Surgical table

• US 6,038,718 A
• Filed: 08/15/1994
• Issued: 03/21/2000
• Est. Priority Date: 08/15/1994
• Status: Expired due to Term

• Current Assignee: Schaerer Medical USA Incorporated
• Original Assignee: Midmark Corporation
• Inventors: Pennington, Donald R., Reesby, Cyril F., Stickley, Keith A.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/290,384
• Time in Patent Office: 2,045 Days
• Field of Search: 5/614, 5/613, 5/616, 5/618, 5/621, 5/622, 5/623, 5/624, 292/165, 292/146, 292/150
• US Class Current: 5/618
• CPC Class Codes: A61B 6/04 Positioning of patients; Tiltable beds or the like operating tables A61G13/00; operating chairs A61G15/00
• CPC Class Codes: A61G 13/02 Adjustable operating tables; Controls therefor
• CPC Class Codes: A61G 13/10 Parts, details or accessories surgical drape sheets A61B46/00
• CPC Class Codes: A61G 13/12 Rests specially adapted therefor; Arrangements of patient-supporting surfaces rests for the surgeon A61B90/60; restraining devices A61F5/37
• 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 2203/12 Remote controls
• CPC Class Codes: A61G 2203/726 for automatic deactivation, e.g. deactivation of actuators or motors
• CPC Class Codes: A61G 2203/74 for anti-shear when adjusting furniture

Abstract

A surgical table including a control system for facilitating manipulation of the table top when a patient is a normal and a reversed position. The table includes moveable table top sections whereby the table may be reconfigured from a normal configuration for receiving a patient with the patient'"'"'s head at a head end of the table to a reversed configuration with the patient'"'"'s head located at the foot end of the table. The controller is adapted to sense the configuration of the table and automatically reverse selectable functions for movement of the table when the table is in the reverse configuration.

Claims

1. A surgical table comprising:

a table top, said table top including a movable portion;

a support for supporting said table top;

an actuator for moving said table top relative to said support;

a controller having selectable functions for energizing said actuator to move said table top to predetermined positions in a normal mode of operation when said surgical table is in a first configuration, and having a reverse mode of operation for reversing said selectable functions in a second configuration of said surgical table

said movable portion of said table top being movable to reconfigure said surgical table from said first configuration to said second configuration; and

including a sensor system located on said table for sensing engagement of said movable portion with said surgical table, and said selectable functions of said controller changing from said normal mode to said reverse mode of operation in response to said sensor system sensing engagement and disengagement of said movable portion to and from said table top.

2. The surgical table as recited in claim 1 wherein said movable portion of said table top comprises a patient support portion.

3. The surgical table as recited in claim 1 wherein said table top comprises a plurality of sections for supporting a patient, one of said plurality of sections comprising said movable portion, and movement of said movable portion relative to at least one other of said sections causes said surgical table to be reconfigured into said second configuration.

4. The surgical table as recited in claim 3 wherein said plurality of sections includes a back section, a head section mountable to said back section in said first configuration, a seat section connected to said back section and a leg section connected to said seat section, said head section defining said movable portion and being mountable to said leg section in said second configuration.

5. The surgical table as recited in claim 4 wherein said sensor system is connected to said controller for sensing the location of said head section on said surgical table.

6. The surgical table as recited in claim 3 wherein said movable portion is attachable to said table top at a first location and a second location, said sensor system being operable to sense the location of said movable portion whereby said controller is activated to reverse said selectable functions.

7. The surgical table as recited in claim 1 wherein said sensor system includes sensors located at opposing ends of said table and said movable portion of said table top is mountable to either of said opposing ends said sensors being operable for sensing the location of said movable portion at either end of said table top.

8. The surgical table as recited in claim 7 wherein said selectable functions are reversed in response to a sensed position of said movable portion of said table top being changed.

9. The surgical table as recited in claim 1 wherein said selectable functions comprise trendelenburg, lateral tilt and flex movements for said table top.

10. A surgical table comprising:

an articulated table top including a plurality of interconnected sections;

a system of actuators for moving said sections;

a controller having selectable functions for energizing said actuator system to move said sections in a normal mode of operation and having a reverse mode of operation wherein said selectable functions are reversed;

wherein at least one of said sections is movable from a first position defining a first configuration to a second position defining a second configuration on said surgical table, and movement of said at least one section from said first position to said second position causes said controller to operate in said reverse mode of operation; and

including sensors located at said first and second positions wherein said sensors are operable for sensing the location of said at least one section and for actuating said controller to operate in either said normal or reverse mode of operation.

11. The surgical table as recited in claim 10 wherein said at least one section comprises a head section.

12. The surgical table as recited in claim 10 wherein said sensors include switches associated with apertures located at first and second ends of said table top corresponding to said first and second positions, and said at least one section includes pins for engaging within said apertures, said pins being operable to actuate said switches.

13. The surgical table as recited in claim 10 wherein at least two of said sections are movably mounted to said surgical table, and said first and second positions are located at opposing ends of said table.

14. The surgical table as recited in claim 13 wherein said at least two sections comprise a head section and a leg section.

15. The surgical table as recited in claim 10 wherein said plurality of sections includes a back section, a head section mountable to said back section in said first configuration, a seat section connected to said back section and a leg section mountable to said seat section, said head section further being mountable to said leg section in said second configuration.

16. The surgical table as recited in claim 15 wherein said leg section is further mountable to said seat section at a location opposite said back section.

17. A surgical table comprising:

a table top;

a support for supporting said table top;

an actuator system for moving said table top relative to said support;

a controller including a plurality of function buttons which are manually operable and define selectable functions for energizing said actuator system to move said table top; and

wherein actuation of at least one of said function buttons energizes said actuator system to move a predetermined portion of said table top in a predetermined direction to a predetermined neutral position where said controller automatically deactivates said actuator system to terminate movement of said predetermined portion, and wherein release and further actuation of said at least one function button energizes said actuation system to move said predetermined portion in said predetermined direction past said neutral position.

18. The surgical table as recited in claim 17 wherein said table top comprises a plurality of sections, said predetermined portion forming one of said sections, and said neutral position corresponds to said predetermined portion being aligned substantially parallel to an adjacent section.

19. The surgical table as recited in claim 17 wherein said table top comprises a back section, a seat section and a leg section, said seat section being movable independently of said back section and said leg section being movable independently of said seat section.

20. The surgical table as recited in claim 19 wherein said predetermined portion comprises said seat section and said neutral position corresponds said seat section being aligned substantially parallel to said back section.

21. The surgical table as recited in claim 19 wherein said predetermined portion comprises said leg section and said neutral position corresponds to said leg section being aligned substantially parallel to said seat section.

22. The surgical table as recited in claim 17 wherein said selectable functions include lateral left and right tilt functions and said neutral position corresponds to said table top being level in a lateral direction.

23. The surgical table as recited in claim 17 wherein said selectable functions include trendelenburg and reverse trendelenburg functions and said neutral position corresponds to said table top being level in a longitudinal direction.

24. A surgical table comprising:

an articulated table top including a plurality of interconnected sections mounted for pivotal movement relative to each other;

a support for supporting said table top;

an actuator system for moving said sections;

a controller including a plurality of function buttons which are manually operable and define selectable functions for energizing said actuator system to move said sections; and

wherein actuation of at least one of said function buttons energizes said actuator system to move at least one of said sections in a predetermined direction to a predetermined neutral position where said controller automatically deactivates said actuator system to terminate movement of said at least one section, and wherein release and further actuation of said at least one actuation button energizes said actuation system to move said at least one section in said predetermined direction past said neutral position.

25. The surgical table as recited in claim 24 wherein said sections include a back section, a seat section adjacent to said back section, and a leg section adjacent to said seat section, said controller being operable for actuating said seat section for movement independently of said back section and for actuating said leg section for movement independently of said seat section.

26. The surgical table as recited in claim 25 wherein movement of said seat section is automatically terminated when said seat section is substantially parallel to said back section and movement of said leg section is automatically terminated when said leg section is substantially parallel to said seat section.

27. A surgical table comprising:

an articulated table top including a back section, a seat section and a leg section, said seat section being pivotally mounted relative to said back section and said leg section being pivotally mounted relative to said back section;

a support for supporting said table top;

a system of actuators for moving said sections of said table top;

a controller for energizing said system of actuators, said controller having a normal mode of operation and a reverse mode of operation; and

said controller being operable to energize said system of actuators to configure said table in flex and reflex positions wherein a flex/reflex point in said normal mode of operation is located between said back and said seat sections and a flex/reflex point in said reverse mode of operation is located between said seat and said leg sections.

28. The surgical table as recited in claim 27 wherein said table top is adapted to be reconfigured and said controller automatically operates in said reverse mode of operation in response to said table top being reconfigured.

29. The surgical table as recited in claim 28 wherein said table top includes a removable section adapted to be alternately located at a head end and a foot end of said table top said controller automatically operating in said reverse mode of operation in response to said removable section being mounted at said foot end of said table top.

30. A surgical table comprising:

a table top including at least a seat section and a leg section mounted to said seat section;

a support for supporting said table top;

an actuator for driving said leg section in pivotal movement relative to said seat section from a raised position approximately 80°

above a plane defined by said seat section to a lowered position approximately 105°

below said plane; and

wherein a force applied to said leg section during said pivotal movement varies such that forces applied by said actuator to said leg section to raise and lower said leg section between the plane defined by the seat section and said raised position are greater than forces applied by said actuator to said leg section to lower and raise said leg between the plane defined by the seat section and said lowered position.

31. The surgical table as recited in claim 30 wherein said actuator includes a slide mounted for sliding movement along a predetermined path on said seat section, a linkage having a first end connected to said leg section and a second end connected to said slide, and a driver for driving said slide along said predetermined path.

32. The surgical table as recited in claim 31 wherein said predetermined path is linear.

33. The surgical table as recited in claim 31 wherein said predetermined path extends non-parallel to said plane.

34. The surgical table as recited in claim 33 wherein said predetermined path extends downwardly in a direction toward said leg section.

35. The surgical table as recited in claim 31 wherein said driver comprises a power cylinder.

36. The surgical table as recited in claim 35 including identical actuators located on opposing sides of said surgical table, each said actuator including a fluid cylinder and said fluid cylinders being connected in fluid communication with each other whereby said cylinders exert an equal actuation force for moving said leg section.

37. The surgical table as recited in claim 30 wherein said leg section is a unitary member spanning substantially the entire width of said surgical table, said leg section being detachable from said seat section.

38. A surgical table comprising:

a table top including at least a first section and a second section detachably connected to said first section;

a support for supporting said table top;

a latch mechanism for retaining said second section in engagement with said first section, said latch mechanism automatically latching said second section onto said first section in response to movement of said section into association with said first section;

means for locking said latch mechanism to prevent removal of said second section from said first section; and

wherein said second section comprises an engagement pin and said first section comprises an aperture for receiving said engagement pin, and said latch mechanism engages said engagement pin to retain said second section on said first section.

39. The surgical table as recited in claim 38 wherein said latch mechanism includes a latch pin resiliently biased into said aperture and said engagement pin includes a slot for receiving said latch pin.

40. The surgical table as recited in claim 39 wherein said latch mechanism includes a plunger assembly movable relative to said aperture and said latch pin is supported for movement with said plunger assembly, said latch pin being further supported for movement within said plunger assembly.

41. The surgical table as recited in claim 40 including biasing means within said plunger assembly for biasing said latch pin in a direction toward said aperture.

42. The surgical table as recited in claim 40 wherein said means for locking said latch mechanism comprises a lever actuated cam member located in engagement with said plunger assembly for biasing said plunger assembly toward said aperture whereby said engagement pin is firmly locked within said aperture.

43. The surgical table as recited in claim 42 wherein said lever is mounted for rotation and rotation of said lever in a first direction causes said plunger assembly to move toward said aperture, and rotation of said lever in a second opposite direction causes said plunger assembly to move away from said aperture whereby said latch pin is moved out of engagement with said slot.

44. A surgical table comprising:

a table top;

a support for supporting said table top;

an actuator for moving said table top relative to said support;

control means for energizing said actuator;

a pump system for supplying pressurized fluid to said actuator, said pump system comprising a first pump and a second pump;

wherein said control means is operable to energize said first pump to supply pressurized fluid to said actuator as long as said first pump is operable, and said control means is operable to energize said second pump in the event said first pump becomes inoperable; and

wherein said control means comprises first and second controllers having substantially identical function selection switches, said first controller being operable to energize said first pump as long as said first pump is operable, and only said second controller being operable to energize said second pump in the event said first pump becomes inoperable.

45. The surgical table as recited in claim 44 wherein said pump system includes first and second motors for driving said first and second pumps, respectively.

46. The surgical table as recited in claim 45 wherein said pump system includes a fluid reservoir containing said first and second pumps, and said motors are located outside of said reservoir.