Surgical rail apparatus for litter
10898394 ยท 2021-01-26
Assignee
Inventors
Cpc classification
F16B2/065
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F16B7/0433
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61G13/105
HUMAN NECESSITIES
International classification
Abstract
An apparatus for mounting surgical rails to a litter having a pair of parallel poles includes a surgical rail fixed to a clamp. The clamp is fixed to one of the parallel poles. A cross bar extends between the clamp and a second clamp fixed to the other of the parallel poles.
Claims
1. An apparatus for use with a litter having a pair of parallel poles, comprising: a longitudinal rectangular bar having a cross-section of one of a North American standard surgical rail and a European standard surgical rail; a first clamp having a circular inner surface and an opening for receiving one of the pair of parallel poles, the first clamp being fixed to the longitudinal rectangular bar on a side of the first clamp that is opposite the circular inner surface; a second clamp having a circular inner surface and an opening for receiving the other of the pair of parallel poles; a cross bar extending between and fixed to the first and second clamps; each clamp including a threaded set screw for fixing the clamp to a respective one of the parallel poles; and each clamp including a threaded opening for receiving the threaded set screw and further wherein the threaded set screw fixes the cross bar to the clamp.
2. The apparatus of claim 1, wherein the first clamp is fixed to an approximate midpoint of the longitudinal rectangular bar.
3. The apparatus of claim 1, wherein each threaded set screw includes a thumb wheel for rotating the threaded set screw.
4. The apparatus of claim 1, further comprising the litter wherein the longitudinal rectangular bar is disposed outboard of the one of the parallel poles, the first and second clamps are fixed to opposite ones of the parallel poles, and the cross bar extends under a bed of the litter.
5. An apparatus for use with a litter having a pair of parallel poles, comprising: a longitudinal rectangular bar having a cross-section of one of a North American standard surgical rail and a European standard surgical rail; a first clamp having a circular inner surface and an opening for receiving one of the pair of parallel poles, the first clamp being fixed to the longitudinal rectangular bar on a side of the first clamp that is opposite the circular inner surface; a second clamp having a circular inner surface and an opening for receiving the other of the pair of parallel poles; a cross bar extending between and fixed to the first and second clamps; each clamp including a threaded set screw for fixing the clamp to a respective one of the parallel poles; and each clamp including a lock nut having a protuberance disposed in an opening in the cross bar for securing the cross bar to the clamp wherein the threaded set screw engages a threaded opening in the lock nut.
6. An apparatus for use with a litter having a pair of parallel poles, comprising: a longitudinal rectangular bar having male and female ends, the male end including a pair of latch indentations and the female end including a pair of spring-loaded latches wherein the pair of spring-loaded latches on the female end are configured to latch with a pair of latch indentations on a male end of a second rectangular bar; a clamp having a circular inner surface and an opening for receiving one of the pair of parallel poles, the clamp being fixed to the longitudinal rectangular bar on a side of the clamp that is opposite the circular inner surface; and a cross bar portion extending from the clamp and having an end distal the clamp wherein the distal end includes a projecting male portion and a recessed female portion, the projecting male portion configured to mate with an opening in a recessed female portion of a second cross bar portion and the recessed female portion configured to mate with a projecting male portion of the second cross bar portion.
7. The apparatus of claim 6, wherein the cross bar portion includes a latch receiver disposed on the projecting male portion and a latch disposed on the recessed female portion wherein the latch receiver and latch are configured to latch with a latch and latch receiver, respectively, on the second cross bar portion.
8. The apparatus of claim 6, wherein the longitudinal rectangular bar has a cross-section of one of a North American standard surgical rail and a European standard surgical rail.
9. The apparatus of claim 7, wherein the clamp includes a threaded set screw for fixing the clamp to a respective one of the parallel poles.
10. The apparatus of claim 9, wherein the clamp is fixed to an approximate midpoint of the longitudinal rectangular bar.
11. The apparatus of claim 10, wherein the clamp includes a lock nut having a protuberance disposed in an opening in the cross bar portion for securing the cross bar portion to the clamp.
12. The apparatus of claim 11, wherein the threaded set screw engages a threaded opening in the lock nut.
13. A device, comprising: a first apparatus according to claim 7; a second apparatus according to claim 7; and the litter having the pair of parallel poles; wherein, the clamp of the first apparatus is fixed to one of the parallel poles and the clamp of the second apparatus is fixed to the other of the parallel poles, the projecting male portion of the cross bar portion of the first apparatus is inserted in the recessed female portion of the cross bar portion of the second apparatus, and the projecting male portion of the cross bar portion of the second apparatus is inserted in the recessed female portion of the cross bar portion of the first apparatus.
14. The device of claim 13, wherein, the latch disposed on the recessed female portion of the cross bar portion of the first apparatus is latched to the latch receiver disposed on the protruding male portion of the cross bar portion of the second apparatus and the latch disposed on the recessed female portion of the cross bar portion of the second apparatus is latched to the latch receiver disposed on the protruding male portion of the cross bar portion of the first apparatus.
15. The device of claim 14, wherein the rectangular bars of the first and second apparatus have cross-sections of one of North American standard surgical rails and European standard surgical rails.
16. The device of claim 15, wherein the cross bar portions of the first and second apparatus extend under a bed of the litter.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the drawings, which are not necessarily to scale, like or corresponding parts are denoted by like or corresponding reference numerals.
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DETAILED DESCRIPTION
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(22) Referring to
(23) A third clamp 28 has a circular inner surface 32c and an opening 34c for receiving the other of the pair of parallel poles 12. Third clamp 28 is fixed to one end of the second longitudinal member 22 such that the opening 34c faces the first clamp 24 on the first longitudinal member 20. A fourth clamp 30 has a circular inner surface 32d and an opening 34d for receiving the other of the pair of parallel poles 12. The fourth clamp 30 is fixed to another end of the second longitudinal member 22 such that the opening 34d faces the second clamp 26 on the first longitudinal member 20.
(24) A first cross bar 36 extends between and is fixed to the first and third clamps 24, 28. A second cross bar 38 extends between and is fixed to the second and fourth clamps 26, 30. A first rectangular bar 40 is spaced apart from and fixed to an outer surface 44 (
(25) The components of apparatus 18 may be made of, for example, aluminum. Aluminum is strong and light in weight. Minimizing weight is very important when apparatus 18 is used in far forward military areas where much gear must be carried by soldiers and motorized transport is not available or difficult to obtain. In one embodiment, the first and second longitudinal members 20, 22 are hollow members. Members 20, 22 may have various shaped cross-sections. In one preferred embodiment, the cross-sections of members 20, 22 are rectangular or square tubes. The weight of apparatus 18 may be further reduced by the use of lightening holes 50 in members 20, 22 and lightening holes 52 in cross members 36, 38. In one embodiment, first and second longitudinal members 20, 22 may have lengths in the range of about three feet to about four feet. Other lengths of first and second longitudinal members 20, 22 may be used depending on particular needs. Members 20, 22 should be at least as long as their corresponding rails 40, 42, for stability.
(26) The detailed construction of one embodiment of apparatus 18 is best explained with reference to the exploded view shown in
(27) First rectangular bar 40 may include a pair of sub-bars 40a, 40b fixed to respective sub-members 20a, 20b. As noted above, sub-bars 40a, 40b are preferably standard surgical rails. Sub-bars 40a, 40b are spaced apart from sub-members 20a, 20b using a plurality of spacers 72. The spacers 72 create a gap between sub-members 20a, 20b and sub-bars 40a, 40b so that medical/surgical devices may be attached and mounted on sub-bars 40a, 40b. Sub-bars 40a, 40b may be fixed to respective sub-members 20a, 20b using, for example, a plurality of threaded fasteners 74.
(28) As can be seen in
(29) Cross bar 36 has flattened portions at each end with one flattened portion being a pivot end 78 and the other flattened portion being a slot end 80. Cross bar 38 similarly has flattened portions at each end with one portion being a pivot end 84 and the other portion being a slot end 82. Clamps 24, 26, 28 and 30 may be fixed to their respective sub-members 20b, 20a, 22a, 22b using, for example, fasteners 76. The tops (as viewed in
(30) The ends of cross bars 36, 38 may be fixed to clamps 24, 26, 28 and 30 using, for example, lock nuts 88. Each lock nut 88 includes a knob 94, a protuberance 96 beneath the knob 94, and a threaded through hole 98. Protuberances 96 may have smaller diameters than knobs 94 to facilitate grasping knobs 94 with one's fingers. Protuberances 96 are seated in openings 78a, 80a, 82a, 84a, in the flattened end portions of cross bars 36, 38. Lock nuts 88 are tightened using knob 94 to thread lock nuts 88 on set screws 90.
(31) Apparatus 18 may be disassembled and transported in four parts or pieces, which makes assembly of apparatus 18 to a litter 10 easy. After some practice, apparatus 18 may be assembled to a litter 10 in 30 seconds or less. Referring to the view of
(32) In some instances, one may desire a surgical bar or rail 40 or 42 only on one side of litter 10. In that case, one may use one side of apparatus 18, that is, one longitudinal member 20 or 22 with its corresponding surgical rail 40 or 42 and the corresponding clamps. In addition, the cross bars 36, 38 are used and are fixed to the opposite pole 12 of the litter 10 using the clamps, set screws 90 and lock nuts 88, without a longitudinal member and surgical rail.
(33) Surgical rail apparatus 18 enables the attachment of surgical devices such as retractors, light systems, monitors, suction devices, IV poles, and other surgical devices that may be needed for surgery to a litter or stretcher. Apparatus 18 enables any litter or stretcher to be easily converted into an operating table. In rural and austere settings where both military and aid relief providers may be practicing, apparatus 18 provides a means to increase the number of operating tables. Surgeons can easily attach the surgical rail apparatus 18 to any litter or stretcher and attach any surgical devices needed to the apparatus 18, thereby enabling the surgeons to operate immediately.
(34) When assembled to a litter, surgical rail apparatus 18 provides a surgical platform in mobile environments and/or space limited areas, such as the back of a truck, a helicopter, an airplane, a boat, a train, etc. Apparatus 18 may be easily removed from a litter, packaged up, moved to a new location and used on another stretcher. This capability is important if the current surgical environment becomes unsafe or unusable due to power outages, enemy presence, lack of patients or resources, natural disaster, fire, etc.
(35) In a non-military setting, there are incidents throughout the world that often overwhelm the host nation's abilities and resources. When international aid missions are deployed they are often limited in their ability to provide ICU (Intensive Care Unit) and surgical capabilities. This is due to the cumbersome amount of equipment and supplies needed to support an ICU or OR (Operating Room). The present invention is lightweight and easily portable and can transform any litter into an ICU bed or operating room table, thus allowing for improved care during international/national crisis. The surgical rails are also the same standard dimension and size used for OR tables around the western world and therefore can immediately accept thousands of already existing medical devices for use in OR and ICU settings. Healthcare providers that deploy around the world to austere, hostile, or mobile environments can now convert any litter into a functional ICU or OR capable bed and use the same equipment that they use in their primary practice.
(36) Surgical rail apparatus 18 may also enable one to fix legs (not shown) to the longitudinal members 20, 22 of the apparatus 18 so that the litter may be elevated to a functional height for surgical procedures. Rail apparatus 18 provides stability to the litter, allowing the litter to be elevated above the ground level. The surgical rail apparatus 18 may also enable one to attach support rods (not shown) to the longitudinal members 20, 22 so that multiple litters may be stacked on top of each other. The stacked litters retain the ability to hold multiple medical devices on the surgical rails of the apparatuses 18, which is important when the surgical/medical devices must remain in place during transportation of the patients on the litters. In addition to enabling stacking, the surgical rail apparatus 18 provides multiple points for stabilizing and securing the litter and apparatus 18 combination to the floor, walls, ceilings, etc. of different transportation platforms.
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(38) A second clamp 126 has a circular inner surface 132b and an opening 134b for receiving the other of the pair of parallel poles 12. A cross bar 136 extends between and is fixed to the first and second clamps 124, 126. Cross bar 136 may be formed with or without lightening holes 150. Clamps 124, 126 may be fixed to parallel poles 12 of litter 10 using, for example, threaded set screws 190 having thumb wheels or turning knobs 192. Each clamp 124, 126 includes a threaded opening 102 for receiving the threaded set screw 190. Threaded set screws 190 also fix cross bar 136 to clamps 124, 126 via threaded opening 102.
(39) To use apparatus 100, rectangular bar 140 is disposed outboard of one of the parallel poles 12 and the first and second clamps 124, 126 are fixed to opposite ones of the parallel poles 12. The cross bar 136 extends under a bed 14 of the litter 10. Multiple apparatus 100 may be used with a single litter 10. Also, apparatus 100 may be used without bar 140 when another apparatus 100 with a bar 140 is used at an opposite end of litter 10. The apparatus 100 without the bar 140 functions to maintain the litter 10 in a horizontal position. In one embodiment, a bar 140 may also be fixed to second clamp 126.
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(41) Apparatus 200 includes a rectangular bar 140. Preferably, bar 140 is a standard surgical rail. A first clamp 224 has a circular inner surface 232a and an opening 234a for receiving one of the pair of parallel poles 12. The first clamp 224 is fixed to the rectangular bar 140 on a side of the first clamp 224 that is opposite the circular inner surface 232a. Bar 140 may be fixed to clamp 224 using a threaded fastener 176. Preferably, first clamp 224 is fixed to an approximate midpoint of rectangular bar 140. A spacer 172 is disposed between clamp 124 and bar 140. Spacer 172 creates a gap between bar 140 and clamp 124 so that medical/surgical devices may be attached and mounted on bar 140.
(42) A second clamp 226 has a circular inner surface 232b and an opening 234b for receiving the other of the pair of parallel poles 12. A pivoting cross bar 236 extends between and is fixed to the first and second clamps 224, 226. Cross bar 236 may be formed with or without lightening holes 150. Clamps 224, 226 may be fixed to parallel poles 12 of litter 10 using, for example, threaded set screws 90 having thumb wheels or turning knobs 92. The ends of cross bar 236 may be fixed to clamps 224, 226 using, for example, lock nuts 88. Each lock nut 88 includes a knob 94, a protuberance 96 beneath the knob 94, and a threaded through hole 98 (See exploded view of
(43) To use apparatus 200, rectangular bar 140 is disposed outboard of one of the parallel poles 12 and the first and second clamps 224, 226 are fixed to opposite ones of the parallel poles 12. The cross bar 236 extends under a bed 14 of the litter 10.
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(45) Apparatus 300 includes clamp 224 fixed to a surgical rail 340 with, for example, fastener 176. A spacer 172 is disposed between clamp 224 and rail 340. Spacer 172 creates a gap between rail 340 and clamp 224 so that medical/surgical devices may be attached and mounted on rail 340. A pivoting cross bar portion 336 is fixed to clamp 224 as shown and described with respect to cross bar 236 and clamp 224 in apparatus 200 above. Similarly, pole 12 of litter 10 is fixed to clamp 224 as described with respect to apparatus 200 above.
(46) Rail 340 includes a male end 342 and a female end 344. Female end 344 is configured to receive the male end 342 of an adjacent rail 340. Male end 342 includes a pair of opposing latching indentations 346 and female end 344 includes a pair of opposing spring-loaded latches 348. Latches 348 are configured to latch in the latching indentations 346. Rail 340 may include notches 350, as is known in the art.
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(48) As shown in
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(50) Many changes in the details, materials, steps and arrangement of parts described herein may be made by those skilled in the art within the principle and scope of the invention, as expressed in the appended claims. For example, various types of fasteners and latches may be used and the components of the apparatus may have shapes and relative sizes that differ from the embodiments shown in the drawings.