US488649A - Surgical table - Google Patents

Description

(No Model.) 3 Sheets-Sheet 1. B. H. DAGGETT.

SURGICAL TABLE. No. 488,649. Patented Deo. 27, 189.2.

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B. H. DAGGETT.

SURGICAL TABLE. l No. 488,649. Patented Deo. 2 1892.

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SURGICAL TABLE.

Patented Der;l 27, 1892.

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BYRON H. DAGGETT, OF BUFFALO, NEW YORK.

SURGICAL TABLE.

SPECIFICATION forming part of Letters Patent No. 488,649,dated December 27, 1892.

Application filed February 20, 1890. Serial No. 341,140. (No model.)

Td a/ZZ whom it may concern:

Be it known that I, BYRON H. DAGGETT, of Buffalo, in the county of Erie and State of New York, have invented certain new and useful Improvements on Physicians Examining Operating Tables; and I do hereby declare that the following description of my said invention, taken in connection with the accompanying sheets of drawings, forms a full, clear, and exact specification, which will enable others skilled in the art to which it appertains to make and use the same.

My present invention has general referencel to improvements in physicians examining and operating tables; and it consists, essentially, in the novel and peculiar combination of parts and details of construction as hereinafter Iirst fully set forth and described, and then pointed out in the claims.

In the drawings already mentioned, which serve to illustrate my said invention more fully, Figure l is a perspective View of my improved physicians examining and operating table, it being shown in a position suitable for examination where the relaxing of. the patients abdominal muscles is a desideratum. Fig. 2 is a like View showing the table together with my extension cushion in position. Fig. 3 is a longitudinal sectional elevation in line w oc of Fig. 5. Fig. 4 is a plan of the table-frame showing the hinged supporting prop J in position. Fig. 5 is a plan-view of the bottom-side of the table-top and accessories in proper position. Fig. 6 is a perspective view of the stirrup detached. v

Like parts are designated by corresponding letters and numerals of reference in all the figures.

The object of this invention is theimprovement upon certain devices for physicians and surgeons examining and operating Vtables secured to me by Letters Patent No. 386,916, on the 31st day of July, 1888. In these Letters Patent I have shown a pliysicians examining table in which the table-top proper is constructed in one piece and connected with the table-frame by a peculiarly constructed universal jointeconnection. In my present construction I produce the table-top proper of three separate leaves hinged together in a peculiar manner, one of these leaves being permanently secured to a tabletop-frame, and

. venient manner.

the whole removably placed upon the tableframe and held thereto by the universal joint connection claimed in my said Letters Patent heretofore mentioned, and by a guide and guard-piece fastened to the. table-top frame and engaging a slotted aperture in the table frame, all as hereinafter fully described.

This table consists essentially, of a table frame, a table-top frame and a structure to receive the instruments and other paraphernalia of a physician and surgeon. The tableframe consists of a platform A, Figs. 1 and 3, having on its ends curved rails B, to the ends of which, and on their lower side are secured the four table-legs O, and upon the upper side of which are placed four spindles I), which connect the platform A with the rectangular frame E at its four corners E as clearly shown in the drawings. The platform A is hollow underneath and has on opposite longitudinal sides grooves o., wherewith engage the laterally projecting ribs f of a step F-so called-forming an extension of the said platform A to enablea patient to mount the table in an easy and con- To the under side of this step F, I fasten a downwardly projecting lug b, whereby said step may be slid into or projected from the hollow platform A, by the examiner or operator using his foot for this purpose, and another lug c, near the end of said step to strike against the inner wall of the curved piece B and to act as a stop for said step F, which by preference is made as long as the platform A and even with the latters transverse sides so as not to be readily seen when within the platform.

Upon the platform A is secured the physicians operating case, being a receptacle G, having the base board A and top board A" of a length and width equal to that of the platform A and provided on one end with drawers G', to contain the linen, towels, bandages, and other paraphernalia incident to the profession, and on the opposite end and between the portion of the base and top boards projecting beyond the receptacle G a revolving instrument case I-I, having shelves h, upon which to place these instruments, (in trays, not shown,) the said case H being pivoted centrally, or nearly so, upon two pivots h', around which said case H may freely revolve so as to enable the examiner or operator to ICO and desirable fixture to enable the examiner and operator to do his professional wo rk properly and without hinderance, which in diflicult operationsy is of the utmost importance and where the life of a patient may depend upon a few moments of time.

The upper portion of the table consists of a rectangular frame E, to one of the longitudinal slats of which I secure a tapering batten I, Fig. 3, and to which, in turn, I hinge a correspondingly shaped prop or wing J, by means of spring-'hinges vl i, said prop J having a handle j, by Which it may be turned down,while the spiral springs t" in said hinges L acting upon both leaves of said hinges tend to keep the prop J in an erect position.

The table -top consists of a rectangular frame K, the end-pieces K of which are connected in about their middle by a rail L.

The table-top proper consists ofL three separate leaves M M M respectively, of which the leaf M is permanently affixed to the upper surface of the table-top-frame K, while the others are hinged together by hinges 7c 7c of' which the former are plain butt-hinges connecting the leaves M M, while the latter, 7c', are double swing hinges so that the leaf M", which also forms a head-piece, may be swung above or below the level of the middleleaf M in a manner hereinafter to be referred to.

Within the frame K and underneath the leaf M there is placed a sliding extension N, of substantially U-shape, the parallel members n n of which have laterally projecting lugs n n', and on both sides of this slide N stirrups O,f having projecting lugs cl engaging with the projections n n of the slide whenever the latter is pulled out from its normal position underneath the table-top-leaf M,

and so that these three parts when so pulled out form an extension of the said table topleaf. 4One end of the stirrups is tapered so as to allow the outer end thereof to swing outwardly away from the slide N, as illustrated in Fig. 5, and these outer ends are provided with apertures CZ to give a firm support to the heels of the patients foot-wear,whenever an examination or operation requires the same. It may here be observed that these stirrups O may be pulled out separately and independently of each other or the slide N, but the latter may not be pulled out without also bringing along said stirrups O.

Below the central top-leaf M there are secured guiding slats m, engaging between them a bar P, which bar is held within the guides y case G.

m by cross-pieces or plates p. The outer end of this bar P has a suitably-shaped handlep by which it is manipulated, and it has near its inner end a laterally projecting bladespring p, engaging a notch m in one of the guides m to prevent said bar P from being entirely withdrawn from underneath the table-leaf M said spring holding the'bar P in any position by frictional contact with the slat m.

To one side of the rectangular top-frame K is removably hinged a knee-rail R, having on one end a hook r, adapted to engage apin or similar projection r on the edge of the top leaf M so that when said leaf M and the knee-guide R are turned up into the position shown in Fig. 2, said leaf M forms a headpiece and the knee-guide a side-wall for the table-top proper.

The stirrups O and the sliding 'bar P are made of substantially even width and thick-V ness so that an ankle-rest S, being a curved support having its inner surface properly upholstered may be placed either upon said stirrups and removably held thereto by U -shaped guide-pieces s s, Figs. l and 5, or upon said sliding bar P; in the latter case the said ankle-rest serving as a head-rest,.as shown in Figs. 1 and 3, in an obvious manner. When not in use this head and ankle-rest maybe stored within one of the drawers G in the To the under side of and in one corner of the table-top frame K there is affixed the universal joint 'l shown and described in the Letters Patent already mentioned as consisting of a plate e, Fig. 4, having a cup-shaped bearing centrally perforated for the reception of a shank f', Fig. 5, having a ballshaped head engaging said cup-shaped bearing, said shank f passing into the aperture e and forming the pivot on which the tabletop frame may swing. Intheopposite corner of the table-top frame there is affixed a downwardly-projecting bar g, Fig.` 5, entering a slotted aperture g', Fig. 4, whereby said table-top frame is held in proper position and yet free to be raised or tilted or entirely removed, if desired.

The middle-section of the table-top proper, M', is, as heretofore stated, hinged to the fixed section M by the hinges k. M has on its under side an H-shaped, preferably metallic supporting frame U, hinged at one end of its parallel members to the bottom side of the top-frame K, at u, and having the opposite ends engaging notches 0J, in the said top-frame whereby said table-leaf M may be supported at any angle with the leaf M. This frame U has an extension u', reaching outside of the top frame K to enable its being easily manipulated.

Below the table-top frame are fastened two U-shaped guide-pieces .fr to receive a sliding bar X, having its inner end turned up at x to form a stop for said bar, and on its outer end a cross-bar whereby it is to be ma- IOO IPS

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nipulated. This bar serves as a sliding lever wherewith the said top-frame may be lifted or tilted after the patient has taken his or her position upon the table, and it may be used as a towelfrack during examination and operation of the patient. When pushed inwardly so as to. be nearly flush with the side of the top-frame it will be out of the way and barely noticed. Below the top-frame is further placed a prop V, hinged to the bottom side thereof by means of spring-hinges y in such a manner that said prop V will drop into a pendent position as soon as the topfralne is raised sufficiently for that purpose, a handle o being secured to said prop and projecting beyond the side of the top-frame whereby said prop may be turned flat upon the top-frame to lower the latter whenever desired, there being a notch fu in the prop J heretofore mentioned to receive this prop V whenever the transverse inclination of the table-top alone is desired, while when said prop V is brought into action, the said tabletop will be lifted into an oblique inclination, the corner diagonally opposite the one having the universal joint connection being the higher. When both props are turned down the table-top frame will rest solidly upon the table frame E.

It will be readily observed that. in this present construction I have introduced several features not found in my former Letters Patent, viz., the table-top frame and the fixed and hinged sections of the table-top proper with the support for the hinged middle section, which enables me to place my patients in positie-ns for examination, operation, and treatment which I was heretofore unable to accomplish, and which therefore not only contributes to the comfort of the patient but also, owing to the ease with which the changes may be made while the patient is upon the table, enables the operator to perform his operations with greater dexterity and certaintythan heretofore.

In some of the cheaper grades of tables I construct the stirrups O of wood in the form shown in Figs. l and A5, but in the better grades I make them as shown in Fig. 6, in which the stirrup-frame O has an external configuration like the wooden structure. In this frame there are cross-pieces l and 2, having shoulders or ledges 3 so as to produce between said cross-bars l 2 aslotted aperture 4, of a length as much shorter as the width of the frame as the width of said ledge 4. The stirrup board O is placed between the side and end-walls of the frame, but when it is desired to use the said stirrup-board as a foot-board,it is placed in one of the slotted apertures 4 wherein it will stand at an angle of about forty-five degrees, (more or less.) This is an essential feature in my present device since it VVprovides for a firm and convenient foot support for the patient. In the foot-board is an excision o, to enable the stirrup to be withdrawn from its position underneath the table-top frame, by the end-bar 5 in the stirrup-frame.

In the 'wooden structures, as shown in Fig. 5,

having 'curved supports B tted with legs C,

spindles D, the hollow base A and the rectangular frame E, said hollow base being provided with a slide having downwardly-projecting lug h and stop c, as stated.

3. In a physicians table, the combination, l

with the stirrups movably arranged under the fixed table-leaf M at one end thereof, the

slide bar P movably arranged under the hinged table-leaf M and adapted to support the hinged table leaf M, and the curved ankle-rests having the U shaped guide pieces s s adapted to engage either the stirrups or the slide-bar, as and for the object stated.

4. In a physicians examining and operating table, the combination, with the fixed table-leaf M, of the middle-leaf M hingedvto the fixed leaf and provided with a suitable adjusting device to retain said middle leaf in an inclined position, and a third leaf M", hinged to the middle-leaf by double swing hinges, as described, said middle leafhaving guide slats m affixed to its under side and IOO provided with a shouldered notch m and the by the plates p, as specified.

5. In a physicians operating table, the combination, with theA table-frame having the platform A provided with the rails B and legs C, and the frame E supported by the spindles D, of the operating case G upon said platform and having its base-board A and top-board A extended as described, and the revolving instrument case pivoted to and between said extended portion of said base and top boards, as and for the object specified. j

6. In a physicians examining and operating table, the combination, of the platform A having grooves d, the supports B and the legs C, Lof the step F having the ribsf and the lugs b and c, substantially as set forth.

7. In a physicians examining and operating table, the combination, with the table.- frame, substantially as described, of the plate e in one of the spindles of said frame, atabletop proper consisting of a table-top frame connected with the table-frame by a universal joint connection engaging said plate and having at one of its ends a fixed tab-le leaf, a

middle leaf hinged to said fixed leaf, and an outer leaf projecting over the table top frame ISO and hinged to said middle leaf andsupported by the slider ,bar P movably arranged within guide slats m affixed tothe hinged middle leaf, as and for the object set forth.

8. In a physioians examining and operata-5A Ader side`- of the table-top l frame, said bar X 1o ing table, the combination, with the table-; 'having the stop asstated. frame, of a tabletop frame connected there-; i In testimony that I claim the foregoing as with by a universal joint connectiomataper-q my invention I have hereto set my hand in ing Wing J, hinged to said table frame byi `the presence of two subscribing witnesses. Spring hinges z' causing said Wing to assumel l y BYRON H. DAGGETT. an upright position whenever the table-top;` Attest: frame is lifted, and a sliding bai-X arranged' MICHAEL J. STARK, to move in guide-pieces maxed to the un# WM. O. STARK.

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