US20040200001A1 - Patient supporting table - Google Patents

Patient supporting table Download PDF

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Publication number
US20040200001A1
US20040200001A1 US10/739,990 US73999003A US2004200001A1 US 20040200001 A1 US20040200001 A1 US 20040200001A1 US 73999003 A US73999003 A US 73999003A US 2004200001 A1 US2004200001 A1 US 2004200001A1
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US
United States
Prior art keywords
table top
patient
supporting
supporting device
trolley
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.)
Abandoned
Application number
US10/739,990
Other languages
English (en)
Inventor
Dirk Stolze
Peter Hopfe
Falk Georgi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Trumpf Werkzeugmaschinen SE and Co KG
Trumpf Medizin Systeme GmbH and Co KG
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Assigned to TRUMPF WERKZEUGMASCHINEN GMBH & CO. KG reassignment TRUMPF WERKZEUGMASCHINEN GMBH & CO. KG ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: STOLZE, DIRK, HOPFE, PETER, GEORGI, FALK
Assigned to TRUMPF MEDIZIN SYSTEME GMBH reassignment TRUMPF MEDIZIN SYSTEME GMBH ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: STOLZE, DIRK, HOPFE, PETER, GEORGI, FALK
Publication of US20040200001A1 publication Critical patent/US20040200001A1/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/04—Positioning of patients; Tiltable beds or the like
    • 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
    • A61G13/02—Adjustable operating tables; Controls 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
    • 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
    • A61G7/1019—Vertical extending columns or mechanisms
    • 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
    • A61G7/1025—Lateral movement of patients, e.g. horizontal transfer
    • A61G7/103—Transfer boards
    • 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
    • A61G7/1025—Lateral movement of patients, e.g. horizontal transfer
    • A61G7/1034—Rollers, rails or other means
    • 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
    • A61G7/104—Devices carried or supported by
    • A61G7/1046—Mobile bases, e.g. having wheels
    • 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
    • A61G7/1049—Attachment, suspending or supporting means for patients
    • A61G7/1057—Supported platforms, frames or sheets for patient in lying position

Definitions

  • This invention relates to patient supporting tables.
  • Patient support tables commonly position a patient during treatment or examination in medical therapy or diagnosis.
  • patient support tables can position a patient during an imaging procedure such as magnetic resonance and computer tomography.
  • patient support tables allow a table top (holding the patient) of the patient support table to be placed in the longitudinal direction of the table between a retracted position and an extended position. In the extended position, the front end of the top is further from the supporting device than in the retracted position.
  • the table top can also be pivoted about the vertical axis of the table column between a first pivot position and a second pivot position. In a first pivot position, the table top can be taken up for examining the patient. In a second pivot position, the patient resting on the table top can, for example, be subjected to additional therapies or diagnosis. In the second pivot position, the patient can also be picked up from the table top and transferred to a trolley for transportation.
  • the invention features a patient supporting table that includes a supporting device having a table column with a vertical axis, and a table top for supporting a patient, the table top supported by the table column and arranged to move back and forth in the longitudinal direction of the table top between a retracted and an extended position, and further arranged to rotate back and forth about the vertical axis between a first and a second pivot position, wherein in at least one pivot position the table top can be detached from the supporting device.
  • Embodiments may include one or more of the following.
  • the table top In an extended position, the table top projects by a length of at least 1.5 m away from the supporting device.
  • the table top is placeable in its extended position on a trolley.
  • the trolley is height-adjustable.
  • the table column is height-adjustable.
  • the table top is fixed with respect to rotation to the supporting device, and the supporting device can be rotated about the vertical axis of the table column.
  • the table top can be rotated with respect to the supporting device.
  • the table top can be rotated through at least 90 degrees about the vertical axis of the table column.
  • the supporting device includes a table top receptacle that constrains the table top with respect to lateral motion, and the table top receptacle is fixed to the table column at an offset to the vertical axis of the table column.
  • the table top receptacle constrains the table top at longitudinal sides of the table top receptacle.
  • the table top receptacle can be tilted about a tilting axis that is transverse to the longitudinal axis of the table.
  • the invention features a method that includes transporting a patient on a table top located on a trolley, securing the table top in a first pivot position to a supporting device of a patient supporting table, retracting the table top, thereby removing the table top from the trolley, rotating the table top to a second pivot position that aligns with a therapeutic or diagnostic medical device having a working space, extending the table top to move the patient into the working space of the medical device, and performing a therapeutic or diagnostic procedure on the patient.
  • the method also includes retracting the table top, rotating the table top to the first pivot position, extending the table top onto the trolley, detaching the table top from the supporting device, and transporting the patient away from the medical device using the trolley.
  • Embodiments may include one or more of the following.
  • Securing the table top in the first pivot position to the supporting device includes raising the supporting device to contact and lift the table top from the trolley.
  • Detaching the table top from the supporting device includes lowering the supporting device to lower the table top onto the trolley.
  • Securing the table top in the first pivot position to the supporting device includes lowering the trolley to rest the table top on the supporting device.
  • Detaching the table top from the supporting device further includes raising the trolley to contact and lift the table top from the supporting device.
  • the method further includes tilting the table top along a tilting axis that is transverse to the longitudinal axis of the table top.
  • the supporting device is a table column.
  • the invention features a patient supporting system that includes the patient supporting table of claim 1 and a trolley.
  • FIGS. 1 and 2 are a schematic side view and a schematic plan view, respectively, of a patient supporting table in combination with a magnetic resonance installation, with the table top of the patient supporting table in its first pivot and extended position.
  • FIGS. 3 and 4 are a schematic side view and a schematic plan view, respectively, of the patient supporting table of FIGS. 1 and 2, with the table top in its first pivot and retracted position.
  • FIGS. 5 and 6 are a schematic side view and a schematic plan view, respectively, of the patient supporting table of FIGS. 1 and 2, with the table top in its second pivot and retracted position.
  • FIGS. 7 and 8 are a schematic side view and a schematic plan view, respectively, of the patient supporting table of FIGS. 1 and 2, with the table top in its second pivot and extended position.
  • FIG. 9 is a schematic perspective illustration of a patient supporting table, with the table top in its first pivot and extended position.
  • FIG. 10 is a schematic perspective illustration of the patient supporting table of FIG. 9, with the table top in its second pivot and extended position.
  • a patient supporting table 10 is used for examining a patient 12 in a magnetic resonance installation 14 .
  • the patient supporting table 10 includes a table top 16 on which the patient 12 rests, and a supporting device in the form of a table column 18 that supports the table top 16 .
  • the table top 16 can be made of a material having a high degree of transparency for X-ray radiation.
  • the total length of the table top 16 preferably exceeds 2.0 meters, in particular, 2.3 meters. This ensures that the patient can be examined over the total length of his body by an imaging procedure. This also ensures that a reliable holding of the table top 16 in its extended position is guaranteed, with the table top 16 being held on the table column 18 for displacement in the longitudinal direction over a length of at least 2.0 meters.
  • the table column 18 allows the table top 16 to be displaced in the longitudinal direction of the table top 16 , so that the table top 16 can be moved back and forth between a retracted position shown in FIGS. 3 and 4, and an extended position shown in FIGS. 1 and 2.
  • the retracted position of the table top 16 is selected such that the center of gravity of the patient coincides approximately with the vertical axis 20 of the table column 18 .
  • the extended position of the table top 16 is selected to enable introduction of the patient 12 on the table top 16 into the magnetic resonance installation 14 for at least partial transillumination.
  • Table column 18 includes linear guides (not shown), such as electric servomotors, to move the table top 16 on the table column 18 in the longitudinal direction.
  • the linear guides can be controllable by a central control unit of the magnetic resonance installation 14 using standard techniques.
  • the linear guides can be used to move the table top 16 in and out of the magnetic resonance installation 14 under control of the central control unit, or by conventional control switches generated by a user.
  • the linear guides are positioned such that they are located as far as possible from the magnetic resonance installation 14 .
  • the linear guides can be made of materials which do not significantly affect magnetic fields. Such materials include high-grade or stainless steels and ceramics. Thus, the magnetic fields of the magnetic resonance installation 14 are not significantly affected by the linear guides.
  • the table top 16 is fixed with respect to rotation on the table column 18 , and the table column 18 can be pivoted back and forth about the vertical axis 20 between a first and a second pivot position.
  • first pivot position shown in FIGS. 1 to 4
  • second pivot position shown in FIGS. 5 to 8
  • the table top 16 is pivoted such that the longitudinal axis of the table is aligned perpendicularly to the axis of symmetry 22 of the magnetic resonance installation 14 .
  • the table top 16 can be pivoted manually or by additional rotational servomotors.
  • the table top 16 can be locked into either the first or second pivot position using the rotational servomotors.
  • brakes can be used to hold the table top 16 in the first or second pivot position. Locking the table top 16 into a pivot position is either done manually using a foot pedal or by using the electric controls for the servomotors.
  • the table top 16 in the second pivot position, can be moved back and forth between its extended position and its retracted position. In this second pivot position, it is possible to move the table top 16 relative to the table column 18 to such an extent that a trolley 24 can be positioned below the longitudinal portion of the table top 16 projecting over the table column 18 .
  • the trolley 24 can be a manual cart with wheels for transporting patients.
  • the height of the trolley 24 can be adjusted under manual control using hydraulic cylinders and a manual pump.
  • the table column 18 can be adjusted in its height.
  • servomotors (not shown) are used to adjust the height of the table column 18 under manual or automatic control. In other examples, this adjustment is done using a manual crank.
  • the table top 16 After the trolley 24 has been positioned below the projecting portion of the table top 16 , the table top 16 , in its extended position, can be placed and fixed on the trolley 24 .
  • the table top 16 can be subsequently detached from the table column 18 by lowering the table column 18 downwards until the table top 16 is fully released from the table column 18 and seated on the trolley 24 , so that the table top 16 can be removed together with the trolley 24 . Subsequently, the patient can be rolled to another location without moving the patient from the table top 16 .
  • the patient 12 can also be brought in on the table top 16 on the trolley 24 .
  • the table top 16 can be attached to the table column 18 by raising the lowered table column 18 upwards until the table top 16 is fully released from the trolley 24 and then securing the table top 16 to the table column 18 . Then the trolley 24 can be removed.
  • a patient supporting table 40 is used for positioning a patient during an examination in a magnetic resonance installation 42 .
  • the patient supporting table 40 includes a table top 44 .
  • the table top 44 can be introduced into the magnetic resonance installation 42 over the entire length of a patient's body from at least 1.5 meters to over 2.0 meters.
  • the table top 44 can be held on a table top receptacle 46 which embraces the table top 44 at the longitudinal sides thereof.
  • the table top receptacle 46 is held on a height-adjustable table column 48 .
  • the table top 44 can be made of a material having a high degree of transparency for magnetic fields and/or X-ray radiation.
  • the total length of the table top 44 preferably exceeds 2.0 meters, in particular, 2.3 meters. This ensures that the patient can be examined over the total length of his body by an imaging procedure, e.g., by the magnetic resonance installation 42 . This also ensures that the table top 44 in its extended position is reliably held on the table top receptacle 46 for displacement in the longitudinal direction over a length of at least 2.0 meters.
  • the table top receptacle 46 is arranged at an offset to the vertical axis 50 of the table column 48 and has an approximately C-shaped cross section in the longitudinal direction of the table top 44 .
  • the vertical axis 50 of the table column 48 forms an axis of rotation for the table top 44 and the table top receptacle 46 .
  • the axis of rotation of the table top 44 is positioned laterally outside the table top 44 .
  • Such an alignment has the advantage that the pivoting behavior of the table top 44 and the table top receptacle 46 can be adapted to the respectively prevailing spatial conditions.
  • the table column 48 can be manually or automatically rotated by servomotors and fixed to two different pivot positions using brakes or the servomotors.
  • the first pivot position occurs with the longitudinal axis of the table top 44 being parallel to the axis of symmetry of the magnetic resonance installation 42 , as shown in FIG. 9.
  • the second pivot position occurs with the longitudinal axis of the table top 44 being perpendicular to the axis of symmetry of the magnetic resonance installation 42 , as shown in FIG. 10.
  • the table top 44 can be moved to its extended position and released from the table top receptacle 46 .
  • the table top 44 projects quite considerably in its extended position beyond the table top receptacle 46 .
  • the table top 44 can be held in a cantilever manner on the table top receptacle 46 .
  • the projecting portion of the table top 44 can be placed on a trolley (e.g., 24 ; not shown) which is positioned below the projecting portion of the table top 44 .
  • the table top 44 can be disengaged from the table top receptacle 46 and the patient can be transported to another location.
  • the patient 12 can also be brought in on the table top 44 on the trolley.
  • the table top 44 can be attached to the table top receptacle 46 by raising the lowered table column 18 upwards until the table top 44 is fully released from the trolley and the table top receptacle 46 holds the table 44 . Then the trolley can be removed.
  • the table top can hold a patient for various treatments or diagnosis that are different from MRI such as X-ray imaging.
  • the table top and column are designed to operate with the radiation from the various treatments or diagnosis.
  • another embodiment includes raising a trolley up to the table top with the patient and then removing the table top from the table column rather than lowering the table column.
  • another embodiment includes a table top that can be rotated relative to the table column rather than fixing the orientation of the table top to the table column.
  • another embodiment includes a table top receptacle that is held on the table column such that the table top receptacle is tiltable about a tilting axis aligned transversely to the longitudinal axis of the table.
  • the tilt of the table top can be used in the various treatments or diagnosis of the patient. Accordingly, other embodiments are within the scope of the following claims.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
US10/739,990 2002-12-19 2003-12-18 Patient supporting table Abandoned US20040200001A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10261759A DE10261759A1 (de) 2002-12-19 2002-12-19 Patientenlagerungstisch
DE10261759.7-26 2002-12-19

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US20040200001A1 true US20040200001A1 (en) 2004-10-14

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EP (1) EP1430832B1 (de)
DE (2) DE10261759A1 (de)

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US20060241408A1 (en) * 2005-02-04 2006-10-26 General Electric Company Method and apparatus for a multi-modality imaging system
US20090031497A1 (en) * 2007-08-03 2009-02-05 Trumpf Medizin Systeme Gmbh Operating Table
US20100050343A1 (en) * 2008-08-29 2010-03-04 Hornbach David W Patient-support apparatus with movable top
US20110092807A1 (en) * 2006-02-03 2011-04-21 Chiodo Chris D Specimen positioning system for imaging machines
CN102125433A (zh) * 2010-01-19 2011-07-20 西门子公司 带有水平移动路径的用于对接到医疗设备的患者小车
US20130081204A1 (en) * 2011-09-30 2013-04-04 General Electric Company Medical image table assembly and method of manufacturing the same
US20130305452A1 (en) * 2012-05-17 2013-11-21 Toshiba Medical Systems Corporation Gantry-diagnostic bed system and folding method thereof
US8997281B2 (en) 2012-03-23 2015-04-07 Trumpf Medizin Systeme Gmbh + Co. Kg Operating table top assemblies and related devices
US9289343B2 (en) 2012-03-23 2016-03-22 Trumpf Medizin Systeme Gmbh + Co. Kg Resilient side rails for medical tables
EP3453324A1 (de) * 2017-09-07 2019-03-13 Siemens Healthcare GmbH Magnetresonanzvorrichtung mit einer patientenlagerungsvorrichtung mit einer kippeinheit

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WO2008049166A1 (en) * 2006-10-26 2008-05-02 Medsell Pty Ltd An operating table with a moveable table top
CN111973378A (zh) * 2020-09-09 2020-11-24 南京诺源医疗器械有限公司 一种基于成像仪的肿瘤定位系统
CN112618219A (zh) * 2020-12-23 2021-04-09 太和县人民医院 一种放射科ct用辅助装置

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DE10261759A1 (de) 2004-07-15
EP1430832A1 (de) 2004-06-23

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