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At least 55 records · Page 3Linked to original sources

[The design of a multifunctional mobile operating table].

This article introduces the principles and design of a multifunctional medical table which could be used to immobilize patient from/to bed to/from table, and it can also be used as an operating table. So the dangerous and serious patients can get continuous servo and monitoring during the transfer. The hydraulic pressure lifter, machinery transmission, flat movement and asymmetry structure are employed in the product.

Durable Medical Equipment↗

Operating theater blood transaction system. A "virtual" blood transfusion service that brings the blood bank to the operating table.

We describe an operating theater blood transaction system (OTBTS) that is a novel computer software system incorporating electronic crossmatch and the concept of a "self-service" blood banking system in the operating theater. Through this system, the surgeons and the anesthetists can issue blood units for intraoperative transfusion for the patients with a negative antibody screen without the need for a porter service or pneumatic tube system. Since implementation of the OTBTS, the time for obtaining compatible blood for intraoperative transfusion has been reduced from 20 to 30 minutes to around 1 minute. Furthermore, the crossmatch-transfusion ratio was reduced to 1.05. The 23% of patients who required extra blood units (i.e., more than originally anticipated) during surgery further benefited from the system. The blood stock reserved for patients undergoing surgery was reduced by 20%. Therefore, the OTBTS is a system that can greatly enhance the efficiency and safety of intraoperative transfusion and can also save workforce resources.

Blood Banks↗

A serious and repeatable electrical hazard--compressed electrical cord and an operating table.

We describe a previously unreported hazard resulting from compression of an electrical cable by an operating theatre table. This resulted in a live wire contact to the operating table. Intermittent connection of the table to earth during a procedure resulted in triggering of a residual current device mitigating the effects of the hazard. The actual cause was not readily identified as the devices connecting the table to earth were considered most likely to be the source of the current. There was potential for significant injury to the patient and theatre staff which would have been diminished if staff had had a better understanding of the electrical safety equipment in use. We examine the underlying causes of the accident, discuss electrical safety and correct use of safety devices in the operating theatre, and propose guidelines for appropriate management.

Aged↗

An operating table for hand surgery.

The construction details for an inexpensive, easy-to-build operating table for hand surgery have been described. The table was specifically designed according to the needs of those working with it. It has been in daily use for over 2 years and has proved to be a popular product with all staff members.

Hand↗

An improved neurosurgical system: new operating table, chair, microscope and other instrumentation.

We have developed what we call the instrument trio in the neurosurgical operating theatre: a remote-controlled operating microscope with magnetic lock, an operating table with remote-controlled X-Y shifter, and a floating operating chair. In addition other important improvements in instrumentation have been made; they include a quick sterilization system for the operating microscope, a multipurpose head frame and an improved retractor system. The instruments and their characteristics are described in detail.

Microscopy↗

Operating table for guinea pig ear surgery.

This communication describes the construction and method of use of an adjustable operating table. The small table was designed especially to immobilize guinea pigs for experimental ear surgery.

Animals↗

A new operating table for the management of giant retinal breaks.

For management of giant retinal breaks, I have developed an operating table that can rotate around its longitudinal and transverse axes 360 degrees. When this table is used in conjunction with intravitreal injection of air, a giant break can easily be tamponaded, regardless of its location.

Humans↗

Digital angiography using hand-operated table movement for vascular disease of the pelvis and lower extremities.

We developed a new technique using hand-operated table movement during digital angiography (DA) for the study of vascular disease of the pelvis and lower extremities. Digital video memory (DVM) is used in this technique to digitize, record, and display fluorographic images without subtraction in real time. This allows free table movement and the imaging of a large area with a single injection of contrast medium. Forty-five examinations for vascular disease of the pelvis and lower extremities were performed by this DA technique. Good images of an extensive area from the lower abdomen to the lower leg were obtained in a single study.

Aged↗

[Symptoms of difficult interpretation or of unusual practical finding in pneumology. Error in the therapeutic indication in pulmonary diseases. Surprises at the operating table in thoracopulmonary surgery].

The most recent reports on the subject of "Hard to interpret or exceptional pneumopathies. Errors in pneumological symptomatology. Surprises at the operating table" are discussed. Attention is called to innovations in radiological and isotopic technique and to new possibilities for surgical, diagnostic or resolutive action. Personal cases of lung diseases classifiable within the subject are presented and discussed. Cases were part of isolated groups, some observed at the Saint-Feyre Centre in France, and are given as an appendix to the present publication. The intention is to lay stress on the justifiable embarrassment, or otherwise, and the responsibilities of the chest and lung surgeon. Emphasis is laid on the complexity of pulmonary surgical symptomatology.

Adult↗

An ergonomic study of the optimum operating table height for laparoscopic surgery.

BACKGROUND: Laparoscopic surgery requires the use of longer instruments than open surgery, thus changing the relation between the height of the surgeon's hands and the desirable height of the operating room table. The optimum height of the operating room table for laparoscopic surgery is investigated in this study. METHODS: Twenty-one surgeons performed a two-handed, one-fourth circle cutting task using a laparoscopic video system and laparoscopic instruments positioned at five instrument handle heights relative to subjects' elbow height (-20, -10, 0, +10, and +20 cm) by adjusting the height of the trainer box. Subjects rated the difficulty and discomfort experienced during each task on a visual analog scale. Skin conductance (SC) was measured in Micromhos via paired surface electrodes placed near the ulnar edge of the palm of the right (cutting) hand. The mean electromyographic (EMG) signal from the right deltoid and trapezius muscles was measured. Arm orientation was measured in three dimensions using a magnetometer/accelerometer. Signals were acquired using analog circuitry and digitally sampled using a National Instruments DAQCard 700 connected to a Macintosh PowerBook 5300c running LabVIEW software. Statistical analysis was carried out by analysis of variance and post hoc testing. RESULTS: Statistically significant changes were found in the subjective rating of discomfort (p <0.002), deltoid EMG (p <0.0006), trapezius EMG (p <0.0001), and arm elevation (p <0.0001) between instrument handle heights. SC values and task times did not change significantly. Discomfort and difficulty ratings were lowest when instrument handles were positioned at elbow height. EMG values and arm elevation all decreased with lower instrument height. CONCLUSION: This study suggests that the optimum table height for laparoscopic surgery should position the laparoscopic instrument handles close to surgeons' elbow level to minimize discomfort and upper arm and shoulder muscle work. This corresponds to an approximate table height of 64 to 77 cm above floor level. A redesign of current operating room tables may be required to meet these ergonomic guidelines.

Equipment Design↗

In situ pinning of hip for stable slipped capital femoral epiphysis on a radiolucent operating table.

Patients with stable slipped capital femoral epiphysis (SCFE) usually can ambulate at the time of diagnosis. Satisfactory results have been reported after percutaneous in situ pinning using a fracture table. The authors describe a technique to determine the skin-pin entry point for percutaneous pinning of the hip on a regular radiolucent operating table. The pin entry point determined by this modified method was reliable in 15 SCFEs in 13 patients. Pinning on a regular radiolucent table was much easier, without the need to transfer obese patients to a fracture table. It was also useful when a bilateral pinning procedure was performed using single draping. Obtaining modified frog-leg lateral radiographs in patients with a stable SCFE was not associated with avascular necrosis or chondrolysis.

Adolescent↗