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| United States Patent | 4732141 |
| Link to this page | http://www.wikipatents.com/4732141.html |
| Inventor(s) | Steffensmeier; Lloyd A. (102-122 West Main St., Lisbon, IA 52253) |
| Abstract | A chiropractic table having a feature that facilitates the treatment of
rotatory scoliosis and scoliosis of the spine. The chest-lumbar section of
the table is mounted so that it can both pivot and slide thus producing a
swinging movement about a central pivot point located above the
longitudinal axis of the table. This type of movement is beneficial in the
treatment of scoliosis. The mounting structure of the chest-lumbar section
is such that the section can be raised or lowered to accommodate the
particular anatomy of the patient and also provides for inclusion in the
section of the drop feature used in the treatment of scoliosis and other
conditions. |
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Title Information  |
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Drawing from US Patent 4732141 |
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Chiropractic table with swingable section |
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| Publication Date |
March 22, 1988 |
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| Filing Date |
September 25, 1986 |
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Title Information  |
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Claims  |
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What is claimed is:
1. In a chiropractic table having a base and framework for supporting
multiple independent sections that include a chest-lumbar section, a
pelvic section and head and foot sections spaced longitudinally along the
table, a supporting structure for one of the sections comprising a main
frame connectable to the supporting framework of the table and providing
first and second pivots spaced longitudinally of the table which pivots
provide for pivotal connection along a horizontal longitudinal axis, a
cradle assembly pivotally mounted on said first and second pivots, patient
supporting means including a framework operatively connected to the cradle
assembly so as to provide for limited movement of the patient supporting
means relative to the cradle assembly and transversely of the table, said
patient supporting means also including a patient engaging member
controllably moveable vertically within a limited distance relative to the
framework for the patient supporting means, and locking means to maintain
the patient supporting means and cradle assembly in a selected stationery
position.
2. In the chiropractic table of claim 1 in which the connection between the
framework of the patient supporting means and the cradle assembly provides
for sliding movement transversely of the table.
3. In the chiropractic table of claim 2 in which the framework of the
patient supporting means includes a pair of rods spaced-apart
longitudinally of the table and extending transversely of the table, and
the cradle assembly includes a pair of pillow blocks spaced-apart
longitudinally so as to receive through them said rods, thereby providing
for slideable movement between the framework of the patient supporting
means and the cradle assembly.
4. In the chiropractic table of claim 3 in which there is affixed to the
main frame an arcuate rack, the cradle assembly supports a shaft rotatable
about a horizontal longitudinal axis and containing a pair of gears, one
of said gears engaging the arcuate rack, and a second rack is affixed to
the patient engaging member so as to be engagable with the second gear,
said gear and rack arrangement providing for controlled pivotal movement
of the cradle assembly relative to the main frame and controlled slideable
movement of the patient supporting means relative to the cradle assembly.
5. In the chiropractic table of claim 4 in which the locking means is
secured to the main frame and includes a locking member selectively
moveable into and out of engagement with one of the gears of the gear-rack
assembly to prevent said gears from rotating.
6. In the chiropractic table of claim 5 in which the framework of the
patient supporting means includes a drop mechanism for controlling the
relative vertical movement of the patient engaging member relative to the
framework of the patient supporting means. |
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Claims  |
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Description  |
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BACKGROUND OF THE INVENTION
One of the conditions treatable by chiropractic medicine is scoliosis of
the spine. In the condition of rotatory scoliosis, the spine is not only
curved so as to be out of alignment but it is also twisted about its axis.
There are well known procedures for treating this condition using
chiropractic medicine. A specially designed table is preferably used in
which the chest-lumbar section of the table can be tilted sideways of the
table to aid the practitioner in performing the proper procedure for
treatment of this condition. The support and mounting mechanism for the
chest-lumbar section of the table must be constructed so that the spine
stays substantially centered on the table as the section swings sideways.
This requires that the pivot center of the section be above the
longitudinal axis of the table.
Known mechanisms for allowing the chest-lumbar section of the table to
properly swing sideways are relatively simple, but are such that the
section of the table cannot be adjusted vertically to accommodate the
particular anatomy of the patient. Moreover, a common chiropractic
procedure for certain conditions, including scoliosis, is to provide a
table with a drop feature which permits the practitioner to raise the
section of the table slightly, cock it and then apply pressure to the
patient's spine until a predetermined amount of pressure is reached at
which time the section of the table will drop producing the desired
effect. With known designs of tables, there is no supporting and mounting
structure that will allow proper swinging of the section for the treatment
of scoliosis while still allowing the height of the section to be
vertically adjusted and the drop feature to be included. The ability to
provide all three features in a single section in a single table allows
the practitioner to use a single table for all procedures. If a patient
requires both treatments, this eliminates having to move the patient to a
different table perhaps in a different treatment room. It also is very
cost effective and will allow the practitioner to acquire a single table
that can be used for a variety of procedures.
SUMMARY OF THE INVENTION
The invention provides a supporting and mounting structure for a
chest-lumbar section in which the section is supported so that it can be
swung sideways about a pivot point located above the longitudinal axis of
the table thereby maintaining the axis of the spine substantially centered
on the table at all times regardless of the position to which the
chest-lumbar section is moved. This is accomplished by a unique supporting
structure in which a multiple gear-rack arrangement is provided with one
rack stationary and the other rack secured to the underside of the
cushion. These racks engage gears of different sizes both mounted on a
single axis that is not a fixed axis. The section of the table to which
the cushion is attached contains rods that slide in blocks that are
pivotally mounted about a fixed pivot. Thus as the cushion is swung from
one position to another, the rods slide through the pivotally mounted
blocks and provide a motion that is a swinging motion about a pivot that
is above the table thus maintaining the spine of the patient substantially
centered on the table as the section is swong. The gear-rack arrangement
also permits a simple locking mechanism to be used to lock the cushion in
a selected position. Also, because the entire supporting structure for the
cushion moves, the cushion supporting the patient can be raised and
lowered and the drop feature can be incorporated into the section.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of a typical chiropractic table of multiple
sections and of the type to which the invention relates;
FIG. 2 is a top plan view of the chest-lumbar section of the table with
some parts broken away to more clearly illustrate the invention;
FIG. 3 is an exploded view of the chest-lumbar section with parts also
broken away;
FIG. 4 is an end view of the chest-lumbar section showing the section
locked into position with the section level;
FIG. 5 is an end view similar to FIG. 4 but showing the section swung to
the right; and
FIG. 6 is an exploded view of the chest-lumbar section similar to FIG. 3
but showing the components in subassemblies.
DESCRIPTION OF THE PREFERRED EMBODIMENT OF THE INVENTION
In FIG. 1, there is illustrated a chiropractic table of a conventional type
that includes a base 10 and supporting framework 12 that has cushion
supporting main members 14 that extend generally horizontally. At one end
of the frame 14 there are mounted for independent movement a pair of head
cushions 16 adjacent to which is a chest-lumbar section indicated
generally by the reference numeral 18. FIGS. 2-6, especially FIG. 3 and
FIG. 6, illustrate in detail the chest-lumbar section to which the
invention relates. Althouogh FIG. 1 views the table as if a person were
standing on the left side of the table, FIGS. 3 and 6 are viewed as if a
person were standing at the right front of the table and looking at an
exploded view of the chest-lumbar section of the table. Also mounted
independently on frame members 14 is a pelvic section 20 and foot and
ankle rest 22 which are at the end of the table sometimes referred to
herein as the rear end. As is well known, each of the various sections of
the chiropractic table are mounted for movement independently of each
other so that each section can be adjusted to the desired height and angle
in order to carry out the desired chiropractic procedure.
As previously indicated, the invention relates primarily to the
chest-lumbar section 18 and the manner in which it is supported on the
frame members 14. However, the principles of the invention could be
applied to any section of the table as well if the particular movement
provided by the invention is to be used in a particular chiropractic
procedure. The invention thus relates to the mounting and supporting
structure for one of the independently moveable sections of the
chiropractic table. Otherwise, the chiropractic table would be any
standard known chiropractic table of which there are many different
designs and types. Referring now to FIGS. 2-5, there is shown in these
figures the chest-lumbar section 18 in detail. The chest-lumbar section 18
is affixed to the frame members 14 in any suitable manner such as by a
pair of support arms 24 pivotally mounted on vertical support 23 that is
affixed to frame members 14. Locking means 25 provides for attaching the
section 18 to a lower support arm 27 (as shown in FIG. 3) so that the
entire section 18 is thus supported at its head end in a manner well known
to those skilled in the art. Support arms 24 and 27 may provide, if
desired, for pivotal movement of the entire section 18 about a horizontal
axis transverse to the longitudinal axis of the tablel itself. Such
movement does not form a part of the invention but does illustrate that
the mounting structure of the invention permits such movement where
desired.
As best seen in FIG. 6, support arms 24 are attached to a supporting frame
26 which has vertically upstanding pivot supports 28 and 30 which are
spaced-apart along the longitudinal axis of the table. The footward or
rear pivot support 28 is pivotally connected by pin 32 to the upstanding
leg 34 of a support member the other leg 36 of which extends forewardly.
At the forward end of leg 36 the support is bifurcated with transversely
spaced-apart arms 38 extending forewardly to an upstanding portion 40 that
is connected by pivot pin 42 to the head or forward pivot support 30.
Thus, the framework that is comprised of members 34, 36, 38 and 40 provide
a "cradle" that pivots about pivot pins 32 and 42 on the pivot supports 28
and 30 respectively. This "cradle" provides the support for the
chest-lumbar cushion 84 as described hereinafter.
Since the purpose of the invention is to provide not only for pivotal
movement of the chest-lumbar cushion 84 but also swingable sideways
movement so that the spine of the patient resting on the table will remain
substantially centered on the table, the cradle construction must also be
combined with the mounting structure for the chest-lumbar section in a
manner that will provide for such swingable movement.
The main supporting framework for the chest-lumbar cushion 84 consists of
side members 44 and 46 joined by a rear end member 48 and a middle cross
bar 50 and a forward cross bar 52 each of which extends transversely
between the side members 44 and 46 and is rigidly connected to these
members. This framework is open in the center so as to receive the cradle
construction previously described. The cross rods 50 and 52 extend through
pillow blocks 54 and 56 which are attached to the support structure of the
cradle, pillow block 54 being attached to the arm 36 by fasteners 37 while
pillow block 56 is attached to the upstanding member 40 by fastener 42. A
transverse member 58 extends between the side members 44 and 46 between
the cross rods 50 and 52. Also, a cross support 60 extends between the
side members 44 and 46. Affixed to cross member 60 is a rack 62 which
engages a large spur gear 64 turnable on shaft 66 which has one end
support in a bearing member 68 that is affixed to the upper portions of
arms 38 just to the rear of the arm 36. The other end of shaft 66 is
supported in bearing member 69 (FIG. 2) and contains a small spur gear 70
that engages an arcuate rack 72 that is affixed rigidly to the frame 26
that is in turn pivotally connected to the table through the arms 24 as
previously described. Thus, as the cradle framework pivots about the pivot
pins 32 and 42, the cushion supporting framework will slide transversely
on cross rods 50 and 52 carrying with it the rack 62 which will in turn
rotate the large spur gear 64 and small spur gear 70 which will follow the
arc of the arcuate spur gear 72. Engagement of small spur gear 70 with the
arcuate rack 72 provides a controlled track for the swingable movement of
the cushion framework, and the rack-gear arrangement also provides for
locking of the cushion framework in a selected position. This is
accomplished by a locking mechanism indicated generally by the reference
numeral 74 (FIG. 3). This mechanism consists of a pair of upright supports
76 affixed to the framework 38 with a shaft 78 extending through the
supports 76. Shaft 78 has a pair of control knobs 80 at each of its outer
ends so that the locking mechanism can be operated from either side of the
table. Shaft 78 has eccentrically mounted at its center locking teeth 82.
Since the locking mechanism 74 is positioned on framework 38 just beneath
the large spur gear 64, grasping of a knob 80 and rotating shaft 78
counterclockwise will raise the locking teeth 82 so that they engage the
teeth of the spur gear 64 thus preventing its further movement. Engagement
of the locking mechanism is best seen in FIG. 4 and FIG. 6.
Each patient support cushion 84 is affixed to a support plate 85 and is
mounted in the following manner so that it is supported by the framework
but is also moveable vertically independently of it. A drop control and
vertical lifting mechanism 86 is secured to the end member 48 of the
cushion supporting framework. Similarly, a vertical lifting and drop
mechanism 88 is secured to the cross member 58. Each mechanism 86 and 88
contains a vertically moveable rod 90 which rods 90 support the cushions
84. There is only one cushion 84 shown in FIG. 3, but as illustrated in
FIG. 1, there are two such cushions which are independently moveable
vertically of the other but which are both moveable with the cushion
supporting framework previously described. Cushions 84 are not shown in
FIGS. 4 and 5, but the supporting plates 85 are shown. Tension adjusting
knobs 92 are provided on each side of the table for each of the lifting
and drop mechanisms 86 and 88. Knobs 92 are mounted on shafts 94 which
when turned turn a spur gear 96 which in turn rotates a second gear 98
that through the mechanisms 86 and 88 respectively will vary the
resistance on a spring-loaded detent (not shown) on the vertical rods 90
thus varying the resistance in raising and lowering cushions 84. Also
built into the mechanisms 86 and 88 are features that are known and
commercially used to provide a drop technique used by the practitioner.
This drop technique employs cocking arms 100 which allow the cushions 84
to be individually raised, and when pressure is applied to a patient
resting on a cushion 84, the cushion will abruptly drop when a
predetermined amount of pressure is applied. However, the drop is a
predetermined limited distance. The raising and lowering and drop features
are well known to those skilled in the art, have been used commercially
for years and do not form a part of the invention. However, they are
illustrated to show their relationship to the tilting and pivoting
mechanism of the invention which permits these features to be employed in
a single table with the tilting-pivoting mechanism that is used for the
scoliosis procedure.
Although the operation of the swingable mounting construction should be
evident from the foregoing description, it is briefly summarized as
follows. Assuming that the chest-lumbar section is in the position shown
in FIG. 4 with the cushion 84 substantially horizontal, the practitioner
would disengage the locking teeth 82 from the spur gear 64 by rotating the
handles 80 downwardly. The chest-lumbar section 18, including both
cushions 84, can then be swung sideways to the desired position, and the
locking mechanism 74 again used to engage the locking teeth 82 into the
spur gear 64 to maintain the section in its desired selected position. As
the chest-lumbar section 18 is swung sideways, the rack 62 will ride on
spur gear 64 rotating small spur gear 70 and moving it along the arcuate
rack 72. Since the rack 62 is affixed to the cross member 60, and because
the shaft 66 supporting spur gears 64 and 70 is turnable in the blocks 68
and 69 affixed to the frame arms 36 and 38 of the cradle mechanism, the
cradle mechanism will rotate about pivot pins 32 and 42 and the cross rods
50 and 52 will slide through the pillow blocks 54 and 56. FIG. 5
illustrates the chest-lumbar section 18 swung to the right to its limit.
In this position, and with a patient on the cushions 84 (cushions 84 are
not shown in FIGS. 4 and 5), the patient's spine would be located
substantially centered above the fixed pivot points 32 and 42. Thus,
regardless of the position of the chest-lumbar section 18, the patient's
spine would remain substantially centered on the table.
Furthermore, note that the mounting and supporting structure for the
swinging movement in no way interferes with the independent operation of
each of the cushions 84, each of which can be raised or lowered
independently and each of which can be utilized for a drop procedure.
Having thus described the invention in connection with the preferred
embodiment thereof, it will be evident to those skilled in the art that
various revisions and modifications can be made to the preferred
embodiment without departing from the spirit and scope of the invention.
It is my intention however that all such revisions and modifications as
are obvious to those skilled in the art will be included within the scope
of the following claims.
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Description  |
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