Systems, devices and methods for assisting and / or positioning a patient before, during or after a medical procedure - Patents.com

Abstract

A system for supporting or positioning a patient before, during, or after a medical procedure includes a platform configured to support at least a portion of a patient. A support column is disposed below the platform. A base is disposed below the support column and configured to support the support column. The base may include at least one drive wheel configured to contact the ground and assist in movement of the platform relative to the ground. A drive-assist user interface module is operably connected to the at least one drive wheel. The drive-assist user interface module is configured to allow an operator of the system to selectively control movement of the at least one drive wheel. The drive-assist user interface module forms part of or is attached to an attachment including a plate having an upper surface. [Selected Figure] Figure 1

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims the benefit of U.S. Patent Application No. 15 / 610,486, filed May 31, 2017, the subject matter of which is incorporated by reference in its entirety. [Background technology]

[0002] Patient support devices, such as operating tables, examination tables, hospital beds, and the like, are well known. The devices are expected to support the weight of a patient before, during, and after a medical procedure while allowing the medical team unobstructed access to the surgical site and the ability to move, position, or reposition the patient. Certain prior art devices are capable of sensing changes in weight distribution, which helps the medical team to properly position or reposition the patient and prevent unwanted or inadvertent movement of the patient.

[0003] For example, U.S. Patent No. 7,784,126 discloses a surgical table having a support and a table panel attached to the support. The table has a force measuring system for measuring the body weight (weight) of the table panel and a patient on the table panel. The weight measurement is used to prevent the table from tipping over.

[0004] US 2012 / 047655 discloses a patient bed having a base, an upper frame on the base, and a lifting system for raising and lowering the upper frame relative to the base between a low position and a high position. The bed can include a scale system coupled to or included as part of a control circuit. The scale system detects a weight carried by the upper frame. A threshold angle, i.e., an angle at which an adverse event such as a tipping over may occur, can be adjusted based on the weight detected by the scale system.

[0005] No. 7,610,637 discloses a patient support having various weight sensors for determining the weight of the patient. A user interface is provided that indicates the addition or subtraction of medical equipment, such as an IV pole, to the patient support so that the weight of the medical equipment can be taken into account.

[0006] No. 7,255,366 discloses a system for monitoring the weight of a patient on a patient support and detecting patient movement, such as attempts to exit the patient support. Load cells are used to monitor the weight on various parts of the support. A control system modifies the measurements based on the position or configuration of the support.

[0007] U.S. Patent No. 5,628,078 discloses a surgical table having several removable sections that allow for a variety of possible configurations. Sensors detect the table configuration and send appropriate signals to a controller. Each of the above patents and publications is incorporated herein by reference in its entirety.

[0008] These and other prior art devices have several limitations. For example, with at least certain prior art devices, accurate measurements of changes in weight distribution can be difficult to achieve. Some prior art devices are difficult or cumbersome to operate. The Steris® 5085 SRT operating table is provided with fixed handles at the head or foot that, in certain circumstances, unnecessarily increase the overall length of the table. Certain prior art tables may not be particularly stable and expensive to manufacture. For example, many prior art operating tables utilize vertical hydraulic columns with telescoping block sections to raise and lower the patient support platform. These tables, especially if designed to move downwardly near the ground, are expensive to manufacture and contain oil in the hydraulic system that can inadvertently leak. Summary of the Invention

[0009] In one embodiment, the disclosed technology is directed to a system for supporting or positioning a patient before, during, or after a medical procedure. The system includes a platform configured to support at least a portion of a patient. A support column is disposed below the platform. A base is disposed below the support column and configured to support the support column. The base includes at least one drive wheel configured to contact a ground surface and assist a user in moving the platform relative to the ground surface. A drive assist user interface module is operatively connected to the at least one drive wheel. The drive assist user interface module is configured to allow an operator of the system to selectively control movement of the at least one drive wheel. The drive assist user interface module forms part of or is attached to an attachment including a plate having an upper surface. In one configuration or position, an upper surface of the plate of the attachment is configured to be flush with or extend parallel to an upper surface of the platform when the attachment is attached to the platform. In one or more other configurations and positions, the upper surface of the plate of the attachment is configured to extend at an angle relative to the upper surface of the platform when the attachment is attached to the platform.

[0010] In another embodiment, the disclosed technology is directed to a system for supporting or positioning a patient before, during, or after a medical procedure. The system may include a platform configured to support at least a portion of a patient. A support column is disposed beneath the platform. At least a portion of the support column (e.g., a cover thereof) encloses a support and lifting mechanism configured to support and lift the platform. The support and lifting mechanism includes a first linkage system and a second linkage system. The first linkage system includes at least one upper four-bar linkage and at least one lower four-bar linkage. The second linkage system includes at least two link bars connected in series and is configured to move in a plane perpendicular to the first linkage system. A base is disposed beneath the support column and configured to support the support column. The base includes at least one drive wheel configured to contact a ground and move the platform relative to the ground.

[0011] In yet another embodiment, the disclosed technology is directed to a system for supporting or positioning a patient before, during, or after a medical procedure. The system includes a platform configured to support at least a portion of a patient. A support column is disposed beneath the platform. A base is disposed beneath the support column and configured to support the support column. The base includes at least three spaced apart casters, each caster configured to contact a ground surface and enable movement of the platform relative to the ground surface. The base also includes at least one drive wheel configured to contact the ground surface and enable movement of the platform relative to the ground surface. The base further includes at least three load sensing / floor raising mechanisms configured to contact the ground surface and prevent inadvertent movement of the platform relative to the ground surface. Each of the at least three load sensing / floor raising mechanisms includes a support foot and a motor. The motor is configured to raise the support foot so that the caster wheel contacts the ground surface. The motor is also configured to lower the support feet and raise the platform at least slightly to prevent one or more of the caster wheels from contacting the ground. [Brief description of the drawings]

[0012] The foregoing summary, as well as the following detailed description of the invention, will be better understood when read in conjunction with the appended drawings. For the purpose of illustrating the invention, there are shown in the drawings various exemplary embodiments. It being understood, however, that the invention is not limited to the precise arrangements and instrumentalities shown.

[0013] [Figure 1] FIG. 1 illustrates a cross-sectional side view of at least a portion of a system or apparatus according to an embodiment of the present disclosure, where certain components may be shown as transparent or semi-transparent or omitted for clarity.

[0014] [Diagram 2]FIG. 1 is a perspective view of a support and lift mechanism according to one embodiment of the present disclosure, the mechanism being shown in a deployed or expanded configuration.

[0015] [Diagram 3] FIG. 3 is another perspective view of the mechanism shown in FIG. 2.

[0016] [Figure 4] FIG. 4 is a side view of the mechanism shown in FIG.

[0017] [Diagram 5] FIG. 4 is a front view of the mechanism shown in FIG. 3.

[0018] [Figure 6] FIG. 4 is a top view of the arrangement shown in FIG. 3.

[0019] [Figure 7] FIG. 13 is a perspective view of the mechanism shown in an intermediate or partially extended configuration.

[0020] [Figure 8] FIG. 8 is a side view of the mechanism shown in FIG.

[0021] [Figure 9] FIG. 8 is a front view of the mechanism shown in FIG.

[0022] [Figure 10] FIG. 2 is a perspective view of the mechanism shown in a compressed or folded configuration.

[0023] [Figure 11] FIG. 11 is a side view of the mechanism shown in FIG.

[0024] [Figure 12] FIG. 11 is a front view of the mechanism shown in FIG.

[0025] [Figure 13] FIG. 11 is a top view of the arrangement shown in FIG.

[0026] [Figure 14A] FIG. 1 is a perspective view of a platform or first attachment of a table according to one embodiment of the present disclosure, with a user interface module shown in an upright or deployed position on the platform or attachment of the table.

[0027] [Figure 14B] FIG. 14B is another perspective view of the attachment shown in FIG. 14A.

[0028] [Figure 14C] FIG. 14B is yet another perspective view of the attachment shown in FIG. 14A (with certain components removed for clarity), with the module shown in a downward or stowed position.

[0029] [Figure 14D] FIG. 14D is a perspective view of the attachment shown in FIG. 14C, with the module shown between the deployed and stowed positions.

[0030] [Figure 15] FIG. 15 is an enlarged, partially exploded perspective view of the attachment shown in FIG. 14 with certain features removed for clarity.

[0031] [Figure 16] FIG. 2 is a bottom perspective view of at least a portion of a system or apparatus according to one embodiment of the present disclosure.

[0032] [Figure 17] FIG. 2 is an enlarged view of a socket or receptacle according to one embodiment of the present disclosure.

[0033] [Figure 18] FIG. 2 is a bottom perspective view of a portion of an attachment according to one embodiment of the present disclosure, with segments of the attachment omitted for clarity.

[0034] [Figure 19]FIG. 2 is a perspective view of at least a portion of a base according to one embodiment of the present disclosure.

[0035] [Figure 20] FIG.

[0036] [Figure 21A] FIG.

[0037] [Figure 21B] FIG. 21B is a side cross-sectional view of FIG. 21A showing the drive assist mechanism in an upper or stowed position.

[0038] [Figure 21C] FIG. 21B is a view similar to FIG. 21B, but showing the drive assist mechanism in a downward position.

[0039] [Figure 22] 20 is a cross-sectional view of at least a portion of the base components shown in FIG. 19 taken through the load cell beam with the feet shown in a retracted position.

[0040] [Figure 23] FIG. 23 is another cross-sectional view of the structure shown in FIG. 22 with the legs shown in an extended position.

[0041] [Figure 24] 20 is a cross-sectional view of at least a portion of the base component shown in FIG. 19 taken through the centerline of the drive and driven pulleys.

[0042] [Diagram 25] FIG. 1 is a schematic diagram of a computing system according to one embodiment of the present disclosure. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0043] Although the systems, devices, and methods are described herein as examples and embodiments, those skilled in the art will recognize that the systems, devices, and methods of the presently disclosed technology are not limited to the described embodiments or drawings. It should be understood that the drawings and description are not intended to be limited to the particular forms disclosed. Rather, the intent is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the appended claims. All headings used herein are for organizational purposes only and are not intended to limit the scope of the description or claims. As used herein, the terms "is" and "can" are used in an permissive sense (i.e., may) rather than an obligatory sense (i.e., must). Similarly, the word "include" means to include, but is not limited to. Unless otherwise stated herein, the singular terms ("a", "an", and "the") should not be read as being limited to one element, but instead to mean "at least one". As used herein, the term "actuator" is broadly defined to mean any component capable of at least initiating movement or control of a mechanism, part, or system, including a trigger, button, switch, or other enabling device. The terminology includes the above mentioned words, derivatives thereof and words of similar import.

[0044] Referring in detail to the drawings, in which like numerals indicate like elements throughout, the technology of the present disclosure relates to at least partially modular, multi-component systems, apparatus and methods that allow a surgeon and / or medical team to better monitor, support, position, reposition and / or manipulate a patient before, during and / or after surgery by electrical and / or mechanical means. The technology of the present disclosure allows the surgeon and / or medical team to support the patient vertically above the floor or ground, allowing the surgeon and / or medical team to move or position the patient more quickly and easily, and / or provide other functions. The term "patient" is broadly defined herein to include human patients of all sizes, genders and demographics, as well as animals (e.g., for veterinary purposes). The system or apparatus (generally designated 100) may be referred to herein as a surgical table. The surgical table may be any of a variety of types or styles and may vary in size, shape and / or configuration from those shown and described herein.

[0045] FIG. 1 illustrates one embodiment of the surgical table 100 of the disclosed technology. The surgical table 100 can include an upper platform 102, a lower base 400, a support 300 therebetween, and a table support or first attachment 500. The surgical table 100 can also include additional attachments or modules, such as, but not limited to, a second attachment 800 and a third attachment 900. In one aspect, the attachments 500, 800, 900 serve to extend the length of the surgical table 100, thereby allowing the surgical table 100 to fully support patients of different sizes and lengths. The patient can be placed or lie directly on the platform 102 (which can extend at least partially over the attachment 500 or one or more other attachments), and at least a portion of the base 400 can contact the floor or ground 104. The posts 300 are selectively adjustable, as described in more detail below, allowing a surgeon and / or surgical team to adjust the position of the platform 102 relative to the base 400.

[0046] As described in further detail below, the operating table 100 can include a drive assist assembly that can include a drive assist mechanism 700 and a drive assist user interface module 508. The mechanism 700 can be present on the base 400 and the module 508 can be present on or connected to either end of one or more attachments to the upper platform 102. The mechanism 700 can include at least one drive wheel 600, and the mechanism 700 can be configured to move or pivot the at least one drive wheel 600 between a stowed position and a use position to engage and disengage with the ground 104. The module 508, in combination with one or more other components or parts of the operating table 100, can assist a surgeon or medical team in positioning the operating table 100, controlling various functions of the operating table 100, and / or quickly and efficiently positioning, repositioning, or moving the operating table 100.

[0047] 1-13, one or more embodiments of the column 300 may include a support and lifting mechanism generally designated 302 having a first linkage system 304 and a separate second linkage system 306 (see FIG. 2). The two linkage systems 304, 306 may be connected or attached at one, two, or more points and may complement each other to efficiently, stably, and / or compactly raise and / or lower the platform 102. As will be apparent from the structures described below, at least the first linkage system 304 (alone or in combination with the second linkage system 306) may provide resistance to moments of the operating table 100 about roll or tilt (i.e., x-axis), pitch or Trendelenburg (i.e., y-axis), and yaw or table twist about a vertical axis (i.e., z-axis), and / or resistance to lateral forces. When the first and second linkage systems 304, 306 are mounted on a vertical surface, the combination also provides resistance to longitudinal forces.

[0048] The first linkage system 304 may include at least one or two spaced apart parallel sets 308a, 308b of upper four-bar linkages connected by axles and supported on bearings, such as tapered roller bearings, ball bearings, or bushings. One set 308a of the upper four-bar linkages may be on the left side of the mechanism 302 and the other set 308b of the upper four-bar linkages may be on the right side of the mechanism 302. The first linkage system 304 may also include at least one or two spaced apart parallel sets 310a, 310b of lower four-bar linkages connected by axles and supported on tapered roller bearings. One set 310a of the lower four-bar linkages may be on the left side of the mechanism 302 and the other set 310b of the lower four-bar linkages may be on the right side of the mechanism 302. Overall, in one embodiment, the first linkage system 304 may include four four-bar linkages. Those skilled in the art will appreciate that a four-bar linkage is considered the simplest movable closed chain linkage. It consists of four bodies, called bars or links, connected in a loop by four joints. Generally, the joints are configured so that the links move in parallel planes.

[0049] The upper and lower four-bar linkage sets 308a, 308b, 310a, 310b may be arranged in series with one another and joined or connected by a common element such as a "floating" or movable torque reacting device 312. An upper torque reacting device 314, which may form part of each of the upper four-bar linkages, may connect the remaining portion of the upper four-bar linkage to a Trendelenburg axis mount 316 and a Trendelenburg actuator mount 318. In one embodiment, the upper torque reacting device 314 may support and / or surround a printed circuit board (PCB) 315 (see FIGS. 10 and 12), thereby allowing the surgeon and / or medical team to move or reposition the operating table 100 and / or mechanism 302. At least one or two spaced apart lower support mounts 320a, 320b, which may form part of each of the lower four-bar linkages, may connect the remaining portion of the lower four-bar linkage to the base 400 (directly or indirectly).

[0050] In one embodiment, the lower four-bar linkage sets 310a, 310b can be spaced at least slightly outwardly from the upper four-bar linkage sets 308a, 308b. As a result, at least a portion of the upper four-bar linkage sets 308a, 308b can be disposed between at least a portion of the lower four-bar linkage sets 310a, 310b. This configuration allows the mechanism 302 to have a generally compact configuration when in a folded or compressed state (see FIGS. 10-13).

[0051] The second linkage system 306 (e.g., cross-link) may be formed from two, three or more link bars 330a, 330b, 330c connected in series and a lower support block 332 attached (directly or indirectly) to the base 400 via any of a variety of means (screws, bolts, welding, etc.). The link bars 330a, 330b, 330c of the second linkage system 306 are hinged or arranged to pivot such that the axis of each link bar 330a, 330b, 330c extends perpendicular to the axis of the upper and lower four-bar linkages. The second linkage system 306 may be arranged relative to the first linkage system 304 such that the mechanism has a generally compact configuration when in a folded or compressed state (see Figures 10-13). This compact configuration allows the upper platform 102 to move downward closer to the ground 104 than prior art equipment.

[0052] In operation of one embodiment of the disclosed technology, the movement of the four-bar linkage can be limited to movement only in the x and z planes (i.e., no movement in the y plane). The movement of the link bars 330a, 330b, 330c can be limited to movement only in the y and z planes (i.e., no movement in the x plane). The first and second linkage systems 304, 306 can be connected to each other at or by the upper torque reaction device 314 and / or at or by the base 400. In one embodiment, when combined, the only movement permitted by the first and second linkage systems 304, 306 is in the z axis (e.g., up and down). Thus, when combined, the first and second linkage systems can provide resistance to all movement except for raising and lowering the upper platform 102.

[0053] Vertical lifting or upward force to or relative to the upper platform 102 may be provided by a lifting mechanism 350, such as a lead screw or piston, and / or an actuator or motor 352 operatively connected thereto. The lifting mechanism 350 may be concentric and / or telescopic and may be a threaded rod and nut, a ball screw, or a roller screw. In one embodiment, a concentric design with dual parallel threads may be used. In another embodiment, dual concentric screws (i.e., four screws total) may be used and may be less expensive. In yet another embodiment, the lifting mechanism 350 may be a push chain that can be hinged to bend in one direction, but limited to bend in the other direction.

[0054] The lifting mechanism 350 can be disposed within or surrounded by the first and second linkage systems 304, 306. Thus, when the lifting mechanism 350 expands or collapses (e.g., through rotation of a portion thereof), the first and second linkage systems 304, 306 can expand or contract around the lifting mechanism 350 to create an efficient and compact structure. In one embodiment, the lifting mechanism 350 and / or the actuators 352 provide all of the lifting force to the upper platform 102, while the first and second lineage systems 304, 306 help reduce moment loads and / or increase lateral stiffness or stability of the operating table 100.

[0055] 14A-15 show an embodiment of a platform or first attachment 500 of the table with one or more other components of the system. The first attachment 500 can be in the form of a head platform configured to be removably attached to at least a portion of the upper platform 102. The first attachment 500 can be configured to support at least a portion of the head and / or upper body of a patient during surgery. As described above, the system can also include one or more other platforms or attachments, each of which can be removably attached to each other and / or the upper platform 102 and configured or designed to support other portions of the patient (e.g., the lower body or lower limbs) during surgery. In one embodiment, the first attachment 500, the second attachment 800 and the third attachment 900 can each be any patient support designed to be removably attached to the remainder of the operating table. For example, as described above, the first attachment 500 can be in the form of a removable head support. The second attachment 800 may be in the form of a removable back support and the third attachment 900 may be in the form of a removable leg or lower body support.

[0056] 14A-14D show a first attachment 500 having a drive-assist user interface module 508 that can provide an operator with the ability to quickly, easily, and / or efficiently move, steer, position, and / or reposition the operating table 100, as described in detail below. Depending on its location and configuration, the combination of the drive-assist user interface module 508 and the first attachment 500 can also provide the operator with increased comfort or a better "feel" for moving the operating table 100. In one embodiment, the user interface module 508 can include one or more actuators that provide the ability to selectively steer and / or adjust (e.g., via a motor) the speed of at least one drive wheel 600 of the operating table 100. For example, the interface module 508 can be configured to control the linear speed of the operating table 100 relative to the ground surface 104 (e.g., very slow (creep), medium speed, and high speed) and / or the direction of movement of the operating table 100 (e.g., forward or reverse). The positioning of the combination of drive-assist user interface module 508 and first attachment 500 relative to the remainder of the operating table 100, the ergonomic nature of that combination, and the functionality of the drive-assist user interface module 508 provide the operator with more control than is provided by prior art devices.

[0057] As described in more detail below, the drive-assist user interface module 508, or one or more portions thereof, allows an operator (e.g., a surgeon or any member of a medical team) to control the movement of the operating table 100 with both hands to ensure a firm grip on the first attachment 500 and / or the operating table 100 at all times. In certain prior art tables, one hand of the operator is required to grasp a separate hand pendant or proprietary module next to or on top of the table. In contrast, the drive-assist user interface module 508 of the disclosed technology can reside on or with the operating table 100, so that the operator does not need to locate and install an accessory, but can be stored or attached in a manner that has a minimal or beneficial effect on the use of the operating table 100.

[0058] The first attachment 500 may include or be attached to a drive-assist user interface module 508 and may be formed of any lightweight and high strength material, such as a durable plastic like glass-filled nylon. The first attachment 500 may include a plate 502 supported by at least one or two spaced apart parallel arms 504a, 504b, and a rail or cross beam 506 connecting the two ends of the arms 504a, 504b. The plate 502 may include a top surface 502a and an opposing bottom surface 502b. When the first attachment 500 is properly attached to the rest of the operating table 100, the plate 502 may be approximately flush with the upper platform 102. Each arm 504a, 504b may include a side rail 505a, 505b attached thereto and spaced at least slightly outward therefrom. For clarity, the side rails 505a, 505b, as well as certain other components of the disclosed technology, have been omitted from Figures 14C and 14D.

[0059] In one embodiment, the drive-assist user interface module 508 can be pivotally and / or removably mounted to at least a portion of the cross beam 506. In another embodiment, the module 508 can be mounted to the arms 504a, 504b via one or more brackets or pivot points 520 (see FIGS. 14B and 14C) such that the module 508 is pivotable about an axis extending parallel to the cross beam 506. Regardless of how it is attached to the first attachment, the user interface module 508 can include the electronics, power source (e.g., battery), actuators or buttons, latch magnets and / or connectors necessary to achieve the functionality described herein.

[0060] In one embodiment, the module 508 may be movable between a downward or stowed (e.g., non-use) position (see FIG. 14C) and an upward or use position (see FIGS. 14A and 14B). In the deployed or use position, at least a portion of the module 508 may encase and / or cover at least a portion of the cross beam 506. FIG. 14D illustrates the module 508 in a position between the stowed and deployed positions. An electrical connector 509 may extend outwardly from the module 508 and may be electrically connected to the remainder of the surgical table 100 by a cable or wire (not shown). The connector 509 may thus be configured to power one or more batteries and communicate with the module 508 during initialization. However, during use of one embodiment of the surgical table 100, the cable and connector 509 are detached from the surgical table 100. In one embodiment, when the cable and connector 509 are attached to the surgical table 100, the first attachment 500 may communicate without using wireless technology. This is useful if the battery (described in more detail below) of the module 508 runs out of power before or during an intended movement of the operating table 100.

[0061] The module 508 may include one or more spaced apart attachment mechanisms 524 (see FIG. 14D ), such as magnets, mechanical latches or detents integrated into one or more components. Similarly, the attachment mechanisms 524 or other attachment mechanisms may be designed and / or configured to hold or otherwise support the module 508 in a stowed position.

[0062] A control embedded in, attached to, or mounted on the module 508 and / or one or more actuators of the module 508 can be configured to sense the presence of one or more attachment mechanisms 524 (e.g., magnets) to create an automatic on / off switch. When the module 508 is deployed and the attachment mechanism 524 is detected, the capacitive enable switch and wireless functions can be activated (e.g., draw power and go to an "on" state). When the module 508 is in a stowed position (e.g., no magnets 524 are detected), power can be reduced or turned off. This serves as both a safety feature and a power saving feature.

[0063] Additionally, the above controls allow an operator of the surgical table 100 to selectively adjust the speed and / or direction of table transport. For example, a capacitive switch or sensor 510, separate from or embedded within a printed circuit board (PCB) 511 (shown diagrammatically in FIG. 14D), may be located or mounted on the module 508. As will be appreciated by those skilled in the art, a capacitive switch such as sensor 510 does not require physical actuation, only physical proximity.

[0064] In one embodiment, the palm grip 512 of the module 508 (referred to herein for convenience simply as the "first actuator") can align with and / or complement the switch 510 when the module 508 is properly attached to and / or positioned relative to the cross beam 506. Engagement of the palm grip 512 by an operator (e.g., with the palm of the hand) can activate the switch 510, which can activate one or more movement control buttons (described in more detail below). In one embodiment, the engagement / actuation alone does not allow the operating table 100 to move or actuate the drive wheels 600. Instead, in such an embodiment, the engagement / actuation alone allows the operator to move the operating table 100 and / or actuate the drive wheels 600 via a second or additional step (e.g., engagement of a separate actuator).

[0065] In one embodiment, this provides a high level of safety that cannot be provided by a pendant command table. For example, at least a portion of the operator's fingers must extend through holes 518 in order to place the palm of the operator's hand on palm grip 512, ideally grasping at least a portion of first attachment 500 and thereby controlling operating table 100. In certain embodiments, operating table 100 weighs approximately 900 pounds by itself and with a patient on it can weigh approximately 1500 pounds.

[0066] As shown in FIG. 14, the module 508 may include one or more movement control buttons, such as a second actuator 514, a third actuator 516, and a fourth actuator 517. All of the actuators 512, 514, 516, 517 may be spaced apart from one another. In one embodiment, the actuators 512, 514, 516, 517 may be positioned such that at least a portion of one hand of an operator's palm may engage the first actuator 512, while at least a portion of the operator's thumb may easily engage either the second actuator 514, the third actuator 516, or the fourth actuator 517. The size, shape, and / or location of each of the actuators 512, 514, 516, 517 are not limited to those shown in FIG. 14 and described herein. For example, instead of all of the actuators 512, 514, 516, 517 being located on the right portion of the module 508, one or more of the actuators 512, 514, 516, 517 can be located on the left portion of the module 508. The second actuator 514 and the third actuator 516 can be momentary switches configured to initiate or control forward and reverse movement, respectively, of the operating table 100 and / or the drive wheels 600. The fourth actuator 517 can be a momentary switch configured to initiate a "fast forward" movement of the operating table 100 and / or the drive wheels 600.

[0067] In one embodiment, when the palm grip 512 or any of the second actuator 514, the third actuator 516, or the fourth actuator 517 are not engaged, contacted, or pressed, the motion of the operating table 100 and / or the drive wheels 600 stops. In other words, if the operator "lets go" the module 508 such that the first actuator 512 is not engaged or any of the second actuator 514, the third actuator 516, and the fourth actuator 517 are not engaged, the operating table 100 and / or the drive wheels 600 brake or stop. This configuration prevents undesired or unintended motion of the operating table 100 and / or the drive wheels 600 unless the operator holds the module 508 tightly with the first actuator 512 and engages one of the second actuator 514, the third actuator 516, or the fourth actuator 517.

[0068] When not in use (e.g., when it is desired that the operating table 100 remain in one location for an extended period of time), the module 508 can be folded downward or rotated relative to the remainder of the first attachment 500. Alternatively, in one embodiment, the module 508 can be separated from the remainder of the first attachment 500. In one embodiment, when an operator wishes to move the module 508 from the stowed position (FIG. 14C) to the deployed position (FIG. 14A), the operator can insert at least a portion of the operator's hand through one or more spaced apart openings or notches 518 (i) in the plate 502 or (ii) between the plate 502 and the cross beam 506 to flip or rotate the module 508 about one or more brackets or pivot points 520 (see FIGS. 14B and 14C). The module 508 can be moved between the stowed and deployed configurations in a matter of seconds, without significantly extending the overall length of the operating table 100 in either configuration.

[0069] In one embodiment, the first attachment 500 and / or any of the other attachments can interface and / or communicate with a separate hand pendant and / or auxiliary panel of the operating table 100. For example, radio frequency (RF), such as the ZigBee standard, can be used to communicate between the hand pendant, the first attachment 500, and / or the auxiliary panel. In one embodiment, the module 508 and / or the first attachment 500 can include an embedded wireless interface printed circuit assembly (PCA) that can communicate with other separate PCAs in the operating table 100 while operations are being commanded by the operator. With this technology, the hand pendant can provide an indication to the operator of the status of the drive assist mechanism 700 (deployed, enabled, active forward, active reverse, etc.) and / or provide the battery charge status of the first attachment 500. In one embodiment, the drive assist wheels 600 are not controlled via the hand pendant; only the module 508 and / or the first attachment 500 can control the drive wheels 600. However, the techniques of this disclosure are not limited to such an arrangement or configuration.

[0070] When not deployed (e.g., when the magnet 524 is not sensing contact with the end rail 506), no power is consumed by the wireless board. As mentioned above, the module 508 includes one or more batteries 526 (see FIG. 14C ) to provide power to the wireless board, PCB 511, sensor 510, and / or one or more actuators 512, 514, 516, 517. Recharging of the battery 526 can be accomplished via a cable, wire, or cord on a removable hand pendant (which may be storable on the surgical table 100). In one embodiment, power to the wireless board, PCB 511, sensor 510, and / or one or more of the actuators 512, 514, 516, 517 may be available while the cable is connected (if the battery 526 is dead or discharged).

[0071] Thus, the above technique, in one embodiment, provides the operator with the ability to drive the operating table 100 forward and / or backward and / or steer with maximum leverage. The first attachment 500 can be mounted at either end of the operating table 100 (e.g., at the head or foot end), allowing the operator to drive the operating table 100 from either end. To facilitate such functionality, the operating table 100 can automatically sense which end of the operating table 100 the first attachment 500 is mounted or attached to, and automatically adjust the forward and backward orientation to be appropriate for the operator's orientation. In the prior art, no device existed that allowed for such a global level of ergonomic control.

[0072] 14A-15, the free end of each arm 504a, 504b of the first attachment 500 (e.g., opposite the module 508 and cross beam 506) can include at least one protrusion 522a, 522b designed to be received in at least one receptacle or socket in the remainder of the operating table 100. The receptacle can be located or disposed in the upper platform 102, for example. Each protrusion 522a, 522b can include a tab or latch 534a, 534b rotatable about an axis 536 extending generally perpendicular to a plane defined by the plate 502 of the first attachment 500. At least a portion of each tab 534a, 534b is configured to engage a portion of the interior of the container. Those skilled in the art will understand that the above arrangement can be reversed (e.g., the receptacles on each arm 504a, 504b receive at least a portion of a protrusion from the remainder of the surgical table 100) without compromising the functionality described herein.

[0073] In an embodiment, the operating table 100 can use several different technologies in several different locations. For example, in one embodiment, the operating table 100 can use one or more three-axis magnetic sensors. These sensors can detect the presence of magnets and their relative position along an arc. In particular, in one embodiment, one or more permanent magnets 544 (shown diagrammatically in FIG. 15) can be positioned at or about the pivot axis of each gear 528 (described in more detail below) on or in the first attachment 500. More particularly, in one embodiment, a metal flange can be placed on the spindle between the respective gear 528 and a hex nut 546 that can include a permanent magnet 544. The three-axis magnetic sensors can be attached to the distal ends of the back and legs of the second attachment 800 and the third attachment 900 and positioned close enough to the location of the magnets to be able to (i) detect the presence of the attachments and (ii) identify or read the angle or rotation at which the attachments are attached. In one embodiment, two or more or all of the removable attachments 500, 800, 900 employ three-axis magnetic sensor technology, even when the module 508 is not installed or in use.

[0074] Three-axis magnetic sensing technology can be used at or by the protrusions 522a, 522b and the receptacles to enable the operating table 100 to sense the components. Thus, at least one of the receptacles can sense the presence of the respective protrusions 522a, 522b (i), engagement with (ii), and / or insertion angle relative to (iii) (described in more detail below), or vice versa. One or more permanent magnets can be disposed on a rotatable portion of the first attachment 500 near one or both of the protrusions 522a, 522b. One or more three-axis magnetic sensors can be mounted in or on one or more of the receptacles. As will be appreciated by those skilled in the art, the three-axis magnetic sensors can sense the presence of the permanent magnets and determine the angular position of the permanent magnets, thereby determining the adjustment angle of the attachment 500. This sensing can be completed wirelessly, allowing the first attachment 500 to be completely removed and separated from the remainder of the operating table 100.

[0075] 15, the free end of each arm 504a, 504b may include a gear and prong system. The gear and prong system may allow the prongs 522a, 522b to be held at a particular angle relative to the plate 502 and / or to be rotated or otherwise moved relative to the plate 502 and then held at that angle. More specifically, at least a portion of each prong 522a, 522b may be fixed relative to a gear 528. The gear 528 may include a plurality of spaced apart teeth extending around its entire circumference. Alternatively, the teeth of the gear 528 may be located on only a portion of its circumference. The prongs 530 and spring 532 may be located within a portion of the arms 504a, 504b. The spring 532 may surround at least a portion of the prongs 530 and engage the prongs 530 to bias the prongs 530 to move toward and engage the gear 528. The opposite ends of the prongs 530 engage and are securely attached to a bracket 540 that is slidable relative to the arms 504a, 504b. An angle adjustment / release handle 542 can be attached to the bracket 540 on either side of the first attachment 500. An operator or user can reach under the top surface 502 of the first attachment, grasp the angle adjustment / release handle 542, and pull. This action disengages each prong 530 from the gear 528. When the operator releases the angle adjustment / release handle 542, the springs 532a, 532b re-engage the prongs 530a, 530b with the gear 528, locking them into the new position or angle.

[0076] As a result of the combination of the above features, the top surface 502 of the first attachment 500 can have multiple configurations or positions relative to the top surface of the upper platform 102. For example, the first top surface 502 of the first attachment 500 can extend at an angle (e.g., adjusted upwards or downwards from 0 to 90 degrees) relative to the top surface of the upper platform 102, even while the first attachment 500 is fixed to the upper platform 102. In another embodiment (not shown), the top surface 502 of the first attachment 500 can extend parallel to, but not necessarily coplanar with, the top surface of the upper platform 102. For example, in such an embodiment, the top surface platform 102 or the attachment 500 can still allow for angle adjustment, and the first attachment 500 can still include a drive assist module.

[0077] The operating table 100 is also configured to use radio frequency identification (RFID) or another identification protocol. As described in more detail below, RFID technology can be used at the interface between the upper platform 102 and any removable attachments. In one embodiment, RFID technology can be used with the back and legs or attachments 800, 900, but also options such as imaging boards. RFID tags can transmit serialized information so that the system can use the RFID tags to determine exactly what is attached at each location. Using this technology, the system can also pass a limited amount of power to the distal device to drive sensors. In one embodiment, RFID technology is employed on two or more or all of the removable attachments 500, 800, 900 even when the module 508 is not installed or used.

[0078] 16-18, in one example, the upper platform 102 or another portion of the operating table 100 can include two or more spaced apart sockets 850a, 850b. Each socket 850a, 850b can be sized, shaped, and / or configured to accommodate at least a portion of an extension 852a, 852b of one of the second attachments 800. Through RFID technology, each socket 850 and extension 852 can communicate with other and / or remaining portions of the operating table 100, respectively. In particular, at least one of the sockets 850a, 850b and / or extensions 852a, 852b can sense (i) the presence, (ii) engagement, and / or (iii) angle of insertion.

[0079] One or more RFID tags and / or readers can be disposed in or on one or both of the extensions 852a, 852b and / or one or more of the sockets 850a, 850b. As will be appreciated by those skilled in the art, the tags and readers can communicate or exchange information. This sensing can be completed wirelessly. More specifically, in one embodiment, one or each extension 852a, 852b can include a first or "smart" RFID tag 854 that can transmit power. Each socket 850a, 850b can include a board or second RFID tag 856. The techniques of the present disclosure are not limited to including "smart" RFID tags, as "dumb" RFID tags that do not transmit power can be used.

[0080] As will be appreciated by those skilled in the art, the techniques of the present disclosure provide for intelligent detection of one or more of the attachments. More specifically, the use of RFID technology allows the operating table 100 to not only detect the presence of a previously unattached attachment, but also identify which attachment it is specifically (i.e., the second attachment 800) and the orientation of that component (e.g., the second attachment 800 is attached to the foot end side of the operating table 100 and / or the angle of the second attachment 800 relative to the upper platform 102). Additionally, the information obtained from the RFID technology can be used to improve the accuracy of the collision detection algorithm. As mentioned above, RFID technology transfers power wirelessly. This is one way to provide energy to a three-axis magnetic sensor. Thus, RFID technology allows the operating table 100 to wirelessly sense (i) the presence and (ii) the position of two consecutive distal parts. This is more than just a proximity sensor (which can know that some component is attached, but not the orientation of that component).

[0081] 19-24 show details of one embodiment of a base 400 of the disclosed technology. The base 400 can be formed of a stage 402 that can accommodate and / or support multiple components. The components can include (i) a drive assist mechanism 700 having one or more drive wheels 600, (ii) three, four or more spaced apart caster wheels 404, and / or (iii) one, two, four or more spaced apart load sensing / floor lifting mechanisms 406. The stage 402 can include one or more cutouts or openings 403 (see FIGS. 19-21A) of a size, shape and / or configuration to accommodate the drive wheels 600. In one embodiment, each opening 403 is near the head end of the operating table 100 and is laterally centered. In alternative embodiments, each opening 403 and drive wheels 600 can be located at or near the center of the stage 402, or the drive wheels 600 can be the two outer wheels of the stage. In one embodiment, each drive wheel 600 does not swivel or cast, however, in another embodiment, each drive wheel 600 includes this functionality.

[0082] As shown in FIG. 21B and FIG. 21C, the drive assist mechanism 700 can move the drive wheel 600 into and out of engagement with the ground 104 to allow or prevent the drive wheel 600 from moving the operating table. The drive assist mechanism 700 can include at least one motor that can communicate with the module 508 to selectively effect this rotation or slight pivoting of the drive wheel 600. The drive assist mechanism 700 can use a spring suspension system. Thus, in one embodiment, when the mechanism 700 moves the drive wheel 600 to the downward or engaged position, the spring suspension system always forces the drive wheel 106 downward into frictional contact with the ground 104, even though the drive wheel 600 is the fifth wheel that contacts the ground 104.

[0083] During transportation, the operating table 100 can roll on the caster wheels 404, while at least a portion of each load sensing / floor raising mechanism 406 (e.g., a support foot, described in detail below) can be retracted to a protective position and / or elevated off the ground 104. During non-transport conditions, such as surgery or storage, at least a portion of each load sensing / floor raising mechanism 406 can be extended to contact the ground 104 and at least slightly elevate the base 400 off the ground 104, thereby preventing the caster wheels 404 from contacting the ground 104, which in turn prevents the operating table 100 from moving via the caster wheels.

[0084] Each load sensing / floor raising mechanism 406 can include a support foot 408 with a rubberized bottom surface 410. The bottom surface 410 can provide the support foot 408 with a high coefficient of friction such that when the support foot 408 is in the deployed or elevated position, the support foot 408 securely holds the operating table 100 in place. In operation, when the support foot 408 is actuated, the support foot 408 can move downward (e.g., approximately perpendicular to a plane defined by the upper platform 102) and first contact the ground 102. When the support foot 408 is further actuated, the support foot 408 can lift the operating table 100, which in turn can lift the respective caster wheel 404 at least slightly off the ground 104.

[0085] 22-24, each load sensing / floor raising mechanism 406 can include a vertical shaft 412 mounted within a vertical shaft bushing 414. The upper end of the threadable shaft 412 can be engaged with a threaded nut 415. The nut 415 is contained within a housing by one or more radial bearings 416 and / or one or more thrust bearings 418. In one embodiment, the radial bearings 416 and thrust bearings 418 allow the nut 415 to rotate about a vertical axis while all other degrees of freedom are constrained. A transmission such as a timing belt pulley or gears can be attached to the nut 415 and / or the vertical shaft 412. In one embodiment, a motor or gear motor 422 and drive pulley are provided on an axis parallel to the vertical axis 415 and connected thereto via a timing belt 424 (or gear train). In operation of one embodiment, when the motor 422 is energized, the shaft 412 can be keyed to drive upwards or downwards, but cannot be rotated.

[0086] A load cell support beam 426 can be attached to the bottom of the shaft 412. The load cell support beam 426 can be a passive member that supports a cantilevered load cell beam 428. The support foot 408 can be attached to an end of the load cell beam 428. The load cell beam 428 can include or be operatively connected to one or more sensors, such as strain gauges, designed and / or oriented to measure the strain of the load cell beam 428 when a normal force is applied. With proper calibration, this combination provides an accurate measurement of the force applied to the load cell beam 428, thereby allowing a user to know the amount of force applied to at least a portion of the operating table 100.

[0087] More specifically, in one embodiment, with four such devices attached to approximately (e.g., four) corners of the operating table 100, and the operating table 100 at least slightly elevated off the ground 104 by the deployed support feet 408, an accurate measurement of the weight of the operating table 100 (including the patient and accessories) can be obtained. In addition, because the forces applied to each corner of the operating table 100 are known, the stability of the operating table 100 can be determined. For example, if at least a portion of the upper platform 102 is extended in a horizontal plane, more weight is transferred to one end of the base 400, thereby increasing the forces applied to the two load cell sensors while simultaneously decreasing the forces applied to the other two sensors. A stability algorithm can be applied so that a minimum force threshold can be set (taking into account disturbance forces applied by the surgeon or staff) necessary to achieve stability during normal operating room procedures.

[0088] 22 and 23, the load cell beam 428 and the load cell support beam 426 can have the same or nearly the same length and / or can be aligned such that the shaft 412 and the support foot 408 are coaxially aligned. Such a configuration helps to eliminate or reduce moment loads applied to the shaft 412, thereby allowing the use of simple bushings 414 to minimize frictional resistance. However, such an arrangement is not necessary for the operating table 100 and / or the load sensing / bed raising mechanism 406 to function as intended or described herein.

[0089] In one embodiment, the lift actuation algorithm can drive each support foot 408 independently and / or separately to the ground surface 104. Each motor 422 can drive each support foot 408 downward until a predetermined current value is reached. In one embodiment, this current value can be high enough to overcome the expected friction in the drive, but not generate enough torque to lift the operating table 100 off the ground surface 104. In this manner, the position of the surface 104 can be sensed independently by each load sensing / floor lifting mechanism 406. For example, if a tile of the ground surface 104 is missing in one place, the associated support foot 408 will be driven further than the other three support feet 408. Once all four support feet 408 find or contact the ground surface 104, the algorithm can drive all four lift assemblies simultaneously.

[0090] As shown in FIG. 24, an encoder wheel 430 and optical sensor 432 can be used to drive each support foot 408 a predetermined distance at the same or substantially the same speed, thereby lifting the operating table 100 at least slightly in a smooth and uniform manner to an operating height (e.g., the height to which each caster wheel 404 is elevated above the ground 104). When initiated, the motor 422 can drive the shaft 412 in the opposite direction until each support foot 408 is fully retracted (e.g., so that each caster wheel 404 contacts the ground and each support foot 408 is clear of the ground 104). The system can be configured to provide feedback to the operator of its position or repositioning, or the position of the load and / or the load applied thereto (e.g., visually via a monitor, audibly via a speaker, etc.).

[0091] One or more of the techniques and / or embodiments described above may be implemented or include software, e.g., modules (see FIG. 25) executing on one or more computing devices 210. Of course, the modules described herein are indicative of various functions and do not limit the structure or functionality of the embodiments. Rather, the functionality of the various modules may be divided separately and performed by more or fewer modules according to various design considerations.

[0092] Each computing device 210 may include one or more processing devices 211 designed to process instructions, e.g., computer-readable instructions (i.e., code), stored in a non-transitory manner on one or more storage devices 213. By processing the instructions, the processing device 211 may perform one or more of the steps and / or functions disclosed herein. Each processing device may be real or virtual. In a multi-processing system, multiple processing units execute computer-executable instructions to increase processing power. The storage device 213 may be any type of non-transitory storage device (e.g., optical storage device, magnetic storage device, solid-state storage device, etc.). The storage device 213 may be removable or non-removable and may include magnetic disks, magneto-optical disks, magnetic tapes or cassettes, CD-ROMs, CD-RWs, DVDs, BDs, SSDs, or any other medium capable of storing information. Alternatively, the instructions may be stored in one or more remote storage devices, e.g., storage devices accessed via a network or the Internet.

[0093] Each computing device 210 may further have memory 212, one or more input controllers 216, one or more output controllers 215, and / or one or more communication connections 240. The memory 212 may be volatile memory (e.g., registers, cache, RAM, etc.), non-volatile memory (ROM, EEPROM, flash memory, etc.), or a combination thereof. In at least one embodiment, the memory 212 may store software that implements the techniques described.

[0094] An interconnection mechanism 214, such as a bus, controller, or network, may operatively couple components of the computing device 210, including the processor 211, memory 212, storage device 213, input controller 216, output controller 215, communication connections 240, and other devices (e.g., network controller, sound controller, etc.). The output controller 215 may be operatively coupled (e.g., via a wired or wireless connection) to one or more output devices 220 (e.g., a monitor, television, mobile device screen, touch display, printer, printer, speaker, etc.) in a manner such that the output controller(s) 215 can transform a display on the display device 220 (e.g., depending on the module being executed, etc.). The input controller 216 may be operatively coupled (e.g., via a wired or wireless connection) to an input device 230 (e.g., a mouse, keyboard, touch pad, scroll ball, touch display, pen, game controller, voice input device, scanning device, digital camera, etc.) in a manner such that the input controller 216 can receive input from a user.

[0095] The communications connection 240 may enable communication over a communications medium to another computing entity. The communications medium conveys information such as computer-executable instructions, audio or video information, or other data in a modulated data signal. A modulated data signal is a signal that has one or more of its characteristics set or changed in such a manner as to encode information in the signal. By way of non-limiting example, communications media may include wired or wireless technologies implemented with electrical, optical, RF, infrared, acoustic or other carriers.

[0096] 25 depicts computing device 210, output device 220, and input device 230 as separate devices solely for ease of identification. However, computing device 210, display device 220, and / or input device 230 may be separate devices (e.g., a personal computer connected by wires to a monitor and mouse), integrated into a single device (a mobile device with a touch display such as a smartphone or tablet), or any combination of devices (a computing device operably connected to a touchscreen display device, multiple computing devices connected to a single display device and input device, etc.). Computing device 210 may be one or more servers, e.g., a farm of networked servers, a clustered server environment, or a cloud service running on a remote computing device.

[0097] Those skilled in the art will appreciate that modifications may be made to the above-described embodiments without departing from the broad inventive concept thereof. For example, various mechanical and electrical connection elements and actuators may be used to achieve the disclosed functions. It is understood, therefore, that the invention is not limited to the specific embodiments disclosed, but rather is intended to cover modifications within the spirit and scope of the invention as defined by the appended claims. [Explanation of symbols]

[0098] 100 Operating table 104 Ground 102 Platform 300 pillars 400 base 500 First Attachment 508 Driving Assistance User Interface Module 600 Drive Wheel 700 Drive Auxiliary Mechanism 800 Second Attachment 900 Third Attachment

Claims

1. 1. A system for supporting or positioning a patient, comprising: a surgical table platform configured to support at least a portion of the patient; and a plurality of attachments including a first attachment and a second attachment connected to the surgical table platform. Including, the platform includes at least one receptacle having one of a tag and a reader therein or thereon, the second attachment further includes at least one protrusion having the other of the tag and the reader therein or thereon, the at least one receptacle of the platform configured to receive at least a portion of the at least one protrusion of the second attachment such that the tag and the reader are positioned to communicate with each other, the second attachment is positioned adjacent to the platform, and the first attachment is positioned adjacent to the second attachment; the first attachment and the second attachment are contiguous distal to the platform such that the second attachment is disposed between the platform and the first attachment, and the tag and reader are configured to determine an orientation and position of the first attachment and the second attachment relative to the platform.

2. a base disposed beneath the support pole and configured to support the support pole, the base including at least one drive wheel configured to contact a ground surface and assist a user in moving the platform relative to the ground surface; a drive assist user interface module operably connected to the at least one drive wheel and configured to allow an operator of the system to selectively control movement of the at least one drive wheel, the drive assist user interface module forming part of or attached to an attachment including a plate having an upper surface; an upper surface of the plate of the attachment is configured to be flush with or extend parallel to an upper surface of the platform when the attachment is attached to the platform; 2. The system of claim 1, wherein the attachment further includes a cross beam secured to the plate, the drive assist user interface module is pivotable about an axis extending parallel to the cross beam, the drive assist user interface module includes a capacitance sensor, and the at least one drive wheel is prevented from rotating unless the capacitance sensor is activated.

3. a base disposed beneath the support pole and configured to support the support pole, the base including at least one drive wheel configured to contact a ground surface and assist a user in moving the platform relative to the ground surface; a drive assist user interface module operably connected to the at least one drive wheel and configured to allow an operator of the system to selectively control movement of the at least one drive wheel, the drive assist user interface module forming part of or attached to an attachment including a plate having an upper surface; an upper surface of the plate of the attachment is configured to extend at an angle relative to an upper surface of the platform when the attachment is attached to the platform; 2. The system of claim 1, wherein the attachment further includes a cross beam secured to the plate, the drive assist user interface module is pivotable about an axis extending parallel to the cross beam, the drive assist user interface module includes a capacitance sensor, and the at least one drive wheel is prevented from rotating unless the capacitance sensor is activated.

4. 4. The system of claim 2 or 3, wherein the drive assist user interface module is rotatable between a stowed position and a use position, and wherein the at least one drive wheel is not capable of driving the platform when the drive assist user interface module is in the stowed position, but the at least one drive wheel is drivable when the drive assist user interface module is in the use position.

5. 5. The system of claim 4, wherein the drive assist user interface module further includes a plurality of actuators, wherein engagement of one of the plurality of actuators causes the at least one drive wheel to rotate in a forward direction and engagement of another of the plurality of actuators causes the at least one drive wheel to rotate in a reverse direction.

6. 4. The system of claim 2 or 3, wherein the base further includes at least one load sensing / floor lifting mechanism and at least one caster wheel, the at least one load sensing / floor lifting mechanism including a support foot and a motor, the motor configured to raise the support foot so that the caster wheel can contact the ground, and the motor configured to lower the support foot so that the caster wheel does not contact the ground.

7. 7. The system of claim 6, wherein the at least one load sensing / floor lifting mechanism includes a drive pulley surrounding at least a portion of a vertical shaft, the drive pulley operably connected to the motor, the vertical shaft operably connected to the support foot, and operation of the motor rotates the drive pulley to raise and lower the vertical shaft.

8. 8. The system of claim 7, wherein the at least one load sensing / floor raising mechanism includes four spaced apart load sensing / floor raising mechanisms, each load delivery / floor raising mechanism including an encoder wheel and an optical sensor.

9. 2. The system of claim 1, further comprising a support and lifting mechanism configured to support and lift the platform, the support and lifting mechanism comprising a first linkage system and a second linkage system, and the first linkage system comprising at least one upper four-bar linkage and at least one lower four-bar linkage.

10. 10. The system of claim 9, wherein the at least one upper four-bar linkage comprises a pair of spaced apart upper four-bar linkages and the at least one lower four-bar linkage comprises a pair of spaced apart lower four-bar linkages.

11. 11. The system of claim 10, further comprising a telescoping lead screw, wherein the pair of upper four-bar linkages and the pair of lower four-bar linkages surround the telescoping lead screw concentrically operatively connected to a motor, the lead screw and the motor providing vertical lift to the platform.

12. The system of claim 1 , wherein the tag and the reader communicate to enable the system to recognize which of the plurality of attachments are attached to the platform.

13. 13. The system of claim 12, further comprising one or more processors and one or more memories operatively coupled to the one or more processors and having stored thereon computer readable instructions that, when executed by at least one of the one or more processors, cause at least one of the one or more processors to detect the presence of each attachment of the plurality of attachments.

14. The system of claim 1 , wherein each attachment of the plurality of attachments is configured to communicate with either an auxiliary panel or a hand pendant of the operating table.

15. 2. The system of claim 1, wherein the plurality of attachments are configured to be attached to either end of the platform, and the platform is configured to automatically recognize each end of the platform to which each attachment of the plurality of attachments is connected and automatically adjust forward and reverse directions to direct operation of the user.

16. The system of claim 1 , wherein the operating table comprises one or more three-axis magnetic sensors configured to detect the presence of a magnet.

17. The system of claim 16 , wherein the one or more three-axis magnetic sensors are configured to be mounted to an end of an attachment of the plurality of attachments.

18. The system of claim 1 , wherein an interface between the platform and each attachment of the plurality of attachments includes a radio frequency identification (RFID) tag, the RFID tag being selected from a smart RFID tag and a dumb RFID tag.

19. 20. The system of claim 18, wherein the smart RFID tag is configured to transmit serialized information such that the surgical table identifies a position of each attachment of the plurality of attachments, and the smart RFID tag is configured to identify an orientation of each attachment relative to the platform.

20. The system of claim 1 , wherein the platform further includes one or more sockets, each of the one or more sockets configured to receive a respective one of the one or more extensions of each attachment.

21. 21. The system of claim 20, wherein an interface between the one or more sockets and the one or more extensions includes a radio frequency identification (RFID) tag, and the one or more sockets of the platform and the one or more extensions of each attachment of the plurality of attachments are configured to determine an insertion angle.

22. 22. The system of claim 21, wherein each of the one or more sockets and the one or more extensions comprises an RFID tag such that the one or more sockets and the one or more extensions are configured to communicate with each other.

23. 1. A system for supporting or positioning a patient, comprising: a surgical table platform configured to support at least a portion of the patient; one or more attachments connected to a platform of the operating table, the operating table including a head end and an opposite foot end, the platform including one or more sockets at either the head end or the foot end of the operating table, each of the one or more attachments including one or more extensions, the one or more attachments being removably connected to either the head end or the foot end of the operating table by engaging the one or more sockets with the one or more attachments, the one or more attachments including the first attachment and the second attachment that are continuous distal to the platform such that a second attachment is disposed between the platform and the first attachment, the platform configured to use a radio frequency identification (RFID) tag to determine whether the first attachment and the second attachment of the one or more attachments are connected to either the head end or the foot end of the operating table and to determine an orientation of the first attachment and the second attachment of the one or more attachments relative to the platform.

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