Patient positioning support apparatus with virtual pivot-shift pelvic pads, upper body stabilization and fail-safe table attachment mechanism

• US 9,642,760 B2
• Filed: 08/28/2013
• Issued: 05/09/2017
• Est. Priority Date: 05/05/2006
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Roger P. Jackson
• Inventors: Jackson, Roger P., Guerra, Lawrence E., Waggoner, Trevor A., Walton, Steven R., Herron, Michael A.
• Primary Examiner(s): Polito, Nicholas
• Application Number:
  US14/012,434
• Publication Number:
  US 20140068861A1
• Time in Patent Office: 1,350 Days
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 5/704 Tables
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61G 13/0036 Orthopaedic operating tables devices for stretching fractured limbs A61F5/04
• CPC Class Codes: A61G 13/0054 specially adapted for back or spinal surgeries
• CPC Class Codes: A61G 13/02 Adjustable operating tables; Controls therefor
• CPC Class Codes: A61G 13/04 tiltable around transverse or longitudinal axis
• CPC Class Codes: A61G 13/06 raising or lowering of the whole table surface A61G13/04 takes precedence
• CPC Class Codes: A61G 13/08 the table being divided into different adjustable sections
• CPC Class Codes: A61G 13/101 Clamping means for connecting accessories to the operating table supports as part of surgical instruments A61B90/50
• CPC Class Codes: A61G 13/104 Adaptations for table mobility, e.g. arrangement of wheels
• CPC Class Codes: A61G 13/1205 for specific parts of the body
• 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 7/001 with means for turning-over the patient
• CPC Class Codes: A61G 7/002 having adjustable mattress frame
• CPC Class Codes: A61G 7/005 tiltable around transverse horizontal axis, e.g. for Trendelenburg position rocking beds for physical therapy A61H1/003; hanging patient inclined downwardly for drawing him out A61H2203/0493
• CPC Class Codes: A61G 7/008 tiltable around longitudinal axis, e.g. for rolling
• CPC Class Codes: A61G 7/012 : raising or lowering of the whole mattress frame A61G7/005, A61G7/008 take precedence
• CPC Class Codes: A61G 7/015 : divided into different adjustable sections, e.g. for Gatch position
• CPC Class Codes: A61G 7/018 : Control or drive mechanisms
• CPC Class Codes: G06F 3/04842 : Selection of displayed objects or displayed text elements G06F3/0482 takes precedence
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 : for local operation

Abstract

A patient support apparatus for supporting a patient in a prone position during a surgical procedure is provided, including an open fixed frame suspended above a floor and a pair of spaced opposed radially sliding joints cooperating with the frame, each joint including a virtual pivot point and an arc of motion spaced from the virtual pivot point, the joints being movable along the arc providing a pivot ship mechanism for a pair of pelvic pads attached to the joints. A base for supporting and suspending a patient support structure above the floor, for supporting a patient during a surgical procedure, the base including a pair of spaced opposed vertical translation subassemblies reversibly attachable to a patient support structure, a cross-bar, and a rotation subassembly having two degrees of rotational freedom; wherein a location of each vertical translation subassembly is substantially constant during operation of the patient support structure.

Claims

1. A base structure for supporting a patient support structure above a floor, the base structure comprising:

a fail-safe table attachment subassembly operably coupling a first end support of the base structure and a first end of a patient support structure so as to prevent inadvertent uncoupling of the first end of the patient support structure from the first end support, the fail-safe table attachment subassembly comprising;

a rotation block, a connecting member, and a spring-loaded lock member, the rotation block rotatably coupled with the first end support, the connecting member comprising a first end in cooperation with the rotation block and a second end opposite the first end, the first end of the patient support structure configured to releaseably couple with the connecting member, the first end of the connecting member including a first feature configured to engage the rotation block such that the connecting member is rotatable relative to the rotation block about the first feature to cause a second feature of the connecting member to lock into engagement with the spring-loaded lock member,

wherein, when rotating the connecting member about the first feature to cause the second feature to lock into engagement with the spring-loaded lock member, the second end of the connecting member displaces away from a second end support opposite the first end support, the second end support configured to releasably couple with a second end of the patient support structure opposite the first end of the patient support structure.

2. The base structure of claim 1, wherein, when the second feature is locked into engagement with the spring-loaded lock member, the connecting member is prevented from being released from engagement with the rotation block if the first end of the patient support structure is coupled with the connecting member.

3. The base structure of claim 1, wherein the first feature is an engagement pin.

4. The base structure of claim 3, wherein the first feature engages with a channel of the rotation block.

5. The base structure of claim 1, wherein the second feature is a bar.

6. The base structure of claim 1, wherein the connecting member is a ladder comprising opposing ladder side members having a plurality of through-bores configured to receive a T-pin therethrough.

7. The base structure of claim 1, wherein the spring-loaded lock member comprises a locking hook member and a spring member configured to bias the locking hook member in a certain orientation.

8. The base structure of claim 1, wherein rotation of the connecting member is about an axis that is transverse to a longitudinal axis of the patient support structure.

9. The base structure of claim 8, wherein the axis is generally perpendicular to the longitudinal axis of the patient support structure.

10. The base structure of claim 1, wherein the second feature locking with the spring-loaded lock member acts as a primary locking mechanism between the connecting member and the rotation block.

11. The base structure of claim 1, wherein the spring-loaded lock member is positioned on the rotation block relative to a rotation axis of the rotation block such that the spring-loaded lock member is positionable above or below the rotation axis depending on a rotational orientation of the rotation block, the connecting member configured to couple with the rotation block when the spring-loaded lock member is positioned below the rotation axis.

12. The base structure of claim 2, wherein the connecting member is a ladder comprising opposing ladder side members having a plurality of through-bores configured to receive a T-pin therethrough.

13. A base structure for supporting a patient support structure above a floor, the base structure comprising:

an end support supported on the floor at a first end, the end support comprising a second end opposite the first end;

a rotation block supported by the end support at the second end, the rotation block coupled with the second end of the end support and configured to rotate relative to the second end of the end support about a rotation axis, the rotation block comprising a spring-loaded lock member spaced apart from the rotation axis such that the spring-loaded lock member is positionable above or below the rotation axis depending on a rotational orientation of the rotation block; and

a connecting member comprising a first connection end and a second connection end opposite the first connection end, the first connection end configured to releasably couple with the rotation block via the spring-loaded lock member when the spring-loaded lock member is positioned below the rotation axis, the spring-loaded lock member configured to permit engagement and prevent disengagement of the first connection end with the rotation block, the connecting member releasably coupled with an end of the patient support structure between the first and second connection ends of the connecting member.

14. The base structure of claim 13, wherein the spring-loaded lock member comprises a locking hook member and a spring member configured to bias the locking hook member in a certain orientation.

15. The base structure of claim 13, wherein the connecting member is a ladder comprising opposing ladder side members having a plurality of through-bores configured to receive a T-pin therethrough.

16. A base structure for supporting a patient support structure above a floor, the base structure comprising:

an end support supported on the floor at a first end;

a rotation block supported by the end support at a second end opposite the first end, the rotation block rotatably coupled with the second end of the end support about a rotation axis, the rotation block comprising a biased coupling mechanism at an end of the rotation block such that the biased coupling mechanism is configured to be positioned above or below the rotation axis depending on a rotational orientation of the rotation block; and

a connecting member comprising a first connection end and a second connection end opposite the first connection end, the first connection end configured to releasably couple with the biased coupling mechanism when the biased coupling mechanism is positioned below the rotation axis of the rotation block, the biased coupling mechanism configured to permit engagement and prevent disengagement of the first connection end with the biased coupling mechanism, the connecting member configured to releasably couple with an end of the patient support structure between the first and second ends.

17. The base structure of claim 16, wherein the biased coupling mechanism is a spring-loaded lock member.

18. The base structure of claim 17, wherein the spring-loaded lock member comprises a locking hook member and a spring member configured to bias the locking hook member in a certain orientation.

19. The base structure of claim 16, wherein the first connection end of the connecting member is configured to releasably couple with the rotation block when the biased coupling mechanism is positioned above the rotation axis of the rotation block.

20. A base structure for supporting a patient support structure above a floor, the base structure comprising:

an end support, a rotation block, and a connecting member,

the end support comprising a first end supported by the floor and a second end opposite the first end,

the rotation block coupled with the second end of the end support and configured to rotate relative to the second end about a rotation axis, the rotation block comprising a spring-loaded lock member at an end of the rotation block such that the spring-loaded lock member is configured to be positioned above or below the rotation axis depending on a rotational orientation of the rotation block,

the patient support structure configured to releasably coupled with the connecting member,

the connecting member comprising a first connection end and a second connection end opposite the first connection end, the first connection end comprising a first feature configured to engage the rotation block such that the connecting member is rotatable relative to the rotation block about the first feature to cause a second feature of the connecting member to lock into engagement with the spring-loaded lock member,

wherein, when rotating the connecting member about the first feature to cause the second feature to lock into engagement with the spring-loaded lock member, the second connection end of the connecting member displaces away from another end support opposite the end support, the another end support configured to releasably couple with the patient support structure.

21. The base structure of claim 20, wherein the first feature is an engagement pin.

22. The base structure of claim 21, wherein the first feature engages with a channel of the rotation block.

23. The base structure of claim 20, wherein the second feature is a bar.

24. The base structure of claim 20, wherein the spring-loaded lock member comprises a locking hook member and a spring member configured to bias the locking hook member in a certain orientation.

25. The base structure of claim 20, wherein rotation of the connecting member is about an axis that is transverse to a longitudinal axis of the patient support structure.

26. The base structure of claim 25, wherein the axis is generally perpendicular to the longitudinal axis of the patient support structure.

27. The base structure of claim 20, wherein the second feature locking with the spring-loaded lock member acts as a primary locking mechanism between the connecting member and the rotation block.

28. The base structure of claim 20, wherein the connecting member is configured to couple with the rotation block when the spring-loaded lock member is positioned below the rotation axis.

29. A base structure for supporting a patient support structure above a floor, the base structure comprising:

a fail-safe table attachment subassembly coupling a first end support of the base structure to a first end of a patient support structure so as to prevent inadvertent detachment of a connecting member portion of the fail-safe table attachment subassembly and the first end of the patient support structure from the base structure, the fail-safe table attachment subassembly further comprising;

a rotation block including a spring-loaded lock member to engage and releasably lock the connecting member portion to the rotation block, the rotation block rotatably coupled with the base structure first end support,

the connecting member portion releasably coupled with the first end of the patient support structure, the connecting member portion including a pivot structure to engage the rotation block such that the connecting member portion is rotatable relative to the rotation block about the pivot structure to cause an engagement structure of the connecting member portion to engage and lock with the spring-loaded lock member,

wherein rotation of the connecting member portion about the pivot structure causes the connecting member portion to lock into engagement with the spring-loaded lock member, and wherein an end of the connecting member portion opposite the pivot structure is configured to displace away from a second end support of the base structure opposite the first end support when the connecting member portion rotates into locking engagement with the spring-loaded lock member.

30. The base structure of claim 29, wherein the spring-loaded lock member comprises a locking hook member and a spring member configured to bias the locking hook member in a certain orientation.

31. The base structure of claim 29, wherein rotation of the connecting member portion is about an axis that is transverse to a longitudinal axis of the patient support structure.

32. The base structure of claim 31, wherein the axis is generally perpendicular to the longitudinal axis of the patient support structure.

33. The base structure of claim 29, wherein the spring-loaded lock member is positioned on the rotation block relative to a rotation axis such that the spring-loaded lock member is positionable above or below the rotation axis depending on a rotational orientation of the rotation block, the connecting member portion configured to couple with the rotation block when the spring-loaded lock member is positioned below the rotation axis.