Patient support table

Information

  • Patent Grant
  • 6237172
  • Patent Number
    6,237,172
  • Date Filed
    Thursday, October 1, 1998
    26 years ago
  • Date Issued
    Tuesday, May 29, 2001
    24 years ago
Abstract
A tabletop has sections that are relatively movable to positions in which the tabletop is configured to support a patient in a generally kneeling prone position suitable for lumbar examination. An angular section of the tabletop has a torso support surface configured to receive the patient's torso when the patient is in the generally kneeling prone position. The angular section further has a leg support surface configured to receive the patient's upper legs when the patient is in the generally kneeling prone position. The torso and leg support surfaces of the angular section of the tabletop have a permanently fixed angular orientation relative to each other and face upward in directions that diverge from each other. This configuration of the angular section enables the tabletop to impart an especially accessible orientation to the patient's lumbar vertebrae.
Description




FIELD OF THE INVENTION




The present invention relates to a table for supporting a patient.




BACKGROUND OF THE INVENTION




It is sometimes desirable to support a patient for examination or treatment in a position other than a flat prone or flat supine position. Such other positions include prone or supine positions in which portions of the patient's body, such as the torso and legs, are inclined relative to each other to varying degrees. Therefore, a table for supporting a patient may have sections that are interconnected for movement pivotally between different positions for supporting portions of the patient's body at correspondingly different inclinations.




SUMMARY OF THE INVENTION




The present invention comprises a tabletop having a plurality of sections. The sections of the tabletop are relatively movable to positions in which the tabletop is configured to support a patient in a generally kneeling prone position suitable for lumbar examination. An angular section of the tabletop has a torso support surface configured to receive the patient's torso when the patient is in the generally kneeling prone position. The angular section further has a leg support surface configured to receive the patient's upper legs when the patient is in the generally kneeling prone position. The torso and leg support surfaces of the angular section have a permanently fixed angular orientation relative to each other and face upward in directions that diverge from each other. This configuration of the angular section enables the tabletop to impart an especially accessible orientation to the patient's lumbar vertebrae.











BRIEF DESCRIPTION OF THE DRAWINGS




The foregoing and other features of the present invention will become apparent to one skilled in the art to which the present invention relates upon reading the following description of the invention with reference to the accompanying drawings, wherein:





FIG. 1

is a side view of a patient support table comprising a preferred embodiment of the present invention;





FIG. 2

is a view similar to

FIG. 1

showing parts in different positions;





FIG. 3

is a view taken on line


3





3


of

FIG. 1

; and





FIG. 4

is a view taken on line


4





4


of FIG.


1


.











DESCRIPTION OF A PREFERRED EMBODIMENT




A patient support table


10


comprising a preferred embodiment of the present invention is shown in

FIGS. 1 and 2

. The table


10


includes a tabletop


12


, a wheeled base


14


, and a pedestal


16


supporting the tabletop


12


on the base


14


.




In accordance with the present invention, the tabletop


12


has a flat section


20


and a separate angular section


22


. The sections


20


and


22


of the tabletop


12


are movable relative to each other between a plurality of differing positions. The tabletop


12


is thus shiftable between a plurality of differing conditions, each of which is configured to support a patient in a corresponding position for examination or treatment. For example, when the tabletop


12


is in the condition of

FIG. 1

, it is configured to support a patient in a generally kneeling prone position. When the tabletop


12


is in the condition of

FIG. 2

, it is configured to support the patient in an oppositely extending flat prone position.




The sections and


20


and


22


of the tabletop


12


may be formed of any suitable materials known in the art. However, each section


20


and


22


is preferably formed of material that is radiolucent so as not to interfere with X-ray examination of a patient on the tabletop


12


. Accordingly, each section


20


and


22


of the tabletop


12


in the preferred embodiment of the invention has an outer layer


30


of carbon fiber material on a core


32


of foam or laminated paper material.




The flat section


20


of the tabletop


12


has a rectangular peripheral shape. The flat section


20


thus has planar opposite side surfaces


40


bounded by opposite side edges


42


and opposite end edges


44


.




The angular section


22


of the tabletop


12


also has a rectangular peripheral shape, as viewed from above in

FIG. 3

, with opposite side edges


46


and opposite end edges


48


. However, as viewed from the side in

FIGS. 1 and 2

, the angular section


22


has an apex


49


and two distinct portions


50


and


52


that intersect at the apex


49


. The two portions


50


and


52


of the angular section have a permanently fixed angular orientation relative to each other and have planar upper side surfaces


54


and


56


facing upward in directions that diverge from each other. More specifically, the upper side surfaces


54


and


56


are oriented relative to each other at a specified fixed angle A. The angle A is greater than 180 degrees, as measured from above in

FIG. 1

, and in the preferred embodiment is about 230 degrees.




A frame


70


supports the tabletop


12


on the pedestal


16


. The frame


70


includes a base plate


72


and two pairs of clamping blocks


74


. Each pair of clamping blocks


74


is mounted on the base plate


72


at a corresponding side edge


76


of the base plate


72


. The base plate


72


and the clamping blocks


74


are formed of aluminum and are interconnected by fasteners


78


.




The clamping blocks


74


are C-shaped structures configured to receive and support the flat section


20


of the tabletop


12


above the base plate


72


, as best shown in FIG.


4


. Each clamping block


74


has a pair of elastomeric gripper elements


80


. The gripper elements


80


are vertically spaced apart so as to engage the opposite side surfaces


40


of the flat section


20


in a releasable interference fit. The interference fit can be overcome by an attendant adjusting the position of the flat section


20


longitudinally on the frame


70


, but is tight enough to restrain the flat section


20


from moving relative to the frame


70


under forces applied by a patient on the tabletop


12


.




A bearing


90


(

FIG. 1

) supports the frame


70


on the pedestal


16


. A motorized tilting assembly


92


is connected between the pedestal


16


and the frame


70


. The motorized tilting assembly


92


is operative to vary the inclination of the tabletop


12


by moving the frame


70


pivotally about a horizontal axis


93


at the bearing


90


.




The motorized tilting assembly


92


includes a linear actuator


94


with a telescopic output shaft


96


. The actuator


94


, which may be a pneumatic, hydraulic, or electric motor, is pivotally connected to a bracket


98


on the pedestal


16


. The output shaft


96


is pivotally connected to the base plate


72


on the frame


70


. When the output shaft


96


is extended or retracted relative to the actuator


94


, the frame


70


is moved pivotally about the axis


93


relative to the pedestal


16


. The output shaft


96


preferably defines a range of pivotal movement for the frame


70


which is great enough to comprise Trendelenburg movement of the tabletop


12


. Any suitable control apparatus known in the art (not shown) can be used for operating the motorized tilting assembly


92


to vary the inclination of the tabletop


12


in this manner.




A hinge


100


connects the angular section


22


of the tabletop directly with the frame


70


. Another motorized tilting assembly


102


is connected between the angular section


22


and the frame


70


. The motorized tilting assembly


102


includes a linear actuator


104


with an output shaft


106


. The actuator


104


, which also may be a pneumatic, hydraulic, or electric motor, is pivotally connected to the base plate


72


. The output shaft


106


is pivotally connected to the angular section


22


of the tabletop


12


.




When the output shaft


106


is extended or retracted relative to the actuator


104


, it moves the angular section


22


of the tabletop


12


pivotally about a horizontal axis


109


at the hinge


100


. The motorized tilting assembly


102


is thus operative to move the angular section


22


of the tabletop


12


pivotally between a plurality of differing orientations relative to the flat section


20


. Another known control apparatus (not shown) can be used to operate the motorized tilting assembly


102


to vary the position of the angular section


22


in this manner.




As noted above, the tabletop


12


is configured to support a patient in a generally kneeling prone position when the two sections


20


and


22


are in the positions of FIG.


1


. The angular section


22


is then located in a raised position in which the first upper side surface


54


is oriented to receive and support the patient's torso, with second upper side surface


56


being oriented to receive and support the patient's upper legs. Although their sizes may vary, the upper side surfaces


54


and


56


preferably extend about 17 inches each along the length of the tabletop


12


to extend at least substantially along the torso and upper legs of an adult patient. An optional slip-on head support structure


110


may be provided to receive and support the patient's head. Importantly, the angle A between the upper side surfaces


54


and


56


imparts an especially desirable orientation to the patient's lumbar vertebrae when the patient is in the generally kneeling prone position of FIG.


1


.




The motorized tilting assembly


102


is operative to move the angular section


22


of the tabletop


12


pivotally from the raised position of

FIG. 1

to the lowered position of FIG.


2


. The first upper side surface


54


of the angular section


22


is then oriented to receive the insteps of the patient's feet, and the second upper side surface


56


is oriented to receive the patient's lower legs, when the patient is in the oppositely extending flat prone position of FIG.


2


.




From the above description of the invention, those skilled in the art will perceive improvements, changes and modifications. Such improvements, changes and modifications within the skill of the art are intended to be covered by the appended claims.



Claims
  • 1. An examination table for supporting the patient's torso during examination, said examination table comprised of a frame including a base plate supported by a pedestal, said base plate, in turn, supporting a tabletop having substantially parallel peripheral edges, said tabletop being removably retained by said base plate by providing at least one pair of clamping blocks mounted upon said base plate for clamping said tabletop along at least a portion of said peripheral edges.
  • 2. The examination table of claim 1 wherein said tabletop is removably retained upon said base plate by two pairs of clamping blocks each mounted upon said base plate for clamping said tabletop along at least a portion of the peripheral edges of said tabletop.
  • 3. The examination table of claim 1 wherein said clamping blocks are provided with elastomeric gripping elements.
  • 4. The examination table of claim 1 wherein said clamping blocks are sized so as to frictionally retain said tabletop whereby said tabletop can be removed from said base plate by intentionally moving said tabletop with respect to said clamping blocks but the frictional fit between said clamping blocks and tabletop is such that a patient moving upon said exmination table will not apply sufficient pressure to disengage said tabletop from said clamping blocks.
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Number Name Date Kind
1201017 Brand Oct 1916
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2895775 McDonald et al. Jul 1959
3041120 Burzlaff et al. Jun 1962
3206188 Douglass, Jr. Sep 1965
3227440 Scott Jan 1966
3281141 Smiley et al. Oct 1966
3499529 Katzfey et al. Mar 1970
4582311 Steffensmeir Apr 1986
5158568 Riddle et al. Oct 1992
5205004 Hayes et al. Apr 1993
5287575 Allen et al. Feb 1994
5362302 Jensen et al. Nov 1994
5444882 Andrews et al. Aug 1995