Lateral patient positioning system
A lateral patient positioning system may include a pelvic bolster assembly and a thoracic bolster assembly. Each of the assemblies may be attached to a conventional surgical table frame by the surgical table frame's longitudinal rails. A plurality of adjustment mechanisms and components are provided to allow for easy and safe manipulation of a patient before and during surgery, including sagittal and/or coronal adjustment of a patient in a lateral position.
1 . A patient positioning system, comprising:
a thoracic bolster assembly comprising:
a frame, a base, and an upper portion, the base in connection with the frame via an angular adjustment mechanism to adjust the base in a coronal plane,
the frame comprising a first rail coupler on a first anterior side and a second rail coupler on an opposing posterior side, the first and second rail couplers slidably mountable on opposing rails of a surgical bed frame allowing the thoracic bolster assembly to be adjusted longitudinally along the opposing rails of the surgical bed frame;
wherein the upper portion of the thoracic bolster assembly is coupled to the base and is further adjustable in a posterior and/or anterior direction relative to the base;
a thoracic anterior paddle attached to a first anterior side of the upper portion to support a patient's chest and a thoracic posterior paddle attached to a second posterior side of the upper portion to support a posterior portion of the patient;
a pelvic bolster assembly comprising:
a frame, a base, and an upper portion, the base in connection with the frame via an angular adjustment mechanism to cause movement of the base in a coronal plane,
the frame comprising a first rail coupler on a first anterior side and a second rail coupler on an opposing posterior side, the first and second rail couplers slidably mountable on opposing rails of a surgical bed frame allowing the thoracic bolster assembly to be adjusted longitudinally along the opposing rails of the surgical bed frame;
wherein the upper portion of the thoracic bolster assembly is further adjustable in a posterior and/or anterior direction relative to the base;
a pelvic anterior paddle attached to a first anterior side of the upper portion to support the patient's anterior pelvis and a pelvic posterior paddle attached to a second posterior side of the upper portion to support the patient's posterior pelvis.
2 . The patient positioning system of claim 1 , wherein at least one of the thoracic anterior paddle, thoracic posterior paddle, pelvic anterior paddle, and pelvic posterior paddle is removable.
3 . The patient positioning system of claim 1 , further comprising a lower arm support attachable to the first anterior side of the upper portion of the thoracic bolster assembly.
4 . The patient positioning system of claim 3 , wherein the lower arm support is adjustable between a first, laterally extended position and a second, longitudinally extended position.
5 . The patient positioning system of any one of claim 1 , wherein the thoracic bolster assembly further comprises a head support coupled to the thoracic posterior paddle.
6 . The patient positioning system of claim 5 , wherein the head support is coupled to the thoracic posterior paddle via an adjustable arm.
7 . The patient positioning system of claim 6 , wherein the adjustable arm is connected to the thoracic posterior paddle via a dovetail hinge on a top side of the thoracic posterior paddle, such that the adjustable arm may be installed and removed through a vertical motion.
8 . The patient positioning system of any one of claim 1 , wherein the angular adjustment mechanism is a leadscrew/nut, gear drive, a worm gear, rack and pinion, or hypoid.
9 . The patient positioning system of any one of claim 1 , wherein the first rail coupler and second rail coupler include a channel for receiving one of the opposing rails of the surgical bed frame.
10 . The patient positioning system of any one of claim 1 , wherein at least one of the thoracic anterior paddle, lower arm support, and thoracic posterior paddle further comprises a deformable pad removably attached thereto.
11 . The patient positioning system of any one of claim 1 , wherein at least one upper portion is connected to its base via a screw and nut, and wherein the screw comprises a drive having a recess formed therein, the patient positioning system further comprising a handle with a boss for insertion into the recess of the screw to turn the screw and move the at least one upper portion relative to its base in a posterior and/or anterior direction.
12 . The patient positioning system of any one of claim 1 , wherein the pelvic posterior bolster further comprises a thigh support.
13 . The patient positioning system of claim 12 , wherein the thigh support is adjustable in the coronal plane and a sagittal plane.
14 . The patient positioning system of any one of claim 1 , wherein the thoracic anterior paddle and the thoracic posterior paddle are adjustable in the coronal plane and a sagittal plane.
15 . The patient positioning system of any one of claim 1 , wherein the pelvic anterior paddle and the pelvic posterior paddle are adjustable in the coronal plane and a sagittal plane.
16 . A patient positioning system, comprising:
a thoracic bolster assembly comprising:
a frame connected to a base connected to an upper portion, the frame comprising a first rail coupler on a first anterior side and a second rail coupler on an opposing posterior side, the first and second rail couplers slidably mountable on opposing rails of a surgical bed frame allowing the thoracic bolster assembly to be adjusted longitudinally along opposing rails of a surgical bed frame;
wherein the upper portion of the thoracic bolster assembly is further adjustable in a posterior and/or anterior direction relative to the base;
a thoracic anterior paddle attached to a first anterior side of the upper portion to support a patient's chest and a posterior paddle attached to a second posterior side of the upper portion to support a posterior portion of a patient's head and shoulders;
a pelvic bolster assembly comprising:
a frame, a base, and an upper portion, the base in connection with the frame via an angular adjustment mechanism to cause movement of the base in a coronal plane,
the frame comprising a first rail coupler on a first anterior side and a second rail coupler on an opposing posterior side, the first and second rail couplers slidably mountable on opposing rails of a surgical bed frame allowing the thoracic bolster assembly to be adjusted longitudinally along the opposing rails of the surgical bed frame;
wherein the upper portion of the thoracic bolster assembly is further adjustable in a posterior and/or anterior direction relative to the base;
a pelvic anterior paddle attached to a first anterior side of the upper portion to support the patient's anterior pelvis and a pelvic posterior paddle attached to a second posterior side of the upper portion to support the patient's posterior pelvis.
17 . The patient positioning system of claim 16 , wherein at least one of the thoracic anterior paddle, thoracic posterior paddle, pelvic anterior paddle, and pelvic posterior paddle is removable.
18 . The patient positioning system of claim 16 , wherein the thoracic anterior paddle comprises an arm support portion to support a patient's arm.
19 . The patient positioning system of any one of claim 16 , wherein the first and second rail couplers of the pelvic bolster assembly comprise channels with an open side and the first and second rail couplers of the thoracic bolster assembly comprise channels with an open side.
20 . A method of placing a patient on a lateral patient positioning system, the method comprising:
selecting the patient positioning system of claim 1 ;
adjusting the thoracic bolster assembly longitudinally along the opposing rails of the surgical bed frame;
adjusting the pelvic bolster assembly longitudinally along the opposing rails of the surgical bed frame; and
placing the patient in a lateral position over the thoracic bolster assembly and the pelvic bolster assembly.