[go: up one dir, main page]
More Web Proxy on the site http://driver.im/

US2398940A - Surgical headrest - Google Patents

Surgical headrest Download PDF

Info

Publication number
US2398940A
US2398940A US462584A US46258442A US2398940A US 2398940 A US2398940 A US 2398940A US 462584 A US462584 A US 462584A US 46258442 A US46258442 A US 46258442A US 2398940 A US2398940 A US 2398940A
Authority
US
United States
Prior art keywords
rest
head
members
portions
legs
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US462584A
Inventor
Samuel R Jones
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to US462584A priority Critical patent/US2398940A/en
Application granted granted Critical
Publication of US2398940A publication Critical patent/US2398940A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/30Specific positions of the patient
    • A61G2200/32Specific positions of the patient lying
    • A61G2200/325Specific positions of the patient lying prone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests
    • A61G7/072Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only

Definitions

  • My invention relates in general to hospital equipment, and relates in particular to an adjustable rest for supporting the human head during operative procedure-or superficial treatment.
  • It is an object of the invention to provide a head rest having cushioned portions to receive the frontal and anterolateral-portionsof the face of a person in supine position, whereby the parietal, occipital, and posterior temporal portions of the head will be supported in exposed-position.
  • Afurther object of the invention is-to provide a surgical head rest wherein the head supporting parts are vertically adjustable.
  • the invention iso'f especial utility for supporting the head 'in face downward position, its parts may be readily adjusted-so as to support the occipital-parietal portions of the head, with-the face exposed. Also, it is a feature of the invention to provide the head rest device with means for receiving binding members whereby the head may be stabilized so as to prohibit movement thereof during an operation.
  • Fig. l is an elevational view of a preferred embodiment of my invention showing the manner of its use.
  • Fig. 2 is a partly sectioned plan view of the head rest shown in Fig. 1.
  • Fig. 3 is an enlarged cross-section taken as indicated by the line 33 of Fig. 2, this view showing the head supporting parts of the head rest in laterally sloping position.
  • Fig. 4 is an enlarged fragmentary cross-section taken on a plane represented by the line 44 of Fig. 3.
  • the head rest comprises a base In and a cushioned rest II.
  • the base It consists of a tube l2 bent to U-shape form, and a pair of posts I3 extending upward from the intermediate portions of the side parts or legs M of the U-shape base I0.
  • the tube 12 has means to support the same in raised relation with respect to a supporting surface l5, these means preferably consisting of rubber rings l6 surrounding the tube l2 in spaced positions.
  • the vertical posts l3 are tubular, and near the upper ends thereof are provided with drilled and threadedbodies 19 to receive screws 26 forengagement with openin s 2
  • the rest ll comprises a U-shaped member 23 having-substantiallysymmetrical parts 24 articulated on a substantially vertical hinge axis 25 formed by a hinge 26 which is secured to the adjacent ends of the symmetrical parts '24.
  • the side parts 24' are continuously curved, the extremities 21 thereof being of lesser curvature than the portions adjacent the hinge 26.
  • Theside members 24 of the rest are cushioned, this being accomplished preferably by surrounding the same with walls 28 of sponge rubber which may'becovered with'fabri ifl.
  • Levers 29' are extended rearward from the hinge portions of the side members 24 as shown in Fig. 2, and means '30 are provided to move the extremities of these levers 29 together or apart so as to swing the member '24- on the hinge axis 25 so as to change the spatial relation of the side portions of the rest H in accordance with the size of the face orcrani-al part of the head which is to be supported thereon.
  • the levers 29 comprise short sections of metal tubing brazed or welded to the parts 24. S'crews'3'l extend vertically through the outer portions of these levers, and engage eyes 33 on the ends of screws 34 of a turn buckle mechanism 35 comprising the adjusting means operative between the extremities of the levers 29.
  • inner legs 30 project downward from the medial portions of the metal members 24.
  • each pair of legs comprising a leg 30' and a leg 3
  • These bars 32 extend through vertically elongated slots 33' in the upper ends of the tubes 22, and are slidable in these slots 33 as the adjustment means 30 is actuated to move the side members 24 together or apart, or as the rest H is tilted at an angle, as shown in Fig. 3.
  • are formed from a continuous piece of flat metal bent to approximately U -shaped form.
  • the invention also provides means for tilting the head rest I! relatively to a longitudinal axis or a lateral axis, or both.
  • This means comprises a pair of turn buckles 34', the lower ends 35' of, which are connected by the screw I 8 to the lug l1, and the upper ends 36 of which are respectively connected by straps 31 and screws 38 to the rearward projections or levers 29.
  • the turn buckles 34' are simultaneously operated in a like manner, the far end of the rest II will be raised or lowered by rotation of the rest on the axis defined by the transverse pins 32.
  • the turn buckles 34 are operated in an unlike manner, so that the effective length of one will be greater than the eifective length of the other, as shown inFig. 3, the rest H will be tilted laterally.
  • the post extensions or bars 22 will be raised and lowered in accordance with the adjustment of the rest I I.
  • the invention also provides means to lock the rest against lateral movement, such means comprising, as shown in Figs. 1 and 4, a bar 39 secured at 40 within one of the tubular members 22, this bar 39 extending adjacent a side of a cross pin 32 so as to be clampable against this member 32 by a screw 4
  • this locking means is actuated by tightening down the screw 4 I, the transverse bar 32 is prevented from sliding back and forth through the slot 33 receiving the bar 32.
  • the patients head may be immobilized relatively to the rest by use of long bands or strips which are passed under the side portions or legs of the base l and carried across a portion of the patients head, with suflicient tension to maintain the head tightly in contact with the rest H; when the patient is in facedown position, the nose and month are both exposed, making it possible to administer an anesthetic.
  • the head is held in raised position so as to provide space for a receptacle.
  • a base comprising a U- shaped member having forwardly extending legs and vertically extensible posts extending upwardly from the intermediat portions of said legs; a rest hingedly supported at the upper ends of said posts so as to swing on a lateral axis, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members; screw means connecting said lever members so as to swing said lever members on said hinge; and adjustment means connecting th rear portion of said base with said lever members, operative to swing said rest on'said lateralaxis.
  • a base comprising a U- shaped member having forwardly extending legs and vertically extensible posts extending upwardly from the intermediate portions of said legs; a rest laterally slidable and hingedly supported at the upper ends of said posts so as to swing on alateral axis, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members; screw means connecting said lever members so as to swing said lever members on said hinge; adjustment means connecting the rear portion of said base with said lever members, operative to swing said rest on said lateral axis; and means for locking at least one of said posts to a side member of said rest.
  • a base comprising a U- shapedvmember having forwardly extending legs and vertically extensible posts extending upwardly from the intermediate portions of said legs,
  • said posts having laterally extending openings at the upper ends thereof defining a, lateral axis; a rest hingedly supported at the upper ends of said posts, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members, and there being means intermediate the ends of said side members supporting bars in positions extending through said openings at the upper ends of said posts and so as to slide a limited distance along said lateral axis; screw means connecting said lever members so as to swing said lever members on said hinge; adjustment means connecting the rear portion of said base with said lever members, operative to swing said rest on said lateral axis; and means carried by at least one of said posts to engage at least one of said side bars so as to prevent it from sliding along said lateral axis.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Description

Aprii 23, 1946. s. R. JONES SURGICAL HEAD REST Filed Oct. 19, 1942 I I inventor; $444051 1?. JO/YES,
Patented Apr. 23, 1946 1 UNITED STATES PATENT OFFICE SURGICAL HEADRES-T Samuel R. Jones, LosAngeleaCalif. Application October 19, 1942. Serial No. 462584 aolaims. (01.12.8-1)
My invention relates in general to hospital equipment, and relates in particular to an adjustable rest for supporting the human head during operative procedure-or superficial treatment.
It is an object of the invention to provide a head rest having cushioned portions to receive the frontal and anterolateral-portionsof the face of a person in supine position, whereby the =parietal, occipital, and posterior temporal portions of the head will be supported in exposed-position.
It is al'so an object of the invention to provide a surgical head rest'of the character described in the foregoing paragraph in whichthe rests for engagement with the headare readily adjustable in spatial arrangement.
It is a further object to provide a surgical head rest wherein .the head supporting parts of the rest are angularl'y adjustable so as to be tiltable in forward-rearward direction, and also lateral-1y, with means for rigidly supporting the parts in tilted adjustment. I
Afurther object of the invention is-to provide a surgical head rest wherein the head supporting parts are vertically adjustable.
Although the invention iso'f especial utility for supporting the head 'in face downward position, its parts may be readily adjusted-so as to support the occipital-parietal portions of the head, with-the face exposed. Also, it is a feature of the invention to provide the head rest device with means for receiving binding members whereby the head may be stabilized so as to prohibit movement thereof during an operation.
Further objects and advantages of the inven- I tion will be brought out in the following partof the specification.
Referring to the drawing which is for illustrative purposes only:
Fig. l is an elevational view of a preferred embodiment of my invention showing the manner of its use.
Fig. 2 is a partly sectioned plan view of the head rest shown in Fig. 1.
Fig. 3 is an enlarged cross-section taken as indicated by the line 33 of Fig. 2, this view showing the head supporting parts of the head rest in laterally sloping position.
Fig. 4 is an enlarged fragmentary cross-section taken on a plane represented by the line 44 of Fig. 3.
The head rest comprises a base In and a cushioned rest II. The base It consists of a tube l2 bent to U-shape form, and a pair of posts I3 extending upward from the intermediate portions of the side parts or legs M of the U-shape base I0. The tube 12 has means to support the same in raised relation with respect to a supporting surface l5, these means preferably consisting of rubber rings l6 surrounding the tube l2 in spaced positions.
In the center-of the rounded portion of the base ii) there is anupwarclly projecting perforated lug I1 to receive a screw E8. The vertical posts l3 are tubular, and near the upper ends thereof are provided with drilled and threadedbodies 19 to receive screws 26 forengagement with openin s 2| in vertically arranged tubular bars 22 which are slidable in the post 13.
The rest ll comprises a U-shaped member 23 having-substantiallysymmetrical parts 24 articulated on a substantially vertical hinge axis 25 formed by a hinge 26 which is secured to the adjacent ends of the symmetrical parts '24. As shown inFig. 2-,-the side parts 24' are continuously curved, the extremities 21 thereof being of lesser curvature than the portions adjacent the hinge 26. Theside members 24 of the rest are cushioned, this being accomplished preferably by surrounding the same with walls 28 of sponge rubber which may'becovered with'fabri ifl.
Levers 29' are extended rearward from the hinge portions of the side members 24 as shown in Fig. 2, and means '30 are provided to move the extremities of these levers 29 together or apart so as to swing the member '24- on the hinge axis 25 so as to change the spatial relation of the side portions of the rest H in accordance with the size of the face orcrani-al part of the head which is to be supported thereon. The levers 29 comprise short sections of metal tubing brazed or welded to the parts 24. S'crews'3'l extend vertically through the outer portions of these levers, and engage eyes 33 on the ends of screws 34 of a turn buckle mechanism 35 comprising the adjusting means operative between the extremities of the levers 29.
In a vertical transverse plane defined by the posts l3, inner legs 30 project downward from the medial portions of the metal members 24.
- These members 30 are tangential to circles lying within and smaller than the circles defined by the cross sectional areas of the sponge rubber walls 28, as shown in Fig. 3. Therefore, no portion of the head of a patient supported by the rest II will engage the metal parts 30'. Spaced from these legs 30 there are outer legs 3|, and each pair of legs comprising a leg 30' and a leg 3| supporting a transverse bar 32. These bars 32 extend through vertically elongated slots 33' in the upper ends of the tubes 22, and are slidable in these slots 33 as the adjustment means 30 is actuated to move the side members 24 together or apart, or as the rest H is tilted at an angle, as shown in Fig. 3. The legs 30' and 3| are formed from a continuous piece of flat metal bent to approximately U -shaped form.
The invention also provides means for tilting the head rest I! relatively to a longitudinal axis or a lateral axis, or both. This means comprises a pair of turn buckles 34', the lower ends 35' of, which are connected by the screw I 8 to the lug l1, and the upper ends 36 of which are respectively connected by straps 31 and screws 38 to the rearward projections or levers 29. When the turn buckles 34' are simultaneously operated in a like manner, the far end of the rest II will be raised or lowered by rotation of the rest on the axis defined by the transverse pins 32. When the turn buckles 34 are operated in an unlike manner, so that the effective length of one will be greater than the eifective length of the other, as shown inFig. 3, the rest H will be tilted laterally. The post extensions or bars 22 will be raised and lowered in accordance with the adjustment of the rest I I.
The invention also provides means to lock the rest against lateral movement, such means comprising, as shown in Figs. 1 and 4, a bar 39 secured at 40 within one of the tubular members 22, this bar 39 extending adjacent a side of a cross pin 32 so as to be clampable against this member 32 by a screw 4|. When this locking means is actuated by tightening down the screw 4 I, the transverse bar 32 is prevented from sliding back and forth through the slot 33 receiving the bar 32.
It is possible to adjust the rest I l to a considerably greater angle to horizontal than shown in Fig. 3. Also, the patients head may be immobilized relatively to the rest by use of long bands or strips which are passed under the side portions or legs of the base l and carried across a portion of the patients head, with suflicient tension to maintain the head tightly in contact with the rest H; when the patient is in facedown position, the nose and month are both exposed, making it possible to administer an anesthetic. Also, the head is held in raised position so as to provide space for a receptacle.
I claim as my invention:
1. In a head rest of the character described, the combination of: a base comprising a U- shaped member having forwardly extending legs and vertically extensible posts extending upwardly from the intermediat portions of said legs; a rest hingedly supported at the upper ends of said posts so as to swing on a lateral axis, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members; screw means connecting said lever members so as to swing said lever members on said hinge; and adjustment means connecting th rear portion of said base with said lever members, operative to swing said rest on'said lateralaxis. H i 5 2.Inja head rest of the'char'ac'tendescribed, the combination of: a base comprising a U- shaped member having forwardly extending legs and vertically extensible posts extending upwardly from the intermediate portions of said legs; a rest laterally slidable and hingedly supported at the upper ends of said posts so as to swing on alateral axis, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members; screw means connecting said lever members so as to swing said lever members on said hinge; adjustment means connecting the rear portion of said base with said lever members, operative to swing said rest on said lateral axis; and means for locking at least one of said posts to a side member of said rest.
3. In a head rest of the character described, the combination of: a base comprising a U- shapedvmember having forwardly extending legs and vertically extensible posts extending upwardly from the intermediate portions of said legs,
said posts having laterally extending openings at the upper ends thereof defining a, lateral axis; a rest hingedly supported at the upper ends of said posts, said rest comprising a pair of side members joined by a hinge at their rear ends and having lateral swinging movement, there being lever members extending rearward from the rear portions of said side members, and there being means intermediate the ends of said side members supporting bars in positions extending through said openings at the upper ends of said posts and so as to slide a limited distance along said lateral axis; screw means connecting said lever members so as to swing said lever members on said hinge; adjustment means connecting the rear portion of said base with said lever members, operative to swing said rest on said lateral axis; and means carried by at least one of said posts to engage at least one of said side bars so as to prevent it from sliding along said lateral axis.
SAMUEL R. JONES.
US462584A 1942-10-19 1942-10-19 Surgical headrest Expired - Lifetime US2398940A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US462584A US2398940A (en) 1942-10-19 1942-10-19 Surgical headrest

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US462584A US2398940A (en) 1942-10-19 1942-10-19 Surgical headrest

Publications (1)

Publication Number Publication Date
US2398940A true US2398940A (en) 1946-04-23

Family

ID=23836976

Family Applications (1)

Application Number Title Priority Date Filing Date
US462584A Expired - Lifetime US2398940A (en) 1942-10-19 1942-10-19 Surgical headrest

Country Status (1)

Country Link
US (1) US2398940A (en)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6081947A (en) * 1998-04-13 2000-07-04 Disher; Michael J. Massage board and face rest
GB2367238A (en) * 2000-09-27 2002-04-03 Huntleigh Technology Plc Head support for prone persons
US7306612B1 (en) 2003-10-09 2007-12-11 Landa Jose S Cranial spinal column support assembly
US20110035882A1 (en) * 2009-08-17 2011-02-17 Lijun Wang Medical head restraint and medical bed system using the same
US20130276236A1 (en) * 2012-04-18 2013-10-24 Steven W. Rasmussen Support device and methods
US20140312186A1 (en) * 2013-04-19 2014-10-23 Dean Howard Mech Freestanding foldable headrest
GB2569538A (en) * 2017-12-19 2019-06-26 Haslam Kathryn A portable prone head support device
WO2020079306A1 (en) * 2018-10-18 2020-04-23 Servicio Andaluz De Salud Multilayer cranial support
US20200306136A1 (en) * 2019-03-26 2020-10-01 Jacob Kemp Elastically Woven Face Cradle
WO2022169745A1 (en) * 2021-02-03 2022-08-11 Osteon Medical LLC Patient positioning system and methods

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6081947A (en) * 1998-04-13 2000-07-04 Disher; Michael J. Massage board and face rest
GB2367238A (en) * 2000-09-27 2002-04-03 Huntleigh Technology Plc Head support for prone persons
WO2002026188A1 (en) * 2000-09-27 2002-04-04 Huntleigh Technology Plc Flexible head support
GB2367238B (en) * 2000-09-27 2002-11-13 Huntleigh Technology Plc Flexible head support
AU775186B2 (en) * 2000-09-27 2004-07-22 Huntleigh Technology Limited Flexible head support
US7306612B1 (en) 2003-10-09 2007-12-11 Landa Jose S Cranial spinal column support assembly
US20110035882A1 (en) * 2009-08-17 2011-02-17 Lijun Wang Medical head restraint and medical bed system using the same
US9254235B2 (en) * 2009-08-17 2016-02-09 Kabushiki Kaisha Toshiba Medical head restraint and medical bed system using the same
US8850642B2 (en) * 2012-04-18 2014-10-07 Steven W. Rasmussen Support device and methods
US20130276236A1 (en) * 2012-04-18 2013-10-24 Steven W. Rasmussen Support device and methods
US20140312186A1 (en) * 2013-04-19 2014-10-23 Dean Howard Mech Freestanding foldable headrest
GB2569538A (en) * 2017-12-19 2019-06-26 Haslam Kathryn A portable prone head support device
GB2569538B (en) * 2017-12-19 2022-10-19 Haslam Kathryn A portable prone head support device
WO2020079306A1 (en) * 2018-10-18 2020-04-23 Servicio Andaluz De Salud Multilayer cranial support
US20200306136A1 (en) * 2019-03-26 2020-10-01 Jacob Kemp Elastically Woven Face Cradle
US11712400B2 (en) * 2019-03-26 2023-08-01 Jacob Kemp Elastically woven face cradle
WO2022169745A1 (en) * 2021-02-03 2022-08-11 Osteon Medical LLC Patient positioning system and methods

Similar Documents

Publication Publication Date Title
US2558986A (en) Leg brace
US2398940A (en) Surgical headrest
US4887866A (en) Adjustable armrest
US4284268A (en) Patient support table with adjustable stirrups
US3826251A (en) Locking knee joint for orthopedic leg brace
CA1048882A (en) Auto-traction table
US2978713A (en) Leg supporting apparatus
ES2225356T3 (en) CHAIR, IN SPECIAL OFFICE CHAIR.
CN105795755A (en) Apparatus for support during tattooing
US6874184B2 (en) Leg support apparatus
US4164350A (en) Apparatus for supporting the body of a person in an upright position, in particular for therapeutic walking exercises
US2658506A (en) Head traction device
US4724828A (en) Cervically adjustable chiropractic treatment table
US2516253A (en) Orthopedic brace
US6511450B1 (en) Device for the extension of the spine
US4347840A (en) Orthopedic correctional support system
US2275973A (en) Hospital bed
US4218788A (en) Adjustable mattress support for stretcher or the like
US3228399A (en) V-shaped gynecological examination support device
US4296761A (en) Convertible parapodium
US1797911A (en) Chair
US1788113A (en) Latch mechanism for reclining chairs
JP2000139977A (en) Lumbago therapeutic chair
US2252607A (en) Extension splint
CN210933463U (en) Foot telescopic adjusting device and physiotherapy chair applying same