CA1304837C - Inflatable bed - Google Patents

Inflatable bed

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Publication number
CA1304837C
CA1304837C CA000580089A CA580089A CA1304837C CA 1304837 C CA1304837 C CA 1304837C CA 000580089 A CA000580089 A CA 000580089A CA 580089 A CA580089 A CA 580089A CA 1304837 C CA1304837 C CA 1304837C
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CA
Canada
Prior art keywords
pressure
inflatable
bladder
inflatable bladder
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
Application number
CA000580089A
Other languages
French (fr)
Inventor
William Henry Peck
Michael Edward Poehner
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Hill Rom Co Inc
Original Assignee
Hill Rom Co Inc
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Filing date
Publication date
Application filed by Hill Rom Co Inc filed Critical Hill Rom Co Inc
Priority to CA000580089A priority Critical patent/CA1304837C/en
Application granted granted Critical
Publication of CA1304837C publication Critical patent/CA1304837C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Abstract

ABSTRACT
This invention is concerned with an improved air bed system. In this invention the bed occupant can control the firmness of the bed. Two inflatable bladders are used with a pre-set pressure differential between them. The pressure in the lower bladder is always kept high enough to prevent bottoming of a bed occupant. The pressure in the upper bladder can be adjusted by the occupant to his or her own personal comfort level. The invention may also include various medical devices which are fluid powered thus taking advantage of the presence of the pressurized working fluid. The invention may further include a warning circuit which senses the departure of an occupant from the bed and generates a warning signal in response thereto.

Description

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INFLATABLE BED
BACKGROUND OF THE INVENTION

The use of various types of air` beds for both comfort and therapeut~c purposes ~s known ~n the art. These have tended to be expensive and somewhat inflexible ~n the~r abllity to adjust to patient demands. That is, most of the prlor art beds are des~gned to perform a particular purpose and the~r feel or firmness to a person ly~ng on them is not ad~ustable.

Hospital patents, in particular, compla~n about the uncomfort~ble nature o~ standard mattresses. Yet the alr beds of the prior art are usually too expensive for general use throughout a hospital and in any case are not usually flexible enough in operation to allow comfort adjustment by the patient. There has been a need for a sleep and support surface whose firmness can be adjusted by the occupant.

The following U.S. Patents are cited to show alr beds whose firmness may be controlled by the occupant: 4,224,7n6; 4,394,784;
and 4,435,864. U.S. Patents 3,822,425 and 4,525,885 show forms of a~r beds specifically designed for medica1 purposes. U.S. Patents 3,653,083; 3,674,019; 4,193,149; and 4,225,989 all show dual bladder air mattresses.

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~3~ 37 The present ~nvention provides a patient controllable air bed that has built in control features that prevent "bottom~ng". In the case of some air beds, the user may deflate it so much, ln an attempt to obtain a softer rest surface, that he may eventually overcome the supportive effects of the air bed and hit the hard support surface under the mattress. This is clearly undesirable and the present invention prevents this through a differentlal pressure control system between upper and lower bladders.

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SUMMARY OF THE INVENTION

This invention relates to an lmproved inflatable bed system, ln particular an air bed, and a method for controlling its operat10n.
The inflatable bed 1ncludes a first 1nflatable bladder that ~s remote or distal from a person who occupies the bed. A second inflatable bladder is posltioned proximate or next to a person who occupies the bed. The second bladder also is positioned to touch, nest with and overlie the first bladder. Also provided ls a source of inflating fluid, preferably air, at a pressure su-fficient to inflate the two bladders to the degree necessary to support a person lying on them. The bed system also includes a fluid circuit that interconnects the bladder to the source of pressurized fluid. The fluid circuit con~rols the flow of the inflating fluid in such a ~3~4~7 manner that a pre-selected pressure differential is maintained between the first and second bladders, this pressure differential being selected so that the lower or first bladder i5 always at a higher pressure than the upper or second bladder. Thls pressure ln the lower bladder is selected so that an occupant of the bed cannot reduce the total bed pressure sufficiently to "bottom out". Thls allows ad~ustment of the pressure in the upper or second bladder to change the feel or comfort of the bed within a wide range to allow for occupant preferences without the danger of allowing the entire bed pressure to drop below that which would support an occupant.
The fluid circuit also controls inflation of the bladders so the flrst bladder always is partially inflated before lnflation of the second bladder begins.

DESCRIPTION OF THE DRAWINGS
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~ In the drawings:
:~ ' Fig. 1 is an exploded perspectlve view of the mattress portion of the present invention;
Fig. 2 is a partial side elevation cross section of the mattress portion shown in Fig. 1 in its assembled state;

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J~3~4~337 Fig. 3 is a partial side elevation cross section of a modifled embodiment of the mattress portion of the present invention;
Fig. 4 is a partial side elevatlon cross sectlon showing the funct~oning of the mattress portion of the present lnventions when the mattress is articulated or bent;
Fig. 5 is a perspective view of the use of a medical procedure pad with the present inventlon;
Fig. 6 is a perspective view of the present inventions with the addition of a perforated upper bladder that washes an occupant of the bed with an air flow;
Fig. 7 is a schematic circuit diagram of the fluid circuit of the present invention;
Fig. 8 is a block diagram of the occupant departure warning system of the present invention;
Fig. 9 is a block diagram of a modified fluid circult of the present invention;
Fig. 10 is a partial elevation view of a sideguard for a hospital bed, the sideguard lncluding a bed functlon control panel; and Fig. 11 is a plan vie~ of the bed function control panel from the sideguard of Fig. 10.

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~3~4~37 DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT OF THE INVENTION

This invention is directed toward providing an improved form of resting surface, prlmarily for hospltalized patients. However, the basic air bed system which is described could be used for normal sleep purposes, and is not necessarlly limited to a hospltal environment. ThereFore, while the description that follows wlll be primarily directed toward hospital usage, it should be kept in m;nd that the invention itself is not necessarily so limited.

Figure 1 ~llustrates the mattress portion 10 of the a~r bed system of the present invention. The prlmary components of the mattress 10 are two independent inflatable bladders 12 and 14. The first bladder 12 ~n its normal operating position is located at a position distal or away from a person who would lie on the mattress 10. The second inflatable bladder 14 is positioned to be in contact with the first bladder 12 and ;s also positioned so that it would be proximate or adjacent to a person who was lying upon the mattress 10. It ls important that the two bladders 12 and 14 be maintained in general contact with one another durlng the use of the mattress 10. To this end, several possible configurations are possible, but that shown in Figure 1 is preferred. A configuration of the ; mattress 10 as shown in Figure 1 will be described in some detail, but it should be kept in mind that the other components of the ... ,................. ", " ..

~3~ 37 mattress 10 shown in Figure 1 basically serve as a means for holdingthe first bladder 12 and the second bladder 14 together so that they cooperate as a unit. Other measures such as straps, adhesives, clips or other types of fasteners could be used.

The mattress portion 10 includQs a casing which is made up o-f a lower portion 16 and an upper portion 18. The casing is preferably made of a fabric material that is relatively flex~ble to allow easy insertlon of the various components that make up the mattress portion 10. A suitable material is a nylon fabric with coatings on both sides. The coatings are those wh~ch are common for use ~n a hospital environment to prevent penetration of both liquids and bacteria. The fabric may also be coated w~th a flame retardant chem~cal. There are various forms of bacter;al and vlral control agents which can be added to the fabrics for use in a hospital environment, and these may also be added to the casing of the mattress 10. The lower portion 16 is preferably generally box shaped with an upstanding perimeter wall 20 which is bonded to a base portion 22. As can be seen from Figure 1, the internal components of the mattress 10 are inserted into the lower portion 16 and are generally held ln place by the perimeter wall 20. The upper portion 18 ls then attached to the per~meter wall 20 to form a complete mattress portion 10. This joining of the upper portion la to the perimeter wall 20 may be achieved ln any one of several known , .
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and conventlonal ways. Conventionally, this joinder is made by means of a zipper which extends around the outside of the perimeter wall 20, but the jo~nder could also be made by means of releasable fabrlc fasteners such as those sold under the trade name VELCR0. A
suitable means, such as conduits 68 and 80, extend through the perimeter wall 20 to allow the introduction of worklng fluid to the bladders 12 and 14.

It is preferred that the mattress portion 10 also include some other components, particularly ln the case of the mattress 10 whlch is to be used ln a hospital envlronment. A lower foam pad 24 may be ~nserted in the lower portlon of the casing 16 in a posltion below the first inflatable bladder 12. Preferably, this lower foam pad 24 is approximately one inch in thickness and is of a polyurethene foam. Also, an upper foam pad 26 ls preferred. The upper foam pad 26 is preferably placed immediately beiow the upper portion 18 o~
the casing and is approximately two inches in thickness. Thls upper foam pad 26 is also preferably a polyurethene foam. A flnal component of the mattress portion 10 which is particularly well sulted for use ln a hospital environment is a needle barrier 28.
The needle barr~er 2~ is a sheet of material which is placed between the upper foam pad 26 and the second inflatable bladder 14. It is known that in a hospital environment, needles or attachment pins are sometlmes lnserted into the mattress upon which the patient ls .

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~3~3;37 lying. In most cases, this causes no particular problem because the mattresses are of a foam or similar construction which are not harmed by needle entry. In the present case, repeated entry of needles into the inflatable bladders 12 and 14 could eventually lead to fa~lure of these bladders by uncontrolled leakage. Thus, the needle barrier 28 ;s preferred for use in the hosp;tal environment and is a mater;al such as l/16th ~nch cloth reinforced neoprene rubber, polypropylene or similar materials. It is designed to be coextensive with the surface of the second inflatable bladder 14.
Thus, any needle must pass through the two inch upper foam pad 26 and then penetrate the needle barrier 28 before it could enter the second ;nflatable bladder 14.

The cross-sectional v;ew of F;gure 2 lllustrates the mattress portion 10 ;n a completely assembled configuration. Figure 2 also shows the mattress port;on 10 in its fully inflated configuration as ;t ~ould normally be in use. Note that the bladders 12 and 14 are of a convoluted shape made of a series of transverse r~bs which allow the unit to articulate rather eas~ly w;th the movement of a hospltal bed. Also note that the first and second bladders 12 and 14 are poslt~oned such that the;r respectlve r;bs nest together wh;ch allows for close contact and support of a person ly;ng on the mattress port;on 10. The transverse r7bs extend, in normal use, across the transverse dimens;on of a bed.

~3~ 37 , Figure 3 illustrates a mattress portion that is somewhat modified from that shown in Figures l and 2. Since many of the components between Figures 2 and 3 are the same, those components which are the same are identified by prime numerals as for example mattress portlon lO' and only those new or modified elements are given new numerals. Mattress portlon lO' of Figure 3 still includes an upper casing portion 18' and a lower casing portlon 16' with perlmeter wall 20' and base portion 22'. The upper portion 18' is attached to the perimeter wall 20' as was the case in Figures l and 2. The mattress lO' also includes an upper foam pad 26', a lower foam pad 24' and preferably a needle barrier 28'. The primary distinction in the mattress lO' shown in Figure 3 ls that the inflatable bladders designated as 12 and 14 in Figure 2 and hav1ng a transverse rib portion have been replaced by generally flat or flattened bladders 30 and 32. As was noted) the bladders 12 and l4 prevlously shown are preferred for use in a hospital environment because their transverse rib configuration allows somewhat easier articulation w~th a hospital bed. On the other hand, in a situation where art~culation of the mattress portion is not required, bladders such as 30 and 32 are somewhat less expensive to make and thus could be usable while still providing much of the benefit of the present invent~on.

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3~3~ 37 Another aspect of this invention is also illustrated in Figure 3 with respect to the use of foam inserts at the perimeter of the mattress portion 10'. The foam lnserts 34 extend around the perimeter of the upstanding perimeter wall 20' and essentially completely enclose the bladders 30 and 32. Note that the upper portion 36 of the upper bladder 30 ls tapered and the foam portion 34 tapers inwardly to meet this tapered portion 36. The purpose oF
the foam insert 34 is to give a falrly rigld feel to the perimeter of the mattress 10' even though the bladders 30 and 32 may be almost completely deflated. The tapering portion 36 and its corresponding tapered portion 38 of the foam insert 34 work together to form an additional needle barrier to prevent needle sticks coming from the side of the mattress portion 10'. That ~s, it can be seen that the foam insert 34 acts as someth~ng of a barrier for needles which come from the side, but the tapered portion 38 provides an even greater barrier to such accidental lnsertion of needles. Comparing Figure 3 with Figure 2, one can see that the sides of the bladders 12 and 14 in Figure 2 are relatively exposed to accidental needle punctures from the side. The foam insert 34 could be used in the configuration shown in Figure 2, but the use of th7s insert`renders the entlre mattress portion somewhat less flexible, and thus somewhat less usable for articulation in a hospital bed.

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Figure 4 illustrates the bending of the mattress port~on lO when it ls placed in a hosp~tal bed environment and articulated with a patient 40 placed on the mattress portion lO. Note that what occurs is that the first bladder 12 retains a relat~vely f~xed degree of inflation, while the second bladder 14 has a somewhat varying configuration dependent upon where it is along the length of the d~stribution of the patient's weight. It is this ability to conform and change with respect to the movement of a patient that is believed to be the most important characterlstic of the present lnvention. The aim of the present invention ls to allow a patient or any person who lies upon such an air bed assembly the ability to control the f~rmness of the bed. This abillty to ad~ust the firmness of the bed is believed to be quite important for pat1ent or occupant comfort. While clinical proof is as yet unavailable, it is believed that the present lnvention may also have some benefic~al affect ~n the prevent~on of decubitus ulcers or bed sores. These ulcers are a particularly difficult problem for hospitals to deal wtth with respcct to immob~lized patients. This is so because pressure for a prolonged perlod on bony prominances of the body tend to produce these ulcers. A standard hospital bed mattress may exert 50 to 60 millimeters of pressure on a body lying upon it. Capillary pressure for a human being is in the range of 30 to 32 millimeters of mercury. It can easily be seen that captllary restrictions from ,": .1;", ~3~837 -a standard mattress will result in a decreasing blood flow and the possible format~on of decubitus ulcers. Of course, decubitus ulcers generally can be prevented by proper assessment of the patient, correct diet, proper incontinence care and the USQ of pressure reduction aids and devices and frequent turning. None the less, this is a perslstent problem in the hospital environment and air bed systems such as those shown in the present inventlon are believed to be of ass~stance in reducing the incidence of such ulcers.

Figure 5 illustrates that with the ~lexibility of the mattress portion 10 and the availabillty of a source of compressed alr, some medlcal procedures become easier than was previously the case.
Figure 5 illustrates the administration of a splnal block anesthetic. At the present time, plllows are used to raise the patient's midsection to a position where the vertebra of the patient's spine is compressed from one side and opened on the other. This is awkward in operation and Figure 5 illustrates a procedure using the mattress portion lO of the present invention which would make thls easier. An inflatable procedure pad 42 is inserted in the midsection of the mattress portion 10 pre~erably under the first inflatable bladder 12. Then, as can be seen in Figure 5, when the procedure pad 42 is lnflated, it bulges the midsection of the mattress 10 and by proper positioning of the patient on the mattress, the desired access to the spinal region can be achieved.

, ~L3~ 7 Figure 6 illustrates the fact that having a source of compressed air or other gas available makes it possible to provlde so called clinically active elements to the patient using this bed ln a hospital environment. For example, the upper foam pad 26 could be replaced with a perforated air bladder such as that shown at 44 in Figure 6. The perforated bladder 44 is of the type which is known in the art to which a continual supply of air is fed. The air then passes upward through the perforated air bladder 44 and flows around the body of a person lying on the bladder 44. If desired a sheet or other covering could be placed over the bladder 44. This would not interfere with the air flow so long as the covering is gas permeable. This air then carries away moisture and heat from the body. The air may be from the supply used to inflate the bladders 12 and 14 or maybe a second supply which is filtered and heated and/or cooled as may be required by the needs of a person occupying the bed.
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- F~gure 7 ~llustrates the fluid supply and control circuit of the present invention. The clrcuit shown in Figure 7 inc1udes a source of lnflating fluid under pressure and a circuit means connected to bladders 12 and 14 to control the flow of the inflating ~luid such that the bladder 12 ls always inflated before the bladder 14 and the bladder 12 always has a higher pr~ssure in it than the bladder 14.

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In the present invention, air is preferred as the working fluid.
Thus, a small a~r eompressor 46 may be used. The air compressor 46 is a source of inflating fluid at a pressure sufficient to inflate the bladders. The air compressor 46 ls preferred as opposed to a high volume but lower pressure device because this particular invention does not involve the continual loss of air as do some other air beds currently used for medical purposes. Thus, once pressure is established in the bladders 12 and 14, is ~s usually maintained. A preferred air compressor 46 is a free piston type pump. The air compressor is connected by a sultable condu~t 48 to a maximum pressure control valve 50. The maximum pressure control valve 50 is optional, but it is preferred because as well as serving as a safety valve to control the maximum pressure which can be supplled to the system, lt also acts as a maximum firmness control valve. Thus, the pressure control 50 is a valve of the type ~n which a ball 52 is positioned internally of the valve 50 and has a particular pre-selected weight. So long as the pressure suppl~ed to the valve 50 does not exceed the pre-selected force requ~red to lift the ball 52, the fluid will be supplled through the conduit 48 and passed through the valve 50 unaffected. However, should the pressure supplied either through the conduit 48 or as a function of back pressure to valve 50 exceed the pre-set pressure controlled by the ball 52, the ball 52 will rise from its seat within the valve 50 .

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and allow air to escape to the atmosph0re through the valve 50 until the pre-set pressure is re-established. While shown as a pre-selected we~ght ball 52, a spring could also be ~nserted on top of the ball 52 and adjusted to allow adjustment of the maximum firmness of the bladders 12 and 14. This would also have a tendency to establish or control the maximum inflation pressure within the entlre system. If one were to desire additional complexity, a pressure sensor could be placed in the conduit 48 with a pre-set pressure limit. Exceeding this pre-set pressure limtt could then trigger a solenoid type valve which would allow bleed1ng of air from the conduit 48 until the pre-set pressure had been reached.
~ ' Fluid is then transferred from the pressure control valve 50 through a conduit 54 to an inflation control valve 56. The inflation control valve 56 is preferably a solenoid type valve whose operation is controlled either by a patient using this particular bed or by a nurse or other medical person who wishes to actuate the controls of this invent~on. Actuation of the control valve 56 and the air compressor 46 will allow air to flow through the conduits 48, 54 and the valve 50 through the inflation control valve 56 and into a conduit 58. The inflation control valve 56 could be a simple check valve. In that case, then only the air compressor 46 would need to be actuated to begin the lnflatlon process. The conduit 58 is then connected to a differential pressure control valve 60, which is very important part of the present ~nvention.

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~3n~8~,~7 ls -The differential pressure control valve 60 is so configured that it will always allow inflation of the first inflatable bladder 12 prlor to the inflation of the second inflatable bladder 14. In addltion, lt is pre-set so that the pressure in the first bladder 12 will always be greater than in the second bladder 14. This differential pressure between the two bladders, 12 and 14, prov~des the beneficial effects previously noted and allows independent adjustment of occupant comfort of the mattress 10. The conduit 58 is connected to the slngle lnlet 62 of the pressure control valve 60. The pressure control valve 60 has two outlets, 64 and 66. The first oulet 64 is connected through suitable condult 68 to the first inflatable bladder 12. The conduit 68 would preferably be a flexible material which would allow easy routing of the conduit 68 in its path from the control valve 60 to the inflation inlet of the bladder 12. The outlet 64 of the differential valve 60, allows operating fluid to pass through the pressure control valve 60 essentlally unchanged. That ls, the operating flu~d supplled through the condu~t 5a lnto the ~nlet 62 of the valve 60 passes dlrectly out through the outlet 64 and thence through the conduit 68 to the bladder 12. The conduit 68 is preferably connected to the bladder 12 through a conventional quick disconnect coupling 13. The coupling 13 is of the type which will trap pressure in the bladder 12 if the conduit 68 is removed. Thls can be used to allow shipping ~, ..

13~4É~37 the entire mattress portion 10 with the bladders 12 and 14 partlally inflated for ease of handling. As the operation of this device begins, the flow of operating fluid out of the second outlet 66 is blocked. All of the fluld entering the valve 60 will exit through the outlet 64 and thus inflate the bladder 12.

The differential pressure control valve 60 functions through the use of a controlled we~ght steel ball. The inlet 62 is connected to an internal passage-way 70, which ~s directly connected to the first outlet 64. Connecting to the passage way 70 is a control ball chamber 72, ln which a steel ball 74 is positloned in such a way as to normally block off commun~cation between the control ball chamber 72 and the passage way 70. A cap 76 ~s used to seal off the control ball chamber 72 from the outside atmosphere. The control ball chamber 72 is in commun~cation with an internal passage~way, 78, which in turn is connected to the second outlet 66. The second outlet 66 is connected to a suitable condu~t 80 which in turn is connectQd to the lnlet of the second inflatable bladder 14. As was the case w~th the bladder 12, the bladder 14 is preferably connected to the condult ao through a conventlonal quick disconnect coupling 15. The coupl~ng 15 may be identical to the coupling 13 and serves the purpose of trapping pressure in the bladder 14 for the purpose prevlously explained. The conduit 80, as was the case of the ~L3~ 37 conduit &8, is preferably at least partially flexible in order to allow ease of connection to the second inflatable bladder 14. A
portion of the condult B0 may be rigid in order to accommodate a softness control valve 82. The softness control valve 82 is preferable a solenoid type valve which is connected to the condu~t 80. The softness control valve 82 could be a manually operated valve. The softness control valve 82 is normally closed and is opened in circumstance where it is desired to allow pressure to be released from the second bladder 14 which would have the effect of making the bladder 14 softer. The outlet of the so~tness control valve 82 is connected through a condu~t 84 to a minimum softness control valve 86. The minimum softness control valve 86 is a valve which is pre-set to prevent the pressure in the upper bladder 14 from falllng below a pre-selected level. This is done in order to prevent total collapse of the second inflatable bladder 14 during normal use. That is, the range of softness of the mattress 10 of the present invention does not allow for complete non-inflation of the bladder 14. The m~nimum release pressure of the softness control valve 86 may be varied. Flgure 7 illustrates that the mlnlmum softness control valve 86 is the same general type of valve as that used for the maxlmum pressure control valve 50 in that an internal ball 88 of a pre-selected weight ls used to control the pressure at which the valve will operate. As was previously explained, this pressure may be varied by inserting a spring to vary ~ ~3~4~337 ~ g the pressure, or a line~pressure sensor could also be used to control the solenoid valve to allow activation of the solenoid valve only withln a certaln pressure range. However, the arrangement in Figure 7 has proven to be quite satisfactory for normal usage.

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Thus, the operatlon of the circuit shown in Figure 7 is such : that a worklng fluid, preferably air, under pressure is furnlshed from the compressor 46 through the conduit 48 to the valve 50 through the conduit 54, through the valve 56 and through the.conduit 58 to the differential pressure control valve 60. It then flows out directly through the conduit 68 and into the first inflatable bladder 12. Once the bladder 12 has start2d to lnflate, lt will begin to develop a back pressure on the ball 74 in the pressure control valve 60. At this point, the ball 74 will r~se w;thin the control ball chamber 72 and allow fluid under pressure to flow through the internal passage way 78 out the outlet 66 and through the conduit 80 into the second inflatable bladder 14. The second : inflatable bladder 14 will then also inflate itself to a pre-selected level until it also beglns to develop back pressure and forces the ball 74 back into lts seat within the control chamber 72. It should be apprec;ated that because of the orifice size restrictions within the control ball chamber 72, the pressure in the upper or second inflatable bladder 14 w~ll also be slightly less .. ,,,,., , ~.. ,. .,~.

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than the pressure in the lower or first inflatable bladder 12. This pressure differential can be controlled by adjusting the size of the orifices either in the inlet to the control valve chamber 72 or by controlllng the diameter of the internal passage 78. Once these pressures have been established within the system, the compressor 46 may be shut down and would be needed only to malntain pressure should leakage occur withln the system. After having been lnflated to the maximum level, the softness of the second inflatable bladder 14 can be ad~usted by opening the solenoid valve 82 which will allow so~e of the a~r to escape. This can continue until such as time as the pressure ~n the second bladder 14 has reached a level where it would be re~inflated because of the dlfferent~al between the two bladders 12 and 14.

As was mentioned with respect to Figure 5, a procedure pad 42 can also be used with this particular system, particularly since a source of working fluid is available through the compressor 46. A
branch conduit 90 may be connected to the conduit 48, which is connected to the outlet of the air compressor 46. The condu~t 90 may then be routed through the inlet of a solenoid valve 92 which then has an outlet connected to conduit 94 which is connected to the procedure pad 42. The solenoid valve 92 is of the normally closed type so that when ~t is activated, working fluid will be allowed to flow through the conduit 90 and 94 and inflate the procedure pad ~3~1483~

42. Thls same branch arrangement could be used for other purposes such as the perforated bladder 44 shown in Figure 6. This arrangement provldes a second fluld circuit means that ls selèctlvely operable through the solenoid valve 92 to connect the compressor 46 to various fluid operated medical procedure devices.
These devices can include the pad 42 and the perforated bladder 44.

Figure a i1lustrates in a block diagram form a third clrcu1t means that ls a bed QXit system or occupant departure warn~ng system which provides additional safety for a hospital patient using the present dev~ce. A branch conduit 96 is connected lnto the eondu~t 68 which furnishes operat~ng fluid to the first inflatable bladder 12. Because the pressure in the first inflatable bladder 12 is always the highest pressure, it will be a relatively fixed pressure during the time that a patient occupies the air mattress of the present invention. The conduit 96 is attached to a pressure transducer 98 which w~ll produce an electrical output signal proport~onal to the pressure presented to lt by the condult 96. The signal from the pressure transducsr 98 may be transmitted along an electr~cal connector lO0 to an ampl~fier 102 where the s~gnal from the transducer 98 may be increased to a level which is more easily analyzed. The output of the amplif~er 102 is connected through an electrical connector 104 to a s~gnal processlng circult 106. The , .

13~gL837 ~ 22 -signal processing circuit 106 is one of the conventional type whlch will produce an output signal on an electrical connector 108 in response ~o a sudden drop in the input slgnal presented to ~t along connector 104. This in turn will indlcate that there has been a sudden drop in the pressure sensed in the conduit 68. This will correspond to the departure of a patient from the mattress 10 of the present invention. Thus, the connector 108 will carry a signal to an alarm circuit 110 which in turn will send a signal through a connector 112 to a nurse call activator 114 which can be a visual or an audiblQ warning signal such as a buzzer or a bell. Xt should also be noted that the output s~gnal from the amplifier 102 could be connected through an electrical connector 116 to a readout device 120 to show the actual air pressure ~n the conduit 68. The readout device 120 can be a conventional dial, liquid crystal, or light emitt~ng type display which would show the actual pressure in the inflatable bladder 12. This then could serve as a visual check on the proper operation of the maximum pressure valve 50 and of the differential pressure valve 60.

Figure 9 illustrates a modified embodiment oF the fluid control circuit of the present invention. The fluid control circuit shown ln Figure 7 is basically a mechanical valve system in which the differential pressure control valve 60 controls the differential ~3~4~3;3~

pressure between the bladders 12 and 14 in a mechanical fashlon.
The electrical val VQ components in the control circuits shown ;n Figure 7 are a convenience to allow easy patient control of the system. It is, however, poss~ble to provide a completely electronically controlled system which provides some addltional degree of flexibility ln the operation of the present invention.
This electronic embodiment of the control circuit is shown ;n Figure 9. In Figure 9, components which are ~n common with the embodiment shown on Figure 7 are given the same reference numerals with the addition of a pr;me to allow an easier compar;son of the two systems.

In F;gure 9, the air compressor 46' has an outlet conduit 48' with two branches which are connected to two electrlcally operated, normally closed solenoid valves 122 and 124. The-function;ng of the solenoid valves 122 and 124 is controlled through the operation of an electronic controller 126 which is connected to them through suitable electrical lines 128 and 130. The controller 126 ~s of the type well known in the art today which may be microprocessor based or may be a small general purpose d;g;tal computer. However, ;t is well within the sk;ll of the art to provide control functions using such controllers as will be described. The outlet of the solenoid valve 122 ls connected through a conduit 80' to the upper bladder :

~3~ 37 _ 24 -14' through the quick disconnect cou~ling 15' as prev~ouslydescribed. Llkewlse, the solenoid valve 124 is connected through a condult 68' and a quick disconnect coupling 13' to the lower bladder 12'. An additlonal element inserted in the conduit 80' is a pressure sensor 132 of the type known in the art which will generate an electrical signal proportional to the pressure which it senses.
An electrical connector 134 presents the signal from the pressure sensor 132 to the controller 126. A similar electrical pressure sensor 136 ls connected in the condult 6B' and has its slgnal connected through a connector 138 to the controller 126. The pressure sensors 132 and 136 are situated such that they will present a pressure signal which ls a measure of the ~nflation pressure in the bladders 12' and 14' respectively. These signals are then fed to the controller 126 where they are compared wlth appropriate set points placed in the memory of the controller 126.
That is, the controller 126 wlll have programmed into it a f~xed set point differential between the pressures sensed by the pressure sensors 132 and 136. This functlon will again be identical to that described with respect to F~gure 7 in that the lower bladder 12~
w111 always partially inflate before inflatlon of the upper bladder 14' is allowed to begin. Furthermore, the set points will be selected such that there will always be a preselected pressur~
differential between the pressure in the two bladders 12' and 14'.

,, ,:, ;

~l3~133~

This differential may be adjusted ~n Figure 7 by adjusting either the weight of the control ball 74 or perhaps spring loading the control ball 74. In the present case, this preset pressure different~al may be ad~usted by simply changing the command or the programming of the controller 126. The controller 126 will send signals to open and close the solenoid valves 122 and 124 in accordance with its preset pressure program in response to signals received from the pressure sensors 132 and 136. The operation, once the compressor 46 has started is that the solenoid valve 124 will always open first to allow pressure to begin to develop in the lower bladder 12'. Once a preselected pressure has been reached, the solenoid valve 122 may be opened to allow inflation of the upper bladder 14' to begin. Once the present pressure differential between the bladders 12' and 14' has been reached, the valve 122 may be closed or both valves may be closed depending upon their relative pressure situations at that t~me. A solenoid valve 140 is connected to the conduit 68'in order to provide a maximum firmness control function. In this respect, the valve 140 is analogous to the va1ve 50 described in Figure 7 which is a maximum pressure control valve.
The soleno~d valve 140 is controlled through an electrical line 142 by the controller 126. If the pressure sensor 136 reports to the controller 126 a pressure in the bladder 12' which is beyond the maximum allowed pressure, then a signal will be transmitted to the r . L~', ~3~E33~
.. ~

solenoid valve 140 to allow the solenoid valve 140 to open and vent or relieve pressure from the bladder 12'. This is precisely the same function as provided by the pressure relief valve 50 in Figure 7. Similarly, a firmness control solenoid valve 144 is provided in conduit 80'. The valve 1~4 is connected to the controller 1~6 through an electrical wire 146 and also may be controlled by a bed occupant through electrical wiring 148. The valve 144 may be operated by an occupant of the bed to control the feel or firmness of the upper bladder 14'. In this respect, valve 144 ls analogous to the softness control valve 82 descrlbed wlth respect to Figure 7. The controller 126 has built into it a limit which will prevent the valve 144 from being operated if the pressure sensed by the pressure sensor 132 is too low. It might be pointed out that the minimum softness control valve 86 in Figure 7 performs basically this same function. Thus, it can be seen that Figure 9 presents a somewhat modified electric control circuit for the present invention, but is very much analogous to the control circuit previously described in Figure 7. The choice of which of these two embodiments to use is largely a matter of convenience, expense and u1timate appllcation of the bed of the present invention.
.
Figure 10 shows a sideguard 152 of the type normally used with hospital beds. The sideguard 152 is of the half length type and ~3~9L83~7 there would normally be two such guards 152 on each slde of a bed.
The mattress 10 of the presen-t invention can be used with hospital beds whlch have this type of sideguard 152. The sldeguard 152 is attached to the bed through support brackets 153 and 154. These are connected to allow a plvoting up and down mot~on of the sideguard 152. The sldeguard 152 has a generally continuous perimeter member 156 whlch is connected by web member 157, 158 and 159. A bed control panel 160 ls positloned between the web members 158 and 159.
.
FigurQ 11 shows the bed control panel 160 ln more detail. The bed control panel 160 carrles a member of electrical switches whlch are operable by the bed occupant. The type of system per se is well known ln the art. In this case, a nurse cali swltch 162 will actlvate a slgnal at the nursing station when pressed. Light~ng switches 164 and 166 will control the room and overbed lights. A
head up switch 168 will cause the head o~ the bed to raise and a head down switch 170 will cause the head to lower. A knee up switch 172 wlll ralse the thlgh/knee positlon of the bed while a knee down switch 174 will cause the knee portlon to lower. Actuation of a flrm switch 176 will turn on the compressor 46 and open the valve 56 (in Fig. 7) or the controller 126 (ln Fig. 9). This will allow lnflation of the bladders 12 and 14 (or 12' and 14') withln the prescrlbed ll~lts of the control system in use. Conversely, 3 ~ ~ ~ 3 7 . .

- 2~ -actlvatlon of a soft swltch 178 wlll allow alr to bleed from the bladders 12 and 14 (or 12' and 14') by opening the valve 82 or 144.
As was the case wlth the lnflation or increaslng firmnQss mode, the softness mode wlll operate wlthln the prescrlbed llmlts of the :~ control system ln use, two possible modes having been shown in Flgs.` 7 and 9.

Claims (18)

1. An improved inflatable bed system which comprises:
(A) a first inflatable bladder positioned to be distal from a person who lies on said inflatable bed;
(B) a second inflatable bladder positioned in contacting proximity to said first inflatable bladder and located proximate to said first inflatable bladder and located proximate to a person who lies on said inflatable bed;
(C) means for holding said first and second inflatable bladders together so that they co-operate as a unit;
(D) a source of inflating fluid providing a pressure sufficient to inflate said first and second inflatable bladders to the degree necessary to support a person lying on said first and second inflatable bladders; and (E) fluid circuit means, operatively connecting said source of inflating fluid and said first and second inflatable bladders for controlling the flow of said inflating fluid, said fluid circuit means including a differential pressure valve having a single inlet connected to said source of inflating fluid and having two outlets, one of said outlets being connected to said first inflatable bladder and the other of said two outlets being connected to said second inflatable bladder such that a pre-selected pressure differential is maintained between said first and second inflatable bladders and the first inflatable bladder is always at least partially inflated before inflation of said second bladder begins.
2. The system of claim 1 wherein said differential pressure valve is configured such that said second outlet will remain closed until said first inflatable bladder is inflated to a pre-selected fluid pressure and said second outlet will open in response to the attainment of said pre-selected fluid pressure to thereby allow flow of inflating fluid to said second inflatable bladder.
3. The system of claim 2 wherein said pre-selected fluid pressure of said differential pressure valve will maintain a fixed pressure differential between said first and second inflatable bladders.
4. The system of claim 2 wherein said fluid circuit means further includes a maximum firmness control valve, connected in circuit between said source of inflating fluid and said differential pressure control valve, said maximum firmness control valve having a pre-selected pressure relief point such that exceeding said pre-selected pressure relief point will cause venting of said inflating fluid from said fluid circuit thereby limiting the pressure supplied to said first and second inflatable bladders.
5. The system of claim 2 wherein said fluid circuit means further includes a softness control valve connected to said second outlet of said differential pressure valve such that inflating fluid furnished to said second bladder normally bypasses said softness control valve, said softness control valve being selectively operable to allow release of pressure from said second inflatable bladder from an outlet of said softness control valve.
6. The system of claim 5 wherein said fluid circuit means further includes a minimum softness control valve connected to the outlet of said softness control valve and having a pre-selected pressure release set point such that the minimum allowable pressure in said second inflatable bladder is controlled by the pre-selected pressure release point of said minimum softness control valve.
7. The system of claim 1 which further includes a second fluid circuit means operably connected to said source of inflating fluid, said second fluid circuit means including a selectively operable, normally closed valve, connected to said source of inflating fluid, and a fluid operated medical procedure device connected to an outlet of said normally closed valve, said medical procedure device being activated when said normally closed valve is opened to allow flow of said inflating fluid to said medical procedure device.
8. The system of claim 7 wherein said medical procedure device is an inflatable pad positioned with respect to said first and second inflatable bladders such that inflation of said inflatable pad will raise at least a portion of said first and second inflatable bladders to a pre-selected position.
9. The system of claim 7 wherein said inflating fluid is a gas and wherein said medical procedure device is a perforated bladder, having a plurality of openings on one side thereof to allow escape of said gas, and positioned such that a person lying on said bed will be washed by the flow of gas from said perforated bladder.
10. The system of claim 1 which further includes a third circuit means connected to said first inflatable bladder, responsive to the pressure in said first Inflatable bladder for generating a warning signal in response to a drop in pressure in said first inflatable bladder, said drop in pressure serving as an indicia that a person occupying said inflatable bed has left said inflat-able bed.
11. The system of claim 10 wherein said third circuit means includes:
(A) A pressure transducer connected to said first inflatable bladder for generating an electrical output signal proportional to the fluid pressure in said first inflatable bladder;
(B) An amplifier connected to said electrical output signal of said pressure -transducer for increasing the level of said electrical output signal;
(C) A signal processing circuit, connected to said amplifier and responsive to said electrical output signal, for generating an output warning signal in response to said electrical output signal reaching a pre-selected value, said pre-selected value being chosen to represent the pressure in said inflatable bed when said inflatable bed is unoccupied; and (D) warning means, connected to said output warning signal, For generating a warning signal in response to the receipt of said output warning signal.
12. The inflatable bed system of claim 1 wherein said means for holding said first and second inflatable bladders together includes:

(A) A lower casing portion of a generally open box shape having upstanding sidewalls connected to a base portion, said first and second inflatable bladders being placed in overlapping alignment within said sidewalls, the perimeter of said lower casing portion being substantially equal to the perimeter of said first and second inflatable bladders and the depth of said sidewalls being slightly greater than the overall combined depth of said first and second inflatable bladders in their fully inflated state; and (B) An upper casing portion connected to the perimeter of the open end of said upstanding sidewalls to thereby contain said first and second inflatable bladders completely within said upper and lower casing portions, said first and second inflatable bladders having means extending through said lower casing to allow introduction of inflating fluid to said first and second inflatable bladders.
13. The system of claim 12 which further includes:

(A) A first foam pad, positioned on said base portion and onto which said first and second inflatable bladders are placed; and (B) A second foam pad positioned in overlying relationship to said second inflatable bladder.
14. The system of claim 13 which further includes a needle barrier sheet, substantially co-extensive with said second foam pad and said second inflatable bladder and positioned between said second foam pad and said second inflatable bladder, protecting said second inflatable bladder from accidental puncture by medical procedure needles which miss their intended target and enter said inflatable bed system.
15. The system of claim 12 wherein said the perimeter of said lower casing portion is greater than the perimeter of said first and second inflatable bladders and further including a foam perimeter pad filling the resulting space between the upstanding sidewalls of said casing and said first and second inflatable bladders.
16. The system of claim 15 wherein said foam perimeter pad includes an upper tapered portion that tapers away from said sidewalls and said second inflatable bladder includes a corresponding reverse tapered portion to present a barrier to needle entry into said second inflatable bladder from said sidewalls.
17. A method for controlling the firmness of an inflatable bed which comprises the steps of:
(A) positioning a first inflatable bladder distal from a person lying on said bed;
(B) positioning a second inflatable bladder proximate to a person lying on said bed and in overlying contacting location with respect to said first inflatable bladder;
(C) providing a source of inflating fluid under pressure;
(D) inflating said first bladder with said inflating fluid to a first pre-selected pressure level;
(E) preventing the inflation of said second inflatable bladder until said first pre-selected pressure level is achieved;
(F) continuing the inflation of said first inflatable bladder to its final pressure which is greater than said first pre-selected pressure level;
(G) inflating said second inflatable bladder to its final pressure which is a pre-selected fixed percentage of the final pressure in said first inflatable bladder; and (H) venting pressure from said second inflatable bladder to adjust the firmness of said second inflatable bladder.
18. The method of claim 17 which further includes the steps of:

(A) sensing the pressure in said first inflatable bladder;
(B) generating an electrical signal in response thereto that is preparation to the pressure in said first inflatable bladder;
(C) comparing said electrical signal with a pre-selected signal level that is indicative of the signal present when said bed is unoccupied; and (D) generating a warning signal in response to the electrical signal proportional to the pressure in said first inflatable bladder reaching said pre-selected signal level.

rp
CA000580089A 1988-10-13 1988-10-13 Inflatable bed Expired - Lifetime CA1304837C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA000580089A CA1304837C (en) 1988-10-13 1988-10-13 Inflatable bed

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CA000580089A CA1304837C (en) 1988-10-13 1988-10-13 Inflatable bed

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Publication Number Publication Date
CA1304837C true CA1304837C (en) 1992-07-07

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Family Applications (1)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2373189B (en) * 2001-03-15 2004-06-02 Huntleigh Technology Plc Inflatable support
CN112603105A (en) * 2020-12-16 2021-04-06 上海大学 Seat air bag path adjusting system and method adapting to human body sitting posture

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2373189B (en) * 2001-03-15 2004-06-02 Huntleigh Technology Plc Inflatable support
CN112603105A (en) * 2020-12-16 2021-04-06 上海大学 Seat air bag path adjusting system and method adapting to human body sitting posture
CN112603105B (en) * 2020-12-16 2023-02-10 上海大学 Seat air bag path adjusting system and method adapting to human body sitting posture

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