Patent Grant
10780006
The present invention relates to a mounting device for mounting a stand device under a ceiling in an operating room, comprising: a mounting apparatus extending in the longitudinal direction along a mounting axis configured for holding a connection component of the stand device, in particular a spindle; and a ceiling flange arranged for mounting the mounting apparatus under the ceiling and for supporting the stand device on the ceiling. In particular, the present invention relates to a mounting device including the single features of claim 1, and a mounting system including single features of the independent system claim.
Stands, in particular, ceiling stands, as for example, ceiling supply units, monitor supports, or so-called spring arms or central axes, usually comprise one or more carriers arranged rigidly or in a way to be adjustable in height regarding a vertical position, by means of which an attached medical device may be moved and positioned, for example, in an operating room, in particular, also in an intensive care unit. At the stands usually supply units are attached, on which medical devices are arranged, for example, which will be supplied with the required media during a surgery, for example. The carriers define a radius of action of the medical device within which the medical device can be positioned. The carriers are usually rotatable around at least one rotatable connection, in particular a rotary joint. The carriers are optionally arranged to be vertically adjustable and/or vertically pivotable around an at least approximately horizontally aligned axis.
Usually the stand is mounted on a ceiling or adjacent to a subceiling of the operating room. Here, the subceiling is used to mount cables, for example, but not to support the stand. Hereto the stand comprises a ceiling tube, for example. Here, often the height position of the stand has to be aligned in relation to the ceiling. The height position of the stand relative to a mounting point on the ceiling may define the position of a medical device supported by the stand. Often the exact height position of the subceiling is unknown. However, the stand has to be mounted in an exactly defined height.
In order to mount the stand, mounting devices that include disks shrink-fitted on a spindle of the stand, for example, may be used. The shrink-fitted disks may be screwed to the ceiling tube.
For an adjustment in height, vertically adjustable ceiling tubes may be used. Here, for example a clamp connection with annular wedge segments may ensure a variable height position by a force-fit connection. An additionally required form-fitting bolt securement may ensure a relative position of the ceiling tube on a ceiling flange. Then, the bore required for the bolt at a predefined position has to be made individually at the correct position afterwards during mounting. Here, the ceiling tube may have to be pushed to a higher position than the ceiling flange. In case there is not enough space above the ceiling flange, the ceiling tube may have to be shortened, if required.
Also, devices are known for which a ceiling flange, on which the spindle is fixedly preassembled, is mounted by using threaded rods and optionally also spacer tubes on a so-called interface plate, which in turn is mounted on a so-called ceiling plate, also by using threaded rods and spacer tubes. By using threaded rods an adjustment in height and also an alignment may be performed.
It is an object of the present invention to provide a mounting device by means of which the stand device may be mounted on a ceiling in a predefined height position without having to perform expensive design changes or adaptions of the mounting device. In particular, the object is to provide a mounting device by means of which the adjustment or readjustment of the height position may be performed easily, in particular manually. Preferably, the mounting device also has a high bearing capacity and is suited to accommodate and transfer high weights. Preferably, the mounting device has a simple design and can be manufactured inexpensively.
Said object is achieved by a mounting device for mounting a stand device under a ceiling in the operating room, comprising: a mounting apparatus extending in a longitudinal direction along a mounting axis configured to hold a connection component of the stand device, in particular a spindle; and a ceiling flange configured to mount the mounting apparatus under the ceiling and to support the stand device on the ceiling; wherein the ceiling flange is mountable in different mounting positions along the mounting axis relative to the mounting apparatus on the mounting apparatus in a way that the mounting device is configured to support the stand device in a height variable manner, in different, in particular predefined, height positions. The mounting device comprises a ceiling flange and a mounting apparatus which are matched in design to each other in such a manner that the ceiling flange and the mounting apparatus may be coupled to each other at different coupling points/fasting points in different relative positions. This way, a height position may be defined according to the room situation or the size of the stand device.
The ceiling flange may be mountable in at least two predefined mounting positions, in particular height positions, on the mounting apparatus. The mounting apparatus may thus be adjusted and screwed together in a well accessible position, for example on the floor, and then be mounted on the ceiling. It is advantageous to measure the height of the ceiling or the subceiling in advance in order to be able to adjust the suitable height position.
In a mounted state, the longitudinal direction corresponds preferably to a height direction, in particular a vertical direction.
A stand device is thus preferably a device for holding, fixing a position, and/or displacing at least one medical device that for medical purposes may be firmly mounted or positioned on a wall (in a wall bearing), or on a ceiling, or also on a floor of an operating room, or any other room; for example, a ceiling stand. The stand device may thus not be moved in a completely unrestricted way in the operating room, but may only be moved within a certain radius of action, in particular, relative to a fastening point or mounting point on a ceiling or a wall of the operating room. The stand device may be configured as a ceiling supply unit mounted on a ceiling, and include one or more supply units supported adjustably in position on one or two carrier arms. The stand device may also be adapted as a monitor support. The stand device may also be adapted as a so-called spring arm, in particular one that is mounted on a wall and includes a light, for example. The stand device may also be adapted as a so-called central axis mounted, in particular on a ceiling, and comprise a plurality of carrier systems, each having at least one carrier on which a monitor or a light is mounted, for example. Preferably, the stand device has at least two support arms.
A medical device is preferably a supply unit by means of which the means for treating a patient and/or instruments for a surgeon and/or light, clean air, or other media required in the operating room can be provided. The medical device preferably includes some kind of control panel and/or some kind of display device for graphically displaying patient data, for example.
Here, the mounting apparatus is preferably a device by means of which the stand device may be mounted on a room ceiling and by means of which a weight or force of inertia applied by the stand device may be transferred to a ceiling, in particular by using a ceiling flange. The mounting apparatus may be mounted on a ceiling flange by one or more supports.
Here, a connection component is preferably a component by means of which single carriers of the stand device may be connected to the mounting device and preferably also to one another. At a stand device adapted as a so-called central axis, the connection component may be formed as a centrally arranged spindle which supports several carriers or carrier arms.
An operating room may also be an examination room or an intensive care unit or a room for performing medical treatments or therapies.
According to an exemplary embodiment the mounting apparatus comprises at least one fastening portion including a plurality of fastening means, in particular being formed identically, which are spaced in the longitudinal direction. The fasting means enable a plurality of different relative positions of the mounting apparatus in relation to the ceiling flange. Preferably, the fasting means are aligned in a transverse or orthogonal direction to the longitudinal direction.
According to an exemplary embodiment the at least one fastening portion is arranged on an outside, in particular an outer contour or outer lateral surface of the mounting apparatus. This allows to ensure a good accessibility. The fasting means of the mounting apparatus are arranged in the longitudinal direction to one another, preferably equally spaced. Preferably, the respective fastening portion is formed as a perforated bar.
According to an exemplary embodiment the at least one fastening portion is arranged on a crosspiece protruding in a radial direction on an outside or outer contour of the mounting apparatus, or forms said crosspiece. This arrangement also enables to access the fastening portion from both sides, for example. The crosspiece may also be described as tongue, or may also be formed as tongue.
According to an exemplary embodiment the at least one fastening portion extends in the longitudinal direction along the complete length of the mounting apparatus, respectively. This enables a very flexible adjustment in height. The complete length of the mounting apparatus may be used to adjust individual height positions.
Preferably, the fasting portion of the mounting apparatus comprises at least one, preferably two, radially aligned planar radial flanks (in particular opposite side faces) which preferably are provided along the complete fastening portion. The ceiling flange or a support may optionally be arranged on one or more of these radial flanks and may be shifted thereon in the longitudinal direction. Optionally the ceiling flange or support may also enclose two opposite radial flanks of the respective fastening portion of the mounting apparatus. The mounting apparatus may be exactly positioned in a predetermined position in relation to the ceiling flange by using the radial flanks.
Preferably, the mounting apparatus is adapted as tube, wherein at least 2 or 3 fastening portions adapted as crosspieces are arranged on an outer contour of the mounting apparatus, preferably in the same distance to each other in the circumferential direction. This enables a stable fastening on a fastening point (positioned far outside) that is advantageous regarding torques, respectively, or with a special symmetric force distribution. Preferably, 3 fastening portions are provided, which are arranged in a distance corresponding to a circumferential angle of 120° to each other on the outer contour, respectively.
According to an exemplary embodiment the ceiling flange comprises a passage which preferably has an inner diameter which is larger than or larger equal than an outer diameter of the mounting apparatus. This enables a passing through/guiding through of the mounting apparatus through the ceiling flange. This way a plurality of relative height positions/mounting positions may be provided. Here, the mounting apparatus has not to be shortened, even in case the ceiling flange has to be fastened comparatively far below, in particular on a lower end of the mounting apparatus to enable a particularly high position of the stand device. Thus, a comparatively high height position of the stand device may be adjusted in a simple way, in particular without having to change any components.
The passage preferably includes an inner contour which is formed to correspond geometrically to an outer contour of the mounting apparatus. Hereby a form-fitting rotational lock can also be provided by means of the ceiling flange, for example. Preferably, the passage comprises recesses aligned in a radial direction that are formed to correspond geometrically to crosspieces of the mounting apparatus. The recesses may facilitate the positioning and guiding of the mounting apparatus, in particular during mounting of angular, separate supports on the ceiling flange and on the mounting apparatus.
The inner contour preferably forms at least one radial groove, which is formed to correspond geometrically to a fastening portion, in particular a crosspiece of the mounting apparatus. Thereby the mounting apparatus may be supported on the ceiling flange without noticeable circumferential backlash (disregarding a circumferential backlash caused by manufacturing tolerances).
According to an exemplary embodiment the ceiling flange comprises a planar lower front face where the mounting apparatus or a support may abut, wherein the ceiling flange is preferably adapted as flange plate. Thus, a contact surface may be provided for force transmission and for a predefinable positioning.
According to an exemplary embodiment the ceiling flange comprises a plurality of fastening means, in particular internally threaded bores or passage openings adapted to fasten the mounting apparatus on the ceiling flange, and which are preferably aligned in the longitudinal direction. This facilitates mounting. Fasting means or fastening elements engaging therewith may be aligned in the prevailing force flux direction. Preferably, the fasting means are formed as through-bores. Through-holes allow to insert screws from above.
According to an exemplary embodiment the mounting apparatus comprises at least one support by means of which the mounting apparatus is coupable in different relative positions on the ceiling flange, wherein the support comprises a fastening portion which is formed to correspond geometrically to a fastening portion of the mounting apparatus. Here the support is configured to couple the ceiling flange with the mounting apparatus and to transfer a load, in particular weight, applied by the stand device from the mounting apparatus to the ceiling flange.
According to an exemplary embodiment the support is provided as individual part separate from the ceiling flange and separate from the mounting apparatus. Optionally the support may be preassembled on the ceiling flange or may be formed integrally by a portion of the ceiling flange protruding in the axial longitudinal direction. According to a variant support and ceiling flange are adapted as cast part.
According to an exemplary embodiment the support comprises at least one fastening means which is arranged and/or formed to correspond geometrically to the fastening means of the mounting apparatus. Thus, the support and the mounting apparatus may be positioned in a predefined arrangement relative to one another. Fastening elements, in particular screws, may be mounted on the fastening means. According to a variant the mounting apparatus may be hold by means of the support without fasting means in a form-fitting and/or force-fitting way. In particular, this may be ensured by the fact, that the support may engage with the mounting apparatus in an elastically biased way and may support the mounting apparatus (its self-weight). An additional securement by bolts is not required. This is advantageous during mounting, as first the support may be mounted on the ceiling flange, and then the mounting apparatus may be positioned on the support in a desired height position in a way that the respective fastening means are disposed in alignment to each another. Fasting elements may then be attached/mounted without having to hold to the mounting apparatus.
Preferably, the at least one fastening portion of the mounting apparatus has an extension in the longitudinal direction larger than the support. This allows for an axial displacement of the support along the fastening portion. Preferably, the support comprises an extension in the longitudinal direction which is more than double than the distance of two fastening means of the mounting apparatus arranged adjacently in the longitudinal direction. This allows to ensure that the mounting apparatus may be positioned relative to the ceiling flange in different distances without having to shorten the mounting apparatus or guide it through the ceiling flange. Nonetheless the mounting apparatus may be guided through the ceiling flange and protrude from the top of the ceiling flange. Preferably, the support has an extension in the longitudinal direction which is more than triple than the distance of two fastening means of the mounting apparatus to one another. This way a plurality of relative height positions may be set.
According to a variant the support is a L-shaped bracket and includes a planar longitudinal face and a planar front face by means of which the support may abut on the ceiling flange and on the mounting apparatus, respectively.
According to an exemplary embodiment the support comprises a cavity, in particular a radial cavity aligned in the radial direction, which is formed to correspond geometrically to the fastening portion of the mounting apparatus, thus the support is configured to enclose the fastening portion in the radial direction. This way the mounting apparatus may be guided in the support in the longitudinal direction and may be centered by one or more supports.
According to a variant the support comprises two opposite jaws which form a radial flank (side face), respectively, surrounding the cavity in the circumferential direction where the fastening portion of the mounting apparatus abuts. Here the support may also be formed as bracket.
Preferably, the support comprises a centering face surrounding the cavity in the radial direction, which is formed to correspond geometrically to a peripheral surface portion of the fastening portion positioned radially outside. This enables a centering of the mounting apparatus by using one or more supports relative to the ceiling flange.
Preferably, the support comprises a corrugation that is disposed in a way that the support may be deformable in order to facilitate mounting of the mounting apparatus on the corrugation.
According to an exemplary embodiment the mounting apparatus is a tube-like continuous casting part, in particular made from aluminium, wherein the mounting apparatus is preferably made of one piece. The term aluminium may also comprise aluminium alloys. Preferably, the aluminium alloy AlMgSi0.5 is used. This configuration enables high stability on the one hand, and cost-efficient manufacturing on the other hand. Here the axial extension around the mounting axis may be selected largely arbitrarily, depending on the operating conditions and the mounting position. Preferably, a support to connect the mounting apparatus with a ceiling flange is formed as a continuous cast part.
According to a variant no supports are provided. The mounting apparatus preferably comprises threaded channels, in particular at the rim, by means of which the mounting apparatus may be mounted directly on the/a flange plate. Thus, a very cost-efficient variant may be provided. The number of components or parts is reduced. The mounting may further be simplified, in particular in applications that require no particularly high flexibility regarding an adjustment in height.
According to an exemplary embodiment the mounting apparatus comprises at least one fastening portion with a plurality of fastening means that are spaced to one another in the longitudinal direction, wherein the at least one fastening portion is arranged on an outside of the mounting apparatus and is formed as a radially protruding crosspiece, wherein the at least one fastening portion extends along the complete length of the mounting apparatus, respectively, wherein the mounting device comprises at least one support by means of which the mounting apparatus is coupable to the ceiling flange in different relative positions, wherein the support comprises a fastening portion which is formed to correspond geometrically to a fasting portion of the mounting apparatus, wherein the support comprises at least one fastening means which is arranged and/or formed to correspond geometrically to fastening means of the mounting apparatus, wherein the ceiling flange comprises a lower front face where the support may abut, wherein the ceiling flange comprises a plurality of fastening means aligned in the longitudinal direction and configured to mount the support on the ceiling flange. By means of this configuration a plurality of the advantages of the present invention may be realized.
According to an exemplary embodiment the mounting apparatus includes two mating faces in different sizes which are formed to correspond to the mating faces of the connection component and are configured to facilitate the mounting and to enable a two-point support of the connection component. This is advantageous regarding a secure mounting and a stressable support.
According to a preferred embodiment of the mounting device the mounting apparatus is adapted tube-like and the fastening portions are formed as crosspieces protruding radially from the outer contour of the mounting apparatus, wherein at least 2, preferably at least 3, fastening portions are provided on the mounting apparatus which work together with a number of supports on the ceiling flange. The fastening elements required for a connection of ceiling flange and mounting apparatus with the spindle supported thereon do thus not cross or penetrate the tube-like portion of the mounting apparatus, but only the crosspieces arranged radially outside, thus the tube-like portion of the mounting apparatus is not weakened. This way, an extremely robust mounting device may be provided which is able to accommodate high traction forces.
The object described above is also achieved by a mounting system including a mounting device according to the invention, wherein the mounting system further comprises: at least one fastening element, in particular a screw, for mounting the ceiling flange on the mounting apparatus or on a support coupled with the mounting apparatus and/or at least one fastening element, in particular a screw, to mount the at least one support on the mounting apparatus. Such a system provides a high degree of flexibility during mounting or selection of a certain height position.
According to an exemplary embodiment the mounting system further comprises an adjustment apparatus to arrange a connection component of the stand device in a predefined position relative to the mounting apparatus, wherein the mounting apparatus forms a rotational coupling that is adjustable around the mounting axis to support the connection component on the mounting apparatus. This way, in addition to an adjustable height position also an adjustment or readjustment of the relative rotational position of the spindle in relation to the mounting device may be performed in a simple way, as will be described in the following in detail.
A stand device including a mounting system according to the invention preferably comprises a connection component adapted as a spindle, which is supported on or fastened to the mounting apparatus in an axially locked way. Preferably, the spindle is supported rotatably on the mounting apparatus. In the following, further variants or features are described regarding a spindle that is rotatably supported, which may be achieved advantageously by the mounting device of the invention.
According to a variant the mounting device is configured to displace a medical device in the operating room, wherein the mounting apparatus comprises a cavity aligned in the longitudinal direction to accommodate a rotatably supportable connection component of the stand device, and wherein the mounting device further comprises: an adjustment apparatus for arranging the connection component in a predefined position in relation to the mounting apparatus, wherein the mounting device forms a rotational coupling which is adjustable about the mounting axis to support the connection component on the mounting apparatus. This way, in addition to an adjustable height position an adjustment or readjustment of the relative rotational position in relation to the mounting device is also simple. The radius of action of the stand may be defined in a simple way. Preferably, the rotational coupling may be adjusted without having to disassemble any components of the mounting device or stand device except from a cover.
Preferably, in a first state, the mounting apparatus is configured to support the connection component in a rotatable and axially fixed manner, and in a second state to support the connection component in a rotatably fixed and axially fixed manner, in particular when coupled with the adjustment apparatus. This enables the adjustment of predefined rotation angle positions by using the adjustment apparatus.
An adjustment apparatus preferably is a device by means of which a determined relative position of the connection component may be adjusted or set in relation to the mounting apparatus. By means of the adjustment apparatus individual relative positions may be predetermined. The adjustment apparatus is preferably supported on the connection component in a rotatably fixed manner.
Preferably, a rotational coupling is a connection by means of which a coupling may be ensured in a predetermined rotational position, wherein a relative rotational movement is possible either in steps or continuously.
According to a variant the adjustable rotational coupling is formed by the adjustment apparatus and the mounting apparatus, wherein the adjustment apparatus may be positioned in a predetermined rotational position about the mounting axis in relation to the mounting apparatus and is supportable in a rotationally fixed manner. This way, an adjustment may be performed by rotating the adjustment apparatus in relation to the mounting apparatus. The adjustment apparatus is configured to support the connection component in a rotatably fixed manner on the mounting apparatus.
According to a variant the adjustment apparatus is formed as an individual component of the mounting device separate from the connection component and separate from the mounting apparatus. By configuring the adjustment apparatus as an individual unit separate from the spindle a coupling may be provided by means of which the position of the spindle in relation to the mounting apparatus may be adjusted in a flexible and simple way. Preferably the mounting device is coupled to the connection component in a form-fitting manner, in particular in different axial positions. This kind of interface enables, for example, the arrangement of different numbers of carriers or carriers with different dimensions without having to change the interface design.
The cavity is formed to correspond geometrically to the connection component and provides a rotary bearing to the connection component. This way, the connection component in the mounting apparatus may be rotated in order to adjust the rotational position.
Preferably, the mounting apparatus and the adjustment apparatus are arranged axially in series to one another and overlap the connection component, respectively.
According to a variant the adjustment apparatus includes a rotational stop, in particular a groove or spring, which is formed to correspond geometrically to a rotational stop, in particular groove or spring, arranged on the connection component. Hereby a rotation of the adjustment apparatus may cause a rotation of the spindle and vice versa. Thus, defining the rotational position of the adjustment apparatus relative to the mounting apparatus also allows to directly adjust the rotational position of the spindle, for example in the operating room. Preferably, the groove extends at least approximately along a longitudinal axis direction of the connection component. The rotational stop may optionally be formed as a form-fitting coupling, for example a sprocket, any steps or crosspieces that radially engage with one another. The rotational stop may also be used for centering.
Preferably, the mounting apparatus is configured to provide a securement against rotation, in particular by using an axially arranged passage, and also to provide a securement of the connection component in the axial direction, in particular by means of at least one radially arranged passage. This way, readjusting or adjusting of the rotational coupling may be performed smoothly without the need for any other tools or support devices, even if the stand device has a significant own mass, for example in cases where a complete supply unit is fastened to the stand device.
According to a variant the adjustment apparatus comprises a plurality of coupling points, in particular openings or passages, to define one of a plurality of rotational positions of the rotational coupling, respectively, which are preferably arranged on a pitch circle, wherein the adjustment apparatus preferably has an annular geometry or is adapted as an annular disk (flat ring). Preferably, the coupling points are accessible via an upper side of the adjustment apparatus, respectively. Preferably, the pitch circle is larger than a diameter of the cavity ensuring a good access from outside. Preferably, the coupling points are arranged on the adjustment apparatus as far as possible radially outwards. Thereby an adjustment is easy, even when the adjustment apparatus is arranged under a ceiling and is difficult to access. Preferably, the coupling points are accessible via a front face of the adjustment apparatus. Preferably, the openings or passages are aligned axially, in particular parallel to the mounting axis.
The adjustment apparatus preferably includes an outer diameter that is larger than or equal to further components of the mounting device. This way, the adjustment apparatus may provide an interface at a peripheral surface or an outer rim, in particular mounting slots, where a cover or enclosure of the mounting device may be mounted. Fastening a cover on the adjustment apparatus provides the advantage that the cover is easy to remove and that access to the rotational coupling is easy.
The adjustment apparatus may comprise an annular support surface that is formed to correspond geometrically to an annular support surface of the connection component. Thus, the connection component can be exactly coupled with the adjustment apparatus. The support surface may act as a stop for a corresponding step of the connection component.
According to a variant the adjustment apparatus includes a passage with an inner diameter smaller than the diameter of the cavity or smaller than the inner diameter of an inner lateral surface of the mounting apparatus. Thereby the connection component may abut on a step of the connection component on the adjustment apparatus.
According to a variant the mounting apparatus comprises a planar lower front face where the adjustment apparatus may abut in a predefined axial position. Thereby the adjustment apparatus may be aligned exactly in relation to the mounting apparatus. Thus, a rotational lock element may be arranged in different positions without jamming, in particular manually.
According to a variant the mounting apparatus comprises at least one fastening portion with a plurality of fastening means, in particular openings or bores, wherein the fastening means define different axial mounting positions. Thereby a particular height position of the stand device in relation to a ceiling or ceiling flange can be easily adjusted.
Preferably, the mounting apparatus comprises 15 to 30, preferably 20 to 25 openings, thus a relative rotational position of the spindle in relation to the mounting apparatus may be adjusted in comparatively small angular steps, for example in steps of 15°. Such adjustments of the relative rotational position are particularly advantageous regarding stops or rotational locks limiting rotational movements of the stand device. Thus, the radius of action of the stand device may be flexibly adjusted to position the medical device.
According to a variant the mounting apparatus comprises a plurality of threaded bores to accommodate fastening elements that can be arranged in a longitudinal direction/vertical direction, wherein the threaded bores are arranged on the same pitch circle as corresponding coupling points/openings of the adjustment apparatus. The threaded bores are preferably arranged on a lower front face of the mounting apparatus and extend at least approximately in the longitudinal direction. This enables a simple mounting and a simple readjustment. Preferably, 3 to 5 threaded bores are provided that are accessible from a lower side in a mounted state of the mounting apparatus, thus fastening elements may be plugged-in and fastened, in particular screwed, from below in an axial longitudinal direction. A technician may thus mount any fastening elements under the mounting apparatus, basically without having to change his/her position. Screwing in the radial direction is not required. This also enables the technician to work from a lower height, making the mounting procedure less dangerous by reducing the risk of a fall by the technician, for example. In addition, a visual examination of the fastening elements to ensure a correct positioning may be performed easily. Thus, a pressure or force that may be applied manually in the mounting direction, that is in the longitudinal direction, may more easily applied exactly in the longitudinal direction.
According to a variant the at least one fastening portion is formed on an outer lateral surface by a crosspiece protruding in the radial direction, wherein the mounting apparatus preferably comprises at least 3 fastening portions that are arranged in a star shape, in particular spaced equally to one another in a peripheral direction. This way a load (in particular a weight or torque) may be transferred to a force engagement point positioned further outwards. In particular, with several fastening portions being symmetrically distributed around the circumference of the mounting apparatus, a force may be transferred to advantageous force engagement points in a uniform way. Also in case the adjustment apparatus has to be fastened to the mounting apparatus, a predefined rotational position may be set in a comparatively exact manner or in especially small rotational steps or rotation angles, in particular independent of a diameter of the spindle and largely independent of the loads to be transferred.
Preferably, the fastening portions are circumferentially arranged on the outer lateral surface, in particular equally spaced in the peripheral direction. This facilitates an adjustment regarding a plurality of different rotation angle positions.
According to a variant the mounting apparatus includes a retainer, in particular tube-like, for a rotational lock element, wherein the retainer is preferably arranged on an outside, in particular an outer lateral surface, of the mounting apparatus, or constitutes the outer lateral surface at least in sections. This allows for removal or insertion of a rotational lock element in a simple way. Preferably, the retainer comprises a through-bore that extends down to the lower front face of the mounting apparatus. A retainer configured in such a way may also be denoted as a locking tube.
Preferably, the retainer is formed to arrange a rotational lock element aligned in the axial direction, in particular a bolt connection in the axial direction. Preferably, the retainer comprises a lower (in particular tube-like) retainer portion with an axial extension smaller than a length of the rotational lock element.
According to a variant the retainer comprises an access, in particular an access radially from outside, wherein the access is preferably formed as cutout. This facilitates a manual adjustment. Preferably, the access comprises an axial extension that is larger than a length of a rotational lock element and larger than an axial extension of a lower retainer portion.
The access preferably comprises an upper access area where a rotational lock element may abut. On the upper access area a bolt including a rim/head/step may be supported in a way that the rotational coupling may be easily adjusted manually. The bolt may be plugged into the retainer and may only be secured by gravitational force. This way a technician has only to perform a plug-in movement, which is executed in very short time. A rotational movement or screwing is not required. This is especially advantageous for positions directly underneath a ceiling that are difficult to access. The rotational lock element may be removed manually and re-mounted in a simple way, in particular without using tools. This provides advantages, especially for hard to access mounting points of the stand device, last but not least, as a technician has both hands free.
According to a variant the mounting device comprises an axial lock by means of which the connection component may be supported on the mounting apparatus in a predefined axial position, in particular rotatable in relation to the mounting apparatus. The axial lock may facilitate mounting and also readjustment. The stand may be locked using an axial lock, in particular during the alignment of the rotational position, or during fastening of individual fastening elements. The mounting device may also reduce the risk of jamming within the mounting apparatus. By using only three main components, the mounting device may thus provide an easily adjustable rotational coupling. Here the coupling consists of three main components, that is the mounting apparatus, the adjustment apparatus or the flat ring, and the axial lock.
Preferably, the axial lock forms an axially fixed rotary bearing for the connection component together with the cavity, that is, a bearing enabling a rotation in a predefined axial position. The axially fixed rotary bearing provides a degree of freedom of movement around the mounting axis and prevents a movement along the mounting axis.
According to a variant the axial lock is configured to be mounted permanently and to ensure an axial lock of the connection component in various or any mounting situations.
According to a variant the mounting apparatus is configured to fasten and rotatably support the connection component in a predefined relative axial position, wherein a chamfer, edge or milled recess is provided at an inner lateral surface of the mounting apparatus surrounding the cavity. This way an axially fixed rotary bearing may be formed by simple design components that may be easily mounted during mounting of the stand device.
According to a variant the axial lock comprises a passage arranged tangentially on the mounting apparatus that passes through an outer contour or outer lateral surface of the mounting apparatus, preferably at two points, and that intersects an/the inner lateral surface of the mounting apparatus. The passage (in particular a bore or cutout) may be arranged as a secant in relation to the outer lateral surface of the mounting apparatus. In the passage a securing element (in particular a bolt or latch) may be inserted tangentially to the connection component which may engage with a groove of the connection component and axially secure the connection component in the mounting apparatus. Preferably said securing element may be arranged tangentially to the mounting apparatus and is formed to correspond geometrically to the passage.
The tangentially aligned passage may intersect an inner contour, in particular an inner lateral surface of the cavity in a way that the latch is arranged further inwards than the inner lateral surface. For example, the latch protrudes about half of its diameter further inwards than the inner lateral surface. A passage arranged as secant has the advantage of providing a comparatively long latch engagement portion with the connection component as compared to a radially aligned securing bolt. Thus, the latch is arranged tangentially to the connection component, and engages with a peripheral side of the connection component tangentially in sections in the connection component. In addition, this kind of axial lock has the advantage that the axial lock does not need not to be removed, in particular when rotating the connection component during mounting. Here friction can be kept relatively low during a relative rotation of the connection component within the cavity. A rotation may be performed in a simple way, even for long carrier arms or high weights or torques, in particular by engaging with a recess on the lower side of the adjustment apparatus. The axial lock or the tangential latch may remain in the tangential position.
According to a variant spacers may be provided between the adjustment apparatus and the lower front face of the mounting apparatus to allow an adjustment of the height position of the connection component in relation to the mounting apparatus. In addition, a plurality of tangential passages may be provided one above another in the mounting apparatus, respectively, to accommodate a securing element for an axial lock. Thereby an adjustment in height may be performed easily without having to use spacers.
Preferably, a support surface is formed on the passage that is configured to transfer a weight applied from the connection component to the mounting apparatus. According to a variant, the support surface is U-shaped. This way the passages may be manufactured in a cost-efficient way, in particular by milling. Furthermore, notch stresses may be reduced to a minimum in the mounting apparatus and also in the connection component. Preferably, the radius of the passage on the upper side is smaller than the radius on the lower side. This allows to specify how the respective locking element has to be arranged in the passage. A risk of faulty mounting may thus be reduced.
According to a variant the axial lock comprises at least one securing element, in particular a latch, that is adapted and configured to transfer the weight of the stand device from the connection component to the mounting apparatus. Thus, the rotational position may be readjusted without having to disassemble any components of the stand device, in particular any components of the central axis. During adjustment of the rotational position, the complete stand device may be supported on the axial lock. In other words, the axial lock is configured to form a rotary bearing for the stand device. This facilitates readjustment significantly due to the fact that only the adjustment apparatus has to be disassembled and then fastened again in a readjusted rotational position.
According to a variant the passage and the retainer for a rotational lock element are arranged on the same peripheral surface portion of the mounting apparatus, in particular in a way to be manually accessible from the same side. This facilitates the adjustment and mounting of the device. Thus, a securement of the rotational lock element and the securing elements for an axial lock may be provided by using spring connectors, namely from the same side or on the same peripheral surface portion. Last but not least, this is advantageous for mounting.
The mounting system may also comprise the connection component adapted as a spindle and a rotational lock element and at least one securing element as axial lock, wherein the spindle is provided with a peripheral groove or a peripheral step that is formed to correspond geometrically to the securing element. In other words, the mounting system comprises different securing elements for axial locking and for rotational locking, respectively. Preferably, both types of securing elements are mountable on the same peripheral position of the mounting apparatus. Here a single securing element may be provided as an axial lock. Preferably, two securing elements are provided as an axial lock. Optionally, also three securing elements may be provided as an axial lock.
Preferably, the groove is provided circumferentially and extends orthogonal to a longitudinal direction. A peripheral groove provides the advantage that the bolt of the axial lock may engage with the spindle independent of the respective rotational position. In addition, the spindle may be easily rotated relative to the mounting apparatus, even in cases of a load acting on the axial lock in the axial direction. This facilitates the readjustment or changing of the rotational position.
Preferably, the groove is spaced apart from the front face or a front face stop of the spindle, which corresponds to a distance of the bore to a counter-stop in the cavity when seen in the longitudinal direction. This facilitates mounting, in particular as a front face of the spindle may abut on a/the counter-stop of the mounting apparatus in such a way that the spindle is arranged in the correct axial position in order to provide an axial lock. In this axial position the bolt may engage tangentially with an outer lateral surface of the spindle. It is not necessary to readjust the axial position. The counter-stop of the mounting apparatus may also be provided as bottom of the cavity or a peripheral annular or disk-shaped counter-stop at the bottom of the cavity.
According to a variant a step is formed on the spindle that is overlapped by the adjustment apparatus in a radial direction. This enables a support of the spindle by means of the adjustment apparatus. Said step may enable to fix the position of the adjustment apparatus together with one or more carrier arms by using a lower shaft nut securing the carrier arms. In particular, mounting may be facilitated by the fact that the adjustment apparatus is secured before inserting the spindle in the mounting apparatus, in particular regarding a slipping downwards.
As a first mounting step, the mounting apparatus may be mounted on the ceiling. Then the spindle may be plugged into the cavity of the mounting apparatus from below. Preferably, the adjustment apparatus is already arranged on the spindle and may be fastened to the mounting apparatus. This way the spindle may be positioned on the mounting apparatus in the axial longitudinal direction. Optionally the spindle may also be secured by an axial lock on the mounting apparatus before fastening the adjustment apparatus, thus the adjustment apparatus may be positioned in a predetermined rotational position without having to accommodate a weight of the spindle via the adjustment apparatus at the same time. This facilitates mounting or also a later adjustment of a predetermined rotational position.
According to a variant an outer diameter of the step of the spindle is larger than an inner diameter of a passage of the adjustment apparatus. In this configuration the spindle is optionally supportable by using the adjustment apparatus in the axial direction. The radial overlapping is preferably at least 1 mm.
According to a variant, a rotational stop is arranged below the step, in particular an (adjusting) spring, that is preferably aligned in the longitudinal direction. The rotational stop is formed to correspond geometrically to a rotational lock of the adjustment apparatus. The rotational stop may, for example be an adjusting spring mounted in a corresponding groove of the spindle, or a moulded spring.
According to a variant the mounting system comprises a rotational lock element adapted as bolt engaging in the axial direction and two securing elements adapted as latches engaging tangentially, wherein the bolt and the latches are arranged adjacent to an access provided in a retainer for the rotational lock element. Said arrangement facilitates adjusting and mounting.
The object described above is also achieved by a support for a stand device arrangeable in an operating room, wherein the support is configured to connect a connection component of the stand device with a ceiling flange, wherein the support is configured to couple the connection component to the ceiling flange in various height positions along a mounting axis, wherein the support comprises a cavity or at least a jaw which forms a coupling or guiding face to adjust to the height position. This results in the previously explained advantages.
The object described above is also achieved by a mounting apparatus for a stand device arrangeable in the operating room, wherein the mounting apparatus extends in a height direction along a mounting axis and is configured to hold a connection component of the stand device, wherein the mounting apparatus comprises at least one fastening portion including a plurality of fastening means, which are in particular formed identically, which are spaced in the height direction, wherein the at least one fastening portion is formed by a crosspiece arranged on an outside, outer contour or outer lateral surface of the mounting apparatus, in particular by a crosspiece protruding radially orthogonal to the height direction. This results in the previously explained advantages.
The object described above is also achieved by using a support according to the invention and/or a mounting apparatus according to the invention on a stand device arranged in the operating room, respectively, wherein the support and/or the mounting apparatus define different height positions along a mounting axis and position the stand device in a specific of the height positions. This results in previously explained advantages.
The invention will be explained in greater detail in the following figures with the help of exemplary embodiments. Illustrated are:
When describing the following figures, for reference numbers that are not explicitly explained in a figure, reference is made to the other figures.
In
Here a coordinate system indicates a horizontal direction and when mounted on the ceiling also a radial x direction and a vertical z direction.
The adjustment apparatus 20 may thus be supported on an inner ring of a ball bearing arranged in carrier 2 on carrier 2.
Here the ceiling flange 40 may be fastened to the supports 50 by using fastening elements 90, in particular screws, in a way that a weight G of the connection component 4, in particular a spindle, supported on the mounting apparatus 30 may be transferred via the mounting apparatus 30, the supports 50, and the fastening elements 90 to the ceiling flange 40 and thus to a ceiling or subceiling. The spindle 4 is supported in the cavity K formed by the mounting apparatus 30. Thus, a relative rotation of the spindle 4 in relation to the mounting apparatus 30 may be performed. The arrangement shown is rotatably supported about a mounting axis D in z direction. The relative rotatability can be prevented by means of the adjustment apparatus 20.
A relative axial movement or displacement downwards is prevented by providing an axial lock 11 on which the spindle 4 abuts. In the example shown, the axial lock 11 is formed by a plurality of securing elements 70, in particular latches, which are arranged tangentially to a mounting axis D and which engage with the spindle 4 and also with the mounting apparatus 30.
The mounting apparatus 30 may be mounted in different relative axial positions (height positions) relative to the supports 50 or to the ceiling flange 40, that is, by means of fastening elements 80, in particular screws, which engage with corresponding openings or through-bores on the respective fastening portion 33 or on the respective support 50.
In
In addition, the respective support 50 includes a corrugation 54 that constitutes a face pointing outwards at least section-wise, and due to that the support 50 may be bent in a comparatively simple and flexible way and be easily mounted on the respective fastening portion 33.
The opposite jaws 53 define a fastening portion 55 adapted as radial cavity, in particular in a slot shape, that is formed to correspond geometrically to the respective fastening portion 33. The fastening portion 55 is surrounded by a centering surface 54.1 in the radial direction radially on the outside where a peripheral surface portion of the respective fastening portion 33 of the mounting apparatus 30 may abut. Here the fastening portions 33 extend in the radial direction outwards from a (sectionwise) cylindrical outer lateral surface 31 and extend said outer lateral surface. The mounting apparatus 30 comprises an at least section-wise cylindrical inner lateral surface 37 that defines the cavity K or surrounds it in the radial direction.
In
The fasting means 34 define different height positions H1, H2, H3, . . . , Hn, corresponding to the mounting points, where fastening elements may be mounted or supported, respectively. When fastened to the lowest mounting point Hn, which is arranged next to the lower side of the mounting apparatus 30, the mounting apparatus 30 or the stand device may be arranged in the highest height position.
In
In
In
In
The step 73 is adapted as mounting chamfer and may prevent a slipping out of the latch 70. The step 74 also prevents a slipping out. The step 74 is preferably formed in a height at which the latch 70 may not be pushed through the corresponding passage, but is blocked on step 74.
In the region of one of the two free ends, the latch includes a through-bore 76 on which the latch 70 may be secured, in particular by means of a spring connector.
In
The various embodiments described above can be combined to provide further embodiments. All of the U.S. patents, U.S. patent application publications, U.S. patent applications, foreign patents, foreign patent applications and non-patent publications referred to in this specification and/or listed in the Application Data Sheet are incorporated herein by reference, in their entirety. Aspects of the embodiments can be modified, if necessary to employ concepts of the various patents, applications and publications to provide yet further embodiments.
These and other changes can be made to the embodiments in light of the above-detailed description. In general, in the following claims, the terms used should not be construed to limit the claims to the specific embodiments disclosed in the specification and the claims, but should be construed to include all possible embodiments along with the full scope of equivalents to which such claims are entitled. Accordingly, the claims are not limited by the disclosure.
| Number | Date | Country | Kind |
|---|---|---|---|
| 14003555 | Oct 2014 | EP | regional |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2015/002061 | 10/19/2015 | WO | 00 |
| Publishing Document | Publishing Date | Country | Kind |
|---|---|---|---|
| WO2016/058706 | 4/21/2016 | WO | A |
| Number | Name | Date | Kind |
|---|---|---|---|
| 1517626 | Weinfeld | Dec 1924 | A |
| 2147284 | Doane | Feb 1939 | A |
| 2692745 | Barrett | Oct 1954 | A |
| 2795859 | Buschbach | Jun 1957 | A |
| 2916249 | Wolar | Dec 1959 | A |
| 3814023 | Stantial | Jun 1974 | A |
| 4673154 | Karapita | Jun 1987 | A |
| 4684097 | Cox | Aug 1987 | A |
| 4687167 | Skalka et al. | Aug 1987 | A |
| 4738369 | Desjardins | Apr 1988 | A |
| 4803819 | Kelsey | Feb 1989 | A |
| 4840278 | Gelinas | Jun 1989 | A |
| 4901967 | Petre | Feb 1990 | A |
| 4948083 | McNaney, Jr. et al. | Aug 1990 | A |
| 5014693 | Wright, II | May 1991 | A |
| 5505420 | Brown | Apr 1996 | A |
| 6095468 | Chirico et al. | Aug 2000 | A |
| 6443406 | Frank | Sep 2002 | B1 |
| 6443596 | Bulko et al. | Sep 2002 | B1 |
| 6639623 | Howell et al. | Oct 2003 | B2 |
| 7097145 | Turner | Aug 2006 | B2 |
| 7770860 | Culpepper et al. | Aug 2010 | B1 |
| 7823347 | Blinn | Nov 2010 | B1 |
| 8197154 | Broering et al. | Jun 2012 | B2 |
| 8276867 | Hung | Oct 2012 | B2 |
| 8602367 | Wang et al. | Dec 2013 | B2 |
| 8876075 | Diez | Nov 2014 | B2 |
| 9022339 | Borg et al. | May 2015 | B2 |
| 9033106 | Blinn | May 2015 | B2 |
| 9239127 | Krönung | Jan 2016 | B2 |
| 9528285 | Blinn | Dec 2016 | B2 |
| 9999480 | Oginski et al. | Jun 2018 | B2 |
| 20030052245 | McKeown et al. | Mar 2003 | A1 |
| 20030141426 | Wagner et al. | Jul 2003 | A1 |
| 20030173482 | Kuhn | Sep 2003 | A1 |
| 20080116333 | Chang | May 2008 | A1 |
| 20090213596 | Gull et al. | Aug 2009 | A1 |
| 20130168626 | Blinn | Jul 2013 | A1 |
| 20130187022 | Duportal et al. | Jul 2013 | A1 |
| 20150316200 | Hoshi et al. | Nov 2015 | A1 |
| Number | Date | Country |
|---|---|---|
| 3100819 | Jul 1982 | DE |
| 10 2012 001 197 | Jul 2013 | DE |
| 2489608 | Oct 2012 | GB |
| 9427549 | Dec 1994 | WO |
| Number | Date | Country | |
|---|---|---|---|
| 20180228680 A1 | Aug 2018 | US |
