Patient examination system

[0001] This application claims the benefit of U.S. Provisional Patent Application No. 62/635,599, filed on Feb. 27, 2018, the entirety of which is hereby incorporated by reference.

[0002] The present invention is a patient examination system.

[0003] As is well known in the art, two separate items of clinical furniture are needed in order to accommodate the variety of positions which may be requested of a patient. In the prior art, an examination table is used to support the patient in prone, supine, or side-lying positions. An examination chair typically is used to support the patient in a seated or semi-supine position. The need to have two separate items of furniture has a number of disadvantages, e.g., a room in which the patient is examined is usually required to be sufficiently large to accommodate the two furniture items, as well as other equipment.

[0004] Legislation in various jurisdictions has imposed a number of requirements on furniture and equipment used in connection with medical care. For example, in the United States, the Americans with Disabilities Act (“ADA”) imposes a number of requirements, and in the prior art, compliance with certain of the requirements in regard to clinical furniture has been found to be challenging.

[0005] For the foregoing reasons, there is a need for a patient examination system that overcomes or mitigates one or more of the defects or disadvantages of the prior art. Such defects or disadvantages are not necessarily included in those described above.

[0006] In its broad aspect, the invention provides a patient examination system for locating a patient above a floor supporting the patient examination system. The patient examination system includes a frame assembly having one or more lower elements at least partially defining a lower side of the frame assembly located proximal to the floor, and one or more motion-controlling assemblies connected to the frame assembly for moving one or more selected movable portions of the frame assembly relative to the floor. The selected movable portions include an upper element defining an upper side of the frame assembly located distal to the floor, the upper element being movable by the motion-controlling assemblies relative to the lower element.

[0007] The patient examination system also includes a patient support assembly, which has a seat subassembly with a seat cushion, a back subassembly with a back cushion, a footrest subassembly with a footrest cushion, and a cover element covering the seat cushion and the footrest cushion, the cover element having an exposed surface formed for engagement with the patient. The seat subassembly supports the seat cushion and is secured to the upper element of the frame assembly.

[0008] The frame assembly is configured to support the seat subassembly relative to the floor in a lowered position thereof, in a raised position thereof, in intermediate seat positions therebetween, and in one or more Trendelenburg positions. The back subassembly supports the back cushion and is connected with the upper element by a back linkage subassembly. The back linkage subassembly is configured to support the back subassembly relative to the frame assembly in a non-horizontal position thereof, in a horizontal position thereof, in intermediate back positions therebetween, and in one or more Trendelenburg positions.

[0009] The footrest subassembly is connected to the upper element of the frame assembly by a footrest linkage subassembly. The footrest linkage subassembly supports the footrest cushion. The footrest linkage subassembly also is configured to support the footrest subassembly relative to the seat subassembly in a retracted position thereof in which the footrest cushion is positioned orthogonally to the upper element, and in an extended position thereof, in which the footrest cushion is positioned parallel to the upper element.

[0044] In the attached drawings, like reference numerals designate corresponding elements throughout. Reference is first made to FIGS. 1A-9D to describe an embodiment of a patient examination system of the invention indicated generally by the numeral 20. As will be described, the patient examination system for locating a patient (not shown) above a floor “F” supporting the patient examination system 20. In one embodiment, the patient examination system 20 preferably includes a frame assembly 22 (FIGS. 1B, 3B, 3C, 5B, 5C) having one or more lower elements 24 (FIGS. 3B, 5B) at least partially defining a lower side 26 of the frame assembly 22 that is located proximal to the floor “F”. Preferably, the patient examination system 20 also includes one or more motion-controlling assemblies 28 (FIG. 5B) connected to the frame assembly 22 for moving one or more selected movable portions 30 of the frame assembly 22 relative to the floor “F”. It is also preferred that the selected movable portions 30 include an upper element 32 defining an upper side 34 of the frame assembly 22 that is located distal to the floor “F”. As will be described, the upper element 32 preferably is movable by the motion-controlling assembly 28 relative to the lower element 24.

[0045] As can be seen in FIGS. 3B and 5B, the patient examination system 20 preferably also includes a patient support assembly 36 including a seat subassembly 38 having a seat cushion 40, a back subassembly 42 having a back cushion 44, a footrest subassembly 46 having a footrest cushion 48, and a cover element 50 covering the seat cushion 40 and the footrest cushion 48. The cover element 50 preferably has an exposed surface 52 formed for engagement with the patient. It is preferred that the seat subassembly 38 supports the seat cushion 40 and is secured to the upper element 32 of the frame assembly 22, as will also be described. The frame assembly 22 is configured to support the seat subassembly 38 relative to the floor “F” in a lowered position thereof (FIG. 1A), in a raised position thereof (FIG. 4), in intermediate seat positions therebetween, and in one or more Trendelenburg positions (FIG. 9A). The back subassembly 42 preferably supports the back cushion 44 and is connected with the upper element 32 by a back linkage subassembly 54 (FIGS. 3D, 5E). The back linkage subassembly 54 is configured to support the back subassembly 42 relative to the frame assembly 22 in a non-horizontal position thereof (FIG. 1A), in a horizontal position thereof (FIG. 3A), in intermediate back positions therebetween, and in one or more Trendelenburg positions (FIG. 9A).

[0046] It is also preferred that the footrest subassembly 46 is connected to the upper element 32 of the frame assembly 22 by a footrest linkage subassembly 56 (FIGS. 3D, 5C, 5E). The footrest linkage subassembly 56 supports the footrest cushion 48 (FIGS. 3C, 5C). The footrest linkage subassembly 56 preferably is configured to support the footrest subassembly 46 relative to the seat subassembly 38 in a retracted position thereof in which the footrest cushion 48 is positioned orthogonally to the upper element 32 (FIG. 4), and in an extended position thereof (FIGS. 3C, 5B, 5C), in which the footrest cushion 48 is positioned parallel to the upper element 32.

[0047] Those skilled in the art would appreciate that the one or more motion-controlling assemblies 28 may include any suitable means for initiating movement controllable by an operator or, if preferred, by a patient (not shown) for precise positioning of certain portions of the patient examination system 20, to locate the patient in one or more selected positions. In one embodiment, the motion-controlling assembly 28 preferably is configured to move the upper element 32 vertically relative to the floor between lowered and raised positions thereof (FIGS. 3A, 5A). For example, in FIG. 3B, the frame assembly 22 is shown in a retracted condition, in which the upper element 32 is positioned proximal to the lower element 24. In FIGS. 5B and 5C, the frame assembly 22 is shown in an extended condition, in which the upper element 32 is positioned distal to the lower element 24. It will be understood that the frame assembly 22 may be moved to a number of intermediate conditions, in which the upper element 32 is located between its raised and lowered positions. As can also be seen, e.g., in FIG. 9B, the frame assembly 22 is also movable to a Trendelenburg position, in which the upper element 32 is positioned to define an acute angle between the upper element 32 and the floor “F”. From the foregoing, it can be seen that the vertical movement of the upper element 32 causes corresponding vertical movement of the seat subassembly 38, the back subassembly 42, and the footrest subassembly 46.

[0048] Those skilled in the art would be aware of suitable motion-controlling assemblies. For instance, in one embodiment, the motion-controlling assembly may include one or more suitable motors “M” operatively coupled with a telescoping ram subassembly “R” (FIG. 5C). The motion-controlling assembly 28 preferably also includes one or more suitable controllers “Q” (FIGS. 1A, 5A).

[0049] For instance, in FIGS. 3B and 5C, it can be seen that, when the frame assembly 22 is moved from its retracted condition (FIG. 3B) to its extended condition (FIG. 5C), the upper element 32 is moved vertically upwardly, in the direction indicated by arrow “A” in FIG. 3B. Similarly, when the frame assembly 22 is moved from its extended condition (FIG. 5C), to its retracted condition (FIG. 3B), the upper element 32 is vertically lowered, as indicated by arrow “B” in FIG. 5C.

[0050] As noted above, the seat cushion 40, the back linkage subassembly 54, and the footrest linkage subassembly 56 are all mounted to the upper element 32. Accordingly, those skilled in the art would appreciate that movement of the upper element 32 also causes corresponding movement of each of the seat subassembly 38, the back subassembly 42, and the footrest subassembly 46.

[0051] As is known, in a Trendelenburg position, the patient is positioned with the pelvis higher than the head. Those skilled in the art would appreciate that, in order for the patient examination system 20 to be configured in a Trendelenburg position, for example, as shown in FIGS. 9A-9D, the upper element 32 is positioned at one or more acute angles relative to the lower element 24.

[0052] From the foregoing, it can be seen that the patient examination system 20 may be configured in a variety of selected states. For instance, in FIG. 1A, the system 20 is configured in a first sitting state, in which the patient is supported in a lowered sitting position. In FIG. 4, the system 20 is configured in a second sitting state, in which the patient is supported in a raised sitting position. It will be understood that the system 20 may be configured in a variety of intermediate positions, vertically intermediate between the lowered and raised seat cushion positions illustrated in FIGS. 1A and 4 respectively.

[0053] Those skilled in the art would appreciate that the reconfiguration of the system 20 from the first sitting state to the second sitting state, is the result of the frame assembly 22 being moved from its retracted condition (in which the seat subassembly 38 is in its lowered position) to its extended condition (in which the seat subassembly 38 is in its raised position).

[0054] It will be understood that the back cushion 44 is positionable in a lowered position of the back subassembly 42 (FIG. 3A), in which the back cushion 44 is substantially parallel to the upper element 32, and a raised position (FIG. 1A), in which the back cushion 44 is positioned to define an acute angle between the back cushion 44 and the upper element 32. As can be seen in FIGS. 3D and 5E, the back cushion 44 preferably is connected to the upper element 32 by the back linkage subassembly 54.

[0055] It will be understood that the upper element 32 may include a number of discrete elongate elements (“U₁”-“U₄”) that are secured together (FIG. 5E). Similarly, the lower element 24 may include discrete elements (“L₁”-“L₄”) that are secured together (FIG. 5E). The frame assembly 22 preferably also includes the movable portions 30 or intermediate elements that are located generally between the lower and upper elements 24, 32, to connect the lower and upper elements 24, 32. The intermediate elements 30 preferably are configured to provide parallel linkages or such other arrangements as are suitable to position the upper element 32 as desired relative to the lower element 24, using the one or more motion-controlling assemblies 28. As can be seen, e.g., in FIG. 5E, in one embodiment, the motion-controlling assembly 28 preferably includes a motor “M” mounted to the lower element and a telescoping ram “T” that is connected to the upper element 32, for vertical movement of the upper element 32 relative to the lower element 24. The frame assembly may include a second motion-controlling assembly 28′, as can be seen in FIG. 5E.

[0056] In one embodiment, the patient examination system 20 preferably additionally includes a left arm assembly 58 and a right arm assembly 60 positioned on opposite sides of the seat subassembly 38 (FIG. 8). Preferably, each of the left and the right arm assemblies 58, 60 are secured to opposite sides of the lower element 24 of the frame assembly 22.

[0057] As can be seen, e.g., in FIGS. 4, 5A, and 9D, in one embodiment, each of the left and right arm assemblies 58, 60 preferably includes only one body portion 61.

[0058] However, in an alternative embodiment, it is preferred that each of the left and right arm assemblies 58, 60 includes a lower portion 62 secured to the lower element 24 of the frame assembly 22, and an upper portion 64 movable relative to the lower portion 62 between an aligned position thereof, in which the upper portion 64 is at least partially vertically aligned with the lower portion 62 above the lower portion 62, and a non-aligned position thereof (FIG. 8), in which the upper portion 64 is at least partially located beside the lower portion 62. Preferably, the upper portion 64 is movable between the aligned and non-aligned positions by pivoting about an axis of rotation “X” (FIG. 8). Each of the left and right arm assemblies 58, 60 preferably includes a hinge subassembly 80 configured for rotation of the upper portion 64 about the axis “X” defined by the hinge subassembly 80. As an example, in FIG. 8, the upper portion 64 of the right arm assembly 60 is shown in the non-aligned position thereof, and the upper portion 64 of the left arm assembly 58 is shown in the aligned position thereof.

[0059] The advantage of the left and right arm assemblies 58, 60 including respective upper and lower portions is that this arrangement facilitates generally horizontal movement of the patient onto and from the patient examination system 20. Specifically, and as can be seen in FIGS. 7 and 8, when the seat subassembly 38 is in the lowered position thereof and the upper portion 64 is in the non-aligned position thereof, the patient is substantially horizontally movable over the lower portion 62.

[0060] For instance, the patient may be moved in the direction indicated by arrow “Y” in FIG. 8 onto the seat subassembly 38. The patient may be moved in the direction indicated by arrow “Z” in FIG. 8 from the seat subassembly 38. Such movement may be, for example, onto another support device (not shown).

[0061] As illustrated in FIG. 8, in one embodiment, the upper portion 64 preferably includes an upper portion body 66 having an upper portion mating surface 68 and the lower portion 62 preferably includes a lower portion body 70 having a lower portion mating surface 72 that is formed to mate with the upper portion mating surface 68 when the upper portion 64 is in the aligned position. Preferably, when the upper portion 64 is in the non-aligned position and the seat subassembly 38 is in the lowered position, the upper portion mating surface 68 and the lower portion mating surface 72 are laterally aligned with each other, and also aligned with at least part of the exposed surface 52 of the cover element 50. In one embodiment, the upper portions 64 may each include an armrest element 73 (FIG. 7) defining a gap “W” between the armrest element 73 and the upper portion body 66.

[0062] Those skilled in the art would appreciate that, in practice, there may be situations where the only feasible movement onto the seat subassembly, or from the seat subassembly, would be substantially horizontal. In order to control movement of the upper portion, a latch assembly 74 preferably is located in each of the left and right arm assemblies 58, 60 (FIG. 10). It is preferred that the latch assembly 74 is movable between locked and unlocked conditions thereof, as will be described. Preferably, the latch assembly 74 is configured to secure the upper portion 64 in the aligned position when the latch assembly 74 is in the locked condition, and the latch assembly 74 is also configured to permit the upper portion 64 to move to the non-aligned position when the latch assembly 74 is in the unlocked condition.

[0063] The latch assembly 74 that is mounted in the upper and lower portion bodies 66, 70 of the right arm assembly 60 is illustrated in FIGS. 10-18. It will be understood that the latch assembly 74 that is mounted in the left arm assembly 58 is the mirror image thereof.

[0064] In one embodiment, the latch assembly 74 preferably includes an upper plate 76 secured to the upper portion body 66, and a lower plate 78 secured to the lower portion body 70. It is also preferred that the upper plate 76 and the lower plate 78 define the axis of rotation “X” therebetween.

[0065] The latch plates 76 that are mounted to the upper portions 64 of each of the left and right arm assemblies can be seen, for example, in FIG. 7.

[0066] Those skilled in the art would appreciate that, in one embodiment, the axis of rotation “X” preferably is also defined by the hinge subassembly 80 that is at least partially located between the upper and the lower plates 76, 78. The hinge subassembly 80 is omitted from FIGS. 10-18 for clarity of illustration. It will be understood that the hinge subassembly 80 may be in any suitable form. Those skilled in the art would be aware of suitable forms of hinge subassemblies.

[0067] In one embodiment, the latch assembly 74 preferably includes an activation element 82 mounted to the lower plate 78 and rotatable about an activation element axis 84 (FIG. 11). As can be seen in FIG. 10, the activation element 82 preferably includes a first arm 86 and a second arm 88. Preferably, the latch assembly 74 also includes a latch element 90 pivotally mounted to the second arm 88 and pivotable about a latch element axis 92 that is parallel to the activation element axis 84 (FIG. 11). The activation element 82 preferably is movable between a first position (FIG. 10), in which the latch assembly 74 is in the locked condition and the first arm 86 is positioned pointing at least partially upwardly, and a second position (FIG. 12), in which the latch assembly 74 is in the unlocked condition and the first arm 86 is positioned pointing at least partially downwardly. As will be described, movement of the activation element 82 from the first position to the second position thereof causes the latch assembly 74 to move from the locked condition to the unlocked condition thereof.

[0068] The direction of rotation of the activation element 82 from the first position to the second position is indicated by arrow “C” in FIG. 10.

[0069] When the upper portion 64 is in the aligned position (i.e., aligned vertically with the lower portion 62), movement of the activation element 82 from the second position thereof to the first position thereof moves the latch assembly 74 from its unlocked condition to its locked condition. The direction of rotation of the activation element 82 from the second position to the first position is indicated by arrow “D” in FIG. 12.

[0070] The latch assembly 74 is shown in its locked condition in FIGS. 10, 11, and 15. When the latch element 90 is in a locked position thereof, the latch assembly 74 is in its locked condition. From the foregoing, it can be seen that, when the latch assembly 74 is in the locked condition thereof, the upper portion 64 is locked in the aligned position thereof relative to the lower portion 62. For example, in FIGS. 7 and 8, the upper portion 64 of the left arm assembly 58 is locked in the aligned position thereof relative to the lower portion 62 of the left arm assembly 58. For illustrative purposes, in FIGS. 7 and 8, the latch assembly 74 of the right arm assembly 60 is in the unlocked condition, which permits the upper portion 64 of the right arm assembly 60 to be in the non-aligned position relative to the lower portion 62 of the right arm assembly 60.

[0071] It will be understood that certain elements are omitted from FIG. 15 in order to show the location of the latch element 90 in relation to the upper plate 76, when the latch element 90 is in its locked position.

[0072] Similarly, the latch assembly 74 is shown in its unlocked condition in FIGS. 12, 13, 14, and 17. When the latch element 90 is in an unlocked position thereof, the latch assembly 74 is in its unlocked condition. It will also be understood that certain elements are omitted from FIGS. 13 and 17 in order to show the location of the latch element 90 in relation to the upper and lower plates 76, 78, when the latch element 90 is in its unlocked position.

[0073] As can be seen, e.g., in FIGS. 10 and 12, the latch element 90 preferably is moved from the locked position thereof (FIG. 10) to the unlocked position thereof (FIG. 12) by rotation of the activation element 82 from the first position to the second position thereof respectively. The latch element 90 preferably is moved from the unlocked position thereof to the locked position thereof by rotation of the activation element 82 from the second position to the first position thereof.

[0074] As can be seen in FIG. 18, the latch element 90 preferably includes a hook portion 94 that engages with a stop 96 mounted to the upper plate 76, when the activation element 82 is in the first position thereof, and when the upper portion 64 is in the aligned position thereof. It will be understood that the upper plate 76 is omitted from FIGS. 15-18 for clarity of illustration. (As noted above, when the activation element 82 is in the first position thereof, the latch element 90 is in the locked position thereof.) Those skilled in the art would appreciate that the stop 96 may have any suitable configuration. As can be seen in FIGS. 16C and 16D, in one embodiment, the stop 96 preferably comprises a stop frame 98 that includes a lower ledge 101 with which the hook portion 94 is engageable. Preferably, the lower ledge 101 partially defines an opening 103 in the stop frame 98.

[0075] In one embodiment, the hook portion 94 preferably includes a hook body 105 and a point region 107 extending from the body 105, to define a protruding region 109 that is protruding or proud relative to a recessed region 111, that extends from the point region 107 toward the body 105. The recessed region 111 is partly defined by an edge 113. It will be understood that, when the hook portion 94 engages the lower ledge 101, the edge 113 engages the lower ledge 101, and the protruding region 109 tends to hold the hook portion 94 engaged with the stop 96. Preferably, when the edge 113 engages the lower ledge 101, the point region 107 at least partially extends into the opening 103 (FIG. 15)

[0076] Those skilled in the art would appreciate that the hook portion 94 and the lower ledge 101 are configured and positioned relative to each other so that, when the latch element 90 is in its locked position, the hook portion 94 is unlikely to be inadvertently removed from engagement with the lower ledge 101, e.g., if the upper portion 64 is jarred by an object striking it.

[0077] As can be seen in FIGS. 10, 11, and 15, when the activation element 82 is in the first position thereof, the first arm 86 preferably is in an uppermost position thereof. Also, and as can be seen in FIGS. 12, 13, 14, and 17, when the activation element 82 is in the second position thereof, the first arm 86 preferably is in a lowermost position thereof. In addition, however, the first arm 86 preferably is positionable at a first arm intermediate position, between the uppermost and lowermost positions thereof, as can be seen in FIGS. 16A-16D. When the first arm is in the first arm intermediate position, the latch element 90 is located by the activation element 82 in an intermediate position thereof in which the hook portion 94 is disengaged from the stop 96, and positioned above the lower portion 62.

[0078] As can be seen in FIGS. 15 and 16B, in which the latch element 90 is shown in the locked position and the intermediate position thereof respectively, when the latch element 90 is moved from the locked position to the intermediate position, the hook portion 94 is pivoted slightly upwardly, as indicated by arrow “E” in FIG. 16B. This upward pivoting movement is needed for disengagement so that the protruding region 109 can clear the lower ledge 101, thereby disengaging the edge 113 from the lower ledge 101.

[0079] It will be understood that the upper plate 76 is omitted from FIGS. 16A-16D for clarity of illustration. It can be seen, e.g., in FIG. 16B that when the activation element 82 is in the intermediate position thereof, the hook portion 94 of the latch element 90 is located in the upper portion 64, even though the hook portion 94 is disengaged from the stop 96 at that point.

[0080] Those skilled in the art would appreciate that, because the lower plate 78 and the upper plate 76 preferably are mounted inside the lower portion body 70 and the upper portion body 66 respectively, it is preferred that the lower portion body 70 includes an opening 114 through which the first arm 86 partially protrudes, so that the operator may have access to the first arm 86, to move the first arm 86 as needed.

[0081] As can be seen in FIGS. 11 and 14, in one embodiment, it is preferred that the lower portion body 70 includes a front exterior surface element 115 in which the opening 114 is formed. Preferably, the first arm 86 extends between an inner end 119 (FIG. 10) at which the first arm 86 is connected to the second arm 88, and an outer end 121 (FIG. 14) that is distal to the second arm 88. It is also preferred that the outer end 121 extends from the lower portion body 70 through the opening 114 to expose a terminal portion 123 of the outer end 121 (FIG. 14). As can also be seen in FIG. 14, in one embodiment, the terminal portion 123 preferably includes a knob or similar element, to enable the operator to easily grasp the terminal portion 123.

[0082] In one embodiment, the latch assembly 74 preferably also includes a key element 125 connected to the lower plate 78 (FIG. 11) and slidably engaged in a slot 127 in the latch element 90, for guiding the latch element 90 along a predetermined path as the latch element 90 is moved between the locked and unlocked positions thereof (FIGS. 10, 13).

[0083] Preferably, the latch assembly 74 additionally includes a resilient element 129 (FIG. 11) for biasing the latch element 90 to the locked position thereof when the activation element 82 is in the first position, and also for biasing the latch element 90 to the unlocked position thereof when the activation element 82 is in the second position thereof.

[0084] Those skilled in the art would appreciate that this is achieved by utilizing an over-center linkage arrangement. Preferably, the resilient element 129 is a helical compression spring (FIGS. 11, 13, 16C). It is also preferred that the latch assembly 74 includes a biasing pin element 131 extending between inner and outer ends 133,135 thereof (FIG. 13). The biasing pin element 131 preferably is rotatably mounted to the lower plate 78 at its inner end 133, and rotatably mounted at its outer end 135, via a rod “T” (FIG. 11), to the second arm 88 of the activation element 82. Preferably, the rod “T” defines the latch element axis 92. As can be seen in FIG. 11, the helical compression spring 129 preferably is positioned on the biasing pin element 131 for engaging a first end 137 of the helical compression spring 129 with a pin element body 139 located at the inner end 133 of the biasing pin element, and for engaging a second end 141 of the helical compression spring 129 with the rod “T” (FIG. 11), and thereby indirectly with the second arm 88 of the activation element 82. As a result, the helical compression spring 129 urges the second arm 88 in a first direction (indicated by arrow “G” in FIG. 10) to hold the latch element 90 in the locked position thereof when the activation element 82 is in the first position thereof, and the helical compression spring 129 urges the second arm 88 in a second direction (indicated by arrow “H” in FIG. 12) that radially diverges from the first direction, to hold the latch element 90 in the unlocked position thereof when the activation element 82 is in the second position thereof.

[0085] Those skilled in the art would appreciate that, when the first arm 86 is in the first arm intermediate position, the latch assembly 74 is not biased to its locked condition, or to its unlocked condition. Because the spring 129 is relatively less compressed between the rod “T” and the pin element body 139 when the activation element 82 is in the intermediate position thereof, the activation element 82 can relatively easily be moved therefrom to its first or second positions.

[0086] As can be seen in FIGS. 11 and 16C, the rod “T” preferably is positioned substantially orthogonally to the second arm 88, and also to the lower plate 78. It is also preferred that the rod “T” is pivotably mounted to a lower end 143 of the latch element 90 (FIG. 14), so that movement of the second arm 88 causes corresponding movement of the lower end 143 of the latch element 90. The biasing pin element 131 is pivotably mounted to a pivot pin 145 that is mounted to the lower plate 78 (FIGS. 11, 16C).

[0087] As can be seen, e.g., in FIG. 2A, in one embodiment, the footrest subassembly 46 preferably includes an auxiliary footrest cushion 147, supported by an auxiliary footrest linkage 149. The auxiliary footrest linkage is connected to the footrest linkage subassembly 56.

[0088] From the foregoing, it can be seen that the patient examination system 20 meets a number of the guidelines provided pursuant to the ADA.

[0089] Some of the guidelines provided pursuant to the ADA are discussed below.

• • [0090] A. Back Recline: The system 20 provides a motorized recline with infinite stops to full flat (horizontal) position, with the patient's head and back supported through the entire range of incline, as recommended pursuant to the ADA.
  • [0091] B. Ottoman: As noted above, the system 20 preferably includes a motorized ottoman (i.e., the footrest subassembly 46) with infinite stops to full flat (horizontal) position.
  • [0092] C. Sleep Position: The patient examination system 20 provides a fully flat sleep surface “S” at a relatively low height above the floor “F” (FIG. 3B). For example, in one embodiment, the sleep surface “S” may be at a minimum 19″ height, adjustable higher by motorized lift. The minimum distance 151 of the sleep surface “S” above the floor “F” (FIG. 3B) preferably is not more than 19″. For the purposes hereof, it is understood that the sleep surface “S” includes the exposed surface 152 of the cover element 150 and an outer surface “J” (FIGS. 3B, 5C) of the back cushion 44.
  • [0093] D. Exam Position: The patient examination system 20 provides a motorized lift with up to 400 lb. capacity, with infinite stops to full flat (horizontal) exam position to a maximum of 32″ in height. The distance 153 of the sleep surface “S” above the floor “F” (FIG. 5C) preferably is up to 32″.
  • [0094] E. Seated Transfer Height: In the system 20, this is a 19″ minimum above the floor
  • [0095] F. Seated Transfer Surface: Preferably, the seated transfer surface is a minimum of 30″ wide×21.5″ deep.
  • [0096] G. Transfer Arms: As noted above, the upper portions 64 of the left and right arm assemblies 58, 60 are hinged to permit unobstructed transfer.
  • [0097] H. Armrests: These serve as transfer support and rail within reach of transfer surface and respectively resist vertical and horizontal forces of 250 lbs.
  • [0098] I. Base: As can be seen in FIG. 3B, the system 20 provides for a clearance distance “P” above the support surface “F” that is relatively large. Preferably, the clearance distance “P” is a minimum of 6″. This enables a portable patient lift to be accommodated.
  • [0099] J. Stirrups: The system 20 includes optional removable stirrups 155 (FIG. 6), to provide a method for supporting, positioning and securing the patient's legs.
  • [0100] K. Stirrup Storage: The system 20 includes built-in stirrup storage at the rear of unit.
  • [0101] L. Continuous Footrest: A cushioned footrest (i.e., the footrest subassembly, and the seat subassembly) includes the cover element 50 having a single surface from the back of the seat to the bottom of the footrest cushion 48.
  • [0102] M. Controller: The controller “Q” may include a pendant control accessible by the patient and the operator, and also a separate lift button for controlling vertical movement.
  • [0103] N. Power Connection Device: The system 20 may include a power connection device, which may include a USB port.
  • [0104] O. Optional Steel Legs or Independently Locking Casters: As illustrated, the legs include casters. It will be understood that the legs may, optionally, not include casters.
  • [0105] P. Optional Push Bar: As can be seen in FIG. 1A, the system 20 may include a push bar 157 positioned on the back subassembly 42.
  • [0106] Q. Armrests: The armrests 73 of the left and right arm assemblies 58, 60 may be upholstered, urethane, or have solid surfaces.

[0107] It will be appreciated by those skilled in the art that the invention can take many forms, and that such forms are within the scope of the invention as claimed. The scope of the claims should not be limited by the preferred embodiments set forth in the examples, but should be given the broadest interpretation consistent with the description as a whole.