TILTING SEAT WITH LOWERED JOINT

Abstract

A tilting seat for operators in a controlled environment, particularly for surgeons and the like, comprising a saddle, a chest support, a forehead support and a leg support connected to a base standing on the ground, such that the saddle, the chest support, the forehead support and the leg support are integrally movable with rotation about a horizontal-axis joint placed below the saddle, keeping the space over the joint free from movable elements while in use, guaranteeing the substantial lack of contamination in such space.

Claims

1.-15. (canceled)

16. A seat comprising a saddle, a horizontal-axis joint placed below the saddle, a chest support, at least one leg support and a base, wherein the saddle, the chest support and the at least one leg support are configured to be integrally movable with respect to the base when an operator is sitting on the seat, with rotation about the horizontal-axis joint.

17. The seat according to claim 16, wherein the at least one leg support comprises two leg supports.

18. The seat according to claim 16, further comprising a forehead support rigidly linkable to the chest support.

19. The seat according to claim 16, wherein the base comprises a vertical-axis body and feet extending from the body along substantially radial directions.

20. The seat according to claim 19, wherein the feet are substantially angularly equally spaced.

21. The seat according to claim 16, wherein the base comprises lockable wheels.

22. The seat according to claim 16, wherein the horizontal-axis joint comprises an elastic contrast element, configured to yield in a controlled way under weight of an operator of the seat.

23. The seat according to claim 16, wherein the saddle, the chest support and the at least one leg support are further integrally movable with further rotation about a vertical-axis rotatable support housed in a body of the base.

24. The seat according to claim 19, wherein the feet are at least four feet, at least two feet of said at least four feet having greater radial extension than other feet of said at least four feet.

25. The seat according to claim 23, wherein the vertical-axis rotatable support comprises abutments configured to limit rotation on a horizontal plane to an angle equal to or lower than 90°.

26. The seat according to claim 16, wherein the horizontal-axis joint comprises an abutment configured to limit the rotation about the horizontal-axis joint to an angle equal to or lower than 50°.

27. The seat according to claim 26, wherein the angle is between a laying axis, substantially parallel to an axis of a bust of an operator sitting on the seat and laying the bust against the chest support and a vertical axis of the seat.

28. The seat according to claim 16, the seat further comprising a counterweight integral with the saddle.

29. The seat according to claim 26, wherein the base comprises a vertical-axis body and feet having substantially equal length and extending from the body along substantially radial directions.

30. The seat according to claim 16, further comprising at least one sterile cloth covering at least one of said saddle, said chest support or said at least one leg support.

31. The seat according to claim 16, wherein at least one of said saddle, said chest support or said at least one leg support is adjustable into an operative position prior to use, said operative position being unmodifiable in use.

32. A surgical seat comprising a saddle, a chest support, at least one leg support and a base, wherein the saddle, the chest support and the at least one leg support are connected to the base by a yoke and a vertical piston mechanism, the yoke comprising a horizontal-axis joint placed below the saddle, and the saddle, the chest support and the at least one leg support are configured to be integrally movable with respect to the base when an operator is sitting on the surgical seat, with movements comprising: i) integral rotation of the saddle, the chest support and the at least one leg support about the horizontal-axis joint and ii) vertical extension of the vertical piston mechanism.

33. The surgical seat of claim 32, wherein the vertical piston mechanism is a vertical calibrated piston mechanism.

Description

[0031] More details will be identified from the following description of one embodiment, with reference to the enclosed figures, wherein it is shown:

[0032] in FIG. 1 a perspective view of the seat, with the movements possible while in use being indicated;

[0033] in FIG. 2 a perspective view of the seat, with possible adjustment areas being indicated;

[0034] in FIG. 3 a schematic view of the seat in front of the operating table;

[0035] in FIG. 4 a schematic view of the seat in front of the operating table, with an operator in a first position;

[0036] in FIG. 5 a schematic view of the seat in front of the operating table, with an operator in a second position;

[0037] in FIG. 6 a schematic view of the seat in front of the operating table, with an operator in a third position.

[0038] As shown by the figures, the seat comprises an ergonomically-shaped saddle 1, linked to a support 2, in turn linked to the yoke 3 of a base 4, by means of a joint 5 having a horizontal axis “a”.

[0039] The saddle 1 is in turn linked to the chest support 6 and to a pair of leg supports 7.

[0040] The joint 5, provided with a calibrated spring mechanism or similar mechanical or motorized device, allows the saddle 1, and other elements linked thereto, hereinafter described, to rotate on the vertical plane, about the “a” axis, tilting forward and downward. For exemplary purposes, the rotation about the “a” axis can allow the assembly consisting of the saddle and the other elements integrally linked thereto to change inclination a of its own laying axis “p”, substantially parallel to the axis of the bust of the operator O who is sitting on the seat laying the bust against the chest support 6, with respect to the vertical axis “v” between a minimum angle α1 of about 10-15° and a maximum angle az preferably of about 45-50°.

[0041] The chest support 6 preferably comprises a central portion 8 and two elbow rest supports 9. At the upper end of the chest support 6 an opening 10 is preferably present, that is adapted to enable the operator sitting on the seat to have complete view and head mobility. In the upper part of the chest support 6 there are also housings 11a for inserting a forehead support 11.

[0042] The forehead support 11 may comprise one or more accessories such as the frontal light, an analog/digital visor, a protection screen, earphones, microphone and similar equipment which is useful for the operator.

[0043] Preferably, the forehead support 11 is made of flexible material, for example polymeric, such to comfortably accommodate the operator's forehead and allow the lateral movements required in use, while maintaining at the same time a support function.

[0044] The saddle 1 preferably comprises a base 1a, linked to the support 2 and a deformable coating 1b, adapted to provide the necessary comfort.

[0045] The chest support 6 comprises in turn a rigid frame 6a and a deformable coating 6b.

[0046] The elbow rests 9 are in turn preferably coated with lateral coatings 9a, which can be lateral portions of the deformable coating 6b of the chest support 6, or, in alternative, free-standing elements.

[0047] The leg supports 7 are constrained to a rod 7a, which extends from the base 1a of the saddle 1, and comprise a frame 7b, integral with the rod 7a, and a deformable coating 7c, adapted to enable comfortable and stable support for the operator's knees as required.

[0048] Preferably, the rod 7a is rigidly linked to the base 1a of the saddle 1, and can extend in a longitudinal direction, for example in a telescopic manner, to allow prior adjustment based on the user's anatomy and preferences.

[0049] The base 4 comprises a body 4a, which the yoke 3, and five feet 12 provided with wheels 13, conveniently equipped with a relative locking device, for example pedal-controllable (not shown), are linked.

[0050] The yoke 3 is linked to the body 4a according to a telescopically rotatable and extensible motion, for example by means of a calibrated vertical piston, a gas spring or similar, which enables to adjust the height of the whole seat, for example by means of a control manual lever, namely another mechanical or motorised device, and the rightwise and leftwise rotation on the horizontal plane.

[0051] In use, the user can at any time rotate the saddle 1 by leveraging on his legs, which thus will have to be disengaged from one or both leg supports 7.

[0052] Preferably the base 4 comprises two longer front feet 12a, and three shorter back feet 12b, extended along substantially radial directions from the body 4a. Preferably, the horizontal rotation angle β of the seat 1 is limited to an angle of about 90°, at the longer front feet 12a. Mechanical stops or the like ensure limitation of the stroke beyond 90°. This enables to avoid the risk of overturning, maintaining the barycentre of the seat assembly and operator within the base.

[0053] The seat can comprise a saddle 1 counterweight 14 (fixed or adjustable in extension), which counterweights the forward displacement of the operator in case of inclination of the seat. In such case, it is possible to make all of the base 4 feet 12 of equal length, or in any case limit the higher length of front feet 12a with respect to the others, for instance in case there are limitations to the length of the front feet 12s.

[0054] Adjustments of the height of the chest support 6, extension of the leg supports 7, forehead support 11, saddle position and inclination 1, represented in FIGS. 2 and 3 by a dotted line and respectively indicated with references 6′, 7′, 11′, 1′, 1″ and possible further adjustments, are made in a separate environment, outside the operating room, to adapt to the surgeon anatomy, and are no longer activated in use.

[0055] Thereby the respective adjustment and fixing devices stay locked and are no longer exposed to contamination or cause contamination when the seat is taken to the operating room.

[0056] In use, as shown in FIGS. 4, 5, 6, the seat is arranged in front of an operating table 15, on which a patient 16 is placed (schematically represented with dotted lines).

[0057] Preferably, in such step, as shown in FIG. 3, the saddle 1, the chest support 6, the leg support 7 and other possible elements can be covered with specific disposable or multiple-use sterile cloths 21, 26, 27, in compliance with the applied standards.

[0058] Once adjusted the support heights (in a non-sterile pre-operation step), such to be suitable for the user body-type, the seat can be entered into the operating room, possibly covered with sterile cloths, so as to make it possible to use it in the operating room in full compliance with the operating field sterility requirements.

[0059] In the operating room, based on his needs, when the user intentionally moves his weight from the ischium region to the pubic-perineal one exerting at the same time pressure on the saddle and on the chest support, and optionally also on the forehead support, to obtain a half-lying position, the entire assembly rotates integrally about the axis “a” of the joint 5, with a movement controlled by an elastic abutment mechanism, for example a calibrated spring or the like. Subsequently the user can automatically return to the original neutral position, once his own barycentre has moved back again to return to the initial ischium support.

[0060] As shown in FIGS. 4, 5, 6 the whole movement extension is provided only by the joint 5 which is arranged outside the zone 17 wherein maximum sterility must be maintained.

[0061] Below the joint 5, a vertical calibrated piston mechanism 18 or the like, linking the yoke 3 to the body 4a allows both rotating the assembly consisting of the saddle 1, the chest support 6 and the leg support 7 on the horizontal plane, and adjusting the height of the assembly, according to the arrow y; this component 18 is also arranged outside the zone 17 of maximum sterility.

[0062] The forehead and the chest supports (the latter shaped to ensure the utmost adherence with the meso sternal and epigastric region) tilt forward jointly with the saddle, tilting forward as well, everytime the surgeon mechanically pushed with the chest or the forehead towards such direction, while the leg supports (which the operator can decide to use or not at any moment) move always jointly downward and backward, enabling the surgeon to assume a forward tilted position to an angle az between the vertical axis and the laying axis “p” of about 45-50°, that is half-lying. On both sides of the chest support, specific profiles for an optional and discreet support of elbows and forearms are present, that are included in the area made sterile by respective coatings (disposable/multiple-use standard ones or dedicated disposable ones), particularly useful when the forward stroke of the chest and forehead are limited.

[0063] The surgeon will now be able to benefit from a dynamic, extremely light and compact seat which will enable him to carry out any type of operation discharging forces and body weight not only on the ischium and perineal region, but also on the forehead, chest and legs, by projecting on the operating field from above assuming with respect to the patient a comfortable half-lying position that relieves fatigue from the muscles and body joints and reduces tremors due to fatigue and nervous stress by correcting the posture.

[0064] Keeping his feet on the ground, the surgeon may decide to move the seat in any direction before locking wheels. Once the seat is locked, the following movements are still possible: [0065] raising/lowering the joint 5 (which all the supports are linked to) leaning forward as desired without ever overbalancing, even assuming a half-lying position, which is obtained using all the supports and reaching the maximum permitted angle by pushing forward his own weight; [0066] rotating all the supports of about 90° on a horizontal plane (for example keeping at least a foot on the ground during use); [0067] tilting the head rightwise and leftwise, both taking advantage of the flexibility of the plastic materials with which the two vertical supports of the forehead-stand are made, but also rotating the head from one side or the other within the wide forehead support, leaving the operator free to perform slight twists with the bust, without ever losing adherence with the chest support; [0068] free movements of the upper and lower limbs.

[0069] Despite the previous invention is mainly directed to the use of the seat as an aid for the surgeon in the operating room, the seat according to the present invention can also be used in other situations wherein there are similar mobility and cleaning needs, such as for example electronic component assembly lines, clean rooms, synthesis or analysis laboratories and the like, wherein the area where the operator works must be kept particularly clean and free from contaminants, while offering the operator a seat position providing him with the best and most comfortable working conditions.