Frame and patient support, and surgical methods using same
The present disclosure relates to a frame and patient support, and surgical methods using the frame and patient support. The frame and patient support can be used to support and manipulate the patient prior to, during, and after surgery to articulate the patient's body to facilitate stabilization of the patient's spine. The frame and patient support can be configured for rotation about a rotational axis, and the frame and patient support can include a lower-leg-support, an upper-leg-support, a pelvic-support, a torso-support, and a head-and-arm support for supporting corresponding portions of the patient's body.
1 . A frame and patient support for supporting and articulating a patient during surgery, the frame and patient support comprising:
a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length extending along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative to the frame portion;
a first vertical support portion and a second vertical support portion, the first vertical support supporting the frame portion adjacent the first end thereof, and the second vertical support supporting the frame portion adjacent the second end thereof;
a lower-leg support portion and an upper-leg support portion of the patient support portions, the lower-leg support portion being configured to support lower legs of the patient and the upper-leg support portion being configured to support upper legs of the patient;
a pelvic-support portion of the patient support portions movably attached to the frame portion, the pelvic-support portion being configured to support a pelvic area of the patient, and including a first pad portion and a second pad portion supported by the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
a torso-support portion of the patient support portions movably attached to the frame portion, the torso-support portion being configured to support a torso area of the patient; and
at least one of a head-support portion and an arm-support portion of the patient support portions for respectively supporting portions of a head and portions of arms of the patient;
wherein at least a portion of the pelvic-support portion is received in a first interior portion of the frame portion, the at least a portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including the first pad portion and the second pad portion, and at least a portion of the torso-support portion is received in a second interior portion of the frame portion, and interaction of the at least a portion of the pelvic-support portion with the first interior portion of the frame portion and interaction of the at least a portion of the torso-support portion with the second interior portion of the frame portion serves in counteracting moments of inertia caused by the supporting of the first and second lateral portions of the pelvic area of the patient and the supporting of the torso area of the patient; and
wherein the pelvic-support portion and the torso-support portion can each be moved relative to the frame portion and to one another to accommodate a height of the patient.
2 . The frame and patient support of claim 1 , wherein an outer portion of the pelvic-support portion extends from a first exterior portion of the frame portion through a first slot formed in the frame portion and is attached to the at least a portion of the pelvic-support received in the first interior portion of the frame portion, and wherein an outer portion of the torso-support portion extends from a second exterior portion of the frame portion through a second slot formed in the frame portion and is attached to the at least a portion of the torso-support portion received in the second interior portion of the frame portion.
3 . The frame and patient support of claim 2 , wherein the outer portion of the pelvic-support portion extending through the first slot is slidable therein to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the outer portion of the torso-support portion extending through the second slot is slidable therein to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
4 . The frame and patient support of claim 3 , wherein the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion can be independent of one another.
5 . The frame and patient support of claim 1 , wherein the torso-support portion includes a third pad portion and a fourth pad portion independently movably adjustable toward and away from one another to accommodate specific anatomy of the patient.
6 . The frame and patient support of claim 1 , wherein the frame portion is rotatably supported at the first end thereof by the first vertical support portion, and the frame portion is rotatably supported at the second end thereof by the second vertical support portion.
7 . A frame and patient support for supporting and articulating a patient during surgery, the frame and patient support comprising:
a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length extending along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative to the frame portion;
a first vertical support portion and a second vertical support portion, the first vertical support rotatably supporting the frame portion adjacent the first end thereof, and the second vertical support rotatably supporting the frame portion adjacent the second end thereof;
a leg-support portion of the patient support portions configured to support portions of legs of the patient;
a pelvic-support portion of the patient support portions movably attached to the frame portion, the pelvic-support portion being configured to support a pelvic area of the patient and including a first pad portion and a second pad portion supported by the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
a torso-support portion of the patient support portions movably attached to the frame portion, the torso-support portion being configured to support a torso area of the patient; and
wherein at least a portion of the pelvic-support portion is received in a first interior portion of the frame portion, the at least a portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including the first pad portion and the second pad portion, and at least a portion of the torso-support portion is received in a second interior portion of the frame portion, and interaction of the at least a portion of the pelvic-support portion with the first interior portion of the frame portion and interaction of the at least a portion of the torso-support portion with the second interior portion of the frame portion serves in counteracting moments of inertia caused by the supporting of the first and second lateral portions of the pelvic area of the patient and the supporting of the torso area of the patient.
8 . The frame and patient support of claim 7 , wherein an outer portion of the pelvic-support portion extends from a first exterior portion of the frame portion through a first slot formed in the frame portion and is attached to the at least a portion of the pelvic-support received in the first interior portion of the frame portion, and an outer portion of the torso-support portion extends from a second exterior portion of the frame portion through a second slot formed in the frame portion and is attached to the at least a portion of the torso-support portion received in the second interior portion of the frame portion.
9 . The frame and patient support of claim 8 , wherein the outer portion of the pelvic-support portion extending through the first slot is slidable therein to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the outer portion of the torso-support portion extending through the second slot is slidable therein to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
10 . The frame and patient support of claim 9 , wherein the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion can be independent of one another.
11 . The frame and patient support of claim 7 , wherein the pelvic-support portion and the torso-support portion can each be moved relative to the frame portion and to one another to accommodate a height of the patient, and wherein the first pad portion and the second pad portion are independently movably adjustable toward and away from one another to accommodate specific anatomy of the patient.
12 . The frame and patient support of claim 11 , wherein the torso-support portion includes a third pad portion and a fourth pad portion independently movably adjustable toward and away from one another to accommodate specific anatomy of the patient.
13 . A frame and patient support for supporting and articulating a patient during surgery, the frame and patient support comprising:
a frame portion having a first end, an opposite second end, a mid-longitudinal axis extending through the first end and the second end, and a length extending along the mid-longitudinal axis between the first end and the second end, and a plurality of patient support portions attached relative to the frame portion;
a first vertical support portion and a second vertical support portion, the first vertical support supporting the frame portion adjacent the first end thereof, and the second vertical support supporting the frame portion adjacent the second end thereof;
a leg-support portion of the patient support portions configured to support portions of legs of the patient;
a pelvic-support portion of the patient support portions movably attached to the frame portion, the pelvic-support portion being configured to support a pelvic area of the patient and including a first pad portion and a second pad portion supported by the pelvic-support portion and spaced apart from one another, the first pad portion being configured to contact a first lateral portion of the pelvic area of the patient, the second pad portion being configured to contact a second lateral portion of the pelvic area of the patient, the first pad portion and second pad portion being independently movable inwardly and outwardly relative to one another, and independently movable in directions aligned with the mid-longitudinal axis;
a torso-support portion of the patient support portions movably attached to the frame portion, the torso-support portion being configured to support a torso area of the patient; and
wherein at least a portion of the pelvic-support portion is received in a first interior portion of the frame portion, the at least a portion of the pelvic-support portion supports remaining portions of the pelvic-support portion, including the first pad portion and the second pad portion, and at least a portion of the torso-support portion is received in a second interior portion of the frame portion, and interaction of the at least a portion of the pelvic-support portion with the first interior portion of the frame portion and interaction of the at least a portion of the torso-support portion with the second interior portion of the frame portion serves in counteracting moments of inertia caused by the supporting of the first and second lateral portions of the pelvic area of the patient and the supporting of the torso area of the patient; and
wherein the pelvic-support portion and the torso-support portion can each be moved relative to the frame portion to accommodate a height of the patient.
14 . The frame and patient support of claim 13 , wherein an outer portion of the pelvic-support portion extends from a first exterior portion of the frame portion through a first slot formed in the frame portion and is attached to the at least a portion of the pelvic-support received in the first interior portion of the frame portion, and an outer portion of the torso-support portion extends from a second exterior portion of the frame portion through a second slot formed in the frame portion and is attached to the at least a portion of the torso-support portion received in the second interior portion of the frame portion.
15 . The frame and patient support of claim 14 , wherein the outer portion of the pelvic-support portion extending through the first slot is slidable therein to facilitate movement of the pelvic-support portion in a first direction aligned with the mid-longitudinal axis, and the outer portion of the torso-support portion extending through the second slot is slidable therein to facilitate movement of the torso-support portion in a second direction aligned with the mid-longitudinal axis.
16 . The frame and patient support of claim 15 , wherein the sliding of the pelvic-support portion relative to the frame portion and the sliding of the torso-support portion relative to the frame portion can be independent of one another.
17 . The frame and patient support of claim 13 , wherein the pelvic-support portion and the torso-support portion can each be moved relative to the frame portion and to one another to accommodate a height of the patient, the first pad portion and the second pad portion are independently movably adjustable toward and away from one another to accommodate specific anatomy of the patient, wherein the torso-support portion includes a third pad portion and a fourth pad portion independently movably adjustable toward and away from one another to accommodate specific anatomy of the patient.