Surgical platform system

Abstract

A surgical platform system is provided that includes a first platform portion, a second platform portion, and a support portion. The support platform supports the first platform portion and may be movable relative to the surgical robotic system supporting the second platform portion. With the support portion and the first platform portion positioned relative to the surgical robotic system, the first platform portion supporting the first portion of the patient and the second platform portion supporting the second portion of the patient may be adjusted relative to each other to correspondingly adjust the position / orientation of the first and second portions of the patient. For presentation, an end portion is used that supports a first platform portion that can be rotated about a vertical axis and moved left and right to adjust its position / orientation relative to a second platform portion.

Description

Technical Field

[0001] The present technology generally relates to a surgical platform system having a first platform portion and a second platform portion, which can be used to adjust the 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 to provide an increased degree of adjustment for at least one of the first platform portion and the second platform portion. 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. However, the patient articulation provided by these other types of operating tables is often limited by the attachment of the patient platform portions to each other, and is often limited to one axis or in one plane. Therefore, in order to enhance patient articulation, a surgical platform system is needed, which includes a first platform portion and a second platform portion, and the first platform portion and the second platform portion are separated from each other to provide independent movement therebetween. Such a surgical platform system incorporating a first platform portion and a second platform portion that are independently movable from one another can 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, respectively, and at least one of the first platform portion and the second platform portion can have an increased degree of freedom for such positioning and orientation. 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 a first portion and a second portion of the patient can be supported on a first platform portion and a second platform portion, respectively, of the surgical platform system, the first platform portion and the second platform portion can be independently movable relative to each other, and 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] In one aspect, the present disclosure provides a surgical platform system, the surgical platform system including a first platform portion and a support portion supporting the first platform portion, the support portion including a first support structure, a second support structure, and an adjustment portion, the first support structure having a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end of the first support structure, a first end portion at the first end, a second end portion at the second end, and at least one cross member extending between the first end portion and the second end portion, the second end portion including a slide portion and a rotating body portion supported by the slide portion, the second support structure extending upward from the rotating body portion of the first support structure, the second support structure vertically spacing the adjustment portion from the first support structure, and the adjustment portion rotatably and tiltably supports the first platform portion relative to the first support structure and the second support structure; and 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 second support structure 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 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 a second platform portion, the second platform portion including a first end, an opposite second end, a first end portion at the first end of the second platform portion, a second end portion at the second end of the second 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; wherein the support portion is positionable relative to the robotic system and the first end portion of the second platform portion is supported relative to the robotic system; wherein when the support portion is positioned relative to the robotic system, 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 first platform portion is at least one of tilted upward / downward and rotated about an axis aligned with the intermediate longitudinal axis via operation of the adjustment portion to position / orient and reposition / orient a first portion of a patient supported by the first platform portion relative to a second portion of the patient supported by the second platform portion.

[0005] On the other hand, the present disclosure provides a surgical platform system, which includes a first platform part and a support part, which supports the first platform part above and vertically separates the first platform part from the ground, the support part includes an end part containing a sliding part and a rotating body part supported by the sliding part, a vertical part extending upward from the rotating body part, and an adjustment part supported by the vertical part, the first platform part is rotatably and tiltably connected to the adjustment part; and the first platform part includes a first end, an opposite second end, a first end part at the first end of the first platform part, a second end part at the second end of the first platform part, at least a first guide rail and a second guide rail extending between the first end part and the second end part of the first platform part, a head support, and a chest support supported by at least the first guide rail and the second guide rail of the first platform part; and a second platform part, which includes a first end, an opposite second end, a first end part at the first end of the second platform part, and a second end part at the second end of the second platform part. a second end portion at the lower part of the support 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; wherein the support portion is positionable relative to the robotic system, and the first end portion of the second platform portion is supported relative to the robotic system; wherein, when the support portion is positioned relative to the robotic system, the first platform portion and the second platform portion are positioned adjacent to each other and separated by a gap between the first end portion of the first platform portion and the second end portion of the second platform portion; and wherein the first platform portion is movable left to right via operation of the slide portion, the first platform portion is rotatable around an axis transverse to the intermediate longitudinal axis via operation of the rotator portion, and the first platform portion is at least one of tilted upward / downward and rotated via operation of the adjustment portion so as to position / orient and reposition / reorient a first portion of the patient supported by the first platform portion relative to a second portion of the patient supported by the second platform portion.

[0006] On the other hand, the present disclosure provides a surgical platform system, which includes a first platform part and a support part supporting the first platform part, the support part including a first support structure, a second support structure and an adjustment part, the first support structure having a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end of the first support structure, a first end part at the first end, a second end part at the second end, and at least one cross member extending between the first end part and the second end part, the second end part including a sliding part and a rotating body part supported by the sliding part, the second support structure extending upward from the rotating body part of the first support structure, the second support structure vertically spaces the adjustment part from the first support structure, and the adjustment part rotatably and tiltably supports the first platform part relative to the first support structure and the second support structure; and the first platform part includes a first end, an opposite second end and a length between the first end and the second end of the first platform part, the second support structure A platform portion is constructed to support a first portion of a patient on the first platform portion; and a second platform portion, the second platform portion including a first end, an opposite second end, and a length between the first end and the second end of the second platform portion, the second platform portion being constructed to support a second portion of the patient on the second platform portion; wherein, when the support portion is positioned relative to the robotic system, 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 left and right across the intermediate longitudinal axis via operation of the slide portion, the first platform portion is rotatable around an axis transverse to the intermediate longitudinal axis via operation of the rotator portion, and the first platform portion is tiltable upward / downward and rotatable around an axis aligned with the intermediate longitudinal axis via operation of the adjustment portion, so as to position / orient and reposition / reorient the portions of the patient supported by the first platform portion and the second platform portion 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 1A is a side perspective view showing a first portion of a surgical platform system of the present disclosure;

[0010] Figure 1B is similar to Figure 1AA side perspective view showing a first portion of the surgical platform system;

[0011] Figure 1C It is shown Figure 1A A top plan view of a first portion of a surgical platform system;

[0012] Figure 2 It is shown Figure 1A a side perspective view of a first portion of a surgical platform system positioned relative to a second portion of the surgical platform system and a surgical robotic system supporting the second portion of the surgical platform system;

[0013] Figure 3 It is shown Figure 1A The first portion of the surgical platform system is in position relative to the second portion of the surgical platform system and the surgical robot system supports Figure 2 A side perspective view of a second portion of the surgical platform system;

[0014] Figure 4 The present invention is a diagram showing a patient supported on a first portion and a second portion of a surgical platform system in a prone position and the first portion and the second portion of the surgical platform system are as shown in FIG. Figure 3 side perspective views of the depictions positioned relative to each other;

[0015] Figure 5 The present invention is a diagram showing a patient supported on a first portion and a second portion of a surgical platform system in a prone position and the first portion and the second portion of the surgical platform system are as shown in FIG. Figure 3 another side perspective view of the depicted positions relative to each other;

[0016] Figure 6 The present invention is a diagram showing a patient supported on a first portion and a second portion of a surgical platform system in a prone position and the first portion and the second portion of the surgical platform system are as shown in FIG. Figure 3 side elevation views of the depictions positioned relative to each other;

[0017] Figure 7 It is shown Figure 1A The first part of the surgical platform system and the first part of the patient supported on the first part are relative to Figure 3 a side elevation view of a second portion of the surgical platform system and a patient positioned on the second portion with the second portion raised and tilted downward;

[0018] Figure 8 It is shown Figure 3 The second part of the surgical platform system and the second part of the patient supported on the second part are relative to Figure 1A a side elevation view of a first position of the surgical platform system and a patient positioned in the first position with the first position raised and tilted downward;

[0019] Fig. 9 It is shown Figure 1A A side elevation view of a first portion and a second portion of a surgical platform system and a corresponding first portion and a second portion of a patient supported on the first portion and the second portion raised and tilted downwardly relative to each other;

[0020] Fig.10 It is shown Figure 1A and Figure 3 A side elevation view of a first portion and a second portion of a surgical platform system and corresponding first and second portions of a patient supported on the first and second portions lowered and tilted upward relative to each other;

[0021] Fig.11 is a side elevation view illustrating a first portion of a surgical platform system and a first position of a patient positioned on the first portion elevated relative to a second portion of the surgical platform system and a second portion of the patient positioned on the second portion;

[0022] Fig.12 is a side elevation view showing first and second portions of a surgical platform system and corresponding first and second portions of a patient supported thereon positioned further apart from one another;

[0023] Fig.13 is a side perspective view showing a first portion of a modified surgical platform system of the present disclosure;

[0024] Fig.14 It is shown Fig.13 an end perspective view of a slide portion and a rotatable body portion of a first portion of a modified surgical platform system;

[0025] Fig.15 It is shown Fig.13 A top perspective view of a slide portion and a rotatable body portion of a first portion of a modified surgical platform system;

[0026] Fig.16 It is shown Fig.13 a side perspective view of the first portion of the modified surgical platform system in position relative to the second portion of the modified surgical platform system and the surgical robotic system supporting the second portion of the modified surgical platform system with the patient supported by the first portion and the second portion of the modified surgical platform system in a prone position;

[0027] Fig.17 is another side perspective view showing a patient supported by the first portion and the second portion of the modified surgical platform system with the patient in a prone position;

[0028] Fig.18 is a top plan view illustrating a patient supported by a first portion and a second portion of a modified surgical platform system with the patient in a prone position;

[0029] Fig.19 is a top plan view illustrating a patient supported by a first portion and a second portion of a modified surgical platform system with a sagittal position of the patient adjusted via relative adjustment of the first portion with respect to the second portion of the modified surgical platform system;

[0030] Fig. 20 is a side perspective view illustrating a patient supported by a first portion and a second portion of a modified surgical platform system with a sagittal position of the patient adjusted via relative adjustment of the first portion relative to the second portion of the modified surgical platform system; and

[0031] Fig.21 is a side perspective view illustrating a patient supported by a first portion and a second portion of a modified surgical platform system with the sagittal and torsional position of the patient adjusted via relative adjustment of the first portion relative to the second portion of the modified surgical platform system. DETAILED DESCRIPTION

[0032] The preferred embodiment of the surgical platform system of the present disclosure is Fig.13 and Figures 16 to 21 The surgical platform system 10' is generally indicated by the number 10'. Fig.10 , and is therefore similar to that surgical platform system and includes many of its features. As discussed below, the modified surgical platform system 10 ′ provides additional movement and manipulation of the patient P as compared to the surgical platform system 10 .

[0033] like Figure 1A As depicted, the surgical platform system 10 includes a first end E1, a second end E2, and an intermediate longitudinal axis L1 extending through the first end E1 and the second end E2. The surgical platform system 10 includes a first platform portion 12 and a support portion 14. The support portion 14 supports the first platform portion 12, and a portion of the patient P can be supported on the first platform portion 12. The first platform portion 12 and the support portion 14 can be relative to the general letter R ( Figures 2 to 10 ) is used to position and reposition a surgical robot system or robotic surgical guidance system (hereinafter referred to as a "robotic system") indicated by and in connection with it.

[0034] The surgical platform system 10 may include a second platform portion 16 that is attached to or integrated with the robotic system R for supporting a portion of the patient P that is different from the portion supported by the first platform portion 12. A gap G is provided between the first platform portion 12 and the second platform portion 16. At the same time, when the patient P is supported thereby, the adjustment of the first platform portion 12 and the second platform portion 16 via independent movement relative to each other can be used to manipulate and provide access to portions of the patient P body. In doing so, the independent adjustment of the first platform portion 12 and the second platform portion 16 relative to each other can be used to position / orient and reposition / reorient the portion of the patient supported by the first platform portion and the second platform portion. The surgical platform system 10 and / or the robotic system R may include one or more controllers for controlling the motorized actuators included in the surgical platform system 10 to facilitate its operation. In some embodiments, for example, 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 16 by moving them relative to each other. Furthermore, the robotic system R may be used to perform or assist in performing surgery, and such surgery may include, for example, spinal surgery on the spine of a patient P.

[0035] During use, the support portion 14 can be used to facilitate movement of the first platform portion 12 and can be used to position the first platform portion 12 relative to the robotic system R. As shown in FIGS. 1 and 2 Figure 2 As depicted, the support portion 14 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 relative to the horizontally oriented portion 20. After being properly positioned relative to the robotic system R, the support portion 14 can be interconnected with the robotic system R by attaching a portion of the horizontally oriented portion 20 to a portion of the robotic system R.

[0036] like Figure 1A and Figure 1BAs 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 can be aligned with the intermediate longitudinal axis L2 of the horizontally oriented portion 20, 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 adjacent to the first and second lateral ends 36, 38 of the first and second end members 24, 26 relative to the lower surface 34 to space the first and second end members 24, 26 from the ground and facilitate movement of the support portion 14.

[0037] The surgical platform system 10 may be initially positioned relative to the robotic system R using a positioner 42 having portions provided as part of the surgical platform system 10 and the robotic system R. For purposes of illustration, the positioner 42 may include a receiver portion 44 ( Figure 1A ) and a tongue portion 46 ( Figure 2 ), or vice versa. The receiver portion 44 can be disposed at and adjacent to 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. As depicted in FIG. 1 , the receiver portion 44 is formed as a channel formed in 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 adjacent to a first lateral side 52 of the cross member 30; a second side wall portion 54 having a portion disposed adjacent to a second lateral side 56 of the cross member 30; and an upper wall portion 58, which is partially formed by the lower surface 34 of the first end member 24 and portions of the cross member 30.

[0038] 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 can include different apertures 60 adjacent to and spaced along the receiving area A1, and include a plurality of anti-collision wheels 62 rotatably mounted in the various apertures 60. Portions of the anti-collision wheels 62 can 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).

[0039] The tongue portion 46 can be attached to the robotic system R ( Figure 2 ) 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 adjacent 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 adjacent the second end 66 to facilitate leveling of at least a portion of the tongue portion 46.

[0040] like Figure 2 As depicted, to initially position the support portion 14 (and the first platform portion 12 attached thereto) relative to the robotic system R, the horizontally oriented portion 20 of the support portion 14 can be positioned such 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. Varying the amount of insertion of the tongue portion 46 into the receiving area A1 can be used to accommodate patients of different heights, and a locking mechanism (not shown) can be used to maintain the position of the tongue portion 46 in the receiving area A1. However, instead of using the positioner 42, an automatic interconnection mechanism (not shown) can be used to position the support portion 14 and the robotic system R relative to each other.

[0041] like Figure 1AAs depicted, the vertically oriented portion 22 includes a telescoping column 80 for orienting and reorienting the first platform portion 12 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 second end member 26 and 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 relative to the horizontally oriented portion 20 to position / orient and reposition / reorient the first platform portion 12 between the lower position and the upper position.

[0042] The vertical orientation portion 22 also includes an adjustment portion in the form of a rotation and / or tilt positioner 90. The rotation / tilt positioner 90 is supported relative to the telescoping column 80 by a U-shaped clamp 92 attached to the upper portion 84. The rotation / tilt positioner 90 includes: a rotation portion 94, which includes an actuator in the form of a motor and transmission portion 96 and a shaft 98; and a tilt portion 100, which includes an actuator in the form of a motor and transmission portion 102 and a shaft 104. As shown in Figures 1 and Figure 2 As depicted, a portion of the motor and transmission portion 96 of the rotating portion 94 may be positioned between portions of the clevis 92, and a shaft 98 may extend outwardly from the motor and transmission portion 96 and be attached to the first platform portion 12. Additionally, a motor and transmission portion 102 of the tilting portion 100 may be positioned on one side of a portion of the clevis 92, and a shaft 104 may be received through the clevis 92 and attached to a portion of the rotating portion 92. Operation of the motor and transmission portion 96 is used to rotate the shaft 98 to rotate the support platform 12 attached to the shaft, and operation of the motor and transmission portion 102 is used to rotate the shaft 104 to tilt the rotating portion 92 and the support platform 12 attached to the shaft.

[0043] Thus, in order to position / orient and reposition / reorient the first platform portion 12, the first platform portion 12 can be raised and lowered via the expansion and contraction of the telescoping column 80; the first platform portion 12 can be rotated left and right by rotating the shaft 98 (about its rotation axis) using the motor and transmission portion 96, and the first platform portion 12 can be tilted up or down by rotating the shaft 104 (about its rotation axis) using the motor and transmission portion 102. In this way, the rotation of the shaft 98 rotates the first platform portion 12 left and right in a vertical plane perpendicular to the intermediate longitudinal axes L1 and L2, and the rotation of the shaft 104 tilts the first platform portion 12 up and down in a vertical plane aligned with the intermediate longitudinal axes L1 and L2. The operation of the telescoping column 80, the motor and transmission portion 96, and the motor and transmission portion 102 can be controlled by one or more controllers of the surgical platform system 10 and / or the robotic system R.

[0044] like Figure 1B and Figure 1C As depicted, the first platform portion 12 includes a first end portion 110 at and adjacent to its first end 112, a second end portion 114 at and adjacent to its second end 116, and different guide rails positioned between the first and second end portions connecting the first and second end portions 110 and 114 to each other. The second end portion 114 has a sufficiently high height ( Figure 1B ) to provide attachment relative to the shaft 98, and such attachment provides rotation of the first platform portion 12 via operation of the motor and transmission portion 96. The first platform portion 12 includes a first patient support portion 120, and as shown Figure 1B and Figure 1C The depicted different rails may include a first outer rail 122 and a second outer rail 124 extending between the first end portion 110 and the second end portion 114. The first end portions of the first outer rail 122 and the second outer rail 124 may be attached to the first end portion 110, the opposite second end portions of the first outer rail 122 and the second outer rail 124 may be attached to the second end portion 112, and / or the first end portion and the second end portion may be attached to an intermediate portion (not shown) positioned between the different rails and the first end portion 110 and / or the second end portion 114. In addition, the first outer rail 122 and the second outer rail 124 may be aligned with the intermediate longitudinal axis L3 of the first platform portion 12, wherein the first outer rail 122 is positioned on one side of the intermediate longitudinal axis L3 and the second outer rail 124 is positioned on the other side of the intermediate longitudinal axis L3.

[0045] In addition to providing structural rigidity to the first platform portion 12, the first outer rail 122 and the second outer rail 124 may also be used to support the first patient support portion 120 of the first platform portion 12. The at least one patient support portion 120 may include a chest support portion 130 and a head support portion 132 that are integrated or separate from each other. Figure 1B and Figure 1C As depicted, the chest support portion 130 and the head support portion 132 are separated from each other. In addition, the chest support portion 130 and / or the head support portion 132 can be movably adjusted or fixed in place along portions of the first outer rail 122 and the second outer rail 124 to accommodate patients of different sizes. Figure 1B and Figure 1C As depicted, the chest support portion 130 and the head support portion 132 are movably adjustable along the first outer rail 122 and the second outer rail 124. Figure 1B and Figure 1CAs depicted, the patient P is supported by the first patient support portion 120 in a prone position, with the upper torso of the patient P contacting and supported by the chest support portion 130, and the head of the patient P contacting and supported by the head support portion 132. As such, the first outer rail 122 and the second outer rail 124 act as rails that provide movement of the chest support portion 130 and the head support portion 132.

[0046] like Figure 1C As depicted, chest support portion 130 includes a first deck portion 140, a first lateral side portion 142 attached relative to a first lateral side of first deck portion 140, and a second lateral side portion 144 attached relative to a second lateral side of first deck portion 140. First deck portion 140 may extend between first lateral side portion 142 and second lateral side portion 144, and first deck portion 140 may be supported between first outer rail 122 and second outer rail 124 using first lateral side portion 142 and second lateral side portion 144. First deck portion 140 may be used to support a chest support pad 146 on the first deck portion.

[0047] like Figure 1C As depicted, the first lateral side portion 142 can contact and be movably supported by the first outer rail 122, and the second lateral side portion 144 can contact and be movably supported by the second outer rail 124. The first lateral side portion 142 can include a first clamping portion 150 attached thereto, and the second lateral side portion 144 can include a second clamping portion 152 attached thereto, the first clamping portion and the second clamping portion being engageable and disengageable relative to the first outer rail 122 and the second outer rail 124, respectively. Engagement of the first and second clamping portions 150, 152 maintains the first and second lateral side portions 142, 144 (and the first deck portion 140) in position relative to the first and second outer rails 122, 124, respectively, and disengagement of the first and second clamping portions 150, 152 allows the first and second lateral side portions 142, 144 (and the first deck portion 140) to move along the first and second outer rails 122, 124, respectively. In this way, the chest support pad 146 can be positioned and repositioned to accommodate patients of different sizes to find an acceptable position to support the patient's upper torso, and then, the chest support pad 146 can be maintained in place using the first and second clamping portions 150, 152. The chest support pad 146 can be deformed to cushion portions of the patient's upper torso, and in so doing, also serve to maintain the position of the patient's upper torso relative to the first platform portion 12.

[0048] In a similar manner to the chest support portion 130, the head support portion 132 may include a second deck portion 160, a first lateral side portion 162 attached relative to a first lateral side of the second deck portion 160, and a second lateral side portion 164 attached relative to a second lateral side of the second deck portion 160. The second deck portion 160 may extend between the first lateral side portion 162 and the second lateral side portion 164, and the second deck portion 160 may be supported between the first outer rail 122 and the second outer rail 124 using the first lateral side portion 162 and the second lateral side portion 164. Figure 1C As depicted, the second deck portion 160 can be used to support a head support 166 and can include an aperture 168 formed therein that can provide access to the airway of the patient P.

[0049] like Figure 1C As depicted, the first lateral side portion 162 can contact and be movably supported by the first outer rail 122, and the second lateral side portion 164 can contact and be movably supported by the second outer rail 124. The first lateral side portion 162 can include a first clamping portion 170 attached thereto, and the second lateral side portion 164 can include a second clamping portion 172 attached thereto, the first clamping portion and the second clamping portion being engageable and disengageable relative to the first outer rail 122 and the second outer rail 124, respectively. The engagement of the first clamping portion 170 and the second clamping portion 172 maintains the first lateral side portion 162 and the second lateral side portion 164 (and the second deck portion 160) in position relative to the first outer rail 122 and the second outer rail 124, respectively, and the disengagement of the first clamping portion 170 and the second clamping portion 172 allows the first lateral side portion 162 and the second lateral side portion 164 (and the second deck portion 160) to move along the first outer rail 122 and the second outer rail 124, respectively. In this way, the head support 166 can be positioned and repositioned to accommodate patients of different sizes to find an acceptable position to support the patient's head, and then, the head support 166 can be maintained in place using the first clamping portion 170 and the second clamping portion 172. The head support 166 can be used to maintain the position of the patient's head relative to the first platform portion 12.

[0050] If the chest support portion 130 and the head support portion 132 are integrated with each other, the chest support portion 130 (and the corresponding support pad) and the head support portion 132 (and the corresponding support member) may be included on a single table top (not shown), which may be movably supported by the first outer rail 122 and the second outer rail 124, and the chest support portion 130 and / or the head support portion 132 may also be movably supported relative to the single table top. The single table top and the chest support portion and the head support portion (when movably supported by the single table top) may also include one or more clamping portions attached thereto, which are used to maintain the single table top, the chest support portion, and / or the head support portion in place.

[0051] In addition to the chest support portion 130 and the head support portion 132, a first arm support 174 and a second arm support 176 may be provided as part of the first platform portion 12 to support the arms of the patient P relative to the rest of the patient P. Figure 1B As depicted, the first arm support 174 is attached relative to the first outer rail portion 122, and the second arm support 176 is attached relative to the second outer rail portion 124. Thus, when the upper torso of the patient P is supported by the chest support portion 130 and the head of the patient P is supported by the head support portion 132, the left and right arms of the patient P can be supported relative to the rest of the first platform portion 12 by the first arm support 174 and the second arm support 176, respectively.

[0052] like Figure 2 As depicted, the second platform portion 16 includes a first end portion 180 at and adjacent to a first end 182 thereof, a second end portion 184 at and adjacent to a second end 186 thereof, and different rails positioned between the first and second end portions connecting the first and second end portions 180 and 184 to each other. The first end portion 184 can be attached to a robotic system R or a subsystem (not shown) positioned relative to the robotic system, and the robotic system R or subsystem can be used to adjust, rotate, and / or tilt the second platform portion 16 up and down via its operation in a direction similar to that provided using the telescoping column 80 and the rotation / tilt positioner 90. Rather than being provided as part of the robotic system, a portion of the positioner 42 can alternatively be provided as part of the subsystem.

[0053] The second platform portion 16 includes a second patient support portion 190 and as shown in FIG. Figure 2The depicted different rails may include a first outer rail 192 and a second outer rail 194 extending between the first end portion 180 and the second end portion 184. The first end portions of the first outer rail 192 and the second outer rail 194 may be attached to the first end portion 180, the opposite second end portions of the first outer rail 192 and the second outer rail 194 may be attached to the second end portion 184, and / or the first end portion and the second end portion may be attached to an intermediate portion (not shown) positioned between the different rails and the first end portion 180 and / or the second end portion 184. In addition, the first outer rail 192 and the second outer rail 194 may be aligned with the intermediate longitudinal axis L4 of the second platform portion 16, wherein the first outer rail 192 is positioned on one side of the intermediate longitudinal axis L4 and the second outer rail 194 is positioned on the other side of the intermediate longitudinal axis L4.

[0054] In addition to providing structural rigidity to the second platform portion 16, the first outer rail 192 and the second outer rail 194 can also be used to support the second patient support portion 190, which can include a first upper thigh support 202, a second upper thigh support 204, a first lower thigh support 206, and a second lower thigh support 208 for contacting and supporting the thigh of the patient P. The first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208 can be movably adjusted or fixed in place along portions of the first outer rail 192 and the second outer rail 194 to accommodate patients of different sizes. Figure 2 As depicted, the first upper thigh support 202 and the first lower thigh support 206 are supported by the first outer rail 192, and the second upper thigh support 204 and the second lower thigh support 208 are supported by the second outer rail 194. In this way, the first outer rail 192 and the second outer rail 194 act as tracks that provide movement of the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208.

[0055] The first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208 may each include a bracket portion 210, a support pad 212, and a clamping portion 214. The bracket portion 210 of the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208 may be movably supported relative to at least one of the first outer rail 192 and the second outer rail 194. The bracket portion 210 may each include a plate portion 216 for supporting the support pad 212, and the plate portion 216 of the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and / or the second lower thigh support 208 may have different angles relative to the rest of the bracket portion 210 to orient the support pad 212 differently. As with the clamping portions discussed above, the clamping portion 214 can engage and disengage with the first outer rail 192 and / or the second outer rail 194 to maintain the position of the clamping portion or allow positioning and repositioning along the first outer rail and / or the second outer rail. In this way, the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208 can be adjusted into position to accommodate patients of different sizes, and thus, the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, and the second lower thigh support 208 can be maintained in place using the clamping portion 214. The support pad 212 can be deformed to cushion a portion of the patient's thigh, and in doing so, also serve to maintain the position of the patient's thigh relative to the first platform portion 12.

[0056] In addition to the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206 and / or the second lower thigh support 208, a calf support (not shown) of the second patient support portion 190 can also be provided. The calf support can be used to contact and support the calf of the patient P, and can include a plate portion (not shown) and a support pad (not shown). The plate portion can be positioned between and supported by the first outer rail 192 and the second outer rail 194, for example, and the support pad can be supported by the plate portion. The plate portion of the calf support can be fixed in place relative to the first outer rail 192 and the second outer rail 194. However, as with other different patient support portions, the plate portion can be movably supported relative to the rest of the second platform portion 16 to provide positioning and repositioning of the plate portion. In addition, the calf support can also include one or more clamping portions that can be engaged and disengaged. In this way, the calf support can be adjusted into place to accommodate patients of different body types, and then, the calf support can be maintained in place using one or more clamping portions.

[0057] When the surgical platform system 10 is positioned relative to the robotic system R and / or subsystem such that the receiver portion 44 and the tongue portion 46 of the positioner 42 engage each other, as shown in FIG. Figures 4 to 10 As depicted, the patient P can be received on the first platform portion 12 and the second platform portion 16. To accommodate patients of different sizes, components of the first patient support portion 120 (including the chest support portion 130 and the head support portion 132) and / or the second patient support portion 190 (including the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, the second lower thigh support 208 and / or the calf support) can be positioned and repositioned along the first platform portion 12 and the second platform portion 16. Figures 4 to 10 As depicted, the head and torso of patient P are supported by the first platform portion 12, and the thighs and calves of patient P are supported by the second platform portion 16, and components of the first patient support portion 120 and the second patient support portion 190 are positioned to contact corresponding portions of patient P and support them relative to the first platform portion 12 and the second platform portion 16.

[0058] Although in Figures 4 to 10 In the embodiment, the head and upper torso of the patient P are supported by the first patient support portion 120 on the first platform portion 12, and the thighs and calves of the patient P are supported by the second patient support portion 190 on the second platform portion 16, but the position of the patient P can be reversed, wherein the first patient support portion 120 supports the head and upper torso of the patient P on the second platform portion 16, and the second patient support portion 190 supports the thighs and calves of the patient P on the first platform portion 12. In addition, although in Figures 4 to 10 In the embodiment shown in FIG. 1 , the patient is supported in a prone position, but the patient P may be supported on the first platform portion 12 and the second platform portion 16 in a supine position.

[0059] With 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 16, the first platform portion 12 and the second platform portion 16 can be independently adjusted relative to each other to position / orient and reposition / reorient the portions of the patient P supported by the first platform portion and the second platform portion before, during, and after surgery. Independent adjustment of the relative positions of the first platform portion 12 and the second platform portion 16 is provided by the spacing between the first platform portion and the second platform portion defined by the gap G.

[0060] For illustration, the first platform portion 12 can be raised and lowered via operation of the telescoping column 80, can be rotated via operation of the corresponding motor and transmission portion 96 to actuate the rotating portion 94 via rotation of the corresponding shaft 98, and can be tilted via operation of the corresponding motor and transmission portion 102 to actuate the tilting portion 100 via rotation of the corresponding shaft 104. The upward and downward movement provided by the telescoping column 80, the rotational movement provided by the rotating portion 94, and the tilting movement of the first platform portion 12 provided by the tilting portion 100 are used to position and reposition the first platform portion 12 to position / orient and reposition / reorient a first portion of the patient P supported by the first platform portion relative to the second platform portion 16 (and a second portion of the patient P supported by the second platform portion 16). Furthermore, the second platform portion 16 can also be moved up and down, rotated and tilted by the robotic system R or a subsystem in a manner similar to the first platform portion 12 to position and reposition the second platform portion 16, thereby positioning / orienting and repositioning / reorienting the second portion of the patient P supported by the second platform portion relative to the first platform portion 12 (and the first portion of the patient P supported by the first platform portion 12).

[0061] The independent and relative movement of the first platform portion 12 and the second platform portion 16 can be used to adjust the position / orientation of the portion of the patient P supported by the first platform portion and the second platform portion before, during, and after surgery, and the robotic system R can be used to perform or assist in performing surgery on the patient P. For example, Figure 7 As depicted, telescoping column 80 can be actuated to raise the position of first platform portion 12, and tilt portion 100 can be actuated to tilt the position of first platform portion 12, and in so doing, bend the patient's body to tilt the head and upper torso upward relative to the legs. Figure 8 As depicted, the robotic system R or subsystem can be actuated to raise and tilt the position of the second platform portion 16 and, in so doing, bend the patient's body to tilt the legs upward relative to the head and upper torso. Fig. 9 As depicted, via actuation of the telescoping columns, tilt portion 100 and robotic system R, the position / orientation of first and second support platforms 12, 16 can be adjusted to flex the patient's body to move both the head and upper torso upward and / or the legs upward. Figures 7 to 9 Movement of the joints of the patient's body in the articulation introduces extension to the patient's spine.

[0062] In addition, via actuation of the telescoping column 80, the tilting portion 100, and the robotic system R or subsystem, the position / orientation of the first support platform 12 and the second support platform 16 can alternatively be adjusted to bend the patient's body, thereby moving the head and upper torso downward and / or moving the legs downward to introduce flexion to the patient's spine. Also, 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 16 can be twisted relative to each other to introduce a twist between the first portion and the second portion via actuation of the rotating portion 94 and / or the robotic system R or subsystem. In addition, the telescoping column 80 or the robotic system R or subsystem can also be actuated (without tilting or twisting) to raise (or lower) 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. Fig.11 ), or vice versa. Also, the patient's body can be stretched by adjusting the position of the support portion 14 by changing the amount of insertion of the tongue portion 46 into the receiving area A1 ( Fig.12 ) or shrink.

[0063] Therefore, the actuation of the telescopic column 80, the rotating portion 94, the tilting portion 100 and the robot system R or subsystem can be used to adjust the relative position and orientation of the first platform portion 12 and the second platform portion 16 to adjust the position / orientation of the patient's body accordingly before, during and after the operation. In addition, the surgical platform system 10, the robot system R and / or the subsystem may include one or more controllers for controlling the actuatable portions thereof in the surgical platform system 10, the robot system R and / or the subsystem to facilitate the operation of the surgical platform system, the robot system and / or the subsystem to coordinate the movement therebetween. And, for example, such coordinated movement via the one or more controllers can be used to manipulate the patient's spine and prevent it from overextension or overflexion before, during and after the operation. Thereafter, when the operation is completed, the patient P can be lowered from the first platform portion 12 and the second platform portion 16, and the first surgical platform 12 can be disconnected relative to the robot system R or the subsystem.

[0064] like Fig.13 and Figures 16 to 21 As depicted, a modified surgical platform system 10' is provided that provides additional movement and manipulation of a patient P compared to the surgical platform system 10. The modified surgical platform system 10' is similar to the surgical platform 10 and includes many of its features, and like numbers are used to describe similar features. For purposes of illustration, the modified surgical platform system 10' includes a first platform portion 12 and a second platform portion 16. However, the modified surgical platform system 10' provides additional left-right rotational movement of the first platform portion 12 relative to the second platform portion 16.

[0065] like Fig.13 As depicted, the modified surgical platform system 10' includes a support portion 230 that includes a horizontally oriented portion 232 that supports the vertically oriented portion 22. Like the horizontally oriented portion 20, the horizontally oriented portion 232 includes a first end member 24 at its first end 25, a cross member 30 extending from the first end member 24 toward the second end portion 27, an intermediate longitudinal axis L2 extending through the first end portion 25 and the second end portion 27, and a portion of the locator 42 (i.e., the receiver portion 44). Instead of the second end member 26, the horizontally oriented portion 232 includes an end portion 234 at its second end 27.

[0066] like Fig.14 As depicted, the end portion 234 supports the vertically oriented portion 22 and includes a slider portion 240 and a rotator portion 242. As discussed below, the slider portion 240 is configured to move the vertically oriented portion 22 in a direction transverse to the intermediate longitudinal axis L2, and the rotator portion 242 is configured to rotate the vertically oriented portion 22. Fig.15 As depicted, the end portion 234 includes a bottom portion 250, an end wall portion 252, a first side wall portion 254, and a second side wall portion 256. The end portion 234 includes an open end 258 adjacent to the second end 27, and the bottom portion 250, the end wall portion 252, the first side wall portion 254, and the second side wall portion 256 together define an area in which the slider portion 240 and the rotating body portion 242 are disposed.

[0067] like Fig.14 and Fig.15 As depicted, first side wall portion 254 and second side wall portion 256 may include recesses 260 and 262, which include bottom surfaces 264 and 266, respectively. Casters 268 may be attached to bottom surfaces 264 and 266, respectively, and along with casters 40, casters 268 may be used to space end portion 234 from the ground and facilitate movement of support portion 230 on the ground.

[0068] like Fig.15As depicted, the slider portion 240 may include a first track portion 270, a second track portion 272, one or more first bogies 274 movable along the first track portion 270, one or more second bogies 276 movable along the second track portion 272, and a platform portion 278 supported by the first bogies 274 and the second bogies 276. Using the movement of the first bogies 274 and the second bogies 276 on the first track portion 270 and the second track portion 272, respectively, the platform portion 278 may be movable between a first position and a second position in a left-right direction transverse to the middle longitudinal axis L2 relative to the bottom portion 250. In the first position, a majority of the platform portion 278 may be located on one side of the middle longitudinal axis L2, and in the second position, a majority of the platform portion 278 may be located on the other side of the middle longitudinal axis L2.

[0069] The linear movement of the platform portion 278 can be controlled via the operation of a linear actuator 280, which includes a motor and transmission portion 282, which can be actuated to move the telescopic arm portion 284 inwardly and outwardly. The telescopic arm portion 284 is attached to an extension portion 286, which extends outwardly from the platform portion 278. In this way, the inward and outward movement of the telescopic arm portion 284 is used to move the platform portion 278 between its first position and the second position. Therefore, the first platform portion 12 can be moved in the left-right direction relative to the middle longitudinal axis L2 via the actuation of the actuator 280 of the slide portion 240. In some embodiments, for example, one or more controllers of the surgical platform system 10' and / or the robotic system R can be used to actuate the actuator 280 to control the movement of the first platform portion 12.

[0070] like Fig.15 As depicted, the platform portion 278 can support a rotating body portion 242, and the vertically oriented portion 22 can be supported on the rotating body portion 242. The rotating body portion 242 can include a base portion 290, a rotatable portion 292, and an actuator 294. The rotation of the rotatable portion 292 can be controlled via the operation of the actuator 294, which includes a motor and a transmission portion that can be actuated to rotate the rotatable portion 292 and the vertically oriented portion 22 supported by the rotatable portion 292 around the vertically oriented axis. Therefore, the first platform portion 12 can be rotated via the actuation of the actuator 294 of the rotating body portion 242. In some embodiments, for example, one or more controllers of the surgical platform system 10' and / or the robotic system R can be used to actuate the actuator 294 to control the movement of the first platform portion 12.

[0071] like Fig.16 and Fig.17As depicted, with the first portion of the surgical platform system 10' (including the first platform portion 12) positioned relative to the second portion of the surgical platform system 10' (including the second platform portion 16) attached relative to the robotic system R and / or subsystem such that the receiver portion 44 and the tongue portion 46 of the positioner 42 engage one another, the patient P can be received on and supported by the first platform portion 12 and the second platform portion 16. In so doing, the first patient support portion 120 (including the chest support portion 130 and the head support portion 132) and the second patient support portion 190 (including the first upper thigh support 202, the second upper thigh support 204, the first lower thigh support 206, the second lower thigh support 208, and / or the calf support) can be positioned to accommodate the size of the patient P. Thereafter, the first platform portion 12 and the second platform portion 16 can be independently adjusted relative to one another to position / orient and reposition / reorient the portion of the patient supported by the first platform portion and the second platform portion. Furthermore, the use of the slider portion 240 and the swivel portion 242 provides additional degrees of adjustment of the first platform portion 12 relative to the second platform portion 16 of the surgical platform system 10 ′ as compared to the surgical platform system 10 .

[0072] In order to adjust the position of the first platform portion 12 relative to the surgical platform system 10', the telescopic column 80 can be actuated to expand and contract via the telescopic movement of the upper portion 84 relative to the lower portion 82 between the lower position and the upper position, and such movement correspondingly moves the first platform portion 12 upward and downward. In addition, the rotating portion 94 can be actuated via the operation of the motor and transmission device 96 to rotate the first platform portion 12 of the surgical platform system 10', and the tilting portion 100 can be actuated via the operation of the motor and transmission device 102 to tilt the first platform portion 12 of the surgical platform system 10'. In addition, the slide portion 240 can be actuated via the operation of the motor and transmission device 282 to move the first platform portion 12 of the surgical platform system 10' in a direction transverse to the intermediate longitudinal axis L2, and the rotating body portion 242 can be actuated via the operation of the motor and transmission device 294 to rotate the first platform portion 12 around the vertically oriented axis. One or more controllers of the surgical platform system 10' and / or the robot system R can be used to control such actuation.

[0073] The upward and downward movement provided by the telescoping column 80, the rotational movement provided by the rotating portion 94, the tilting movement provided by the tilting portion 100, the left and right movement provided by the slide portion 240, and the rotational movement provided by the rotating body portion 242 are used to position / orient and reposition / reorient the first platform portion 12 of the surgical platform system 10', thereby correspondingly positioning / orienting and repositioning / reorienting the portion of the patient supported by the first platform portion relative to the second platform portion 16. And, the second platform portion 16 can also be moved upward and downward, rotated, and tilted (in a manner similar to the first platform portion 12) via actuation of the robotic system R or subsystem to correspondingly position / orient and reposition / reorient the portion of the patient supported by the second platform portion relative to the first platform portion 12. One or more controllers of the surgical platform system 10' and / or the robotic system R can be used to control such actuation.

[0074] Although in Figures 16 to 21 In the embodiment, the head and upper torso of the patient P are supported by the first patient support portion 120 on the first platform portion 12, and the thighs and calves of the patient P are supported by the second patient support portion 190 on the second platform portion 16, but the position of the patient P can be reversed, wherein the first patient support portion 120 supports the head and upper torso of the patient P on the second platform portion 16, and the second patient support portion 190 supports the thighs and calves of the patient P on the first platform portion 12. In addition, although in Figures 16 to 21 In the embodiment shown in FIG. 1 , the patient is supported in a prone position, but the patient P may be supported on the first platform portion 12 and the second platform portion 16 in a supine position.

[0075] With 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 16, the first platform portion 12 and the second platform portion 16 can be independently adjusted relative to each other to position / orient and reposition / reorient the portion of the patient P supported by the first platform portion and the second platform portion before, during, and after surgery. Independent adjustment of the relative positions of the first platform portion 12 and the second platform portion 16 is provided by the spacing between the first platform portion and the second platform portion defined by the gap G.

[0076] For example, the telescoping column 80 can be actuated to raise the position of the first platform portion 12, and the tilt portion 100 can be actuated to tilt the position of the first platform portion 12, and in so doing, bend the patient's body so that the head and upper torso are tilted upward relative to the legs (to match the position of the patient's legs). Figure 7Similarly, the robotic system R or subsystems may be actuated to raise and tilt the position of the second platform portion 16 and, in so doing, flex the patient's body to tilt the legs upward relative to the head and upper torso (to coincide with the patient's position). Figure 8 In a manner similar to that described above). In addition, the first support platform 12 and the second support platform 16 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 (to match the patient P). Fig. 9 Because, via actuation of the telescoping column 80, the tilt portion 100, and the robotic system R, the position / orientation of the first support platform 12 and the second support platform 16 can be adjusted to flex the patient's body, thereby moving the head and upper torso upward and / or moving the legs upward to introduce extension to the patient's spine.

[0077] Furthermore, via actuation of the telescoping column 80, the tilting portion 100, and the robotic system R or subsystems, the position / orientation of the first support platform 12 and the second support platform 16 may alternatively be adjusted to flex the patient's body, thereby moving the head and upper torso downward and / or moving the legs downward to introduce a degree of flexion to the patient's spine (to correspond to the patient's spine). Fig.10 In a manner similar to that described above). Also, 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 to introduce a twist between the first portion and the second portion via actuation of the rotating portion 94 and / or the robotic system R or subsystem. In addition, the telescoping column 80 or the robotic system R or subsystem 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 (to raise the first portion of the patient's body supported by the second platform portion 16). Fig.11 In a similar manner to that described above, or vice versa. Also, the patient's body can be adjusted by changing the amount of insertion of the tongue portion 46 into the receiving area A1 to adjust the position of the support portion 14 so as to stretch (to match the position of the support portion 14). Fig.12 in a manner similar to that depicted) or contraction.

[0078] The modified surgical platform system 10' provides additional degrees of adjustment compared to the first surgical platform 10. As discussed above, the slide portion 240 can be actuated via operation of the motor and transmission 282 to move the first platform portion 12 of the surgical platform system 10' in a direction transverse to the intermediate longitudinal axis L2, and the rotator portion 242 can be actuated via operation of the motor and transmission 294 to rotate the first platform portion 12 about a vertically oriented axis. In this way, the sagittal position / orientation of the patient P can be adjusted by relatively adjusting the first platform portion 12 relative to the second platform portion 16 using the slide portion 240 and the rotator portion 242, as shown in FIG. Fig.19 and Fig. 20 In addition, the first platform portion 12 can be rotated via actuation of the rotating portion 94, and the torsional position / orientation of the patient P can be adjusted via relative adjustment of the first platform portion 12 relative to the second platform portion 16 using the rotating portion 94, as shown in FIG. Fig.21 Depicted.

[0079] Thus, the actuation of the telescopic column 80, the rotating portion 94, the tilting portion 100, the slide portion 240, the rotating portion 242, and / or the robotic system R or subsystem can be used to adjust the relative position and orientation of the first platform portion 12 and the second platform portion 16. Also, 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, and the robotic system R can be used to perform surgery on the patient or to assist in performing surgery. As discussed above, the surgical platform system 10', the robotic system R, and / or the subsystems can include one or more controllers for controlling the actuatable portions thereof in the surgical platform system 10, the robotic system R, and / or the subsystems to assist in the operation of the surgical platform system, the robotic system, and / or the subsystems to coordinate the 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 complete, the patient may be lowered from the first platform portion 12 and the second platform portion 16, and the surgical platform 12 may be disconnected from the robotic system R or subsystem.

[0080] 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, comprising: a first platform portion and a support portion supporting said first platform portion, The support portion includes a first support structure, a second support structure, and an adjustment portion, the first support structure having a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end of the first support structure, a first end portion at the first end, a second end portion at the second end, and at least one cross member extending between the first end portion and the second end portion, the second end portion including a slider portion and a rotating body portion supported by the slider portion, the second support structure extending upward from the rotating body portion of the first support structure, the second support structure vertically spacing the adjustment portion from the first support structure, and the adjustment portion rotatably and tiltably supports the first platform portion relative to the first support structure and the second support structure; as well as 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; as well as a second platform portion including a first end, an opposite second end, a first end portion at the first end of the second platform portion, a second end portion at the second end of the second 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 the at least first and second rails of the second platform portion; wherein the support portion is positionable relative to a robotic system and the first end portion of the second platform portion is supported relative to the robotic system; wherein, when the support portion is positioned relative to the robotic system, the first platform portion and the second platform portion are positioned adjacent to each other and 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 can be moved left and right across the middle longitudinal axis via the operation of the sliding member portion, the first platform portion can be rotated around an axis transverse to the middle longitudinal axis via the operation of the rotating body portion, and the first platform portion can be tilted up / down and rotated around an axis aligned with the middle longitudinal axis via the operation of the adjustment portion, so as to position / orient and reposition / orient a first part of the patient supported by the first platform portion relative to a second part of the patient supported by the second platform portion.

2. The surgical platform according to claim 1, wherein: The second support structure is expandable and contractible between a first height and a second height to correspondingly move the first platform portion upward and downward relative to the first support structure.

3. The surgical platform of claim 1, further comprising at least one table top supporting the head support and the chest support, the at least one table top being supported between at least the first rail and the second rail of the first platform portion.

4. The surgical platform of 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.

5. The surgical platform of claim 1, wherein: The adjustment portion is configured to tilt the first end portion of the first platform portion upward and downward relative to the first supporting structure, and is configured to rotate the first platform portion left and right relative to the first supporting structure.

6. The surgical platform of claim 1, further comprising a first locator portion attached to the first support structure and a second locator portion attached relative to the robotic system, and engagement of the first locator portion and the second locator portion initially positions the support portion relative to the robotic system.

7. The surgical platform of claim 6, wherein: Positioning the first support structure relative to the robotic system via positioning the first positioner portion relative to the second positioner portion correspondingly adjusts the lengths of the first platform portion and the second platform portion to accommodate patients of different sizes.

8. The surgical platform of claim 1, wherein: The second platform portion may be at least one of moved upward / downward, rotated, and tilted by the robotic system relative to the first platform portion.

9. A surgical platform system, comprising: The first platform part and the support part, The support portion supports the first platform portion above and vertically separates the first platform portion from the ground, the support portion includes an end portion including a slider portion and a rotating body portion supported by the slider portion, a vertical portion extending upward from the rotating body portion, and an adjustment portion supported by the vertical portion, the first platform portion being rotatably and tiltably connected to the adjustment portion; as well as 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; as well as a second platform portion including a first end, an opposite second end, a first end portion at the first end of the second platform portion, a second end portion at the second end of the second 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 the at least first and second rails of the second platform portion; wherein the support portion is positionable relative to a robotic system and the first end portion of the second platform portion is supported relative to the robotic system; wherein, when the support portion is positioned relative to the robotic system, the first platform portion and the second platform portion are positioned adjacent to each other and 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 part can be moved left and right via the operation of the sliding part, the first platform part can be rotated around an axis transverse to the middle longitudinal axis via the operation of the rotating body part, and the first platform part can be tilted up / down and rotated at least one of via the operation of the adjusting part, so as to position / orient and reposition / reorient a first part of the patient supported by the first platform part relative to a second part of the patient supported by the second platform part.

10. The surgical platform of claim 9, wherein: A portion of the support portion may expand and contract between a first height and a second height to correspondingly move the first platform portion upward and downward relative to the portion of the support portion.

11. The surgical platform of claim 9, further comprising at least one table top supporting the head support and the chest support, the at least one table top being supported between at least the first rail and the second rail of the first platform portion.

12. The surgical platform of claim 9, wherein: The adjustment portion is configured to tilt the first end portion of the first platform portion upward and downward relative to the ground, and is configured to rotate the first platform portion left and right relative to the ground.

13. The surgical platform of claim 9, further comprising a first locator portion attached to the support portion and a second locator portion attached relative to the robotic system, and engagement of the first locator portion and the second locator portion initially positions the support portion relative to the robotic system.

14. The surgical platform of claim 9, wherein: The second platform portion may be at least one of moved upward / downward, rotated, and tilted by the robotic system relative to the first platform portion.

15. A surgical platform system, comprising: a first platform portion and a support portion supporting said first platform portion, The support portion includes a first support structure, a second support structure, and an adjustment portion, the first support structure having a first end, an opposite second end, an intermediate longitudinal axis extending through the first end and the second end of the first support structure, a first end portion at the first end, a second end portion at the second end, and at least one cross member extending between the first end portion and the second end portion, the second end portion including a slider portion and a rotating body portion supported by the slider portion, the second support structure extending upward from the rotating body portion of the first support structure, the second support structure vertically spacing the adjustment portion from the first support structure, and the adjustment portion rotatably and tiltably supports the first platform portion relative to the first support structure and the second support structure; and the first platform portion comprising a first end, an opposite second end, and a length between the first end and the second end of the first platform portion, the first platform portion being configured to support a first portion of a patient on the first platform portion; as well as a second platform portion including a first end, an opposite second end, and a length between the first and second ends of the second platform portion, the second platform portion being configured to support a second portion of a patient thereon; wherein, when the support portion is positioned relative to the robotic system, the first platform portion and the second platform portion are positioned adjacent to each other and 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 can be moved left and right across the middle longitudinal axis via the operation of the sliding member portion, the first platform portion can be rotated around an axis transverse to the middle longitudinal axis via the operation of the rotating body portion, and the first platform portion can be tilted up / down and rotated around an axis aligned with the middle longitudinal axis via the operation of the adjustment portion, so as to position / orient and reposition / reorient the parts of the patient supported by the first platform portion and the second platform portion relative to each other.

16. The surgical platform of claim 15, wherein: The second support structure is expandable and contractible between a first height and a second height to correspondingly move the first platform portion upward and downward relative to the first support structure.

17. The surgical platform of claim 15, wherein: The adjustment portion is configured to tilt the first end portion of the first platform portion upward and downward relative to the first supporting structure, and is configured to rotate the first platform portion left and right relative to the first supporting structure.

18. The surgical platform of claim 15, further comprising a first locator portion attached to the first support structure and a second locator portion attached relative to the robotic system, and engagement of the first locator portion and the second locator portion initially positions the support portion relative to the robotic system.

19. The surgical platform of claim 18, wherein: The first locator portion includes a first plate portion and a second plate portion spaced apart from each other and defining a cavity together with a bottom surface of the first support structure, and the second locator portion includes a tongue portion extending outwardly relative to the robotic system, the tongue portion being receivable in the cavity to position the support portion relative to the robotic system.

20. The surgical platform of claim 18, wherein: Positioning the first support structure relative to the robotic system via positioning the first positioner portion relative to the second positioner portion correspondingly adjusts the lengths of the first platform portion and the second platform portion to accommodate patients of different sizes.

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