A patient support structure includes a pair of independently height-adjustable supports, each connected to a patient support structure. The supports may be independently raised, lowered, rolled or tilted about a longitudinal axis, laterally shifted and angled upwardly or downwardly. Position sensors
A patient support structure includes a pair of independently height-adjustable supports, each connected to a patient support structure. The supports may be independently raised, lowered, rolled or tilted about a longitudinal axis, laterally shifted and angled upwardly or downwardly. Position sensors are provided to sense all of the foregoing movements. The sensors communicate data to a computer for coordinated adjustment and maintenance of the inboard ends of the patient support structures in an approximated position during such movements. Longitudinal translation structure provides for compensation in the length of the structure when the supports are angled upwardly or downwardly. Patient translation structure provides coordinated translational movement of the patient's upper body along the respective patient support in a caudad or cephalad direction as the support structures are angled upwardly or downwardly for maintaining proper spinal biomechanics and avoiding undue spinal traction or compression.
대표청구항▼
1. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) first and second patient supports, each having inboard ends and outboard ends and aligned to extend between the end supports;c) said outboard end
1. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) first and second patient supports, each having inboard ends and outboard ends and aligned to extend between the end supports;c) said outboard ends of said patient support each having an outboard articulation with a respective one of said end supports;d) said inboard portion of said patient support having an inboard articulation;e) the first end support includes an angulation mechanism operable to selectively position the first patient support in a plurality of angular orientations with respect to the second patient support; andf) the apparatus having a powered horizontal translation compensation mechanism to provide for length adjustment in coordination with operation of said angulation mechanism. 2. The apparatus of claim 1, wherein: a) said articulation of said outboard ends of said patient support with said end supports is by respective pivotal connections. 3. The apparatus of claim 1, wherein: a) said inboard portion of said patient support includes a pair of inboard ends; andb) said inboard articulation includes a hinge joint between said inboard ends. 4. The apparatus of claim 1, wherein: a) said first and second end supports surmount respective first and second base members; andb) one of said first and second base members is connected to said powered horizontal translation compensation mechanism. 5. The apparatus of claim 1, wherein the first end support further includes: a) a base member having an upper portion and a lower portion;b) a column member upstanding from said base upper portion and connected with one of said first and second patient support outer ends; andc) a longitudinal shift mechanism operable to shift said base upper portion toward and away from the other of said end supports. 6. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) a patient support extending between said first and second end supports, said patient support having a pair of outboard ends and an inboard portion;c) said outboard ends of said patient support each having an outboard articulation with a respective one of said end supports;d) said inboard portion of said patient support having an inboard articulation;e) the first end support includes an angulation mechanism operable to selectively position said patient support in a plurality of angular orientations with respect to the other patient support structure;f) a longitudinal translation compensation mechanism operable to selectively shift said first end support toward and away from said second end support in coordination with operation of said angulation mechanism, wherein said first and second end supports surmount respective first and second base members; and one of said first and second base members is connected to said longitudinal translation compensation mechanism;g) a rail connecting said first and second end supports; andh) said longitudinal translation compensation mechanism operating to shift a portion of one of said first and second base members relative to said rail to thereby vary a distance between said first and second end supports. 7. The apparatus of claim 6, wherein: a) said angulation mechanism including angle sensors sensing angular orientations of said patient supports;b) a computer is interfaced with said angle sensors;c) said angle sensors transmitting data regarding said angular orientations of said patient supports to said computer; andd) said computer controlling actuation of said longitudinal translation compensation mechanism in coordination with said angular orientations sensed by said angle sensors. 8. The apparatus of claim 7, wherein the first end support includes a lateral shifting mechanism connected with one of said patient support outer ends. 9. The apparatus of claim 7, wherein said end support further includes: a) a vertical support column including a plurality of lift arm segments operable to selectively raise and lower said support column;b) a horizontal support member shiftably mounted on said column;c) said horizontal support member connected with said lateral shifting mechanism and said angulation mechanism; andd) said horizontal support member including a secondary lift mechanism operable for selected shifting upwardly and downwardly on said column for maximum selective raising and lowering of said lateral shifting mechanism and said angulation mechanism. 10. An apparatus for supporting a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;c) first and second patient supports, each having an outer end pivotally connected with a respective end support and an inner free end;d) the first end support including an articulation mechanism for selectively raising, lowering, rotating, lateral shifting and angulation of a respective one of said patient supports;e) a trunk translator slidably connected with one of said patient supports to enable movement of the upper body of a patient back and forth along a longitudinal axis of said patient supports when the free ends of said patient supports are angled upwardly and downwardly; andf) a connector rail connecting said end supports, said connector rail having a first end connected with said first end support and a second end connected with said second end support, one of said rail ends having a translation compensation mechanism selectively moving said connected end support to maintain a preselected distance between said free ends of said patient supports as they move throughout various angular orientations thereof. 11. An apparatus for supporting, positioning, and articulating a patient during a surgical procedure, the apparatus comprising: a) a base having spaced opposed first and second column support assemblies;b) a breaking patient support;c) a connection subassembly joining the first and second column support assemblies with the breaking patient support, whereby the breaking patient support is supported by the base;d) an actuation subassembly operable to provide coordinated lift, angulation, and roll of the breaking patient support with respect to the base, whereby a portion of said breaking patient support is selectively positioned in a plurality of angular orientation with respect to the base;e) a powered translation compensation mechanism to provide for length adjustment in cooperation with the breaking patient support;f) a trunk translator engaged with an upper body support portion of the breaking patient support; andg) a trunk actuator operable for selective coordinated positioning of the trunk translator along the upper body support portion in response to change in an angular orientation between the upper body support portion and a lower body support portion of the patient support. 12. The apparatus of claim 11, wherein: a) the actuation subassembly is further operable to provide translation compensation of the breaking patient support with respect to the base. 13. The apparatus of claim 11, wherein: a) one of the group of: the base, the breaking patient support, and the connection subassembly includes a portion of the actuation subassembly. 14. The apparatus of claim 11, wherein: a) the actuation subassembly includes: i) a lift mechanism with a height sensor for sensing and transmitting a height of an end of the breaking patient support with respect to the base;ii) a roll mechanism with a tilt sensor for sensing and transmitting a tilt orientation of the breaking patient support with respect to the base;iv) an angulation mechanism with an angle sensor for sensing and transmitting said angular orientation of the breaking patient support with respect to the base; andv) a translation compensation mechanism with a translation sensor for sensing and transmitting end position data indicating relative positions of outboard ends of the breaking patient support; andb) a computer is interfaced with the actuation subassembly, the mechanisms and the sensors for receiving height data, angular orientation, tilt orientation, and end position data to thereby coordinate operation of said translation compensation mechanism with said lifting operations, angular orientation and tilt orientation. 15. The apparatus according to claim 14, wherein: a) the breaking patient support and the connection subassembly includes a portion of the translation compensation mechanism. 16. The apparatus of claim 11, wherein: a) the base includes a lateral shifting mechanism operable to position a portion of the breaking patient support in a plurality of lateral positions with respect to a respective column support assembly. 17. The apparatus of claim 11, wherein: a) the breaking patient support includes upper and lower body support portions with inboard and outboard ends, the inboard ends being located adjacent to one another;b) each of the body support portions is operably positionable in a plurality of selectable angular orientations with respect to the base; andc) the inboard ends are positioned at selected distance from one another. 18. The apparatus of claim 17, wherein: a) one of the upper and lower body support portions is cantilevered. 19. The apparatus of claim 17, wherein: a) the upper and lower body support portions are joined by a hinge at their inboard ends. 20. The apparatus of claim 19, the apparatus further including: a) the trunk actuator joining the hinge with the trunk translator so as to selectively coordinate positioning of the trunk translator along the upper body support portion in response to changes in the angular orientation of the hinge. 21. The apparatus of claim 19, wherein: a) the trunk actuator includes a linkage structure joining the hinge with the trunk translator, whereby the position of the hinge is coordinated with the position of the trunk translator. 22. The apparatus of claim 19, wherein: a) the trunk actuator includes a position sensor electronically connected to a processor, the trunk actuator joining the hinge with the trunk translator, whereby the position of the hinge is transmitted to a processor along with the position of the trunk translator. 23. The apparatus of claim 11, wherein: a) each of the first and second column support assemblies includes a primary elevator. 24. The apparatus of claim 23, wherein: a) the first column support assembly includes a secondary elevator. 25. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) a base having spaced opposed first and second end supports to elevate an end of an elongate patient support structure configured for prone patient positioning with pads;b) the elongate patient support structure having two sections that are articulated by a pair of spaced opposed hinges; andc) the base end support connected to the two sections by connection subassemblies and configured with actuation subassemblies to articulate and angulate the sections relative to each other, wherein the hinges are solely and passively moved by the base connection subassemblies; whereind) one section has an attached patient support pad on one side of the pair of hinges and the other section has another patient support pad attached to a trunk translator on an opposite side of the pair of hinges, so as to allow for a belly of a patient to be located and suspended therebetween, when the pads angulate with their respective sections and relative to each other. 26. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) a patient support extending between said first and second end supports, said patient support having a pair of outboard ends and an inboard portion;c) said outboard ends of said patient support each having an outboard articulation with a respective one of said end supports;d) said inboard portion of said patient support having a pair of inboard ends, the inboard ends having an articulation made up of a pair of spaced apart hinge mechanisms;e) the first end support including an angulation mechanism operable to selectively position said patient support in a plurality of angular orientations with respect to the other patient support structure;f) a powered longitudinal translation compensation mechanism to provide horizontal length adjustment for the apparatus in coordination with operation of said angulation mechanism. 27. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) a patient support extending between said first and second end supports, said patient support having a pair of outboard ends and an inboard portion;c) said outboard ends of said patient support each having an outboard articulation with a respective one of said end supports;d) said inboard portion of said patient support having an inboard articulation;e) the first end support including an angulation mechanism operable to selectively position said patient support in a plurality of angular orientations with respect to the other patient support structure;f) a longitudinal translation compensation mechanism operable to selectively shift said first end support toward and away from said second end support in coordination with operation of said angulation mechanism; andg) a trunk translator engaged with said patient support and movable toward said inboard articulation in response to upward angulation of said patient support and movable away from said inboard articulation in response to downward angulation of said patient support. 28. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) a patient support extending between said first and second end supports, said patient support having a pair of outboard ends and an inboard portion;c) said outboard ends of said patient support each having an outboard articulation with a respective one of said end supports;d) said inboard portion of said patient support having an inboard articulation;e) the first end support includes an angulation mechanism operable to selectively position said patient support in a plurality of angular orientations with respect to the other patient support structure; andf) a trunk translator and actuator arm engaged with said patient support and the trunk translator and actuator arm movable toward said inboard articulation in response to upward angulation of said patient support and movable away from said inboard articulation in response to downward angulation of said patient support. 29. An apparatus for supporting a patient during a surgical procedure, the apparatus comprising: a) an elongate base with a first outward lower portion located under a foot end support extending upwardly above a floor and a second outward lower portion located under a head end support extending upwardly above the floor, the upwardly extending end supports configured to provide for height adjustments with respect to the floor;b) the base first and second outward lower portions being a fixed distance apart at opposite ends of the base when in use, the base having structure to partially engage the floor;c) a patient support structure having opposed outer ends and extending between and connected to the foot and head end supports at the outer ends and positionable in a plurality of angular orientations above and with respect to the floor; andd) a motorized translation compensation mechanism supported by the foot end support to provide for controlled length adjustment so that the base first and second outward lower portions supported by the floor remain a fixed distance apart when the outer ends of the patient support structure are independently raised and lowered with respect to the floor. 30. The apparatus of claim 29, wherein the patient support structure has a first and second section connected by a pair of spaced apart hinges. 31. The apparatus of claim 30, wherein the patient support structure further includes a trunk translator. 32. An apparatus for supporting a patient during a medical procedure, the apparatus comprising: a) a base with first and second opposed end supports, each end support including a connection subassembly;b) first and second patient supports, each having an outer end pivotally connected to a respective end support and an opposed inner end, each outer end being joined with one of said first and second end supports by a respective connection subassembly, and said inner ends being located adjacent to one another;c) said base including structure operable to provide selectable and coordinated lift, angulation and roll of at least one of said first and second patient supports, whereby said patient supports are positionable in a plurality of selectable angular orientations with respect to said base and said first patient support inner end being positioned at a selected distance from said second patient support inner end;d) at least one of said first and second end supports including a lift mechanism operable to raise and lower a respective patient support, an angulation mechanism operable to position one of the patient supports in a plurality of angular orientations with respect to a respective end support and a roll mechanism operable to tilt a respective patient support;e) a motorized longitudinal translation compensation mechanism operable to maintain said patient support inner ends at said selected distance; andf) a trunk translator engaged with one of said first and second patient supports, the trunk translator having a trunk actuator engaged with the same patient support as the trunk translator and operable for selective coordinated positioning of said trunk translator along said patient support in response to a change in said angular orientation to thereby coordinate a position of said trunk translator with said angular orientation. 33. An apparatus for supporting a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;b) first and second patient supports, each patient support having an outer end connected to a respective end support and an opposed inner end;c) said first patient support inner end being positioned at a selected distance from said second patient support inner end;d) at least one of said first and second end supports including i) a lift mechanism operable to raise and lower a respective patient support,ii) an angulation mechanism operable to position one of the patient supports in a plurality of angular orientations with respect to a respective end support, such that the inner ends can angulate upwardly with an apex directed away from a floor and downwardly with an apex directed toward the floor support,iii) a roll mechanism operable to tilt a respective patient support, andiv) a powered longitudinal translation compensation mechanism operable for selective positioning of said patient supports in response to a change in said angular orientation to thereby maintain said patient support inner ends at said selected distance; ande) a trunk translator and a trunk translator actuator engaged with one of said first and second patient supports, the trunk translator actuator selectively moving the trunk translator toward the apex when the patient supports angulate upwardly and selectively moving away from the apex when the patient supports angulate downwardly, wherein the trunk translator and trunk translator actuator move in the same direction. 34. The patient support apparatus as set forth in claim 20, wherein: a) said first and second patient support inner ends are connected by a pair of spaced apart hinge members. 35. An apparatus for supporting and positioning a patient during a medical procedure, the apparatus comprising: a) a base having spaced opposed first and second end supports to elevate an end of an elongate patient support structure configured for prone patient positioning with pads;b) the elongate patient support structure having two sections that are connected by a pair of spaced opposed hinges; andc) the base end support connected to the two sections by connection subassemblies and configured with actuation subassemblies to articulate and angulate the sections relative to each other, wherein the hinges are solely and passively moved by the base connection subassemblies; whereind) one section has an attached patient support pad on one side of the pair of hinges and the other section has another attached patient support pad on an opposite side of the pair of hinges, so as to allow for a belly of a patient to be located and suspended therebetween, when the pads angulate with their respective sections and relative to each other, and wherein the apparatus has a powered translation compensation mechanism for horizontal length adjustment. 36. An apparatus for supporting a patient during a medical procedure, the apparatus comprising: a) a base with first and second opposed end supports, each end support including a connection subassembly;b) first and second patient supports, each having an outer end pivotally connected to a respective end support and an opposed inner end, each outer end being joined with one of said first and second end supports by a respective connection subassembly, and said inner ends being located adjacent to one another;c) said base including structure operable to provide selectable and coordinated lift, angulation and roll of at least one of said first and second patient supports, whereby said patient supports are positionable in a plurality of selectable angular orientations with respect to said base and said first patient support inner end being positioned at a selected distance from said second patient support inner end;d) at least one of said first and second end supports including a lift mechanism operable to raise and lower a respective patient support, an angulation mechanism operable to position one of the patient supports in a plurality of angular orientations with respect to a respective end support and a roll mechanism operable to tilt a respective patient support; ande) a trunk translator engaged with one of said first and second patient supports, the trunk translator having a trunk actuator operable for selective coordinated positioning of said trunk translator along said patient support in response to a change in said angular orientation to thereby coordinate a position of said trunk translator with said angular orientation, wherein said actuator is located near and secured to the patient support outer end portion. 37. An apparatus for supporting and positioning a patient above a floor during a medical procedure, the apparatus comprising: a) a base structure including first and second opposed end supports supported on a lower portion of the base structure, the lower portion including first and second outer lower portions supported by the floor and a fixed rail extending between the first and second outer lower portions, the first and second outer lower portions being a fixed distance apart;b) first and second patient supports, each having an inboard portion and an outboard portion and the inboard and outboard portions aligned along a length thereof to extend between the end supports;c) the outboard portions of the first and second patient supports each having an outboard articulation connections with a respective one of said end supports;d) the inboard portions of the first and second patient supports each having an inboard articulation connection;e) the first end support includes an angulation mechanism operable to selectively position the first patient support in a plurality of angular orientations with respect to the second patient support; andf) a powered translation compensation mechanism located in the base structure and configured to provide for length adjustment of the patient supports in coordination with operation of said angulation mechanism. 38. The apparatus of claim 37, wherein the translation compensation mechanism moves horizontally towards or away from the opposed end support. 39. An apparatus for supporting a patient during a medical procedure, the apparatus comprising: a) first and second opposed end supports;c) first and second patient supports, each having an outer end pivotally connected with a respective end support and an inner free end connected by a pair of spaced apart hinges in a traverse direction;d) the first end support including an articulation mechanism for selectively raising, lowering, rotating, and angulating a respective one of said patient supports; ande) a trunk translator slidably connected with one of said patient supports to enable movement of the upper body of a patient back and forth along a longitudinal axis of said patient supports when the patient supports are angled upwardly and downwardly. 40. The apparatus of claim 39, wherein the trunk translator is moved by actuator, the actuator being controlled by a computer and independent of the hinges. 41. An apparatus for supporting, positioning, and articulating a patient during a surgical procedure, the apparatus comprising: a) a base having spaced opposed first and second column support assemblies;b) a breaking patient support including an inward articulation between upper and lower body support portions;c) a connection subassembly joining the first and second column support assemblies with the breaking patient support, whereby the breaking patient support is supported by the base;d) an actuation subassembly operable to provide coordinated lift, angulation, and roll of the breaking patient support with respect to the base, whereby a portion of said breaking patient support is selectively positioned in a plurality of angular orientation with respect to the base;e) a powered translation compensation mechanism to provide for length adjustment in the direction of the column support assemblies in cooperation with the breaking patient support;f) a trunk translator engaged with the upper body support portion of the breaking patient support; andg) a trunk actuator operable for selective coordinated positioning of the trunk translator along the upper body support portion in response to change in an angular orientation between the upper body support portion and the lower body support portion of the patient support. 42. An apparatus for supporting and positioning a patient having an upper body during a medical procedure, the apparatus comprising: a) a first end support and a second end support opposing the first end support;b) a patient support structure extending between the first and second end supports and including a first patient support and a second patient support, each of the first and second patient supports having inboard ends and outboard ends, the outboard ends of the first and second patient supports each having an outboard articulation with a respective one of said end supports, the inboard ends of the first and second patient supports forming an articulation such that the first and second patient supports are configured to pivot relative to each other;e) the first end support includes an angulation mechanism operable to selectively position the first patient support in a plurality of angular orientations with respect to the second patient support; andf) a trunk translator slidably connected at a respective outboard end of one of the first or second patient supports, the trunk translator configured to provide for translational movement of the upper body of the patient back and forth along a longitudinal axis of the one of the first or second patient supports when the inner ends of said patient supports are angled at the articulation in coordination with operation of said angulation mechanism, the translational movement being disconnected from the movement of the first and second patient support at the articulation. 43. The apparatus of claim 42, wherein the inboard ends are non-joined. 44. The apparatus of claim 42, further comprises a linkage between the trunk translator and the respective outboard end of the one of the first or second patient supports. 45. The apparatus of claim 42, wherein the first and second patient supports are configured to passively pivot relative to each other. 46. An apparatus for supporting and positioning a patient having an upper body during a medical procedure, the apparatus comprising: a) a first end support and a second end support opposing the first end support;b) a patient support structure extending between the first and second end supports and including a first patient support and a second patient support, each of the first and second patient supports having inboard ends and outboard ends, the outboard ends of the first and second patient supports each having an outboard articulation with a respective one of said end supports, the inboard ends of the first and second patient supports forming an articulation such that the first and second patient supports are configured to pivot relative to each other;e) the first end support includes an angulation mechanism operable to selectively position the first patient support in a plurality of angular orientations with respect to the second patient support; andf) a trunk translator slidably connected at a respective outboard end of one of the first or second patient supports, the trunk translator configured to provide for translational movement of the upper body of the patient back and forth along a longitudinal axis of the one of the first or second patient supports when the inner ends of said patient supports are angled at the articulation in coordination with operation of said angulation mechanism, the translational movement being independently controlled from the movement of the first and second patient support at the articulation. 47. The apparatus of claim 46, wherein the inboard ends are non-joined. 48. The apparatus of claim 46, further comprises a linkage between the trunk translator and the respective outboard end of the one of the first or second patient supports. 49. The apparatus of claim 46, wherein the first and second patient supports are configured to passively pivot relative to each other.
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이 특허에 인용된 특허 (119)
Weismiller,Matthew W., Accessories for a patient support apparatus.
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