Operating table

Abstract

An operating table is provided that includes a first platform portion and a second platform portion that are independently movable relative to each other. A first portion of the patient may be supported by the first platform portion and a second portion of the patient may be supported by the second platform portion, and the first platform portion and the second platform portion may be adjusted relative to each other to adjust a position / orientation of the first portion and the second portion of the patient, respectively. In order to describe that a first end portion supporting a first platform portion is used, the first platform portion being rotatable about a vertical axis and side-to-side movable to adjust its position / orientation with respect to a second platform portion, and a second end portion supporting a second platform portion is used, the second platform portion being rotatable about a vertical axis and side-to-side movable to adjust its position / orientation with respect to the second platform portion. The second platform portion is movable toward and away from the first platform portion.

Description

Technical Field

[0001] The present technology generally relates to a surgical table having a first platform portion and a second platform portion that can be used to adjust corresponding first and second portions of a patient relative to each other before, during, and after surgery. Background Art

[0002] Typically, conventional operating tables include some form of patient articulation, but the patient articulation provided thereby is generally quite limited. For example, sometimes conventional operating tables can provide limited flexion or extension of the patient's spine by lifting a portion of the patient's torso in an upward and downward direction. The patient articulation provided by conventional operating tables is limited because its patient platform is typically horizontally oriented, and the patient articulation is horizontally oriented relative to the patient platform. That is, the adjustment mechanism for manipulating the patient is integrated into the horizontally oriented patient platform, and the limit of the corresponding adjustment is often constrained by this integration. Other types of operating tables include patient platform portions that are attached to each other and can be articulated relative to each other. Because such patient platform portions are attached to each other, the corresponding movement of the patient platform is constrained by such attachment. Often, the movement of such a patient platform is limited to one axis or only in one plane. Therefore, in order to enhance the patient articulation, an operating table including a first platform portion and a second platform portion that can be independently moved relative to each other is required. Such an operating table including a first platform portion and a second platform portion may include a gap separating the first platform portion and the second platform portion. And independent movement of the first platform portion and the second platform portion of such an operating table can respectively position / orient and reposition / reorient a first portion of the patient's body supported by the first platform portion and a second portion of the patient's body supported by the second platform portion relative to each other. Summary of the invention

[0004] The disclosed technology generally relates to an operating table for performing surgery on a patient supported thereby, wherein a first platform portion and a second platform portion of the operating table are capable of supporting a first portion and a second portion of the patient thereon, respectively. The first platform portion and the second platform portion can be independently movable relative to each other to provide positioning / orientation and repositioning / reorientation of the patient's body relative to a surgical robot before, during, and after surgery.

[0005] In one aspect, the present disclosure provides a surgical table, the surgical table comprising: a support portion, the support portion comprising a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent to the first end, a second end portion at and adjacent to the second end, and a cross member extending between the first end portion and the second end portion, the first end portion comprising a first slide portion and a rotating body portion supported by the first slide portion, and the second end portion comprising a second slide portion; a first platform portion and a first vertically oriented portion, the first vertically oriented portion supporting the first platform portion relative to the rotating body portion of the first end portion, the first platform portion comprising a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first rail and the second rail of the first platform portion, and the first vertically oriented portion vertically spacing the first platform portion from the support portion; and a second platform portion and a second vertically oriented portion, the second vertically oriented portion supporting the second platform portion relative to the second slide portion of the second end portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least first and second rails extending between the first and second end portions of the second platform portion, and at least first and second thigh supports supported by at least the first and second rails of the second platform portion, and the second vertically oriented portion vertically spacing the second platform portion from the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and are separated by a gap between the first end of the first platform portion and the second end of the second platform portion; and wherein the first platform portion is movable side-to-side across the intermediate longitudinal axis via operation of the slide portion, the first platform portion is rotatable about an axis transverse to the intermediate longitudinal axis via operation of the rotator portion, and the second platform portion is movable toward and away from the first platform portion in a direction aligned with the intermediate longitudinal axis via operation of the slide portion.

[0006] In another aspect, the present disclosure provides a surgical table comprising: a support portion including a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent to the first end, a second end portion at and adjacent to the second end, and a cross member extending between the first end portion and the second end portion, the first end portion including a first slide portion and a rotating body portion supported by the first slide portion, and the second end portion including a second slide portion; a first platform portion, a first vertically oriented portion, the first vertically oriented portion The first platform portion is supported by the rotating body portion relative to the first end portion, the first platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first rail and the second rail of the first platform portion, the first vertically oriented portion being expandable and retractable and vertically spacing the first platform portion from the support portion; and a second platform portion, a second vertically oriented portion a second platform portion, the second vertically oriented portion supporting the second platform portion relative to the second slider portion of the second end portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the second platform portion, and at least a first thigh support and a second thigh support supported by at least the first rail and the second rail of the second platform portion, the second vertically oriented portion being expandable and retractable and vertically spacing the second platform portion from the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and separated by a gap between the first end of the first platform portion and the second end of the second platform portion; wherein a first adjustment portion is positioned one of between the first platform portion and the first vertically oriented portion and between the second platform portion and the second vertically oriented portion, the first adjustment portion being configured to tilt a first corresponding one of the first platform portion and the second platform portion upward and downward relative to the support portion and to rotate the first corresponding one of the first platform portion and the second platform portion side to side relative to the support portion;and wherein the first platform portion is movable side-to-side across the intermediate longitudinal axis via operation of the slider portion, the first platform portion is rotatable about an axis transverse to the intermediate longitudinal axis via operation of the rotator portion, and the second platform portion is movable toward and away from the first platform portion in a direction aligned with the intermediate longitudinal axis via operation of the slider portion.;

[0007] In another aspect, the present disclosure provides a surgical table, the surgical table comprising: a support portion, the support portion comprising a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent to the first end, a second end portion at and adjacent to the second end, and a cross member extending between the first end portion and the second end portion, the first end portion comprising a first slide portion and a rotating body portion supported by the first slide portion, and the second end portion comprising a second slide portion; a first platform portion, a first vertically oriented portion, and a first adjustment portion, the first vertically oriented portion being opposite to the first end portion. The rotating body portion of the first end portion supports the first platform portion, the first adjustment portion is located between the first platform portion and the first vertically oriented portion, the first platform portion includes a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first guide rail and a second guide rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first guide rail and the second guide rail of the first platform portion, the first vertically oriented portion is expandable and retractable, and vertically separates the first platform portion from the support portion. The support portion is spaced apart, and the first adjustment portion is configured to tilt the first end of the first platform portion upward and downward relative to the support portion, and to rotate the first platform portion side to side relative to the support portion; and a second platform portion, a second vertically oriented portion and a second adjustment portion, the second vertically oriented portion supporting the second platform portion relative to the second slide portion of the second end portion, the second adjustment portion being located between the second platform portion and the second vertically oriented portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, and a at least first and second rails extending between a first end portion and a second end portion of the portion, and at least first and second thigh supports supported by at least the first and second rails of the second platform portion, and the second vertically oriented portion vertically spaces the second platform portion from the support portion, and the second adjustment portion is configured to tilt the second end of the second platform portion upward and downward relative to the support portion and to rotate the second platform portion side to side relative to the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and separated by a gap between the first end of the first platform portion and the second end of the second platform portion;and wherein the first platform portion is movable side-to-side across the intermediate longitudinal axis via operation of the slider portion, the first platform portion is rotatable about an axis transverse to the intermediate longitudinal axis via operation of the rotator portion, and the second platform portion is movable toward and away from the first platform portion in a direction aligned with the intermediate longitudinal axis via operation of the slider portion.;

[0008] The details of one or more aspects of the disclosure are set forth in the accompanying drawings and the following description. Other features, objects, and advantages of the technology described in the disclosure will become apparent from the description and drawings, and from the claims. BRIEF DESCRIPTION OF THE DRAWINGS

[0009] The disclosed technology generally relates to an operating table.

[0010] Figure 1A is a side perspective view showing an operating table of the present disclosure;

[0011] Figure 1B It is shown Figure 1A The operating table is similar to Figure 1A lateral stereoscopic view of the patient in a prone position on the operating table;

[0012] Figure 1C It is shown Figure 1A A top plan view of an operating table with a patient positioned on the operating table;

[0013] Figure 2 It is shown Figure 1A A top perspective view of a slide portion and a rotatable portion of a first end portion of an operating table;

[0014] Figure 3 It shows support Figure 1A a perspective view of an end portion of a slide portion and a rotatable portion of a first end portion of a first vertically oriented portion of an operating table;

[0015] Figure 4 It shows support Figure 1A a top perspective view of a slide portion of a second end portion of a second vertically oriented portion of the operating table;

[0016] Figure 5 It shows support Figure 1A an end perspective view of a slide portion of a second end portion of a second vertically oriented portion of the operating table;

[0017] Figure 6 It shows the Figure 1Aa side elevation view of a patient in a prone position on an operating table of , wherein a first portion of the patient is supported by a first platform portion and a second portion of the patient is supported in a neutral position by a second platform portion;

[0018] Figure 7 It is shown Figure 1A a side elevational view of first and second portions of an operating table and corresponding first and second portions of a patient supported thereon raised and tilted downwardly relative to one another;

[0019] Figure 8 It is shown Figure 1A a side elevational view of first and second portions of an operating table and corresponding first and second portions of a patient supported thereon lowered and tilted upward relative to one another;

[0020] Fig. 9 It shows the Figure 1A a side perspective view of a patient on an operating table with a first portion of the patient positioned on the first platform portion and a second portion of the patient positioned on the second platform portion in a neutral position;

[0021] Fig.10 is similar to Fig. 9 , showing sagittal adjustment of the patient's position / orientation via movement of the first platform portion relative to the second platform portion;

[0022] Fig.11 is similar to Fig. 9 and Fig.10 , showing torsional adjustment of the patient's position / orientation in addition to sagittal adjustment via movement of the first platform portion and the second platform portion relative to each other; and

[0023] Fig.12 is similar to Figures 9 to 11 , showing extension adjustment in addition to sagittal and torsional adjustment of the patient's position / orientation via movement of the first and second platform portions relative to each other. DETAILED DESCRIPTION

[0024] The preferred embodiment of the operating table disclosed herein generally consists of Figures 1A to 1C and Figures 6 to 12 10 in the figure. The operating table 10 includes a first end E1, a second end E2, and a middle longitudinal direction L1 extending through the first end E1 and the second end E2. The operating table 10 includes a first platform portion 12, a second platform portion 14, and a support portion 16. The support portion 16 supports the first platform portion 12 and the second platform portion 14 above the ground, and the first platform portion 12 and the second platform portion 14 can each support a part of the patient P thereon.

[0025] The first platform portion 12 and the second platform portion 14 (eg Figures 1A to 1C and Figures 6 to 12 The first platform portion 12 and the second platform portion 14 are spaced apart from each other by a gap G and can be independently positioned / oriented and repositioned / oriented relative to each other. Thus, when the patient is supported, adjustment of the first platform portion 12 and the second platform portion 14 relative to each other can be used together to manipulate the patient's spine and provide access to the patient's spine. Manipulation of the patient P and the access provided by the gap G can assist in performing surgery on the patient P, and such surgery can, for example, include spinal surgery on the patient's spine.

[0026] like Figure 1A and Figures 6 to 12 The depicted support portion 16 includes a horizontally oriented portion 20, a first vertically oriented portion 22, and a second vertically oriented portion 24. The horizontally oriented portion 20 is used to support the first vertically oriented portion 22 and the second vertically oriented portion 24 relative to the ground, the first vertically oriented portion 22 is used to support the first platform portion 12 relative to the horizontally oriented portion 20, and the second vertically oriented portion 24 is used to support the second platform portion 14 relative to the horizontally oriented portion 20. As described below, the operating table 10 may include one or more controllers for controlling motorized actuators included in the operating table 10 to facilitate its operation.

[0027] like Figure 1A As depicted, the horizontally oriented portion 20 includes a first end portion 26 at a first end 27 thereof (juxtaposed with the first end E1), a second end portion 28 at a second end 29 thereof (juxtaposed with the second end E2), and a cross member 30 extending between the first end portion 26 and the second end portion 26. The cross member 30 may be aligned with the intermediate longitudinal axis L2 of the horizontally oriented portion 20, may be used to connect the first end portion 26 and the second end portion 28, and may be expandable and retractable to expand and retract the length of the horizontally oriented portion 20 along the intermediate longitudinal axis L2.

[0028] like Figure 2 and Figure 3 As depicted, the first end portion 26 supports the first vertically oriented portion 22 and includes a slider portion 40 and a rotator portion 42. As described below, the slider portion 40 is configured to move the first vertically oriented portion 22 in a direction transverse to the intermediate longitudinal axes L1 and L2, and the rotator portion 42 is configured to rotate the first vertically oriented portion 22 about the vertically oriented axis. Figure 2 and Figure 3 As depicted, first end portion 26 includes a bottom portion 50 , an end wall portion 52 , a first side wall portion 54 , and a second side wall portion 56 .

[0029] The first end portion 26 includes an open end 58 adjacent to the first end 27, and the bottom portion 50, the end wall portion 52, the first side wall portion 54, and the second side wall portion 56 together define an area in which the slider portion 40 and the rotating body portion 42 are disposed. In addition, the first side wall portion 54 and the second side wall portion 56 include notches 60 and 62, which include bottom surfaces 64 and 66, respectively. A caster 68 can be attached to each of the bottom surfaces 64 and 66, and together with the other casters, the caster 68 can be used to separate the support portion 16 from the ground and facilitate movement of the support portion 16.

[0030] like Figure 2 and Figure 3 As depicted, the slider portion 40 includes a first track portion 70, a second track portion 72, a first bogie 74 movable along the first track portion 70, a second bogie 76 movable along the second track portion 72, and a platform portion 78 supported by the first bogie 74 and the second bogie 76. Using movement of the first bogie 74 and the second bogie 76 on the first track portion 70 and the second track portion 72, respectively, the platform portion 78 is movable between a first position and a second position in a side-to-side direction transverse to the intermediate longitudinal axes L1 and L2 relative to the bottom portion 50. In the first position, a majority of the platform portion 78 is located on one side of the intermediate longitudinal axis L2, and in the second position, a majority of the platform portion 78 is located on the other side of the intermediate longitudinal axis L2.

[0031] The linear movement of the platform portion 78 can be controlled via the operation of an actuator 80, which includes a motor and transmission portion 82, which can be actuated to move the telescopic arm portion 84 inwardly and outwardly. The telescopic arm portion 84 is attached to an extension portion 86, which extends outwardly from the platform portion 78. In this way, the inward and outward movement of the telescopic arm portion 84 is used to move the platform portion 78 (and the first vertically oriented portion 22 supported therefrom) between its first position and second position. In this way, the first platform portion 12 supported by the first vertically oriented portion 22 can be moved in a side-to-side direction relative to the intermediate longitudinal axes L1 and L2 via the actuation of the actuator 80 of the slide portion 40. In addition, the operation of the slide portion 40 and its actuator 80 can be controlled by a controller of the operating table 10.

[0032] like Figure 3As depicted, the platform portion 78 can support the rotating body portion 42 thereon, and the rotating body portion 42 can support the first vertically oriented portion 22 thereon. The rotating body portion 42 can include a base portion 90, a rotatable portion 92, and an actuator 94. The rotation of the rotatable portion 92 can be controlled via the operation of the actuator 94, which includes a motor and a transmission portion 94, which can be actuated to rotate the rotatable portion 92 and the first vertically oriented portion 22 supported by the rotatable portion 92 around a vertically oriented axis. In this way, the first platform portion 12 can be rotated relative to the platform portion 78, the first end portion 26, and the support portion 16 via the actuation of the actuator 94 of the rotating body portion 42. In addition, the operation of the rotating body portion 42 and its actuator 94 can be controlled by a controller of the operating table 10.

[0033] like Figure 4 and Figure 5 As depicted, the second end portion 28 supports the second vertically oriented portion 24 and includes a slider portion 100. As described below, the slider portion 100 is configured to move the second vertically oriented portion 24 toward and away from the first vertically oriented portion 22 in a direction aligned with the longitudinal axes L1 and L2. Figure 4 and Figure 5 As depicted, second end portion 28 includes a bottom portion 102 , an end wall portion 104 , a first side wall portion 106 , and a second side wall portion 108 .

[0034] The second end portion 28 includes an open end 110 adjacent to the second end 29, and the bottom portion 102, the end wall 104, the first side wall portion 106, and the second side wall portion 108 together define an area in which the slider portion 100 is disposed. An arm portion 112 extends outwardly from the first side wall portion 106, and an arm portion 114 extends outwardly from the second side wall portion 108, and the arm portions 112 and 114 include bottom surfaces 116 and 118, respectively. A caster 120 can be attached to each of the bottom surfaces 116 and 118, and together with the caster 68, the caster 120 can be used to separate the support portion 16 from the ground and facilitate movement of the support portion 16.

[0035] like Figure 4 and Figure 5As depicted, the slider portion 100 includes a first track portion 122, a second track portion 124, a first bogie 126 movable along the first track portion 122, a second bogie 128 movable along the second track portion 124, and a platform portion 130 supported by the first bogie 126 and the second bogie 128. Using movement of the first bogie 126 and the second bogie 128 on the first track portion 122 and the second track portion 124, respectively, the platform portion 130 is movable between a first position and a second position relative to the bottom portion 102 in a direction aligned with the longitudinal axes L1 and L2. In the first position, the platform portion 130 is adjacent to the second end portion 29, and in the second position, the platform portion 130 is adjacent to the end wall portion 104.

[0036] The linear movement of the platform portion 130 can be controlled via the operation of an actuator 132, which includes a motor and transmission portion 134, which can be actuatable to move the telescoping arm portion 136 inwardly and outwardly. The telescoping arm portion 136 is attached to an extension portion 138, which extends outwardly from the platform portion 130. In this way, the inward and outward movement of the telescoping arm portion 138 is used to move the platform portion 130 (and the second vertically oriented portion 24 supported thereby) between its first position and second position. In this way, the second platform portion 14 supported by the second vertically oriented portion 24 can be moved toward and away from the first platform portion 12 in a direction aligned with the intermediate longitudinal axes L1 and L2 via the actuation of the actuator 132 of the slide portion 100. In addition, the operation of the slide portion 100 and its actuator 132 can be controlled by a controller of the operating table 10.

[0037] As described below, the use of the slider portion 40 and the rotatable body portion 42 of the first end portion 26 and the slider portion 100 of the second end portion 28 can provide independent movement and adjustment of the first platform portion 12 and the second platform portion 14 relative to each other. In addition, instead of using the slider portion 40 and the rotatable body portion 42, the first vertically oriented portion 22 can be directly supported by the first end portion 26 and fixed in position relative thereto, and instead of using the slider portion 100, the second vertically oriented portion 24 can be directly supported by the second end portion 28. In this way, if the slider portion 40, the rotatable portion 42, and the slider portion 100 are not provided, portions of the first vertically oriented portion 22 and the second vertically oriented portion 24 can be used to facilitate independent movement and adjustment of the first platform portion 12 and the second platform portion 14 relative to each other.

[0038] like Figure 1A , Figure 1B and Figures 6 to 12As depicted in FIG. 1 , each of the first vertically oriented portion 22 and the second vertically oriented portion 24 may include a telescoping column 140 for positioning / orienting and repositioning / reorienting the first platform portion 12 and the second platform portion 14 relative to the horizontally oriented portion 20. Each of the telescoping columns 140 may include a lower portion 142 and an upper portion 144. The upper portion 144 may telescopically move upward and downward relative to the lower portion 142 between a lower position and an upper position. The lower portion 142 of the telescoping column 140 is supported by the first end portion 26 and the second end portion 28. In this way, the telescopic expansion and contraction of the telescoping column 140 may be used to raise and lower the first platform portion 12 and the second platform portion 14, respectively, relative to the horizontally oriented portion 20.

[0039] like Figure 1A , Figure 1B and Figures 6 to 12 As depicted in , each of the first vertically oriented portion 22 and the second vertically oriented portion 24 further includes a rotation / tilt positioner 150. Each of the rotation / tilt positioners 150 can be supported relative to the telescoping column 140 by a U-shaped clamp 152 attached to the upper portion 144. The rotation / tilt positioners 150 each include a rotation portion 154 and a tilt portion 160, the rotation portion including a motor and transmission 156 and a shaft 158, and the tilt portion including a motor and transmission 162 and a shaft 164. As shown in FIG. Figures 1A to 1C As depicted, portions of the motor and transmission 156 of the rotating portion 154 may be positioned between portions of the clevis 152, and a shaft 158 ​​may extend outwardly from the motor and transmission 156 and be attached to the first platform portion 12 and the second platform portion 14. Additionally, the motor and transmission 162 of the tilting portion 160 may be positioned on one side of the portions of the clevis 152, and a shaft 164 may be received through the clevis 152 and attached to portions of the rotating portion 154. Operation of the motor and transmission 156 is used to rotate the shaft 158 ​​to rotate the first platform portion 12 and the second platform portion 14 attached thereto, and operation of the motor and transmission 162 is used to rotate the shaft 164 to tilt the rotating portion 154 and the first platform portion 12 and the second platform portion 14 attached thereto.

[0040] Accordingly, to further position / orient and reposition / reorient the first platform portion 12 and the second platform portion 14, the platform portion 12 and the second platform portion 14 can each be raised and lowered via the expansion and contraction of the telescoping column 140, the first platform portion 12 and the second platform portion 14 can each be rotated side-to-side by rotating the shaft 158 ​​using the motor and transmission 156, and the first platform portion 12 and the second platform portion 14 can be tilted up or down by rotating the shaft 164 using the motor and transmission 162. Rotation of the shaft 158 ​​can cause the first platform portion 12 and the second platform portion 14 to rotate side-to-side in a vertical plane perpendicular to the intermediate longitudinal axes L1 and L2, and rotation of the shaft 164 can cause the first platform portion 12 and the second platform portion 14 to tilt up and down in a vertical plane aligned with the intermediate longitudinal axes L1 and L2. As described below, the operation of the telescoping column 140, the motor and transmission 156, and the motor and transmission 162 can be controlled by a controller of the operating table 10.

[0041] like Figures 1A to 1C As depicted, the first platform portion 12 includes a first end portion 170 at and adjacent a first end 172 thereof, a second end portion 174 at and adjacent a second end 176 thereof, and respective rails positioned therebetween to connect the first end portion 170 and the second end portion 174 to one another. A portion of the first end portion 170 has a height sufficient to provide attachment of the shaft 158 ​​of the swivel / tilt positioner 150 relative to the first vertically oriented portion 22, and such attachment provides movement thereof via operation of the swivel / tilt positioner 150.

[0042] The first platform portion 12 includes a first patient support portion 180 and Figure 1A and Figure 1C , each guide rail may include a first outer guide rail 182 and a second outer guide rail 184 extending between the first end portion 170 and the second end portion 174. The first end portions of the first outer guide rail 182 and the second outer guide rail 184 may be attached to the first end portion 170, the opposite second end portions of the first outer guide rail 182 and the second outer guide rail 184 may be attached to the second end portion 174, and / or the first end portion and the second end portion may be attached to an intermediate portion (not shown) positioned between each guide rail and the first end portion 170 and / or the second end portion 174. In addition, the first outer guide rail 182 and the second outer guide rail 184 may be aligned with the intermediate longitudinal axis L3 of the first platform portion 12, wherein the first outer guide rail 182 is positioned on one side of the intermediate longitudinal axis L3, and the second outer guide rail 184 is positioned on the other side of the intermediate longitudinal axis L3.

[0043] In addition to providing structural rigidity to the first platform portion 12, the first outer rail 182 and the second outer rail 184 may also be used to support a first patient support portion 180 of the first platform portion 12. The patient support portion 180 may include a chest support portion 190 and a head support portion 192 that may be integrated or separate from each other. Figure 1C As depicted, the chest support portion 190 and the head support portion 192 are separated from each other. In addition, the chest support portion 190 and / or the head support portion 192 can be movably adjusted or fixed in place along portions of the first outer rail 182 and the second outer rail 184 to accommodate patients of different sizes. In this way, the first outer rail 182 and the second outer rail 184 act as guides to provide movement of the chest support portion 190 and the head support portion 192. Figure 1B and Figures 6 to 12 As depicted, patient P is supported in a prone position by a first patient support portion 180, with the patient's upper torso supported by a chest support portion 190, and the patient's head supported by a head support portion 192. The chest support portion 190 and the head support portion 192 can be configured and operated in a manner similar to that disclosed in U.S. Serial Nos. 17 / 740,559 and 17 / 740,588, both filed on May 10, 2022, which are hereby incorporated herein by reference.

[0044] In addition to the chest support portion 190 and the head support portion 192, a first arm support 194 and a second arm support 196 may be provided as part of the first platform portion 12 to support the patient's arms relative to the rest of the patient. Figure 1C As depicted, the first arm support 194 is attached relative to the first outer rail portion 182, and the second arm support 196 is attached relative to the second outer rail portion 184. Thus, when the patient P is in a prone position with the patient's upper torso supported by the chest support portion 190 and the patient's head supported by the head support portion 192, the patient's right arm and left arm can be supported relative to the remainder of the first platform portion 12 by the first arm support 194 and the second arm support 196, respectively.

[0045] like Figures 1A to 1C As depicted, the second platform portion 14 includes a first end portion 200 at and adjacent a first end 202 thereof, a second end portion 204 at and adjacent a second end 206 thereof, and respective rails positioned therebetween to connect the first end portion 200 and the second end portion 204 to one another. A portion of the second end portion 204 has a height sufficient to provide attachment of the shaft 158 ​​of the swivel / tilt positioner 150 relative to the second vertically oriented portion 24, and such attachment provides movement thereof via operation of the swivel / tilt positioner 150.

[0046] The second platform portion 14 includes a second patient support portion 210 and Figure 1A and Figure 1C , each guide rail may include a first outer guide rail 212 and a second outer guide rail 214 extending between the first end portion 200 and the second end portion 204. The first end portions of the first outer guide rail 212 and the second outer guide rail 214 may be attached to the first end portion 200, the opposite second end portions of the first outer guide rail 212 and the second outer guide rail 214 may be attached to the second end portion 204, and / or the first end portion and the second end portion may be attached to an intermediate portion (not shown) positioned between each guide rail and the first end portion 200 and / or the second end portion 204. In addition, the first outer guide rail 212 and the second outer guide rail 214 may be aligned with the intermediate longitudinal axis L4 of the second platform portion 14, wherein the first outer guide rail 212 is positioned on one side of the intermediate longitudinal axis L4, and the second outer guide rail 214 is positioned on the other side of the intermediate longitudinal axis L4.

[0047] In addition to providing structural rigidity to the second platform portion 14, the first outer rail 212 and the second outer rail 214 can also be used to support the second patient support portion 210, which can include a first upper thigh support 220, a second upper thigh support 222, a first lower thigh support 224, and a second lower thigh support 226. The first upper thigh support 220, the second upper thigh support 222, the first lower thigh support 224, and the second lower thigh support 226 can be movably adjusted or fixed in place along portions of the first outer rail 212 and the second outer rail 214 to accommodate patients of different sizes. Figure 1A and Figure 1C As depicted, the first upper thigh support 220 and the first lower thigh support 224 are supported by the first outer rail 212, and the second upper thigh support 222 and the second lower thigh support 226 are supported by the second outer rail 214. As such, the first outer rail 212 and the second outer rail 214 serve as tracks to provide movement of the first upper thigh support 220, the second upper thigh support 222, the first lower thigh support 224, and the second upper lower support 226. In addition to the first upper thigh support 220, the second upper thigh support 222, the first lower thigh support 224, and / or the second lower thigh support 226, a calf support 228 of the second patient support portion 210 may be provided. Figure 1B and Figures 6 to 12As shown, patient P is supported in a prone position by a first upper thigh support 220, a second upper thigh support 222, a first lower thigh support 224, a second lower thigh support 226, and a calf support 228. The first upper thigh support 220, the second upper thigh support 222, the first lower thigh support 224, the second upper thigh support 226, and the calf support 228 can be configured and operated in a manner similar to that disclosed in U.S. Serial Nos. 17 / 740,559 and 17 / 740,588, both filed on May 10, 2022, which are hereby incorporated herein by reference.

[0048] like Figure 1B and Figures 6 to 12 As depicted, adjustment of the relative positions of the first platform portion 12 and the second platform portion 14 provides for positioning / orientation and repositioning / reorientation of the patient P supported thereby before, during, and after surgery. For purposes of illustration, the first platform portion 12 and the second platform portion 14 can be independently adjusted relative to each other to position / orient and reposition / reorient portions of a patient supported thereby. Independent adjustment of the relative positions of the first platform portion 12 and the second platform portion 14 is provided by the spacing therebetween defined by the gap G, and such adjustment can be used accordingly to change the position / orientation of a first portion of the patient P supported by the first platform portion 12 and a second portion of the patient P supported by the second platform portion 14 relative to each other.

[0049] For example, Figure 1B and Figures 6 to 12 As depicted, the head and upper torso of the patient P are supported by the first platform portion 12, and the thighs and calves of the patient P are supported by the second platform portion 14. Also, although the head and upper torso of the patient P are supported on the first platform portion 12 by the first patient support portion 180, and the thighs and calves of the patient P are supported on the second platform portion 14 by the second patient support portion 210, the position of the patient P may be reversed, wherein the first patient support portion 180 supports the head and upper torso of the patient P on the second platform portion 14, and the second patient support portion 210 supports the thighs and calves of the patient P on the first platform portion 12. In addition, although the patient is Figure 1B and Figures 6 to 12 The patient P is supported in a prone position in the first platform portion 12 , but the patient P can be supported in a supine position on the first platform portion 12 and the second platform portion 12 .

[0050] The first platform portion 12 can be raised and lowered via the operation of the corresponding telescopic column 140, can be rotated along with the rotation of the corresponding shaft 158 ​​via the actuation of the corresponding motor and transmission device 156 of the corresponding rotating portion 154, can be tilted along with the rotation of the corresponding shaft 164 via the actuation of the corresponding motor and transmission device 162 of the corresponding tilting portion 160, can be moved in the side-to-side direction relative to the middle longitudinal axes L1 and L2 via the actuation of the actuator 80 of the sliding member portion 40, and can be rotated around the vertical orientation axis relative to the support portion 16 via the actuation of the actuator 94 of the rotating body portion 42. In addition, the second platform portion 14 can be raised and lowered via operation of the corresponding telescoping column 140, can be rotated with rotation of the corresponding shaft 158 ​​via actuation of the corresponding motor and transmission 156 of the corresponding rotating portion 154, can be tilted with rotation of the corresponding shaft 164 via actuation of the corresponding motor and transmission 162 of the corresponding tilting portion 160, and can be moved toward and away from the first platform portion 12 in a direction aligned with the intermediate longitudinal axes L1 and L2 via actuation of the actuator 132 of the slider portion 100. In addition to such movement, the chest support portion 130, the head support portion 132, the first upper thigh support 220, the second upper thigh support 222, the first lower thigh support 224, the second lower thigh support 226, and the calf support 228 can be adjusted to accommodate patients of different sizes.

[0051] When manipulating the patient P, the telescopic column 140 of the first vertical oriented portion 22 can be actuated to raise the position of the first platform portion 12, and the tilting portion 160 of the first vertical oriented portion 22 can be actuated to tilt the position / orientation of the first platform portion 12, and in doing so, the patient's body is moved from a neutral position / orientation ( Figure 6 ) to tilt the head and upper torso upward. Similarly, the telescoping platform 140 of the second vertically oriented portion 22 can be actuated to raise the position of the second platform portion 14, and the tilting portion 160 of the second vertically oriented portion can be actuated to tilt the position / orientation of the second platform portion 14, and in doing so, bend the patient's body to tilt the legs upward. In addition, as Figure 7 As depicted, the first support platform 12 and the second support platform 14 can be positioned / oriented to tilt both the head and upper torso of the patient P upwardly and the legs of the patient P upwardly. Accordingly, the position / orientation of the first support platform 12 and the second support platform 14 can be adjusted via actuation of the telescopic columns 140 and the tilting portions 160 of the first vertical oriented portion 22 and the second vertical oriented portion 24. Figure 6 The neutral position / orientation depicted in is adjusted so that the patient's body is flexed to move the head and upper torso upward and / or the legs are moved upward to introduce extension into the patient's spine.

[0052] Furthermore, the position / orientation of the first support platform 12 and the second support platform 12 can be adjusted via actuation of the telescoping columns 140 and the tilting portions 160 of the first vertical oriented portion 22 and the second vertical oriented portion 24 to adjust the patient's body from the vertical direction to the horizontal direction. Figure 6 The depicted neutral position / orientation is flexed to move the head and upper torso downward and / or to move the legs downward, thereby introducing flexion into the patient's spine, e.g. Figure 8 Depicted.

[0053] In addition to the extension and flexion of the patient's spine discussed above, the first portion of the patient's body supported by the first platform portion 12 and the second portion of the patient's body supported by the second platform portion 16 can be twisted relative to each other so as to introduce twisting therebetween via actuation of the rotating portion 154 of the first vertically oriented portion 22 and the second vertically oriented portion 24. In addition, the telescoping columns 140 of the first vertically oriented portion 22 and the second vertically oriented portion 24 can also be actuated (without tilting or twisting) to raise the first portion of the patient's body supported by the first platform portion 12 relative to the second portion of the patient's body supported by the second platform portion 16, or vice versa. Furthermore, the sagittal position of the first portion of the patient's body relative to the second portion can be adjusted by operation of the slider portion 40 and the rotatable portion 42, and the patient's body can be stretched or contracted by operation of the slider portion 100.

[0054] like Fig. 9 As depicted, the patient P is positioned / oriented in a neutral position / orientation, thereafter Figures 10 to 12 In the embodiment, independent adjustment of the first platform portion 12 and the second platform portion 14 relative to each other is used to adjust the position / orientation of a first portion of the patient's body supported by the first platform portion 12 and a second portion of the patient's body supported by the second platform portion 14 relative to each other. Fig.10 As depicted, the slider portion 40 can be actuated to move the first platform portion 12 in a direction transverse to the intermediate longitudinal axis L2, and the rotator portion 42 can be actuated to rotate the first platform portion 12 about a vertically oriented axis. In doing so, the sagittal position / orientation of the patient P can be adjusted via relative adjustment of the first platform portion 12 relative to the second platform portion 14 using the slider portion 40 and the rotator portion 42, as shown in FIG. Fig.10 Then, as Fig.11 As depicted, the first platform portion 12 can be rotated via actuation of the rotating portion 154, and the second platform portion 14 can be moved closer to the first platform portion 12 via actuation of the slider 100 to adjust the torsional position / orientation of the first and second portions of the patient P relative to each other (in addition to the adjusted sagittal position). Fig.12As depicted, the first platform portion 12 can be raised and tilted via corresponding actuation of the telescopic column 140 and the tilt portion 160 of the first vertically oriented portion 22, and the second platform portion 14 can be lowered via actuation of the telescopic column 140 of the second vertically oriented portion 24 to adjust the extended position / orientation of the first and second portions of the patient P relative to each other (in addition to the adjusted sagittal and torsional position / orientation).

[0055] Accordingly, the actuation of the telescopic column 140, the rotating portion 154, the tilting portion 160, the slider portion 40, the rotating portion 42 and / or the slider portion 100 can be used to independently adjust the relative position and orientation of the first platform portion 12 and the second platform portion 16. And the relative movement of the first platform portion 12 and the second platform portion 16 can be used to adjust the position / orientation of the patient's body P before, during and after surgery. As described above, the operating table 10 may include one or more controllers that are used to control the actuable portions of the operating table to facilitate their operation to coordinate movement therebetween. And, for example, such coordinated movement via one or more controllers can be used to manipulate and prevent hyperextension or hyperflexion of the patient's spine before, during and after surgery. Thereafter, when the surgery is completed, the patient can be put down from the first platform portion 12 and the second platform portion 14.

[0056] It should be understood that the various aspects disclosed herein may be combined in combinations different from those specifically presented in the specification and drawings. It should also be understood that, according to examples, certain actions or events of any process or method described herein may be performed in a different order, may be added, combined, or omitted entirely (e.g., all described actions or events may not be necessary to implement these techniques). In addition, although for clarity, certain aspects of the present disclosure are described as being performed by a single module or unit, it should be understood that the technology of the present disclosure may be performed by a combination of units or modules associated with, for example, a medical device.

Claims

1. An operating table, comprising: a support portion including a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent the first end, a second end portion at and adjacent the second end, and a cross member extending between the first end portion and the second end portion, the first end portion including a first slider portion and a rotator portion supported by the first slider portion, and the second end portion including a second slider portion; a first platform portion and a first vertically oriented portion, the first vertically oriented portion supporting the first platform portion relative to the rotating body portion of the first end portion, the first platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first rail and the second rail of the first platform portion, and the first vertically oriented portion vertically spacing the first platform portion from the support portion; as well as a second platform portion and a second vertically oriented portion, the second vertically oriented portion supporting the second platform portion relative to the second slider portion of the second end portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least first and second rails extending between the first and second end portions of the second platform portion, and at least first and second thigh supports supported by at least the first and second rails of the second platform portion, and the second vertically oriented portion vertically spacing the second platform portion from the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and are separated by a gap between a first end of the first platform portion and a second end of the second platform portion; and wherein the first platform portion is capable of moving side to side across the middle longitudinal axis via operation of the sliding member portion, the first platform portion is capable of rotating around an axis transverse to the middle longitudinal axis via operation of the rotating body portion, and the second platform portion is capable of moving toward and away from the first platform portion in a direction aligned with the middle longitudinal axis via operation of the sliding member portion.

2. The operating table according to claim 1, wherein: Each of the first and second vertically oriented portions includes a telescoping column that is expandable and retractable between first and second heights to respectively move the first and second platform portions upwardly and downwardly relative to the support portion.

3. The operating table according to claim 1, wherein: At least one of the head support, the chest support, the first thigh support, and the second thigh support are each adjustable relative to at least the first rail and the second rail of a respective one of the first platform portion and the second platform portion to accommodate patients of different sizes.

4. The operating table as described in claim 1 further includes a first adjustment portion, which is located between the first support platform and the first vertically oriented portion, and the first adjustment portion is configured to tilt the first end of the first platform portion upward and downward relative to the support portion, and is configured to rotate the first platform portion side to side relative to the support portion.

5. The operating table of claim 4, further comprising a second adjustment portion, the second adjustment portion being located between the second support platform and the second vertically oriented portion, the second adjustment portion being configured to tilt the second end of the second platform portion upward and downward relative to the support portion, and being configured to rotate the second platform portion side to side relative to the support portion.

6. The operating table according to claim 5, wherein: Each of the first and second vertically oriented portions includes a telescoping column that is expandable and retractable between first and second heights to respectively move the first and second platform portions upwardly and downwardly relative to the support portion.

7. The operating table according to claim 5, wherein: When a first part of a patient is supported by the first platform part and a second part of the patient is supported by the second platform part in a prone position, the patient's extension position / orientation can be adjusted by tilting at least one of the first support platform and the second support platform downward via operation of a corresponding one of the first adjustment part and the second adjustment part, and the patient's flexion position / orientation can be adjusted by tilting at least one of the first support platform and the second support platform upward via operation of a corresponding one of the first adjustment part and the second adjustment part.

8. The operating table according to claim 5, wherein: When a first part of the patient is supported by the first platform portion and a second part of the patient is supported by the second platform portion, at least one of the first platform portion and the second platform portion is capable of adjusting the torsional position / orientation of the patient via rotation of an operation of a corresponding one of the first adjustment portion and the second adjustment portion.

9. The operating table according to claim 1, wherein: Operation of the first slider portion and the rotator portion enables adjustment of the sagittal position / orientation of the patient when a first portion of the patient is supported by the first platform portion and a second portion of the patient is supported by the second platform portion.

10. An operating table, comprising: a support portion including a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent the first end, a second end portion at and adjacent the second end, and a cross member extending between the first end portion and the second end portion, the first end portion including a first slider portion and a rotator portion supported by the first slider portion, and the second end portion including a second slider portion; a first platform portion, a first vertically oriented portion, the first vertically oriented portion supporting the first platform portion relative to the rotating body portion of the first end portion, the first platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first rail and the second rail of the first platform portion, the first vertically oriented portion being expandable and retractable and vertically spacing the first platform portion from the support portion; as well as a second platform portion, a second vertically oriented portion, the second vertically oriented portion supporting the second platform portion relative to the second slider portion of the second end portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the second platform portion, and at least a first thigh support and a second thigh support supported by at least the first rail and the second rail of the second platform portion, the second vertically oriented portion being expandable and contractible and vertically spacing the second platform portion from the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and are separated by a gap between a first end of the first platform portion and a second end of the second platform portion; wherein a first adjustment portion is positioned one of between the first platform portion and the first vertically oriented portion and between the second platform portion and the second vertically oriented portion, the first adjustment portion being configured to tilt a first corresponding one of the first platform portion and the second platform portion upward and downward relative to the support portion and to rotate the first corresponding one of the first platform portion and the second platform portion side-to-side relative to the support portion; wherein the first platform portion is capable of moving side to side across the middle longitudinal axis via operation of the sliding member portion, the first platform portion is capable of rotating around an axis transverse to the middle longitudinal axis via operation of the rotating body portion, and the second platform portion is capable of moving toward and away from the first platform portion in a direction aligned with the middle longitudinal axis via operation of the sliding member portion.

11. The operating table according to claim 10, wherein: At least one of the head support, the chest support, the first thigh support, and the second thigh support are each adjustable relative to at least the first rail and the second rail of a respective one of the first platform portion and the second platform portion to accommodate patients of different sizes.

12. The operating table as described in claim 10 further includes a second adjustment part, which is positioned in another situation between the first support platform and the first vertically oriented part and between the second support platform and the second vertically oriented part, and the second adjustment part is configured to tilt the second corresponding one of the first platform part and the second platform part upward and downward relative to the support part, and to rotate the second corresponding one of the first platform part and the second platform part side to side relative to the support part.

13. The operating table of claim 12, wherein: When a first portion of a patient is supported by the first platform portion and a second portion of the patient is supported by the second platform portion in a prone position, tilting at least one of the first support platform and the second support platform downward can adjust the patient's extended position / orientation, and tilting at least one of the first support platform and the second support platform upward can adjust the patient's flexed position / orientation.

14. The operating table of claim 12, wherein: When a first portion of the patient is supported by the first platform portion and a second portion of the patient is supported by the second platform portion, rotation of at least one of the first platform portion and the second platform portion can adjust the torsional position / orientation of the patient.

15. The operating table of claim 10, wherein: Operation of the first slider portion and the rotator portion enables adjustment of the sagittal position / orientation of the patient when a first portion of the patient is supported by the first platform portion and a second portion of the patient is supported by the second platform portion.

16. An operating table, comprising: a support portion including a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end, a first end portion at and adjacent the first end, a second end portion at and adjacent the second end, and a cross member extending between the first end portion and the second end portion, the first end portion including a first slider portion and a rotator portion supported by the first slider portion, and the second end portion including a second slider portion; a first platform portion, a first vertically oriented portion, and a first adjustment portion, the first vertically oriented portion supporting the first platform portion relative to the rotating body portion of the first end portion, the first adjustment portion being located between the first platform portion and the first vertically oriented portion, the first platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least a first rail and a second rail extending between the first end portion and the second end portion of the first platform portion, a head support and a chest support supported by at least the first rail and the second rail of the first platform portion, the first vertically oriented portion being expandable and contractible and vertically spacing the first platform portion from the support portion, and the first adjustment portion being configured to tilt the first end of the first platform portion upward and downward relative to the support portion and to rotate the first platform portion side to side relative to the support portion; as well as a second platform portion, a second vertically oriented portion, and a second adjustment portion, the second vertically oriented portion supporting the second platform portion relative to the second slider portion of the second end portion, the second adjustment portion being located between the second platform portion and the second vertically oriented portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the first platform portion, a second end portion at the second end of the first platform portion, at least first and second rails extending between the first and second end portions of the second platform portion, and at least first and second thigh supports supported by at least the first and second rails of the second platform portion, and the second vertically oriented portion vertically spaces the second platform portion from the support portion, and the second adjustment portion is configured to tilt the second end of the second platform portion upward and downward relative to the support portion and to rotate the second platform portion side to side relative to the support portion; wherein the first platform portion and the second platform portion are positioned adjacent to each other and are separated by a gap between a first end of the first platform portion and a second end of the second platform portion; and wherein the first platform portion is capable of moving side to side across the middle longitudinal axis via operation of the sliding member portion, the first platform portion is capable of rotating around an axis transverse to the middle longitudinal axis via operation of the rotating body portion, and the second platform portion is capable of moving toward and away from the first platform portion in a direction aligned with the middle longitudinal axis via operation of the sliding member portion.

17. The operating table of claim 16, wherein: At least one of the head support, the chest support, the first thigh support, and the second thigh support are each adjustable relative to at least the first rail and the second rail of a respective one of the first platform portion and the second platform portion to accommodate patients of different sizes.

18. The operating table of claim 16, wherein: When a first part of a patient is supported by the first platform part and a second part of the patient is supported by the second platform part in a prone position, the patient's extension position / orientation can be adjusted by tilting at least one of the first support platform and the second support platform downward via operation of a corresponding one of the first adjustment part and the second adjustment part, and the patient's flexion position / orientation can be adjusted by tilting at least one of the first support platform and the second support platform upward via operation of a corresponding one of the first adjustment part and the second adjustment part.

19. The operating table of claim 16, wherein: When a first part of the patient is supported by the first platform portion and a second part of the patient is supported by the second platform portion, at least one of the first platform portion and the second platform portion is capable of adjusting the torsional position / orientation of the patient via rotation of an operation of a corresponding one of the first adjustment portion and the second adjustment portion.

20. The operating table of claim 16, wherein: Operation of the first slider portion and the rotator portion enables adjustment of the sagittal position / orientation of the patient when a first portion of the patient is supported by the first platform portion and a second portion of the patient is supported by the second platform portion.

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