The present invention relates generally to medical examination tables, and more particularly to an articulated examination table for positioning a patient between an upright, seated position and a supine position.
Articulating medical examination tables are known in the art for supporting patients thereon and for placing patients in various positions that facilitate examination and/or the performance of various medical procedures. Conventional examination tables typically include a seat section and a back section supported on a base unit, which are moveable relative to one another and the base to place a patient in a desired position. The seat section or back section may be articulated by actuating mechanisms such as a motors, pneumatic or hydraulic cylinders, or other devices to move the seat and back sections between the various positions and to adjust the height of the seat and back sections relative to the base. Most tables, for example, have a back section that is maneuverable from a first inclined orientation, relative to the seat section, for supporting a patient in an initial, seated position, and a generally horizontal orientation, relative to the seat section, for supporting a patient in a supine position.
To help patients relax and to place them at ease during the examination or medical procedure, the examination table should be as comfortable as possible. Accordingly, examination tables have conventionally been provided with well-padded, upholstered patient support surfaces to improve patient comfort. When the thickness of the padding is too great, however, the increased overall height of the table may make it difficult for elderly or disabled persons to get onto and off of the examination table. Ensuring patient comfort with thick upholstery and providing a relatively low height represent competing objectives that are exasperated by the fact that the articulating mechanisms for the table, as well as various accessories used during examination, are conventionally located beneath the seat and back sections of the table. A need therefore exists for an examination table that provides a relatively low height while ensuring a high level of patient comfort.
The present invention provides an articulating medical examination table that has a relatively low profile patient support while maintaining a high level of patient comfort. In one embodiment, the patient support comprises a seat section and a back section mounted atop a stationary base. The back section cooperates with the seat section to support a patient, and is moveable between a first, inclined orientation for supporting the patient in a seated position, and a second, substantially horizontal orientation for supporting the patient in a supine position. The table further includes an actuating mechanism coupled to the back section for moving the back section between the first and second orientations. The seat section distributes the pressure of a patient's body supported on the table to ensure a high level of comfort.
The seat section includes a seat frame having an central open area. A layer of web material is secured to the frame and extends across the open area. In one embodiment, the seat section further comprises a cushion material, including a layer of foam and an upholstery cover layer. The cushion material is disposed over the web material and cooperates with the web material to provide a resilient, comfortable seating surface for supporting a patient thereon. The seat section has a relatively low profile, compared to conventional examination tables, and helps to accommodate the actuating mechanism or other components of the examination table beneath the seat section, while providing a relatively low overall table height. The low table height makes it much easier for patients, particularly elderly and disabled patients, to get onto and off of the table.
In another embodiment, the web material of the seat section is formed from elastomer and is stretched approximately 10% to 20% of its unstretched length as it is being secured to the seat frame. The medical examination table may further include controls mounted on the base, or provided in a foot-operated unit, for activating the actuating mechanism. In yet another embodiment, the table further includes a footboard, procedure tray, or other accessories stored beneath the seat section and which can be slid outwardly therefrom for use during examination.
The features and objectives of the present invention will become more readily apparent from the following Detailed Description taken in conjunction with the accompanying drawings.
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and, together with a general description of the invention given above, and the detailed description given below, serve to explain the invention.
The seat and/or back sections 14, 16 are conventionally articulated between the various possible positions by an actuating mechanism (not shown) provided within the base 12 of the table 10. The actuating mechanism may include a motor, pneumatic or hydraulic cylinders, or other mechanisms suitable for articulating the back and/or seat sections. In the embodiment shown, the table 10 further includes operator-accessible controls 18 mounted on the base 12, as well as a foot-operated control 20 coupled to the base 12 and configured to permit hands-free actuation of the articulating mechanism by an operator.
In the embodiment shown, and as best depicted in
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In one embodiment, the web material 34 is formed from stands of polyester material and is available from Matrix Furniture Components, Inc., Greensboro, N.C. The web material 34 is stretched while it is being secured to the frame 30. The amount of stretch is selected to provide a deflection of the seating surface sufficient to ensure patient comfort, while not being so great that proper operation of the examination table 10, such as withdrawal of the footboard 24 and procedure tray 22 from beneath the seat section 14, is hindered by having the seat bottom-out against components stored beneath the seat section 14. The size of the open area 32 in the seat frame 30 is selected to permit proper deflection of the seating surface. In one embodiment, the open area 32 is wide enough so that contact through the seating surface between the inner peripheral edge 38 of the seat frame 30 and a patient's buttocks is avoided. In another embodiment, the open area 32 has a width of at least 12 inches. The inner peripheral edge 38 of the seat frame 30 is rounded to accommodate deflection of the web material 34 under the weight of a patient resting on the seat section 14.
In the embodiment shown in
In the exemplary embodiment shown, the frame 30 of the seat section 14 is attached to a generally flat seat substrate 60 coupled to the base 12. The seat substrate 60 has a central open area 62 which corresponds to the open area 32 in the seat frame 30 to accommodate deflection of the seating surface therethrough. The seat substrate 60 is also coupled to a back substrate 64 by a hinge 66 whereby the back substrate 64 and seat substrate 60 may be pivoted relative to one another about the hinge 66 to accommodate articulation of the seat and back sections 14, 16 of the table 10. In the exemplary embodiment shown, the seat frame 30 is secured to the seat substrate 60 by a hook-and-loop type fastening system 68a, 68b, such as that sold under the trademark Velcro®. Alternatively, the seat frame 30 may be secured to the seat substrate 60 by fasteners, latching mechanisms, or various other methods suitable for securing the seat frame 30 to the seat substrate 60.
The web material 34 allows reduced foam material thicknesses to be used in the seat section 14 so that the overall height of the examination table 10 can be kept relatively low while providing a high level of patient comfort and enabling accessories such as a procedure tray 22 and footboard 24 to be stowed beneath the seat section 14. The low height of the table 10 facilitates patients' ingress and egress from the table 10. In one embodiment, the foam material 42 used on the seat section 14 may be up to about 1.0 inch thick. In another embodiment, the foam material may be up to about 0.5 inch thick. In yet another embodiment, the foam material may be less than about 0.5 inch thick. The seat section 14 may alternatively be provided without any foam material 42 or upholstery cover layer 44.
While the present invention has been illustrated by the description of one or more embodiments thereof, and while the embodiments have been described in considerable detail, they are not intended to restrict or in any way limit the scope of the appended claims to such detail. Additional advantages and modifications will readily appear to those skilled in the art. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and methods and illustrative examples shown and described. Accordingly, departures may be made from such details without departing from the scope or spirit of Applicants' general inventive concept.