Surgical platform system

Abstract

A surgical platform system is provided that facilitates manipulation of a supported patient. The surgical platform system may include a support that supports the link portion, the first platform portion, and the second platform portion relative to the ground. The link portion may include a base pivotally attached to the support, a first connector pivotally supported by the base, and first and second support portions pivotally supported by the first connector. The first platform portion may be supported by the first support portion and the second support portion, and the second platform may be supported by the base. The pivotal movement of the first platform portion relative to the base by the pivotal movement of the connector and the pivotal movement of the second platform portion relative to the support by the pivotal movement of the base may be used to separately articulate the first platform portion and the second platform portion relative to each other.

Description

Technical Field

[0001] The present technology generally relates to a surgical platform system having a first platform portion and a second platform portion that can be used to adjust a portion of a patient supported by the first platform portion and the second platform portion relative to a surgical robotic system before, during, and after surgery. Background Art

[0002] Typically, conventional operating tables include some form of patient articulation, but such patient articulation provided thereby is generally quite limited. For example, a conventional operating table may sometimes provide a limited degree of flexion or extension of a patient's spine by raising and lowering a portion of the patient's torso in an upward and downward direction. The patient articulation provided by a conventional operating table is limited because the portion thereof that supports the patient's portion is generally not capable of being separately articulated to any extent. For example, portions of a conventional operating table that support the patient's head and torso and other portions of a conventional operating table that support the patient's legs are typically not capable of being separately articulated relative to each other in a manner that provides any great degree of flexion and extension through such articulation. Therefore, in order to enhance patient articulation, a surgical platform system is needed that includes a first platform portion and a second platform portion that can be at least partially separately articulated relative to each other to provide separate articulation of a first portion of the patient supported by the first platform portion and a second portion of the patient supported by the second platform portion. Such a surgical platform system having a first platform portion and a second platform portion that can be separately articulated relative to each other can respectively position / orient and reposition / reorient a first portion of a 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. Portions of the surgical platform system can be attached and / or integrated with a surgical robotic system to position and reposition the patient's body relative to the surgical robotic system before, during, and after surgery. Summary of the invention

[0003] The technology of the present disclosure generally relates to a surgical platform system that can be used as a surgical table for performing surgery on a patient supported by the surgical platform system, wherein the surgical platform system can support a first portion and a second portion of the patient on a first platform portion and a second platform portion, respectively. The first platform portion and the second platform portion can be separately articulated relative to each other, and multiple portions of the surgical platform system can be integrated with a surgical robot system to position / orient and reposition / reorient the patient's body relative to the surgical robot before, during, and after surgery.

[0004] On the one hand, the present disclosure provides a surgical platform system that facilitates manipulation of a supported patient, the surgical platform system including a support portion, the support portion including a horizontally oriented portion and a vertically oriented portion, the horizontally oriented portion having a first end, an opposite second end, a first end portion at the first end, a second end portion at the second end, and a transverse member extending between the first end portion and the second end portion, and the vertically oriented portion including a column portion supported by the horizontally oriented portion, the column portion separating a first platform portion, a second platform portion, and a link portion of the surgical platform system from the horizontally oriented portion; the link portion including a first base portion positioned on a first side of the column portion, a second base portion positioned on a second side of the column portion, a first connector extending between the first base portion and the second base portion, and a first support portion and a second support portion at least partially supported by the first connector; the first base portion and the second base portion are pivotally attached relative to the column portion, and the second platform portion is supported by the first base portion and the second base portion; the first connector has a first end and an opposite second end the second end of the first connector being pivotally attached relative to the first base portion and the second base portion; and the first support portion and the second support portion each include a first end and an opposite second end; the first support portion and the second support portion are attached to the second end of the first connector near their second ends, and the first platform portion is supported by the connecting rod portion near the first ends of the first support portion and the second support portion; the first platform portion includes a first patient support portion for supporting a plurality of portions of the head and upper torso of the patient; and the second platform portion includes a second patient support portion for supporting a plurality of portions of the legs of the patient; wherein the first platform portion pivots relative to the first base portion and the second base portion by pivotal movement of the first connector; wherein the second platform portion pivots relative to the column portion by pivotal movement of the first base portion and the second base portion; wherein the pivotal movement of the first platform portion relative to the first base portion and the second base portion and the pivotal movement of the second platform portion relative to the column portion are used to hinge the first platform portion and the second platform portion apart relative to each other.

[0005] In another aspect, the present disclosure provides a surgical platform system for facilitating manipulation of a supported patient, the surgical platform system comprising a horizontally oriented portion and a vertically oriented portion, the horizontally oriented portion supporting the vertically oriented portion, and the vertically oriented portion spacing a first platform portion, a second platform portion, and a link portion of the surgical platform system from the horizontally oriented portion, the link portion comprising a base pivotally attached to the vertically oriented portion, a first connector supported by the base, and a first support portion and a second support portion at least partially supported by the first connector, the second platform portion being supported by the base, the first connector having a first end and an opposite second end, the first end of the first connector being pivotally attached relative to the base, and the first support portion and the second support portion each comprising a first end and an opposite second end; The first support portion and the second support portion are attached to the second end of the first connector near their second ends, and the first platform portion is supported by the connecting rod portion near the first ends of the first support portion and the second support portion; the first platform portion includes a first patient support portion for supporting multiple portions of the patient's head and upper torso; and the second platform portion includes a second patient support portion for supporting multiple portions of the patient's legs; wherein the first platform portion pivots relative to the base through a pivotal movement of the first connector; wherein the second platform portion pivots relative to the column portion through a pivotal movement of the base; and wherein the pivotal movement of the first platform portion relative to the base and the pivotal movement of the second platform portion relative to the column portion are used to hinge the first platform portion and the second platform portion separately relative to each other.

[0006] On the other hand, the present disclosure provides a surgical platform system for facilitating manipulation of a supported patient, the surgical platform system comprising a support member that supports a link portion, a first support platform, and a second support platform relative to the ground; the link portion comprises a base pivotally attached to the support member, a first connector supported by the base, and a first support portion and a second support portion at least partially supported by the first connector; the second platform portion is supported by the base; the first connector has a first end and an opposite second end, the first end of the first connector is pivotally attached relative to the base, and the first support portion and the second support portion each include a first end and an opposite second end, the first support portion and the second support portion are attached near their second ends to the second end of the first connector, and the first platform portion is supported by the connecting rod portion near the first ends of the first support portion and the second support portion; the first platform portion includes a first patient support portion for supporting multiple portions of the patient's head and upper torso; and the second platform portion includes a second patient support portion for supporting multiple portions of the patient's legs; wherein the first platform portion pivots relative to the base by pivotal movement of the first connector; wherein the second platform portion pivots relative to the support member by pivotal movement of the base; and wherein the pivotal movement of the first platform portion relative to the base and the pivotal movement of the second platform portion relative to the support member are used to hinge the first platform portion and the second platform portion separately relative to each other.

[0007] 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

[0008] The technology of the present disclosure generally relates to a surgical platform system.

[0009] Figure 1 is a top side perspective view of a surgical platform system of the present disclosure with a patient positioned on the surgical platform system;

[0010] Figure 2 yes Figure 1 A top and side stereoscopic view of a surgical platform system;

[0011] Figure 3 yes Figure 1 A first lateral side elevation view of a surgical platform system with a patient positioned on the surgical platform system;

[0012] Figure 4 yes Figure 1 a second lateral side elevation view of a surgical platform system of the invention with a patient positioned on the surgical platform system;

[0013] Figure 5 yes Figure 1 A front elevation view of a surgical platform system with a patient positioned on the surgical platform system;

[0014] Figure 6 yes Figure 1 A rear elevation view of a surgical platform system with a patient positioned on the surgical platform system;

[0015] Figure 7 yes Figure 1 A top plan view of a surgical platform system with a patient positioned on the surgical platform system;

[0016] Figure 8 yes Figure 1 A first lateral side elevation view of a surgical platform system of the type shown in FIG. 1 , with portions thereof oriented to position a patient in a Trendelenburg position;

[0017] Fig. 9 yes Figure 1 A first lateral side elevation view of a surgical platform system of the invention with its multiple portions oriented to position a patient in a Trenton position;

[0018] Fig.10 yes Figure 1 A side top perspective view of a surgical platform system positioned relative to a gantry of a surgical robotic system or a robotic surgical guide system;

[0019] Fig.11 is relative to Fig.10 The racks are interconnected Figure 1 A side top view of a surgical platform system;

[0020] Fig.12 is relative to Fig.10 The racks are interconnected Figure 1 A first lateral side elevation view of a surgical platform system;

[0021] Fig.13 is relative to Fig.10 The racks are interconnected Figure 1 A side top perspective view of a surgical platform system of , wherein the surgical platform system and portions of the gantry are oriented to position a patient in a Trendelenburg position;

[0022] Fig.14 is relative to Fig.10 The racks are interconnected Figure 1 A side top perspective view of a surgical platform system of , wherein the surgical platform system and portions of the gantry are oriented to position a patient in a head-up-down position;

[0023] Fig.15 yes Figure 1a first lateral side elevation view of a surgical platform system of , wherein portions of the surgical platform and gantry are oriented to extend the patient's spine;

[0024] Fig.16 yes Figure 1 a first lateral side elevation view of a surgical platform system of , wherein portions of the surgical platform and gantry are oriented to flex the patient's spine;

[0025] Fig.17 yes Figure 1 a second lateral side partial elevation view of a portion of a surgical platform system, depicting a platform portion thereof in a first position;

[0026] Fig.18 yes Figure 1 a second lateral side partial elevation view of the portion of the surgical platform system, depicting the platform portion thereof in a second position;

[0027] Fig.19 yes Figure 1 a second lateral side partial elevation view of a portion of a surgical platform system depicting portions of another platform portion thereof in a first position;

[0028] Fig. 20 yes Figure 1 a second lateral side partial elevation view of a portion of a surgical platform system depicting portions of another platform portion thereof in a second position;

[0029] Fig.21 yes Figure 1 a second lateral side partial elevation view of a portion of a surgical platform system depicting a platform portion and portions of a patient positioned thereon;

[0030] Fig. 22 is a second lateral side elevation view of an additional embodiment of a surgical platform system according to the present disclosure;

[0031] Fig.23 yes Fig. 22 a second lateral side elevation view of a surgical platform system of FIG. 1 with a patient positioned on the surgical platform system with portions thereof oriented to extend the patient's spine; and

[0032] Fig.24 yes Fig. 22 A second lateral side elevation view of a surgical platform system of with a patient positioned on the surgical platform system with portions oriented to flex the patient's spine. DETAILED DESCRIPTION

[0033] The preferred embodiment of the surgical platform system of the present disclosure is Figures 1 to 7 In general, it is represented by the number 10. Figure 1As depicted, the surgical platform system 10 includes a first end E1, a second end E2, and an intermediate longitudinal direction L1 extending through the first end E1 and the second end E2. The surgical platform system 10 includes a first platform portion 12, a second platform portion 14, a connecting rod portion 16, and a support portion 18. The first platform portion 12 and the second platform portion 14 can each support multiple parts of a patient P thereon, the connecting rod portion 16 is used to adjust the position and orientation of the first platform portion 12 and the second platform portion 14 relative to each other, and the support portion 18 supports the first platform portion 12, the second platform portion 14, and the connecting rod portion 16 relative to the ground. The first support platform 12 can be used to support the head and torso of the patient P, the second platform portion 14 can be used to support the legs of the patient P, and the connecting rod portion 16 can be used to adjust the head and torso of the patient P relative to the legs by positioning and orienting the first support platform 12 and the second support platform 14 relative to each other. For example, the surgical platform system 10 can be used to adjust the first platform portion 12 and the second platform portion 14 to position / orient the patient in a Trendelenburg position ( Figure 8 ) and head-high position ( Fig. 9 ).

[0034] As discussed below, the surgical platform system 10 can be positioned and repositioned relative to, interconnected with, and used in association with a surgical robotic system or robotic surgical guide system (hereinafter referred to as a "robotic system"), which is generally indicated by the letter R ( Figures 10 to 16 ). Furthermore, the robotic system R may be used to perform or assist in the performance of a surgery, and such surgery may, for example, include spinal surgery on the spine of a patient P.

[0035] Finally, the surgical platform system 10 can be operatively attached to the gantry G of the robotic system R, and the robotic arm A supported by the gantry G can be used to perform or assist in the performance of surgery on the patient P. In addition to the relative adjustment of the first platform portion 12 and the second platform portion 14 by the surgical platform system 10, the gantry G can also be used to adjust various portions of the surgical platform system 10 relative to other portions, as discussed below. The relative adjustment of the first platform portion 12 and the second platform portion 14 by the surgical platform system 10 and / or the adjustment provided by the operative attachment of the surgical platform system 10 to the gantry G can be used to manipulate the body of the patient P and position / orient and reposition / reorient the patient P relative to the robotic arm A.

[0036] The surgical platform system 10 and / or the robotic system R may include one or more controllers for controlling motorized actuators included in the surgical platform system 10 and / or the gantry G to facilitate operation thereof. In some embodiments, for example, the one or more controllers of the surgical platform system 10 and / or the robotic system R may coordinate movement between the first platform portion 12 and the second platform portion 14 by moving them relative to each other.

[0037] During use, the support portion 18 can be used to facilitate movement of the first platform portion 12, the second platform portion 14, and the linkage portion 16, and can be used to position the first platform portion 12 relative to the robotic system R. The first platform portion 14 can then be interconnected with the robotic system R or a subsystem (not shown) positioned relative to the robotic system. Figures 1 to 4 As depicted, the support portion 18 includes a horizontally oriented portion 20 and a vertically oriented portion 22. The horizontally oriented portion 20 is used to support the vertically oriented portion 22 relative to the ground, and the vertically oriented portion 22 is used to support the first platform portion 12, the second platform portion 14, and the linkage portion 16 relative to the horizontally oriented portion 20. After the support portion 18 is properly positioned relative to the robotic system R, the first platform portion 12 can be interconnected with the robotic system R or a subsystem positioned relative to the robotic system.

[0038] like Figure 1 As depicted, the horizontally oriented portion 20 includes a first end member 24 at a first end 25 thereof (coordinated with the first end E1), a second end member 26 at a second end 27 thereof (coordinated with the second end E2), and a cross member 30 extending between the first end member 24 and the second end member 26. The cross member 30 may be aligned with the middle longitudinal axis L2 ( Figure 1 ) are aligned, can be used to connect the first end member 24 and the second end member 26, and can be expandable and retractable to expand and retract the length of the horizontally oriented portion 20 along the intermediate longitudinal axis L2. Each of the first end member 24 and the second end member 26 includes an upper surface 32, a lower surface 34, a first lateral end 36 and a second lateral end 38. In addition, casters 40 can be attached relative to the lower surface 34 near the first lateral end 36 and the second lateral end 38 of the first end member 24 and the second end member 26 to separate the first end member 24 and the second end member 26 from the ground and facilitate the movement of the support portion 14.

[0039] The surgical platform system 10 can be initially positioned relative to the robotic system R using a positioner 42 having a portion provided as part of the surgical platform system 10 and the robotic system R. For purposes of illustration, the positioner 42 can include a receiver portion 44 ( Figure 5 ) and a tongue portion 46 ( Fig.10 ), or vice versa. A similar positioner that can be used as part of the surgical platform system 10 and the robotic system R is disclosed in U.S. Serial No. 17 / 740,559 filed on May 10, 2022, which is incorporated herein by reference.

[0040] The receiver portion 44 can be disposed at and near the first end 25 and can be formed by and / or attached relative to portions of the first end member 24 and the cross member 30. The receiver portion 44 can be formed as a channel formed in multiple portions of the first end member 24 and the cross member 30. The receiver portion 44 includes: a first side wall portion 50 having a portion disposed near a first lateral side 52 of the cross member 30; a second side wall portion 54 having a portion disposed near a second lateral side 56 of the cross member 30; and an upper wall portion 58 formed in part by the lower surface 34 of the first end member 24 and portions of the cross member 30.

[0041] Portions of the first side wall portion 50, the second side wall portion 54, and the upper wall portion 58 form a channel to define a receiving area A1 for receiving the tongue portion 46. In addition, each of the first side wall portion 50 and the second side wall portion 54 may include a plurality of apertures 60 adjacent to and spaced along the receiving area A1, and include a plurality of anti-collision wheels 62 rotatably mounted in each aperture 60. Portions of the anti-collision wheels 62 may extend into the receiving area A1. When the tongue portion 46 is received in the receiving area A1, the anti-collision wheels 62 are used to both guide the tongue 46 and position it relative to the first side wall portion 50 and the second side wall portion 54 (and the rest of the horizontally oriented portion 20).

[0042] The tongue portion 46 can be attached to the robotic system R ( Fig.10 ) or otherwise positioned relative to the robotic system, and includes a first end 64 and an opposite second end 66. The tongue portion 46 can be attached to the robotic system R at and near the first end 64. In addition, the tongue portion 46 can include a first lateral side surface 70, a second lateral side surface 72, and a bottom surface 74 extending between the first end 64 and the second end 66. An adjustable foot 76 can be attached to the bottom surface 74 near the second end 66 to facilitate leveling of at least a portion of the tongue portion 46.

[0043] like Fig.10As depicted, to initially position the support portion 18 relative to the robotic system R, the horizontally oriented portion 20 of the support portion 14 can be positioned so that the tongue portion 46 is received in the receiver portion 44. In doing so, the tongue portion 46 is inserted between the first side wall portion 50 and the second side wall portion 54, below the upper wall portion 58, and into the receiving area A1. When the tongue portion 46 is received in the receiving area A1, the first lateral side surface 70 contacts the anti-collision wheel 62 rotatably mounted to the first side wall portion 50, and the second lateral side surface 72 contacts the anti-collision wheel 62 rotatably mounted to the second side wall portion 54. This contact provides relative movement of the tongue portion 46 relative to the receiver portion 44, which guides the tongue portion 46 into the receiving area A1 to initially position the surgical platform system 10 relative to the robotic system R.

[0044] When the surgical platform system 10 is attached relative to the robotic system R, adjustment of the first platform portion 12 and the second platform portion 14 relative to each other (through operation of the surgical platform system 10 and / or the robotic system R) can change the distance between the second platform portion 14 and the gantry G, and during this operation, the position of the tongue portion 46 in the receiving area A1 can be changed accordingly. In this way, the tongue portion 46 can move in and out of the receiving portion A1 according to the change in the distance between the second platform portion 14 and the gantry G.

[0045] like Figures 2 to 4 As depicted, the vertically oriented portion 22 includes a telescoping column 80 for positioning / orienting and repositioning / reorienting the first platform portion 12, the second platform portion 14, and the linkage portion 16 relative to the horizontally oriented portion 20. The telescoping column 80 includes a lower portion 82 and an upper portion 84. The lower portion of the telescoping column 80 is supported by the cross member 30, and the upper portion 84 can be telescopically moved upward and downward relative to the lower portion 82. The telescopic expansion and contraction of the telescoping column 80 can be used to correspondingly raise and lower the first platform portion 12, the second platform portion 14, and the linkage portion 16 relative to the horizontally oriented portion 20 to position / orient and reposition / reorient the first platform portion 12, the second platform portion 14, and the linkage portion 16 between the lower position and the upper position.

[0046] like Figures 2 to 4 and Figure 6As depicted, the linkage portion 16 includes a base formed by a first base portion 90 positioned adjacent to a first side of the telescoping column 80 and a second base portion 92 positioned adjacent to a second side of the telescoping column 80. As discussed below, the first base portion 90 and the second base portion 92 are pivotally attached to a portion of the upper portion 84, and the base formed by the first base portion 90 and the second base portion 92 provides pivotal movement of other portions of the linkage portion 16 relative thereto. The first base portion 90 and the second base portion 92 can each include a lower portion 94 and an upper portion 96. In addition, as discussed below, Figure 5 As depicted, the upper portion 84 of the telescoping column 80 may include an extended portion 100 having a first column 102 on a first side of the extended portion 100 and a second column 104 on a second side of the extended portion 100. The lower portion 94 of the first base portion 90 may be pivotally attached to the first column 102, and the lower portion 94 of the second base portion 92 may be pivotally attached to the second column 104. The lower portions 94 of the first base portion 90 and the second base portion 92 are pivotally attached to the first column 102 and the second column 104, respectively, near the ends of the lower portions 94 closest to the first end E1. As discussed below, the pivotal movement of the first base portion 90 and the second base portion 92 causes the first platform portion 12 and the second platform portion 14 to be articulated relative to the telescoping column 80.

[0047] In addition to being attached relative to each other by being pivotally attached to the first and second posts 102, 104, the first and second base portions 90, 92 may also be attached to each other via first and second connectors 106, 108. The first and second connectors 106, 108 extend between and are secured to the first and second base portions 90, 92. Figure 5 and Figure 6 As depicted, the first connector 106 is attached to the lower portions 94 of the first base portion 90 and the second base portion 92 above where the first base portion 90 and the second base portion 92 are pivotally attached to the first column 102 and the second column 104, respectively; and the second connector 108 is attached to the lower portions 94 of the first base portion 90 and the second base portion 92 near the end of the lower portion 94 closest to the second end E2.

[0048] Attached to the first and second posts 102, 104 and (as discussed below) the first and second connectors 106, 108 serve to space the first and second base portions 90, 92 apart from one another and provide a rigid and stable connection therebetween. Figure 5 As depicted, the first connector 106 may be formed as a single rod portion extending between the first base portion 90 and the second base portion 92 and attaching them to each other. Figure 6 As depicted, the second connector 108 may include a web portion 110, a first rod portion 112 on a first side of the web portion 110, and a second rod portion 114 on a second side of the web portion 110. Portions of the lower portion of the web portion 110, the first rod portion 112, and the second rod portion 114 extend between and attach the first base portion 90 and the second base portion 92 to one another. The first connector 106 may be fixedly attached between the first base portion 90 and the second base portion 92, and portions of the web portion 110, the first rod portion 112, and the second rod portion 114 of the second connector 108 may be pivotally connected to the first base portion 90 and the second base portion 92.

[0049] like Figure 6 As depicted, upper portions of the first base portion 90 and the second base portion 92 may each include a recess 120 for receiving portions of the second platform portion 14 to facilitate attachment of the second platform portion 14 thereto. Figure 2 As depicted, the second support platform 14 includes a first support portion 122 and a second support portion 124, and the first support portion 122 and the second support portion 124 each include a first end 126 and a second end 128. The first support portion 122 and the second support portion may each be formed, for example, as a beam, rail, rod, or tube having a length extending between the first end 126 and the second end 128. The portion of the first support portion 122 between the first end 126 and the second end 128 is attached to the first base portion 90 by being received and attached in the recess 120, and the portion of the second support portion 124 between the first end 126 and the second end 128 is attached to the second base portion 92 by being received and attached in the recess 120.

[0050] First upper thigh support 130, second upper thigh support 132, first lower thigh support 134, second lower thigh support 136, support plate 140, and calf support 142 are supported by and / or between first support portion 122 and / or second support portion 124. Figure 2As depicted, a first upper thigh support 130 and a first lower thigh support 134 are supported by the first support portion 122. The second upper thigh support 132 and the second lower thigh support 136 are supported by the second support portion 124. A support plate 140 (supporting a calf support 142) is supported between the first support portion 122 and the second support portion 124. The first upper thigh support 130, the second upper thigh support 132, the first lower thigh support 134, the second lower thigh support 136, and the support plate 140 can be configured similarly to that disclosed in U.S. Serial No. 17 / 704,759 filed on March 25, 2022, which is incorporated herein by reference, and their positions can be adjusted relative to the first support portion 122 and the second support portion 124 to accommodate patients of different sizes.

[0051] The second platform portion 14 can be pivoted relative to the telescoping column 80 (and the support portion 18) using a first actuator 144 that can be positioned in at least a first position ( Fig.17 ) and the second position ( Fig.18 ). The first actuator 144 has a first end 146 pivotally attached to the horizontally oriented portion 20 and a second end 148 pivotally attached to the second connector 108 (between the first and second rod portions 112, 114 and portions of the web portion 110). For example, the first end 146 may be pivotally attached to the horizontally oriented portion 20 in an aperture formed therein or in a U-shaped buckle extending outwardly therefrom. Actuation of the first actuator 144 causes the second connector 108 to move toward or away from the horizontally oriented portion 20 and correspondingly causes the first base portion 90, the second base portion 92, and the second platform portion 14 attached thereto to pivot relative to the telescoping column 80 (and the support portion 18). In doing so, the first ends 126 of the first support portion 122 and the second support portion 124 are tilted downward by the expansion of the first actuator 144 or tilted upward by the contraction of the first actuator 144 to correspondingly tilt the second platform portion 14 .

[0052] The link portion 16 includes a third support portion 150 and a fourth support portion 152 that support the first platform portion 12, and the third support portion 150 and the fourth support portion 152 are pivotally attached to the second connector 108. The third support portion 150 and the fourth support portion 152 can each be formed, for example, as a beam, rail, rod, or tube having a length extending between opposite ends thereof. The first platform portion 12 can be oriented relative to the column 80 (and the support portion 18) by pivotal movement of the first base portion 90 and the second base portion 92, by pivotal movement of the second connector 108 relative to the first base portion 90 and the second base portion 92, and by pivotal movement of the third support portion 150 and the fourth support portion 152 relative to the second connector 108. The pivotal movement of the second connector 108 relative to the first base portion 90 and the second base portion 92, and the pivotal movement of the third support portion 150 and the fourth support portion 152 relative to the second connector 108 also orient the first platform portion 12 relative to the second platform portion 14.

[0053] like Figure 2 As depicted, the third support portion 150 and the fourth support portion 152 each include a first end 154 and a second end 156. The first platform portion 12 is supported by the third support portion 150 and the fourth support portion 152 near its first end 154. And the second ends 156 of the third support portion 50 and the fourth support portion 152 are spaced apart by and pivotally attached to the upper portion of the web portion 110 of the second connector 108. The third support portion 150 and the fourth support portion 152 are also spaced apart at their first ends 154 by an end portion 158 of the link portion 16 and by a third connector 160 intermediate the first end 154 and the second end 156.

[0054] like Figures 19 to 21 As depicted, pivotal movement of the second connector 108 relative to the first base portion 90 and the second base portion 92 is provided by using a second actuator 162. Fig.21 As depicted, the second actuator 162 has a first end 164 pivotally attached to the first connector 106 and a second end 166 pivotally attached to an upper portion of the web portion 110 of the second connector 108. The second actuator 162 is movable in at least a first position ( Fig.19 ) and the second position ( Fig. 20) between the first and second base portions 90 and 92. Given the pivotal connection of the lower portion of the second connector 108 to the first and second base portions 90, 92, actuation of the second actuator 162 causes the second connector 108 to pivot relative to the first and second base portions 90, 92 to correspondingly move the first ends 154 of the third and fourth support portions 150, 152 toward (by contraction) or away from (by expansion) the first end E1. Thus, this pivotal motion serves to orient the first platform portion 12 relative to the telescoping column 80 (and support portion 18) and the second support portion 14 by moving the first platform portion toward or away from the first end E1.

[0055] Also like Figures 19 to 21 As depicted, pivotal movement of the third support portion 150 and the fourth support portion 152 relative to the second connector 108 is provided by using a third actuator 170. The third actuator 170 has a first end 172 pivotally attached to the horizontally oriented portion 20 and a second end 174 pivotally attached to the third connector 160. For example, the first end 172 can be pivotally attached to a U-shaped buckle formed in an aperture on the horizontally oriented portion 20 or extending outwardly therefrom. The third actuator 170 can be in at least a first position ( Fig.19 ) and the second position ( Fig. 20 ) between the third and fourth support portions 150, 152. Given the pivotal connection of the third and fourth support portions 150, 152 to the upper portion of the second connector 108, actuation of the third actuator 170 causes the third and fourth support portions 150, 152 to pivot relative to the second connector 108 to tilt the first ends 154 of the third and fourth support portions 150, 152 downwardly (by contraction) or upwardly (by expansion), respectively. This pivotal motion is therefore used to orient the first platform portion 12 relative to the telescoping column 80 (and support portion 18) and the second support portion 14 by moving the first platform portion 12 downwardly or upwardly.

[0056] The pivotal movement of the second connector 108 relative to the first base portion 90 and the second base portion 92, and the pivotal movement of the third support portion 150 and the fourth support portion 152 relative to the second connector 108 orient the first platform portion 12 relative to the second platform portion 14. In this way, the first platform portion 12 and the second platform portion 14 are separately articulated by the operation of the second actuator 162 and the third actuator 170, and when the patient P is supported on the first platform portion 12 and the second platform portion 14, this separate articulation enables the patient's body to be flexed and extended.

[0057] As discussed below, actuation of the first actuator 144, the second actuator 162, and the third actuator 170 can be automated and controlled by one or more controllers of the surgical platform system 10 and / or the robotic system R. For illustration, the one or more controllers can be used, for example, to orient the first platform portion 12 and the second platform portion 14 relative to each other in the Trendelenburg position described above ( Figure 8 ), head-high-feet-low position ( Fig. 9 ) or other orientations described below. As discussed below, the one or more controllers may also be used in conjunction with the robotic system R to adjust the positions of the first platform portion 12 and the second platform portion 14 relative to each other.

[0058] like Figure 2 As depicted in , the first platform portion 12 includes a first end 180, an opposite second end 182, a first end portion 184 disposed at and adjacent to the first end 180, a second end portion 186 disposed at and adjacent to the second end 182, a fifth support portion 190 extending between the first end portion 184 and the second end portion 186, and a sixth support portion 192 extending between the first end portion 184 and the second end portion 186. The fifth support portion 190 and the sixth support portion 192 can each be formed as, for example, a beam, rail, rod, or tube having a length extending between its opposite ends. The first end portion 184 can include a joint portion 194, which is similar to the joint portion disclosed in U.S. Serial No. 17 / 704,759 filed on March 25, 2022, for interfacing with multiple parts of the robotic system R to facilitate interconnection of the first platform portion 12 with the robotic system R or a subsystem positioned relative to the robotic system.

[0059] In addition, the first platform portion 12 may include a head support 196 and a chest support 198, which are similar to those disclosed in U.S. Serial No. 17 / 704,759, also filed on March 25, 2022. The head support 196 and the chest support 198 are supported by and / or supported between the fifth support portion 190 and the sixth support portion 192, and their positions can be adjusted relative to the fifth support portion 190 and the sixth support portion 192 to accommodate patients of different body sizes. In addition, in addition to the head support 196 and the chest support 198, the first platform portion 12 may include a first arm support 200 supported by the fifth support portion 190 and a second arm support 202 supported by the sixth support portion 192.

[0060] The first platform portion 12 may be pivotally attached relative to the link portion 16. Figure 3 and Figure 4As depicted, the second end portion 186 may include a first extension portion 204 and a second extension portion 206 extending downwardly therefrom. The first extension portion 204 is disposed proximate the fifth support portion 190, and the second extension portion 206 is disposed proximate the sixth support portion 192. Each of the first extension portion 204 and the second extension portion 206 includes a first leg portion 210 attached to the second end portion 186 and a second leg portion 212 extending outwardly from the first leg portion 210. The first leg portions 210 may each be pivotally attached to the link portion 16 by receiving a pin 214 extending therethrough and into the end portion 158 of the link portion 16. And the first platform portion 12 may be fixed in a first pivot position relative to the link portion 16 by receiving a removable pin 216 extending through the second leg portion 210 and into the end portion 158 of the link portion 16. When the removable pin 216 is removed, the first platform portion 12 may be pivoted relative to the link portion 16 (and the second platform portion 12) to various other pivot positions. As discussed below, the pivotal movement provided by the pivotal attachment of the first platform portion 12 relative to the linkage portion 16 allows the surgical table G to further articulate the position of the first platform portion 12 relative to the second platform portion 14 .

[0061] The surgical platform system 10 is initially positioned relative to the robotic system R ( Fig.10 ) is positioned, and thereafter, the tongue portion 46 is received in the receiving area A1, the engagement portion 194 can be engaged to a complementary engagement portion 220 disposed on the robotic system R or a subsystem positioned relative to the robotic system R, which is similar to the disclosure in U.S. Serial No. 17 / 704,759 filed on March 25, 2022. Fig.10 As depicted, the complementary engagement portion 220 is disposed on the platform G. The surgical platform system 10 is interconnected with the platform G by engagement of the engagement portion 194 with the complementary engagement portion 220 ( Figures 11 to 16 ), the surgical platform portion 10 can work together with multiple portions of the gantry 10 to articulate the first platform portion 12 and the second platform portion 14 relative to the robotic system R to position and orient the patient P.

[0062] like Figures 10 to 16As depicted, the table G may include a platform manipulator 222 that supports the complementary engagement portion 220 and is positioned above the tongue portion 46. The platform manipulator 222 may be used to raise, lower, and tilt (upward or downward) portions of the first platform portion 12 relative to the second platform portion 14. To illustrate, when the surgical table system 10 is interconnected with the table G and the first platform portion 12 is in a first pivot position relative to the linkage portion, the surgical table system 10 and the platform manipulator 222 may operate in a coordinated manner to position / orient the first platform portion 12 and the second platform portion 14 so that the patient P is moved to a Trendelenburg position ( Fig.13 ) and head-high position ( Fig.14 ). In doing so, the platform manipulator 222 can be used to tilt the first platform portion 12 downward near the first end 180 to form a Trendelenburg position, or tilt it upward to achieve a Trendelenburg position. When the removable pin 216 is removed to allow the first platform portion 12 to pivot relative to the linkage portion 16, the surgical platform system 10 and the platform manipulator 222 can be operated in a coordinated manner (using one or more controllers of the surgical platform system 10 and / or the robotic system R) to position / orient the first platform portion 12 and the second platform portion 14 so that the patient P undergoes extension ( Fig.15 ) or flexion ( Fig.16 ). In doing so, the platform manipulator 222 can be used to tilt the first platform portion 12 upward near the first end 180 to facilitate extension of the patient's spine, or tilt it downward to facilitate flexion of the patient's spine. Thus, the operation of the surgical platform system 10 and the platform manipulator 222 can be used to position / orient and reposition / reorient the patient's body relative to the robotic arm A, and the robotic arm A can be used to perform surgery on the patient P or facilitate the performance of surgery.

[0063] Another embodiment of the surgical platform system 10' may be configured to facilitate pivoting of the first platform portion 12' relative to the linkage portion 16'. Figure 22 to Figure 24 As depicted, the surgical platform system 10' includes similar features as the surgical platform system 10, and similar numerals are used in describing these similar features. Unlike the surgical platform system 10, the surgical platform system 10' includes a modified end portion 158' of the linkage portion 16, a modified first end portion 184' of the first platform portion 12', and a fourth actuator 224 extending between the modified end portion 158' and the modified first end portion 184'.

[0064] Like the first platform portion 12 and the link portion 16, the first platform portion 12 is pivotally attached to the link portion 16. And the fourth actuator 224 can be in at least the first position ( Fig.23 ) and the second position ( Fig.24 ) between the first and second platform portions 12' and 18', respectively. The fourth actuator 224 is actuated (by expanding and contracting thereof) between the first and second platform portions 12' and 18' to pivot the first platform portion 12' relative to the link portion 16'. The fourth actuator 224 has a first end 226 pivotally attached to the modified end portion 158' and a second end 228 pivotally attached to the modified first end portion 184'. The modified end portion 158' and the modified first end portion 184' may each include a U-shaped buckle 230, which facilitates the pivotal attachment of the first end 226 and the second end 228, respectively. Actuation of the fourth actuator 224 pivots the first platform portion 12' relative to the link portion 16' and causes the first end 180 of the first platform portion 12' to move upward ( Fig.23 ) or down ( Fig.24 ) tilt. This upward and downward movement of the first end 180 of the first platform portion 12', along with coordinated movement of the other portions of the surgical platform 10', can be used to extend the patient's spine ( Fig.23 ) and buckling ( Fig.24 ). The operation of the fourth actuator 224 can be coordinated with the operation of the first actuator 144, the second actuator 162 and / or the third actuator 170 by using one or more controllers of the surgical platform system 10 and / or the robotic system R).

[0065] 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. A surgical platform system for facilitating manipulation of a supported patient, the surgical platform system comprising: a support portion, the support portion comprising a horizontally oriented portion and a vertically oriented portion, the horizontally oriented portion having a first end, an opposite second end, a first end portion at the first end, a second end portion at the second end, and a cross member extending between the first end portion and the second end portion, and the vertically oriented portion comprising a column portion supported by the horizontally oriented portion, the column portion spacing the first platform portion, the second platform portion, and the link portion of the surgical platform system from the horizontally oriented portion, The link portion includes a first base portion positioned on a first side of the column portion, a second base portion positioned on a second side of the column portion, a first connector extending between the first base portion and the second base portion, and first and second support portions at least partially supported by the first connector, the first base portion and the second base portion are pivotally attached relative to the column portion, and the second platform portion is supported by the first base portion and the second base portion, The first connector has a first end and an opposite second end, the first end of the first connector being pivotally attached relative to the first base portion and the second base portion, and The first support portion and the second support portion each include a first end and an opposite second end, the first support portion and the second support portion are attached to the second end of the first connector near their second ends, and the first platform portion is supported by the link portion near the first ends of the first support portion and the second support portion; The first platform portion includes a first patient support portion for supporting portions of the patient's head and upper torso; and The second platform portion includes a second patient support portion for supporting a plurality of portions of the patient's legs; wherein the first platform portion pivots relative to the first base portion and the second base portion by pivotal movement of the first connector; wherein the second platform portion pivots relative to the column portion by pivotal movement of the first base portion and the second base portion; and Wherein, the pivotal movement of the first platform portion relative to the first base portion and the second base portion and the pivotal movement of the second platform portion relative to the column portion are used to hinge the first platform portion and the second platform portion separately relative to each other.

2. The surgical platform system as described in claim 1 further includes a first actuator, which extends between the horizontally oriented portion and the first connector, and the first actuator can be actuatable to expand and contract to allow the first base portion, the second base portion and the second platform portion to pivot relative to the column portion.

3. The surgical platform system according to claim 1, wherein: The second ends of the first support portion and the second support portion are pivotally attached to the second end of the first connector.

4. The surgical platform system as described in claim 3 further includes a first actuator, which extends between the horizontally oriented portion and a second connector attached between the first support portion and the second support portion, and the first actuator can be actuatable to expand and contract to allow the first support portion and the second support portion to pivot relative to the first connector.

5. The surgical platform system as described in claim 4 further includes a second actuator, which extends between the second end of the first connector and a third connector attached between the first base portion and the second base portion, and the second actuator can be actuatable to expand and contract to pivot the first connector relative to the first base portion and the second base portion.

6. The surgical platform system as described in claim 1 further includes a first actuator extending between the horizontally oriented part and the first connector, a second actuator extending between the horizontally oriented part and the second connector attached between the first support part and the second support part, and a third actuator extending between the second end of the first connector and the third connector attached between the first base part and the second base part, the first actuator being actuatable to expand and contract so that the first base part, the second base part and the second platform part pivot relative to the column part, the second actuator being actuatable to expand and contract so that the first support part and the second support part pivot relative to the first connector; and the third actuator being actuatable to expand and contract so that the first connector pivot relative to the first base part and the second base part.

7. The surgical platform system according to claim 6, wherein the surgical platform system is combined with a robot system and further comprises: The robotic system includes a stage having a platform manipulator and an engagement portion supported by the platform manipulator; and The first platform portion includes a first end and an opposite second end, the first end of the first platform portion including a complementary engagement portion for engaging with an engagement portion of the stage, and the second end of the first platform portion is attached to the first ends of the first support portion and the second support portion; wherein, when the engagement portion and the complementary engagement portion engage with each other, the surgical platform system is interconnected with the gantry, and the first actuator, the second actuator, the third actuator, and the platform manipulator can be actuated to position / orient a patient supported by the first platform portion and the second platform portion relative to the robotic system.

8. The combination of a surgical platform system and a robotic system as claimed in claim 7, wherein: The second end of the first platform portion is pivotally attached to the first ends of the first support portion and the second support portion, and wherein the first actuator, the second actuator, the third actuator and the platform manipulator can be actuated to pivot the first platform portion and the second platform portion relative to each other.

9. The surgical platform system of claim 1, wherein: The column portion is telescopically expandable and retractable between a retracted first position and an expanded second position to raise and lower the first platform portion, the second platform portion, and the link portion relative to the horizontally-oriented portion.

10. A surgical platform system for facilitating manipulation of a supported patient, the surgical platform system comprising: a horizontally oriented portion and a vertically oriented portion, the horizontally oriented portion supporting the vertically oriented portion and the vertically oriented portion spacing the first platform portion, the second platform portion, and the linkage portion of the surgical platform system from the horizontally oriented portion, The link portion includes a base pivotally attached to the vertically oriented portion, a first connector supported by the base, and first and second support portions at least partially supported by the first connector, The second platform portion is supported by the base, The first connector has a first end and an opposite second end, the first end of the first connector being pivotally attached relative to the base, and The first support portion and the second support portion each include a first end and an opposite second end, the first support portion and the second support portion are attached to the second end of the first connector near their second ends, and the first platform portion is supported by the link portion near the first ends of the first support portion and the second support portion; The first platform portion includes a first patient support portion for supporting portions of the patient's head and upper torso; and The second platform portion includes a second patient support portion for supporting a plurality of portions of the patient's legs; wherein the first platform portion pivots relative to the base by pivotal movement of the first connector; wherein the second platform portion pivots relative to the column portion by pivotal movement of the base; and Wherein, the pivotal movement of the first platform portion relative to the base and the pivotal movement of the second platform portion relative to the column portion are used to articulate the first platform portion and the second platform portion separately relative to each other.

11. The surgical platform system of claim 10, further comprising a first actuator extending between the horizontally oriented portion and the first connector, the first actuator being actuatable to expand and contract to pivot the base and the second platform portion relative to the column portion.

12. The surgical platform system of claim 10, wherein: The second ends of the first support portion and the second support portion are pivotally attached to the second end of the first connector.

13. The surgical platform system of claim 12, further comprising a first actuator extending between the horizontally oriented portion and a second connector attached between the first support portion and the second support portion, the first actuator being actuatable to expand and contract to pivot the first support portion and the second support portion relative to the first connector.

14. The surgical platform system of claim 13, further comprising a second actuator extending between a second end of the first connector and a third connector attached between multiple portions of the base, the second actuator being actuatable to expand and contract to pivot the first connector relative to the base.

15. The surgical platform system as described in claim 10 further includes a first actuator extending between the horizontally oriented portion and the first connector, a second actuator extending between the horizontally oriented portion and the second connector attached between the first support portion and the second support portion, and a third actuator extending between the second end of the first connector and a third connector attached between multiple parts of the base, the first actuator can be actuatable to expand and contract to allow the base and the second platform portion to pivot relative to the column portion, the second actuator can be actuatable to expand and contract to allow the first support portion and the second support portion to pivot relative to the first connector; and the third actuator can be actuatable to expand and contract to allow the first connector to pivot relative to the base.

16. The surgical platform system according to claim 15, wherein the surgical platform system is combined with a robot system and further comprises: The robotic system includes a stage having a platform manipulator and an engagement portion supported by the platform manipulator; and The first platform portion includes a first end and an opposite second end, the first end of the first platform portion including a complementary engagement portion for engaging with an engagement portion of the stage, and the second end of the first platform portion is attached to the first ends of the first support portion and the second support portion; wherein, when the engagement portion and the complementary engagement portion engage with each other, the surgical platform system is interconnected with the gantry, and the first actuator, the second actuator, the third actuator, and the platform manipulator can be actuated to position / orient a patient supported by the first platform portion and the second platform portion relative to the robotic system.

17. The combination of a surgical platform system and a robotic system according to claim 16, wherein: The second end of the first platform portion is pivotally attached to the first ends of the first support portion and the second support portion, and wherein the first actuator, the second actuator, the third actuator and the platform manipulator can be actuated to pivot the first platform portion and the second platform portion relative to each other.

18. The surgical platform system of claim 10, wherein: The vertically oriented portion includes a column portion, and the column portion is capable of telescopically expanding and contracting between a retracted first position and an expanded second position to raise and lower the first platform portion, the second platform portion, and the link portion relative to the horizontally oriented portion.

19. A surgical platform system for facilitating manipulation of a supported patient, the surgical platform system comprising: a support member, the support member supporting the link portion, the first support platform and the second support platform relative to the ground, The link portion includes a base pivotally attached to the support, a first connector supported by the base, and first and second support portions at least partially supported by the first connector, The second platform portion is supported by the base, The first connector has a first end and an opposite second end, the first end of the first connector being pivotally attached relative to the base, and The first support portion and the second support portion each include a first end and an opposite second end, the first support portion and the second support portion are attached to the second end of the first connector near their second ends, and the first platform portion is supported by the link portion near the first ends of the first support portion and the second support portion; The first platform portion includes a first patient support portion for supporting portions of the patient's head and upper torso; and The second platform portion includes a second patient support portion for supporting a plurality of portions of the patient's legs; wherein the first platform portion pivots relative to the base by pivotal movement of the first connector; wherein the second platform portion pivots relative to the support member by pivotal movement of the base; and Wherein, the pivotal movement of the first platform part relative to the base and the pivotal movement of the second platform part relative to the support member are used to hinge the first platform part and the second platform part separately relative to each other.

20. The surgical platform system of claim 19, wherein the surgical platform system is combined with a robotic system and further comprises: The robotic system includes a stage having a platform manipulator and an engagement portion supported by the platform manipulator; and The first platform portion includes a first end and an opposite second end, the first end of the first platform portion including a complementary engagement portion for engaging with an engagement portion of the stage, and the second end of the first platform portion is attached to the first ends of the first support portion and the second support portion; wherein, when the engaging portion and the complementary engaging portion engage with each other, the surgical platform system is interconnected with the gantry, and the first platform portion and the second platform portion can be manipulated relative to each other to position / orient a patient supported by the first platform portion and the second platform portion relative to the robotic system.

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