EP0341358B1 - Dual hydraulic hospital bed with emergency bypass circuit - Google Patents
Dual hydraulic hospital bed with emergency bypass circuit Download PDFInfo
- Publication number
- EP0341358B1 EP0341358B1 EP88304313A EP88304313A EP0341358B1 EP 0341358 B1 EP0341358 B1 EP 0341358B1 EP 88304313 A EP88304313 A EP 88304313A EP 88304313 A EP88304313 A EP 88304313A EP 0341358 B1 EP0341358 B1 EP 0341358B1
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- EP
- European Patent Office
- Prior art keywords
- hydraulic
- valve
- reservoir
- cylinders
- bed
- 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
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/0507—Side-rails
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
- A61G7/012—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
- A61G7/018—Control or drive mechanisms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/0507—Side-rails
- A61G7/0508—Side-rails characterised by a particular connection mechanism
- A61G7/0509—Side-rails characterised by a particular connection mechanism sliding or pivoting downwards
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/0507—Side-rails
- A61G7/0524—Side-rails characterised by integrated accessories, e.g. bed control means, nurse call or reading lights
Definitions
- Fig.1 illustrates a hospital bed, generally designated by the numeral 10, of the type which is sold by the Hill-Rom Company, Inc. under the designation of Centruy CC hospital bed.
- the bed 10 illustrated in Fig.1 is shown with most of the cosmetic moldings and enclosures which normally surround it removed. This is done in order to better see the hydraulic system of the present invention.
- the bed 10 includes a base frame 12 which is made up of longitudinal members 14 and 16 which are tied together by a pair of transverse members only one of which, 18, is visible in Figure 1. Attached to the base frame 12 are four large casters designated as 20.
- the bed 10 has provided means for articulating portions of the bed to achieve various positions of the patient supporting surface.
- the patient supporting surface itself is carried by the longitudinal frame members 32 and 34.
- the patient support surface is made up of several elements.
- the head portion 52 is raised and lowered through a crank mechanism 54 that is actuated by a hydraulic cylinder 56 having an extensible rod 58 which is attached to and drives the crank mechanism 54.
- the hydraulic cylinder 56 is attached to the longitudinal frame member 32 by a bracket 60.
- the cylinders 56 and 56' are also connected through a bypass line 138 to the emergency valve 136. Both the lines 134 and 138 are tied together at the inlet to the emergency CPR valve 136.
- the emergency CPR valve 136 is normally closed and the bypass lines 134 and 138 normally have no role to play.
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- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Invalid Beds And Related Equipment (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
- There have been numerous examples of hydraulic hospital beds and medical procedure tables in the prior art. These devices use hydraulic cylinders to raise and lower the bed itself and the head and leg adjustment portions. Other hospital beds are electrically operated. In the case of electrically operated beds, disengagement of the mechanical drive member will allow quick lowering of head and leg portions in case of an emergency. Hydraulically operated beds generally have not had this capability because their rods usually are directly coupled to the head and leg portions, leading to a generally slow lowering rate, even in an emergency when cardiac-pulmonary resuscitation (CPR) might be required.
- U.S. Patent 4,038,709 shows a hospital bed that has a dual hydraulic system, operable by either compressed air or a manual foot pump. This bed does have a way to allow rapid lowering of the head and foot sections in an emergency, but it is mechanical.
- U.S. Patent 3,149,349 illustrates another design for a hydraulically driven hospital bed. U.S. Patent 3,281,141 illustrates a hydraulically operated surgical table. The surgical table is powered by both an electrical pump and a foot operated pump. U.S.Patent 2 217 783 illustrates yet another hydraulically operated operating table. The operating table in this case has a dual pumping system for the hydraulic power, having both an electrical and hand operated pump. U.S.Patent 4 559 655 illustrates an electrical operated hospital bed having a means to rapidly lower the head and foot portions in an emergency.
- U.S.Patent 4 669 136 discloses a combination of hospital bed and hydraulic system of the type having a generally rigid platform which has attached to it movable patient supporting surfaces, said movable patient supporting surfaces being movable from a generally horizontal position to an elevated position and including head, thigh and leg portions in which the hydraulic system includes: a plurality of hydraulic cylinders, a source of hydraulic fluid under pressure connected to said cylinders, a reservoir, control valve means, emergency bypass hydraulic circuit means for draining hydraulic fluid from said cylinders to said reservoir without use of said control valves means to thereby allow faster retraction of the operating rods and consequent faster lowering of the head, thigh and leg portion than is allowed by said control valve means.
- According to the present invention there is provided a hospital bed of the type having a generally rigid platform which has attached to it movable patient supporting surfaces, said movable patient supporting surfaces being movable from a generally horizontal position to an elevated position and including head, thigh and leg portions comprising a hydraulic system wherein said hydraulic system includes:
- A. A plurality of hydraulic cylinders having extensible and retractable operating rods and having said operating rods connected to said head, leg and thigh portions, whereby movement of said operating rods will move said head, leg and thigh portions;
- B. A source of hydraulic fluid under pressure connected to said hydraulic cylinders; wherein said source of hydraulic fluid under pressure is a dual power source comprising an electrically driven pump and a manually operated foot pump;
- C. A reservoir for said hydraulic fluid, said reservoir being at substantially atmospheric pressure;
- D. Control valve means, connected in circuit intermediate said source of hydraulic fluid under pressure, said reservoir, and said hydraulic cylinders, selectively operable to direct hydraulic operating fluid to and from selected hydraulic cylinders to extend and retract said operating rods; wherein said control valve means comprises:
- i. A normally closed, electrically operated extension valve connected between each of said hydraulic cylinders and said electric pump;
- ii. a normally closed, electrically operated retraction valve connected between each of said hydraulic cylinders and said reservoir;
- iii. a manually operated selector valve, connected between said cylinders and said manually operated pump, being operable to direct hydraulic fluid from said manually operated pump to any one of said hydraulic cylinders; and
- iv. a normally closed, manually operated dump valve, connected to said manually operated selector valve and said reservoir, whereby opening of said dump valve will cause said cylinder that is connected to said manual selector valve to return the hydraulic fluid in it to said reservoir;
- E. Emergency bypass hydraulic circuit means for draining hydraulic fluid from said cylinders to said reservoir without use of said control valve means to thereby allow faster retraction of said operating rods (58,68) and consequent faster lowering of said head, thigh and leg portions than is allowed by said control valve means.
- The invention will now be further described by way of example, with reference to the accompanying drawings, in which:-
- Figure 1 is a perspective view of a hospital bed of the present invention with most of its cover plates removed;
- Figure 2 is a perspective view of the hospital bed of the present invention showing a patient in an elevated position;
- Figure 3 is a view similar to Figure 2 showing the patient returned to a supine position;
- Figure 4 is a perspective view of the manual selection valve of the present invention;
- Figure 4A is a plan view of the indicia window for the manual selection mode;
- Figure 5 is a schematic circuit diagram for the hydraulic system of the present invention;
- Figure 6 is a side elevational view of a guard rail for the hospital bed of the present invention; and
- Figure 7 is a plan view of a bed function control panel for the hospital bed of the present invention.
- Referring to the drawings, Fig.1 illustrates a hospital bed, generally designated by the
numeral 10, of the type which is sold by the Hill-Rom Company, Inc. under the designation of Centruy CC hospital bed. Thebed 10 illustrated in Fig.1 is shown with most of the cosmetic moldings and enclosures which normally surround it removed. This is done in order to better see the hydraulic system of the present invention. Thebed 10 includes abase frame 12 which is made up oflongitudinal members base frame 12 are four large casters designated as 20. Only two of these casters are visible in Figure 1, but it may be appreciated that the two opposing casters are on the opposite side and serve to support theframe 12 in a mobile fashion. Two generally triangular, vertically extendingbosses bed 10. Thesebosses cantilevered support arm 26. The cantilevered support arm, 26 is hingedly attached to thebosses pivot pin 28. Thecantilever arm 26 is attached at its end remote from thepivot pin 28 to two brackets, only one of which 30 is visible in Figure 1. Thebracket 30 and its corresponding bracket on the opposite side, which is not visible in this view, are attached to twolongitudinal frame members frame members transverse members brackets 30. Also attached to thebracket 30 is a stabilizingarm 40 which is pivoted to theboss 22. The stabilizingarm 40 moves with the cantileveredarm 26 to provide a stabilizing function as thecantilevered arm 26 moves. Thecantilever arm 26 is driven by ahydraulic cylinder 42 which has anextensible rod 44 that is attached to aclevis mount 46 on thecantilever arm 26. Theclevis mount 46 has apin 48 which connects theclevis mount 46 to therod 44. The base of thecylinder 42 is attached to themembers rod 44 is extended and retracted its movement will in turn be transferred through theclevis mount 46 andpin 48 to thecantilevered arm 26. Extension and retraction of therod 44 will move thecantilevered arm 26 up and down. The position shown in Figure 1 is an essentially fully extended or up position for thecantilevered arm 26. It may be appreciated that retraction of therod 44 will then cause thecantilever arm 26 to retract, bringing with it the frame attached to thebrackets 30. - The
bed 10 has provided means for articulating portions of the bed to achieve various positions of the patient supporting surface. The patient supporting surface itself is carried by thelongitudinal frame members fixed seat element 50 which does not move. Adjacent to the head portion of thebed 10 there is ahead member 52 on which a patient's upper body portion would normally rest and which may be articulated from a fully down position resting on theframe numbers head portion 52 is raised and lowered through acrank mechanism 54 that is actuated by ahydraulic cylinder 56 having anextensible rod 58 which is attached to and drives thecrank mechanism 54. Note that thehydraulic cylinder 56 is attached to thelongitudinal frame member 32 by abracket 60. In Figure 1, only onehydraulic cylinder 56 is visible to drive thehead portion 52. However, it is preferred that two hydraulic cylinders be used, one carried by theframe member 32 and the other on the opposite side carried by theframe member 34. The second hydraulic cylinder is not visible in Figure 1, but it will be shown later in describing the operation of the hydraulic circuit of the present invention. The head elevation function would work with only onecylinder 56, but two cylinders provide a smoother motion and less chance of binding of thecrank mechanism 54. Two additional portions of the patient support surface are athigh portion 62 and aleg portion 64. Thethigh portion 62 andleg portion 64 are pinned together so that they move as a unit. They are also pinned to the fixedseat portion 50 so that they may be elevated as shown in Figure 1. Actuation of thethigh portion 62 will cause corresponding raising of theleg portion 64. Thethigh portion 62 is raised and lowered by ahydraulic cylinder 66 having anextensible rod 68 that is attached to thethigh portion 62. Extension and retraction of therod 68 will cause corresponding movement of thethigh portion 62 andleg portion 64. None of the hydraulic piping or valves necessary for operation of this system are shown in Figure 1 to avoid unnecessary complication. Figure 1 does show that a reservoir forhydraulic fluid 70 is carried between the twovertical bosses bosses power pack 72 for providing electrical pumping power for the hydraulic system and amanual pump 102. Also shown in Figure 1 are the manual operation pedals for operation of the hydraulic system of the present invention in a manual mode. That is, a pedal andlever 74 are marked so that a person by pumping on thelever 74 will provide hydraulic pressure to the system by operation of themanual pump 102. The hydraulic pressure thus provided may be directed by means of amanual selector valve 76. The manual selector valve is used only in a manual operation made as will be shown with respect to the discussion of the hydraulic circuit of the present invention. Themanual selector valve 76 and anemergency valve 136 are operated by arotatable dial 88. To lower or to release pressure provided to the system by themanual pump lever 74, arelease lever 78 is provided. Standing on therelease lever 78 will allow hydraulic pressure to be released from the system so that the components of the system may return to their original configuration. - Figures 2, 3 and 4 illustrate the CPR mode of operation of the present invention. Hydraulic systems which provide for operation both manually and with electrical power are known in the art. However, one problem with these systems is that they have not provided for achieving a CPR mode, a mode in which the patient is flat and on a relatively hard surface, in a short period of time. In Figure 2, the
bed 10 of the present invention as described in Figure 1 is shown with a patient 80 occupying the sleep surface, having been raised to the position generally shown in Figure 1. Aheadboard 82 and afootboard 84 have been added to thebed 10 as would normally be the case in use. The normal operation of thebed 10 is such that it take approximately twenty seconds to raise the thigh andleg portion head portion 52 requires approximately thirty seconds to reach its fully elevated position shown in Figure 2 and correspondingly approximately thirty seconds to retract to its fully flat position. Thus is the patient 80 suffers a cardiac arrest and immediate CPR is required, the time required to lower thehead section 52 and thigh andleg section - Figure 3 shows the patient 80 having reached the fully flat position from the position shown in Figure 2. The present invention allows the bed in question to move from the position shown in Figure 2 to the position shown in Figure 3 when in an emergency mode in approximately four to eight seconds. This is done by providing a special valve in the hydraulic circuit and a special setting on the the
rotatable dial 88. Figure 4 illustrates that one of the settings on therotatable dial 88 shows a "CPR" in theindicia window 86 of therotatable dial 88. Therotatable dial 88 is moved by alever 89 which is easily grasped by a nurse or other medical staff. Themanual selector valve 76 actually controls only the bed functions while aseparate valve 136, discussed in detail with respect to Fig. 5, controls the emergency down function. Thedial 88 andlever 89, however, are configured to show and control the CPR function for convenience. Moving thelever 89 to either extreme position of therotatable dial 88 and holding it there will cause the CPR emergency down function to take place. To avoid accidental engagement of this feature, thelever 89 must be held in place by hand. If thelever 89 is released, it will spring to one of the other positions of themanual selector valve 76. As Fig. 4A shows, other indications such as head, knee or hi/low will appear in theindicia window 86 as therotatable dial 88 is moved to other positions indicated by themanual selector valve 76. Fig. 4A also shows the CPR indicia at the two ends of theindicia window 86. Note that in the movement from Figure 2 to Figure 3 the overall height of thebed 10 has not changed. The present invention does not quickly release the pressure in thecylinder 42 which raises and lowers thebed 10, because this would create an unacceptable and potentially dangerous downward movement of the patient at a critical time. Rather, all that is required is that the patient be laid flat in a very short period of time to allow the application of CPR. - Figure 5 shows the hydraulic circuit of the present invention in a standard hydraulic schematic form The
power pack 72 is seen to consist of an electric motor and a pump which provides pressure in aline 90 that splits to feed three substantial identical solenoid operatedvalves solenoid valve 92 which serves an an extension valve is a normally closed valve which will allow hydraulic pressure from theline 90 to flow through anoutlet line 98 tocylinder 42 which raises thebed 10 when thevalve 92 is actuated. Thehydraulic cylinder 42 in addition to being able to receive hydraulic working fluid through thevalve 92 and theline 98 may also be provided hydraulic working fluid through aline 100 which is connected to themanual selector valve 76. Themanual selector valve 76 can be rotated to allow hydraulic fluid to flow from a foot operatedpump 102 into any one of the hydraulic cylinders. Both thefoot pump 102 and thepower pack 72 obtain their working hydraulic fluid from thehydraulic reservoir 70. Thereservoir 70 serves as a source for the hydraulic working fluid to the entire system. Before the hydraulic fluid enters thepower pack 72 it passes through afilter 104. There is aseparate branch line 106 which connects thereservoir 70 to thefoot pump 102. As was previously noted, thefoot pump 102 may be operated by thefoot pedal 74. Bypassing thepump 102 is a normally closedcheck valve 108. The normally closed check valve may be opened by operation of thepedal 78. When thecheck valve 108 is opened by operation of thefoot pedal 78, fluid may return to thereservoir 70 along theline 106 by passing throughselector valve 76 from any of the cylinders which have been pressurized at that point. - Returning now to the
hydraulic cylinder 42, thehydraulic cylinder 42 is of the single acting type. That is itsrod 44 is extended by applying pressure through theline 98 to thecylinder 42. If thesolenoid valve 92 is then closed, pressure will be trapped in theline 98 and therod 44 will remain extended. To retract therod 44, asolenoid valve 110 which is normally closed is actuated to allow fluid to flow back along theline 98 but then through abranch line 112 into thesolenoid valve 110 from whence the fluid exists through abranch line 114 to return to thereservoir 70. With pressure trapped in thelines solenoid valves rod 44 will stay in the position where it was placed. When thesolenoid valve 110 is actuated therod 44 will slowly retract as a result of the weight on it, and thus bring the cantileveredarm 26 downward and retract the entire bed toward the floor. It can be seen that this function is basically the same with the footpowered pump 102. Themanual selector valve 76 is set so that pressure from thefoot pump 102 is directed to thecylinder 42. When therod 44 has reached the desired extended position ceasing operation of thefoot pump 102 leaves theline 100 pressurized. In order to relieve the pressure, thefoot pedal 78 is depressed, opening thecheck valve 108 and allowing pressure to return through theline 100 andline 106 to thereservoir 70. - The operation of all of the cylinders, 42, 56 and 66 are all substantially identical to the operation thus described. The
solenoid valves bed 10, either in the guard rail or at the foot of the bed. Thepump outlet line 90 is also connected to the inlet of the normally closed solenoid valve 94 which serves as a retraction valve. Aline 116 from the normally closed solenoid valve 94 is connected to thehydraulic cylinder 66 which operates the thigh and leg portions of the patient support surface. In the electrically operated mode, pressure from the pump will flow through theoutline line 90 and with the solenoid valve 94 actuated to its open position, then flow through theline 116 to operate thecylinder 66 and extend therod 68. This then will move thethigh portion 62 andleg portion 64 to the upright position shown in Figure 1. When the solenoid valve 94 is closed, pressure will remain in theline 116 and therod 68 will remain in the position where it was placed. In order to retract therod 68 and allow thethigh portion 62 andleg portion 64 to return to their flat position, a normally closed electrically operatedsolenoid valve 118 will be opened. Thesolenoid valve 18 is connected to abranch line 120 which is connected to theline 116. The outlet of the solenoid valve 188 is then connected to thereservoir 70 through ahydraulic line 122. Thus, actuation of thesolenoid valve 118 will allow the pressure that was present in thecylinder 66 to be released by returning the hydraulic operating fluid to thereservoir 70 through theline rod 68 to retract. The alternative mode of operation of thecylinder 66 through themanual selector valve 76 is quite similar to that previously described with respect to thecylinder 42. Themanual selector valve 76 is set at such that operation of the footpowered pump 102 by thepedal 74 will cause pressure to be exerted inside thecylinder 66 and cause actuation or extension of therod 68. Then, opening of thecheck valve 108 through thefoot pedal 78 will cause this pressure to be released and returned to thereservoir 70 through theline 106. Note that theline 106 serves to function of both supply and return with respect to the manual operational mode. - While only one
cylinder 56 was shown operating thehead portion 52, the actual configuration of two cylinders is shown in Figure 5. These cylinders are designated as 56 and 56′. Thecylinders solenoid valve 96. Thesolenoid valve 96 is connected to theoutlet line 90 to thepower pack 72. Thesolenoid valve 96 is a normally closed valve and its actuation will allow pressurized operating fluid to simultaneously flow to both thecylinder inlet line 124 andbranch connectors cylinders respective rods head portion 52 as seen in Figure 1. Again, pressure may be trapped in thelines solenoid valve 96 after the pressurized fluid has been furnished and therods cylinders solenoid valve 128 which is normally closed is opened. This then allows the operating fluid in thecylinders line 124 and abranch connector 130 connected to thesolenoid valve 128. When thesolenoid valve 128 is opened, the operating fluid will then flow through it and out aline 132 and from there to thereservoir 70. - The
solenoid valves manual selector valve 76 and the check valve 208 all serve as a first hydraulic control valve means to control functioning of thehead portion 52,thigh portion 62,leg portion 64 and their associated operating hydraulic cylinders. Thesolenoid valves manual selector valve 76 and thecheck valve 108 serve as a second hydraulic control valve means to control the bed raising and loweringcylinder 42. - One of the key features of the present invention is the ability to lower the
head portion 52, thethigh portion 62 and theleg portion 64 very quickly in the case of an emergency. Thesolenoid valves bypass line 134 is connected to thecylinder 66 and to anemergency CPR valve 136. Theemergency CPR valve 136 is a spring operated normally closed valve. This is a mechanical valve to allow operation whether thebed 10 is in the electrically operated mode or in the manually operated mode. It is important that thevalve 136 be manually operated to avoid any problems with failure of electrical power or accessability of electrical power. Thecylinders 56 and 56' are also connected through abypass line 138 to theemergency valve 136. Both thelines emergency CPR valve 136. Theemergency CPR valve 136 is normally closed and thebypass lines emergency valve 136 by hospital personnel will allow an immediate drain of hydraulic pressure from thecylinders bypass lines valve 136, and through aline 140 connected to theline 106 which returns to thereservoir 70. Checkvalves bypass lines emergency valve 136 is opened. It would be possible for pressurized fluid to bleed fromline 134 into line 138 (or vice versa) whenvalve 136 was opened were thecheck valves - As was previously pointed out, the normal operation time for the
cylinder 66 is approximately twenty seconds to both extend therod 68 and retract therod 68. Normal operational time for thecylinders emergency CPR valve 136 is sized such that operation of thevalve 136 will allow thecylinders valves valve 136 provides a somewhat abrupt downward motion to the components of thebed 10, but it does allow quick positioning of the patient for performance of emergency procedures. - Figure 6 shows a
sideguard 146 of the type usually used with thebed 10. Thesideguard 146 is the half length type and there would normally be two on each side of the bed. Theside guard 146 is attached to thebed 10 throughsupport brackets frame members sideguard 146 has a generallycontinuous perimeter member 150 which is connected byweb members bed control panel 154 is positioned between theweb member - Figure 7 shows the
bed control panel 154 in more detail. Thebed control panel 154 carries a number of electrical switches which control various functions. Anurse call switch 156 will activate a signal at the nursing station when pressed.Lighting switch switch 160 will turn on thepower pack 72 and open thevalve 96 when it is activated. This will cause thehead portion 52 to be raised by the action of thecylinders switch 162 will activate thevalve 128 and cause hydraulic fluid to return to thereservoir 70 and thehead portion 52 to drop. A knee upswitch 164 will turn on thepower pack 72 and open the valve 94. This will cause thecylinder 66 to operate and raise thethigh portion 62 andleg portion 64. Conversely operation of a knee downswitch 166 will open thevalve 118, causing hydraulic fluid to return to thereservoir 70 and thethigh portion 62 andleg portion 64 to return to their horizontal position. When a bed upswitch 168 is operated, thepower pack 72 will operate and thevalve 92 will be opened. This will cause thecylinder 42 to operate and raise theentire bed 10. To lower thebed 10, a bed downswitch 170 is activated. This will cause thevalve 110 to open and allow hydraulic fluid to return to thereservoir 70.
Claims (4)
- A hospital bed (10) of the type having a generally rigid platform (32,34,36,50) which has attached to it movable patient supporting surfaces, said movable patient supporting surfaces being movable from a generally horizontal position to an elevated position and including head, thigh and leg portions (52,62,64) comprising a hydraulic system wherein said hydraulic system includes:A. A plurality of hydraulic cylinders (56,66) having extensible and retractable operating rods (58,68) and having said operating rods (58,68) connected to said head, leg and thigh portions (52,62,64), whereby movement of said operating rods (58,68) will move said head, leg and thigh portions (10,62,64);B. A source of hydraulic fluid under pressure connected to said hydraulic cylinders; wherein said source of hydraulic fluid under pressure is a dual power source comprising an electrically driven pump (72) and a manually operated foot pump (102);C. A reservoir (70) for said hydraulic fluid, said reservoir being at substantially atmospheric pressured,D. Control valve means (94,96,118,128), connected in circuit intermediate said source of hydraulic fluid under pressure, said reservoir (70), and said hydraulic cylinders (56,66), selectively operable to direct hydraulic operating fluid to and from selected hydraulic cylinders to extend and retract said operating rods; wherein said control valve means comprises:i. A normally closed, electrically operated extension valve (94,96) connected between each of said hydraulic cylinders and said electric pump (72);ii. a normally closed, electrically operated retraction valve (118,128) connected between each of said hydraulic cylinders (56,66) and said reservoir;iii. a manually operated selector valve (76), connected between said cylinders and said manually operated pump (102), being operable to direct hydraulic fluid from said manually operated pump (102) to any one of said hydraulic cylinders (56,66); andiv. a normally closed, manually operated dump valve, connected to said manual selector valve and said reservoir, whereby opening of said dump valve will cause said cylinder that is connected to said manually operated selector valve to return the hydraulic fluid in it to said reservoir;E. Emergency bypass hydraulic circuit means (134,136) for draining hydraulic fluid from said cylinders (56,66) to said reservoir without use of said control valve means (94,96) to thereby allow faster retraction of said operating rods (58,68) and consequent faster lowering of said head, thigh and leg portions (52,62,64) than is allowed by said control valve means.
- A bed as claimed in claim 1, wherein said head portion (52) is operated by two hydraulic cylinders which operate as a unit and are controlled by a single extension valve and a single retraction valve.
- A bed as claimed in claim 1 or claim 2, further comprising:A. A hydraulic elevation cylinder (42) having an extensible and retractable operating rod (44) connected to said rigid platform (32);B. A base frame to which said hydraulic elevation cylinder is attached, andC. Second control valve means (92,110), connected in circuit intermediate said source of hydraulic fluid under pressure, said reservoir and said hydraulic elevation cylinder (42), selectively operable to direct hydraulic fluid to and from said hydraulic elevation cylinder (42) to thereby raise and lower said rigid platform (32), said second control valve means (92,110) being connected such that it will not allow hydraulic fluid to flow through said emergency bypass hydraulic circuit means, thereby maintaining said rigid platform at its chosen elevation when said emergency bypass hydraulic circuit means is activated.
- A bed as claimed in any one of the preceding claims, characterised in that said emergency bypass hydraulic circuit includes:A. A normally closed, manually operated emergency valve, connected in circuit to all of said hydraulic cylinders and to said reservoir and bypassing said control valve means; andB. A one-way check valve, connected in circuit intermediate each of said hydraulic cylinders and said emergency valve and positioned to allow hydraulic fluid flow only away from said hydraulic cylinders.
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/034,232 US4751754A (en) | 1987-04-02 | 1987-04-02 | Dual hydraulic hospital bed with emergency bypass circuit |
AT88304313T ATE82678T1 (en) | 1988-05-12 | 1988-05-12 | DOUBLE HYDRAULIC HOSPITAL BED WITH BYPASS CIRCUIT. |
DE8888304313T DE3876238T2 (en) | 1988-05-12 | 1988-05-12 | DOUBLE HYDRAULIC HOSPITAL BED WITH BIRACLE. |
EP88304313A EP0341358B1 (en) | 1988-05-12 | 1988-05-12 | Dual hydraulic hospital bed with emergency bypass circuit |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP88304313A EP0341358B1 (en) | 1988-05-12 | 1988-05-12 | Dual hydraulic hospital bed with emergency bypass circuit |
Publications (2)
Publication Number | Publication Date |
---|---|
EP0341358A1 EP0341358A1 (en) | 1989-11-15 |
EP0341358B1 true EP0341358B1 (en) | 1992-11-25 |
Family
ID=8200065
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP88304313A Expired - Lifetime EP0341358B1 (en) | 1987-04-02 | 1988-05-12 | Dual hydraulic hospital bed with emergency bypass circuit |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0341358B1 (en) |
AT (1) | ATE82678T1 (en) |
DE (1) | DE3876238T2 (en) |
Families Citing this family (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2020880C (en) * | 1990-07-11 | 1994-05-17 | David S. Heinz | Variable height bed |
EP0504975B1 (en) * | 1991-03-18 | 1995-06-28 | Etesmi/J.W. Koch B.V. | Hospital bed |
FR2676643B1 (en) * | 1991-05-23 | 1993-10-01 | Claude Brenot | MODULAR MEDICAL BED. |
US5520091A (en) * | 1993-03-01 | 1996-05-28 | American Sterilizer Company | Hydraulically coupled position locking device for surgical tables |
US5544376A (en) * | 1994-01-31 | 1996-08-13 | Maxwell Products, Inc. | Articulated bed with customizable remote control |
US6106576A (en) * | 1994-07-19 | 2000-08-22 | Maxwell Products, Inc. | Adjustable massage bed assembly with handheld control unit having automatic stop safety feature |
US5924664A (en) | 1997-03-12 | 1999-07-20 | Ergo View Technologies Corp. | Keyboard support mechanism |
US6008598A (en) | 1998-04-22 | 1999-12-28 | Patmark Company, Inc. | Hand-held controller for bed and mattress assembly |
US6270047B1 (en) | 1998-11-06 | 2001-08-07 | Compx International Inc. | Keyboard tilt mechanism |
US6336617B1 (en) | 1998-11-06 | 2002-01-08 | Peter Barber | Ratchet tilt mechanism |
DE19935102A1 (en) | 1999-07-27 | 2001-03-08 | Thomas Dirk Vossnacke | Care system comprises mattress frame, arm chair components, seats, back and foot rests, two-part mattress and flaps |
US6336618B1 (en) | 1999-10-15 | 2002-01-08 | Compx International Inc | Adjustable computer keyboard platform support mechanism |
DK1184026T3 (en) | 2000-09-01 | 2006-10-30 | Invacare Ec Hoeng | Bed and remote control unit for use in connection with a bed |
DE202004004573U1 (en) * | 2004-03-24 | 2005-08-11 | Strautmann Hydraulik- Und Apparatebau Gmbh | Bed, in particular hospital bed or nursing bed |
US8125318B2 (en) | 2004-09-10 | 2012-02-28 | Hill-Rom Services, Inc. | Wireless control system for a patient-support apparatus |
US8710950B2 (en) | 2004-12-23 | 2014-04-29 | Hill-Rom Services, Inc. | Wireless control system for a patient support apparatus |
GB0523179D0 (en) * | 2005-11-14 | 2005-12-21 | Huntleigh Technology Plc | Bed frame assembly |
EP2019606B1 (en) * | 2006-05-01 | 2020-01-08 | Linak A/S | Electrically adjustable table |
NL2001387C2 (en) | 2008-03-19 | 2009-09-22 | Actuant Corp | Person-supporting device, for example a hospital bed, provided with a hydraulic system. |
RU2699008C1 (en) * | 2019-03-06 | 2019-09-02 | Дмитрий Михайлович Галебский | Functional galebsky bed 19 |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2217783A (en) * | 1938-06-09 | 1940-10-15 | F O Schoedinger | Operating table |
CH280033A (en) * | 1950-03-30 | 1951-12-31 | Hausmann Ag Schweiz Medizinal | Hydraulically adjustable operating table. |
US3149349A (en) * | 1961-08-30 | 1964-09-22 | Nelson Ted | Bed |
US3281141A (en) * | 1963-01-15 | 1966-10-25 | American Sterilizer Co | Surgical table |
GB1124725A (en) * | 1966-06-22 | 1968-08-21 | Geoffrey Carter Steel | Improvements in or relating to surgical and obstetrical tables or beds |
US4038709A (en) * | 1975-12-24 | 1977-08-02 | Kerwit Medical Products, Inc. | Dual hydraulic hospital bed |
US4667354A (en) * | 1980-02-14 | 1987-05-26 | Siemens Corporate Research And Support Inc. | Tilting upper body support patient trolley |
US4559655A (en) * | 1982-08-11 | 1985-12-24 | Hill-Rom Company, Inc. | Bed having articulated frame |
US4669136A (en) * | 1985-04-02 | 1987-06-02 | Med-Con Of Georgia, Inc. | Combination hospital bed and surgical table |
US4751754A (en) * | 1987-04-02 | 1988-06-21 | Hill-Rom Company, Inc. | Dual hydraulic hospital bed with emergency bypass circuit |
-
1988
- 1988-05-12 EP EP88304313A patent/EP0341358B1/en not_active Expired - Lifetime
- 1988-05-12 DE DE8888304313T patent/DE3876238T2/en not_active Expired - Fee Related
- 1988-05-12 AT AT88304313T patent/ATE82678T1/en not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
EP0341358A1 (en) | 1989-11-15 |
DE3876238T2 (en) | 1993-04-01 |
DE3876238D1 (en) | 1993-01-07 |
ATE82678T1 (en) | 1992-12-15 |
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