Surgical table

Claim 2

In a surgical table having particular utility in conjunction with a mobile image intensification unit which includes an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam between the X-ray generator and image intensifier when in operation, the table providing an open area beneath the patient for the image intensifier or X-ray generator and permitting lateral and anterior-posterior views of that portion of the body of a patient to be treated in supine position on the table without change of position of the patient, the table having a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as coUntertraction means, a leg traction support assembly for the leg to be treated, and means providing support for the well leg of the patient, the improvement comprising providing a leg traction support assembly for the leg to be treated allowing unobstructed viewing of the entire length of the leg of the patient lying on the table in a supine position including (1) a supported hip arc unit having (a) a stationary portion disposed distally of the central support pedestal mounted for pivotal movement in a horizontal plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient in a supine position on the table, and (b) a moveable portion moveable in a horizontal plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient, (2) an adjustable-in-length traction rod secured to the moveable portion of the hip arc unit extending distally thereof, and (3) leg pulling means secured to the distal end of the traction rod for supplying traction, the traction rod extending to the side of and beneath the leg to be treated extending between the body support and leg pulling means to permit unobstructed passage of the X-ray beam of the image intensification unit at any point along the leg for either lateral or anterior-posterior viewing and permitting application of a cast at any point along the leg, the entire leg traction support assembly moveable about axes substantially coincident with the anatomical axes of the patient so that the traction rod retains the same relation with the leg when the leg is moved either horizontally or vertically, and the distance between the foot of the patient secured to the leg pulling means and the hip joint remains essentially the same.

Claim 3

The table of claim 1 wherein the height of the table is such that the central beam of the X-ray generator in lateral position passes through the center of the leg to be treated with the image intensifier in the lateral X-ray projection position in its lowest position.

Claim 4

The table of claim 1 wherein the traction rod of the leg traction support assembly for the leg to be treated extends (1) alongside the outer length of the leg of the patient a sufficient distance to allow the upper face of the image intensifier to be brought up beneath the leg for clear anterior-posterior viewing, (2) a sufficient vertical distance from the horizontal surface on which the table is resting to allow the image intensifier in its lowered postion to pass thereunder without obstruction, and (3) a sufficient distance beneath the leg to allow the upper face of the image intensifier to be positioned against the outer side of the leg to permit application of casts and for clear lateral viewing.

Claim 5

The table of claim 1 including a pair of spaced apart support rods extending proximally from the central pedestal, means attached to the support rods supporting the head and trunk of the patient on the table in a supine position, the support rods (1) positioned at a sufficient vertical distance from the floor on which the table is resting to allow the image intensifier or X-ray generator to pass thereunder without obstruction, (2) spaced apart a sufficient distance laterally of the midline of the body of the patient to allow the face of the image intensifier to be raised up closely adjacent the skin of the portion of the body of the patient to be treated for clear anterior-posterior viewing, and (3) positioned at a sufficient distance below the midline of the body of the patient to allow the face of the image intensifier to be brought laterally closely adjacent the skin of the patient for clear lateral viewing and to permit application of body casts.

Claim 6

In a surgical table having particular utility in conjunction with a mobile image intensification unit which includes an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator aNd image intensifier when in operation, the table providing an open area beneath the patient for the image intensifier or X-ray generator and permitting lateral and anterior-posterior views of that portion of the body of the patient lying in a supine position on the table to be treated without change of position of the body of the patient, the table including a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a leg traction support assembly for the leg to be treated, and means providing support for the well leg of the patient, the improvement comprising providing a support for the well leg including (1) a supported hip arc unit including (a) a stationary portion disposed distally of the central support pedestal and mounted for pivotal movement in a horizontal plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient lying in a supine position on the table and (b) a moveable portion moveable in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient lying on the table, (2) a traction rod, adjustable in length, connected to the moveable portion of the hip arc unit, and (3) leg pulling means secured to the distal end of the traction rod for supplying traction to the well leg, the traction rod spaced inwardly toward the midline of the table and extending closely lateral to the well leg of the patient extending between the body support and the leg pulling means.

Claim 7

In a surgical table having particular utility in conjunction with a mobile image intensification unit which includes an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator aNd image intensifier when in operation, the table providing an open area beneath the patient for the image intensifier or X-ray generator and permitting lateral and anterior-posterior views of that portion of the body of the patient lying in a supine position on the table to be treated without change of position of the body of the patient, the table including a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a leg traction support assembly for the leg to be treated, and means providing support for the well leg of the patient, the improvement comprising providing a support for the well leg including (1) a supported hip arc unit including (a) a stationary portion disposed distally of the central support pedestal and mounted for pivotal movement in a horizontal plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient lying in a supine position on the table and (b) a moveable portion moveable in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip of the patient lying on the table, (2) a traction rod, adjustable in length, connected to the moveable portion of the hip arc unit, and (3) leg pulling means secured to the distal end of the traction rod for supplying traction to the well leg, the traction rod spaced inwardly toward the midline of the table and extending closely lateral to the well leg of the patient extending between the body support and the leg pulling means.

Claim 8

The table of claim 5 wherein the traction rod of the well leg traction support assembly extends closely lateral to the well leg in the area of the knee joint thereof and is pivoted for vertical movement at a point substantially coincident with the anatomical axis of the knee joint of the well leg.

Claim 9

In a surgical table having particular utility in conjunction with a mobile image intensification unit including an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier when in operation, the table providing an open area beneath a patient lying in a supine position on the table for the image intensifier or X-ray generator and permitting lateral and anterior-posterior views of that portion of the body of the patient to be treated without change of position of the body of the patient, the table including a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a leg traction support assembly for the leg to be treated and a well leg support assembly for the well leg of the patient, the improvement comprising providing a leg traction support assembly for the leg to be treated and the well leg which includes (1) a floor support extending distally of the central support pedestal with the upper surface thereof being at a height from the floor on which the table is resting to allow the X-ray generator or image intensifier in its lowest position to pass thereover, (2) extensions pivotally connected to the floor support at pivot points beneath and substantially coincident with the hip joints of the patient lying in a supine position on the table, (3) vertically extending supports secured to the distal ends of the extensions at substantially equal distances from the midline of the table so that the image intensifier or X-ray generator can pass between the vertically extending supports and central pedestal without obstruction and so that the face of the image intensifier can be brought up beneath and closely adjacent the leg to be treated or the hip joint of the leg to be treated, (4) hip arc units secured to the vertically extending supports disposed laterally Of the hip joints of the patient and moveable vertically about pivot points substantially coincident with the anatomical axes of the hip joints of the patient, (5) traction rods, adjustable in length, extending distally from the hip arc units, and (6) leg pulling means secured to the distal ends of the traction rods for supplying traction.

Claim 10

In a surgical table having particular utility in conjunction with a mobile image intensification unit including an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier when in operation, the table providing an open area beneath a patient lying in a supine position on the table for the image intensifier or X-ray generator and permitting lateral and anterior-posterior views of that portion of the body of the patient to be treated without change of position of the body of the patient, the table including a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a leg traction support assembly for the leg to be treated and a well leg support assembly for the well leg of the patient, the improvement comprising providing a leg traction support assembly for the leg to be treated and the well leg which includes (1) a floor support extending distally of the central support pedestal with the upper surface thereof being at a height from the floor on which the table is resting to allow the X-ray generator or image intensifier in its lowest position to pass thereover, (2) extensions pivotally connected to the floor support at pivot points beneath and substantially coincident with the hip joints of the patient lying in a supine position on the table, (3) vertically extending supports secured to the distal ends of the extensions at substantially equal distances from the midline of the table so that the image intensifier or X-ray generator can pass between the vertically extending supports and central pedestal without obstruction and so that the face of the image intensifier can be brought up beneath and closely adjacent the leg to be treated or the hip joint of the leg to be treated, (4) hip arc units secured to the vertically extending supports disposed laterally Of the hip joints of the patient and moveable vertically about pivot points substantially coincident with the anatomical axes of the hip joints of the patient, (5) traction rods, adjustable in length, extending distally from the hip arc units, and (6) leg pulling means secured to the distal ends of the traction rods for supplying traction.

Claim 11

The table of claim 7 wherein the arc of each of the hip arc units is of a length and radius to not interfere with the image intensifier or extend about the body support on which the patient is disposed.

Claim 12

The table of claim 7 wherein the hip arc unit for the well leg traction support includes coupling means variably secured to the hip arc unit to widely extend the range of motion of the rod in a vertical plane and offset toward the midline of the table from the hip arc unit so as to bring the traction rod attached thereto inwardly toward the midline of the table.

Claim 13

The table of claim 7 including a calf support secured to the traction rod of the well leg traction support assembly for supporting the calf of the well leg to support and furnish countertraction in a physiological manner when the knee is in flexion.

Claim 14

The table of claim 7 including a leg support secured to the traction rod of the leg to be treated at a desired position to aid in supporting the leg, the leg support being substantially transparent to X-rays.

Claim 15

The table of claim 7 wherein both hip arc units are the same and the traction rods for the well leg and injured leg are removable and reversible between the hip arc units.

Claim 16

In a surgical table having particular utility in conjunction with a mobile image intensification unit which includes an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier when in operation, the table providing an open, non-obstructed area for the image intensifier or X-ray generator beneath the patient to permit lateral and anterior-posterior views of extremities of the body of the patient without change in the position of the body of the patient from a supine position on the table, the table having a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a floor support extending distally from the central support pedestal having its upper surface at a height from the floor on which the table is resting such that the X-ray generator or image intensifier in its lowest position can pass thereover without obstruction, the shape of the support being such as to not interfere with the forewheel of the image intensification unit, a leg traction support assembly for the leg to be treated, and a leg support assembly for the well leg of the patient, the improvement comprising providing: A. a leg traction support assembly for the leg to be treated including: (1) an adjustable-in-length floor extension at a height from the floor on which the table is resting no higher than the floor support extending laterally and then distally from the floor support and pivotally attached thereto at a pivot point beneath the hip joint of the leg to be treated substantially coincident with the anatomical axis thereof permitting horizontal movement of the floor extension about the pivot point, (2) a vertically extending support secured to the distal end of the floor extension, (3) a distal arc unit including leg pulling and holding means secured thereto attached to the vertically extending support for movement in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip joint of the leg to be treated, B. a leg support assembly for the well leg of the patient including: (1) an adjustable-in-length floor extension at a height from the floor on which the table is resting no higher than the floor support and adapted to pass over or under the floor extension for the leg to be treated, the floor extension for the well leg extending laterally, then mesially and then distally from the floor support and pivotally attached thereto beneath the hip joint of the well leg substantially coincident with the anatomical axis of the hip joint to permit horizontal movement of the floor extension about the pivot point so as not to obstruct movement of the mobile image intensification unit, (2) a vertically extending support secured to the distal end of the extension, (3) a distal arc unit including leg pulling and holding means secured to the vertical extending support for movement in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip joint of the well leg.

Claim 17

In a surgical table having particular utility in conjunction with a mobile image intensification unit which includes an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier when in operation, the table providing an open, non-obstructed area for the image intensifier or X-ray generator beneath the patient to permit lateral and anterior-posterior views of extremities of the body of the patient without change in the position of the body of the patient from a supine position on the table, the table having a central support pedestal, a body support extending horizontally and distally from the central pedestal including a sacral rest on the distal end thereof, pelvic engaging means functioning as countertraction means, a floor support extending distally from the central support pedestal having its upper surface at a height from the floor on which the table is resting such that the X-ray generator or image intensifier in its lowest position can pass thereover without obstruction, the shape of the support being such as to not interfere with the forewheel of the image intensification unit, a leg traction support assembly for the leg to be treated, and a leg support assembly for the well leg of the patient, the improvement comprising providing: A. a leg traction support assembly for the leg to be treated including: (1) an adjustable-in-length floor extension at a height from the floor on which the table is resting no higher than the floor support extending laterally and then distally from the floor support and pivotally attached thereto at a pivot point beneath the hip joint of the leg to be treated substantially coincident with the anatomical axis thereof permitting horizontal movement of the floor extension about the pivot point, (2) a vertically extending support secured to the distal end of the floor extension, (3) a distal arc unit including leg pulling and holding means secured thereto attached to the vertically extending support for movement in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip joint of the leg to be treated, B. a leg support assembly for the well leg of the patient including: (1) an adjustable-in-length floor extension at a height from the floor on which the table is resting no higher than the floor support and adapted to pass over or under the floor extension for the leg to be treated, the floor extension for the well leg extending laterally, then mesially and then distally from the floor support and pivotally attached thereto beneath the hip joint of the well leg substantially coincident with the anatomical axis of the hip joint to permit horizontal movement of the floor extension about the pivot point so as not to obstruct movement of the mobile image intensification unit, (2) a vertically extending support secured to the distal end of the extension, (3) a distal arc unit including leg pulling and holding means secured to the vertical extending support for movement in a vertical plane about a pivot point substantially coincident with the anatomical axis of the hip joint of the well leg.

Claim 18

In a surgical table on which a patient is lying in a supine position, an improved arm traction support assembly for the arm of the patient to be treated attachable to a support of the table adjacent the arm, the arm traction assembly having utility in conjunction with a mobile image intensification unit including an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier during operation, the arm traction support assembly including: A. an adjustable-in-length traction rod secured to the support of the table adjacent the arm to be treated, the traction rod pivotable vertically and horizontally about pivot points substantially coincident with the anatomical axis of the shoulder joint of the arm to be treated so that the traction rod retains the same relation with the arm when the arm is moved either horizontally or vertically, the traction rod extending to the side of and beneath the arm permitting an unobstructed path for the X-ray beam at any point along the arm for either lateral or anterior-posterior viewing, (B) arm pulling and holding means for holding either the arm extended or flexed at the elbow, and (C) counter-traction means.

Claim 19

In a surgical table on which a patient is lying in a supine position, an improved arm traction support assembly for the arm of the patient to be treated attachable to a support of the table adjacent the arm, the arm traction assembly having utility in conjunction with a mobile image intensification unit including an X-ray generator and an image intensifier mounted on the respective ends of a C-arc, an X-ray beam passing between the X-ray generator and image intensifier during operation, the arm traction support assembly including: A. an adjustable-in-length traction rod secured to the support of the table adjacent the arm to be treated, the traction rod pivotable vertically and horizontally about pivot points substantially coincident with the anatomical axis of the shoulder joint of the arm to be treated so that the traction rod retains the same relation with the arm when the arm is moved either horizontally or vertically, the traction rod extending to the side of and beneath the arm permitting an unobstructed path for the X-ray beam at any point along the arm for either lateral or anterior-posterior viewing, (B) arm pulling and holding means for holding either the arm extended or flexed at the elbow, and (C) counter-traction means.

Claim 20

The arm traction support assembly of claim 14 wherein the traction rod extends (1) alongside the outer length of the arm a sufficient distance to allow the face of the image intensifier to be brought up closely beneath the arm or shoulder joint for clear anterior-posterior viewing, (2) a sufficient vertical distance from the floor on which the table is resting to allow the image intensifier or X-ray generator to pass thereunder without obstruction, and (3) a sufficient distance below the arm to allow the face of the image intensifier in lateral position to be brought up closely adjacent the arm for clear lateral viewing thereof and to permit application of casts.