WO2009076483A1 - Table réglable pour chirurgie orthopédique et techniques pour implanter un implant vertébral - Google Patents

Table réglable pour chirurgie orthopédique et techniques pour implanter un implant vertébral Download PDF

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Publication number
WO2009076483A1
WO2009076483A1 PCT/US2008/086300 US2008086300W WO2009076483A1 WO 2009076483 A1 WO2009076483 A1 WO 2009076483A1 US 2008086300 W US2008086300 W US 2008086300W WO 2009076483 A1 WO2009076483 A1 WO 2009076483A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
support assemblies
body support
adjustable
adjustable table
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2008/086300
Other languages
English (en)
Inventor
Scott Spann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2009076483A1 publication Critical patent/WO2009076483A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/0036—Orthopaedic operating tables
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/0036—Orthopaedic operating tables
    • A61G13/0054—Orthopaedic operating tables specially adapted for back or spinal surgeries
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/02—Adjustable operating tables; Controls therefor
    • A61G13/04—Adjustable operating tables; Controls therefor tiltable around transverse or longitudinal axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121—Head or neck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/122—Upper body, e.g. chest
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/123—Lower body, e.g. pelvis, hip, buttocks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1235—Arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1245—Knees, upper or lower legs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/30—Specific positions of the patient
    • A61G2200/32—Specific positions of the patient lying
    • A61G2200/322—Specific positions of the patient lying lateral
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/30—Specific positions of the patient
    • A61G2200/32—Specific positions of the patient lying
    • A61G2200/325—Specific positions of the patient lying prone

Definitions

  • the disclosures made herein relate generally to surgical tables for orthopedic and other surgeries, and to implants, systems and methods for implanting a vertebrae implant to repair damaged or degraded vertebrae.
  • an adjustable table allows for improved access to a patient during surgery, such as vertebrae implant surgery.
  • an adjustable surgical table comprises a base, a pair of support towers mounted in a spaced-apart relation on the base, a table for holding a patient's body, and spaced-apart pairs of body support assemblies to fix in place parts of the patient's body.
  • the table is pivotably mounted between the support towers to be rotatable about a longitudinal axis, allowing the patient to be turned from a prone to a lateral or supine position.
  • the spaced-apart pairs of body support assemblies are configured to clamp a part of a body to fix the position of that part, thereby holding the patient to the table when rotated, and optionally for fixing the patient's body in a desired position. For example, with the patient positioned in the lateral position with their waist in a jack-knifed orientation, access to the L5:S1 region of their spinal region is greatly improved.
  • FIG. 1 is an anterior view of a channel retractor, in accordance with an embodiment of the invention.
  • FIGS. 5 and 6 are perspective and side views of an implant for the L5:S1 spinal position, in accordance with an embodiment of the invention.
  • FIG. 7 is an end view of a lordotic implant with a tapered profile, in accordance with an embodiment of the invention.
  • FIG. 8 is a side view of an articulating multidimensional tool, in accordance with an embodiment of the invention.
  • FIGS. 10 and 11 are lateral and side views of an adjustable surgical table, in accordance with an embodiment of the invention.
  • FIG. 12 is a perspective view of a vertebrae implant, in accordance with an embodiment of the invention.
  • FIG. 13 is an anterior view of the implant of FIG. 12 implanted in a patient.
  • the articulation control wires 125, the illumination optic fiber 130 and the video camera optic fiber 135 extend between opposing end portions of the flexible inner tube 120.
  • An end sleeve 140 is connected to a first end portion of the articulating conduit 110 and a coupler sleeve 142 is connected to a second end portion of the articulating conduit 110.
  • the articulating conduit 110 is attachable to the handle assembly 105 by the conduit coupler 112.
  • the end sleeve 140 is electrically conductive and the articulation control wires 125, which are electrically conductive, are attached to the end sleeve 140.
  • the handle assembly 105 includes a conduit fixing lever 115 for selectively changing the articulating conduit 110 from the countourable configuration to the essentially rigid state (i.e., adequately non- flexible).
  • the channel retractor 100 is specifically configured for accessing the L5:S1 spinal position. In accessing this spinal position, the pelvic iliac crest must be traversed by the tip portion (i.e., end sleeve 140) of the articulating conduit 110 with the tip portion (i.e., end sleeve 140) of the articulating conduit 110 being routed and positioned allowing the tip portion to be sufficiently 'docked" with a desired structure (e.g., the L5 of Sl vertebrae).
  • a desired structure e.g., the L5 of Sl vertebrae
  • the tip portion of the articulating conduit 110 is selectively expandable to facilitating such docking (e.g., compression of surrounding tissue.
  • the articulating conduit 110 is changed from the contourable configuration to the fixed (i.e., rigid configuration) through use of the conduit fixing lever 115.
  • a retractor channel 150 is provided along a length of the flexible inner tube 120, and is accessible trough an access port 155.
  • the articulating sheath 115 is made up of a plurality of conical faced sheath segments 160 that are in an end-to-end arrangement.
  • a convex shaped end portion of one sheath segments 160 is engaged with a concave end portion of an immediately adjacent one of the sheath segments 160.
  • friction at engaged convex and concave faces of the sheath segments 160 causes the articulating sheath 115 to change from a contourable configuration to a fixed configuration.
  • a channel retractor has a fixed shape and/or size.
  • a channel retractor has a fixed S-shaped contour and fixed diametrical size. In this manner, a collection of different shape an/or size channel retractors can be made available.
  • Implants in accordance with embodiments of the present invention are preferably made from materials suitable for use in invasive environments. Examples of such materials include, but are not limited to PEEK, titanium and stainless steel.
  • AMT 300 is configured for performing various surgical operations at an implant insertion location.
  • a tool attachment 305 is attachable to a handle assembly 308 of the AMT 300 via an attachment coupler 310.
  • An attachment umbilical conduit 315 (e.g., a cable) extends between the attachment coupler 310 and a working-end (not shown) of the tool attachment 305.
  • Each cradle unit 425 is slideably and rotatably mounted on the respective adjuster mechanism 430 to allow for non-binding displacement through a given range of adjustment of the respective adjuster mechanism 430. It is disclosed herein that means such as locking collars, set screws or the like can be used to limit or prevent such sliding and rotation of each cradle unit 425.
  • each cradle unit 425 can include a resilient (e.g., inflatable) body supporting structure. Still further, to provide for unrestricted access to the patient during a surgical procedure, each cradle unit 425 can have selectively detachable segments (e.g., body engaging portions attached to a support structure by means such as threaded fasteners).
  • the first control/interface panel 430 is preferably positioned in a clean field region of the patient (i.e., adjacent their head) and the second control/interface panel 435 is preferably positioned in a non-clean field region of the patient (i.e., adjacent their feet).
  • a lateral supporting spine table in accordance with the present invention can be in any number of different formats and structures. Regardless of a particular implemented format or structure, a lateral supporting spine table in accordance with the present invention will allow rotation of the patient (i.e., about their core longitudinal axis) and will allow for skewing (jack-knifing) of the patient at their waist. In some embodiments, a lateral supporting spine table in accordance with the present invention will support the patient in free space in a manner similar to that discussed above. [0034] FIG. 12 shows an implant 500 configured in accordance with an alternate embodiment of the present invention. The implant 500 is substantially the same as the implant 200 discussed above in reference to FIGS.
  • the implant 500 does not include a grafting material window.
  • the implant 500 is well suited for applications such as, for example, disk replacement as is depicted in FIG. 13.
  • FIG. 13 the implant 500 is well suited for applications such as, for example, disk replacement as is depicted in FIG. 13.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne une table réglable permettant d'améliorer l'accès à un patient pendant une opération, comme une opération visant à implanter un implant vertébral. La table comprend une base, des colonnes de support montées de manière espacée sur la base, une table permettant de maintenir le corps d'un patient, et des paires espacées d'ensembles de support de corps pour maintenir les différentes parties du corps du patient en place. La table est montée de manière pivotante entre les colonnes de support pour pouvoir pivoter autour d'un axe longitudinal, ce qui permet de faire passer le patient d'une position dans laquelle il est allongé sur le ventre en une position latérale ou une position dans laquelle il est allongé sur le dos. Les paires espacées d'ensembles de support de corps sont conçues de manière à attacher une partie du corps afin de maintenir cette partie en position, en maintenant ainsi le patient sur la table lorsque celle-ci est amenée à pivoter, et en permettant de maintenir le corps du patient dans une position souhaitée.
PCT/US2008/086300 2007-12-10 2008-12-10 Table réglable pour chirurgie orthopédique et techniques pour implanter un implant vertébral Ceased WO2009076483A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US703807P 2007-12-10 2007-12-10
US61/007,038 2007-12-10

Publications (1)

Publication Number Publication Date
WO2009076483A1 true WO2009076483A1 (fr) 2009-06-18

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ID=40755873

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/086300 Ceased WO2009076483A1 (fr) 2007-12-10 2008-12-10 Table réglable pour chirurgie orthopédique et techniques pour implanter un implant vertébral

Country Status (1)

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WO (1) WO2009076483A1 (fr)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9597043B1 (en) 2012-05-31 2017-03-21 Dartmouth-Hitchcock Clinic System and method for supporting a patient for imagery during surgery
WO2018081195A1 (fr) * 2016-10-28 2018-05-03 Warsaw Orthopedic, Inc. Table chirurgicale et son procédé d'utilisation
CN109310510A (zh) * 2016-04-19 2019-02-05 瑞穗株式会社 医疗装置
CN110090127A (zh) * 2019-06-19 2019-08-06 赵凤 一种心血管内科检测仪
CN110974433A (zh) * 2019-12-24 2020-04-10 漯河医学高等专科学校 一种伤口应急护理用缝合装置
CN111281719A (zh) * 2020-02-10 2020-06-16 西安交通大学医学院第一附属医院 神经外科手术治疗体位固定器
US11744758B2 (en) 2020-02-03 2023-09-05 Alphatec Spine, Inc. Patient positioning system
US12133819B2 (en) 2021-03-05 2024-11-05 Allen Medical Systems, Inc. Patient positioning device for lateral and prone single-position spine surgery

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5380336A (en) * 1993-04-16 1995-01-10 John Misko Method and apparatus for stereotactic radiosurgery and fractionated radiation therapy
US20060123546A1 (en) * 2004-12-10 2006-06-15 Horton William C Dynamic surgical table system

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5380336A (en) * 1993-04-16 1995-01-10 John Misko Method and apparatus for stereotactic radiosurgery and fractionated radiation therapy
US20060123546A1 (en) * 2004-12-10 2006-06-15 Horton William C Dynamic surgical table system

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9597043B1 (en) 2012-05-31 2017-03-21 Dartmouth-Hitchcock Clinic System and method for supporting a patient for imagery during surgery
CN109310510A (zh) * 2016-04-19 2019-02-05 瑞穗株式会社 医疗装置
EP3446662A4 (fr) * 2016-04-19 2020-03-11 MIZUHO Corporation Dispositif médical
WO2018081195A1 (fr) * 2016-10-28 2018-05-03 Warsaw Orthopedic, Inc. Table chirurgicale et son procédé d'utilisation
US11857467B2 (en) 2016-10-28 2024-01-02 Warsaw Orthopedic, Inc. Surgical table and method for use thereof
CN110090127A (zh) * 2019-06-19 2019-08-06 赵凤 一种心血管内科检测仪
CN110974433A (zh) * 2019-12-24 2020-04-10 漯河医学高等专科学校 一种伤口应急护理用缝合装置
US11744758B2 (en) 2020-02-03 2023-09-05 Alphatec Spine, Inc. Patient positioning system
US12370113B2 (en) 2020-02-03 2025-07-29 Alphatec Spine, Inc. Patient positioning system
CN111281719A (zh) * 2020-02-10 2020-06-16 西安交通大学医学院第一附属医院 神经外科手术治疗体位固定器
US12133819B2 (en) 2021-03-05 2024-11-05 Allen Medical Systems, Inc. Patient positioning device for lateral and prone single-position spine surgery

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