Dynamic surgical table system

• US 7,234,180 B2
• Filed: 12/10/2004
• Issued: 06/26/2007
• Est. Priority Date: 12/10/2004
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Morrison, Matthew M., Taylor, Harold Sparr, Baker, Douglas, Horton, William C.
• Primary Examiner(s): Trettel; Michael
• Application Number:
  US11/009,745
• Publication Number:
  US 20060123546A1
• Time in Patent Office: 928 Days
• Field of Search: 560/0, 561/2, 561/3, 561/9, 5621-624, 5646-651, 128/845
• US Class Current: 5/613
• CPC Class Codes: A61G 13/0054 specially adapted for back or spinal surgeries
• CPC Class Codes: A61G 13/0063 specially adapted for knee surgeries
• CPC Class Codes: A61G 13/0081 specially adapted for hip surgeries
• CPC Class Codes: A61G 13/08 the table being divided into different adjustable sections
• 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 13/121 Head or neck
• 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 13/1235 Arms
• CPC Class Codes: A61G 13/124 Hands or wrists
• CPC Class Codes: A61G 13/1245 Knees, upper or lower legs
• CPC Class Codes: A61G 13/1255 Shoulders
• CPC Class Codes: A61G 2200/322 lateral
• CPC Class Codes: A61G 2200/325 prone

Abstract

A dynamic surgical table system includes any one or combination of a head support system, support systems for each arm, a torso support system, and a leg support system mounted to a frame system to support a patient during surgery. Any one or combination of the support systems is movable relative to the other and to the frame system to facilitate patient repositioning during surgery. Such repositioning may be desirable, for example, to create flexion, extension or rotation of the spine to facilitate access to and surgical treatment of one or more vertebral bodies, disc spaces between vertebral bodies, or other anatomical structures adjacent the spine of the patient. Furthermore, individual support members of any one of the support systems can articulate to conform to the patient anatomy and facilitate repositioning of the particular portion of the patient'"'"'s body being support thereon while minimizing stress on the patient.

Claims

1. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground; and

a head support system, a torso support system, a pair of arm support systems, and a leg support system, said support systems being positioned along said frame system to support the patient in a position during the surgical procedure, and wherein when in the position said torso support system is structured to support a torso of the patient generally in a first plane and said leg support system is movable relative to said torso support system from a first position where a lumbar portion of the spine is placed in flexion with knees of the patient below said first plane to a second position where the lumbar portion of the spine is placed in extension with knees of the patient above said first plane.

2. The surgical table system of claim 1, wherein said leg support system comprises a first pair of support members for supporting one of the patient'"'"'s legs and a second pair of support members adjacent said first set of support members for supporting the other of the patient'"'"'s legs.

3. The surgical table system of claim 2, wherein said first and second pairs of support members each include a lower leg support member and an upper leg support member spaced from said lower leg support member.

4. The surgical table system of claim 3, wherein said upper leg support members are spaced from one another to define an opening therebetween to receive at least one of cords, tubes, and wires therethrough.

5. The surgical table system of claim 3, wherein each of said upper leg support members is articulably mounted on a corresponding upper leg support arm and each of said lower leg support members is articulably mounted on a corresponding lower leg support arm, said lower leg support arms being pivotally coupled with a respective one of said upper leg support arms.

6. The surgical table system of claim 5, wherein said upper leg support members and said lower leg support members are each translatable along said respective support arm as said leg support system is moved between said first and second positions.

7. The surgical table system of claim 5, wherein each of said upper leg support arms are coupled at one end thereof with a leg positioner system, said leg positioner system being mounted to said frame system and being operable to move said leg support system between said first and second positions.

8. The surgical table system of claim 7, wherein said leg support system is movable along said frame system to adjust a separation distance between said torso support system and said leg support system.

9. The surgical table system of claim 1, wherein said torso support system includes a plurality of pairs of torso support members, one pair of said torso support members being positioned along said frame system to support opposite sides of the abdomen of the patient and another pair of said torso support members being positioned along said frame system to support opposite sides of the chest of the patient.

10. The surgical table system of claim 9, wherein said support members of said respective pairs of support members lie on opposite sides of a central axis of said frame system and define a space therebetween along said central axis.

11. The surgical table system of claim 9, wherein at least one of said torso support members is height adjustable relative to said first plane.

12. The surgical table system of claim 9, wherein each of said torso support members is articulably mounted to said frame.

13. The surgical table system of claim 9, wherein another of said pairs of torso support members includes a pair of pectoral support members positioned along said frame system to support respective ones of the pectorals of the patient.

14. The surgical table system of claim 9, wherein another of said pairs of torso support members includes a pair of pelvis support members adjacent said leg support system and positioned along said frame system to support respective sides of the pelvis of the patient.

15. The surgical table system of claim 1, wherein said head support system is movable relative to said first plane between a first position where the cervical spine of the patient is in flexion and a second position where the cervical spine of the patient is in extension.

16. The surgical table system of claim 1, wherein each of said arm support systems includes an upper arm support member articulably mounted on an upper arm support arm and a lower arm support member articulably mounted on a lower arm support arm.

17. The surgical table system of claim 16, wherein said lower arm support arm is articulably coupled to said upper arm support arm, and said upper arm support arm is articulably coupled to said frame system.

18. The surgical table system of claim 17, wherein said upper arm support member and said lower arm support member are each translatable along said respective upper arm and lower arm support arms.

19. The surgical table system of claim 1, wherein each of said arm support systems, said torso support system, and said leg support system includes at least two support members articulably mounted to said frame.

20. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground; and

a torso support system, a leg support system movable along said frame system to adjust a separation distance between said torso support system and said leg support system, and a head support system, wherein each system is mounted to said frame system to support the patient in a position during the surgical procedure, wherein in the position said torso support system is structured to support a torso of the patient generally in a first plane, and said leg support system is movable relative to said first plane between first and second positions so that a lumbar portion of the spine can be manipulated for flexion and extension and said head support system is movable between first and second positions relative to said first plane so that a cervical portion of the spine of the patient can be manipulated for flexion and extension.

21. The system of claim 20, wherein said leg support system is movable relative to said torso support system from the first position where the lumbar portion of the spine is placed in flexion with knees of the patient below said first plane to the second position where the lumbar portion of the spine is placed in extension with knees of the patient above said first plane.

22. The surgical table system of claim 20, wherein said leg support system comprises a first pair of support members for supporting one leg of the patient and a second pair of support members adjacent said first set of support members for supporting another leg of the patient.

23. The surgical table system of claim 22, wherein said first and second pairs of support members each include a lower leg support member and an upper leg support member spaced from said lower leg support member.

24. The surgical table system of claim 23, wherein said upper leg support members are spaced from one another to define an opening therebetween to receive at least one of cords, tubes, and wires therethrough.

25. The surgical table system of claim 23, wherein each of said upper leg support members is articulably mounted on a respective upper leg support arm and each of said lower leg support members is articulably mounted on a respective lower leg support arm, each of said lower leg support arms being articulably coupled to a respective one of said upper leg support arms.

26. The surgical table system of claim 25, wherein said upper leg support members and said lower leg support members are translatable along said respective support arm as said leg support system is moved between said first and second positions.

27. The surgical table system of claim 25, wherein each of said upper leg support arms are coupled with a leg positioner at an end opposite said respective lower leg support arm coupled thereto, said leg positioner system being mounted to said frame system and being operable to pivot said upper leg support arms to move said leg support system between said first and second positions.

28. The surgical table system of claim 20, further comprising a pair of arm support systems extending from respective sides of said frame system, wherein each of said arm support systems includes an upper arm support member articulably mounted to an upper arm support arm and a lower arm support member articulably mounted to a lower arm support arm.

29. The surgical table system of claim 28, wherein said lower arm support arm is articulably coupled to said upper arm support arm.

30. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground; and

a torso support system, a leg support system, and a head support system mounted to said frame system to support the patient in a position during the surgical procedure, wherein in the position said torso support system is structured to support a torso of the patient generally in a first plane, and said leg support system is movable relative to said first plane between first and second positions so that a lumbar portion of the spine can be manipulated for flexion and extension and said head support system is movable between first and second positions relative to said first plane so that a cervical portion of the spine of the patient can be manipulated for flexion and extension, wherein said torso support system includes a plurality of pairs of torso support members, one pair of said torso support members being positioned along said frame system to support opposite sides of the abdomen of the patient and another pair of said torso support members being positioned along said frame system to support opposite sides of the chest of the patient.

31. The surgical table system of claim 30, wherein said support members of said respective pairs of support members lie on opposite sides of a central axis of said frame system and define a space therebetween along said central axis.

32. The surgical table system of claim 30, wherein each of said torso support members is height adjustable relative to said first plane.

33. The surgical table system of claim 30, wherein each of said torso support member is articulably mounted to said frame.

34. The surgical table system of claim 30, further comprising a pair of pectoral support members positioned along said frame system to support respective ones of the pectorals of the patient.

35. The surgical table system of claim 30, further comprising a pair of pelvis support members positioned on said frame system adjacent said leg support system to support respective sides of the pelvis of the patient.

36. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground;

a plurality of support systems, at least one support system being provided for a torso, legs and each arm of the patient to support the patient in a position during the surgical procedure, wherein;

each of the arm support systems includes an upper arm support member for supporting the upper arm and a lower arm support member for supporting the lower arm;

the leg support system includes a pair of lower leg support members for respective ones of the lower legs of the patient and a pair of upper leg support members for respective ones of the upper legs of the patient; and

each of said support members is articulably mounted to an adjacent support arm.

37. The surgical table system of claim 36, wherein said articulably mounted support members are each translatable along said adjacent support arm.

38. The surgical table system of claim 37, wherein said support arm for said upper arm support member and said support arm for said lower arm support member are articulably coupled to one another.

39. The surgical table system of claim 37, wherein said support arms for said upper leg support members are articulably coupled to a respective one of said support arms for said lower arm support members.

40. The surgical table system of claim 36, wherein the position is a prone position and said torso support system is structured to support a torso of the patient generally in a first plane and said leg support system is movable relative to said torso support system from a first position wherein a lumbar portion of the spine is placed in flexion with knees of the patient below said first plane to a second position wherein the lumbar portion of the spine is placed in extension with knees of the patient above said first plane.

41. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground; and

a plurality of support systems, at least one support system being provided for each arm, torso, and legs of the patient to support the patient in a position during the surgical procedure, and wherein each of said support systems includes at least two articulable support members each directly supporting a respective adjacent body portion of the patient thereon when in the position.

42. The surgical table system of claim 41, wherein said at least two articulable support members of said leg support system include a first pair of articulable support members for supporting an upper portion and a lower portion of one leg of the patient and a second pair of articulable support members for supporting the upper and lower portions of another leg of the patient.

43. The surgical table system of claim 42, wherein each of said support members of said leg support system is translatable along a support arm supporting said respective support member.

44. The system of claim 43, wherein said torso support system supports a torso of the patient generally in a first plane and said support members of said leg support system are movable relative to said torso support system from a first position where a lumbar portion of the spine is placed in flexion with knees of the patient below said first plane to a second position where the lumbar portion of the spine is placed in extension with knees of the patient above said first plane.

45. The surgical table system of claim 41, wherein said at least two articulable support members of each of said arm support systems includes a first articulable support member for supporting an upper portion of an arm of the patient and a second articulable support member for supporting the lower portion of the arm of the patient.

46. The surgical table system of claim 45, wherein said first and second articulable support members of each of said arm support systems is translatable along a respective support arm.

47. The surgical table system of claim 46, wherein said respective support arms of each of said arm support systems are articulably coupled to one another.

48. The surgical table system of claim 41, further comprising a head support system for supporting the head of the patient, said head support system being movable relative to said torso support system to position a cervical portion of the spine of the patient in flexion and extension.

49. The surgical table system of claim 48, wherein said leg support system is movable relative to said torso support system to move legs of the patient to position a lumbar portion of the spine in flexion and extension.

50. The surgical table system of claim 41, wherein said torso support system includes a first pair of support members positioned along said frame system to support respective sides of a pelvis of the patient, a second pair of support members positioned along said frame system to support respective sides of an abdomen of the patient, and a third pair of support members positioned along said frame system to support respective sides of a chest of the patient.

51. The surgical table system of claim 50, wherein each of said support members of said torso support system is height adjustable relative to said frame system.

52. The surgical table system of claim 50, wherein said torso support system includes a fourth pair of support members to support respective ones of the pectorals of the patient.

53. A surgical table system for supporting a patient during a spinal surgical procedure, comprising:

a frame system to support the surgical table system above the ground;

a head support system, a torso support system, a pair of arm support systems, and a leg support system, said support systems being positioned along said frame system to support the patient in a position during the surgical procedure, and wherein when in the position said torso support system is structured to support a torso of the patient generally in a first plane and said leg support system is movable relative to said torso support system from a first position where a lumbar portion of the spine is placed in flexion with knees of the patient below said first plane to a second position where the lumbar portion of the spine is placed in extension with knees of the patient above said first plane; and

wherein said leg support system includes a first pair of support members and a second pair of support members and wherein said first pair of support members and said second pair of support members are each translatable along said leg support system as said leg support system is moved between said first and second positions.

54. The surgical table system of claim 53, wherein said first pair of support members is structured to support one of the patient'"'"'s legs and said second pair of support members is structured for supporting the other of the patient'"'"'s legs.

55. The surgical table system of claim 54, wherein said first and second pairs of support members each include a lower leg support member and an upper leg support member spaced from said lower leg support member.

56. The surgical table system of claim 55, wherein each of said upper leg support members is articulably mounted on a corresponding upper leg support arm and each of said lower leg support members is articulably mounted on a corresponding lower leg support arm, said lower leg support arms being pivotally coupled with a respective one of said upper leg support arms.

57. The surgical table, system of claim 53, wherein said leg support system is moveable along said frame to adjust a separation distance between said torso support system and said leg support system.