EP1898858B1 - Arm rest - Google Patents

Arm rest Download PDF

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Publication number
EP1898858B1
EP1898858B1 EP06741059A EP06741059A EP1898858B1 EP 1898858 B1 EP1898858 B1 EP 1898858B1 EP 06741059 A EP06741059 A EP 06741059A EP 06741059 A EP06741059 A EP 06741059A EP 1898858 B1 EP1898858 B1 EP 1898858B1
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EP
European Patent Office
Prior art keywords
arm
support
base plate
patient
arm support
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EP06741059A
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German (de)
French (fr)
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EP1898858A1 (en
Inventor
Karl-Heinz Semlitsch
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Secar Technologie GmbH
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Secar Technologie GmbH
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Publication of EP1898858A1 publication Critical patent/EP1898858A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1235Arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/50Devices for specific treatment or diagnosis for radiography

Definitions

  • the invention relates to a device according to the preamble of claim 1.
  • Armrests for beds, in particular examination beds, are known in various embodiments.
  • an armrest which consists essentially of a base plate and a molded-on depression for inserting the arm.
  • the base plate can be pushed under the patient and is thus fixed by the weight of the patient.
  • the armrest is used to fix and position the patient during a fluoroscopic procedure, such as an X-ray.
  • the patient's arms rest laterally beside the body, with the arms located below the plane of the base plate.
  • the trough or the bottom of the trough runs parallel to the base plate of the armrest and thus also parallel to the examination bed or to the upper body of the patient.
  • the patient's arm is always angled. This is inevitable because the armrests are not attached to the actual anatomy of an arm are adjusted. However, such angulation is troublesome when infusions or cannulas are applied to the patient.
  • the arm is straight outstretched.
  • This straight outstretched in front of the body attitude of the arms can be easily achieved via the armrests according to the invention. For this reason, the accessibility for the doctors is improved and the well-being of the patient is increased.
  • the known armrests are not anatomically favorable or not well adapted to the real anatomical conditions of a person.
  • the object of the invention is therefore to provide an armrest that can be easily brought into the appropriate position and ensures anatomically favorable positioning of the arms of a patient.
  • the armrest can be used by its advantageous embodiment for all body sizes. By varying the position with respect to the body, the armrest can always be optimally positioned.
  • this arm support is suitable for use in a CT tunnel, as the arms would not protrude laterally from the body and thus hinder movement in the dimensionally restricted CT tunnel. It is also possible to adjust the height of the arms to the limited dimensions of a computerized tomography tunnel by moving the armrest.
  • the tilt of the arms corresponds to the natural conditions of an arm stretched away from the body. This relieves the patient's arm and relieves tension or disability in the nerves or joints.
  • the nerves which run from the neck to the arm are relieved, and the arm of the patient lies in an anatomically natural position which is comfortable for the patient.
  • the arms of the patient rest relaxed on the armrests and a positioning and fixation is therefore possible for a long time, without causing discomfort to the patient.
  • the armrest can be used by the inclined position of the support part and by the displaceability of the arm rail with respect to the examination table for all body sizes.
  • the features of claim 2 ensure optimal adaptation of the bracer to the anatomical requirements in humans.
  • the angle is chosen so that the advantages of the inclination come into their own in the best possible way.
  • the features of claim 4 are formed.
  • the fixation effect of the bracer is thereby increased and the quality of the fluoroscopic examination increased.
  • the bracer is particularly stable and resilient.
  • the bracer can be easily rotated to a certain degree without losing their fixed positioning.
  • recesses may be formed according to claim 12.
  • recesses may also be arranged in the carrier part.
  • the armrest comprises a substantially flat base plate 1 which can be slipped under the patient's body or under the mattress of the examination table.
  • To the base plate 1 includes a support plate 2.
  • This support plate 2 is inclined relative to the base plate 1 by the angle ⁇ .
  • the angle ⁇ is between 90 ° and 120 °, preferably 104 to 113 °.
  • the inclination takes place in particular by bending the support plate 2 relative to the base plate 1 and the bending edge is rounded.
  • the angle ⁇ is greater than or equal to 90 °, therefore, the support plate 2 in the position of use is always outward, ie inclined away from the patient.
  • the carrier part 3 has the shape of a cone or cylinder jacket segment or a cylindrical shell or longitudinal barrel or arc shell, ie it has the shape of a cylinder jacket which has been cut open in the direction of a generatrix.
  • the support part 3 is shaped like a channel, with a thickness and length of an average arm, ie about 10cm x 50cm.
  • the channel has the cross-sectional shape of a circle section, but may also have the shape of an elliptical section.
  • Fig. 3 is the support member 3 in the form of a rectangular groove and according to Fig. 4 the carrier part consists only of a flat plate. This plate can be rectangular or oval shaped.
  • the support part 3 is always dimensioned such that an average arm is at least partially deployable.
  • the substantially flat and flat support plate 2 defines a plane or lies in a certain plane.
  • the support member 3 is, as in the Fig. 2, 3 and 4 is shown, with respect to this plane defined by the support plate 2 arranged mirror-symmetrically, ie the support member 3 is in the position of use, as well as the support plate 2 itself, slightly inclined to the outside, away from the patient.
  • the angle ⁇ near edge 6 and optionally the angle ⁇ far end edge 7 of the support member 3 are fed towards the center of the support member 3 out or offset inwardly or rounded.
  • the carrier part 3 is arranged inclined with respect to its longitudinal dimension or its longitudinal extent 9 with respect to the base plate 1 or the plane spanned by the base plate.
  • This inclination angle ⁇ between the support part 3 and the base plate 1 is between 10 ° and 30 °, in particular between 15 ° and 25 °, preferably 20 ° to 24 °.
  • the armrest is integrally formed and is formed by bending or hot lamination and other types of hot forming.
  • the armrest is made of X-ray permeable material, such as plastic, which may optionally be reinforced by carbon or carbon fibers, aramids and / or glass fibers. In this case, in particular epoxy resin or polyamide is advantageous.
  • two elongated recesses 5 are formed in the support plate 2, in which the base plate remote area of the support plate 2.
  • securing or fastening straps can be carried out and the arm are fixed, for example by means of Velcro straps on the support member 3.
  • recesses may also be arranged in the support part 3.
  • the size of the base plate 1 is dimensioned such that the armrest is held by the weight of the patient with sufficient strength. As mentioned, the base plate 1 is inserted under the mattress or under the body of the patient. As a result, appropriate pressure should be exerted on the base plate 1, which is sufficient to carry the patient's arm safely.
  • the size of the base plate 1 is about 200 to 400 cm 2 , but may also be made larger. It is further possible to mold the base plate 1 to the examination table or to detachably or permanently attach it to the examination table or to provide connection means for attaching such an armrest to a examination table. Thus, more recesses could be provided in the base plate 1, which allow such attachment.
  • the armrest is now positioned so that the patient can comfortably rest his arm on the armrest, i. that his elbow also rests in the armrest 3 or in the support part 3.
  • the examination table including armrests, is placed in the tomography device, i. inserted into the CT tunnel.
  • guide rails may be formed in the examination bed, in which the arm supports are displaceable in the longitudinal and / or transverse direction.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Description

Die Erfindung betrifft eine Vorrichtung gemäß dem Oberbegriff des Anspruches 1.The invention relates to a device according to the preamble of claim 1.

Armstützen für Betten, insbesondere Untersuchungsbetten, sind in verschiedenen Ausführungsformen bekannt.Armrests for beds, in particular examination beds, are known in various embodiments.

So sind in der US 4,681,308 gerade rechtwinkelig vom Bett abstehende Armstützen beschrieben.So are in the US 4,681,308 straight armrests protruding from the bed at right angles.

In der US 2004/0123389 und in der US 2005/0015879 werden Armstützen beschrieben, bei denen der Arm während einer Operation mittels einer komplizierten Struktur in Position gehalten wird.In the US 2004/0123389 and in the US 2005/0015879 describes armrests in which the arm is held in position during an operation by means of a complicated structure.

In der US 6,101,650 wird weiters eine Armstütze beschrieben, die im wesentlichen aus einer Basisplatte und einer daran angeformten Mulde zum Einlegen des Armes besteht. Die Basisplatte kann dabei unter den Patienten geschoben werden und wird somit durch das Gewicht des Patienten fixiert. Die Armstütze dient zur Festlegung und Positionierung des Patienten während eines Durchleuchtungsvorgangs, beispielsweise einer Röntgenuntersuchung. Die Arme des Patienten ruhen seitlich neben dem Körper, wobei die Arme unterhalb der Ebene der Basisplatte angeordnet sind. Die Mulde bzw. der Boden der Mulde verläuft parallel zur Basisplatte der Armstütze und somit auch parallel zum Untersuchungsbett bzw. zum Oberkörper des Patienten.In the US 6,101,650 Furthermore, an armrest is described, which consists essentially of a base plate and a molded-on depression for inserting the arm. The base plate can be pushed under the patient and is thus fixed by the weight of the patient. The armrest is used to fix and position the patient during a fluoroscopic procedure, such as an X-ray. The patient's arms rest laterally beside the body, with the arms located below the plane of the base plate. The trough or the bottom of the trough runs parallel to the base plate of the armrest and thus also parallel to the examination bed or to the upper body of the patient.

In der US 5,785,057 wird eine Armstütze für einen Operationstisch beschrieben. Bei dieser Armstütze ist ein plattenförmiger Basisteil ausgebildet, der unter die Matratze gelegt wird und vom Patienten selbst beschwert wird. Weiters ist eine zylinderschalenförmige Stütze vorgesehen, auf die der Arm auflegbar ist. Die Armstütze soll die Hand und die Finger des Patienten von Verletzungen während einer Operation bewahren. Derartige Verletzungen können beispielsweise auftreten, während der Operationstisch bewegt oder umgebaut wird. Auch in diesem Fall ist die Stütze bzw. Mulde, in die der Arm eingelegt werden kann, parallel zum Basisteil bzw. zum Bett bzw. zum Patienten ausgebildet. Auch US6026812 beschreibt eine ähnliche Armstütze.In the US 5,785,057 An armrest for an operating table is described. In this armrest, a plate-shaped base part is formed, which is placed under the mattress and is weighted by the patient himself. Furthermore, a cylindrical shell-shaped support is provided, on which the arm can be placed. The armrest is designed to protect the patient's hand and fingers from injury during surgery. Such injuries may occur, for example, while the operating table is being moved or rebuilt. Also in this case, the support or trough, in which the arm can be inserted, is formed parallel to the base part or to the bed or to the patient. Also US6026812 describes a similar armrest.

Diese aus dem Stand der Technik bekannten Armstützen haben in der Praxis verschiedene Nachteile. So werden an die Arme eines Patienten während einer Operation bzw. während einer Durchleuchtungsuntersuchung, z.B. in einem CT-Tunnel, üblicherweise zahlreiche Zugangskanäle bzw. Schläuche angelegt. Diese müssen während des gesamten Verlaufes für Ärzte zugänglich sein. Eine derartige Zugänglichkeit ist beispielsweise durch die Ausführungsform der US 5,785,057 nicht gegeben.These known from the prior art armrests have several disadvantages in practice. For example, numerous access ducts or hoses are usually applied to the arms of a patient during an operation or during a fluoroscopic examination, for example in a CT tunnel. These must be accessible to physicians throughout the course. Such accessibility is, for example, by the embodiment of the US 5,785,057 not given.

Außerdem ist bei den Ausführungsformen des Standes der Technik der Arm des Patienten immer angewinkelt. Dies erfolgt zwangsläufig, da die Armstützen nicht an die eigentliche Anatomie eines Armes angepasst sind. Eine derartige Abwinkelung ist jedoch störend, wenn bei dem Patienten Infusionen oder Kanülen angelegt sind.Moreover, in the prior art embodiments, the patient's arm is always angled. This is inevitable because the armrests are not attached to the actual anatomy of an arm are adjusted. However, such angulation is troublesome when infusions or cannulas are applied to the patient.

Weiters beeinträchtigt eine derartige Abwinkelung des Armes die Zugänglichkeit für den behandelnden Arzt. So ist beispielsweise ein Wechseln der Kanülen auf der Innenseite des gebeugten Ellbogenbereichs schwierig und unangenehm für den Patienten.Furthermore, such an angulation of the arm affects the accessibility for the attending physician. For example, changing the cannulas on the inside of the flexed elbow region is difficult and uncomfortable for the patient.

Aus diesen Gründen ist es vorteilhaft, wenn der Arm gerade ausgestreckt liegt. Diese gerade vor dem Körper ausgestreckte Haltung der Arme kann gut über die erfindungsgemäßen Armstützen erreicht werden. Aus diesem Grund wird die Zugänglichkeit für die Ärzte verbessert sowie das Wohlbefinden des Patienten erhöht.For these reasons, it is advantageous if the arm is straight outstretched. This straight outstretched in front of the body attitude of the arms can be easily achieved via the armrests according to the invention. For this reason, the accessibility for the doctors is improved and the well-being of the patient is increased.

Weiters sind die bekannten Armstützen anatomisch nicht günstig bzw. den realen anatomischen Verhältnissen eines Menschen nicht gut angepasst.Furthermore, the known armrests are not anatomically favorable or not well adapted to the real anatomical conditions of a person.

Aufgabe der Erfindung ist es daher, eine Armstütze vorzusehen, die leicht in die geeignete Position gebracht werden kann und eine anatomisch günstige Positionierung der Arme eines Patienten gewährleistet.The object of the invention is therefore to provide an armrest that can be easily brought into the appropriate position and ensures anatomically favorable positioning of the arms of a patient.

Weiters ist es Aufgabe der Erfindung eine Armstütze vorzusehen, bei der die Zugänglichkeit der Arme für die Ärzte während des gesamten Untersuchungsverlaufes bzw. Operationsverlaufes gut gewährleistet ist.It is another object of the invention to provide an armrest, in which the accessibility of the arms for the doctors during the entire course of the examination or operation course is well ensured.

Diese Aufgaben werden durch die kennzeichnenden Merkmale des Anspruches 1 gelöst.These objects are achieved by the characterizing features of claim 1.

Die Armstütze ist durch ihre vorteilhafte Ausgestaltung für alle Körpergrößen einsetzbar. Durch Variation der Position bezüglich des Körpers, kann die Armstütze immer optimal positioniert werden.The armrest can be used by its advantageous embodiment for all body sizes. By varying the position with respect to the body, the armrest can always be optimally positioned.

Außerdem ist diese Armstütze für die Anwendung in einem CT-Tunnel geeignet, da die Arme nicht seitlich vom Körper wegragen und damit eine Bewegung im dimensionsmäßig beschränkten CT-Tunnel behindern würden. Auch ist es möglich, durch Verschieben der Armstütze die Höhe der Arme auf die beschränkten Dimensionen eines Computer-Tomographie-Tunnels anzupassen.In addition, this arm support is suitable for use in a CT tunnel, as the arms would not protrude laterally from the body and thus hinder movement in the dimensionally restricted CT tunnel. It is also possible to adjust the height of the arms to the limited dimensions of a computerized tomography tunnel by moving the armrest.

Die Schräglage der Arme entspricht den natürlichen Verhältnissen eines vom Körper weggestreckten Armes. Dadurch wird der Arm des Patienten entlastet und Verspannungen oder Beeinträchtigungen von Nerven oder Gelenken werden vermindert. Durch die erfindungsgemäße Armstütze werden die Nerven, die vom Hals bis zum Arm verlaufen, entlastet und der Arm des Patienten liegt in einer anatomisch natürlichen und für den Patienten angenehmen Position. Die Arme des Patienten ruhen entspannt auf den Armstützen und eine Positionierung und Fixierung ist daher auch für längere Zeit möglich, ohne dem Patienten dabei Unwohlsein zuzufügen.The tilt of the arms corresponds to the natural conditions of an arm stretched away from the body. This relieves the patient's arm and relieves tension or disability in the nerves or joints. By means of the arm support according to the invention, the nerves which run from the neck to the arm are relieved, and the arm of the patient lies in an anatomically natural position which is comfortable for the patient. The arms of the patient rest relaxed on the armrests and a positioning and fixation is therefore possible for a long time, without causing discomfort to the patient.

Dadurch werden auch für eine Tomographie störende Bewegungen des Patienten vermieden, durch die sich dieser in eine angenehmere Position zu bringen versucht. Die Qualität der CT-Untersuchung nimmt daher zu.As a result, troublesome movements of the patient are avoided for a tomography, trying to bring this in a more comfortable position. The quality of CT examination is therefore increasing.

Weiters ist die Armstütze durch die Schräglage des Trägerteils und durch die Verschiebbarkeit der Armschiene bezüglich des Untersuchungstisches für alle Körpergrößen einsetzbar.Furthermore, the armrest can be used by the inclined position of the support part and by the displaceability of the arm rail with respect to the examination table for all body sizes.

Die Merkmale des Anspruchs 2 gewährleisten eine optimale Anpassung der Armschiene an die anatomischen Erfordernisse beim Menschen. Der Winkel ist so gewählt, dass die Vorteile der Schrägstellung bestmöglich zur Geltung kommen.The features of claim 2 ensure optimal adaptation of the bracer to the anatomical requirements in humans. The angle is chosen so that the advantages of the inclination come into their own in the best possible way.

Um den Komfort und die Fixierung des Arms weiter zu erhöhen ist es vorteilhaft, die Merkmale des Anspruchs 3 vorzusehen. Die Stabilität der Armstütze bleibt erhalten.In order to further increase the comfort and the fixation of the arm, it is advantageous to provide the features of claim 3. The stability of the armrest is maintained.

Um zu verhindern, dass der Arm aus der Armschiene rutscht oder herabfällt, ist es vorteilhaft, wenn die Merkmale des Anspruchs 4 ausgebildet sind. Die Fixierwirkung der Armschiene wird dadurch erhöht und die Qualität der Durchleuchtungsuntersuchung gesteigert. In diesem Zusammenhang ist es besonders vorteilhaft, wenn die Merkmale des Anspruchs 5 vorgesehen sind. Dadurch erfolgt eine bessere Anpassung an die menschliche Anatomie.In order to prevent the arm from slipping or falling off the arm rail, it is advantageous if the features of claim 4 are formed. The fixation effect of the bracer is thereby increased and the quality of the fluoroscopic examination increased. In this context, it is particularly advantageous if the features of claim 5 are provided. This results in a better adaptation to the human anatomy.

Um Verletzungen zu vermeiden ist es vorteilhaft, die Merkmale der Ansprüche 6 bzw. 11 vorzusehen.In order to avoid injuries, it is advantageous to provide the features of claims 6 and 11, respectively.

Durch die Merkmale des Anspruchs 7 ergibt sich der Vorteil einer einfachen Herstellung. Weiters ist die Armschiene dadurch besonders stabil und belastbar.Due to the features of claim 7, there is the advantage of a simple production. Furthermore, the bracer is particularly stable and resilient.

Zur Fixierung des Arms am Trägerteil, ist es vorteilhaft, wenn die Merkmale des Anspruchs 8 vorgesehen sind.For fixing the arm on the support part, it is advantageous if the features of claim 8 are provided.

Erhöhte Stabilität und Steifigkeit ergibt sich durch die vorteilhaften Merkmale des Anspruchs 9. Dadurch wird ein Zittern und Wackeln während der Untersuchung vermieden und die Qualität der Aufnahmen steigt. Auch die Durchlässigkeit des Materials für die verwendete Strahlung erhöht die Qualität der Untersuchung.Increased stability and rigidity results from the advantageous features of claim 9. This avoids shaking and shaking during the examination and the quality of the images increases. The permeability of the material to the radiation used also increases the quality of the examination.

Um die Armschiene flexibel und ohne große Einschränkungen verschieben zu können, ist es vorteilhaft, die Merkmale des Anspruchs 10 vorzusehen. Die Armschiene kann so leicht auch bis zu einem gewissen Grad gedreht werden, ohne ihre feste Positionierung zu verlieren.In order to be able to move the arm rail flexibly and without great restrictions, it is advantageous to provide the features of claim 10. The bracer can be easily rotated to a certain degree without losing their fixed positioning.

Um Gewicht und Material einzusparen können auch weitere Ausnehmungen gemäß Anspruch 12 ausgebildet sein. Um Schwitzen des Patienten zu verhindern, können derartige Ausnehmungen auch im Trägerteil angeordnet sein.To save weight and material and other recesses may be formed according to claim 12. To prevent sweating of the patient, such recesses may also be arranged in the carrier part.

Weitere Vorteile und Ausgestaltungen der Erfindung ergeben sich aus der Beschreibung und den beiliegenden Zeichnungen.Further advantages and embodiments of the invention will become apparent from the description and the accompanying drawings.

Die Erfindung ist anhand von Ausführungsbeispielen in den Zeichnungen schematisch dargestellt und wird im folgenden mit Bezugnahme auf die Zeichnungen beispielsweise beschrieben.

  • Fig. 1 zeigt eine Seitenansicht der Armstütze.
  • Fig. 2 zeigt eine Frontalansicht der Armstütze.
  • Fig. 3 und Fig. 4 zeigen alternative Ausführungsformen des Trägerteils.
The invention is illustrated schematically by means of embodiments in the drawings and will be described below with reference to the drawings, for example.
  • Fig. 1 shows a side view of the armrest.
  • Fig. 2 shows a frontal view of the armrest.
  • FIG. 3 and FIG. 4 show alternative embodiments of the support member.

In Fig. 1 ist eine erfindungsgemäße Armstütze in Seitenansicht dargestellt. Die Armstütze umfasst eine im wesentlichen flache Basisplatte 1, die unter den Körper des Patienten oder unter die Matratze des Untersuchungstisches geschoben werden kann. An die Basisplatte 1 schließt eine Stützplatte 2 an. Diese Stützplatte 2 ist gegenüber der Basisplatte 1 um den Winkel β geneigt. Der Winkel β beträgt zwischen 90° und 120°, vorzugsweise 104 bis 113°. Die Neigung erfolgt insbesondere durch Aufbiegen der Stützplatte 2 gegenüber der Basisplatte 1 und die Biegekante ist gerundet ausgebildet. Der Winkel β ist größer oder gleich 90°, daher ist die Stützplatte 2 in Gebrauchsstellung ständig nach außen, d.h. vom Patienten weg geneigt.In Fig. 1 an armrest according to the invention is shown in side view. The armrest comprises a substantially flat base plate 1 which can be slipped under the patient's body or under the mattress of the examination table. To the base plate 1 includes a support plate 2. This support plate 2 is inclined relative to the base plate 1 by the angle β. The angle β is between 90 ° and 120 °, preferably 104 to 113 °. The inclination takes place in particular by bending the support plate 2 relative to the base plate 1 and the bending edge is rounded. The angle β is greater than or equal to 90 °, therefore, the support plate 2 in the position of use is always outward, ie inclined away from the patient.

Am oberen Ende der Stützplatte, d.h. an dem der Basisplatte 1 fernen Ende der Stützplatte 2, ist ein länglicher Trägerteil 3 angeordnet. Der Trägerteil 3 kann, wie dies aus den Fig. 2, 3 und 4 ersichtlich ist, unterschiedlich ausgebildet sein, er weist jedoch immer einer relativ längere Längsabmessung 9 und eine relativ kürzere Breitenabmessung 8 auf. Gemäß Fig. 2 weist der Trägerteil 3 die Form eines Kegel- oder Zylindermantelsegmentes bzw. einer Zylinderschale bzw. Längstonnen- oder Bogenschale auf, d.h. er hat die Form eines Zylindermantels, der in Richtung einer Erzeugenden aufgeschnitten wurde. Der Trägerteil 3 ist rinnenförmig geformt, mit einer Dicke und Länge eines durchschnittlichen Armes, d.h. ca. 10cm x 50cm. Die Rinne hat die Querschnittsform eines Kreisabschnittes, kann aber auch die Form eines Ellipsenabschnittes haben.At the upper end of the support plate, ie at the base plate 1 far end of the support plate 2, an elongated support member 3 is arranged. The support member 3, as can be seen from the Fig. 2, 3 and 4 it can be seen to be designed differently, but it always has a relatively longer longitudinal dimension 9 and a relatively shorter width dimension 8. According to Fig. 2 the carrier part 3 has the shape of a cone or cylinder jacket segment or a cylindrical shell or longitudinal barrel or arc shell, ie it has the shape of a cylinder jacket which has been cut open in the direction of a generatrix. The support part 3 is shaped like a channel, with a thickness and length of an average arm, ie about 10cm x 50cm. The channel has the cross-sectional shape of a circle section, but may also have the shape of an elliptical section.

Weitere Gestaltungsformen des Trägerteils 3 sind möglich. Gemäß Fig. 3 ist der Trägerteil 3 in Form einer rechtwinkeligen Rinne ausgebildet und gemäß Fig. 4 besteht der Trägerteil lediglich aus einer flachen Platte. Diese Platte kann rechteckig oder oval geformt sein.Further design forms of the support part 3 are possible. According to Fig. 3 is the support member 3 in the form of a rectangular groove and according to Fig. 4 the carrier part consists only of a flat plate. This plate can be rectangular or oval shaped.

Der Trägerteil 3 ist jedoch immer derart dimensioniert, dass ein durchschnittlicher Arm zumindest teilweise auflegbar ist.However, the support part 3 is always dimensioned such that an average arm is at least partially deployable.

Die im wesentlichen flache und ebene Stützplatte 2 definiert eine Ebene bzw. liegt in einer gewissen Ebene. Der Trägerteil 3 ist, wie dies auch in den Fig. 2, 3 und 4 dargestellt ist, bezüglich dieser durch die Stützplatte 2 definierten Ebene spiegelsymmetrisch angeordnet, d.h. der Trägerteil 3 ist in Gebrauchsstellung, wie auch die Stützplatte 2 selbst, leicht nach außen, weg vom Patienten geneigt.The substantially flat and flat support plate 2 defines a plane or lies in a certain plane. The support member 3 is, as in the Fig. 2, 3 and 4 is shown, with respect to this plane defined by the support plate 2 arranged mirror-symmetrically, ie the support member 3 is in the position of use, as well as the support plate 2 itself, slightly inclined to the outside, away from the patient.

Um Verletzungen zu vermeiden, sind die dem Winkel α nahe Kante 6 und gegebenenfalls die dem Winkel α ferne Endkante 7 des Trägerteils 3 in Richtung der Mitte des Trägerteils 3 hin eingezogen bzw. nach innen versetzt bzw. abgerundet ausgebildet.In order to avoid injuries, the angle α near edge 6 and optionally the angle α far end edge 7 of the support member 3 are fed towards the center of the support member 3 out or offset inwardly or rounded.

Wesentlich ist, dass der Trägerteil 3 bezüglich seiner Längsabmessung bzw. seiner Längserstreckung 9 gegenüber der Basisplatte 1 bzw. der durch die Basisplatte aufgespannten Ebene geneigt angeordnet ist. Dieser Neigungswinkel α zwischen dem Trägerteil 3 und der Basisplatte 1 liegt zwischen 10° und 30°, insbesondere zwischen 15° und 25°, vorzugsweise 20° bis 24°.It is essential that the carrier part 3 is arranged inclined with respect to its longitudinal dimension or its longitudinal extent 9 with respect to the base plate 1 or the plane spanned by the base plate. This inclination angle α between the support part 3 and the base plate 1 is between 10 ° and 30 °, in particular between 15 ° and 25 °, preferably 20 ° to 24 °.

Die Armstütze ist einstückig ausgebildet und wird durch Biegen bzw. Warmlaminieren und andere Warmformgebungsarten gestaltet.The armrest is integrally formed and is formed by bending or hot lamination and other types of hot forming.

Die Armstütze besteht aus Röntgenstrahlen durchlässigem Material, beispielsweise Kunststoff, das gegebenenfalls durch Kohle- bzw. Carbonfasern, Aramide und/oder Glasfasern verstärkt sein kann. Hierbei ist insbesondere Epoxidharz oder Polyamid vorteilhaft.The armrest is made of X-ray permeable material, such as plastic, which may optionally be reinforced by carbon or carbon fibers, aramids and / or glass fibers. In this case, in particular epoxy resin or polyamide is advantageous.

Um den Arm am Trägerteil 3 fixieren zu können, sind in der Stützplatte 2, und zwar in dem der Basisplatte fernen Bereich der Stützplatte 2, zwei längliche Ausnehmungen 5 ausgebildet. Durch diese können Sicherungs- bzw. Befestigungsbänder durchgeführt werden und der Arm beispielsweise mittels Klettverschlüssen auf dem Trägerteil 3 fixiert werden.In order to fix the arm on the support part 3, two elongated recesses 5 are formed in the support plate 2, in which the base plate remote area of the support plate 2. Through this securing or fastening straps can be carried out and the arm are fixed, for example by means of Velcro straps on the support member 3.

Um Gewicht und Material einzusparen können auch weitere Ausnehmungen in der Armschiene ausgebildet sein. Um Schwitzen des Patienten zu verhindern, können derartige Ausnehmungen auch im Trägerteil 3 angeordnet sein.To save weight and material can also be formed more recesses in the bracer. To prevent perspiration of the patient, such recesses may also be arranged in the support part 3.

Die Größe der Basisplatte 1 ist derart dimensioniert, dass die Armstütze durch das Gewicht des Patienten mit ausreichender Festigkeit gehalten wird. Wie erwähnt, wird die Basisplatte 1 unter die Matratze oder unter den Körper des Patienten eingeschoben. Dadurch sollte entsprechender Druck auf die Basisplatte 1 ausgeübt werden, der ausreicht, um den Arm des Patienten sicher zu tragen. Die Größe der Basisplatte 1 beträgt ungefähr 200 bis 400 cm2, kann jedoch auch größer ausgebildet sein. Es ist weiters möglich, die Basisplatte 1 an den Untersuchungstisch anzuformen oder sie lösbar oder auch unlösbar daran zu befestigen bzw. Anschlussmittel vorzusehen, um eine derartige Armstütze an einem Untersuchungstisch zu befestigen. Somit könnten in der Basisplatte 1 weitere Ausnehmungen vorgesehen sein, die eine derartige Befestigung ermöglichen.The size of the base plate 1 is dimensioned such that the armrest is held by the weight of the patient with sufficient strength. As mentioned, the base plate 1 is inserted under the mattress or under the body of the patient. As a result, appropriate pressure should be exerted on the base plate 1, which is sufficient to carry the patient's arm safely. The size of the base plate 1 is about 200 to 400 cm 2 , but may also be made larger. It is further possible to mold the base plate 1 to the examination table or to detachably or permanently attach it to the examination table or to provide connection means for attaching such an armrest to a examination table. Thus, more recesses could be provided in the base plate 1, which allow such attachment.

Um Verletzungen zu verhindern, sind die Außenkonturen bzw. Endbereiche der Armstütze, insbesondere der Basisplatte 1 und des Trägerteils 3, gerundet ausgebildet. Der Einsatz der Armstütze stellt sich nun wie folgt dar:

  • In einem ersten Schritt wird der Patient auf den Untersuchungstisch gelegt. Anschließend werden eine oder zwei Armstützen von den Breitseiten des Untersuchungstisches her unter die Matratze bzw. unter den Patienten direkt eingeschoben. Der Patient liegt am Rücken und platziert nun seine Arme bzw. seinen Arm auf den Trägerteil 3 der Armstütze. Die Armstütze kann in ihrer Position gut variiert werden, da durch die Größe der Basisplatte 1 gestattet ist, die Armstütze tiefer unter die Matratze zu schieben oder auch etwa herauszuziehen, um die Armstütze optimal an die physiologischen Parameter des Patienten anpassen zu können. Auch eine Verstellung in Längsrichtung des Untersuchungstisches ist möglich. Die Armstütze kann auch etwas gedreht werden, um die Arme des Patienten weiter vom Körper abstehen zu lassen.
In order to prevent injuries, the outer contours or end regions of the armrest, in particular the base plate 1 and the support part 3, are rounded. The use of the armrest is now as follows:
  • In a first step, the patient is placed on the examination table. Subsequently, one or two armrests are inserted from the broad sides of the examination table directly under the mattress or under the patient. The patient lies on his back and now places his arms or his arm on the support part 3 of the armrest. The armrest can be well varied in position, since the size of the base plate 1 is allowed to push the armrest deeper under the mattress or even about to pull out to optimally adapt the armrest to the physiological parameters of the patient can. An adjustment in the longitudinal direction of the examination table is possible. The armrest can also be rotated slightly to allow the patient's arms to protrude further from the body.

Die Armstütze wird nun so positioniert, dass der Patient bequem seinen Arm auf die Armstütze auflegen kann, d.h. dass auch sein Ellbogen in der Armstütze 3 bzw. im Trägerteil 3 ruht. Sobald eine Position gefunden ist, bei der der Patient mit ausgestreckten Armen in angenehmer Position verweilen kann, wird der Untersuchungstisch samt Armstützen in das Tomographiegerät, d.h. in den CT-Tunnel eingeschoben.The armrest is now positioned so that the patient can comfortably rest his arm on the armrest, i. that his elbow also rests in the armrest 3 or in the support part 3. Once a position is found in which the patient can rest in a comfortable position with arms outstretched, the examination table, including armrests, is placed in the tomography device, i. inserted into the CT tunnel.

Bei einer möglichen Ausführungsform können im Untersuchungsbett Führungsschienen ausgebildet sein, in denen die Armstützen in Längs- und/oder Querrichtung verschiebbar sind.In one possible embodiment, guide rails may be formed in the examination bed, in which the arm supports are displaceable in the longitudinal and / or transverse direction.

Claims (13)

  1. An arm support for positioning an arm of a patient in relation to an examination table, particularly during tomographic fluoroscopy or surgery, comprising an essentially flat base plate (1), which can be pushed under the patient's body or the mattress of the examination table; a support plate (2) which is inclined or arranged at a certain anglein relation to said base plate (1); and a longitudinal support part (3) having a longer longitudinal dimension (9) and a shorter lateral dimension (8) on which the patient's arm may rest and which is arranged at that end of said support plate (2) which is remote from said base plate, the longitudinal dimension (9) of said support part (3) being inclined in relation to the base plate (1), characterised in that said support plate (2) is inclined in relation to the base plate (1) at an obtuse angle (β) of more than 90°.
  2. The arm support according to claim 1, characterised in that the longitudinal dimension (9) of the support part (3), which extends in the longitudinal direction of the arm resting on it when in use, is inclined at an angle (α) in relation to the base plate (1), said angle (α) being measured in or along the plane of the support plate (2) and ranging from 10° to 30°, particularly from 15° to 25 °, and preferably from 20° to 24°.
  3. The arm support according to claim 1 or claim 2, characterised in that the angle (β) ranges from larger than 90° to 120°, preferably from 104° to 113°.
  4. The arm support according to any one of the claims 1 to 3, characterised in that the support part (3) is shaped like a segment of the lateral surface of a cone or a cylinder or like a cylindrical bowl or a longitudinal barrel or an arched bowl or is gutter-shaped having a circular-segment-shaped or elliptic section and is dimensioned so that an average arm may rest on it.
  5. The arm support according to any one of the claims 1 to 4, characterised in that the support plate (2) defines a plane or is positioned in a plane and in that the support part (3) is arranged or formed mirror-symmetrically to said plane defined by the support plate (2).
  6. The arm support according to any one of the claims 1 to 5, characterised in that the terminal edge (6) of the support part (3) close to the angle (α) and, optionally, the terminal edge (7) of the support part (3) remote from the angle (α) is/are retracted towards the centre of the support part(3) and offset inwards and rounded.
  7. The arm support according to any one of the claims 1 to 6, characterised in that said arm support is integrally formed.
  8. The arm support according to any one of the claims 1 to 7, characterised in that, preferably longitudinal, recesses (5) for guiding fastening straps for fastening the patient's arm on the support part (3) are formed in the arm support, preferably in the area of the support plate (2) which is remoted from the base plate (1).
  9. The arm support according to any one of the claims 1 to 8, characterised in that the arm support consists of a radiation transparent, particularly X-ray transparent, material, preferably of plastics, particularly of epoxy resin or polyamide, and is optionally reinforced by carbon fibres, glass fibres and/or aramids.
  10. The arm support according to any one of the claims 1 to 9, characterised in that the surface of the base plate (1) is dimensioned so that the weight of the patient holds down the arm supportin a sufficiently stable way so that said arm support is able to support the patient's arm and particularly has an area of approx. 200 to 400 cm2.
  11. The arm support according to any one of the claims 1 to 10, characterised in that the outer edges and terminal areas of the arm support and the base plate (1) and/or of the support part (3) are rounded.
  12. The arm support according to any one of the claims 1 to 11, characterised in that at least one recess is formed in the base plate (1) and/or the support plate (2) and/or the support part (3).
  13. An examination table to be pushed into a tomograph, at least one arm support according to claim 1 being attached to it.
EP06741059A 2005-06-29 2006-06-27 Arm rest Active EP1898858B1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AT0110005A AT502955B1 (en) 2005-06-29 2005-06-29 ARMREST
PCT/AT2006/000265 WO2007000005A1 (en) 2005-06-29 2006-06-27 Arm rest

Publications (2)

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EP1898858A1 EP1898858A1 (en) 2008-03-19
EP1898858B1 true EP1898858B1 (en) 2013-02-27

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EP06741059A Active EP1898858B1 (en) 2005-06-29 2006-06-27 Arm rest

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US (1) US20090172884A1 (en)
EP (1) EP1898858B1 (en)
AT (1) AT502955B1 (en)
WO (1) WO2007000005A1 (en)

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WO2018171840A1 (en) 2017-03-23 2018-09-27 Karl Herga Device for supporting and positioning an arm of a patient, and modular arrangement

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USD824032S1 (en) 2016-11-17 2018-07-24 Merit Medical Systems, Inc. Radial arm support board
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WO2018171840A1 (en) 2017-03-23 2018-09-27 Karl Herga Device for supporting and positioning an arm of a patient, and modular arrangement
DE102017106245A1 (en) 2017-03-23 2018-09-27 Karl Herga Device for storing and positioning an arm of a patient and modular arrangement

Also Published As

Publication number Publication date
AT502955A1 (en) 2007-06-15
US20090172884A1 (en) 2009-07-09
AT502955B1 (en) 2008-10-15
WO2007000005A1 (en) 2007-01-04
EP1898858A1 (en) 2008-03-19

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