SURGICAL FRAME AND METHOD FOR USE THEREOF FACILITATING ARTICULATABLE SUPPORT FOR A PATIENT DURING SURGERY

• US 20170049653A1
• Filed: 08/17/2016
• Published: 02/23/2017
• Est. Priority Date: 08/17/2015
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Lim, Roy, Morrison, Matthew, Hynes, Richard
• Granted Patent: US 10,548,796 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61G 13/0054 specially adapted for back or spinal surgeries
• CPC Class Codes: A61G 13/04 tiltable around transverse or longitudinal axis
• CPC Class Codes: A61G 13/122 Upper body, e.g. chest
• CPC Class Codes: A61G 13/123 Lower body, e.g. pelvis, hip, buttocks
• CPC Class Codes: A61G 13/1245 Knees, upper or lower legs
• CPC Class Codes: A61G 13/125 Ankles or feet
• CPC Class Codes: A61G 13/129 having surface parts for adaptation of the size, e.g. for extension or reduction tables with different adjustable sections A61G13/08
• CPC Class Codes: A61G 13/1295 having alignment devices for the patient's body
• CPC Class Codes: A61G 2200/325 prone
• CPC Class Codes: A61G 7/015 divided into different adjustable sections, e.g. for Gatch position

Abstract

An adjustable surgical frame for supporting a patient to facilitate different surgical approaches to the spine of the patient includes a first end, an opposite second end, and a length extending between the first and second ends thereof. The surgical frame has a longitudinal axis extending between the first and second ends along the length thereof, and includes a first support surface, a second support surface, and a third support surface. The surgical frame also includes an adjustable chest support, an adjustable hip and upper leg support, and an adjustable feet and lower leg support. The surgical frame is moveable between a first position, a second position, and a third position, and the chest support, the hip and upper leg support, and the feet and lower leg support are moveable to accommodate differently sized patients on the surgical frame.

Claims

1. An adjustable surgical frame for supporting a patient to facilitate different surgical approaches to the spine of the patient, the adjustable surgical frame comprising:

the surgical frame having a first end, an opposite second end, and a length extending between the first and second ends thereof, the surgical frame having a longitudinal axis extending between the first and second ends along the length thereof, the surgical frame being moveable between a first position, a second position, and a third position, the surgical frame being supported by a first support surface in the first position, a second support surface in the second position, and a third support surface in the third position,

a chest support being configured to support the chest of the patient on the surgical frame, at least a portion of the chest support being movable in a direction transverse to the longitudinal axis of the surgical frame to facilitate positioning and repositioning of the chest of the patient thereon,

a hip and upper leg support being configured to support the hips and upper legs of the patient on the surgical frame, at least a portion of the hip and upper leg support being pivotally adjustable to facilitate positioning and repositioning of the hips and upper legs of the patient, and

a feet and lower leg support being configured to support the feet and the lower legs of the patient on the surgical frame, at least a portion of the feet and lower leg support being moveable in a direction aligned with the longitudinal axis of the surgical frame to facilitate positioning and repositioning of the feet and lower legs of the patient,

wherein the coronal plane of the patient is oriented approximately horizontal when the surgical frame is in the first position, the coronal plane of the patient is oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the second position, the coronal plane of the patient is oriented approximately vertical when the surgical frame is in the third position.

2. The surgical frame of claim 1, wherein the hip and upper leg support includes a support platform for contacting portions the hips and upper legs of the patient, the support platform being pivotally adjustable between a first position and a second position.

3. The surgical frame of claim 1, wherein the feet and lower leg support includes a support member, a first foot support supported by the support member, and a second foot support supported by the support member, the support member being moveable between a first position closer to the first end of the surgical frame and a second position closer to the second end of the surgical frame.

4. The surgical frame of claim 1, further comprising:

a first frame member extending between the first and second ends of the surgical frame, the first frame member being substantially parallel to the longitudinal axis of the surgical frame, the first frame member including portions of the first support surface and the second support surface; and

a second frame member extending outwardly from the first frame member adjacent the first end of the surgical frame, the second frame member having a first end portion and an opposite second end portion, the first end portion being attached to the first frame member, the second frame member including portions of the first support surface, the second frame member supporting the chest support thereon, wherein the chest support is moveable along the second frame member.

5. The surgical frame of claim 4, further comprising a third frame member and a fourth frame member, the third and fourth frame members extending outwardly from the first frame member between the first and second ends of the surgical frame, the first and second frame members each having a first end portion and an opposite second end portion, the first end portions of the third and fourth frame members being attached to the first frame member, the third and fourth frame members including portions of the first support surface, the third and fourth frame members supporting the hip and upper leg support and the feet and lower leg support thereon.

6. The surgical frame of claim 5, further comprising a sub-frame including a first collar portion, a second collar portion, a first cross member connecting the first and second collar portions to one another, and a second cross member extending outwardly from the second collar portion, at least a portion of the first collar portion being received on and moveable relative to the third frame member, at least a portion of the second collar portion being received on and moveable relative to the fourth frame member, the sub-frame being moveable between a first position adjacent to the first end portions of the third and fourth frame members and a second position adjacent to the second end portions of the third and fourth frame members, the hip and upper leg support and the feet and lower leg support being attached to the sub-frame.

7. The surgical frame of claim 6, wherein the hip and upper leg support is pivotally adjustable on the sub-frame.

8. The surgical frame of claim 6, wherein the feet and lower leg support is moveable along the second cross member of the sub-frame.

9. The surgical frame of claim 6, wherein a first plane extends through portions of the first, second, third, and fourth frame members, the first plane being oriented approximately horizontal when the surgical frame is in the first position, the first plane being oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the second position, and the first plane being oriented approximately vertical when the surgical frame is in the third position.

10. The surgical frame of claim 9, further comprising:

a fifth frame member extending between the first and second ends of the surgical frame, the fifth frame member being substantially parallel to the longitudinal axis of the surgical frame, the fifth frame member being connected to the first frame member, the fifth frame member including portions of the second support surface and the third support surface, and

a sixth frame member extending between the first and second ends of the surgical frame, the sixth frame member being substantially parallel to the longitudinal axis of the surgical frame, the sixth frame member being connected to the fifth frame member, the sixth frame member including portions of the third support surface,

wherein a second plane extends through portions of the first and fifth frame members, and a third plane extends through portions of the fifth and sixth frame members, the second plane being oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the first position, and the third plane being oriented approximately vertical when the surgical frame is in the first position.

11. A method of performing surgery on a patient using a surgical frame, the method comprising:

providing the surgical frame having a first end, an opposite second end, and a length extending between the first and second ends, the surgical frame having a longitudinal axis extending between the first and second ends along the length thereof, the surgical frame including at least a chest support, a hip and upper leg support, and a feet and lower leg support;

adjusting the chest support, the hip and upper leg support, and the feet and lower leg support to accommodate the size of the patient;

positioning the patient on the surgical frame by contacting portions the chest of the patient with the chest support, contacting portions of the hips and upper legs of the patient with the hip and upper leg support, and contacting at least the feet of the patient with the feet and lower leg support;

moving the surgical frame between a first position, a second position, and a third position; and

performing surgery on the patient when the surgical frame is disposed in the first, second, and third positions;

wherein the coronal plane of the patient is oriented approximately horizontal when the surgical frame is in the first position and the patient is supported thereby, the coronal plane of the patient is oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the second position and the patient is supported thereby, and the coronal plane of the patient is oriented approximately vertical when the surgical frame is in the third position and the patient is supported thereby.

12. The method of claim 11, wherein adjusting the chest support further includes moving a first portion and a second portion of the chest support in a first direction transverse to the length of the surgical frame and in a second direction transverse to the length of the surgical frame and the first direction, the first and second portions of the chest support contacting portions of the chest of the patient.

13. The method of claim 11, wherein adjusting the hip and upper leg support includes pivoting a support platform between a first position and a second position, the support platform contacting portions of the hips and upper legs of the patient.

14. The method of claim 11, wherein adjusting the feet and lower leg support includes moving a portion of the feet and lower leg support between a first position and a second position in a first direction aligned with the length of the surgical frame.

15. The method of claim 11, wherein the surgical frame includes:

a first frame member extending between the first and second ends of the surgical frame, the first frame member being substantially parallel to the longitudinal axis of the surgical frame, the first frame member including portions of a first support surface and a second support surface, and

a second frame member extending outwardly from the first frame member adjacent the first end of the surgical frame, the second frame member having a first end portion and an opposite second end portion, the first end portion being attached to the first frame member, the second frame member including portions of the first support surface, the second frame member supporting the chest support thereon.

16. The method of claim 15, wherein the surgical frame further includes a third frame member and a fourth frame member, the third and fourth frame members extending outwardly from the first frame member between the first and second ends of the surgical frame, the first and second frame members each having a first end portion and an opposite second end portion, the first end portions of the first and second end portions being attached to the first frame member, the third and fourth frame members including portions of the first support surface, the third and fourth frame members supporting the hip and upper leg support and the feet and lower leg support thereon.

17. The method of claim 16, further comprising moving a sub-frame inwardly and outwardly relative to the first frame member, the sub-frame including a first collar portion and a second collar portion, at least a portion of the first collar portion being received on and moveable relative to the third frame member, and at least a portion of the second collar portion being received on and moveable relative to the fourth frame member, the sub-frame being moveable between a first position adjacent the first end portions of the third and fourth frame members and a second position adjacent the second end portions of the third and fourth frame members, the hip and upper leg support and the feet and lower leg support being attached to the sub-frame.

18. The method of claim 16, wherein a first plane extends through portions of the first, second, third, and fourth frame members, the first plane being oriented approximately horizontal when the surgical frame is in the first position, the first plane being oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the second position, and the first plane being oriented approximately vertical when the surgical frame is in the third position.

19. An adjustable surgical frame for supporting a patient to facilitate different surgical approaches to the spine of the patient, the adjustable surgical frame comprising:

the surgical frame having a first end, an opposite second end, and a length extending between the first and second ends thereof, the surgical frame having a longitudinal axis extending between the first and second ends along the length thereof, the surgical frame having a first support surface, a second support surface, and a third support surface,

a chest support, at least a portion of the chest support being movable in a direction transverse to the longitudinal axis of the surgical frame to facilitate positioning and repositioning of the chest of the patient thereon,

a hip and upper leg support, at least a portion of the hip and upper leg support being pivotally adjustable to facilitate positioning and repositioning of the hips and upper legs of the patient,

a feet and lower leg support, at least a portion of the feet and lower leg support being moveable in a direction aligned with the longitudinal axis of the surgical frame to facilitate positioning and repositioning of the feet and lower legs of the patient,

wherein a first plane extends through the surgical frame, and the surgical frame is moveable between and supports the patient in a first position, a second position, and a third position, the surgical frame being supported by the first support surface in the first position, the second support surface in the second position, and the third support surface in the third position, the first plane being oriented approximately horizontal when the surgical frame is in the first position, the first plane being oriented approximately 45°

with respect to horizontal and vertical when the surgical frame is in the second position, and the first plane being oriented approximately vertical when the surgical frame is in the third position.

20. The surgical frame of claim 19, wherein the chest support includes a first portion and a second position moveable in a first direction transverse to the length of the surgical frame, and moveable in a second direction transverse to the length of the surgical frame and the first direction, wherein the hip and upper leg support includes a support platform for contacting portions the hips and upper legs of the patient, the support platform being pivotally adjustable between a first position and a second position, and wherein the feet and lower leg support includes a support member, a first foot support supported by the support member, and a second foot support supported by the support member, the support member being moveable between a first position closer to the first end of the surgical frame and a second position closer to the second end of the surgical frame.