CA2057000C - Therapeutic turning bed - Google Patents
Therapeutic turning bed Download PDFInfo
- Publication number
- CA2057000C CA2057000C CA002057000A CA2057000A CA2057000C CA 2057000 C CA2057000 C CA 2057000C CA 002057000 A CA002057000 A CA 002057000A CA 2057000 A CA2057000 A CA 2057000A CA 2057000 C CA2057000 C CA 2057000C
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- CA
- Canada
- Prior art keywords
- bed
- frame
- attitude
- attitude frame
- patient
- Prior art date
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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
- A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
- A61G7/008—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame tiltable around longitudinal axis, e.g. for rolling
-
- 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
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05769—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
-
- 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
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/42—General characteristics of devices characterised by sensor means for inclination
-
- 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
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
- A61G2203/72—General characteristics of devices with special adaptations, e.g. for safety or comfort for collision prevention
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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)
- Thermotherapy And Cooling Therapy Devices (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- External Artificial Organs (AREA)
Abstract
The present invention provides a therapeutic bed which comprises: (a) a trolley frame (1) having floor-engaging feet or wheels (2), (b) an attitude frame (3) pivotably mounted on the trolley frame (1) so as to be pivotable through a predetermined arc about an axis extending longitudinally of the bed, (c) operating means (62, 67 and 64) for causing the attitude frame (3) to pivot in one direction and then the other through said predetermined arc, (d) a plurality of air sacs (14) supported on said attitude frame (3) and inflatable to a pressure sufficient to provide a resilient surface for supporting a patient thereon, said air sacs (14) together forming a shaped cavity (31, 32, 33) within which the patient's body can be nested and supported so that the patient does not slide off the bed during turning, and (e) microprocessor control means for causing the turning movement of the attitude frame (3) to be arrested when reaching the end of the predetermined movement in one direction and causing the operating means to reverse the direction of turning movement.
Description
~1~'tO ~t)/14A16 1'C'1~/C:li~)I)/I)0$29 THERAPEUTIC TURNING BED
BACKGROUND OF THE INVENTION
This invention relates to therapeutic beds, which are principally of the so-called "iow air loss" type and which facilitate the nursing of hospitalised patients.
DESCRIPTION OF THE PRIOR ART
In low air loss beds, the patient is supported on a number of inflated sacs whose pressures are adjusted so as to maximise the area over which the patient's weight is supported, thereby minimising the skin contact pressures.
Typical references describing conventional low air loss beds (hereinafter LALB's) are GH Patent No..1474018 arid US
Patent No. 4525885. Low air loss beds have been very successful clinically in nursing patients who are prone to development of pressure sores.
Bed-ridden and immobile patients also tend to suffer from lung congestion and have to be turned at regular intervals in order to assist drainage of fluid from the lungs. Normally, this is performed manually by nurses, who physically turn the patient at one to two hour intervals.
Although powered turning beds exist, these are primarily designed for spinal injury patients and are designed so that the patient is tightly confined. In such powered turning beds, the patient is turned slowly through an angle of up to~60o in each direction, and the patient is ,wedged between blocks of foam and strapped to a firm wo~onaHnc, ~ ~ nc-r~c~;~~omos~~
..._ baseboard. This tightly confined condition is found by many patients to be very unpleasant, can induce nausea and encourage the development of bed sores unless the patient's condition is constantly monitored.
SUMMARY OF THE INVENTION
According to one of its aspects, the present invention provides a therapeutic bed which comprises:
(a) a trolley frame having floor-engaging feet or wheels, (b) an attitude frame pivotably mounted on the trolley frame so as to be pivotable through a predetermined arc about an axis extending longitudinally of the bed, (c) operating means .for causing the attitude frame to pivot through said predetermined arc, (d) a plurality of air sacs supported an said attitude frame and inflatable to a pressure sufficient to provide a resilient surface for supporting a patient thereon, said air sacs together forming a cavity within which the patient's body can be nested and supported so that the patient does not slide off the bed during turning, and (2) contro l means for causing the turning movement of the attitude frame to be arrested when reaching the end of the predetermined movement in one direction and causing the operating means to reverse the direction of turning s WO 9f)/ 14~! 6 PC'1~/GB9t)/I)0829 - 3 :~~'~=~~~~~
-: ' .:
movement.
The operating means for effecting the pivoting movement will normally include control means, such as a microprocessor, which can be programmed to control the rate of pivoting movement, the dwell time at the extreme point of the pivoting movement and the angle through which the attitude frame is pivoted. In practice, we have found that for the best clinical effect, the attitude fxame should be pivoted through a total arc of at least about 40° (i.e. 20o in each direction), and that a total pivoting arc may be as much as 80o without losing stability.
Dwell times at the extreme point in the cycle may vary from a few seconds to 30 minutes but is preferably between about 1 and 5 minutes.
In order to maintain the patient in a stable position in the bed with the minimum of straps or other,rnstraining devices, the operative surface of the bed is preferably made up of a plurality of individual inflatable air sacs, which are shaped to produce a cavity corresponding to the silhouette of the patient. Thus, the .patient can be snugly nested in the air sacs while being supported at minimum skin contact pressures.
Preferably, the air sacs are made partly or wholly from water vapour permeable material, which is however 'impermeable to liquids. By using such materials and ensuring that an air flow takes place within the sacs, water vapour is induced to pass into the sacs and is swept away in the air stream. In this way, the condition of the patient's skin and his comfort generally is improved. The operation of water vapour permeable LALB' s and the selection of suitable water vapour permeable materials is described in GB Patent No. 1474018, US Patent No. 452885, U.K. Patent Specification No. 2141333, WO
86/06624, US Patent No. 3822425 and "Bed Sore BioMechanics", edited by R.H. Kennedy, J.M. Cowden and J.T. Seales, published by Macmillan 1976, pages 259 - 299. Examples of commercially available water vapour permeable materials are Permatex* manufac-tured by Carrington & Dewhurst Performance Fabrics and Gortex*
manufactured by W.L. Gore & Associates.
Further improvements in patient comfort are achieved by providing a heater in the air supply to the sacs and also exhaust regulation valves, to control the air flow in the sacs, as describe in the above cited references.
Although the operating means for pivoting the attitude frame may be selected from a variety of systems, e.g. inflatable air bags (which can be repetitively filled and exhausted) or hydraulic rams acting between the trolley frame and the attitude frame, such methods have various disadvantages. It has been found that the most effective * trade-mark CVO 9t)/148i6 fC'1'/(:Rn1/o11829 ... .
.. "~~~~~11~~U
operating means comprises a direct mechanical linkage between the relatively movable components, i.e. the attitude frame and the trolley frame. The mechanical linkage may be a pinion drivably connected to an electric motor which is arranged to mesh with a toothed gear or quadrant, the pinion and toothed geaa- ar quadrant being mounted respectively on the relatively movable frame components. Where the motor can be operated at law rpm, the pinion can be mounted directly on the motor shaft.
However, in order to provide sufficient torque from a ' motor of compact dimensions, it is normally necessary to drive the attitude frame through a gear box. In an alternative mechanical drive arrangement, the electric motor may be coupled to a worm, (normally through a gear box) ithe worm being engaged with a worm wheel mounted an the other relatively movable component.
The various features of the improved turning bed will become apparent from the following description and accompanying drawings.
HRIEF DESCRIPTION OF THE DRAWINGS
Figures la, lb, lc and ld are schematic views of the bed showing the various attitudes and functions, Figure 2 is a side elevation of an embodiment of the bed showing the attitude frame in the fully raised position and the head and foot sections of the contour frame fully raised, WO 9114816 PC'T/~13911f(f0829 s Figures 3a, 3b and 3c show the shapes of profiled air sacs when viewed along the sections A-A, B-B and C-C in Figure 2,.
Figure 4 is a side elevation of the trolley frame and attitude frame showing the actuators and associated parts for raising and lowering the attitude frame. Figures 4a, 4b, 4c and 4d show details of the linkages between the trolley frame and the attitude frame and are respectively enlarged views of the areas circled by A & B in Figure 4 and sections taken on the lines B-B and D-D in Figure 4, Figure 5 is a partial end elevation showing the manner in which the motor for pivoting the base frame is mounted, Figure 6 is a plan view of the trolley frame, Figure 7 is a side eleva~:ion of the attitude frame showing the manner in which the motor is mounted thereon, Figure 8 is a view taken in the direction of the arrow X in Figure 7, Figure 9 is a diagrammatic view of the control panel and display arrangements for the bed, Figure 10 is an example of the information which can be shown an the display screen, and Figure 11 is a diagrammatic layout of the contrpl system for the bed.
Referring to the drawings, the general appearance and basic functions of the bed a.re shown in Figures la to d, and Figure 2. The bed has a trolley frame (I) which is V
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- ' ~'~~~~~~~
fitted with ground-engaging castors 1( 2.) and ~ ~ , supports an attitude frame (3). Attitude frame (3) is supported from the trolley frame (1) by means of actuating arms (4 & 5) which can be raised and lowered separately or in unison by actuators (15 & 16). As can be seen in Figures la and lc, operation of the actuators (15 & 16) in unison cause the attitude frame {3) to be raised or lowered in a horizontal plane while Figure lb shows that if actuator (16) is extended while actuator (15) is retracted, attitude frame (3) takes up the Trendelenberg position.
The opposite movement of actuators (15 & 16) causes the attitude frame to be tilted into the reverse Trendelenberg position.
As shown schematically at (18 & 19) in Figure lc, the attitude frame is fitted with potentiometric sensor means to determine when sac sections 22, 23, 24 and 25 (which together form the contour frame 8) are flat on the attitude frame (3). The sensor means are 2 of the 3 analogue inputs shown in Figure 11. They are effectively variable resistors, one component being linked to the head . or foot sections (22 or 25) and the other to the frame 3.
As indicated in Figure 11, the sensors (18 & 19) are connected via a relay board to the microprocessor coat=ol board, so that the position of the sac sections can be monitored.. Thus, there will be a voltage drog across the resistor;whose value depends on the extent of pivoting of section 22 or 25.- This voltage change is converted by the WO 90114816 PC'I~/Cli~)!1/110829 microprocessor to an angular display on screen C (Figures 9 to 11). This is important since the turning operation, which is indicated schematically in Figure ld; should not commence with the sac sections in a fully contoured condition. However, it is generally safe to operate with the head or foot section raised by esbout 10 to 200.
Figure ld shows diagrammatically the principle whereby the attitude frame (3) is pivotable about a longitudinal axis of the bed through a maximum angle in each direction of about 400. As shown schematically in Figure ld, the arm (4) at the head end (10) takes the form of an A-frame (61,61a), whose legs are attached to a pair of levers (45). Levers (45) are linked to actuator (15) so that extension of the actuator causes the A-frame to rise (see Figure 6). At its apex, the A-frame is pivotably connected to the attitude frame (3) at (47) so that the attitude frame is pivotable on-.the A-frame about an axis, which extends longitudinally of the bed.
Supported on the attitude frame (3) so as to be pivotable with the attitude frame is a drive motor (62). Motor (62) drives a pinion (67) which meshes with a quadrant shaped gear (64) fixed to the A-frame so that on operation of the motor, the attitude frame is tilted about the longitudinal axis of the bed with respect to the A-frame. , Referring particularly to Figure 2, attitude frame ('3) has suspended beneath it a blower housing (11) which is connected via trunking (12) to a control box (13) which incorporates valve gear for controlling the flow of pressurised air to individual air sacs (14) and also for supplying air to bellows (20 & 21) for raising and lowering the foot and head of the bed sections which form the contour frame (8). The bed sections forming the contour frame are linked together by appropriate hinges (not shown), except for the head section (25) of the contour frame ( 8 ) which incorporates a sliding hinge which slides on the attitude frame (3). The general arrangement of the air sac air flow control means, CPR emergency release handle (26) are generally as described in our published PCT application WO
86/06624. As previously mentioned, the air sacs (14) are not all of the same shape, although they are generally of a lozenge shape and are removably attached to the sections forming the contour frame (8) . In order to provide the nesting cavities within which the patient can be supported, the air sacs are shaped as shown in Figure 3A to 3C. As can be seen from the end views of these air sacs, their surfaces are profiled according to their location in the patient support surface formed by the contiguous air sacs .
The air sac shown in Figure 3C is shaped by stitching or gluing to provide an upper surface with a single gap (31) suitable for supporting the head of the patient whereas wc~ tmia~si~ rc-ri~~iooinos?~
~~-~~-~ ! ~ ~3 ~l ~- 10 the air sac (3B) which is located further down the head section of the contour frame is provided with a bigger gap in its top surface (32) for accommodating the shoulders of the patient. In a similar manner, the air sac shown in Figure 3A incorporates two depressions (33) in its top surface within which the patient's legs can be lifted.
It will be appreciated.that differently shaped air sacs or air sacs of different dimensions may be selected and fitted to the contour frame depending on th,e size and weight of the patient.
The mechanism for raising and lowering the patient support surface of the bed and for pivoting the attitude frame about its longitudinal axis is shown in detail in Figures 4, 4A to D, 5, 6, 7 and 8.
deferring particularly to Figures 4 and 6, the actuator (15) includes an electric motor (41) drivably engaging a threaded lead screw (42). To the free end of lead screw (42) is pivotably connected a lever (43), Lever (43) is fixedly attached to a shaft (44) mounted in the trolley frame (1). A pair of spaced levers (45 45a) are also fixedly attached at one end to shaft (44) and at their outer end pivotably connected to :,the lower end of actuating arm (4). '.As mentioned above, actuating arm (4) is in the form of an A-frame having legs (S1 &
61a). The lower ends of the A-frame (4) are joined by a shaft (65), the ends of which are received in b~arings~ in F't wo poi ~ aH s 6 rcric t;<~oioosz~
i 1 _.
the outer ends of levers ( 45 & 45a ) . ' .. .
As best seen in Figure 4b and Figure 5, the apex of the A-frame (4) is welded at its upper end to a trunnion (47) within which is mounted, within a suitable bearing, a shaft (48). As a result, attitude frame (3) is able to rotate about shaft (48) which comprises the longitudinal pivoting axis of the bed.
. At its opposite end from lead screw (42) actuator (15) is pivotably attached to a bracket (46) mounted an the trolley frame (1). Thus, when lead screw (42) is extended, levers (43, 45 & 45a) act together as a bell crank lever causing shaft (44) to rotate in an anti-clockwise direction and actuating arm (4) to rise.
A similar arrangement is provided at the foot end of the bed where actuator (16) incorporates a motor (50) and lead screw (52). The actuator (16) is anchored to the trolley frame (1) by bracket (53) and at the other end is pivotably connected to a lever (53) whose remote end is fixed angularly to a shaft (54), which is pivotably mounted within frame (1). Shaft (54) also carries an angularly fixed lever (55), to the opposite end of which is pivotably attached arm (5). At its upper end, arm (5) is.rotatably secured within a trunnion (56) mounted on the underside of the attitude frame (3). Details of construction of trunnion (56) are shown in Figure 4A, from which it will be seen that the trunnion incorporates a universal joint (58) which enables pivoting movement of ~'O t)0/1481f, P~C'TICB~)(t/t1(l$29 the attitude frame (3) about shaft (57) as-well as limited ..
angular movement between arm (5) and the plane within which attitude frame (3) lies. Figure 4C shows the bearing located between arm (5) and lever (55). In order to bias the attitude frame (3) into a horizontal position compression springs (62a & b) extend between the attitude frame (3) and the cross shaft (65). As an alternative, other means. of damping or biasing 'the movement of the attitude frame may be employed such as gas struts in place of the springs. Only one end of the gas struts or springs is fixed so that they function only in compression.
The turning mechanism is shown in more detail in Figures 5, 7 & 8. In principle, a quadrant (64) is farmed with taothing to form a curved rack and is fixedly attached to the A-frame (4). A motor (62) is carried by a supporting plate (66) which is fixed to the attitude frame (3). Motor (62) is arranged to drive a pinion (67) which is engageable with the curved rack of the.. quadrant (64) and the arrangement is such that with the pinion engaged with the rack, operation of the motor causes the attitude frame to turn about the axis of the trunnion (4?), In practice, the motor (62) includes a gear box (68) which reduces the speed of the pinion to an appropriate rate. It has been found that an appropriate speedy for the pinion is about 2 rpm. In an emergency'when it is desired to return the bed rapidly to the horizontal ' WO 9()/14816 PCT/GB~)It/1)0829 ,., _ v :7 ,~i ; ~ ~. } ~
position, the pinion sgeed may be increased.
A DC electric motor is preferred for several reasons.
First, the shaft speed has a linear relationship with the applied voltage. Therefore, the rate of turning can be accurately determined and controlled by regulation of the voltage. Secondly, the low voltages employed make the bed electrically safe. Thirdly, the bed can be operated by on-board batteries which makes the bed truly portable.
Normally, a battery charger will be . included and a rectifier for operating from a mains voltage supply. We currently prefer to employ a DC motor such as the "pancake" motors manufactured by Printed Motors Limited of Bordon, Hampshire, England. These motors deliver high torque at low speed, e.g. 900 rpm at 6 volts and exhibit an almost exactly linear speed/volt age relationship.
Thus, the pivoting speed of the attitude frame can be controlled by connecting the turning motor (62) to the central processor board via the relay board and regulating the applied voltage in accordance with the pragrammed turning speed (see Figures 9 to 11).
The quadrant (64) is readily manufactured by flame cutting a disc of appropriate radius into four pieces and milling teeth to correspond with the setting of the pinion teeth.
The motor and gear box assembly (62 & 68) are bolted onto a supporting plate (69) which is itself pivotably wro <~oitastc, rcrict;vomo~z9 2,~~~~~~
mounted on bracket (66) by shaft (70). Connected to the end of plate (69) remote from shaft (70) is a push rod (71), the opposite end of which is clamped to one 2nd of a shaft (73) mounted in a side cheek of the attitude frame (3). Shaft (73) can be rotated in a clockwise or anti-clockwise direction by gushing or ;pulling on rods (74 or 75) which are actuatable by levers (76 & 77), conveniently located at each side of the bed. Pulling on lever (76 or 77) will disengage the pinion (67) from the rack (64), so that in an emergency, the bed can be returned manually to a horizontal position. The engagement/disengagement mechanism provided by rods (74 & 75) and associated actuating rod (71) are linked by a shaft which moves over .
centre between two stable positions defining engaged and ' disengaged conditions of the motor and rack. When the motor is disengaged, the attitude frame (3) is held in a horizontal plane by the two compression sgrings (62A &
62B). However, for further security, a dog clutch may be mounted on the motor gear box and engage in an apertured bar so as to effectively lock the attitude frame to the A-Frame (4).
The control panel is shown in Figure 9 and is mounted on the face 80 of control box 13 (see Figure 2). This includes an electrical mains indicator E, a blower switch F and a CPR lever G. Operation of the CPR lever. will cause air to be dumped from the main~air feed from the ~,~o oonas~b rc-ric~3ooioo$?o 15. - :~~ ~-~~~~
blower, thus causing all sacs to deflate rapidly and the bellows to deflate. The CPR lever is also linked to the actuator control thus bringing the bed to harizontal. The screen A is the temperature adjustment and display and shows the temperature of air passing through the sacs.
Knobs H are linked to the valves fo:c air supply to the individual sections 22 to 25 and provide the control tar individual pressure control to each group of sacs.
However, all the air sacs can be simultaneously inflated to full blower output pressure by pulling out knob J.
This is used for assisting the patient on and off the bed.
Light B is a warning light and draws attention to an alarm warning in the corresponding position in the display panel C, (see also Figure 10).
The bed includes a potentiometric tilt sensor manufactured by Penny & Giles, which sense the angle of the attitude frame and provides a feed back to the microprocessor unit. This operates in the same way as the contour angle sensors (18 & 19) mentioned above. The output from this sensor is the third analogue input indicated in Figure 11. Alternatively, another type of pendulum sensor, e.g. a mercury switch, may be used. In this' way, the maximum angle of tilting can be preset so that the bed frame will commence turning in the opposite direction once the maximum tilt angle has been reached. A
delay may be selectable so that there is a variable dwell at some point in the sequence.
1~4'O 90/14816 I't:'i'/(~1394f/i)()829 The control system for the bed is shown in the block diagram of Figure 11. From Figure 11, it will be seen that all controls, sensors and display devices are linked to the microprocessor control board, which controls the operation of all the functions of the bed.
Operation of the bed is divided into two main modes:
1. Standard Low Air Loss (LAL) system use, 2. Turning mode.
The system automatically enters operating mode 1 upon power up. In this mode the control system receives input from 'transducers which are displayed on the screen (see Figure 10). Indicators to set desired pressures can be set in this mode from keypad input (101). Inputs from CPR
switch, Power Loss and Full Inflate are also monitored in this mode. All hand control functions which control the beds standard functions, i.e. tilt, posture and high low are available.
Upon selection of turning mode the turning parameters can be set by keypad input (101), once parameters are set they are displayed. The system checks all safety switches and if found to be correct, turning can begin. While turning is in progress all inputs including CPR Qower Loss and Full Inflate are continually monitored.., In this mode, the Hand Control functions may be inhibited to allow the bed to turn safely within pre-set limits..- If these pre-set limits are exceeded, advisory messages are also ~'O 90114816 P~/G3i~)iiif)0829 ~!91a'7:l3!!!
1 '7 , 1~,~ ~ e.) 1 9J V L~ -. . .
displayed to indicate which fault conditions exist. Alarm messages are also displayed i:E the various alarm conditions are met.
During the turning cycle the bed can be stopped from turning or the dwell-time can be frozen to allow a nursing procedure to take place. The be.d c:an then be restarted to continue Sts last operation or returned to a level position.
The cycle of automatic turning and dwell time continues until either a keypad input returns the bed to Mode 1 or the CPR switch is operated.
In order to avoid problems arising from the attitude frame being impeded by obstructions such as furniture or.
visitors, the attitude frame is fitted with a circumferential D-section inflated tube. This tube is connected to a pressure sensitive switch which is activated when the tube presses against an obstruction and therefore increases the pressure in the tube. On activation the switch sends a signal to the microprocessor which in turn causes the turning motor to reverse and thus move away from the obstruction. Simultaneously, the display panel will indicate the presence of an obstruction. Instead of an inflated tube, an infra-red detector may be used.
The control system includes a third mode called the maintanance or service mode. In this mode, the microprocessor is programmed to check the operating 1fO 90114816 PUT/GBoll/110829 ' functions of the bed and to indicate in the display panel A any malfunctions.
As indicated in Figure 11, the control means includes an output port and an ancillary grinter or recording device (e. g. a tape cassette). This enables the clinician or nurse to print out from the microprocessor store, data concerning the sequences which the bed has performed, e.g.
over the last few hours or days and provides a record of the treatment.
BACKGROUND OF THE INVENTION
This invention relates to therapeutic beds, which are principally of the so-called "iow air loss" type and which facilitate the nursing of hospitalised patients.
DESCRIPTION OF THE PRIOR ART
In low air loss beds, the patient is supported on a number of inflated sacs whose pressures are adjusted so as to maximise the area over which the patient's weight is supported, thereby minimising the skin contact pressures.
Typical references describing conventional low air loss beds (hereinafter LALB's) are GH Patent No..1474018 arid US
Patent No. 4525885. Low air loss beds have been very successful clinically in nursing patients who are prone to development of pressure sores.
Bed-ridden and immobile patients also tend to suffer from lung congestion and have to be turned at regular intervals in order to assist drainage of fluid from the lungs. Normally, this is performed manually by nurses, who physically turn the patient at one to two hour intervals.
Although powered turning beds exist, these are primarily designed for spinal injury patients and are designed so that the patient is tightly confined. In such powered turning beds, the patient is turned slowly through an angle of up to~60o in each direction, and the patient is ,wedged between blocks of foam and strapped to a firm wo~onaHnc, ~ ~ nc-r~c~;~~omos~~
..._ baseboard. This tightly confined condition is found by many patients to be very unpleasant, can induce nausea and encourage the development of bed sores unless the patient's condition is constantly monitored.
SUMMARY OF THE INVENTION
According to one of its aspects, the present invention provides a therapeutic bed which comprises:
(a) a trolley frame having floor-engaging feet or wheels, (b) an attitude frame pivotably mounted on the trolley frame so as to be pivotable through a predetermined arc about an axis extending longitudinally of the bed, (c) operating means .for causing the attitude frame to pivot through said predetermined arc, (d) a plurality of air sacs supported an said attitude frame and inflatable to a pressure sufficient to provide a resilient surface for supporting a patient thereon, said air sacs together forming a cavity within which the patient's body can be nested and supported so that the patient does not slide off the bed during turning, and (2) contro l means for causing the turning movement of the attitude frame to be arrested when reaching the end of the predetermined movement in one direction and causing the operating means to reverse the direction of turning s WO 9f)/ 14~! 6 PC'1~/GB9t)/I)0829 - 3 :~~'~=~~~~~
-: ' .:
movement.
The operating means for effecting the pivoting movement will normally include control means, such as a microprocessor, which can be programmed to control the rate of pivoting movement, the dwell time at the extreme point of the pivoting movement and the angle through which the attitude frame is pivoted. In practice, we have found that for the best clinical effect, the attitude fxame should be pivoted through a total arc of at least about 40° (i.e. 20o in each direction), and that a total pivoting arc may be as much as 80o without losing stability.
Dwell times at the extreme point in the cycle may vary from a few seconds to 30 minutes but is preferably between about 1 and 5 minutes.
In order to maintain the patient in a stable position in the bed with the minimum of straps or other,rnstraining devices, the operative surface of the bed is preferably made up of a plurality of individual inflatable air sacs, which are shaped to produce a cavity corresponding to the silhouette of the patient. Thus, the .patient can be snugly nested in the air sacs while being supported at minimum skin contact pressures.
Preferably, the air sacs are made partly or wholly from water vapour permeable material, which is however 'impermeable to liquids. By using such materials and ensuring that an air flow takes place within the sacs, water vapour is induced to pass into the sacs and is swept away in the air stream. In this way, the condition of the patient's skin and his comfort generally is improved. The operation of water vapour permeable LALB' s and the selection of suitable water vapour permeable materials is described in GB Patent No. 1474018, US Patent No. 452885, U.K. Patent Specification No. 2141333, WO
86/06624, US Patent No. 3822425 and "Bed Sore BioMechanics", edited by R.H. Kennedy, J.M. Cowden and J.T. Seales, published by Macmillan 1976, pages 259 - 299. Examples of commercially available water vapour permeable materials are Permatex* manufac-tured by Carrington & Dewhurst Performance Fabrics and Gortex*
manufactured by W.L. Gore & Associates.
Further improvements in patient comfort are achieved by providing a heater in the air supply to the sacs and also exhaust regulation valves, to control the air flow in the sacs, as describe in the above cited references.
Although the operating means for pivoting the attitude frame may be selected from a variety of systems, e.g. inflatable air bags (which can be repetitively filled and exhausted) or hydraulic rams acting between the trolley frame and the attitude frame, such methods have various disadvantages. It has been found that the most effective * trade-mark CVO 9t)/148i6 fC'1'/(:Rn1/o11829 ... .
.. "~~~~~11~~U
operating means comprises a direct mechanical linkage between the relatively movable components, i.e. the attitude frame and the trolley frame. The mechanical linkage may be a pinion drivably connected to an electric motor which is arranged to mesh with a toothed gear or quadrant, the pinion and toothed geaa- ar quadrant being mounted respectively on the relatively movable frame components. Where the motor can be operated at law rpm, the pinion can be mounted directly on the motor shaft.
However, in order to provide sufficient torque from a ' motor of compact dimensions, it is normally necessary to drive the attitude frame through a gear box. In an alternative mechanical drive arrangement, the electric motor may be coupled to a worm, (normally through a gear box) ithe worm being engaged with a worm wheel mounted an the other relatively movable component.
The various features of the improved turning bed will become apparent from the following description and accompanying drawings.
HRIEF DESCRIPTION OF THE DRAWINGS
Figures la, lb, lc and ld are schematic views of the bed showing the various attitudes and functions, Figure 2 is a side elevation of an embodiment of the bed showing the attitude frame in the fully raised position and the head and foot sections of the contour frame fully raised, WO 9114816 PC'T/~13911f(f0829 s Figures 3a, 3b and 3c show the shapes of profiled air sacs when viewed along the sections A-A, B-B and C-C in Figure 2,.
Figure 4 is a side elevation of the trolley frame and attitude frame showing the actuators and associated parts for raising and lowering the attitude frame. Figures 4a, 4b, 4c and 4d show details of the linkages between the trolley frame and the attitude frame and are respectively enlarged views of the areas circled by A & B in Figure 4 and sections taken on the lines B-B and D-D in Figure 4, Figure 5 is a partial end elevation showing the manner in which the motor for pivoting the base frame is mounted, Figure 6 is a plan view of the trolley frame, Figure 7 is a side eleva~:ion of the attitude frame showing the manner in which the motor is mounted thereon, Figure 8 is a view taken in the direction of the arrow X in Figure 7, Figure 9 is a diagrammatic view of the control panel and display arrangements for the bed, Figure 10 is an example of the information which can be shown an the display screen, and Figure 11 is a diagrammatic layout of the contrpl system for the bed.
Referring to the drawings, the general appearance and basic functions of the bed a.re shown in Figures la to d, and Figure 2. The bed has a trolley frame (I) which is V
~~~0 9tf/lau~t> IO-1~/(~t~ou/~~OSZO
- ' ~'~~~~~~~
fitted with ground-engaging castors 1( 2.) and ~ ~ , supports an attitude frame (3). Attitude frame (3) is supported from the trolley frame (1) by means of actuating arms (4 & 5) which can be raised and lowered separately or in unison by actuators (15 & 16). As can be seen in Figures la and lc, operation of the actuators (15 & 16) in unison cause the attitude frame {3) to be raised or lowered in a horizontal plane while Figure lb shows that if actuator (16) is extended while actuator (15) is retracted, attitude frame (3) takes up the Trendelenberg position.
The opposite movement of actuators (15 & 16) causes the attitude frame to be tilted into the reverse Trendelenberg position.
As shown schematically at (18 & 19) in Figure lc, the attitude frame is fitted with potentiometric sensor means to determine when sac sections 22, 23, 24 and 25 (which together form the contour frame 8) are flat on the attitude frame (3). The sensor means are 2 of the 3 analogue inputs shown in Figure 11. They are effectively variable resistors, one component being linked to the head . or foot sections (22 or 25) and the other to the frame 3.
As indicated in Figure 11, the sensors (18 & 19) are connected via a relay board to the microprocessor coat=ol board, so that the position of the sac sections can be monitored.. Thus, there will be a voltage drog across the resistor;whose value depends on the extent of pivoting of section 22 or 25.- This voltage change is converted by the WO 90114816 PC'I~/Cli~)!1/110829 microprocessor to an angular display on screen C (Figures 9 to 11). This is important since the turning operation, which is indicated schematically in Figure ld; should not commence with the sac sections in a fully contoured condition. However, it is generally safe to operate with the head or foot section raised by esbout 10 to 200.
Figure ld shows diagrammatically the principle whereby the attitude frame (3) is pivotable about a longitudinal axis of the bed through a maximum angle in each direction of about 400. As shown schematically in Figure ld, the arm (4) at the head end (10) takes the form of an A-frame (61,61a), whose legs are attached to a pair of levers (45). Levers (45) are linked to actuator (15) so that extension of the actuator causes the A-frame to rise (see Figure 6). At its apex, the A-frame is pivotably connected to the attitude frame (3) at (47) so that the attitude frame is pivotable on-.the A-frame about an axis, which extends longitudinally of the bed.
Supported on the attitude frame (3) so as to be pivotable with the attitude frame is a drive motor (62). Motor (62) drives a pinion (67) which meshes with a quadrant shaped gear (64) fixed to the A-frame so that on operation of the motor, the attitude frame is tilted about the longitudinal axis of the bed with respect to the A-frame. , Referring particularly to Figure 2, attitude frame ('3) has suspended beneath it a blower housing (11) which is connected via trunking (12) to a control box (13) which incorporates valve gear for controlling the flow of pressurised air to individual air sacs (14) and also for supplying air to bellows (20 & 21) for raising and lowering the foot and head of the bed sections which form the contour frame (8). The bed sections forming the contour frame are linked together by appropriate hinges (not shown), except for the head section (25) of the contour frame ( 8 ) which incorporates a sliding hinge which slides on the attitude frame (3). The general arrangement of the air sac air flow control means, CPR emergency release handle (26) are generally as described in our published PCT application WO
86/06624. As previously mentioned, the air sacs (14) are not all of the same shape, although they are generally of a lozenge shape and are removably attached to the sections forming the contour frame (8) . In order to provide the nesting cavities within which the patient can be supported, the air sacs are shaped as shown in Figure 3A to 3C. As can be seen from the end views of these air sacs, their surfaces are profiled according to their location in the patient support surface formed by the contiguous air sacs .
The air sac shown in Figure 3C is shaped by stitching or gluing to provide an upper surface with a single gap (31) suitable for supporting the head of the patient whereas wc~ tmia~si~ rc-ri~~iooinos?~
~~-~~-~ ! ~ ~3 ~l ~- 10 the air sac (3B) which is located further down the head section of the contour frame is provided with a bigger gap in its top surface (32) for accommodating the shoulders of the patient. In a similar manner, the air sac shown in Figure 3A incorporates two depressions (33) in its top surface within which the patient's legs can be lifted.
It will be appreciated.that differently shaped air sacs or air sacs of different dimensions may be selected and fitted to the contour frame depending on th,e size and weight of the patient.
The mechanism for raising and lowering the patient support surface of the bed and for pivoting the attitude frame about its longitudinal axis is shown in detail in Figures 4, 4A to D, 5, 6, 7 and 8.
deferring particularly to Figures 4 and 6, the actuator (15) includes an electric motor (41) drivably engaging a threaded lead screw (42). To the free end of lead screw (42) is pivotably connected a lever (43), Lever (43) is fixedly attached to a shaft (44) mounted in the trolley frame (1). A pair of spaced levers (45 45a) are also fixedly attached at one end to shaft (44) and at their outer end pivotably connected to :,the lower end of actuating arm (4). '.As mentioned above, actuating arm (4) is in the form of an A-frame having legs (S1 &
61a). The lower ends of the A-frame (4) are joined by a shaft (65), the ends of which are received in b~arings~ in F't wo poi ~ aH s 6 rcric t;<~oioosz~
i 1 _.
the outer ends of levers ( 45 & 45a ) . ' .. .
As best seen in Figure 4b and Figure 5, the apex of the A-frame (4) is welded at its upper end to a trunnion (47) within which is mounted, within a suitable bearing, a shaft (48). As a result, attitude frame (3) is able to rotate about shaft (48) which comprises the longitudinal pivoting axis of the bed.
. At its opposite end from lead screw (42) actuator (15) is pivotably attached to a bracket (46) mounted an the trolley frame (1). Thus, when lead screw (42) is extended, levers (43, 45 & 45a) act together as a bell crank lever causing shaft (44) to rotate in an anti-clockwise direction and actuating arm (4) to rise.
A similar arrangement is provided at the foot end of the bed where actuator (16) incorporates a motor (50) and lead screw (52). The actuator (16) is anchored to the trolley frame (1) by bracket (53) and at the other end is pivotably connected to a lever (53) whose remote end is fixed angularly to a shaft (54), which is pivotably mounted within frame (1). Shaft (54) also carries an angularly fixed lever (55), to the opposite end of which is pivotably attached arm (5). At its upper end, arm (5) is.rotatably secured within a trunnion (56) mounted on the underside of the attitude frame (3). Details of construction of trunnion (56) are shown in Figure 4A, from which it will be seen that the trunnion incorporates a universal joint (58) which enables pivoting movement of ~'O t)0/1481f, P~C'TICB~)(t/t1(l$29 the attitude frame (3) about shaft (57) as-well as limited ..
angular movement between arm (5) and the plane within which attitude frame (3) lies. Figure 4C shows the bearing located between arm (5) and lever (55). In order to bias the attitude frame (3) into a horizontal position compression springs (62a & b) extend between the attitude frame (3) and the cross shaft (65). As an alternative, other means. of damping or biasing 'the movement of the attitude frame may be employed such as gas struts in place of the springs. Only one end of the gas struts or springs is fixed so that they function only in compression.
The turning mechanism is shown in more detail in Figures 5, 7 & 8. In principle, a quadrant (64) is farmed with taothing to form a curved rack and is fixedly attached to the A-frame (4). A motor (62) is carried by a supporting plate (66) which is fixed to the attitude frame (3). Motor (62) is arranged to drive a pinion (67) which is engageable with the curved rack of the.. quadrant (64) and the arrangement is such that with the pinion engaged with the rack, operation of the motor causes the attitude frame to turn about the axis of the trunnion (4?), In practice, the motor (62) includes a gear box (68) which reduces the speed of the pinion to an appropriate rate. It has been found that an appropriate speedy for the pinion is about 2 rpm. In an emergency'when it is desired to return the bed rapidly to the horizontal ' WO 9()/14816 PCT/GB~)It/1)0829 ,., _ v :7 ,~i ; ~ ~. } ~
position, the pinion sgeed may be increased.
A DC electric motor is preferred for several reasons.
First, the shaft speed has a linear relationship with the applied voltage. Therefore, the rate of turning can be accurately determined and controlled by regulation of the voltage. Secondly, the low voltages employed make the bed electrically safe. Thirdly, the bed can be operated by on-board batteries which makes the bed truly portable.
Normally, a battery charger will be . included and a rectifier for operating from a mains voltage supply. We currently prefer to employ a DC motor such as the "pancake" motors manufactured by Printed Motors Limited of Bordon, Hampshire, England. These motors deliver high torque at low speed, e.g. 900 rpm at 6 volts and exhibit an almost exactly linear speed/volt age relationship.
Thus, the pivoting speed of the attitude frame can be controlled by connecting the turning motor (62) to the central processor board via the relay board and regulating the applied voltage in accordance with the pragrammed turning speed (see Figures 9 to 11).
The quadrant (64) is readily manufactured by flame cutting a disc of appropriate radius into four pieces and milling teeth to correspond with the setting of the pinion teeth.
The motor and gear box assembly (62 & 68) are bolted onto a supporting plate (69) which is itself pivotably wro <~oitastc, rcrict;vomo~z9 2,~~~~~~
mounted on bracket (66) by shaft (70). Connected to the end of plate (69) remote from shaft (70) is a push rod (71), the opposite end of which is clamped to one 2nd of a shaft (73) mounted in a side cheek of the attitude frame (3). Shaft (73) can be rotated in a clockwise or anti-clockwise direction by gushing or ;pulling on rods (74 or 75) which are actuatable by levers (76 & 77), conveniently located at each side of the bed. Pulling on lever (76 or 77) will disengage the pinion (67) from the rack (64), so that in an emergency, the bed can be returned manually to a horizontal position. The engagement/disengagement mechanism provided by rods (74 & 75) and associated actuating rod (71) are linked by a shaft which moves over .
centre between two stable positions defining engaged and ' disengaged conditions of the motor and rack. When the motor is disengaged, the attitude frame (3) is held in a horizontal plane by the two compression sgrings (62A &
62B). However, for further security, a dog clutch may be mounted on the motor gear box and engage in an apertured bar so as to effectively lock the attitude frame to the A-Frame (4).
The control panel is shown in Figure 9 and is mounted on the face 80 of control box 13 (see Figure 2). This includes an electrical mains indicator E, a blower switch F and a CPR lever G. Operation of the CPR lever. will cause air to be dumped from the main~air feed from the ~,~o oonas~b rc-ric~3ooioo$?o 15. - :~~ ~-~~~~
blower, thus causing all sacs to deflate rapidly and the bellows to deflate. The CPR lever is also linked to the actuator control thus bringing the bed to harizontal. The screen A is the temperature adjustment and display and shows the temperature of air passing through the sacs.
Knobs H are linked to the valves fo:c air supply to the individual sections 22 to 25 and provide the control tar individual pressure control to each group of sacs.
However, all the air sacs can be simultaneously inflated to full blower output pressure by pulling out knob J.
This is used for assisting the patient on and off the bed.
Light B is a warning light and draws attention to an alarm warning in the corresponding position in the display panel C, (see also Figure 10).
The bed includes a potentiometric tilt sensor manufactured by Penny & Giles, which sense the angle of the attitude frame and provides a feed back to the microprocessor unit. This operates in the same way as the contour angle sensors (18 & 19) mentioned above. The output from this sensor is the third analogue input indicated in Figure 11. Alternatively, another type of pendulum sensor, e.g. a mercury switch, may be used. In this' way, the maximum angle of tilting can be preset so that the bed frame will commence turning in the opposite direction once the maximum tilt angle has been reached. A
delay may be selectable so that there is a variable dwell at some point in the sequence.
1~4'O 90/14816 I't:'i'/(~1394f/i)()829 The control system for the bed is shown in the block diagram of Figure 11. From Figure 11, it will be seen that all controls, sensors and display devices are linked to the microprocessor control board, which controls the operation of all the functions of the bed.
Operation of the bed is divided into two main modes:
1. Standard Low Air Loss (LAL) system use, 2. Turning mode.
The system automatically enters operating mode 1 upon power up. In this mode the control system receives input from 'transducers which are displayed on the screen (see Figure 10). Indicators to set desired pressures can be set in this mode from keypad input (101). Inputs from CPR
switch, Power Loss and Full Inflate are also monitored in this mode. All hand control functions which control the beds standard functions, i.e. tilt, posture and high low are available.
Upon selection of turning mode the turning parameters can be set by keypad input (101), once parameters are set they are displayed. The system checks all safety switches and if found to be correct, turning can begin. While turning is in progress all inputs including CPR Qower Loss and Full Inflate are continually monitored.., In this mode, the Hand Control functions may be inhibited to allow the bed to turn safely within pre-set limits..- If these pre-set limits are exceeded, advisory messages are also ~'O 90114816 P~/G3i~)iiif)0829 ~!91a'7:l3!!!
1 '7 , 1~,~ ~ e.) 1 9J V L~ -. . .
displayed to indicate which fault conditions exist. Alarm messages are also displayed i:E the various alarm conditions are met.
During the turning cycle the bed can be stopped from turning or the dwell-time can be frozen to allow a nursing procedure to take place. The be.d c:an then be restarted to continue Sts last operation or returned to a level position.
The cycle of automatic turning and dwell time continues until either a keypad input returns the bed to Mode 1 or the CPR switch is operated.
In order to avoid problems arising from the attitude frame being impeded by obstructions such as furniture or.
visitors, the attitude frame is fitted with a circumferential D-section inflated tube. This tube is connected to a pressure sensitive switch which is activated when the tube presses against an obstruction and therefore increases the pressure in the tube. On activation the switch sends a signal to the microprocessor which in turn causes the turning motor to reverse and thus move away from the obstruction. Simultaneously, the display panel will indicate the presence of an obstruction. Instead of an inflated tube, an infra-red detector may be used.
The control system includes a third mode called the maintanance or service mode. In this mode, the microprocessor is programmed to check the operating 1fO 90114816 PUT/GBoll/110829 ' functions of the bed and to indicate in the display panel A any malfunctions.
As indicated in Figure 11, the control means includes an output port and an ancillary grinter or recording device (e. g. a tape cassette). This enables the clinician or nurse to print out from the microprocessor store, data concerning the sequences which the bed has performed, e.g.
over the last few hours or days and provides a record of the treatment.
Claims (7)
1. A therapeutic bed which comprises:
(a) a trolley frame having floor-engaging feet or wheels, (b) an attitude frame pivotably mounted on the trolley frame so as to be pivotable through a predetermined arc about an axis extending longitudinally of the bed, (c) operating means for causing the attitude frame to pivot through said predetermined arc, (d) a plurality of air sacs supported on said attitude frame and inflatable to a pressure sufficient to provide a resilient surface for supporting a patient thereon, said air sacs together forming a cavity within which the patient's body can be nested and supported so that the patient does not slide off the bed during turning, and (e) control means for causing the turning movement of the attitude frame to be arrested when reaching the end of the predetermined movement in one direction and causing the operating means to reverse the direction of turning movement.
(a) a trolley frame having floor-engaging feet or wheels, (b) an attitude frame pivotably mounted on the trolley frame so as to be pivotable through a predetermined arc about an axis extending longitudinally of the bed, (c) operating means for causing the attitude frame to pivot through said predetermined arc, (d) a plurality of air sacs supported on said attitude frame and inflatable to a pressure sufficient to provide a resilient surface for supporting a patient thereon, said air sacs together forming a cavity within which the patient's body can be nested and supported so that the patient does not slide off the bed during turning, and (e) control means for causing the turning movement of the attitude frame to be arrested when reaching the end of the predetermined movement in one direction and causing the operating means to reverse the direction of turning movement.
2. A bed as claimed in claim 1 wherein the control means includes means for adjusting the rate, angle of turning and/or dwell time in the inclined position before reversing the direction of turning.
3. A therapeutic bed as claimed in claim 1 wherein the operating means for causing the attitude frame to pivot comprises a motor fixedly mounted relative to one component selected from the attitude frame and the trolley frame and drivably connected through gearing to the other component of the trolley frame and the attitude frame.
4. A bed as claimed in claim 3 wherein the operating means comprises a motor drivably connected to a pinion, said pinion being engageable with a toothed wheel or quadrant.
5. A bed as claimed in claim 4 wherein the pinion is disengageable from the wheel or quadrant so that in an emergency the bed can be pivoted manually to the horizontal position and locked therein.
6. A bed as claimed in claim 1 wherein the attitude frame is also tiltable about one or more axes extending transversely of the bed so that the foot or head of the bed may be raised or lowered.
7. A bed according to claim 6 which includes actuating means for raising and lowering the head or foot end of the bed, said actuating means being linked with said operating means by control means which prevents commencement of pivoting of the attitude frame about said longitudinal axis unless said attitude frame is in a horizontal position.
Applications Claiming Priority (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB898912369A GB8912369D0 (en) | 1989-05-30 | 1989-05-30 | Therapeutic turning bed |
| GB8912369.9 | 1989-05-30 | ||
| GB898929102A GB8929102D0 (en) | 1989-12-22 | 1989-12-22 | Improved therapeutic turning bed |
| GB8929102.5 | 1989-12-22 | ||
| PCT/GB1990/000829 WO1990014816A1 (en) | 1989-05-30 | 1990-05-29 | Therapeutic turning bed |
| SG29895A SG29895G (en) | 1989-05-30 | 1995-02-21 | Therapeutic turning bed |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2057000A1 CA2057000A1 (en) | 1990-12-01 |
| CA2057000C true CA2057000C (en) | 2000-05-02 |
Family
ID=27264503
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002057000A Expired - Lifetime CA2057000C (en) | 1989-05-30 | 1990-05-29 | Therapeutic turning bed |
Country Status (11)
| Country | Link |
|---|---|
| EP (1) | EP0474694B1 (en) |
| JP (1) | JP2954345B2 (en) |
| AT (1) | ATE112478T1 (en) |
| CA (1) | CA2057000C (en) |
| DE (1) | DE69013152T2 (en) |
| DK (1) | DK0474694T3 (en) |
| ES (1) | ES2061041T3 (en) |
| GB (1) | GB2233890B (en) |
| HK (1) | HK55795A (en) |
| SG (1) | SG29895G (en) |
| WO (1) | WO1990014816A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8062272B2 (en) | 2004-05-21 | 2011-11-22 | Bluesky Medical Group Incorporated | Flexible reduced pressure treatment appliance |
| US9198801B2 (en) | 2004-04-05 | 2015-12-01 | Bluesky Medical Group, Inc. | Flexible reduced pressure treatment appliance |
| US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
Families Citing this family (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4435592A1 (en) * | 1994-10-05 | 1996-04-11 | Wolfgang Simon | Electrically controlled hospital bed |
| JP2746296B2 (en) * | 1995-05-15 | 1998-05-06 | パラマウントベッド株式会社 | Link structure of floor operation mechanism in bed etc. |
| US5894966A (en) * | 1997-06-26 | 1999-04-20 | Hill-Rom, Inc. | Bariatric bed |
| JP3957597B2 (en) * | 2002-09-04 | 2007-08-15 | 三洋電機株式会社 | Movable bed |
| ES2267405B1 (en) * | 2005-08-31 | 2008-03-01 | Universidad De Malaga | BED FOR PRESSURE ULCERAS PREVENTION (U.P.P.). |
| US7992239B2 (en) | 2007-08-20 | 2011-08-09 | Hill-Rom Services, Inc. | Laterally rotating patient support apparatus |
| US9693915B2 (en) | 2009-04-30 | 2017-07-04 | Hill-Rom Services, Inc. | Transfer assist apparatus |
| CO6320139A1 (en) * | 2010-02-09 | 2011-09-20 | Univ Eafit | DYNAMIC SURFACE FOR THE TREATMENT AND PREVENTION OF SKIN ULCERS |
| DE102010008358B4 (en) * | 2010-02-17 | 2012-11-15 | Ekamed Gmbh & Co. Kg | Device and method for lateral storage of persons |
| DE202011105530U1 (en) | 2011-09-09 | 2011-11-22 | Otto Weller | Pneumatic lifting bag system for automated or manually controlled lateral positioning of bedridden patients |
| US20130145552A1 (en) * | 2011-12-08 | 2013-06-13 | Aziz A. Bhai | Variable-shape seating surface |
| US9930969B2 (en) | 2013-05-13 | 2018-04-03 | Paramount Bed Co., Ltd. | Bed apparatus |
| CN104083266A (en) * | 2014-07-25 | 2014-10-08 | 深圳市泰乐康科技有限公司 | Medical bed with middle back pads capable of being turned over |
| US11020295B2 (en) * | 2015-12-22 | 2021-06-01 | Stryker Corporation | Patient support systems and methods for assisting caregivers with patient care |
| CN112603689A (en) * | 2020-12-25 | 2021-04-06 | 江苏集萃复合材料装备研究所有限公司 | Intelligent nursing bed structure and operation method thereof |
Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| IE30112L (en) * | 1966-03-03 | 1967-09-03 | Francis Xavier Keane Dr | Hospital beds. |
| IE33742B1 (en) * | 1969-03-05 | 1974-10-16 | Steeper Hugh Ltd | Motor-driven rocking bed |
| GB1474018A (en) * | 1974-05-24 | 1977-05-18 | Watkins Watson Ltd | Beds or like support appliances |
| GB1554107A (en) * | 1976-07-27 | 1979-10-17 | Steeper Ltd H | Rocking bed |
| DE3039956A1 (en) * | 1980-10-23 | 1982-05-27 | Friedrich 8950 Kaufbeuren Horn | THERAPY PILLOW |
| SE426649B (en) * | 1981-04-07 | 1983-02-07 | Huga Ab | COTTAGE PROVIDED TO PREPARE A BED |
| DE3200019C2 (en) * | 1982-01-02 | 1984-08-30 | geb. Wönnemann Ilse 5600 Wuppertal Wittmer | Sickbed |
| JPS61500350A (en) * | 1983-08-24 | 1986-03-06 | ア−ルダヴリユ−エム キネテイツク エンタ−プライゼズ インク． | treatment table |
| GB2210554B (en) * | 1985-01-23 | 1989-09-13 | Hasson Harith Abdul H | A bed for a disabled patient |
| JPH078288B2 (en) * | 1985-05-10 | 1995-02-01 | メディスカス プロダクツ リミテッド | Patient support equipment |
| IE58731B1 (en) * | 1986-05-02 | 1993-11-03 | Alliance Investments Ltd | A therapeutic bed |
-
1990
- 1990-05-29 CA CA002057000A patent/CA2057000C/en not_active Expired - Lifetime
- 1990-05-29 ES ES90908286T patent/ES2061041T3/en not_active Expired - Lifetime
- 1990-05-29 WO PCT/GB1990/000829 patent/WO1990014816A1/en active IP Right Grant
- 1990-05-29 EP EP90908286A patent/EP0474694B1/en not_active Expired - Lifetime
- 1990-05-29 AT AT90908286T patent/ATE112478T1/en not_active IP Right Cessation
- 1990-05-29 GB GB9011950A patent/GB2233890B/en not_active Expired
- 1990-05-29 JP JP2508019A patent/JP2954345B2/en not_active Expired - Lifetime
- 1990-05-29 DK DK90908286.9T patent/DK0474694T3/en active
- 1990-05-29 DE DE69013152T patent/DE69013152T2/en not_active Expired - Lifetime
-
1995
- 1995-02-21 SG SG29895A patent/SG29895G/en unknown
- 1995-04-11 HK HK55795A patent/HK55795A/en not_active IP Right Cessation
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9198801B2 (en) | 2004-04-05 | 2015-12-01 | Bluesky Medical Group, Inc. | Flexible reduced pressure treatment appliance |
| US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
| US10105471B2 (en) | 2004-04-05 | 2018-10-23 | Smith & Nephew, Inc. | Reduced pressure treatment system |
| US10350339B2 (en) | 2004-04-05 | 2019-07-16 | Smith & Nephew, Inc. | Flexible reduced pressure treatment appliance |
| US10363346B2 (en) | 2004-04-05 | 2019-07-30 | Smith & Nephew, Inc. | Flexible reduced pressure treatment appliance |
| US10842919B2 (en) | 2004-04-05 | 2020-11-24 | Smith & Nephew, Inc. | Reduced pressure treatment system |
| US11730874B2 (en) | 2004-04-05 | 2023-08-22 | Smith & Nephew, Inc. | Reduced pressure treatment appliance |
| US8062272B2 (en) | 2004-05-21 | 2011-11-22 | Bluesky Medical Group Incorporated | Flexible reduced pressure treatment appliance |
| US10207035B2 (en) | 2004-05-21 | 2019-02-19 | Smith & Nephew, Inc. | Flexible reduced pressure treatment appliance |
Also Published As
| Publication number | Publication date |
|---|---|
| GB9011950D0 (en) | 1990-07-18 |
| WO1990014816A1 (en) | 1990-12-13 |
| ATE112478T1 (en) | 1994-10-15 |
| DE69013152T2 (en) | 1995-02-09 |
| GB2233890A (en) | 1991-01-23 |
| EP0474694A1 (en) | 1992-03-18 |
| ES2061041T3 (en) | 1994-12-01 |
| DK0474694T3 (en) | 1994-11-07 |
| HK55795A (en) | 1995-04-21 |
| SG29895G (en) | 1995-06-16 |
| JP2954345B2 (en) | 1999-09-27 |
| CA2057000A1 (en) | 1990-12-01 |
| JPH05500171A (en) | 1993-01-21 |
| GB2233890B (en) | 1992-10-14 |
| DE69013152D1 (en) | 1994-11-10 |
| EP0474694B1 (en) | 1994-10-05 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKEX | Expiry |