This application claims and is entitled to the benefit of European Patent Office (EPO) application EP21181964.4, filed Jun. 28, 2021.
The present disclosure relates generally to operating tables for supporting a patient during surgery, and specifically to an operating table with movable parts, preferably one that can be controlled by a remote control.
Operating tables typically have several moving parts that can be arranged to position a patient before or sometimes during surgery. An operating table is conventionally made up of a base or column and a table top. The table top can generally be raised or lowered and sometimes also inclined on the base. The table top itself can be made up of several elements, some of which can be attached to the table when required and may also be movable relative to one another to best position a patient, for example by raising the patient's head or back relative to the legs. This movement is commonly controlled via a remote control or control panel operated by one of the operating staff. The adjustment of a patient's position on the operating table is dependent on the patient's orientation. In other words, it is important to determine whether the patient's head or back or alternatively the patient's legs should be moved, or raised or lowered. However, it is not uncommon for a patient's orientation to be different depending on the configuration of the operating table.
When configuring an operating table prior to or during a patient's surgery, safety is paramount, both for the patient and the surrounding operating staff. An operating theatre is a busy and noisy environment with several operating staff and multiple medical devices operating simultaneously and generating alerts or other audible signals. In this environment it is often challenging to hear audible warnings. EP3563821A1 addresses this problem by providing downwardly directed lighting on an operating table that illuminates the floor around the operating table and can be controlled by changing colour or continuity of lighting to signal various states of the table to all staff around the table. Similarly, DE102018127072 A1 describes an operating table with a light warning arrangement in which specific light patterns are directed onto the floor around the operating table or towards the base of the table to indicate the mode of operation of the table. These operating tables provide a general warning to operating staff of a movement of the table but are not helpful when positioning or configuring the operating table.
Remote controls for controlling the movement of the operating table often have physical buttons rather than a touch screen so that the operating person can locate the physical buttons on the remote control by touch and also perceive the mechanical feedback generated by the movement of such a button when actuated. WO 2016/131659 describes such a remote control that combines physical buttons with a display that depicts a stylised image of the operating table being controlled. To facilitate the control of the table for the operating person, the stylised image of the operating table is shown with controllable elements highlighted in different colours, with these colours reproduced on the physical buttons configured to control the controllable elements. While such a display provides a recognisable image of the operating table, the operator must first identify which element is to be controlled on the screen with the attendant danger that attention is drawn away from the table and the patient.
There is thus a need to alleviate the shortcomings of the prior art and provide an operating table that can be configured in a manner that is easier for the operator and safer for both the patient and operating staff.
The above objects are achieved in a system comprising an operating table for supporting a patient and a remote control, the operating table having a base and a table top, the table top comprising: at least three elements, preferably including at least two movable elements, and at least two interface joints, each interface joint serving as a movable connection between two adjacent elements,
the operating table further comprising a controller arranged to control each interface joint to actuate a movement of at least one adjacent element relative to the other; a light emitting arrangement being associated with each interface joint and adapted to display light in a pattern that is visible on at least one end of each interface joint at a lateral edge of the table top, a characteristic of the pattern displayed by the light emitting arrangement being visibly unique to the associated interface joint such that the interface joints are visually distinguishable from one another, the remote control being adapted to communicate with said controller and comprising touch controls for communicating signals for controlling movement of said interface joints, each touch control being associated with one interface joint and being provided with a visible pattern having a characteristic that is substantially the same as that displayed by the light emitting arrangement of the associated interface joint.
By providing light emitting arrangements in movable interface joints, and using these light emitting arrangements to visibly distinguish the interface joints from one another by displaying visually distinctive light patterns an operator can immediately identify a table component on the table itself. Providing the same visually distinctive pattern on or adjacent to/associated with touch controls of the remote control allows the rapid identification of the corresponding button, regardless of the where the operator is relative to the table and irrespective of the patient's orientation on the table. Erroneous manipulations of the table are thus minimised and the operator's attention can remain on the table during any adjustment.
Preferably, the unique characteristic of the pattern displayed by the light emitting arrangement comprises a colour. Using a colour ensures the reliable and rapid distinction of one interface joint from another, even when the light displayed is static.
In a preferred embodiment, the unique characteristic of the pattern displayed by the light emitting arrangement comprises a first colour associated with a first interface joint and a second colour associated with a second interface joint; wherein the remote control comprises a display which displays a representation of at least part of the operating table during operation; wherein said display shows a first table element which is movable by the first interface joint at least partly in the first colour, and shows a second table element which is movable by the second interface joint at least partly in the second colour.
Advantageously, the unique characteristic of the pattern displayed by the light emitting arrangement is dependent on at least one of the table top elements connected to the interface joint associated with the light emitting arrangement. In this way, the displayed pattern can provide information on the specific configuration and orientation of the operating table. Moreover, the disposition of the light emitting arrangement on the interface joints such that light is emitted and displayed at a lateral edge of the table top means that the interface joint, and thus the table orientation can be identified even when an element is fully or partially shrouded by surgical drapes.
Preferably, the light emitting arrangements associated with an interface joint are adapted to display a visual feedback in response to actuation of a touch control associated with the same interface joint, the feedback response preferably comprising a continuous or intermittent change in intensity.
In a preferred embodiment, the light emitting arrangement is adapted to display a light pattern indicative of the direction and/or degree of movement of the interface joint. The light emitting arrangement may also be adapted to display a light pattern indicative of a connection status of the interface joint. In other words, a light emitting arrangement may be controlled to display a specific pattern when a table element is to be connected. Also warning pattern may be displayed when a connection is not locked, while a different pattern may be displayed briefly to confirm a successful connection. In this way, the light emitting arrangement is adapted to display a light pattern indicative of a status of the operating table.
In some embodiments, the controller is configured to automatically change the light pattern displayed by the light emitting arrangement to correspond to the light pattern provided on an associated touch control. This can be especially useful when the association between an interface joint and the corresponding touch control changes following a reconfiguration of the operating table. For example, an interface joint previously connected to a head supporting element may instead be connected to a leg supporting element.
Preferably at least some of the interface joints are rotational joints, which upon actuation cause the pivotal movement of one adjacent element relative to the other.
In a particularly advantageous embodiment, two light emitting arrangements are associated with the same interface joint, the two light emitting arrangements being adapted to display the same pattern characteristic on opposite lateral sides of the table top.
Preferably, the light emitting arrangement comprises a plurality of LEDs arranged in said interface joint. The light emitting arrangement may further comprise a circuit board having a series of LEDs that are arranged substantially in a ring and are individually controllable in terms of colour and intensity of emitted light, the interface joint preferably further comprising a sealable cover plate with light transparent apertures corresponding to the position of the LEDs.
In a preferred embodiment, the operating table further comprises sensors configured to detecting a collision and being in communication with the controller, the controller being adapted to control the light emitting arrangements associated with an interface joint located closest to a detected collision to display a light pattern indicative of a collision.
In accordance with a preferred embodiment, the operating table comprises a head end for supporting a head and upper body of a patient, and a leg end for supporting the legs of a patient; wherein a head end interface joint for movement of the head end of the operating table is associated with a head end light emitting arrangement which is configured to emit a first colour associated with the head end at least when activated; wherein at least one leg end interface joint for movement of the leg end of the operating table is associated with a leg end light emitting arrangement which is configured to emit a second colour which is different from the first colour and which is associated with the leg end at least when activated.
Preferably the light emitting arrangement comprises a plurality of light elements which can collectively indicate a direction of clockwise or counter-clockwise rotation for the corresponding interface joint, preferably by collectively creating a moving chase pattern in a clockwise or counter-clockwise direction.
In accordance with a further aspect, the present disclosure relates to an operating table for supporting a patient, the operating table having a base and a table top, the table top comprising: at least three elements that are movable relative to one another and at least two interface joints, each interface joint serving as a movable connection between two adjacent elements, the operating table further comprising a controller arranged to control each interface joint to actuate a movement of at least one adjacent element relative to the other; a light emitting arrangement being associated with each interface joint and adapted to display light in a pattern that is visible on at least one end of each interface joint at a lateral edge of the table top, a characteristic of the pattern displayed by the light emitting arrangement being visibly unique to the associated interface joint such that the interface joints are visually distinguishable from one another.
The present disclosure also relates to a remote control adapted for use with an operating table as defined in the accompanying claims.
The present disclosure will be better understood and further advantages will become apparent from the detailed description of a preferred embodiment that is presented by way of example only with reference to the following drawings in which like parts have been labelled with like reference numerals.
The interface joints 40 between adjacent table top elements 20 are provided with a light emitting arrangement 42. This is better illustrated in
The system could be built around an operating table 10 having a base 30 including a supporting foot and column, and a central table top element 203 directly connected to the top of the column and located above the column. This central table top element 203 could have at least one, and preferably two interface joints 40 at opposite ends thereof, and one or more light emitting arrangements 42 aligned with each of the interface joints 40 on the central table top element 203. One or more additional table top elements 201-2, 4-5 could be connected directly or indirectly to the central table top element 203 and could be pivotably movable by the interface joints 40 of the central table top element 203. In some embodiments, the interface joints may not be pivotal but may effect a translator movement, to shorten or extend the distance between elements. In some embodiments, the additional table top elements 201-2, 4-5 could include one or more additional interface joints thereon, with each interface joint also having at least one respective light emitting arrangement 42. In some embodiments, the additional table top elements 201-2, 4-5 could be modular for attachment and removal from the central table top element 203 to create different table configurations.
While the touch controls 60 on the remote may be partially or entirely the color or pattern of the corresponding light emitting arrangement 42, locating the color or pattern adjacent to or immediately surrounding the respective touch control 60 is also possible. While this example remote includes three touch controls 60 in three different colors/patterns, the disclosure also contemplates remotes with other numbers of touch controls 60. For example, remotes having at least two touch controls, each having a different respective color and/or pattern.
Turning now to
The light emitting arrangement 42 is illustrated in more detail in
Turning again to
The light emitting elements 42 in each interface joint 401-403 are further preferably configured to display a characteristic pattern according to function. In other words, those interface joints that are used for adjusting a patient's back will display the same colour or pattern. If necessary, the colour or pattern displayed by a light emitting arrangement 42 may change during configuration of the operating table in order to reflect a patient's orientation, for example, reversing head and foot ends. In this way, the same touch control 601-603 will be used for adjusting a patient's back regardless of table configuration. For example, a first colour or pattern might always be associated with a head end interface joint, and a different second colour or pattern might always be associated with a leg end interface joint, where the first colour/pattern and the second colour/pattern are switched on the table when the patient orientation and/or table configuration are reversed with respect to the head and leg orientations. In this embodiment, the same touch controls 60 having the same respective colours or patterns will control (for example) back plate movement and leg plate movement respectively, even after the head/leg orientation of the table is reversed.
Speaking generally, tables 10 and table tops 20 according to the disclosure may have at least two interface joints 40, each interface joint having at least one respective light emitting element 42 aligned with a rotational axis of the joint 40 at an edge of the table top 10. Remote controls 50 for use with such tables and tale tops may include at least two touch controls 60, and more specifically at least as many touch controls 60 as the table/table top has interface joints 40, each touch control 60 having a different respective colour and/or pattern associated therewith. In use, each light emitting element 42 can have a colour and/or a pattern corresponding to a single touch control 60 on the remote control 50 which is controlling the corresponding interface joint 40 at that time. In useful embodiments, each light emitting element 42 is capable of showing at least two or at least three different colours.
In some embodiments, the colours and/or patterns of one or more light emitting elements 42 on the table can automatically change to correspond to the colour and/or pattern of a touch control 60 on the remote control 50 which will be controlling the corresponding interface joint 40 from that time forward. For example, a light emitting element 42 of a first interface joint 40 on the table might switch from a first colour or pattern corresponding to a first touch control 60 on the remote control to a second colour or pattern corresponding to a different second touch control 60 on the same remote control 60. This change indicates that control of the first interface joint 40 has switched from the first touch control 60 to the second touch control 60.
The control of the light emitting arrangements 42 will be explained in more detail with reference to
Some examples of the visual information or feedback messages that may be generated in response to the sensed information are summarised in Table 1 below
It will be understood that the possible feedback messages given in Table 1 are just some possible examples and that the light emitting arrangements 42 may be controlled to provide an immediate visible indication of a prevailing condition to the operating staff without adding to the audible overload already present in an operating theatre, while also drawing attention to the area of the table concerned. In addition to the specific warning patterns listed above, the light emitting arrangements 42 may be controlled to emit a flashing pattern or increase in intensity in response to the actuation of the corresponding touch control 60 of the remote control 50. In this way, the user can be provided with immediate visible feedback of which interface joint 40 is controlled by which touch control 60.
This disclosure also contemplates table 10 embodiments where light emitting elements 42 are not associated with a joint, or are associated with a joint/pivot location other than between two table top elements. For example, light emitting elements 42 could be positioned directly on a lateral edge of a table top element 201-5 (instead of at a joint between the elements) and oriented laterally outward, with the color of the lighting element corresponding to a touch control 60 which is configured to control movement of that table top element at that time. For example, one or more light emitting elements could be associated with (though not necessarily aligned with) a pivot axis or joint between the entire operating table top 20 and the column of the base 30. Such light emitting element could be colour matched with a corresponding touch control 60 of a remote control 50 which controls pivoting, raising/lowering, or rotating movement of the table top 20 with respect to the base 30. The movement could be “Trendelenburg” where the entire tabletop pivots so that the head end moves down while the foot end moves up, or conversely the head end moves up while the foot end moves down. The term “Trendelenburg tilting” as used herein includes tilting towards either the head end or the leg/foot end of the table (which is technically reverse Trendlenburd tilting). Trendelenburg tilting or lateral sliding of the table top 20 could be indicated by movement of lights on a corresponding light emitting element 42 near the top of the column, for example by showing a clockwise or counter-clockwise rotation direction which corresponds to the tilting/pivoting or sliding direction of the table top 20. For example, using a light emitting element 42 such as in
An alternative light emitting element 42 is a light bar 80 such as the one shown in
In the
Embodiments of the present disclosure thus include a system comprising an operating table for supporting a patient and a remote control, the operating table having a base and a table top, the table top comprising:
at least a central element coupled to the base and
a controller arranged to control the movement of the entire table top relative to the base,
a light emitting arrangement positioned on at least one of a lateral side of the base and a lateral side of said central table top element wherein said light emitting element is associated with control and movement of the entire table top relative to the base,
the remote control being adapted to communicate with said controller and comprising at least one touch control for communicating signals for controlling movement of said table wherein said at least one touch control has a visible pattern that is substantially the same as a visible pattern of the light emitting element, and controls at least one of raising and lowering the entire table top, longitudinal sliding of the entire table top, and Trendlenberg tilting of the entire table top.
In further embodiments, the light emitting element comprises a light bar, wherein the light bar comprises a light bar light which is movable along the light bar to indicate movement of the table top, said movement of the table top being selected from longitudinal sliding of the table top or Trendelenburg tilting of the table top.
This disclosure includes tables, remotes for use with tables, systems including both remotes and tables, and methods of using same. This disclosure also contemplates tables and/or remotes having electronics, circuitry, and electronic instructions to support and execute all of the functions described herein.
It will be understood that the examples and embodiments described herein can be used in various combinations and sub-combinations.
Number | Date | Country | Kind |
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21181964.4 | Jun 2021 | EP | regional |