U.S. patent number 3,809,454 [Application Number 05/286,812] was granted by the patent office on 1974-05-07 for microsurgical operating unit.
This patent grant is currently assigned to Firma J. D. Moller, Optische Werke GmbH. Invention is credited to Dieter Ferdinand Brambring.
United States Patent |
3,809,454 |
Brambring |
May 7, 1974 |
MICROSURGICAL OPERATING UNIT
Abstract
A microsurgical operating unit comprises a mobile chair for the
surgeon, a stand fixed to the chair for movement therewith and
having a laterally swingable swivel arm adjustable in height
thereon for supporting the microscope. A foot control switch means
is fixed to the chair in the area of the surgeon's feet to carry
out the swivel movements and drive movements of the
microscope-bearing swivel arm. By means of this operating unit, the
surgeon is enabled to carry out the control of the individual
devices and of the microscope with the aid of his feet, and thus to
concentrate completely on the operation area.
Inventors: |
Brambring; Dieter Ferdinand
(Koblenz, DT) |
Assignee: |
Firma J. D. Moller, Optische Werke
GmbH (Hamburg, Wedel, DT)
|
Family
ID: |
6625137 |
Appl.
No.: |
05/286,812 |
Filed: |
September 6, 1972 |
Foreign Application Priority Data
|
|
|
|
|
Nov 16, 1971 [DT] |
|
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7143195 |
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Current U.S.
Class: |
359/382; 359/384;
297/217.1; 297/217.7 |
Current CPC
Class: |
A61G
15/00 (20130101); F16M 11/08 (20130101); A61G
15/02 (20130101); F16M 11/18 (20130101); G02B
7/001 (20130101); F16M 13/027 (20130101); F16M
11/28 (20130101); F16M 11/42 (20130101); A61B
90/25 (20160201); A61B 90/50 (20160201); A61B
90/20 (20160201) |
Current International
Class: |
A61G
15/00 (20060101); A61G 15/02 (20060101); F16M
11/42 (20060101); F16M 11/02 (20060101); F16M
11/00 (20060101); F16M 11/04 (20060101); G02B
7/00 (20060101); G02b 023/16 () |
Field of
Search: |
;350/84,85,82 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Rubin; David H.
Attorney, Agent or Firm: McGlew and Tuttle
Claims
1. A microsurgical operating unit comprising, in combination, a
mobile chair support; a surgeon's chair mounted on said support; a
stand secured to said support for movement with said chair, said
stand including an upright post and at least one swivel arm
projecting laterally from said post and adjustable longitudinally
of said post and angularly relative thereto; a microscope mounted
on the free end of said swivel arm; drive units connected to said
swivel arm and operable to adjust the height and angular position
of said swivel arm relative to said post; and a control unit
mounted in said support and connected to said drive units, said
control unit including foot-operated switch means secured to said
support and positioned for foot operation by a surgeon seated in
said chair to
2. A microsurgical operating unit, as claimed in claim 1, including
further drive units connected to said microscope to adjust the
focusing and magnification thereof, said further drive units being
connected to said
3. A microsurgical operating unit, as claimed in claim 2, in which
said foot-operated switch means comprises a first set of switches
operable by the left foot of a surgeon seated in said chair and a
second set of switches operable by the right foot of a surgeon
seated in said chair; said sets of switches being mounted in
laterally spaced relation to each
4. A microsurgical operating unit, as claimed in claim 3, in which
each set of switches includes two groups of switches; each group of
switches being arranged in a respective foot-wide block and the two
blocks of each set being laterally immediately adjacent each other
and separated from each
5. A microsurgical operating unit, as claimed in claim 4, in which
each block comprises a relatively elongated central pedal mounted
for rocking movement, two pivotally mounted end pedals one adjacent
each end of the associated central pedal, a pair of first switches
each mounted adjacent the respective end of the associated central
pedal for operation by the rocking of the associated central pedal
and a pair of second switches each operable by pivoting of a
respective end pedal; means normally supporting each central pedal
in a substantially horizontal orientation; means bissing each end
pedal upwardly; and means limiting upward movement of
6. A microsurgical operating unit, as claimed in claim 5, in which
each central pedal is rockably supported at two pivot points
spaced
7. A microsurgical operating unit, as claimed in claim 6, in which
each of said pivot points comprises a knife-edge support for the
associated
8. A microsurgical operating unit, as claimed in claim 6, including
first and second longitudinally spaced uprights beneath each
central pedal spaced equidistantly from the midpoint of the length
of the associated central pedal; an ear projecting downwardly from
each central pedal adjacent the associated first upright; and a
link pivotally connected to said ear and to the associated second
upright; the height of the second upright being greater than the
height of the first upright by the height of said ear; whereby, in
its horizontal rest position, each central pedal directly engages
the associated second upright and its ear directly
9. A microsurgical operating unit, as claimed in claim 5, in which
each end pedal has an angular form with an outer end projecting
above the
10. A microsurgical operating unit, as claimed in claim 9, in which
each partition wall is formed with a relatively shallow recess in
its upper edge intermediate its ends whereby, to operate an end
pedal of either of the two groups of a set, either the heel or the
toe of the surgeon's foot associated with the respective set can be
engaged in said recess and the toe or the heel used to operate an
associated end switch.
Description
BACKGROUND OF THE PRIOR ART
In micro-surgery, it is known to arrange the microscopes by use of
suspension devices, at the ceiling of the operating theater in the
area of the operating table, devices being provided rendering
possible an adjustment in height and in depth as well as a lateral
adjustment of the microscope. The known suspension devices are,
however, designed only to receive microscopes. The microscopes are
suspended at the free end of swivel arms which are fixed to a
vertical stand. For reasons of stability and non-oscillation, the
base of the stand and the reach of the swivel arms bearing the
microscope are kept as small as possible by which one is enforced
to set up the stand at the side of the surgeon, the operating team
being thus strongly impeded in its freedom of movement. That is to
say a number of surgical treatments require a change of the
surgeon's position which is made possible by means of the mobile
chair. An arrangement of the mentioned type is disclosed in Draeger
et al. U.S. Pat. No. 3,566,872, issued Mar. 2, 1971, and assigned
to the assignee of the present invention. However, it would be
advantageous if it were possible to maintain the spatial
correlation of the equipment used by the surgeon during an
operation.
SUMMARY OF THE INVENTION
It is therefore the object of the invention to provide a
micro-surgical operating unit by means of which the disadvantages
of the known arrangements and correlations of micro-surgical
operating units are avoided. According to the invention, a
micro-surgical operating unit is characterized by the combination
of the following features:
A. A surgeon's chair is designed as a mobile chair bearing a stand
mounted on a support for the chair behind the seat, the stand
comprising a vertical tube and at least one swivel arm projecting
laterally and horizontally and being adjustable in height and
sidewards by means of drive units, a microscope being installed at
the free end of the swivel arm.
B. For focusing and change of magnitude the microscope is provided
with drive units which, together with the drive units for adjusting
the swing lever of the stand in height and swinging it laterally,
are controlled via a foot control switch means provided on the
support for the surgeon's chair.
C. The control lines connected to the drive units are united in a
control device which is connected to the foot control switch means
of the surgeon's chair, the foot control switch means consisting of
foot switches connected to the support in the area of the surgeon's
feet and at the base of the chair, the foot switches being housed
in four foot-wide blocks arranged side by side and separated from
each other by vertical partition walls, each single block having a
central pedal, formed as a rocker with stops, and two end pedals
arranged in the end areas of the central pedal and projecting from
its horizontal level, while control switches are installed beneath
the end pedals and beneath the two ends of the central pedal which
is held in two knife-edge supports arranged in spaced relation to
each other.
BRIEF DESCRIPTION OF THE DRAWINGS
The drawing shows an embodiment of the object of the invention,
wherein
FIG. 1 shows a microsurgical operating unit comprising a suspension
device for the microscope and the surgeon's chair, in a lateral
view,
FIG. 2 shows the surgeon's chair with foot control switch means
installed in the base, in a lateral view
FIG. 3 shows the base of the chair in a top view,
FIG. 4 shows the surgeon's chair in a front view,
FIG. 5 shows a central pedal formed as foot switch, partly in
section, partly as an elevation,
FIG. 6 shows two foot switches arranged side by side in a top view
and
FIGS. 7 to 9 illustrate a central pedal with a two-joint support,
showing the pedal in various tilting positions, in lateral
views.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The microsurgical operating unit designed according to the
invention consists, in the embodiment shown in FIG. 1, of a stand
10, a surgeon's chair 11 and a foot control switch means 12
provided at the surgeon's chair 11.
The stand 10 comprises a stand tube 13 which is, at the bottom end,
fixed at 15 and 16 to the support 14 for the surgeon's chair 11.
The stand tube 13 has an upper narrower tube section 13a on which a
traversing slide 17 is mounted and which is slidable on the tube
section 13a in the direction of the longitudinal axis of the stand
tube either manually or by motor by means of a drive motor
indicated at 112, a swing lever 21 being attached to traversing
slide 17, the swing lever bearing, at its free end, a microscope 22
constructed in a manner known per se. The swing lever 21 consists
of two sections 21a and 21b which are connected to each other and
swingable round the vertical axis 23. The microscope 22 is mounted
to be moved to any position desired by the surgeon. The lateral
swinging of the microscope, i.e., of its two swivel arm sections
21a and 21b, is effected by means of a drive unit indicated at 111.
For focusing and change of magnitude, the microscope 22 is
furthermore connected to drive units 113 and 114.
The surgeon's chair 11 is composed of a seat area 24, a back rest
25 and arm rests 26. The support 14 for chair 11 is provided with
runners 27 so that the chair can be moved. The stand tube 10 is
preferably mounted behind the seat area 24, the back rest 25 of
chair 11, on the support 14 (FIGS. 2 and 4).
The foot control switch means 12 is attached to the support 14, the
former consisting of a foot part 30 which is upwardly tiltable at
one end so that the foot part can be adapted to the inclination of
the foot of the surgeon sitting on the chair. The foot part 30
consists of two portions 120a, 120b, for the left foot and the
right foot respectively. Each portion 120a, 120b of foot part 30
contains eight switching functions which can be carried out by
means of foot switches 121, 122, 123, 121a, 122a, 123a resp., 121b,
122b, 123b resp., 121c, 122c, 123c resp., which are housed in four
foot-wide blocks (124, 124a, 124b, 124c) arranged side by side,
blocks 124, 124a and blocks 124b, 124c of each pair being separated
from one another by respective vertical partition walls 125, 126
(FIGS. 3 and 4).
Each block 124, 124a, 124b, 124c has three foot pedals. Foot pedals
121, 122, 123 are attached to block 124, foot pedals 121a, 122a,
123a to block 124a, foot pedals 121b, 122b, 123b to block 124b, and
foot pedals 121c, 122c, 123c to block 124c (FIG. 3). In each set of
three foot pedals of each block 124, 124a, 124b, 124c, the pedals
121, 121a, 121b, 121c are designed as central pedals and the foot
pedals 122, 122a, 123, 123a, 122b, 123b, 122c, 123c as end
switches. Two end pedals 122, 123, 122a, 123a resp., 122b, 123b
resp., 122c, 123c resp., are associated with each central pedal.
The end pedals associated with each central pedal are mounted in
the area of the free ends of the associated central pedal and
project from the plane surface of the central pedals. The end
pedals preferably have an angular form and are, as shown in FIG. 5,
swingably supported at 127, 128 by the mounting supports 132, 133
which at the same time constitute knife-edge support for the
central pedals. The end pedals are under the action of springs 130,
131. The upper stops are indicated at 139, 140.
In order to give the foot an easy rest and to avoid the danger of
erroneous switching, the central pedals 121, 121a, 121b, 121c are
constructed as rockers. For this purpose, the central pedals are
held on the knife-edge supports 132, 133 which are in spaced
relation to each other, and the central pedals are centrally
connected to a spring 134. Switch elements 135, 136 are installed
beneath and in the end areas of the central pedals 121a, 121b,
121c. Each end switch correspondingly has a switching element 137,
138 (FIG. 5). The switching elements 135, 136, 137, 138 as well as
the drive units 111, 112, 113, 114 are united in a control device
110 which is housed in the box-like frame-support 14 of the
surgeon's chair 11 (FIG. 1). By means of the control device 110,
the corresponding controls for the lifting and lowering and the
lateral swinging of the swivel arm 21, as well as for the
individual devices of the microscope 22, are carried out when the
corresponding foot pedals are operated.
The central pedals 121, 122, 123 may be provided with two hinged
supports consisting of a guide link 142 one of the free ends of
which is fixed at 143 at the underside of the central pedal.
Beneath the pivotal point 143, a support 144 is provided. The other
free end of the guide rod 142 is hinged to a fixed support 145
which is designed and mounted in a way such that the end of the
guide rod fixed at 143 at the central pedal engages the fixed
support 144, the central pedal being in the normal position,
whereas the upper free end of the second fixed support 145 engages
the underside of the central pedal (FIG. 7). FIGS. 8 and 9 show the
different tilting positions of a central pedal for operating the
switches 135, 136 (FIG. 5).
In order to guarantee safe switching operations, the partition
walls 125, 126 are provided centrally with a recess 150 formed in
the upper horizontal edge of the partition wall, the limiting edges
of the recess being indicated at 151, 152. The limiting edges 151,
152 of the recess 150 are disposed so that, as soon as the heel or
the tip of the shoe comes to rest on one of the two limiting edges
the corresponding other end of the foot will come to rest in the
area of the end switches (FIGS. 5 and 6). The different positions
of the foot are indicated at A and B.
With the aid of a surgeon's chair constructed in this way the
surgeon becomes largely independent of his assistants so that quick
and safe working will be guaranteed. By means of a foot-operated
remote-control provided on the chair the hands of the surgeon will
be free for the actual operation. All controls of the corresponding
devices and equipments are carried out by means of the foot control
switches. The foot control switches, consisting of the central
pedals and the end pedals, can be disposed in the foot part 30 so
that, for example, the left foot controls the operation instruments
and the right foot the adjustment of the microscope. Such an
assignment of respective switching functions to each foot
facilitates the switching essentially. More rarely used functions,
which are hardly ever used together with other switching processes,
are installed outside the normal foot position and are therewith
noninterchangeable. By means of the foot switches the electrical
and pneumatic devices for the surgical operation are controlled,
as, for example, high frequency coagulation, galvanization, magnet
valve of the gas injector and similar. Furthermore, the control of
the operation microscope, that is its focusing and change of
magnitudes is carried out by an optical system Vario installed at
the microscope 22. The central pedals 121a, 121b, 121c formed as
rockers and having end limitations, receive the two feet of the
surgeon. By mounting the central pedals on knife-edge supports, or
by using two hinged supports, resp., a novel construction has been
created, a marked pressure of the toes, the heel respectively,
being required for the switching functions. In the resting position
the foot can be set firmly on the corresponding central pedal.
Functions which belong together are preferably actuated by the same
central pedal. If the switching functions have to be carried out by
means of the end pedals, the use of the pedals lying side by side
has proved to be advantageous as it is frequently difficult to move
the foot from the front to the rear or vice versa. In order to
guarantee safe switching, the partition walls 125, 126 are, at foot
part 30, centrally provided with a recess 150 each. If, for
example, any of the devices is to be adjusted, this will be done by
means of the corresponding front end pedal. The foot will be set on
the partition wall. Then it will be moved slidingly forward until
the end slides into the recess. Thereafter, the foot is turned with
the foot tip lifted towards the left, the right, respectively, so
that the front end pedal can easily be found. In the same way the
rear end pedals are actuated, the foot sliding rearwardly until the
foot tip will rest in the recess.
By mounting the stand 10 for the microscope 22 and the foot control
switch means 12 on chair 11 the spatial allocation of the devices
used by the operating surgeon remains maintained at each change of
position of the chair. Moreover, the novel device can be used with
great advantage wherever it is not possible to suspend the
microsurgical operating unit on the wall or ceiling.
* * * * *