[0001] The present invention relates to a surgical table with an integral power supply.
[0002] Surgical tables are known which incorporate an integral power supply for driving
parts of the surgical table, in particular motors for moving various parts of the
surgical table so as to dispose the surgical table in a particular orientation. For
example a surgical table which comprises a multi-section patient support surface carried
on a column can be configured whereby sections of the patient support surface may
be movable relative to each other and relative to the column and the column can be
raised or lowered. The various parts of the surgical table which are movable can be
driven by various actuators or drive means, for example electric motors. Furthermore,
the integral power supply for the surgical table may drive other parts or functions
of the surgical table, for example displays.
[0003] It is known to provide a surgical table having an integral power supply in the form
of a rechargeable battery. The battery is typically charged by an integral battery
charger, which can be connected to an external supply of electrical power. Since surgical
tables are used in surgical procedures, it is essential that the battery remains sufficiently
charged to be able to drive the table. Most particularly, it is a requirement of surgical
tables that if a patient on the table suffers a cardiac arrest, an emergency source
of electrical power is available in order, very quickly, in an emergency procedure,
to cause the table to perform a Trendelenberg or reverse Trendelenberg movement (in
both cases referred to in the art as a "trend" movement) so as to lower or raise the
head of the patient.
[0004] In order to provide such emergency back-up electrical power, it is known to provide
surgical tables incorporating an integral power supply in conjunction with a trolley
incorporating a reserve power supply, for example back-up emergency battery, which
can be quickly connected to the surgical table to provide emergency power. The need
for a trolley is inconvenient in an operating theatre and can cause delays in supplying
the emergency power. The emergency power must be sufficient to perform the emergency
trend operation. Obviously, it is essential that the emergency back-up power is always
fully operational, otherwise catastrophic results could occur. Therefore, it is necessary
for the medical staff using the surgical table to be able to know with assurance that
the required power is available prior to commencing an operation.
[0005] It is an aim of the present invention to provide a surgical table incorporating an
improved integral power supply.
[0006] The present invention accordingly provides a surgical table having an integral power
supply, the surgical table comprising a patient support surface carried on a column,
a plurality of electrical devices in the surgical table to be driven by the integral
power supply, the electrical devices including a trend actuator for varying the inclination
of the patient support surface relative to the horizontal, the power supply comprising
a main battery for storing electrical charge and electrically connected to provide
electrical power to the plurality of electrical devices, a main battery control circuit
connected to the main battery for receiving electrical power therefrom, and for monitoring
the supply of power to the plurality of electrical devices from the main battery,
a main battery level indicator connected to the main battery control circuit, an emergency
battery for storing electrical charge and electrically connected to provide electrical
power to the trend actuator, an emergency battery control circuit connected to the
emergency battery for receiving electrical power therefrom and for monitoring the
supply of power to the trend actuator from the emergency battery, and an emergency
battery level indicator connected to the emergency battery control circuit.
[0007] An embodiment of the invention will now be described, by way of example only, with
reference to the accompanying drawings, in which:-
Figure 1 is a schematic diagram of an integral power supply for a surgical table in
accordance with a first embodiment of the present invention; and
Figure 2 is a schematic operational overview of a semiconductor chip for incorporation
into each of the main battery control circuit and the emergency battery control circuit
of Figure 1.
[0008] Referring to Figure 1, there shown a schematic diagram of an electrical power supply
integrated into a surgical table in accordance with an embodiment of the present invention.
The surgical table comprises, as is conventional, a multi-section patient support
surface carried on a column which can be configured whereby sections of the patient
support surface may be movable relative to each other and relative to the column and
the column can be raised or lowered. The various parts of the surgical table which
are movable can be driven by various actuators or drive means, for example electric
motors.
[0009] A main battery 2 is provided in the surgical table which is connected to a main battery
control circuit 4 which monitors the charging and discharging of the main battery
2. A main battery charger 6 is connected to the main battery control circuit 4. In
this embodiment, the main battery charger 6 is integral in the surgical table, but
alternatively may be connectable to the surgical table. In use, the main battery charger
6 is connected to an external source of electrical power, for example mains electricity.
The main battery 2 typically comprises a rechargeable battery having a typical storage
capacity of 10Ah. A main battery level indicator 8 is connected to the main battery
control circuit 4. The main battery control circuit 4 is also connected to the surgical
table load 10, which constitutes one or more electrical devices driven by the main
battery 2 acting as a power source therefor. The surgical table load 10 therefore
comprises one or more electrical motors and/or display devices.
[0010] An emergency battery 12 is also provided integrally in the surgical table 2. The
emergency battery 12 is connected to an emergency battery control circuit 14 which,
as for the main battery, is in turn connected to an emergency battery charger 16,
which may be integral in the surgical table and is connectable to an external source
of electrical power, and to an emergency battery level indicator 18. The emergency
battery control circuit 14 is connected solely to a trend actuator 20 which comprises
a part of the surgical table load 10. In other words, the emergency battery 12 is
controlled only to operate the trend actuator 20 for performing a trend operation
in an emergency situation, in the event that there is a failure of electrical power
from the main battery 2.
[0011] The main battery control circuit 4 is connected to the emergency battery control
circuit 14 so as to enable automatic switch over to the emergency battery 12 in the
event of failure of the main battery 2.
[0012] The emergency battery 12 is a rechargeable battery which typically has a capacity
of 1.2Ah. Thus typically, the emergency battery has electrical capacity which is about
an order of magnitude less than that of the main battery 2. The charge stored in the
emergency battery 12 is typically sufficient to give enough power to drive a fully
loaded table, in other words a surgical table loaded with a patient having a weight
corresponding to the maximum design load of the table, for 2.5 minutes to ensure that
a trend operation can be carried out by the trend actuator 20.
[0013] The main battery control circuit 4 and the emergency battery control circuit 14 are
each required to give the user of the table an accurate measure of the amount of use
left in each of the main battery 2 and the emergency battery 12 respectively. It is
imperative that this measure is accurate to a few percent so that there is no danger
of the batteries failing to drive the table when required. It is obviously essential
to know the state of the charge of the emergency battery 12, because prior to commencing
any surgical procedure the surgical team must be satisfied that in the event of failure
of the main battery 2, sufficient charge is present on the emergency battery 12 to
drive at least the trend actuator 20 of the table.
[0014] Each battery control circuit 4,14 is embodied in a semiconductor chip which accumulates
a measure of charge and discharge currents as well as an estimation of the self-discharge
of the respective battery 2,12, and also compensates the charging current for charging
rate and temperature. The chip provides an output to the respective battery level
indicator 8,18 which is temperature compensated, which indicates the actual state
of charge of the respective battery 2,12.
[0015] The control circuits 4,14 therefore calculate a value representative of the cumulative
amount of charge (in Coulombs) fed to the respective battery by the respective charger.
The amount of charge is calculated from the value of the charge current and time,
together with charging rate and temperature. The control circuit also calculates the
cumulative discharge of electrical charge (in Coulombs) from the respective battery,
the discharge being a result of a discharge current fed to the surgical table load
or from self-discharge of the battery over time. The discharge of the battery as a
result of powering the surgical table load is compensated, dependent on the load taken
by the discharge current, and the self-discharge of a battery is compensated for load
and temperature. These two values of accumulated charge and accumulated discharge
are employed to calculate a nominal available charge (NAC) of the battery which, following
a temperature translation, is employed to indicate the actual state of charge of the
respective battery at that particular point in time.
[0016] An operational overview of the chip is shown in Figure 2. A charge current for the
respective battery fed on input line 22 is fed to a charge rate and compensation device
24 whereby a total charge signal is outputted on line 26 which has been compensated
for the charging rate and for temperature. Only current fed into and out of the battery
is measured on line 22 and any current flowing from the charger directly to the load
is not measured. This may be achieved for example by monitoring a voltage drop across
a sense resistor which is in series with the zero voltage line of the battery and
the load/charger circuit. If charged activity is detected, the chip sends a signal
on line 26 to increment a numerical value representative of the accumulated charge,
in a nominal available charge (NAC) register 28. The signal on line 26 is a positive
input for incrementing the charge value in the NAC register 28. Typically, the chip
detects charge activity for incrementation of the NAC register 28 only when the charge
voltage is greater than 250 micro volts. The NAC register 28 calculates the cumulative
charge on an incremental basis, in order to give a numerical indicator of total possible
charge of the battery.
[0017] The value of the discharge current is fed on a line 30 to a load compensation device
32, which in turn provides an output to the NAC register 28 on line 34. This is a
negative input for the NAC register 28 so as to decrease the charge value in the NAC
register 28. An output on line 36 from a self-discharge timer for the respective battery
is fed to a load and temperature compensation device 38. The self-discharge timer
is preset with predetermined values of the proportion of charge lost per day for the
particular battery type employed. The load and temperature compensation device 38
sends an output to the NAC register 28 on line 40, which is also a negative signal
causing a decrease in the charge in the NAC register 28.
[0018] The load and temperature compensation device 38 also sends an output signal on line
42 to a discharge count register (DCR) 44. The discharge count register 44 also receives
a signal on line 46 from the load compensation device 32. Both of the signals fed
to the discharge count register 44 are positive signals leading to an increment in
the amount of measured discharge as a result of the discharge current and the self-discharge
of the battery.
[0019] The discharge count register in turn sends a qualified transfer signal on line 48
to a last measured discharge register (LMD) 50. The chip uses the last measured discharge
register (LMD) 50 as a "measured full" reference at the commencement of each charging
cycle. The last measured discharge register (LMD) 50 is set to the programmed full
count value representing a preset nominally full value for the battery. The chip then
adjusts the contents of the NAC register 28 based on the measured discharge of the
battery from full to empty based on the preceding discharge cycle. Accordingly, the
chip lowers the value for the battery capacity and takes account of component errors
and battery differences, particularly due to variations in battery capacity over successive
charging cycles. The LMD register 50 provides a signal on line 52 to the NAC register
28 so that the value of the charge in the NAC register 28 is compensated for battery
capacity.
[0020] The NAC register 28 provides an output on line 54 to a temperature translation device
56 which compensates the value for actual temperature. The temperature translation
device 56 has an output on line 58 which is fed to a chip-controlled available charge
LED display 60 of the respective battery level indicator 8,18.
[0021] The LED display 60 may comprise a variety of different displays. For example, the
display may indicate the amount of charge in the battery using a five-segment display
that indicates to a user a graphical representation of the charge state in equal 20%
steps. Alternatively, the energy display may have a green LED indicating charge of
80% or above, an amber LED indicating a charge of 20% to 80% and a red LED indicating
a charge of less than 20%.
[0022] The present invention accordingly provides a power supply for a surgical table which
permits an integral emergency battery to be incorporated into the surgical table,
complying with statutory regulations for the provision of emergency power to a surgical
table to enable at least a trend operation to be carried out in the event of failure
of the main power source of the surgical table. Furthermore, the power supply provides
battery level indicators which indicate the actual state of charge at any particular
point in time of the respective battery. Furthermore, two battery level indicators
are provided, one for the main battery and one for the emergency battery to enable
the surgical and medical staff immediately to determine whether or not the surgical
table is sufficiently powered up to be employed in any given operation with safety.
1. A surgical table having an integral power supply, the surgical table comprising a
patient support surface carried on a column, a plurality of electrical devices in
the surgical table to be driven by the integral power supply, the electrical devices
including a trend actuator for varying the inclination of the patient support surface
relative to the horizontal, the power supply comprising a main battery for storing
electrical charge and electrically connected to provide electrical power to the plurality
of electrical devices, a main battery control circuit connected to the main battery
for receiving electrical power therefrom, and for monitoring the supply of power to
the plurality of electrical devices from the main battery, a main battery level indicator
connected to the main battery control circuit, an emergency battery for storing electrical
charge and electrically connected to provide electrical power to the trend actuator,
an emergency battery control circuit connected to the emergency battery for receiving
electrical power therefrom and for monitoring the supply of power to the trend actuator
from the emergency battery, and an emergency battery level indicator connected to
the emergency battery control circuit.
2. A surgical table according to claim 1 wherein each battery control circuit includes
a register for calculating a value representative of the electrical charge in the
battery and outputting a signal representing the value to the respective battery level
indicator.
3. A surgical table according to claim 2 wherein each battery control circuit further
comprises a device for calculating the input charge from a charging device, a device
for calculating an output charge discharged to the plurality of electrical devices
or to the trend actuator, and a device for calculating the self-discharge of the respective
battery.
4. A surgical table according to claim 3 wherein the device for calculating the input
charge includes a device for compensating the charging current from the charging device
for the charging rate and the temperature.
5. A surgical table according to claim 3 or claim 4 wherein the device for calculating
an output charge includes a device for compensating for the load supplied by a discharge
current from the respective battery.
6. A surgical table according to any of claims 3 to 5 wherein the device for calculating
the self-discharge of the respective battery includes a device for compensating for
temperature and the load to which a self-discharge current is supplied.
7. A surgical table according to any foregoing claim wherein each battery control circuit
includes a temperature translation device for compensating the output signal for temperature.
8. A surgical table according to any foregoing claim wherein each battery level indicator
includes a display for indicating the level of charge in the respective battery as
a proportion of the total charge capacity of the respective battery.
9. A surgical table having an integral power supply substantially as hereinbefore described
with reference to the accompanying drawings.