EP1498095B1 - Table de traitement - Google Patents
Table de traitement Download PDFInfo
- Publication number
- EP1498095B1 EP1498095B1 EP03016296A EP03016296A EP1498095B1 EP 1498095 B1 EP1498095 B1 EP 1498095B1 EP 03016296 A EP03016296 A EP 03016296A EP 03016296 A EP03016296 A EP 03016296A EP 1498095 B1 EP1498095 B1 EP 1498095B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- berth
- adjustment
- treatment
- axis
- board
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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- 238000011282 treatment Methods 0.000 title claims abstract description 84
- 238000000034 method Methods 0.000 claims abstract description 4
- 210000003128 head Anatomy 0.000 claims description 27
- 230000008878 coupling Effects 0.000 claims description 10
- 238000010168 coupling process Methods 0.000 claims description 10
- 238000005859 coupling reaction Methods 0.000 claims description 10
- 230000007246 mechanism Effects 0.000 description 4
- 230000008901 benefit Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000002430 laser surgery Methods 0.000 description 2
- 0 **1C=C=C2*11C=CC1C2 Chemical compound **1C=C=C2*11C=CC1C2 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 208000029091 Refraction disease Diseases 0.000 description 1
- 230000004430 ametropia Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 208000014733 refractive error Diseases 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 238000009420 retrofitting Methods 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G15/00—Operating chairs; Dental chairs; Accessories specially adapted therefor, e.g. work stands
- A61G15/10—Parts, details or accessories
- A61G15/12—Rests specially adapted therefor, e.g. for the head or feet
- A61G15/125—Head-rests
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
- A61G2200/325—Specific positions of the patient lying prone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
- A61G7/072—Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only
Definitions
- the present invention relates to a treatment couch for storage of patients.
- Such treatment couches basically have a deck plate for the patient and a base supporting the deck plate on a floor, such as in a treatment room.
- the deck plate can be upholstered, so it does not necessarily have to be a rigid plate in the narrower sense.
- the deck plate may of course be multi-part, composed of different plate-like elements.
- Such treatment couches are in some cases repeatedly adjustable in order to bring the patient in a suitable position.
- the invention is based on a treatment couch adjustable in at least two mutually substantially vertical adjustment directions.
- US 5,013,018 shows a treatment couch which is adjustable in various ways and to which the preamble of claim 1 relates.
- WO 01 72226 A likewise shows a treatment couch which can be adjusted in various ways.
- FIG. 2 shows a height adjustment about a horizontal axis, which is designated by P.
- the deck plate of the treatment couch can also translate, in the longitudinal direction.
- the invention is directed to a treatment couch for supporting a patient with a reclining panel for the patient and a base for supporting the recliner panel on a floor, the recliner panel being adjustable relative to the base to adjust the patient's positional position, and the recliner panel for those adjustments about a first axis of rotation, which is parallel to a direction perpendicular to the longitudinal direction, is pivotable, wherein the pivoting movement corresponds to a vertical displacement of one end of the deck plate, and pivotable about a second axis of rotation, which is parallel to a direction perpendicular to the longitudinal direction is where the pivoting movement of a horizontal and perpendicular to the longitudinal direction adjustment of this end corresponds, wherein the second axis of rotation with respect to the longitudinal extent of the deck plate is off-center to the other end of the deck plate, within 30% of the longitudinal extent, characterized in that the first axis of rotation with respect to the longitudinal extent of the deck plate approximately at the other end, within 10% of the longitudinal extent.
- the invention is characterized in that at least one of said adjustment options should be solved by a pivoting movement mechanism with a rotation axis.
- the axis of rotation should be perpendicular to the longitudinal direction, the so-called "Y-direction", so that in a pivoting movement about a parallel to a vertical "Z-axis" axis of rotation horizontal "X-adjustment” and at one to the horizontal "X-direction" parallel axis of rotation results in a "Z-adjustment".
- both the X-adjustment and the Z-adjustment are achieved via a pivoting movement mechanism.
- the positioning of the axis of rotation for the Z-adjustment (ie the X-parallel axis of rotation) according to the invention in the region of the foot end of the deck plate.
- the invention is further based on a positioning of the axis of rotation for the X-adjustment (ie the Z-parallel axis of rotation) from the center of the couch on the side of the foot end, with respect to the Y-longitudinal direction.
- the X-parallel pivot axis is approximately within 10% of the longitudinal extent with respect to the longitudinal extent of the deck plate from the foot end, the reference amounting to 100% of the total length of the deck plate without the optional optional headrest.
- the Z-parallel pivot axis according to the invention is within 30% of the longitudinal extent seen from the foot, particularly preferably within 25% and in the best case within 20%.
- the motor adjustment drive for the Z adjustment can be a motor, for example an electric motor, with a coupling wheel provided on an output shaft and a coupling belt driven by the coupling wheel.
- the coupling wheel and coupling belt may be, for example, a gear / toothed belt or gear / chain combination.
- the coupling band carries a driver, which either entrains the adjustable part of the treatment couch or is coupled to the part of the treatment couch which is not moved during the Z adjustment.
- the motor is stationary with respect to the part of the treatment couch which is fixed during the Z-adjustment, in the second-mentioned case it is stationary with respect to the part of the treatment couch covered by the Z-adjustment.
- the arcuate adjustment can be realized by a simple rotary drive.
- a preferred embodiment of the X-adjustment can be a conventional linear drive, such as a screw or rack and pinion, be, at its two ends, d. H. at a respect to the linear motion stationary and an end moved by the linear movement, hinged. Due to the articulated mounting of the linear linear actuator can be used in the actually arcuate pivoting movement about the rotation axis according to the invention.
- the treatment table on a headrest for supporting the patient's head which is adjustable relative to the deck plate.
- This adjustability can in addition to the already described adjustability of the deck plate in treatments be of interest to the head.
- a headrest which is adjustable in a substantially vertical Z-direction relative to the deck plate, in which a drive for the Z-adjustment of the headrest is installed in the headrest and the headrest together with the drive as a module is detachable from the treatment couch.
- the invention thus assumes that an adjustable headrest is present.
- the drive of this headrest whether it is a manual drive, such as a hand crank or an adjustment, or a motor, esp. Electric motor, is to be part of the headrest.
- This means that the headrest is mounted as an independent unit to the treatment table and removable without the drive itself would have to be separated from the headrest.
- the drive should therefore at most be coupled via signal lines or supply lines to the other treatment couch, for example because it is supplied together with local motors or is controlled by a common control.
- the connection between the headrest and the treatment bed is therefore limited to static releasable fasteners and lines.
- the prior art has instead installed the drive in the treatment couch, for example, as an electric motor which drives a push rod via a spindle gear, which transmits the adjustment movement to the headrest.
- the drive in the treatment couch for example, as an electric motor which drives a push rod via a spindle gear, which transmits the adjustment movement to the headrest.
- This has the disadvantage that in the production no separately pre-assembled headrest module can be used, which only needs to be connected by some mounting screws or the like with the treatment table.
- one can achieve advantages with the solution according to the invention in the maintenance or retrofitting of a treatment table by the headrest can be removed as a complete functional unit and can exchange for another need for repair or updating or modification request against another headrest.
- the vertical Z-adjustability of the headrest is realized by a pivoting movement, to which only a single drive is required.
- Esp. may be substantially perpendicular to the vertical Z-direction and also substantially perpendicular to the longitudinal extent of the treatment couch extending Pivot axis may be provided on the treatment couch facing side or in articulation points on the treatment couch.
- a rack and pinion drive is i. d. R. easier and less problematic than, for example, a driven spindle gear or a linear motor.
- the rack drive has a guide for the rack itself, which in turn is rotatable to compensate for the tilt of the rack during the pivotal movement of the headrest.
- the rack is also preferably hollow and may then serve to guide conduits between the headrest and the treatment couch in a protected manner.
- motor drives of the Z-adjustment of the headrest are preferred in this invention.
- these are controlled in a manner adapted to adjusting movements of the treatment couch, so that esp.
- An automatic tilt compensation of the headrest can be done when the treatment couch or its deck plate is tilted. This tilting movement of the deck plate can u.a. occur because a vertical Z-adjustment of the deck plate by a pivoting movement thereof takes place and the associated pivot axis is remote from the headrest.
- the automatic tilt compensation then makes it possible to keep constant the angular orientation of the headrest, i. for example, a consistently horizontal position of the headrest. This is particularly advantageous in treatments of the patient's head.
- the headrest further comprises an X-adjustment relative to the deck plate, and preferably also by a pivoting movement about a now lying parallel to the Z-direction of rotation axis.
- This adjustment is preferably motorized.
- the X-adjustment can be done in a (mechanically or motorized) adapted to an X-adjustment of the deck plate manner to obtain a corresponding angle compensation in the headrest in pan-X adjustments of the deck plate.
- the patient's head can be moved in the X-direction without causing an angle error in the area of the patient's head resting on the headrest.
- this option is omitted, the angle errors that occur are not so great that this would lead to a problem in all applications.
- a headrest according to the invention mounted in a modular manner on the treatment couch is adjusted, a risk of jamming can occur.
- the invention provides in this case to leave sufficient distances, so that esp.
- the treatment personnel is not subject to any risk of jamming.
- since an at least substantially continuous lying surface is to be created for the patient it is preferable to extend an already favorable cushion on the headrest beyond its fixed parts, so that such safety gaps are covered.
- the Z-adjustment and the X-adjustment take place via the described pivoting movements.
- the Y-adjustment so the adjustment in the longitudinal direction, continue to make in a conventional manner via a linear guide. Since the Y-adjustment is not carried out gravitationally parallel, it may be sufficient here to use a single linear drive, such as a spindle drive, and to store the deck plate, moreover, displaceably in the Y direction.
- the Y adjustment movement is stationary with respect to the stationary one Basis takes place and further preferred that the X-adjustment "takes along" the Z-adjustment mechanism, so to speak between the Y-adjustment and the Z-adjustment is interposed.
- the X-adjustment can remain free from the effects of gravity and the Z-adjustment can be limited to the movement of comparatively smaller components of the entire treatment couch.
- the treatment couch may comprise a support leg, which is entrained in the X-adjustment and is mounted on a with respect to the X-adjustment rotary axis remote part of the treatment table, preferably in the vicinity of the shoulder or head region of the patient.
- a preferred field of application for the treatment couch according to the invention lies in components of medical devices for the treatment of the head and in particular of the eye. Furthermore, the invention preferably relates to devices for the treatment of the human body, but can also be used in treatment beds for animals. A particularly preferred area is the laser surgery on the human eye, in which the treated eye can be brought into the correct position for the laser surgery by the treatment couch according to the invention.
- the invention also relates to a method for storing a patient using the described treatment couch.
- the foregoing and following description of the treatment couch in its device details is to be understood as a disclosure of said method.
- Fig. 1 shows a side view of a treatment table according to the invention, wherein some interesting technical details are shown, which would not be visible from the outside when the housing is closed.
- 1 denotes a deck plate on which a mattress 2 is located and at its right end to a vertical end of the deck plate 1, a headrest 3 is mounted.
- the deck plate 1 is mounted in a manner to be explained in more detail on a base 4, which rests on Verstellffure 5 on a floor 6.
- a linear drive with an electric motor 7 and a driven by this spindle lifting rod 8 is fixedly mounted.
- the spindle lifting rod 8 is mounted on a bracket 9, via which the electric motor 7 and the spindle lifting rod 8 can move a first intermediate plate 10.
- the first intermediate plate 10 is slidably mounted on a rail 11 running linear guides 12 in Fig. 1 horizontal direction and thus in the longitudinal direction of the deck plate 1. This direction thus corresponds to the Y direction.
- the first intermediate plate 10 carries at about 17% -18% of the longitudinal extent on the side of the foot (drawing not to scale) a bearing 13 with in Fig. 1 vertical axis of rotation.
- a second intermediate plate 14 is rotatably supported relative to the first intermediate plate 10 about the vertical axis through the bearing 13.
- the second intermediate plate 14 is supported on a running surface 16 of the first intermediate plate 10 via a roller designated 15 and on the other hand connected to a driver 17 which is driven by a toothed belt described in more detail below.
- the toothed belt runs in a designated 18 in Fig. 1 housing.
- the second intermediate plate 14 can be pivoted about the vertical axis passing through the bearing 13, which in the Y-direction spaced from the bearing 13 areas, ie in particular in the headrest 3, an adjustment in a direction perpendicular to the plane, namely the X-direction, corresponds.
- a pivot bearing 19 is provided in the foot area (approximately at 7% -8% of the longitudinal extent, drawing not to scale) on which the deck plate 1 is articulated.
- the deck plate 1 is pivotally connected to a Spindelhubstange 20 which is linearly driven by an electric motor 21, which in turn is hinged to a mounting platform of the second intermediate plate 14.
- FIG. 2 shows the side view according to FIG. 1 with some deviations with respect to the adjustment positions.
- the comparison of FIGS. 1 and 2 shows, on the one hand, that, by extending the spindle lifting rod 20 out of the electric motor 21, the deck plate 1 can be pivoted about the rotation axis 19 and thus raised in the head region in the vertical direction, ie in the Z direction.
- FIG. 1 shows that by moving the spindle lifting rod 8, here retraction into the electric motor 7, the first intermediate plate 10 and thus also the second intermediate plate 14 and the deck plate 1 can be moved in the Y direction.
- Fig. 3 shows a plan view of the treatment table of FIGS. 1 and 2, wherein in particular the mechanism for driving the driver 17 is shown in more detail.
- An electric motor 22 with lying in the Z direction of rotation axis drives a toothed belt 23, which is guided over four pulleys 24 and is secured to the driver 17.
- a rotation of the output shaft of the electric motor 22 thus moves the driver 17 in the X direction and thus moves the second intermediate plate 14 relative to the first intermediate plate 10 in the X direction.
- FIG. 4 shows an adjustment made in the X direction with the head end according to FIG. 4 at the bottom and in dashed lines an X adjustment effected in the opposite direction are shown in solid lines.
- the reference numerals are omitted.
- the rotation occurs about the axis through the bearing 13.
- FIG. 1 and Fig. 2 further show that in the Z direction under the levers 25, a further Spindelhubstange 26 is provided with an electric motor 27.
- the electric motor 27 is hinged to the headrest 3.
- the spindle lifting rod 26 is hinged to the deck plate 1.
- the comparison of Figs. 1 and 2 shows that by retraction and extension of the screw jack 26 in and out of the motor 27, a tilting movement of the headrest 3 about the hinge axis of the lever 25 on the deck plate 1, with in particular an automatic tilt compensation at Z-adjustment of the deck plate 1 can accomplish.
- This tilt compensation is clearly visible in FIG.
- the headrest 3 can of course be tilted in other ways, if desired.
- the automatic tilt compensation is done by appropriate tuning of the control of the motor 27 to the drive of the motor 21st
- Fig. 5 shows the headrest of the treatment couch in detail, in a sectional view seen in the X direction.
- the headrest 3 has a holding plate 28, the exact structure of which is even clearer from the following figures and which can be fastened by fastening screws 29 on the treatment couch itself.
- the holding plate 28 is already shown symbolically in FIGS. 1 to 4, but not numbered.
- the fastening screws engage in a metal plate 30 with corresponding threads to relieve the otherwise made of plastic retaining plate 28. They also hold in the holding plate 28 a hinge box 31, in which the already mentioned with reference to FIGS. 1 - 4 and shown there rack 26 is articulated.
- the actual head shell 32 of the headrest 3 is hinged to the support plate 28 via two joint boxes lying above or below the plane of the drawing with corresponding rocker arms.
- This head shell 32 consists of an anatomically shaped upper part 33 and an attached housing part 34, in which the already mentioned rack 26 protrudes.
- the housing part 34 is arranged below the plane of the electric motor 27, which is already shown in Fig. 1, installed with a well recognizable in Fig. 5 output pinion.
- a guide 35 is provided which holds and guides the rack 26, but in which it is displaceable. The guide 35 can be pivoted about the axis of the output pinion of the electric motor 27 and thus follow in the movement of the headrest 3 a pivotal movement of the rack 26 about the articulated attachment in the hinge box 31.
- the headrest 33 consists essentially of a soft foam pad 36, which is attached via a hook and loop fastener 37 to an upper plate of the housing part 34. To facilitate insertion of this pad 36, not shown centering pins may additionally be provided here.
- This plate is, as Fig. 5 shows in the horizontal position of the head rest 33 is slightly spaced from the holding plate 28, so in the direction of the holding plate 28 facing direction does not protrude far beyond the remaining housing part 34 addition. Therefore arises at this point a slot between the housing part 34 and the holding plate 28, which is surmounted by the pad 36. A risk of jamming is not given because this slot is sized so large that operators do not pinch their fingers easily can. Further, the pad 36, which can approach in a downward movement quite strongly to the support plate 28 as shown in Fig. 5, dodge upwards. This follows, on the one hand, from a certain deformability and, on the other hand, is an advantage of the Velcro fastener 37.
- Fig. 6 shows an alternative embodiment to Fig. 5, which may be mounted in the same way on a treatment couch according to Figs. 1-4. In the following, only the differences with respect to FIG. 5 will be discussed.
- a centering pin 38 is shown in Fig. 6, which holds the pad 36 on the upper plate of the housing part 34 of the headrest 32.
- the electric motor 27 is here replaced by a hand crank drive 39 with a worm gear 40, 41.
- the gear 41 of the worm gear lies on a common axis with a pinion 27 corresponding to the output gear 27 of FIG. 5 for driving the rack 26th
- the hand crank 39 has a fold-out pin for ease of cranking, indicated at 42. It can be seen that the manual drive is part of the headrest 3 in the same way, as applies to the electric motor 27 with the associated drive parts in Fig. 5. Incidentally, there are no fundamental differences from FIG. 5.
- FIG. 7 illustrates the headrest 3 of FIG. 6 in an exploded view. It can be seen that the pad 36 has a somewhat semicircular shape and the housing part 34 of the headrest 32 is adapted to this semi-circular shape and holds the pad 36 from the outside. It also recognizes the over the housing part 34 protruding part of the pad 36 and an associated semicircular recess in the support plate 28 into which protrudes this supernatant.
- FIG. 7 shows two further joint boxes, which are designated by 43 and are held by screws 44. These joint boxes 43 carry hinge pins, which are attached to the housing part 34 of the headrest 32 and on the other hand inserted into the recognizable receiving holes of the holding plate 28 and screwed with the screws 44.
- the fastening screws 29 and 44 also serve for fastening the retaining plate 28 to the rest of the treatment couch in a manner not shown in detail. she are bolted through a plate of the treatment couch through the support plate 28 with the hinge boxes 31 and 43.
- FIG. 7 shows in perspective the guide 35 for the toothed rack 26 and the worm gear 40, 41 from FIG. 6.
- the rack 26 is designed as a hollow tube.
- electrical lines can be laid in the rack, such as when instead of the manual drive 39 - 42, an electric motor drive 27 is used.
- Fig. 8 shows an analogous representation to Fig. 7, but to the embodiment of Fig. 5. Further, in the illustration of Fig. 8 for illustration, the pad 36 is omitted, the Fig. 7 shows. Incidentally, reference is made to the explanations to Figures 5-7.
- FIG. 9 and 10 show a side view of the headrest 3 of FIG. 6 and 7 with a lower and an upper adjustment position and a perspective view of the headrest 3 for a better understanding of Fig. 7.
- no reference numerals are shown to the pictorial Improve presentation.
- Fig. 9 can be seen esp. That an adjustment with the manual drive 39 - 42 causes the headrest 32 relative to the support plate 28 moves upward and thereby supported on the rack 26 and the hinge box 31. The same applies vice versa for an adjustment down.
- This can be done in the context of a motorized embodiment adapted to a Z-adjustment of the deck plate 2 of the treatment couch to ensure a constant, for example, horizontal holding the patient's head.
- This is esp.
- the rack 26 or, more generally, the length adjustment element of the drive is arranged below the hinges forming the pivot axis. This is advantageous because then smaller length changes due to a Headrest adjustment on the level of the patient's head (in Y-direction) occur and the drive is thus better accessible from below for operation or for removal and installation.
- Fig. 11 shows a schematic plan view of another embodiment to illustrate the optional feature of an X-adjustment of the headrest 3.
- the holding plate 28 can be adjusted relative to the deck plate 1 about the axis of rotation 47 so that angular errors due to X-adjustments of the deck plate 1 can be compensated for the axis of rotation 13.
- the Y errors occurring in this example - the axis of rotation 47 is not centered - can in turn be taken into account by an automatic consideration in the Y-adjustment of the deck plate 1, if desired.
- the X-adjustability of the headrest 3 can of course be beneficial for other reasons.
- FIG. 12 again shows another optional embodiment in which the X-adjustable part of the treatment couch is intercepted on the floor via an adjustable support leg 48.
- This support leg 48 is shown here only symbolically and can be driven in practice to stand out during adjustment movements from the ground and set up after adjustment for stabilization.
- the lower end of the support leg 48 may also be provided with a roll rolling on the ground or a sliding surface.
- the support leg 48 is attached to an end plate, which in turn is connected to the aforementioned intermediate plate 14, which in turn can be pivoted about the axis 13 relative to the base 4.
- the illustrated treatment couch is an integral part of a laser surgical unit, not shown in further detail and known per se, for the treatment of ametropia in the human eye.
- the head of this device Above the headrest 3, the head of this device is mounted and directs a Z-directional laser beam into the eye, which brought to the treatment couch in the appropriate position must become.
- X-adjustment allows switching between the two eyes of the patient.
- the optical adjustment options of the laser device itself must therefore cover only the fine movements of the laser beam in the actual treatment.
- the positioning of the patient takes place independently of this via the treatment couch.
- the X-adjustment can also be used to facilitate the patient's entry.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Radiation-Therapy Devices (AREA)
- Apparatus For Radiation Diagnosis (AREA)
- Finish Polishing, Edge Sharpening, And Grinding By Specific Grinding Devices (AREA)
- Mechanical Treatment Of Semiconductor (AREA)
- Inorganic Insulating Materials (AREA)
Claims (14)
- Table de traitement pour coucher un patient comprenant une couchette (1) pour le patient
et une base (4) pour l'appui de la couchette (1) sur un sol (6),
la couchette étant réglable par rapport à la base (4) afin de régler la position du patient,
et la couchette (1), lors de ces réglages, pouvant basculer autour d'un premier axe de rotation (19) disposé parallèlement à une direction (X) perpendiculaire à la direction longitudinale (Y), le mouvement de pivotement correspondant à un réglage vertical (Z) d'une extrémité de la couchette, et autour d'un second axe de rotation (13) disposé parallèlement à une direction (Z) perpendiculaire à la direction longitudinale (Y), le mouvement de pivotement correspondant à un réglage (X) de cette extrémité horizontal et perpendiculaire à la direction longitudinale (Y),
le deuxième axe de rotation (13) étant disposé de manière décentrée par rapport à l'extension longitudinale (Y) de la couchette (1), et de ce fait par rapport à l'autre extrémité de la couchette, et ce dans les 30% de l'extension longitudinale (Y),
caractérisé en ce que le premier axe de rotation (19) se situe, par rapport à l'extension longitudinale (Y) de la couchette (1), environ à l'autre extrémité, et ce dans les 10% de l'extension longitudinale (Y). - Table de traitement selon la revendication 1, dans laquelle la couchette (1) est en outre réglable le long d'une direction (Y) parallèle à sa direction longitudinale par rapport à la base (4).
- Table de traitement selon l'une des revendications précédentes, dans laquelle au moins un mouvement de réglage est entraîné par un moteur (7, 8, 20, 21, 22).
- Table de traitement selon la revendication 3, dans laquelle l'entraînement motorisé du mouvement de réglage autour du premier axe de rotation (19) est muni d'un actionnement linéaire (20, 21) monté à ses deux extrémités sur une articulation pivotante.
- Table de traitement selon la revendication 4, dans laquelle l'entraînement motorisé du mouvement de réglage autour du deuxième axe de rotation (13) comprend une roue de couplage entraînée par un moteur, une courroie de couplage (23) entraînée par la roue de couplage et un bloc d'entraînement (17) fixé sur la courroie de couplage.
- Table de traitement selon l'une des revendications précédentes avec un repose-tête (3) pouvant basculer par rapport à la couchette (1) autour d'un axe de rotation horizontal (X) perpendiculaire à la direction longitudinale (Y), un dispositif automatique de compensation de l'inclinaison sur Z étant prévu, grâce auquel, lors d'un réglage correspondant de la couchette (1), la possibilité de réglage du repose-tête (3) permet une compensation automatique de l'inclinaison du repose-tête (3).
- Table de traitement selon l'une des revendications précédentes avec un repose-tête (3) pouvant basculer par rapport à la couchette (1) autour d'un axe de rotation vertical (Z) perpendiculaire à la direction longitudinale (Y), un dispositif automatique de compensation de l'inclinaison sur X étant prévu, grâce auquel, lors d'un réglage correspondant de la couchette (1), la possibilité de réglage du repose-tête (3) permet une compensation automatique de l'inclinaison du repose-tête (3).
- Table de traitement selon la revendication 6 ou 7, dans laquelle un entraînement (25, 26, 27, 31, 35, 39-43, 45, 46) pour le réglage du repose-tête (3) est intégré dans le repose-tête (3), de sorte que le repose-tête (3), avec son entraînement (25, 26, 27, 31, 35, 39-43, 45, 46), peut être retiré, sous la forme d'un module, de la table de traitement.
- Table de traitement selon l'une des revendications précédentes, dans laquelle le mouvement de réglage dans la direction longitudinale (Y) s'effectue au moyen d'un guidage linéaire (7 - 12) purement translatoire.
- Table de traitement selon l'une des revendications précédentes, dans laquelle une béquille entraînée lors d'un mouvement de réglage autour du second axe de rotation (13) est prévue pour soutenir la couchette sur le sol en position sortie et dans laquelle le mouvement de réglage autour du premier axe de rotation (19) n'agit pas sur la béquille.
- Appareil médical pour des traitements dans la région de la tête avec une table de traitement selon l'une des revendications précédentes.
- Appareil selon la revendication 11 pour le traitement des yeux.
- Appareil selon la revendication 11 ou 12 avec un équipement chirurgical laser.
- Procédé pour coucher un patient comprenant une table de traitement selon l'une des revendications précédentes, dans lequel la partie du corps du patient à traiter est amenée dans une position appropriée pour le traitement par basculement d'une couchette (1) portant le patient autour d'un axe de rotation (13, 19) disposé perpendiculairement à la direction longitudinale (Y) de la couchette (1).
Priority Applications (13)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AT03016296T ATE333859T1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege |
DE50304366T DE50304366D1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege |
DE20311153U DE20311153U1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege mit Kopfstütze |
EP03016296A EP1498095B1 (fr) | 2003-07-18 | 2003-07-18 | Table de traitement |
PT03016296T PT1498095E (pt) | 2003-07-18 | 2003-07-18 | Mesa de tratamento |
EP03016295A EP1498096A1 (fr) | 2003-07-18 | 2003-07-18 | Lit de traitement avec appui tête réglable |
ES03016296T ES2269876T3 (es) | 2003-07-18 | 2003-07-18 | Mesa de tratamiento. |
DE20311152U DE20311152U1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege |
KR1020067001219A KR20060057575A (ko) | 2003-07-18 | 2004-07-16 | 치료 침대 |
JP2006520829A JP2006528013A (ja) | 2003-07-18 | 2004-07-16 | 治療用バース |
PCT/EP2004/051525 WO2005009317A1 (fr) | 2003-07-18 | 2004-07-16 | Lit de soins |
US10/565,093 US20060248648A1 (en) | 2003-07-18 | 2004-07-16 | Treatment couch |
CNA2004800266917A CN1852694A (zh) | 2003-07-18 | 2004-07-16 | 治疗床 |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP03016296A EP1498095B1 (fr) | 2003-07-18 | 2003-07-18 | Table de traitement |
EP03016295A EP1498096A1 (fr) | 2003-07-18 | 2003-07-18 | Lit de traitement avec appui tête réglable |
DE20311152U DE20311152U1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege |
DE20311153U DE20311153U1 (de) | 2003-07-18 | 2003-07-18 | Behandlungsliege mit Kopfstütze |
Publications (2)
Publication Number | Publication Date |
---|---|
EP1498095A1 EP1498095A1 (fr) | 2005-01-19 |
EP1498095B1 true EP1498095B1 (fr) | 2006-07-26 |
Family
ID=39800494
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP03016296A Expired - Lifetime EP1498095B1 (fr) | 2003-07-18 | 2003-07-18 | Table de traitement |
EP03016295A Withdrawn EP1498096A1 (fr) | 2003-07-18 | 2003-07-18 | Lit de traitement avec appui tête réglable |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP03016295A Withdrawn EP1498096A1 (fr) | 2003-07-18 | 2003-07-18 | Lit de traitement avec appui tête réglable |
Country Status (9)
Country | Link |
---|---|
US (1) | US20060248648A1 (fr) |
EP (2) | EP1498095B1 (fr) |
JP (1) | JP2006528013A (fr) |
KR (1) | KR20060057575A (fr) |
CN (1) | CN1852694A (fr) |
AT (1) | ATE333859T1 (fr) |
DE (3) | DE20311153U1 (fr) |
ES (1) | ES2269876T3 (fr) |
WO (1) | WO2005009317A1 (fr) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ATE387874T1 (de) * | 2005-03-17 | 2008-03-15 | Erich Kratzmaier | Behandlungsliege mit kniestütze |
US10869798B2 (en) * | 2006-05-05 | 2020-12-22 | Warsaw Orthopedic, Inc. | Patient positioning support apparatus with virtual pivot-shift pelvic pads, upper body stabilization and fail-safe table attachment mechanism |
KR100823693B1 (ko) * | 2006-08-04 | 2008-04-18 | (주)이우테크놀로지 | 레이저 수술기가 구비된 치과용 유닛체어 |
DE102006062884A1 (de) | 2006-10-27 | 2008-08-07 | KÖRBER, Ralf | Grundgestell |
JP2013169289A (ja) * | 2012-02-20 | 2013-09-02 | Mitsubishi Heavy Ind Ltd | 患者傾動装置付きカウチ |
EP2689761A1 (fr) | 2012-07-26 | 2014-01-29 | Fundación para la Investigación del hospital Universitario y Politécnico de la Fe | Brancard muni d'un appuie-tête mobile, son utilisation et ensemble appuie-tête mobile pour civières ou lits |
WO2016007412A1 (fr) * | 2014-07-06 | 2016-01-14 | Javier Garcia-Bengochea | Méthodes et dispositifs permettant d'obtenir un accès chirurgical |
CN104812445A (zh) * | 2014-09-22 | 2015-07-29 | 数码医疗集团 | 一种多角度运动治疗床 |
US9457904B1 (en) * | 2016-01-07 | 2016-10-04 | Robert Karl Fey | Sleeping platform for use on aircraft |
CN106901933A (zh) * | 2017-03-15 | 2017-06-30 | 北京唯迈医疗设备有限公司 | 医用床台及其控制方法 |
CN107320127B (zh) * | 2017-06-28 | 2020-07-28 | 马莉 | 一种用于放射科具有摆动功能的人体承载设备 |
CN107625596B (zh) * | 2017-09-27 | 2023-08-01 | 宝鸡大医数码机器人有限责任公司 | 一种医用六自由度治疗床 |
CN108114379B (zh) * | 2017-12-21 | 2020-02-14 | 山东省肿瘤防治研究院 | 一种医用电子直线加速器摆位定位装置 |
CN108969229A (zh) * | 2018-06-27 | 2018-12-11 | 东莞唯度电子科技服务有限公司 | 一种内科检测辅助器 |
CN109875817A (zh) * | 2019-04-01 | 2019-06-14 | 王风晓 | 一种医用麻醉科介入治疗辅助装置 |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5013018A (en) * | 1989-06-22 | 1991-05-07 | Sicek Bernard W | Table positioning for X-ray examinations in plurality of positions |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS5746979Y2 (fr) * | 1979-12-27 | 1982-10-15 | ||
IT1142233B (it) * | 1981-01-20 | 1986-10-08 | Carlo Maggi | Tavolo operatorio per la chirurgia dell'occhio |
GB2133678B (en) * | 1983-01-05 | 1987-01-21 | Denyers Pty Ltd | Operating table |
US4660549A (en) * | 1985-09-12 | 1987-04-28 | Standex International | Adjustable head support for chiropractic table |
DE8717434U1 (de) * | 1987-08-14 | 1988-10-27 | Siemens AG, 1000 Berlin und 8000 München | Motorisch verstellbare Kopfstütze für einen zahnärztlichen Behandlungsstuhl |
DE69727675T2 (de) * | 1996-05-30 | 2004-12-02 | Technolas Gmbh Ophthalmologische Systeme | Excimerlasersystem zur augenchirurgie |
EP0923922A3 (fr) * | 1997-12-18 | 2000-02-09 | Stille-Beta, Inc. | Table pour salle d'opération améliorée |
DE29905089U1 (de) * | 1999-03-19 | 1999-08-05 | Grote, Manfred, 26904 Börger | Behandlungsliege |
SE522789C2 (sv) * | 2000-03-29 | 2004-03-09 | Stille Surgical Ab | Operationsbord |
-
2003
- 2003-07-18 EP EP03016296A patent/EP1498095B1/fr not_active Expired - Lifetime
- 2003-07-18 DE DE20311153U patent/DE20311153U1/de not_active Expired - Lifetime
- 2003-07-18 ES ES03016296T patent/ES2269876T3/es not_active Expired - Lifetime
- 2003-07-18 DE DE20311152U patent/DE20311152U1/de not_active Expired - Lifetime
- 2003-07-18 EP EP03016295A patent/EP1498096A1/fr not_active Withdrawn
- 2003-07-18 DE DE50304366T patent/DE50304366D1/de not_active Expired - Fee Related
- 2003-07-18 AT AT03016296T patent/ATE333859T1/de not_active IP Right Cessation
-
2004
- 2004-07-16 JP JP2006520829A patent/JP2006528013A/ja not_active Withdrawn
- 2004-07-16 CN CNA2004800266917A patent/CN1852694A/zh active Pending
- 2004-07-16 US US10/565,093 patent/US20060248648A1/en not_active Abandoned
- 2004-07-16 KR KR1020067001219A patent/KR20060057575A/ko active IP Right Grant
- 2004-07-16 WO PCT/EP2004/051525 patent/WO2005009317A1/fr active Application Filing
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5013018A (en) * | 1989-06-22 | 1991-05-07 | Sicek Bernard W | Table positioning for X-ray examinations in plurality of positions |
Also Published As
Publication number | Publication date |
---|---|
US20060248648A1 (en) | 2006-11-09 |
ES2269876T3 (es) | 2007-04-01 |
EP1498095A1 (fr) | 2005-01-19 |
JP2006528013A (ja) | 2006-12-14 |
DE20311152U1 (de) | 2004-12-02 |
DE50304366D1 (de) | 2006-09-07 |
KR20060057575A (ko) | 2006-05-26 |
EP1498096A1 (fr) | 2005-01-19 |
CN1852694A (zh) | 2006-10-25 |
WO2005009317A1 (fr) | 2005-02-03 |
ATE333859T1 (de) | 2006-08-15 |
DE20311153U1 (de) | 2004-12-02 |
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