保持部分に対する前記下腿保持部分の動きを許容するように構成されている、請求項6〜19のいずれか一つに記載のブーツあぶみ。 - 前記コネクタが、前記足保持部分に対する前記下腿保持部分の直線的な動きを許容するように構成されている、請求項20に記載のブーツあぶみ。
- 前記コネクタが、前記足保持部分から前記下腿保持部分に向かって延長する第一のレールおよび前記第一のレールの周りに配置された第一のトラックを含む、請求項20に記載のブーツあぶみ。
- 前記第一のレールが互いから間隔を置いた複数のくぼみを含むように形成され、前記第一のトラックが前記複数のくぼみの少なくとも一つの中に延長して前記足保持部分に対する前記下腿保持部分の動きを阻止するように配置されたピンを含む、請求項22に記載のブーツあぶみ。
- 前記第一のレールが上面および前記上面から間隔を置いた下面を含み、前記上面が前記複数のくぼみを含むように形成される、請求項23に記載のブーツあぶみ。
- 前記第一のレールが前記足保持部分に連結され、前記第一のトラックが前記下腿保持部分に連結され、前記第一のトラックが前記第一のレール上で平行移動して前記下腿保持部分を前記足保持部分に対して動かすように構成されている、請求項22に記載のブーツあぶみ。
- 前記コネクタが前記第一のレールから間隔を置いた第二のレ−ルおよび前記第二のレールの周りに配置された第二のトラックを含み、前記第二のレールが前記足保持部分に連結され、前記第二のトラックが前記下腿保持部分に連結され、前記第二のトラックが前記第二のレール上で平行移動して前記下腿保持部分を前記足保持部分に対して動かすように構成されている、請求項25に記載のブーツあぶみ。
- 前記下腿保持部分が、腓腹部分ならびに、パッドインサートおよび前記腓腹部分を膝パッドに連結するストラップを持つ膝パッドを含む、請求項20に記載のブーツあぶみ。
- 手術台と共に使用するための保持装置であって、前記保持装置が、
請求項1〜5のいずれか一つに記載された、前記手術台に連結された保持アームと、
前記保持アームに連結されたロック可能な接合部と、
複数の軸の周りの前記保持アームに対する手術ブーツの動きのために、前記ロック可能な接合部に連結された手術ブーツとを備え、前記手術ブーツが、患者の手足と連動し保持するように構成された手足保持面および付属品ユニットに連結して保持するように構成された少なくとも一つの取り付け具を含む取り付け面を含む、保持装置。 - 前記少なくとも一つの取り付け具が、前記取り付け面に形成され、前記手術ブーツ内に延長する複数のねじ山付き開口部を含む、請求項28に記載の保持装置。
- 前記取り付け面が概して平らである、請求項29に記載の保持装置。
- 前記手術ブーツが、前記手術ブーツ内に延長するノッチを含むように形成され、前記ノッチが、前記付属品ユニットと前記患者の前記手足の間に延長する少なくとも一つの導管を受けるように構成されている、請求項28に記載の保持装置。
- 前記付属品ユニットが連続圧縮装置を備える、請求項28に記載の保持装置。
- 前記連続圧縮装置が前記取り付け面に連結されたポンプユニットを含む、請求項32に記載の保持装置。
- 前記連続圧縮装置が、患者の手足に着用される衣服および、前記衣服と前記ポンプユニットの間に延長する少なくとも一つの導管を含む、請求項33に記載の保持装置。
- 前記手術ブーツが前記少なくとも一つの導管を受けるためのノッチを含む、請求項34に記載の保持装置。
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US201462075338P | 2014-11-05 | 2014-11-05 | |
US62/075,338 | 2014-11-05 |
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JP2017234106A Division JP6776218B2 (ja) | 2014-11-05 | 2017-12-06 | ブーツあぶみ |
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JP2016087455A JP2016087455A (ja) | 2016-05-23 |
JP6262184B2 true JP6262184B2 (ja) | 2018-01-17 |
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JP2017234106A Active JP6776218B2 (ja) | 2014-11-05 | 2017-12-06 | ブーツあぶみ |
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US (3) | US10188573B2 (ja) |
EP (2) | EP3278784B3 (ja) |
JP (2) | JP6262184B2 (ja) |
Families Citing this family (19)
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US10188573B2 (en) | 2014-11-05 | 2019-01-29 | Allen Medical Systems, Inc. | Boot stirrup |
EP3302391A4 (en) | 2015-06-05 | 2019-01-30 | Stryker Corporation | SURGICAL TABLE AND ACCESSORIES TO FACILITATE HIP ARTHROSCOPY |
EP3791848B1 (en) | 2016-02-18 | 2024-05-22 | Hill-Rom Services, Inc. | Patient support apparatus having an integrated limb compression device |
TWI687970B (zh) * | 2016-02-22 | 2020-03-11 | 東京威力科創股份有限公司 | 圖案化層之循環式蝕刻的方法 |
US10835440B2 (en) | 2016-04-01 | 2020-11-17 | Allen Medical Systems, Inc. | Boot carriage for repositioning a surgical boot along a support rod |
US11013652B1 (en) | 2016-09-19 | 2021-05-25 | Kyra Medical, Inc | Limb holder allowing distal actuation along non-linear paths of actuation |
CA3052793A1 (en) * | 2017-02-06 | 2018-08-09 | Stryker Corp. | Distraction frame for effecting hip distraction |
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US10188573B2 (en) | 2019-01-29 |
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US20220008278A1 (en) | 2022-01-13 |
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US20190117490A1 (en) | 2019-04-25 |
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