4064 results about "Operating table" patented technology

An interface which allows a surgeon to operate multiple surgical devices from a single input device. The input device may be a foot pedal that provides output signals to actuate a number of different surgical devices. The surgical devices may include a robotic arm, a laser, an electrocautery device, or an operating table. The interface has an input channel that is coupled to the input device and a plurality of output channels that are coupled to the surgical devices. The interface also has a select input channel which can receive input commands to switch the input channel to one of the output channels. The select channel may be coupled to a speech interface that allows the surgeon to select one of the surgical devices with a voice command. The surgeon can operate any device by providing an input command which switches the input channel to the desired output channel.

The presence or absence of objects tagged with transponders may be determined in an environment in which medical procedures are performed via an interrogation and detection system which includes a controller and a plurality of antennas positioned along a patient support structure. The antennas may be positioned along an operating table, bed, mattress or pad, sheet, or may be positioned on a drape, or shade. Respective antennas may successively be activated to transmit interrogation signals. Multiple antennas may be monitored for responses from transponders to the interrogation signals. For example, all antennas other than the antenna that transmitted the most recent interrogation signal may be monitored. Antennas may be responsive to force, a signal indicative of such force being produced. A wireless physiological condition monitor may detect patient physiological conditions and wirelessly transmit signals indicative of such.

Orientation device for surgical use includes a frame and a level device attached to the frame. The feature may be oriented with a reference such as the Antero Superior Iliac Spine, the acetabulum or the operating table to position the pelvis or the device. The level device is adapted to define a reference plane. The device thus allows precise orientation with respect to the pelvis through use of a reference plane.

A live casino operated tables, games, video games, automated games with live players, or by having a dealer or banker provided with a casino table poker game utilizes at least one deck of playing cards, the game comprising: each player placing at least one wager to participate in the casino game; dealing a first number of cards to a dealer as a banker's hand, the first number of cards being greater than the number of cards to be used in determination of a poker rank hand for the banker's hand; dealing a second number of cards to each player, the second number of cards being greater than the number of cards to be used in determination of a poker rank hand for each player; the dealer discarding at least one card from the banker's hand to form a resulting single dealer hand; each player discarding at least one card to form a resulting player's hand for each player, wherein the number of cards in resulting player's hands and the resulting banker's hand are equal; and resolving each player hand against the banker's hand according to predetermined game rules. The initial player's wagers must be at least matched with a Game Bet (or play bet of 1× or more of the Ante) to remain in the game after players have received their cards. The Game Bet multiple is selected by the player. The game may be a live table game or part of an interactive gaming system.

Devices, systems and methods provide passive patient monitoring of such parameters as body motion, body position, respiratory rate and / or heart rate. Passive monitoring generally involves a sensor device having at least two piezoelectric sensors, provided on a surface, such as a bed, chair, operating table or the like, so that a patient may be coupled with the device by simply allowing the patient to lie, sit, lean, stand on or wear the surface. In one embodiment, multiple patients in a general care area of a hospital may be continuously monitored via multiple passive monitoring devices. If a patient fails to meet one or more predefined threshold criteria or has a negative physiological trend, the system may activate an alarm.

An operating table including at least three elements which are moveable in relation to each other; at least two actuators, each controlling displacement of two elements in relation to the other; a controller which drives each actuator; a sensor to detect a risk of collision of one of the elements with an obstacle when executing a displacement request of a first actuator; a controller which determines a corrective command order of a second actuator different from the first actuator upon detecting a risk of collision, wherein execution of the corrective command order by the second actuator causes cessation of the detected risk of collision upon subsequent execution of the displacement request of the first actuator; and a display to view the corrective command order.

A system and method for embedding tracking technology in a medical table is disclosed. A plurality of table sensors is attached to a medical table to form an array. An instrument sensor is attached to an instrument. At least one of the table sensors and the instrument sensor generates at least one magnetic dipole field. The instrument sensor is moved relative to the array while at least one of the table sensors and the instrument sensor measures at least one vector component of the field. The measured vector component(s) are communicated to tracker electronics that determine at least one of a position and orientation of the instrument sensor relative to the array.

A robotized laparoscopic system capable of executing commands of an operating surgeon is provided. The laparoscopic system includes a cylindrical tube inserted through an incision. A small-sized camera is attached to one end of the tube to capture the images of the surgical site. A bending portion is adapted to bend the tip of the tube in any direction. A driving unit controls a bending direction and a bending angle of the bending portion. A movement device moves the tube forward or backward in a longitudinal direction. A control unit independently controls the driving unit and the movement device. An input unit receives commands from the surgeon. A conversion unit converts the command input from the surgeon into digital signals and transmits the digital signals to the control unit. A support unit supports the weight of the movement device by being connected to an operating table or the floor.

The present invention generally relates to surgical devices, systems, and methods, especially for minimally invasive surgery, and more particularly provides structures and techniques for aligning a robotic surgery system with a desired surgical site. The present invention describes techniques for mounting, configuring and arranging set-up arms for the surgical manipulators and endoscope drive mechanisms of a telesurgical system within an operating theater. The various aspects of the invention improve and optimize space utilization in the conduct of a surgical procedure, especially in the telesurgical systems which provide for concurrent operation by two surgeons using multiple robotic arm assemblies. In one aspect, the invention includes a method and apparatus for ceiling-height mounting of surgical set-up arms, and in another aspect, the invention includes a method and apparatus for the mounting of surgical setup arms to the table pedestal or floor below an operating table. The ceiling-height-mounted robotic arm assembly and below-table-mounted robotic arm assembly may be pre-configured to be ready for surgery while the fixable set-up arms are disposed generally clear of the personnel-usable space adjacent the operating table. Examples are described of separate and combined use of the ceiling mount and floor / pedestal mount aspects in both single and dual surgeon telesurgical systems.

A disposable sterile surgical drape with pre-attached disposable sterile instruments for use in a selected surgical procedure is provided. The disposable sterile surgical drape basically comprises a drape having a size for covering an operating table and a patient thereon and having an incision opening formed therein, a patient heat distributing pad pre-attached to the bottom side of the drape, an absorbent cloth surrounding the incision opening pre-attached to the bottom side of the drape, a cover for the incision opening in the drape pre-attached to the top side of the drape, and the surgical instruments and connecting tubes or wires required to accomplish the surgical procedure pre-attached to the drape.

A surgical simulation device includes a support structure and animal tissue carried in a tray. A simulated human skeleton is carried by the support structure above the animal tissue and includes simulated human skin. A camera images the animal tissue and an image processor receives images of markers positioned on the ribs and animal tissue and forms a three-dimensional wireframe image. An operating table is adjacent a local robotic surgery station as part of a robotic surgery station and includes at least one patient support configured to support the patient during robotic surgery. At least one patient force / torque sensor is coupled to the at least one patient support and configured to sense at least one of force and torque experienced by the patient during robotic surgery.

The present invention is directed to a medical boom with articulated arms and a base cabinet designed to accommodate modular equipment and utility racks that include video processing, computer, and electronic, and other utility equipment that can be easy inserted and removed from the base cabinet is disclosed. The boom includes a stationary base that is configured to be installed into an operating room and one or more boom arms supported by the stationary base and configured to extend over an operating table in the operating room. The structural base includes one or more bays configured to receive a modular rack of electrical equipment. In various embodiments, the structural base cabinet further incorporates wiring to connect the equipment installed in the modular racks to video monitors and other equipment mounted on the articulated booms. The modular racks are preconfigured with a variety of electronic equipment such as computers, video processors and the like. The modular racks are installed in the base cabinet subsequent to the cabinet's structural installation in the operating room and may be readily removed or replaced at a later time.

The presence or absence of objects (e.g., medical implements, medical supplies) tagged with transponders may be determined in an environment in which medical procedures (e.g., surgery) are performed via an interrogation and detection system which includes a controller and a plurality of antennas positioned along a patient support structure. The antennas may, for example, be positioned along an operating table, bed, a mattress or pad or a sheet and may be radiolucent. Respective antennas may successively be activated to transmit interrogation signals. Multiple antennas may be monitored for responses from transponders to the interrogation signals. For example, all antennas other than the antenna that transmitted the most recent interrogation signal may be monitored.

A surgical simulation device includes a support structure and animal tissue carried in a tray. A simulated human skeleton is carried by the support structure above the animal tissue and includes simulated human skin. A camera images the animal tissue and an image processor receives images of markers positioned on the ribs and animal tissue and forms a three-dimensional wireframe image. An operating table is adjacent a local robotic surgery station as part of a robotic surgery station and includes at least one patient support configured to support the patient during robotic surgery. At least one patient force / torque sensor is coupled to the at least one patient support and configured to sense at least one of force and torque experienced by the patient during robotic surgery.

A device (24) for adjusting an operating table 10 having a column 12 on which an adjustable bed 16 is to be fastened releasably is shown. The device comprises an operating implement 26 for the input of adjustment commands for adjusting the operating table 10. The device 24 comprises means 20, 28 for the direct transmission of the adjustment commands from the operating implement 26 to the adjustable bed 16.

A draping system provides a continuous sterile field between a patient incision area and one or more medical practitioners. The draping system has a quick release system incorporated into the drape that enables a medical practitioner to separate from the continuous sterile field without disrupting the sterile field around the practitioner or the patient. The draping system may include an abbreviated practitioner gown, a drain and an integral patient incision area or a flap for extending the continuous sterile field around to one or more additional operating room tables. A modular drape and gown system extends the sterile field beyond the operating table allowing practitioners to couple to the extended field. A tent provides an enclosed sterile field useful in mobile or other non operating room surgical environments. Integral lighting and information displays facilitate field surgical procedures.

A draping system provides a continuous sterile field between a patient incision area and one or more medical practitioners. The draping system has a quick release system incorporated into the drape that enables a medical practitioner to separate from the continuous sterile field without disrupting the sterile field around the practitioner or the patient. The draping system may include an abbreviated practitioner gown, a drain and an integral patient incision area or a flap for extending the continuous sterile field around to one or more additional operating room tables. A modular drape and gown system extends the sterile field beyond the operating table allowing practitioners to couple to the extended field. A tent provides an enclosed sterile field useful in mobile or other non operating room surgical environments. Integral lighting and information displays facilitate field surgical procedures.

Remote control of an operating table which can be motor-adjusted by means of a drive device is provided for. Command signals for controlling the drive device are wirelessly transmitted to the operating table from an operator control unit. A unique association between the operator control unit and an operating table is ensured before command signals are sent by emitting an infrared control signal to the operating table by the operator control unit and then confirming the reception of the control signal from the operator control unit by radio signal from the operating table.

This invention relates to a modular device (10) for positioning and immobilisation of a patient's body for surgical operations, which comprises a pelvis support (20) for supporting the patient's pelvis and at least one foot tether support (30) with a foot tether fixation (50) for positioning and immobilisation of a patient's leg, whereby the at least one foot tether support (30) is pivotable in the horizontal and / or in the vertical plane with respect to the pelvis support (20). In addition, the modular device (10) according to the invention can comprise a hip support (60) for positioning the patient's hip during the operation. The invention also relates to an operating table (100) comprising the modular device (10) according to the invention.

A magnetic detector locates magnetically tagged items, such as surgical sponges or instruments, introduced to and remaining in the body cavity of a surgical patient. The magnetic detector is a wand or probe that is manually handleable, and spatially manipulable and moveable, by an operator, such as a medical professional. The detector is moved about at a spatial location of an ambient magnetic field at the patient and operating table. A characteristic of the ambient magnetic field at the spatial location is saved by the detector. The detector is subsequently moved about at the same spatial location. If any magnetically tagged item is present in the vicinity of the detector during this subsequent movement at the spatial location, an anomalous magnetic effect is detected by comparison of the prior detection reading absent the tagged item to the detection reading in presence of the tagged item in the patient. The anomalous magnetic effect, and thus the tagged item, is locatable spatially in the patient, by three-dimensional sensor(s), arrays of sensors, and pluralities of arrays of sensors of the detector. The different detection readings with and without presence of the anomalous magnetic effect caused by presence of the tagged item in the patient are calculable as scalar, vector array, and / or gradient array determinations, according to the particular number and configuration of sensors in the detector.

A patient positioner for maintaining a patient's position during a medical procedure is provided. The patient positioner includes a generally rectangular body anchoring portion having a longitudinally disposed head and tail ends and two transversely disposed opposing side ends, placeable atop an operating table. There are a pair of spaced apart chest straps, a pair of spaced apart support base straps, a pair of upper arm straps, and a pair of wrist straps. There is a generally rectangular substrate backing having a longitudinally disposed head and tail ends and two transversely disposed opposing side ends, substantially concentrically disposed on and fixedly attached to the body anchoring portion. In one embodiment, an extender strap is further provided to facilitate securement of the support base straps to a support structure. In use, the body anchoring portion is positioned under the patient's torso with the substrate backing side ends wrapped over the arms while the chest straps are brought over the patient's shoulders and criss-crossed over the patient's chest and secured on an opposing side rail while the upper arm and wrist straps are brought from underneath the patient's torso and wrapped over the patient's arms. The support base straps are placed through a break of the operating table and brought around the support base and secured to each other to prevent the patient from sliding toward the head end of the operating table in the Trendelenburg position.

An imaging system includes a source and a detector that can be quickly and easily moved out of the way after scanning. During scanning, the actual paths that the source and detector travel are tracked, such as by an associated surgical navigation system tracking system. The actual locations of the source and detector during each x-ray image are used in the image reconstruction algorithm. Since the actual locations are used in the algorithm, the locations do not have to be as precisely controlled. In one embodiment, the source and detector are mounted proximate outer ends of first and second c-arm sections. The first and second c-arm sections are extendable to form a complete c-arm and retractable to a collapsed position when not in use. In the disclosed embodiment, the c-arm sections are mounted to a base or carriage under the patient support surface (such as the surgical table).

The invention discloses a butt joint type operation patient transfer trolley and belongs to the technical field of medical apparatus. The butt joint type operation patient transfer trolley comprises a transverse moving bed and a transfer trolley. The transverse moving bed with a tiltable bed top is disposed on a transfer trolley plate of the transfer trolley and locked by a bed locking device. The transfer trolley comprises a transfer trolley body, a transfer trolley base and a lifting device. The transfer trolley body is supported on the transfer trolley base through the lifting device. The transverse moving bed mainly comprises a transverse moving bed frame, a bed board, an air cushion and rollers. Inflation of the air cushion enables the bed board to tilt. By the butt joint technology, an operation patient along with the moving bed is transferred from the transfer trolley outside an operating room to the transfer trolley in the operating room, cross infection is avoided, operating environments are kept clean, and operating safety is increased. By the moving bed with the tiltable bed top, the patient can be transferred from the operation patient transfer trolley to an operating table conveniently and time- and labor-savingly. The butt joint type operation patient transfer trolley is suitable for transferring seriously-injured patients from ambulances to operating rooms of hospitals.

Robotic system for assisting in minimally-invasive surgery, which can position a surgical instrument in response to orders from a surgeon, is not attached to the operating table and does not require pre-calibration of the insertion point. The system includes: a manipulator robot having three active degrees of freedom, which is provided with an end actuator having two passive degrees of freedom, said actuator being used to attach a surgical instrument; a robot controller built into the structure thereof, which can perform a method for calculating the movement to be imparted to the carried surgical instrument so that it reaches the desired location without requiring pre-calibration and without the assembly having to be attached to the operating table; and an interface system for ordering the system to perform the desired actions. The assembly comprising the robot, the controller and the interface system is battery operated.

An operating apparatus comprises an operating table with an operating support post, an operating table top and means for detachably fastening said operating table top to said operating support post, an anesthesis station and an examining station located at a distance from said operating support post and comprising an examining support post for receiving said operating table top. An overhead rail extends above said operating table and said examining station, and an overhead conveyor comprising means for carrying said operating table top is mounted on said overhead rail for movement therealong from a first position above said operating support post to a second position above said examining station. An overhead support carrying said anesthesis station is also mounted on said overhead rail for movement therealong. First coupling means are provided on said overhead conveyor and second coupling means are provided on said overhead support. The first coupling means engages the second coupling means in the first position of the overhead conveyor.

A system for transporting and positioning a patient onto an operating room table from a movable transportation device, e.g., a stretcher, to be located immediately laterally of the operating room table and transporting back onto the movable transportation device after the surgery. The system basically comprises a first and second inflatable assemblies to effect the pivoting of the patient about a longitudinal axis extending between the table and stretcher from a supine position on the stretcher to a horizontal prone position on the table. A third inflatable assembly causes the patient's spine to be in an arcuate orientation suitable for spinal surgery.

An inflatable cushion for use in a system and method in supporting the knees and legs of a person during surgery included an inflatable bladder that can move from a collapsed state to an expanded state. A bladder port communicates with a source of inflating gas. The system includes the source of pressurized gas and a valve assembly to switchably control the inflation and deflation of the bladder. The bladder may have a removable cover extending around the bladder, and the bladder may have side pleats to assist in expanding with the cover having corresponding accordion folds. The method involves placing a patient on a surgical table, decompressing the patient's spine to a flat back / drop knee position, interposing the bladder between the table and the patient's knees and advancing the knees to a full prone position by inflating the bladder.

Based on standard of faulty work and light scattering characteristic of faulty work, new type computer aided digitized testing device suitable to large caliber, sub aperture scattering imaging is built. Features of the testing device are as following: Kohler cold light source arranged in multiple optical fiber and multiple azimuth angles; reflecting imaging of scattered light from faulty work on surface to be tested; scattered light collected by micro zooming system and imaged on CCD; Movable operating table in X, Y directions controlled by computer through multiple sub apertures scans surface to be tested in large caliber; building up mathematical model pattern recognition based on mathematical morphology, and software for calibrating size of faulty work. The invention builds objective digital evaluation system, raises working efficiency. The device is suitable for recognizing and evaluating faulty work in size larger than several micros.