# US 7,461,423 B2 · Device for supporting at least one arm of an operating person during a surgical operation

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- Number: US 7,461,423 B2
- Document ID: US7461423B2
- Status: Granted
- Kind: B2
- Application number: 11/297,241
- Filed: 2005-12-08
- Published: 2006-08-24
- Granted: 2008-12-09
- Earliest claimed: 2004-12-09
- Assignees: University of Dundee
- Inventors: Ian Rutherford; Leslie Kelly; Stuart Brown; Timothy Graham Frank; Alfred Cuschieri
- Web page: https://patentgrep.com/patent/US7461423B2

## CPC

- F16M 11/24: changeable in height or length of legs, also for transport only, {e.g. by means of tubes screwed into each other}(F16M11/42 takes precedence)
- A61B 90/60: Supports for surgeons, e.g. chairs or hand supports (seats for dentists or surgeons associated with dental chairs or operating chairs A61G15/08)
- F16M 11/04: Means for attachment of apparatus; Means allowing adjustment of the apparatus relatively to the stand
- F16M 11/08: around a vertical axis {, e.g. panoramic heads (F16M11/12 takes precedence)}
- F16M 11/2014: {around a vertical axis (F16M11/2035 takes precedence)}
- F16M 11/2092: {comprising means allowing depth adjustment, i.e. forward-backward translation of the head relatively to the undercarriage}
- A61B 2090/506: {using a parallelogram linkage, e.g. panthograph}
- F16M 2200/044: for balancing rotational movement of the undercarriage
- F16M 2200/063: Parallelogram arms
- F16M: FRAMES, CASINGS OR BEDS OF ENGINES, MACHINES OR APPARATUS, NOT SPECIFIC TO ENGINES, MACHINES OR APPARATUS PROVIDED FOR ELSEWHERE; STANDS; SUPPORTS
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A device for supporting at least one arm of an operating person during a surgical or medical operation comprises at least one supporting element for supporting the at least one arm of the operating person, the supporting element being arranged at a carrying structure for carrying the at least one supporting element, wherein the carrying structure is configured such that the at least one supporting element can be lowered or raised for adjusting the height of the operating person's arm. The carrying structure comprises at least one carrying arm, which is pivotable about at least one at least approximately horizontal pivot axis such that pivoting of the carrying arm raises or lowers the at least one supporting element. The carrying structure further comprises a mechanical control system acting on the pivotability of the at least one carrying arm in the upward direction differently from the downward direction.

## Claims

### Claim 1

A device for supporting at least one arm of an operating person during a surgical or medical operation, comprising:
at least one supporting element for supporting said at least one arm of said operating person,
a carrying structure for carrying said supporting element at which said supporting element is arranged, said carrying structure being configured such that said at least one supporting element can be lowered or raised for adjusting a height of said operating person's arm,
said carrying structure having at least one carrying arm which is pivotable about at least one at least approximately horizontal pivot axis such that pivoting of said carrying arm raises or lowers said at least one supporting element, and
said carrying structure comprising a mechanical control system acting on the pivotability of said at least one carrying arm in the upward direction differently from the downward direction, wherein said control system imposes a first friction to said pivotability in said upward direction and a second friction to said pivotability in said downward direction, wherein said second friction is higher than said first friction.

### Claim 2 (depends on 1)

The device of claim 1, wherein said supporting element comprises a substantially C-shaped element for accommodating said operating person's arm therein.

### Claim 3 (depends on 1)

The device of claim 1, wherein said second friction increases during downward movement of said carrying arm.

### Claim 4 (depends on 1)

The device of claim 1, wherein said control system further comprises at least one damper for limiting the speed of the downward movement of said carrying arm.

### Claim 5 (depends on 1)

The device of claim 1, wherein at least one of said first friction and said second friction is adjustable.

### Claim 6 (depends on 1)

The device of claim 1, wherein said first friction is smaller than about 10 N.

### Claim 7 (depends on 6)

The device of claim 6, wherein said first friction is about 0.

### Claim 8 (depends on 1)

The device of claim 1, wherein said control system comprises a locking mechanism for locking said pivotability in the downward direction, wherein said locking mechanism is releasable for lowering said supporting element.

### Claim 9

A device for supporting at least one arm of an operating person during a surgical or medical operation, comprising:
at least one supporting element for supporting said at least one arm of said operating person,
a carrying structure for carrying said supporting element at which said supporting element is arranged, said carrying structure being configured such that said at least one supporting element can be lowered or raised for adjusting a height of said operating person's arm,
said carrying structure having at least one carrying arm which is pivotable about at least one at least approximately horizontal pivot axis such that pivoting of said carrying arm raises or lowers said at least one supporting element, and
said carrying structure comprising a mechanical control system acting on the pivotability of said at least one carrying arm in the upward direction differently from the downward direction wherein said control system includes a rotary joint through which said carrying arm is pivotable about said pivot axis, wherein said rotary joint is at least approximately freely rotatable in one direction, and is rotatable in the opposite direction only when applying a downward force on said supporting element which is higher than a preset frictional force.

### Claim 10 (depends on 9)

The device of claim 9, wherein said rotary joint comprises a ratchet-pawl-mechanism, a ratchet of said ratchet-pawl-mechanism being freely rotatable with respect to said carrying arm when said carrying arm is raised, and wherein a pawl of said ratchet-pawl-mechanism engages said ratchet and said ratchet is rotatable only with friction, when said carrying arm is lowered.

### Claim 11 (depends on 9)

The device of claim 9, wherein said rotary joint comprises a one-way freewheel clutch bearing.

### Claim 12

A device for supporting at least one arm of an operating person during a surgical or medical operation, comprising:
at least one supporting element for supporting said at least one arm of said operating person.
a carrying structure for carrying said supporting element at which said supporting element is arranged, said carrying structure being configured such that said at least one supporting element can be lowered or raised for adjusting a height of said operating person's arm,
said carrying structure having at least one carrying arm which is pivotable about at least one at least approximately horizontal pivot axis such that pivoting of said carrying arm raises or lowers said at least one supporting element, and
said carrying structure comprising a mechanical control system acting on the pivotability of said at least one carrying arm in the upward direction differently from the downward direction, wherein said control system comprises a locking mechanism for locking said pivotability in the downward direction, wherein said locking mechanism is releasable for lowering said supporting element by slightly lifting said supporting element.

### Claim 13 (depends on 12)

The device of claim 12, wherein said locking mechanism is reactivated after having been released by exerting a pushing force onto said supporting element which exceeds the force for lowering said supporting element.

### Claim 14 (depends on 13)

The device of claim 13, wherein said control system further comprises a damper for limiting the downward speed of said at least one carrying arm.

### Claim 15 (depends on 12)

The device of claim 12, wherein said at least one carrying arm comprises a first articulated parallelogram, which is pivotable about said pivot axis, and wherein said locking mechanism locks said pivotability of said first parallelogram.

### Claim 16 (depends on 15)

The device of claim 15, wherein said first parallelogram comprises a first parallelogram arm to which a first locking element is connected, and a second parallelogram to which a second locking element is connected, said first and second locking elements being displaceable with respect to one another in an unlocked state and immovable with respect to one another in a locked state.

### Claim 17 (depends on 16)

The device of claim 16, wherein said locking mechanism further comprises a third locking element, wherein said third locking element is movable between a locking position and an unlocking position, wherein said third locking element restrains a relative displacement between said first and second locking element when said third locking element is in a locking position and allows a relative displacement between said first and second locking elements, when said third locking element is in an unlocking position.

### Claim 18 (depends on 17)

The device of claim 17, wherein said at least one carrying arm comprises a second articulated parallelogram articulatedly connected to said first parallelogram and connected to said supporting element, and wherein said third locking element is connected to said second parallelogram.

### Claim 19 (depends on 12)

The device of claim 12, wherein said locking mechanism comprises a ratchet-pawl-arrangement for locking the pivotability of said carrying arm in downward direction.
