Multi-position operating bed for urinary endoscope

Abstract

The urinary endoscope multi-position operating bed is characterized in that the urinary endoscope multi-position operating bed comprises a bed surface, a supporting device, an adjusting device and a controller, and the adjusting device comprises a neck adjusting mechanism, a back adjusting mechanism, a waist lifting mechanism, a lower platen adjusting mechanism and a lower limb adjusting mechanism which are connected with the controller; the bed surface comprises a headrest plate, a back plate, a waist bridge plate, a hip plate and a lower limb plate set which are sequentially arranged from front to back, the supporting device comprises a base and a lifting supporting column, the hip plate is installed on the base through the lifting supporting column, the back plate is hinged to the headrest plate, and the two ends of the neck adjusting mechanism are hinged to the back plate and a headrest respectively; the back plate is hinged to the hip plate; the invention aims to realize rapid and accurate multi-position conversion in the urinary endoscopic surgery through modular design and an electric intelligent adjusting system, improve the surgery efficiency and safety, and reduce the burden of medical staff at the same time.

Description

Technical Field

[0001] The present invention belongs to the technical field of operating tables, and in particular relates to a urological laparoscope multi-position operating table. Background Art

[0002] Surgery is a common and effective medical procedure in modern medicine. Different surgical procedures require different body positions. For example, urology procedures, such as flexible ureteroscopy, laparoscopy, and percutaneous nephrolithotomy, require various positions, including supine, lithotomy, lateral, prone, and unaffected side running positions, as well as various combinations of these positions. Furthermore, the surgical process often involves switching between different positions.

[0003] Traditional operating tables usually have an integrated, indivisible bed surface on which patients can lie for surgery. However, due to the loss of muscle tone during surgical anesthesia, any adjustment of the patient's body position involves huge risks. Therefore, each position change requires the joint operation and preliminary preparation of 5-6 medical staff, which takes an average of more than 30 minutes. In addition, during the position change process, traditional operating tables completely or mostly rely on the cooperation of medical staff to adjust the position, which is time-consuming, labor-intensive and risky. Summary of the Invention

[0004] In response to the defects and problems of existing operating tables, the present invention provides a urological laparoscopic multi-position operating table. The invention aims to achieve fast and accurate multi-position conversion in urological laparoscopic surgery through modular design and electric intelligent adjustment system, thereby improving surgical efficiency and safety and reducing the burden on medical staff.

[0005] The solution adopted by the present invention to solve its technical problems is: a urological laparoscopic multi-position operating table, including a bed surface, a supporting device, an adjusting device and a controller, the adjusting device includes a neck adjusting mechanism, a back adjusting mechanism, a waist lifting mechanism, a lower platform adjusting mechanism and a lower limb adjusting mechanism connected to the controller, the bed surface includes a headrest board, a back board, a waist bridge board, a hip board and a lower limb board group arranged in sequence from front to back, the supporting device includes a base and a lifting support column, the hip board is installed on the base through the lifting support column, the back board is installed on the lower limb board, and the lower limb board is installed on the lower limb board. It is hinged to the headrest board, and the two ends of the neck adjustment mechanism are hinged to the back board and the headrest respectively; the back board is hinged to the hip board, and the two ends of the back adjustment mechanism are hinged to the back board and the hip board respectively; the waist bridge board is installed between the back board and the hip board along the vertical lifting mechanism through the waist lifting mechanism; the lower limb board group includes a lower platform hingedly installed at the tail end of the hip board, and the two ends of the lower platform adjustment mechanism are hinged to the lower platform and the hip board respectively; the tail ends of the hip boards on the left and right sides of the lower platform are symmetrically hinged with leg board groups, and the lower limb adjustment mechanisms are installed on both leg board groups.

[0006] Beneficial effects of the present invention: The urological laparoscopic multi-position operating bed provided by the present invention controls the shape of the bed surface through the cooperation of the adjustment device and the controller, which significantly improves the efficiency and safety of the operation. Its modular design allows the headrest board, back board, lumbar bridge board, hip board and lower limb board group to independently adjust the angle or height, ensuring subtle and precise position adjustments without moving the patient, thereby enhancing the safety of the operation and the comfort of the patient. The present invention adopts telescopic devices such as electric push rods to achieve fast and accurate position conversion, reducing preparation time and the need for multiple medical staff, greatly reducing the physical burden of medical staff, and improving the working environment; the operating bed provided by the present invention supports a variety of complex position changes from supine position to lithotomy position, lateral position, prone position, etc., to meet the needs of different types of urological laparoscopic surgery. The controller in the present invention can preset commonly used posture modes according to the specific type of surgery, simplify the setting steps, speed up the surgical preparation speed, and optimize the surgical process. It not only better adapts to patients of different body sizes, but also provides medical staff with a better operating space; the urological laparoscopic multi-position operating table provided by the present invention not only improves the quality and efficiency of the surgery, but also creates a safer and more comfortable medical operation platform for patients and medical staff. BRIEF DESCRIPTION OF THE DRAWINGS

[0007] Figure 1 It is a schematic diagram of the three-dimensional structure of the present invention.

[0008] Figure 2 It is a schematic diagram of the bed surface structure of the present invention.

[0009] Figure 3 It is a schematic diagram of the installation position of the support box of the present invention.

[0010] Figure 4 It is a schematic diagram of the installation position of the hip support mechanism of the present invention.

[0011] Figure 5 yes Figure 4 A magnified schematic diagram of the structure in the middle.

[0012] Figure 6 It is a structural schematic diagram of the lifting assembly of the present invention.

[0013] Figure 7 It is a structural schematic diagram of the leg plate group of the present invention.

[0014] Figure 8 It is a structural schematic diagram of the level adjustment component of the present invention.

[0015] Figure 9 It is a schematic structural diagram of the back adjustment mechanism of the present invention.

[0016] Figure 10 It is a schematic structural diagram of the gear limiting assembly of the present invention.

[0017] Figure 11 It is a schematic structural diagram of the shoulder support plate assembly of the present invention.

[0018] Figure 12 It is a structural schematic diagram of the hip support mechanism of the present invention.

[0019] Figure 13 It is a schematic diagram of the lifting support column structure of the present invention.

[0020] Figure 14 It is a structural schematic diagram of the connecting seat of the present invention.

[0021] The numbers in the figure are: 1 is the bed surface, 11 is the headrest board, 12 is the back board, 121 is the back board shaft, 122 is the back board frame, 13 is the waist bridge board, 14 is the hip board, 15 is the lower limb board group, 151 is the lower platform board, 152 is the leg board group, 153 is the connecting piece, 154 is the thigh support board, 155 is the calf support board, 156 is the fixed axis, 157 is the slot, 158 is the connecting axis, 2 is the supporting device, 21 is the base, 22 23 is the lifting support column, 24 is the outer column shell, 25 is the connecting seat, 251 is the inner frame, 252 is the outer frame, 253 is the connecting platform, 254 is the forward lifting column, 255 is the side tilting lifting column, 256 is the horizontal axis, 257 is the vertical axis, 26 is the horizontal axis, 27 is the vertical axis, 3 is the support box, 31 is the support window, 32 is the inner linear module, 33 is the rack, 34 is the lifting column , 341 is the lifting column body, 342 is the outer column shell a, 35 is the shoulder support plate assembly, 351 is the support plate, 352 is the arc slide, 353 is the bottom plate, 354 is the wing plate, 355 is the latch, 36 is the gear limit assembly, 361 is the gear, 362 is the upper guide groove, 363 is the lower steering groove, 364 is the support shaft, 365 is the steering shaft, 41 is the telescopic rod a, 42 is the telescopic rod b, 43 is the telescopic rod f, 44 is the telescopic rod c, 45 is the telescopic rod d, 46 is the telescopic rod e, 51 is the platform plate, 52 is the lifting motor, 53 is the internal threaded sleeve, 54 is the external threaded rod, 6 is the linear module, 8 is the hip support mechanism, 81 is the hip support plate, 82 is the hip plate notch, 83 is the support platform, 84 is the guide cylinder, 85 is the universal joint, 86 is the internal threaded sleeve a, 87 is the external threaded column, 88 is the drive motor, and 89 is the limit block. DETAILED DESCRIPTION

[0022] The present invention will be further described below with reference to the accompanying drawings and examples. Example

[0023] In view of the problems raised in the above background technology, this embodiment provides a urological laparoscopic multi-position operating table, such as Figure 1-9The figure shows a bed surface 1, a supporting device 2, an adjusting device and a controller, wherein the adjusting device comprises a neck adjusting mechanism, a back adjusting mechanism, a lower platform adjusting mechanism of a waist lifting mechanism and a lower limb adjusting mechanism connected to the controller, that is, the neck adjusting mechanism, the back adjusting mechanism, the lower platform adjusting mechanism of the waist lifting mechanism and the lower limb adjusting mechanism are all connected to the controller; the bed surface 1 comprises a headrest board 11, a back board 12, a waist bridge board 13, a hip board 14 and a lower limb board group arranged in sequence from front to back, and a headrest is movably installed on the headrest board 11, and there are various ways to movably install the headrest, for example: a suction cup is provided under the headrest, and the headrest is fixed to the headrest board by the suction cup.

[0024] The support device 2 includes a base 21 and a lifting support column 22. The hip board 14 is installed on the base 21 through the lifting support column 22. The controller can adjust the height of the hip board through the lifting control column, thereby controlling the height of the entire bed surface. Specifically, the bottom surfaces of the left and right ends of the hip board 14 are symmetrically installed with support boxes 3. The two support boxes 3 are connected to the base 21 through the lifting support column 22. The lifting support column 22 includes a lifting column 23, an outer column shell 24 and a connecting seat 25. The lifting column 23 is vertically installed on the base and connected to the controller. The lifting end of the lifting column 23 is symmetrically installed. It is set upward, and the outer column shell 24 is matched with the lifting column 23 and is fixedly connected to the lifting end of the lifting column. When the controller controls the lifting end to rise and fall, the controlled lifting end will synchronously drive the outer column shell to rise and fall; the connecting seat is fixedly installed on the outer column shell and is fixedly connected to the left and right support boxes. When the controller drives the outer column shell to rise and fall through the lifting column, the outer column shell will drive the hip board to rise and fall synchronously through the connecting seat, thereby adjusting the height of the bed surface; there are many types of lifting columns, for example: the lifting column in this embodiment can adopt a hydraulic cylinder or an electric push rod.

[0025] like Figure 1 As shown, the rear end of the back plate 12 is hinged to the hip plate 14, and the two ends of the back adjustment mechanism are hinged to the back plate and the hip plate respectively. The back adjustment mechanism is used to adjust the pitch angle of the back plate; there are many ways to hinge the back plate and the hip plate, for example: Figure 9 As shown, the front ends of the two support boxes 3 both extend a hip plate 14 forward and are hinged to the rear ends of the back plates 12 on the adjacent sides. The back adjustment mechanism is arranged under the back plate and connected to the two support boxes 3. The back adjustment mechanism includes a telescopic rod a41 connected to the controller. There are many types of telescopic rods a41. In this embodiment, the telescopic rod a41 is preferably an electric push rod; two telescopic rods a41 are symmetrically provided on the bottom surfaces of the left and right ends of the back plate 12. The two ends of the telescopic rod a41 are hinged to the back plate and the adjacent side support boxes respectively, and when the upper end surface of the back plate is flush with the upper end surface of the hip plate, the height of the end of the telescopic rod a41 connected to the back plate is higher than the end of the telescopic rod a connected to the hip plate. When the controller controls the two telescopic rods a to extend synchronously, the two telescopic rods a will push the back plate to rotate upward around the front ends of the two support boxes, thereby adjusting the angle between the back plate and the hip plate, and controlling the pitch angle of the back plate.

[0026] Specifically: there are many ways to hinge the backboard 14 to the support box 3. In this embodiment, an opening is set at one end of the support box facing the backboard, and a backboard axis 121 is provided in the longitudinal direction of the support box on the open side. Backboard frames 122 are symmetrically installed on the left and right ends of the bottom surface of the backboard, and the tail end of the backboard frame 122 extends backward to match the backboard and is inserted into the adjacent support box, and is rotated to be fitted on the corresponding backboard axis, so that the backboard is hinged to the hip board through the two support boxes; the telescopic ends of the two telescopic rods a are respectively hingedly installed on the two backboard frames 122, and the tail ends of the two telescopic rods a are respectively hingedly installed on the support box 3 below the backboard axis 121 on the same side. When the upper end surface of the backboard is flush with the upper end surface of the hip board, the angle between the telescopic rod a and the backboard is greater than 10°, so that when the controller controls the two telescopic rods a of the backboard adjustment mechanism to extend synchronously, the backboard can be pushed to rotate upward around the backboard axis.

[0027] The front end of the backboard 12 is hinged to the headrest board 11, and the two ends of the neck adjustment mechanism are hinged to the backboard and the headrest respectively for adjusting the angle between the headrest board and the backboard; the neck adjustment mechanism includes a telescopic rod b42 connected to the controller. In this embodiment, the telescopic rod b42 is also preferably a gas spring, which is manually controlled by a Bowden cable releaser; the two ends of the telescopic rod b42 are hinged to the headrest board 11 and the backboard 12 respectively, and when the upper end surface of the headrest board is flush with the upper end surface of the backboard, the height of the end of the telescopic rod b connected to the headrest board is higher than the end of the telescopic rod b connected to the backboard, so that when the controller controls the telescopic rod b to extend, the telescopic rod b will push the headrest board to rotate upward around the hinge between the headrest board and the backboard, adjusting the angle between the headrest board and the backboard, so that during surgery, the neck adjustment mechanism can be controlled by the controller according to the patient's surgical posture to adjust the pitch angle of the headrest board so that the headrest board can effectively support the patient's head.

[0028] Furthermore, at least two telescopic rods b in the neck adjustment mechanism are arranged in parallel and spaced apart in the longitudinal direction.

[0029] The waist bridge plate 13 is vertically lifted and installed between the back plate 12 and the hip plate 14 through the waist lifting mechanism, and the waist lifting mechanism is set between the two support boxes. Figure 6 As shown, the waist lifting mechanism includes a lifting assembly symmetrically installed on the inner and outer walls of the left and right support boxes, and the lifting assembly includes a platform plate 51, a lifting motor 52, an internal threaded sleeve 53 and an external threaded rod 54. The platform plate 51 is vertically installed on the inner and outer wall of the support box 3, and the lifting motor 52 is fixedly installed on the platform plate 51 and connected to the controller. The internal threaded sleeve 53 is installed on the platform plate along the vertical rotation and is connected to the lifting motor. The external threaded rod 54 is matched and sleeved in the internal threaded sleeve 53, and the top of the external threaded rod 54 is vertically fixedly connected to the waist bridge plate 13.

[0030] Specifically: Figure 6As shown, the lifting motor 52 is a servo motor, and a through-hole is vertically provided on the upper edge of the platform plate. The lifting motor is fixedly mounted on the platform plate, and the motor shaft of the lifting motor extends downward through the through-hole to the bottom of the platform plate. A shaft hole is matched with the platform plate on one side of the lifting motor, and the internal threaded sleeve is rotatably mounted in the shaft hole through a bearing, and the bottom end of the internal threaded sleeve extends downward out of the platform plate and is transmission-connected to the motor shaft of the lifting motor. There are various ways of transmission connection between the two. In this embodiment, the two are connected together through a transmission belt and a transmission wheel. When the controller controls the lifting motor to work, the lifting motor will drive the internal threaded sleeve to rotate synchronously. Since the external threaded rod is matched and fitted in the internal threaded sleeve, and the top end of the external threaded rod is fixedly connected to the lumbar bridge plate, when the internal threaded sleeve rotates, it will drive the external threaded rod to move up and down along the internal threaded sleeve, thereby adjusting the height of the lumbar bridge plate so that it can effectively support the patient's waist.

[0031] like Figure 2 As shown, the lower limb plate group 15 includes a lower platform 151 hingedly installed in the middle of the tail end of the hip plate, and the two ends of the lower platform adjustment mechanism are hinged to the lower platform and the hip plate respectively. The controller can adjust the pitch angle of the lower platform through the lower platform adjustment mechanism; the lower platform adjustment mechanism includes at least one telescopic rod f43 connected to the controller, and the two ends of the telescopic rod f43 are hinged to the lower platform and the hip plate respectively. When the upper end surface of the lower platform is flush with the upper end surface of the hip plate, the telescopic rod f is in an inclined limit extension state, that is, the end of the telescopic rod f hinged to the lower platform is higher than the end of the telescopic rod f hinged to the hip plate; so that when the controller controls the telescopic rod f to retract, the telescopic rod d will pull the lower platform to rotate downward around the hinge between the lower platform and the hip plate, thereby adjusting the angle between the lower platform and the hip plate, and controlling the inclination angle of the lower platform.

[0032] The tail ends of the hip boards on the left and right sides of the lower platform 151 are symmetrically hinged with leg board groups 152, and lower limb adjustment mechanisms are installed on both leg board groups 152. The lower limb adjustment mechanism includes a horizontal adjustment component and a lower limb adjustment component connected to the controller. The leg board group 152 includes a connector 153, a thigh support 154 and a calf support 155 arranged in sequence from front to back. The connector is rotatably installed on the bottom surface of the hip board and is transmission-connected to the horizontal adjustment component for adjusting the angle between the thigh support, hip board and the lower platform; the connector extends backward to hinge the hip board with the thigh support, and the calf support is hinged with the thigh support. The lower limb adjustment component is installed on the leg board group for adjusting the angle between the thigh support and the hip board, and the knee flexion angle between the calf support and the thigh support, so as to control the leg board group to support the legs in different postures.

[0033] Specifically: Figure 7 and Figure 8As shown, an axial hole is vertically provided on the connecting member, and a fixed shaft 156 is rotatably installed in the axial hole. The fixed shaft 156 is vertically fixedly installed on the bottom surface of the hip plate, and a slot 157 is matched on the connecting member on the front side of the fixed shaft. A connecting shaft 158 is vertically provided in the slot near the side of the lower platform of the fixed shaft. The horizontal adjustment component includes a telescopic rod c44 connected to the controller. The telescopic rod c44 is preferably an electric push rod. One end of the telescopic rod c is rotatably mounted on the connecting shaft, and the other end of the telescopic rod c44 is horizontally rotatably installed on the bottom of the hip plate in front of the fixed shaft. When the controller controls the telescopic rod c44 to extend or retract, the telescopic rod c will push and pull the connecting seat through the connecting shaft to rotate around the fixed shaft.

[0034] The lower limb adjustment assembly includes a telescopic rod d45 and a telescopic rod e46. The telescopic rod d and the telescopic rod e are preferably electric push rods. The telescopic rod d and the telescopic rod e are both connected to the controller for controlling the telescopic length of the telescopic rod d and the telescopic rod e; the telescopic rod d45 is arranged under the thigh support plate, and the two ends of the telescopic rod d are respectively hinged to the connecting piece and the bottom surface of the thigh support plate. When the upper end surface of the thigh support plate is flush with the upper end surface of the hip plate, the inclined telescopic rod d is in a semi-telescopic state, that is, the end of the telescopic rod d hinged to the thigh support plate 154 is higher than the end of the telescopic rod d hinged to the connecting piece; thus, when the controller controls the telescopic rod d to extend or retract, the telescopic rod d will push and pull the thigh support plate to rotate up and down around the hinge between the thigh support plate and the connecting piece, adjust the angle between the thigh support plate and the hip plate, and control the pitch angle of the thigh support plate.

[0035] The telescopic rod e46 is arranged on the bottom surface of the calf support plate 155, and the two ends of the telescopic rod e46 are hinged to the thigh support plate and the calf support plate respectively. When the calf support plate is flush with the thigh support plate, the inclined telescopic rod e is in the extreme extension state, that is, the end of the telescopic rod e hinged to the calf support plate is higher than the end of the telescopic rod e hinged to the thigh support plate. Therefore, when the controller controls the telescopic rod e to retract, the telescopic rod e will pull the calf support plate to rotate downward around the hinge between the calf support plate and the thigh support plate, adjust the angle between the thigh support plate and the calf support plate, and control the knee flexion angle.

[0036] When performing surgery using the urological laparoscopic multi-position operating table provided in this embodiment, the operating table is initially in a horizontal state, meeting the patient's supine or supine position requirements. According to the patient's position requirements, the controller can control the table to automatically switch to different position states through the adjustment device, for example: When the operating bed surface is in the initial horizontal state and the patient's position needs to be sitting flat, the controller will first control the telescopic rod d in the two lower limb adjustment mechanisms and the lower table adjustment mechanism to move synchronously, driving the two leg board groups and the lower table to flip down 90° synchronously. Then the controller controls the back adjustment mechanism to drive the backboard to drive the headrest board to flip up 75°, so that the bed surface meets the requirements of the sitting flat position. In this state, the backboard and headrest board can effectively support the patient's upper limbs.

[0037] When the operating table surface is initially horizontal and the patient's position requires a prone position with legs apart, the controller will first control the horizontal adjustment components in the two lower limb adjustment mechanisms to drive the two leg board groups to synchronously rotate outward and open 30°-45° each. Then the controller will control the lower table adjustment mechanism to drive the lower table to flip down 90°, so that the bed surface meets the requirements of the prone position with legs apart. In this state, the two leg board groups of the bed surface can not only support the patient's legs to remain open, but the lower table board that flips down 90° provides operating space for medical staff to perform surgery.

[0038] When the operating bed surface is in an initial horizontal state and the patient's position requires a standard lithotomy position, the controller will first control the telescopic rod d in the two lower limb adjustment mechanisms to move synchronously, driving the thigh support plates of the two leg board groups to flip up 90°, and then the controller will control the telescopic rod e in the two lower limb adjustment mechanisms to move synchronously, driving the calf support plates of the two leg board groups to flip down 90°. During this process, the controller will control the horizontal adjustment components in the two lower limb adjustment mechanisms to drive the two leg board groups to rotate outward synchronously and open 5°-15° each. Finally, the controller will control the lower plate adjustment mechanism to drive the lower plate to flip down 90°, so that the bed surface meets the requirements of the standard lithotomy position.

[0039] When the operating bed surface is in an initial horizontal state and the patient's position requires a transition lithotomy position, the controller will first control the telescopic rod d in the two lower limb adjustment mechanisms to move synchronously, driving the thigh support plates of the two leg board groups to flip up 75°, and then the controller will control the telescopic rod e in the two lower limb adjustment mechanisms to move synchronously, driving the calf support plates of the two leg board groups to flip down 75°. During this process, the controller will synchronously control the horizontal adjustment components in the two lower limb adjustment mechanisms, driving the two leg board groups to rotate synchronously outward and open 5°-15° each. Finally, the controller will control the lower plate adjustment mechanism to drive the lower plate to flip down 90°, so that the bed surface meets the requirements of the transition lithotomy position.

[0040] When the operating bed surface is in an initial horizontal state and the patient's position requires the left leg-lifting modified lithotomy position, the controller will first control the telescopic rod d in the left lower limb adjustment mechanism to drive the thigh support plate of the left leg board group to flip up 75°, and then the controller will control the telescopic rod e in the left lower limb adjustment mechanism to drive the calf support plate of the left leg board group to flip down 75°. During this process, the controller will synchronously control the horizontal adjustment components in the two lower limb adjustment mechanisms to drive the two leg board groups to rotate synchronously outward and open 5°-15° each. Finally, the controller will control the lower plate adjustment mechanism to drive the lower plate to flip down 90°, so that the bed surface meets the bed surface requirements of the left leg-lifting modified lithotomy position.

[0041] When the operating bed surface is in an initial horizontal state and the patient's position requires the right leg-lifting modified lithotomy position, the controller will first control the telescopic rod d in the right lower limb adjustment mechanism to drive the thigh support plate of the right leg board group to flip up 75°, and then the controller will control the telescopic rod e in the right lower limb adjustment mechanism to drive the calf support plate of the right leg board group to flip down 75°. During this process, the controller will synchronously control the horizontal adjustment components in the two lower limb adjustment mechanisms to drive the two leg board groups to rotate synchronously outward and open 5°-15° each. Finally, the controller will control the lower plate adjustment mechanism to drive the lower plate to flip down 90°, so that the bed surface meets the bed surface requirements of the right leg-lifting modified lithotomy position.

[0042] When the operating bed surface is in an initial horizontal state and the patient's position requires the right healthy side running position, the controller first controls the horizontal adjustment component in the right lower limb adjustment mechanism to drive the right leg board group to rotate outward and open 5°-15°, and then the controller controls the telescopic rod d in the left lower limb adjustment mechanism to drive the thigh support plate of the left leg board group to turn up 75°, and then the controller will control the telescopic rod e in the left lower limb adjustment mechanism to drive the calf support plate of the left leg board group to turn down 75°, and finally the controller will control the lower plate adjustment mechanism to drive the lower plate to turn down 90°, so that the bed surface meets the right healthy side running position.

[0043] The urological laparoscopic multi-position operating table provided in this embodiment controls the shape of the bed surface through the cooperation of the adjustment device and the controller, which significantly improves the efficiency and safety of the operation. Its modular design allows the headrest board, back board, lumbar bridge board, hip board and lower limb board group to independently adjust the angle or height, ensuring subtle and precise position adjustments without moving the patient, thereby enhancing the safety of the operation and the comfort of the patient. This embodiment uses telescopic devices such as electric push rods to achieve fast and accurate position conversion, reducing preparation time and the need for multiple medical staff, greatly reducing the physical burden of medical staff, and improving the working environment; the operating table provided in this embodiment supports a variety of complex position changes from supine position to lithotomy position, lateral position, prone position, etc., to meet the needs of different types of urological laparoscopic surgery. In this embodiment, the controller can preset common posture modes according to the specific operation type, simplify the setting steps, speed up the operation preparation, and optimize the operation process. It not only better adapts to patients of different body shapes, but also provides better operation space for medical staff. The urological laparoscopic multi-position operating table provided in this embodiment not only improves the quality and efficiency of the operation, but also creates a safer and more comfortable medical operation platform for patients and medical staff. Example

[0044] The difference between Example 2 and Example 1 is that Figure 13As shown, the connecting seat includes an inner frame 251, an outer frame 252, a connecting platform 253, a forward tilting lifting column 254 and a side tilting lifting column 255. The inner frame 251 is matched and mounted on the outer column shell 24 and is connected to the side tilting lifting column 255. The controller can drive the inner frame to rotate and tilt left and right around the horizontal axis 26 through the side tilting lifting column. The outer frame 252 is matched and mounted on the inner frame 251 and is connected to the forward tilting lifting column. The controller can drive the outer frame to rotate and tilt forward and backward around the horizontal axis 27 through the forward tilting lifting column. Connecting platforms are symmetrically provided on the left and right sides of the outer frame, and the two support boxes are respectively mounted on adjacent connecting platforms.

[0045] Specifically: Figure 14 As shown, transverse rotation axes 256 are symmetrically provided at the top ends of the front and rear ends of the outer column shell 24, and the transverse rotation axes 256 are coaxially arranged with the transverse horizontal axis. The inner frame 252 is matched and sleeved on the two transverse rotation axes and can rotate around the transverse rotation axes; longitudinal rotation axes 257 are symmetrically provided on the left and right outer walls of the inner frame, and the longitudinal rotation axes 257 are coaxially arranged with the longitudinal horizontal axis. The outer frame is matched and sleeved on the two transverse rotation axes of the inner frame and can rotate around the longitudinal rotation axes; the roll lifting column 255 is provided on the left or right side of the outer column shell 24 and is connected to the controller. The telescopic end of the roll lifting column 255 is set upward and is hinged to the bottom surface of the inner frame on the same side. The tail end of the roll lifting column 255 is hingedly installed on the outer wall of the outer column shell 24 on the same side. When the controller controls the roll lifting column 255 to extend or retract, The side tilt lifting column 255 will push and pull the inner frame to rotate and tilt left and right around the transverse axis; the forward tilt lifting column 254 is arranged at the front or rear side of the outer column shell 24 and is connected to the controller. The telescopic end of the forward tilt lifting column 254 is arranged upward and is hinged to the outer frame on the same side through a universal joint, and the center point of the universal joint is located on the central axis of the transverse axis. The tail end of the forward tilt lifting column 254 is installed on the outer side wall of the outer column shell 24 on the same side through a universal joint. When the controller controls the forward tilt lifting column 254 to retract or retract, the forward tilt lifting column 254 will push and pull the outer frame to rotate and tilt back and forth around the longitudinal axis, and when the inner frame rotates and tilts left and right around the transverse axis, it will synchronously drive the outer frame to rotate synchronously, so that the overall tilt angle of the bed surface can be controlled by the controller according to needs during use. Example

[0046] The difference between Example 3 and Example 2 is that Figure 3 As shown, linear modules are symmetrically provided on the connecting platforms on the left and right sides of the lifting support column. The support box is fixedly connected to the corresponding connecting platform through the linear modules, and the linear modules are connected to the controller. When the controller controls the sliders in the two linear modules to move synchronously, the two sliders will drive the bed surface to move synchronously through the support box, so that medical staff can adjust the distance between the patient and the doctor through the controller during the operation. Example

[0047] The difference between Example 4 and Example 3 is that each plate of the bed surface is matched with a limb fixing piece for fixing the limbs. There are many types of limb fixing pieces. The limb fixing piece of this embodiment adopts Velcro straps. Example

[0048] The difference between Example 5 and Example 4 is that Figure 5 As shown, a support window 31 that passes through the hip plate upward is provided on the top of the support box 3, and a shoulder support mechanism connected to the controller is provided in the support box 3. The shoulder support mechanism includes an inner linear module 32, a rack 33, a lifting column 34, a gear limit assembly 36 and a shoulder support assembly 35. The rack 33 is installed in the support box through the inner linear module, and the linear module is connected to the controller; the bottom end of the lifting column 34 is installed in the support box above the rack through the gear limit assembly, and the gear limit assembly is engaged with the rack, and the shoulder support assembly 35 is matched and installed on the lifting section of the lifting column. The controller can drive the rack to drive the lifting column to move through the linear module, and before the lifting column moves from the initial position, it will be driven by the rack to stand up through the window.

[0049] Specifically: Figure 10 and Figure 11 As shown, the gear limiting assembly 36 includes a gear 361 that meshes with the rack, and the left and right end surfaces of the gear fit into the inner wall of the adjacent side support box, and the lifting column is fixedly connected to the gear, and a track groove group is symmetrically provided on the inner wall of the support box on the left and right sides of the gear. The track groove group includes an upper guide groove 362 and a lower steering groove 363 arranged at intervals along the vertical direction. The lower steering groove 363 includes a horizontal section arranged at intervals parallel to the upper guide groove, and the front and rear ends of the horizontal section are flush with the front and rear ends of the upper guide groove. The tail end of the horizontal section is connected to an arc-shaped steering section, and the arc-shaped steering section is set with the tail end of the upper guide groove as the center of the circle, and the end of the arc-shaped steering section is at the same height as the upper guide groove. The left and right end surfaces of the gear are symmetrically provided with a shaft group, and the shaft group includes a support shaft 364 fixed to the end face of the gear with the same axis, and the support shaft is matched and inserted into the track groove group on the same side. In the upper guide groove, a steering shaft is provided on the gear end face of the support shaft away from the lifting column side, and the steering shaft is matched and inserted into the lower steering groove. When the rack is in the initial position, the support shaft and the steering shaft 365 are respectively located at the tail end of the upper guide groove and the end of the arc-shaped steering section. In this state, the lifting column is horizontally stored inwardly of the support, thereby giving a rotation of the gear. When the controller controls the inner linear module to drive the rack forward from the initial position, the gear is constrained by the track groove groups on both sides. The forward-moving rack will first drive the gear to rotate in place, causing the steering shaft to enter the horizontal section of the lower steering groove along the arc-shaped guide section of the lower steering groove, thereby driving the lifting column to follow the gear rotation and stand up through the window. As the rack continues to move, the gear will drive the lifting column to move back and forth along the upper guide groove and the horizontal section of the lower steering groove of the track groove groups on both sides.

[0050] The lifting column includes a lifting column body 341 connected to the controller. The lifting column body is an electric push rod. The tail end of the lifting column body is fixedly connected to the gear. The outer axial sliding sleeve of the lifting column body is provided with an outer column shell a342. The outer column shell a is fixedly connected to the telescopic end of the lifting column body. The shoulder support plate assembly is matched and installed on the outer column shell a to support the patient's shoulders when the patient lies on his side. During use, when the patient's position needs to be sideways, the controller controls the inner linear module to not only drive the lifting column to stand up to support the patient's shoulders through the shoulder support plate assembly on the lifting column, but also can adjust the position and height of the shoulder support plate assembly according to the patient's body shape through the inner linear module and the lifting column. Example

[0051] The difference between Example 6 and Example 5 is that Figure 11 As shown, the shoulder support plate assembly 35 includes a support plate frame and a support plate 351. Two arc-shaped sliding grooves 352 are evenly spaced along the circumferential direction on the outer ring surface of the outer column shell a342. The bottom end of the arc-shaped sliding groove 352 is tilted downward toward the side close to the hip plate, and the top ends of the two arc-shaped sliding grooves are respectively located on the left and right sides of the outer column shell a342, and the bottom ends of the two arc-shaped sliding grooves are respectively located on the front and rear sides of the outer column shell a342. The support plate includes a bottom plate 353 arranged on the front side of the outer column shell a, the top end of the bottom plate is hinged to the back side of the support plate 351, and wing plates 354 are symmetrically provided on the left and right sides of the tail end of the bottom plate. The two wing plates extend to the left and right sides of the outer column shell a respectively, and are respectively inserted into the arc-shaped sliding grooves on the same side through the latch 355, so that the support plate frame can pass through The latch can slide along the two arc-shaped slots. Since the support plate is located outside the central axis of the latch, the center of the support plate frame is outside. Therefore, when the outer column shell a is erected, the bottom plate will flip downward around the pin axis and automatically touch the outer column shell a vertically to unfold together. During this process, the support plate frame will use its own weight to drive the support plate to slide downward along the two arc-shaped slots to the tail end of the arc-shaped slot, so that the support plate can automatically rotate around the outer column shell a to above the hip plate. On the contrary, when the lifting column is tilted and stored into the support box, the vertically expanded bottom plate will be blocked by the window frame of the supporting window, driving the support plate frame to slide along the two arc-shaped slots to the top of the arc-shaped slot, so that the support plate frame can automatically rotate around the outer column shell a to the front side of the outer column shell a, preventing the support plate frame from hindering the tilting and storage of the outer column shell a. Example

[0052] The difference between Example 7 and Example 6 is that Figure 4 and Figure 12As shown, the hip plate is provided with a hip support mechanism connected to the controller, and the hip plate is symmetrically provided with two hip support mechanisms on the left and right sides for supporting the hip when the body is in a sideways position; the hip support mechanism 8 includes a hip support plate 81 and a hip support lifting mechanism, and a hip plate notch 82 matching the hip support plate is vertically provided on the upper edge of the hip plate, and the hip support lifting mechanism includes a support platform 83, a guide cylinder 84, a universal joint 85, an internal threaded sleeve a86, an external threaded column 87 and a drive motor 88, the support platform is arranged below the hip plate notch and is fixedly connected to the bottom surface of the hip plate, the guide cylinder is fixedly mounted on the support platform and is coaxially arranged with the hip plate notch, the internal threaded sleeve a is rotatably mounted in the guide cylinder, and extends downward out of the support platform and is transmission-connected to the drive motor, and the drive motor is connected The controller controls the connection. The controller can drive the internal threaded sleeve a to rotate by acting as a driving motor. The external threaded column is matched and installed in the internal threaded sleeve a. The top end of the external threaded column extends upward from the internal threaded sleeve a and is fixedly connected to the bottom surface of the hip support plate through a universal joint. The left and right ends of the external threaded column are symmetrically provided with limit grooves along the vertical direction. The inner ring wall of the guide cylinder above the internal threaded sleeve a is matched with a limit block 89. The limit block is matched and inserted into the limit groove on the adjacent side external threaded column. When the internal threaded sleeve a rotates, the external threaded column will drive the hip support plate to rise and fall under the constraint of the limit block, so that when the patient needs to lie on his side, the controller will control the hip support plate of the corresponding side hip support mechanism to lift the patient's hip to support the patient's hip or assist the patient to turn sideways.

[0053] It should be understood that the above-described specific embodiments of the present invention are merely illustrative or illustrative of the principles of the present invention and do not constitute limitations of the present invention. Therefore, any modifications, equivalent substitutions, improvements, etc. made without departing from the spirit and scope of the present invention should be included within the scope of protection of the present invention. In addition, the appended claims are intended to cover all variations and modifications that fall within the scope and metes and bounds of the appended claims, or equivalents thereof.

Claims

1. A urological laparoscopic multi-position operating table, characterized in that: The seat belt is hinged to the bottom of the bed, and the two ends of the hip board are hinged to the bottom of the bed and the hip board are hinged to the bottom of the bed.

2. The urological laparoscopic multi-position operating table according to claim 1 is characterized in that: The bottom surfaces of the left and right ends of the hip board are symmetrically installed with support boxes, and the two support boxes are connected to the base through lifting support columns; the two support boxes extend forward and the hip board is hinged to the back board, the waist lifting mechanism is arranged between the two support boxes, and the back adjustment mechanism is arranged under the back board and connected to the two support boxes.

3. The urological laparoscopic multi-position operating table according to claim 2, characterized in that: The waist lifting mechanism includes a lifting assembly symmetrically installed on the outer walls of the left and right support boxes, and the lifting assembly includes a platform plate, a lifting motor, an internal threaded sleeve and an external threaded rod. The platform plate is vertically installed on the inner outer wall of the support box, and the lifting motor is fixedly installed on the platform plate and connected to the controller. The internal threaded sleeve is installed on the platform plate along the vertical rotation and is transmission-connected to the lifting motor. The external threaded rod is matched and sleeved in the internal threaded sleeve, and the top of the external threaded rod is vertically connected to the waist bridge plate.

4. The urological laparoscopic multi-position operating table according to claim 2, characterized in that: The lifting support column includes a lifting column, an outer column shell and a connecting seat. The lifting column is vertically installed on the base and connected to the controller. The outer column shell is matched with the lifting column and can be lifted and lowered synchronously with the extension and retraction of the lifting column; the connecting seat is fixedly installed on the outer column shell and fixedly connected to the support boxes on the left and right sides.

5. The urological laparoscopic multi-position operating table according to claim 4, characterized in that: The connecting seat includes an inner frame, an outer frame, a connecting platform, a forward tilting lifting column and a side tilting lifting column. The inner frame is matched and mounted on the outer column shell and connected to the side tilting lifting column. The controller can drive the inner frame to tilt and rotate left and right around the horizontal axis through the side tilting lifting column. The outer frame is matched and mounted on the inner frame and connected to the forward tilting lifting column. The controller can drive the outer frame to tilt and rotate forward and backward around the horizontal axis through the forward tilting lifting column. Connecting platforms are symmetrically provided on the left and right sides of the outer frame, and the two support boxes are respectively mounted on the adjacent side connecting platforms.

6. The urological laparoscopic multi-position operating table according to claim 5, characterized in that: Linear modules are symmetrically provided on the connecting platforms on the left and right sides of the lifting support column. The support box is fixedly connected to the corresponding connecting platforms through the linear modules, and the linear modules are connected to the controller.

7. The urological laparoscopic multi-position operating table according to claim 2, characterized in that: A supporting window that passes through the hip plate upward is provided at the top of the supporting box, and a shoulder support mechanism connected to the controller is provided in the supporting box. The shoulder support mechanism includes an inner linear module, a rack, a lifting column, a gear limiting assembly and a shoulder support plate assembly. The rack is installed in the supporting box through the inner linear module, and the linear module is connected to the controller. The bottom end of the lifting column is installed in the supporting box above the rack through the gear limiting assembly, and the gear limiting assembly is meshed with the rack. The shoulder support plate assembly is matched and installed on the lifting section of the lifting column. The controller can drive the rack to drive the lifting column to move through the inner linear module, and the lifting column will be driven upward through the supporting window to stand up before moving from the initial position.

8. The urological laparoscopic multi-position operating table according to claim 1, characterized in that: The lower limb adjustment mechanism includes a horizontal adjustment component and a lower limb adjustment component connected to the controller, and the leg board group includes a connecting part, a thigh support plate and a calf support plate arranged in sequence from front to back. The connecting part is rotatably installed on the bottom surface of the hip board and is transmission-connected to the horizontal adjustment component. The connecting part extends rearward and the hip board is hinged to the thigh support plate. The calf support plate is hinged to the thigh support plate. The lower limb adjustment component is installed on the leg board group.

9. The urological laparoscopic multi-position operating table according to claim 1, characterized in that: The hip plate is provided with a hip support mechanism connected with the controller.

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