Surgical support system

Abstract

A surgical table extension comprises a frame and a connector. The frame includes a surgical table connecting portion, a first connector, and a second connector. The connector enabler is movably coupled to the frame and is configured to selectively enable one of the first connector and the second connector to be removably coupled with a support device.

Claims

1. A surgical support device, comprising: a frame; a mounting shaft having a first support accessory connector region adjacent a first end of the mounting shaft and a second support accessory connector region adjacent a second end of the mounting shaft; and a leg support having a connector configured to selectively couple to the first support accessory connector region and the second support accessory connector region; the mounting shaft being movable substantially horizontally relative to the frame between a first position and a second position, the first support accessory connector region being exposed for coupling to the connector of the leg support and the second support accessory connector region being inaccessible to the connector when the mounting shaft is in the first position, the second support accessory connector region being exposed for coupling to the connector of the leg support and the first support accessory connector region being inaccessible to the connector when the mounting shaft is in the second position.

2. The surgical support device of claim 1 further comprising: a plate coupled to the frame; and a rail adapter mountable to an accessory rail of a surgical table and configured to couple to the plate to mount the surgical support device to the surgical table.

3. The surgical support device of claim 1, wherein when the leg support is coupled to the first support accessory connector region, the leg support is located so as to support a patient's first leg and when the leg support is coupled to the second accessory connector region, the leg support is located so as to support the patient's second leg.

4. The surgical support device of claim 3, wherein the mounting shaft has a third position in which the first support accessory connector region and the second support accessory connector region are both inaccessible to the connector of the leg support.

5. The surgical support device of claim 1, wherein the frame includes a first slot and a second slot, the first support accessory connector region of the mounting shaft extends at least partially across the first slot when the mounting shaft is in the first position, and the second support accessory connector region of the mounting shaft extends at least partially across the second slot when the mounting shaft is in the first position.

6. The surgical support device of claim 5, wherein the mounting shaft has a third position in which the first and second support accessory connector regions of the mounting shaft do not extend across either of the first slot and the second slot, respectively.

7. The surgical support device of claim 1 further comprising indicators configured to indicate the first and second positions of the first support accessory connector region and the second support accessory connector region.

8. The surgical support device of claim 7, wherein the indicators comprise coloring on the mounting shaft to indicate the first and second positions of the first and second support accessory connector regions, respectively.

9. The surgical support device of claim 1 further comprising an indicator configured to indicate which of the first support accessory connector region and the second support accessory connector region should be coupled to the connector of the leg support to support a particular limb of a person supported on a surgical person support apparatus.

10. The surgical support device of claim 1, wherein the frame includes a first slot, a first slot guide a second slot, and a second slot guide, the first slot guide and the second slot guide are configured to guide the connector of the leg support into the respective one of the first slot and the second slot.

11. The surgical support device of claim 1, further comprising a handle coupled to the mounting shaft and configured to be used to move the mounting shaft between the first and second positions.

12. The surgical support device of claim 11, wherein the handle is coupled to a middle region of the mounting shaft which is exposed within a space defined in the frame.

13. The surgical support device of claim 12, wherein the frame is Y-shaped to define the space in which the handle and middle region of the mounting shaft are located.

14. The surgical support device of claim 12, wherein the mounting shaft is cylindrical in shape, the frame has a cylindrical bore in which the mounting shaft is received for sliding movement between the first and second positions, and portions of the handle extend above and below the frame to prevent the mounting shaft from rotating within the bore.

15. The surgical support device of claim 1, wherein the connector of the leg support includes a hook that engages the mounting shaft to couple the leg support to the frame.

16. The surgical support device of claim 15, further comprising a locking knob coupled to the frame and rotatable to engage the connector to lock the leg support to the frame.

17. The surgical support device of claim 16, wherein the connector has a locking bore configured to receive a portion of the locking knob.

18. The surgical support device of claim 1, further comprising a platform situated above the frame and configured to support at least one of a patient's hips.

19. The surgical support device of claim 18, wherein the platform has at least one opening configured for receipt of a perineal post.

20. The surgical support device of claim 19, further comprising at least one perineal post cone coupled to the frame and situated beneath the at least one opening in the platform.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) Referring now to the illustrative examples in the drawings, wherein like numerals represent the same or similar elements throughout:

(2) FIG. 1 is a perspective side view of a surgical support system according to one illustrative embodiment of the current disclosure showing a surgical table and a hip distractor assembly;

(3) FIG. 2 is a perspective side view of the hip distractor assembly of FIG. 1 showing the table extension coupled to the surgical table by a bracket;

(4) FIG. 3 is a perspective side view of the hip distractor assembly of FIG. 1 showing the table extension and non-operative leg holder assembly coupled to the surgical table by the same bracket;

(5) FIG. 4 is a perspective top view of the table extension of FIG. 1;

(6) FIG. 5 is a perspective bottom view of the table extension of FIG. 1;

(7) FIG. 6 is a side view of the table extension of FIG. 1;

(8) FIG. 7 is a bottom view of the table extension of FIG. 1;

(9) FIG. 8 is a perspective side view of the bracket of FIG. 2 showing the insert engaging the bracket;

(10) FIG. 9 is a perspective top view of the bracket of FIG. 2;

(11) FIG. 10 is a perspective side view of the bracket of FIG. 2 showing the rail adapter portion;

(12) FIG. 11 is a perspective side view of the bracket of FIG. 3 showing the trigger;

(13) FIG. 12 is a perspective side view of the non-operative leg holder of FIG. 1 showing the coupling portion coupled to the bracket;

(14) FIG. 13 is a side view of the connector for the operational leg holder assembly of FIG. 1 showing the connector;

(15) FIG. 14 is a side view of the connector of FIG. 13 being inserted in the slot on the table extension;

(16) FIG. 15 is a side view of the connector of FIG. 13 secured in the slot; and

(17) FIG. 16 is a side view of the connector of FIG. 13 not secured in the slot.

DETAILED DESCRIPTION OF THE DRAWINGS

(18) While the present disclosure can take many different forms, for the purpose of promoting an understanding of the principles of the disclosure, reference will now be made to the embodiments illustrated in the drawings, and specific language will be used to describe the same. No limitation of the scope of the disclosure is thereby intended. Various alterations, further modifications of the described embodiments, and any further applications of the principles of the disclosure, as described herein, are contemplated.

(19) A surgical support system 10 according to one contemplated embodiment is shown in FIGS. 1-16. The system 10 includes a surgical person support apparatus 12 and a hip distractor assembly 14 or surgical support device 14 coupled to the person support apparatus 12. In one contemplated embodiment, the person support apparatus 12 is a surgical table 12 or operating room table 12 and includes a base 16, a lift system 18, and an upper frame 20 movably supported above the base. The upper frame 20 includes a head section 22, a seat section 24 and attachment rails 26. In some contemplated embodiments the upper frame 20 includes a foot section (not shown) that can be removed or moved out of the way when surgical equipment or accessories, such as, the hip distractor assembly 14 or a surgical spine system like the Allen® Spine System sold by Allen Medical Systems, are attached to the surgical table 12 as shown in FIG. 1. The rails 26 extend along the sides of the sections 22 and 24 and are configured to provide a connection point where accessories and equipment can be attached to the surgical table 12.

(20) The hip distractor assembly 14 includes a table extension 28, an operative leg holder assembly 30 or leg support 30, a non-operative leg holder assembly 32 or leg support 32, and mounting brackets 34 or connector 34 as shown in FIG. 3. The table extension 28 and the non-operative leg holder assembly 32 are configured to be coupled to the rails 26 via the brackets 34, and the operative leg holder assembly 30 is configured to be coupled to the table extension 28.

(21) The table extension 28 comprises a table coupling assembly 36, a connecting frame 38, a Y-shaped support frame assembly 40, and a platform 42 as shown in FIGS. 1-3. The connecting frame 38 is coupled between the table coupling assembly 36 and the support frame assembly 40 and includes an upper portion that cooperates with the table coupling assembly 36 to support the platform 42, and a lower portion that supports the support frame assembly 40 vertically below a portion of the platform 42. The platform 42 is substantially planar and includes a base portion 43a coupled to the table coupling assembly 36, and a hip support portion 43b extending from the base portion 43a that is coupled to the connecting frame 38. In some contemplated embodiments, a support surface (not shown), such as, a foam pad, can be positioned on the platform 42. The hip support portion 43 is shaped to support a person's non-operative hip while allowing the person's operative hip to hang off the platform 42 unsupported.

(22) The table coupling assembly 36 includes a length adjustable beam 44 and coupling assemblies 46 attached to the ends of the beam 44 as shown in FIGS. 4-8. The length adjusting beam 44 includes a telescoping arrangement that is configured to be adjusted to match the width of the person support apparatus 12, and locked in place with locking screw 45 when a desired width has been reached. The coupling assemblies 46 include a handle 48, a fork plate 50, and an insert 52. The handle 48 is coupled to the fork plate 50 and the fork plate 50 is coupled to the beam 44 by the insert 52. The fork plate 50 includes a guide slot 54 that is configured to engage the bracket 34 to help position the table extension 28 and maintain the engagement of the table extension 28 and the bracket 34. The fork plate 50 is shorter in length along the upper portion of the guide slot 54 to provide a lead in section that make it easier for a user to engage the bracket 34 with the guide slot 54. The insert 52 includes a base portion 56 and an extension 58 that extends from the base portion 56. The extension 58 includes a groove 60 and a curved portion 62 that are configured to engage the bracket 34 to help position the table extension 28 and maintain the engagement of the table extension 28 and the bracket 34.

(23) The support frame assembly 40 is generally Y-shaped and is configured to support the operative leg holder assembly 30. The support frame assembly 40 includes a frame 64 with a base 66 and angled arms 68, perineal post cones 70, a handle 72, connecting portion 74, and a mounting assembly 76 or connector enabling assembly 76 as shown in FIGS. 4-7. In some contemplated embodiments, the support frame 40 supports a perineal post (not shown) that extends up through the opening 43c in the platform 42 on a perineal post cone 70. The base 66 is coupled to the connecting frame 38 and the angled arms 68 extend from the base 66 to form Y shape. The handle 72 is coupled between the angled arms 68 and is configured to be used to transport the table extension 28. The perineal post cones 70 are coupled to the angled arms 68 and are aligned with the openings 43c in the panel 42. The connecting portions 74 are located at the ends of the angled arms 68 and include an elongated slot 78 formed in the angled arm 68, a locking knob 80 positioned in a locking bore 82, and a mount bore 84 that a portion of the mounting assembly 76 moves within. In some contemplated embodiments a plug 86 can be inserted into an end of the mounting bore 84. The elongated slot 78 includes rounded opening edges 87a that helps guide the leg holder assembly into the slot 78, and an opening 87b in the bottom of the slot to help position and maintain the leg holder assembly in the slot 78.

(24) The mounting assembly 76 extends between the angled arms 68 and is configured to allow a user to select which connecting portion 74 they would like to attach the operative leg holder assembly 30 to. The mounting assembly 76 includes a shaft 88 and a handle 90 coupled to the shaft 88 as shown in FIGS. 4-7. The shaft 88 is sized such that the shaft 88 can only extend across the slot 78 of one of the connecting portions 74 so that only one operative leg holder assembly 30 can be supported by the table extension 28 at a time. The handle 90 is configured to move the shaft 88 and allow a user to select the connecting portion 74 they would like to attach the operative leg holder assembly 30 to. The shaft 88 is positioned within the mounting bores 84 and extends between the slots 78. In some contemplated embodiments, the shaft 88 is sized so that the shaft 88 does not extend across the slot of either connecting portion 74 when the handle 90 is in a neutral position. In some contemplated embodiments, the shaft 88 is sized to extend across both slots 78 simultaneously, or two smaller shafts (not shown) are used and are positioned such that they each extend across one of the slots 78 so that more than one leg holder assembly can be supported by the table extension 28. In some contemplated embodiments, an indicator or a graphic (not shown) is used to indicate which way to move the handle 90 based on the patient's legs to be supported. In some contemplated embodiments, the indicator or graphic is used to indicate which leg should be supported based on the current configuration of the device (i.e., left, right, none). In another contemplated embodiment, the angled arms 68 include a pair of go/no-go openings 92 that show a portion of the mounting shaft 88 that may be colored red or green to indicate which connecting portion 74 the user can connect a leg holder assembly to.

(25) The coupling bracket 34 includes a first side S1, a second side S2, a third side S3 extending between the first side S1 and the second side S2, a rail adapter portion 136, a guide pin 138, a locking knob 140, a table extension support 142, and a leg holder support portion 144 as shown in FIGS. 8-12. The rail adapter portion 136 extends from the first side S1 and is configured to engage the rail 26 and movably retain the bracket 34 on the rail 26. The rail adapter portion 136 includes an upper guide 146 that engages a portion of a top edge of the rail 26 and a lower guide 148 that engages a portion of the bottom edge of the rail 26. The guide 138 extends from the second side S2 and is configured to be engaged by table extension 28 and help align and support the table extension 28 when the table extension 26 is coupled to the bracket 34.

(26) The locking knob 140 extends from the second side S2 that is adjacent to the guide pin 138 and positioned in a locking opening 145 extending though the bracket 34 as shown in FIGS. 8-12. The locking knob 140 is configured to cooperate with the guide 146 and lower guide 148 to selectively engage the rail 26 to prevent the bracket 34 from moving with respect to the rail 26. In some contemplated embodiments the locking knob 140 is captured in the bracket 34 so that the locking knob 140 is prevented from falling off when the knob 140 is loosened to allow the bracket 34 to be removed from the rail 26.

(27) The table extension support 142 includes an insert engaging surface 150 with a protrusion 152 and a trigger 154. The insert engaging surface 150 is configured to be engaged by the extension 58 and the protrusion 152 is configured to engage the slot 60 in the insert 52 as shown in FIG. 8. The trigger 154 is configured to selectively engage the curved portion 62 of the extension 58 to maintain the insert 52 from being removed from the table extension support 142 as shown in FIGS. 8 and 12. In some contemplated embodiments, the trigger 154 is only included on one of the brackets 34 coupling the table extension 28 to the surgical table 12. The trigger 154 is rotatably coupled within a trigger recess 156 that is recessed from the third surface S3 and includes an angled surface 158 and a stop arm 160. When the table extension 28 is being coupled to the bracket 34 and the extension 58 is moved into engagement with the insert engaging surface 150, the curved portion 62 of the insert 54 engages an angled side 158 of the trigger 154 and causes the trigger 154 to rotate from a first position, where the stop arm 160 engages the back of the trigger recess 156, to a second position, where the stop arm 160 is away from the back of the trigger recess 156. When the extension 58 engages the insert engaging surface 150, gravity (or a spring mechanism) causes the trigger 154 to rotate back to the first position to prevent the table extension 28 from accidentally or unintentionally being removed from the bracket 34. The trigger 154 must be manually moved from the first position to the second position by a user before the table extension 28 can be removed from the bracket 34. To do so, a user can use their thumb to pull the stop arm 160 away from the back of the trigger recess 156 and remove the insert 54 from the table extension support 142.

(28) The leg holder support portion 144 includes a hook shaped recess 162, a locking knob opening 164, and an anti-rotation pin opening 166 as shown in FIGS. 8-12. The hook shaped recess 162 is positioned generally vertically below the table extension support portion 142 and is shaped to help guide the coupling pin 176 of the non-operative leg coupling assembly 168 toward the base of the hook shaped recess 162. The anti-rotation pin opening 166 is configured to receive an anti-rotation pin (not shown) that engages the recessed groove 180 in the coupling assembly 168 and prevents the leg holder assembly 32 from rotating when the coupling pin 60 is located at the base of the hook shaped recess 54. By preventing rotation of the non-operative leg holder assembly 32, a user can attach the leg holder assembly 32 to the bracket 34 and secure the leg holder assembly 32 with the leg holder locking knob 178 without having to support the leg holder assembly 32 themselves to maintain alignment of the locking knob opening 164 and the leg holder locking knob 178.

(29) The non-operative leg holder assembly 32 includes a non-operative leg coupling assembly 168, a first spar 170 or adapter 170, and a second spar 172 as shown in FIGS. 1-3 and 12. The coupling assembly 168 is generally U-shaped bracket 174 with the coupling pin 176 extending between the sides of the bracket 174, and the leg holder locking knob 178 engaging a locking opening 179 passing through one side of the bracket 174. In some contemplated embodiments, the bracket 174 includes a recessed groove 180 configured to engage the anti-rotation pin extending from the bracket 34. The coupling assembly 168 is attached to the first spar 170 and the first spar 170 is rotatably attached to the second spar 172. The second spar 172 is configured to support a foot holding device (not shown). In one contemplated embodiment, the first spar 170 is pivotably and removably coupled to the second spar 172 at a joint. In another contemplated embodiment, the user couples the first spar 170 to the second spar 172 in a first orientation when the assembly 32 is connected to one side of the person support apparatus 12, i.e., the left side, and disconnects, flips over, and reconnects the first spar 170 to the second spar 172 in a second orientation when the user desires to connect the assembly 32 to the other side, i.e., the right side, of the person support apparatus 12.

(30) The operative leg holder assembly 30 includes a spar 182 and a connector 184 coupled to the end of the spar 182 as shown in FIGS. 1-2 and 13-16. The connector 184 includes a hook end 186, a locking bore 188, and a mounting end 190 opposite the hook end 186. The hook end 186 is configured to engage the mounting shaft 88 when the operative leg holder assembly 30 is attached to the connecting portion 74 of the table extension 28. The hook end 186 includes an angled end 192 that helps guide the mounting shaft 88 toward the base of the hook 186. The connector 184 is shaped such that when the hook end 186 engages the mounting shaft 88, a portion of the connector 184 extends through the opening 87b in the bottom of the slot 78 and the mounting end 190 engages the mounting portion 194 of the slot 78 to help position the connector 184 in the slot 78 such that the locking bore 188 and the locking bore 82 are substantially aligned so the locking knob 80 can be tightened to secure the leg holder assembly 30 to the table extension 28 as shown in FIG. 15. In addition to help position the connector 184 in the slot 78, the mounting end 190 helps maintain the engagement of the hook end 186 and the mounting shaft 88 so that the leg holder assembly 30 is supported by the table extension 28 and the user does not need to support the leg holder assembly 30 while attempting to secure it in place with the locking knob 80. If a user attempted to mount the leg holder assembly 30 to a connecting portion 74 that the mounting shaft 88 did not extend across, the leg holder assembly 30 would not be fully supported by the table extension 28 because the connector 184 would be allowed to rotate in the slot 78 as shown in FIG. 16, due to the rotational moment caused by the weight of the leg holder assembly 30.

(31) Many other embodiments of the present disclosure are also envisioned. For example, a surgical support system comprises a surgical table; a first leg support assembly coupled to the surgical table; a second leg support assembly; and a surgical table extension coupled to the surgical table and including a first connector and a second connector and a connector enabling assembly configured to selectively enable the second leg support assembly to be coupled to one of the first connector and the second connector.

(32) In another example, a surgical support system comprises a surgical table; a leg support assembly including a leg support connector with a hook shaped portion; and a surgical table extension coupled to the surgical table and including a first connector defining a first slot with a first shaft extending across the first slot and a second connector defining a second slot with a second shaft extending across the second slot, wherein the hook shaped portion is configured to engage one of the first shaft and the second shaft when the leg support connector is inserted into one of the first slot and the second slot, respectively.

(33) In another example, a bracket for coupling at least one surgical table accessory to a surgical table comprises a rail coupling portion; a first accessory retaining portion; and a second accessory retaining portion positioned vertically below the first retaining portion.

(34) In another example a surgical table extension comprises a surgical table frame coupled to a surgical table by a connecting assembly; a first accessory connector; a second accessory connector; and an accessory connector enabling assembly configured to be moved between a first position and a second position, wherein the first accessory connector is configured to receive and retain an accessory when the accessory connector enabling assembly is in the first position and the second accessory connector is configured to receive and retain an accessory when the accessory connector enabling assembly is in the second position.

(35) Any theory, mechanism of operation, proof, or finding stated herein is meant to further enhance understanding of principles of the present disclosure and is not intended to make the present disclosure in any way dependent upon such theory, mechanism of operation, illustrative embodiment, proof, or finding. It should be understood that while the use of the word preferable, preferably or preferred in the description above indicates that the feature so described may be more desirable, it nonetheless may not be necessary and embodiments lacking the same may be contemplated as within the scope of the disclosure, that scope being defined by the claims that follow.

(36) In reading the claims it is intended that when words such as “a,” “an,” “at least one,” “at least a portion” are used there is no intention to limit the claim to only one item unless specifically stated to the contrary in the claim. When the language “at least a portion” and/or “a portion” is used the item may include a portion and/or the entire item unless specifically stated to the contrary.

(37) It should be understood that only selected embodiments have been shown and described and that all possible alternatives, modifications, aspects, combinations, principles, variations, and equivalents that come within the spirit of the disclosure as defined herein or by any of the following claims are desired to be protected. While embodiments of the disclosure have been illustrated and described in detail in the drawings and foregoing description, the same are to be considered as illustrative and not intended to be exhaustive or to limit the disclosure to the precise forms disclosed. Additional alternatives, modifications and variations may be apparent to those skilled in the art. Also, while multiple inventive aspects and principles may have been presented, they need not be utilized in combination, and various combinations of inventive aspects and principles are possible in light of the various embodiments provided above.