Abstract:
In an operating table system for the computer tomography assisted performance of operations on patients, including an operating table 10 with a subframe 14 and a patient support surface 12 releasably connected with the subframe, the patient support surface means 12 has a frame 16 connected with the subframe 14 and an x-ray permeable patient support plate 20 longitudinally slidably carried in the frame 16, with a support frame 44 intended for the reception of the support plate in a computer tomography system 40 having coupled with it a coupling station 46 for the transfer of the support plate from the operating table 10 to the support frame 44 and vice versa.
Abstract:
An improvement is provided in a method for carrying out laparoscopic surgery on an intestine of a patient. The improvement includes establishing discrete magnetic zones within the intestine by having the patient ingest a magnetic medium. An electromagnetic field which can be focused and translated around the patient is induced by means of a particularly-described electromagnet. Poles of the magnetic medium which is within the intestine is attracted to a pole of the electromagnet. The intestine is manipulated by suspension, or retraction, or lengthwise translation of the entire intestine which in a segment-by-segment fashion by the essential step of selectively focusing and translating the electromagnetic field by way of manipulation of said upper electromagnet pole. The upper electromagnet pole may include a plurality of displaceable expandable pole heads supported on a rotatable shaft magnet, the electromagnet field being focused and translated by means of rotation of the rotatable shaft magnet of one of such expandable pole heads; or the upper electromagnet pole may include expandable heads supported in a rotatable shaft magnet, and the electromagnetic field is focused and translated means of displacement of one of the expandable pole heads transversely with respect to the patient; or the upper electromagnet pole may include a plurality of magnetizable rotatable helical shafts and the electromagnetic field is focused and translated by rotation of one of the magnetizable rotatable helical shafts; or the upper electromagnet pole may include a series of magnetically-active wire coils, the electromagnetic field being induced by passing a controlled DC voltage through the magnetically-active wire coils, and the electromagnetic field is focused and translated by controlling the DC voltage to selected ones of the magnetically-active wire coils.
Abstract:
An apparatus for supporting a patient in a prone position during surgery which allows the surgeon to adjust the relative positioning of the patient during surgery. The apparatus generally comprises a patient support structure rotatably mounted on an expandable framework which is connected to an elongate base by a pair of hydraulic lifts. The patient may initially be positioned on the table in a supine position and then rotated so as to be supported in a prone position by the patient support structure with the patient's abdomen pendulous and free. The hydraulic lifts are positioned at the ends of the base and allow one end of the expandable framework and the patient support structure to be raised or lowered with respect to the other end. The patient support structure may be rotated so as to angle the patient's back toward or away from the surgeon. A plurality of pairs of support pads are attached to opposite opposed legs of the patient support structure and are longitudinally adjustable relative thereto. The pairs include a chest support, a hip support and a thigh support pair with each pair being sized and oriented uniquely to provide maximum support for and minimum localized pressure to the skin and to prevent chafing of the associated part of the patients anatomy. The pads are designed to be x-ray transparent.
Abstract:
A surgical table intended specifically for microscopic lumbar laminectomy surgery which may be quickly and conveniently adjusted to fit the needs of the individual patient, and by which the patient is properly positioned for the surgery in a matter of minutes. The table serves to hold the patient in the proper flexed position throughout the surgical procedure. The table includes a top which is supported on a frame base at its forward end by a post in a cantilever configuration, with the top being angularly adjustable about a horizontal axis and also about the vertical axis of the post, and with the post itself being adjustable to set the top to a desired elevation. For the procedure, the patient kneels on a support at the other end of the base with his upper torso extending over the table top to be supported on the top by his iliac crests and chest.
Abstract:
The invention relates to a patient table for an X-ray apparatus. The table has a table top which is displaceable in the longitudinal direction thereof. The table top is coupled to an endless chain which is guided by sprockets. One sprocket is driven by a motor. The coupling between the table top and the chain is realized by means of comb-like coupling elements which engage the chain. The coupling elements are arranged so as to be offset with respect to one another in the longitudinal direction of the table top.
Abstract:
A patient treatment table includes a table frame, a hip board fixedly secured to said frame and a head board fixedly secured to said frame and spaced from said hip board. A transparent flexible arch member, of such thickness that it can maintain an adjustable height position under the patient's weight without requiring edge reinforcement, is pivotally mounted to said frame adjacent to and below the top surface of said head board and a slide member extending across the table beneath the edge of said hip board provides a pivotal support for the other end of said arch member. Said slide member may be adjusted relative to said hip board by means of an enclosed, motor driven lead screw actuator to bow said arch member upwardly from a minimum height position in which the top surface of the arch member is substantially the same as the upper surfaces of said head and hip boards. Suitable indicia are provided on the slide and table frame, calibrated in terms of the actual height of the top surface of the transparent arch, so that continuity of treatment and repeatablity of adjustment of the height of the arch can be achieved. The actuator is controllable by switch means located adjacent said arch member on either side of the table.
Abstract:
A surgical table is disclosed which includes a base and a first planar table surface which is fixedly mounted to the base. A second planar table surface is mounted to the base by means of a linear guide such that the second table surface is positioned in the plane of the first table surface and is movable toward and away from the first table surface. A third table surface is interconnected between the first and second table surfaces. This third table surface is formed of a bendable material and is provided with a cylindrically convex shape. The radius of curvature of this convex shape varies as a function of the linear position of the first table surface with respect to the second table surface. Preferably, the third table surface is formed of an X-ray transparent material. Articulated leg brackets allow the height and tilt angle of the table to be adjusted. The disclosed surgical table is particularly useful in positioning the spine of a patient as necessary for certain surgical procedures in which a needle must be inserted into a disc between two adjacent vertebra.
Abstract:
An operating table for ophthalmic surgery consisting of a base, held at an adequate height from the floor by supporting members, and on which a stretcher is placed which is movable in the longitudinal sense and adjustable in height, one end of which is connected to an adjustable assembly comprising a first device for positioning the patient's head, with the body being on said stretcher, in the position most convenient for carrying out the surgical operation and a second device supporting a mask element provided with an opening in which the eye to be operated on is adapted and on the edge of which the orbital edge of said eye is sealed. A transparent rigid airtight cover is provided which may be adapted on said base plane in such a way as to create an airtight environment apt to be appropriately depressurized through conventional vacuum means, said airtight environment completely surrounding the body of the patient with the exception of the eye to be operated on, which through said opening in said mask element appears exposed to the pressure of the outside ambient.
Abstract:
A postural drainage device for supporting a patient comfortably in a position in which mucus and other matter can drain by gravity from his respiratory system. The invention includes a first embodiment which is portable and collapsible and assumes a substantially A-shape when in use. The two side members of the A-shape are pivotally mounted to each other adjacent the apex of the A-shape and provided with an adjustable knee support mounted on one of the side members, a pair of spaced-apart hand grips positioned adjacent the apex of the A-shape, and a pair of adjustable shoulder supports mounted in a spaced-apart relationship on the other side member with a hole cut through that side member into the interior of the A-shape providing access to a tray placed on the transverse member of the A-shape. The hand grips extend slightly above the apex of the A-shape to help maintain the patient therebetween on the apex. The patient's knees are supported on the knee support, his mid-section on the apex of the A-shape between the hand grips, and his shoulders on the spaced-apart shoulder supports with his head extending downwardly therebetween through the hole. In a second embodiment, leaf members corresponding to the two side members of the A-shaped embodiment are pivotally mounted to a main body and individually moved by respective piston-cylinder arrangements.