CA3089447A1 - Isolation housing for patient having a contagious disease - Google Patents

Isolation housing for patient having a contagious disease Download PDF

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Publication number
CA3089447A1
CA3089447A1 CA3089447A CA3089447A CA3089447A1 CA 3089447 A1 CA3089447 A1 CA 3089447A1 CA 3089447 A CA3089447 A CA 3089447A CA 3089447 A CA3089447 A CA 3089447A CA 3089447 A1 CA3089447 A1 CA 3089447A1
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CA
Canada
Prior art keywords
patient
barrier sheet
rod
flexible
enclosure
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.)
Abandoned
Application number
CA3089447A
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French (fr)
Inventor
Pierre MARSOLAIS
Marc Hoffmann-Zukowski
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Individual
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Individual
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Priority to CA3089447A priority Critical patent/CA3089447A1/en
Publication of CA3089447A1 publication Critical patent/CA3089447A1/en
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G10/00Treatment rooms or enclosures for medical purposes
    • A61G10/005Isolators, i.e. enclosures generally comprising flexible walls for maintaining a germ-free environment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds

Abstract

An isolation apparatus for a patient having a highly contagious disease. The apparatus includes a frame that is connected to part of a support body on which the patient is located. The frame has two flexible rods which are sized and shaped for location away from the patient. The rods can have length modifiers located at one end. This allows a user to extend and contract the rod along a path of travel so as to modify the distance between the frame and the patient. A
barrier sheet is connected to the frame and defines a comfortable living volume which is of a size sufficient to enclose the patient and the support body. To allow a caregiver access to the patient, the barrier sheet has a patient access portion.

Description

Docket #: 178-P01.CA
SPECIFICATION
ISOLATION HOUSING FOR PATIENT HAVING A CONTAGIOUS
DISEASE
TECHNICAL FIELD
[0001] The present relates to patient isolation enclosures, and more particularly to isolation enclosures to isolate a patient having a highly contagious disease such as that caused by viral, fungal, bacterial or protozoal infections.
BACKGROUND
[0002] When a human patient contracts a highly contagious disease caused by microorganisms, such as viruses, fungi, bacteria or protozoans, isolating the infected patient from healthy people is an effective way to significantly reduce or to prevent spread of the disease.
This is particularly important when the patient is housed in a hospital environment. The risk of disease transmission to caregivers, such as doctors and nurses, and other patients, is high.
Furthermore, the risk of disease transmission increases when family members, who may be exposed to the patient during the infectious phase of the disease, leave the immediate area near the patient and travel elsewhere. Also, first responders such as paramedics, who may be called to a person's home when they are initially taken ill and need transportation to a hospital, are at high risk of catching the disease. Moreover, further transmission of the disease to others by contact with contaminated clothing is a significant problem.
[0003] For diseases that infect the respiratory airways, isolation is particularly important especially if the disease is spread by aerosolization of droplets containing virus or Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
bacteria particles such as when the patient coughs or sneezes.
In some cases, infectious agents can spread to healthy people if they contact bodily fluids such as blood, sweat, urine or fecal matter.
[0004] It is well known that an effective way to isolate an infected patient is to place a physical barrier between the patient and the caregiver. However, even if the patient is isolated behind the barrier, the virus or bacteria may still be present in the area on or around the patient, which puts at risk caregivers if they need to take blood samples or carry out routine nursing duties.
[0005] A number of groups have noted the need to isolate patients and have designed a number of isolation units which provide a physical barrier between the patient and the caregiver. Several examples of these are shown below:
[0006] Published United States patent application number US20020087045 for "Transparent disposable cover for patient transport";
[0007] Published United States patent application number US20030116566 for "Collapsible restraining enclosure for a bed";
[0008] Published United States patent application number US20040261324 for "Self-contained living environment";
[0009] Published United States patent application number U520050235418 for "Bed enclosure";
[00NO] Published United States patent application number U520050283913 for "Patient cooling system";

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[00011] Published United States patent application number US20060020159 for "Portable isolation enclosure";
[00012] Published United States patent application number US20060021621 for "Sterile environments";
[00013] Published United States patent application number US20060247487 for "Apparatus and method for providing continuous access to an isolation space while maintaining isolation";
[00014] Published United States patent application number US20080041399 for "Sterile Enclosures"; and [00015] Published United States patent application number US20170273844 for "Patient Isolation Tent".
[00016] While many of the above-noted designs protect caregivers from catching the disease, the care of the patient during isolation appears to be overlooked, especially if the patient is to be in isolation for an extended period.
Disadvantageously, the examples given above do not allow for expansion of the isolation tent so that they can be used with hospital beds of different sizes. Most, if not all of the tents shown above are a "one size fits all" design and do not allow for expansion and contraction of the tent, and thus do not provide comfort for the patient. For patients in prolonged isolation, this can cause feelings of claustrophobia, which may lead to mental health problems. Furthermore, the designs shown above do not effectively provide an inexpensive means by which the caregiver can quickly access the patient. While the use of separate patient contact areas are available, they appear to be overly complex. In most cases, a separate part Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
of the isolation tent is designed so that the hands and arms enter, albeit covered, the isolated space occupied by the patient. The patient access areas include materials that are complimentary to the size and shape of the caregivers' hands and arms, but of course this increases the complexity and therefore the cost of manufacturing. Finally, since patients have different sizes and shapes, there is a need for a bespoke isolation tent design which can be modified according to the needs of the patient.
[00017] Thus, there is clearly an unmet need for an improved patient isolation system that not only provides a safe barrier through which caregivers can administer care to the infected patient, but also provides a living volume that improves the experience during a prolonged hospital stay BRIEF SUMMARY
[00018] We have designed a modular isolation enclosure (also called an "isolation tent") for use primarily in hospital environments that significantly reduces, or essentially eliminates, the problems of "patient-to-caregiver" transfer of highly contagious diseases such as those caused by viral, fungal, protozoal, or bacterial infections, which spread either by direct patient contact or via aerosolization of mucosal droplets. Our enclosure provides a very simple, yet effective and reliable way to protect caregivers against airborne infectious disease spread. Our invention provides a novel and unobvious flexible and expandable frame system, which allows rapid expansion and contraction to accommodate patients or beds of various sizes. Unlike conventional static isolation tents, our enclosure addresses the problem of patient access and patient claustrophobia, by allowing the Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
caregiver to quickly and easily slide the barrier sheet up over the flexible rod system and then quickly resealing the enclosure using a variety of closing means. In one example the flexible rod system can create a patient-friendly arcuate configuration with significant volume above the patient's body. Moreover, the robust barrier provides improved patient visibility and a significant reduction in patient claustrophobia.
The enclosure provides a universal fit on hospital bed frames via multiple sleeves and/or available adaptor boots for intravenous (IV) poles and/or via altogether flexible frame members or member components. Our design uses clips, bungees, strings, adhesive tape fastener compatible to provide an aerosol (virus) hermetic enclosure so that the patient is enclosed in a sealed environment.
[00019] Since the enclosure is connected directly to the bed, it provides a stable structure, which will not slip-off the mattress and compromise the seal, unlike conventional isolation tents, some of which merely rest on the bed and can move about or even slide off the bed thereby compromising the seal around the patient.
[00020] Another advantage our enclosure has over conventional enclosures is that it can be shipped from a storage warehouse to point of delivery in a very compact, pre-loaded manner. A
unique design of articulated structure (hinges) and/or inserted telescoping posts structure aid the compact storage and transportation.
Upon arrival at the destination, the enclosure can be quickly and safely deployed by two people in less than 30 seconds. Finally, after use, the enclosure can be destroyed by incineration or transported to a landfill site after de-contamination because the materials used in Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
construction are low weight, low volume materials and low cost.
Furthermore, a key advantage that our new isolation housing provides is the ability to minimize the height and width of the bed if or when a patient needs to be transported between rooms in the hospital, such as for X-rays and the like which may be located remote from the intensive care unit. Our isolation housing allows for rapid lowering or narrowing of the frame to move through doors or into/out of elevators.
[00021] For extended stay patients, the enclosure can be modified to permit use of a backrest enclosure.
Pull-out end flap allows the enclosure to be further extended to maintain upper body coverage when the bed is adjusted to allow the patient to sit up, while still maintaining a seal therearound.
[00022] Desirably, the enclosure can incorporate existing fan and filter breathing systems via available fasteners and/or adaptor plates and printed cutout templates. This embodiment allows for ambient air to circulate within the enclosure should the patient's condition require such.
[00023] Accordingly, in one embodiment there is provided an apparatus for isolating a patient, the apparatus comprising:
[00024] a frame connected to a first portion of a support body on which the patient is located, the frame having first and second spaced apart rod members sized and shaped for location away from the patient; and [00025] a barrier sheet connected to the frame to define a living volume of a size sufficient to substantially enclose the patient therein, the barrier sheet having a patient access portion to permit a caregiver access to the patient Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[00026] In one example, each of the rod members includes a rod length modifier located at one end thereof to permit the rod member to extend and contract along a path of travel so as to modify the distance between the frame and the patient. The first and second spaced apart rod members includes first and second spaced apart flexible rods, each rod flexible rod having: i) first and second rod length modifiers located at first and second rod ends; and ii)a passageway extending between the first and second rod ends to slidably receive therein the rod length modifiers. The first and second rod length modifiers include a telescoping member slidably mounted in the passageway, the telescoping member being mounted in the passageway using an interference fit so that the telescoping member moves along a restricted path of travel. The first and second rod length modifiers include at least one lock to lock the flexible rod when a desired rod length is achieved. Each of the flexible rods includes a connecting end for connecting the flexible rod to the support body. The connecting end is connected to an intravenous (IV) pole receiver using an interference fit.
[00027] In another example, each of the flexible rods includes a connecting end for connecting the flexible rod to a support body frame.
[00028] In another example, the first and second flexible rods each include at least one first hinge to permit a lower portion of each flexible rod to hinegably move away from the patient. The at least one hinge permits movement of the lower portion of the flexible rod from an upstanding configuration to a orthogonally disposed configuration.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[00029] In yet another example, the first and second spaced apart flexible rods are moveable relative to each other along a longitudinal path so as to accommodate support bodies having different lengths. Each flexible rod is made from a material that is sufficiently flexible to permit forming of the rod into a desired shape to accommodate the barrier sheet and the support body.
[00OO] In yet another example, the first and second flexible rods are arcuate.
[00031] In still another example, the support body is a hospital bed. The hospital bed includes a hospital bed frame, the frame being connected thereinto. The frame is mounted on the floor around the hospital bed.
The support body is a wheeled hospital gurney. The support body is an ambulance stretcher.
[00032] In one example, the barrier sheet is shaped for location over the first and second flexible rods, the barrier sheet being secured to the rod members using one or more sheet connectors. The sheet connectors are clip members located along the length of each rod member to permit a caregiver to sealingly connect the barrier sheet to the flexible rods. The clip members extend around the perimeter of the support body to secure the barrier sheet to the support body. The barrier sheet includes first and second spaced apart sleeves into which the first and second flexible rods are slidably mounted.
The barrier sheet includes first and second spaced apart adhesive strips against which the first and second flexible rods adhere. The barrier sheet is transparent.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[00033] In another example, the barrier sheet includes an inner surface disposed towards the patient, and an exterior side surface disposed outwardly towards the caregiver. The barrier sheet is coated substantially across the entire surface area with an antimicrobial material.
[00034] In another example, the barrier sheet includes a main barrier sheet and an upper body enclosure sheet portion configured to accommodate the patient's upper body when the patient is permitted to sit up, the upper body enclosure sheet being located rearwardly of a moveable upper body portion of the support body.
[00035] In another example, the upper body enclosure sheet portion being of sufficient volume to permit the patient's head and upper body to move between a prone position and an upright position.
[00036] In another example, the barrier sheet drapes substantially over the four sides of the support body and contacts the ground so as to completely enclose the patient and the support body.
[00037] In yet another example, the patient access portion includes a barrier sheet panel that is contiguous with the barrier sheet, the barrier sheet panel having two opposing sides temporarily sealed to the barrier sheet, the barrier sheet panel being slidable along the along the flexible rods to provide a temporary opening of sufficient size to allow the caregiver access to the patient, and thereafter to re-seal the temporary opening.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[00038] In yet another example, the at least one second hinge located between the sleeves to allow collapse of the barrier sheet and the frame for transportation.
[00039] In one example, an air pump and fan is connected to the barrier sheet to communicate ambient air, and carbon dioxide into and out of the living volume around the patient through a filter.
[00040] In still another example, the patient has a highly contagious disease. The highly contagious disease is a viral infection or a bacterial infection. The viral infection is COVID-19.
[00041] Accordingly, in another embodiment, there is provided a method for deploying an isolation enclosure for location around a patient having a highly infectious disease, the method comprising:
[00042] locating first and second caregivers at respective first and second ends of a collapsed and substantially flattened isolation enclosure, the enclosure having first and second spaced apart flexible arcuate-shaped rods, and a barrier sheet connected to the flexible rods; and [00043] applying a pulling force to the respective first and second ends of the collapsed enclosure to fully deploy the enclosure for location around the patient so that the patient has a living volume therearound.
[00044] In one example, the method further comprises:
adjusting the flexible rod member lengths by extending or contracting the rod member lengths using rod length modifiers located at first and second rod ends so that the barrier sheet
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SPECIFICATION
defines a living volume of a size sufficient to substantially enclose the patient therein.
[00045] Accordingly, in another embodiment, there is provided a two-dimensional pattern for assembling an isolation enclosure to isolate a patient, the patient having a highly contagious disease, the two-dimensional pattern comprising:
[00046] a sheet of transparent material having a generally rectangular-shaped central panel and first and second spaced apart joints;
[00047] first and second end panel sheets each connected to the respective spaced apart joints;
[00048] first and second spaced apart sleeve attachment portions located on one side of the transparent material and shaped to receive therein respective first and second flexible rods; and [00049] first and second substantially rhomboidal spaced apart panels extending away from the rectangular-shaped central panel, the sleeve attachment portions each extending from the rhomboidal panels across the rectangular-shaped panel for receiving therein the flexible rods during assembly of the isolation enclosure.
[00OO] In one example, the first and second sleeve attachment portions include an arcuate top portion and two concave side portions contiguous therewith. The arcuate top portion and the two concave portions are moustache shaped.
[00051] Accordingly, in yet another embodiment, there is provided a two-dimensional pattern for assembling an isolation
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SPECIFICATION
enclosure to isolate a patient, the patient having a highly contagious disease, the two-dimensional pattern comprising:
[00052] a sheet of transparent material having a generally rectangular-shaped central panel and first and second spaced apart joints;
[00053] first and second end square-shaped panel sheets each connected to the respective spaced apart joints; and [00054] first and second spaced apart sleeve attachment portions located on one side of the transparent material and shaped to receive therein respective first and second flexible rods, the sleeve attachment portions each extending across the rectangular-shaped central panel for receiving therein the flexible rods during assembly of the isolation enclosure.
BRIEF DESCRIPTION OF THE DRAWINGS
[00055] These and other features of that described herein will become more apparent from the following description in which reference is made to the appended drawings wherein:
[00056] FIG. 1 is a perspective view an embodiment of an isolation enclosure showing the location of two arcuate-shaped flexible rods and a barrier sheet connected thereto;
[00057] FIG. 2 is an end view of the isolation enclosure showing the location of a patient with arrows showing modification of the height and width relative to the patient;
[00058] FIG. 3 is an end view diagrammatic representation of a bed showing the isolation enclosure mounted on the bed;
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SPECIFICATION
[00059] FIG. 4 is an end view diagrammatic representation of a bed showing the isolation enclosure mounted around the bed;
[00060] FIG. 5 is a representation of various shaped isolation enclosures shown in end views;
[00061] FIG. 6 is a representation of various shaped isolation enclosures shown in side views;
[00062] FIG. 7 is a partially exploded view of a flexible rod showing a telescoping member;
[00063] FIG. 8 is a hinge member locked in a 90-degree configuration;
[00064] FIG. 9 is the hinge member of FIG. 8 shown in a locked longitudinal configuration;
[00065] FIG. 10 is an end view of a rod showing a telescoping and the location of hinge members;
[00066] FIG. 11 is a side view of a barrier sheet showing a problematic curvature of the sheet;
[00067] FIG. 12 is a sideview showing (with arrows) forces applied by use of two flexible rods that straighten the curvature showing in FIG. 11;
[00066] FIG. 13 is a side view of three locations of flexible rods to straighten the curvature showing in FIG. 11 (bed length adjustment);
[00069] FIG. 14 is an end view of a flexible rod showing barrier sheet connectors connecting a barrier sheet thereto
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SPECIFICATION
and rod length modifiers with an expanded view of a lock member;
[00070] FIG. 15 is a longitudinal side view of an isolation enclosure showing barrier sheet connectors around the bed and an upper body enclosure sheet folded behind the patient's head;
[00071] FIG. 16 is a longitudinal side view of an isolation enclosure showing the upper body enclosure sheet pulled away from the enclosure;
[00072] FIG. 17 is a top view of an isolation enclosure showing the location of the upper body enclosure sheet in a storage configuration;
[00073] FIG. 18 is a perspective view of an isolation enclosure showing a patient access portion in which a panel is moved in an accordion configuration;
[00074] FIG. 19 is a perspective view of an isolation enclosure showing a patient access portion in which a panel is shown pushed up along the rods (solid arrow) or pushed down along the rods (hashed arrows);
[00075] FIG. 20 is a diagrammatic representation of an isolation enclosure showing a patient access portion in the form of a sealable flap;
MON FIG. 21 is a diagrammatic representation of an isolation enclosure showing a patient access portion in the form of two sealable doors;
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SPECIFICATION
[00077] FIG. 22 is a diagrammatic representation of an isolation enclosure showing patient access portions in the form of sealable slits located on two barrier sheet panels;
[00078] FIG. 23 is a diagrammatic representation of an isolation enclosure showing a patient access portion in the form of a separate window made from a deformable material;
[00079] FIG. 24 is a diagrammatic representation of a hand moving into the deformable material and causing the material to cover the hand;
[00080] FIG. 25 is a top view of a flattened barrier sheet showing sleeves, two rods and a number of hinges;
[00081] FIG. 26 is a side view of a partially collapsed isolation enclosure showing an upper body portion;
[00082] FIG. 27 is a close-up side view of two sleeve with two rods located therein;
[00083] FIG. 28 is a top view of an example of a flattened barrier sheet showing two sleeves for receiving two rods;
[00084] FIG. 28A is a top view of another example of a flattened barrier sheet showing two sleeves for receiving two rods and a strip of shrink film (the arrows show the direction of rod sliding);
[00085] FIG. 29 is a top view of another example of a flattened barrier sheet showing two moustache-shaped sleeves for receiving two rods;
MOW FIG. 30 is an end view of an isolation enclosure showing an air vent/fan system;
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SPECIFICATION
[00087] FIG. 31 is a side view of the air vent/fan system of FIG. 30 showing the location at one end of the bed; and [00088] FIG. 32 is a side view of alternative embodiment of a air vent/fan system located in different areas of the barrier sheet.
DETAILED DESCRIPTION
Definitions [00089] Unless otherwise specified, the following definitions apply:
[00090] The singular forms "a", "an" and "the" include corresponding plural references unless the context clearly dictates otherwise.
[00091] As used herein, the term "comprising" is intended to mean that the list of elements following the word "comprising"
are required or mandatory but that other elements are optional and may or may not be present.
[00092] As used herein, the term "consisting of" is intended to mean including and limited to whatever follows the phrase "consisting of". Thus, the phrase "consisting of" indicates that the listed elements are required or mandatory and that no other elements may be present.
[00093] Referring now to FIGs 1 and 2, there is generally illustrated at 10 an apparatus for isolating a patient 12.
Generally speaking, the patient 12 has contracted, or is suspected of having contracted, a highly contagious disease such as a viral infection, fungal infection or a bacterial
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SPECIFICATION
infection.
Examples of highly contagious diseases include, but are not limited to, coronavirus, SARS, chickenpox, measles, whooping cough, tuberculosis, diphtheria, and Ebola.
The diseases are generally spread by aerosolization of bodily fluids and while the infection zone around the patient may be relatively small, the viral particles may linger in the atmosphere or on surfaces for some time. A
current very pertinent example is when the patient has COVID-19, a highly contagious viral disease. Therefore, any attempt by a caregiver to administer care to the patient becomes a high-risk endeavor.
The apparatus 10 includes a general frame system 14, which is connected to a first portion 16 of a support body 18, and a barrier sheet 20 connected to the frame system 14.
Together, the frame system 14 and the barrier sheet 20 form an isolation enclosure and thus a living volume 13 for the patient 12.
The support body 18 is a standard hospital bed, a modified hospital bed such as those used in intensive care units, a wheeled hospital gurney or an ambulance stretcher. In one example, the support body 18 is a hospital bed that includes a hospital bed frame 22 into which the frame 14 is connected. In another example, the frame system 14 is mounted on the hospital floor around the hospital bed.
[00094] A person skilled in the art will readily understand that the apparatus 10 for isolating the patient can be used either as a stand-alone modular unit which is assembled and then placed over the patient and located onto the bed, as illustrated in FIG. 3, or is pre-assembled around the bed, as illustrated in FIG. 4.
Furthermore, in impoverished areas where beds may be unavailable, the isolation apparatus 10 can be placed directly over the patient, if the patient is, for
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SPECIFICATION
example, lying on a mattress or in extreme conditions, lying on the floor. In any case, the ability of the apparatus 10 to provide isolation quickly and inexpensively, is highly advantageous.
[00095] Still referring to FIG. 1, the frame 14 includes two flexible rod members 24, 26 which are sized and shaped for location away from the patient 12. The flexible rod members 24, 26 are made from a flexible material such as for example, Polyvinyl Chloride (PVC) or cross-linked polyethylene, which permits forming into various shapes. To provide additional strength to the rod members 24, 26, a fiber glass rod insert can be used. While it is possible to use fiber glass rods as the frame system 14, their inherent brittle nature and potential for "whiplash" makes fiber glass rods hazardous for use. As used in the examples herein, the rod members 24, 26 are curved into an arcuate shaped upper portion 27 for reasons that will be become clear below.
[00096] Depending on the nature of isolation or the surrounding equipment, or on the preferred design by the hospital, other shapes, as illustrated in FIGs 5 and 6, can also be used as isolation enclosures. It is possible to manufacture such shapes using plastic extrusion technology.
As material science technology advances, the inventors envisage the use of carbon fiber, nanomaterials and the like, which may improve the useable lifetime of the isolation enclosure.
[00097] One of the key advantages of the present isolation enclosure design is the ability of the caregivers to modify the size of the living volume 13 in which the patient 12 is being isolated.
In this example, each of the flexible rod
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SPECIFICATION
members 24, 26 includes a rod length modifier 28 located at one end 30 thereof. The rod length modifier 28 is connected either to the bed frame 22 or to a separate mounting system 32 adjacent the bed frame 22. The rod length modifier 28 allows each of the rod member 24, 26 to extend and contract along a path of travel 34. Each of the flexible rod members 24, 26 includes the arcuate shaped upper portion 27 located at a top portion 36 of the frame system 14. Each flexible rod member 24, 26 includes first and second linear rod portions 38, 40 which extend downwardly from the arcuate shape upper potion 27.
The first and second linear rod portions 38, 40 are spaced apart and are generally orthogonal to the support body 18.
The rod length modifier 28 are located to vary the distance between the top portion 36 of the frame system 14 and the patient 12. Referring specifically to FIG. 2, if desired, a third rod length modifier 41 is located at the top portion 36 of the rod. The third rod length modifier 41 allows the frame to be widened along a horizontal plane (as seen by the arrows 43).
This is desirable if the bed width does not permit location of the frame over the patient 12.
[00098] Referring again to FIG. 2 and also specifically now to FIG.7, each of the flexible rod member 24, 26 includes a passageway (or a lumen) 42 which extends between first and second rod connecting ends 44, 46.
The passageways 42 are sized to slidably receive therein each of the rod length modifiers 28. If the arcuate shaped upper portion 27 of the frame system 14 houses a length of fiberglass rod, the fiberglass rod can also extend at least partially down the passageway 42 of each of the linear rod portions 38, 40. The first and second rod length modifiers 28 include a telescoping member 48 which is slidably mounted in the passageway 42. To
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SPECIFICATION
permit a snug fit, the telescoping member 48 is mounted in the passageway 42 using an interference fit so that the telescoping member 48 moves along a restricted path of travel.
The telescoping member 48 includes a lower ring 53 and a plug 55 which prevents the rod from moving or becoming disengaged when secured in place.
The combination of the telescoping member 48, the button 49 and the plug 55 create an "anti-disassembly mechanism".
[00099] One skilled in the art will readily recognize that many different rod length modifiers are available and can be use either "off the shelf" or modified for use with the flexible rod member described herein. Modifications may be achieved by adding or removing physical elements to the rod assembly for example, multiple posts for height adjustment. In the examples illustrated, the rod length modifiers 28 includes at least one lock member 50. The lock member 50 allows the caregiver to lock the frame system in place once the desired rod lengths and therefore the desired living volume are achieved. In the example shown, the lock member 50 is a button 49 which can be pressed either by hand or during insertion of the telescoping member 48 into the rod passageway 42 and engage one or more openings 51 in the telescoping member 48.
[000100] The rod connecting ends 44,46 are used to connect the flexible rods to the support body 18. In one example, the connecting ends are connected to an intravenous (IV) stand using an interference fit. In another example, the flexible rods are connected directly to the support body frame (the bed frame 22). Also located between the lock 50 and the insertion pin 32, which is static, is a flexible piece 29,
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SPECIFICATION
which adds to the flexibility of the lower end of the rods and makes for easier assembly.
[000101] Referring now to FIGs, 7, 8, 9 and 10, the first and second flexible rods 24, 26 can include one or more first hinges 52. If desired, the hinges 52 are operable to permit a lower portion 54 of each of the flexible rods 24, 26 to hinegably move away from the patient 12. The hinges 52 may be located on one side of enclosure to allow the enclosure to be lifted up on one side only, or the hinges can be used to allow patient access on one side. In the example shown in FIG. 10, the lower portion 54 of the flexible rods 24, 26 is shown to be moveable towards and away from (in dotted lines) the living volume 13, either in an upstanding configuration to a orthogonally disposed configuration. The use of hinges 52 may be useful to provide access to the patient or during collapse of the enclosure prior to transportation of the enclosure to the location where needed. The hinge 52, once located in the desired orientation is locked in place using a locking system 56.
[000102] Still referring to FIG. 10, an external I.V pole adapter 61 can extend from the bed 18 to securely receive therein an I.V. pole (not shown). If desired, a swivel joint 63, which can rotate about a swivel axis 65 to align an I.V.
post connector 67 with the exterior or interior of the isolation housing. Moreover, the use of the swivel joint 63 allows for transportation and collapse of the frame if the embodiment to be used includes optional attachments for an I.V. pole.
[000103] As seen in FIG. 1, the first and second spaced apart flexible rods 24, 26 are moveable relative to each other along
-21-Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
a longitudinal path 58 (as illustrated by the arrow) so as to accommodate support bodies having different lengths.
[000104]Each flexible rod 24, 26 is made from a material that is sufficiently flexible to permit forming of the rods into a desired shape to accommodate the barrier sheet and the support body.
[000105] As is seen in FIGs. 11, 12, and 13, one problem that may be encountered in the use of flexible rods 24, 26 and the barrier sheet 20 is that when assembled, the barrier sheet 20 forms a concave curvature 58 in the middle. The weight of the barrier sheet 20 may pull the flexible rods 24, 26 inwardly, thereby increasing the size of the curvature (as seen in the three rod locations in FIG. 13).
To address this, the inventors are able to pull outwardly (in the direction of the arrows as seen in FIG. 12) on the end-flaps 57 and maintain the rolled take-up on the rods using (1) Velcro strips (or other fasteners on the flaps 57), or, by (2)friction and/or by using (3) a tightening rope/cord located inside the sleeves for cases when either / both end-flaps are open. The cord inside the sleeves is optional.
Additionally, the barrier sheet 20 often displays creases 45 which may impede the visibility of the patient.
An added advantage of straightening the curvature 58 is the creases 45 are smoothed.
Furthermore, the barrier sheet 20 may have an optional shrink film portion 59, or indeed the whole sheet may be made from shrink film, which by its properties helps maintain a tight fit on the flexible rods.
[000106]Referring back to FIG. 1, the barrier sheet 20 is connected to the frame system 14, which defines the living volume 13 of a size sufficient to substantially enclose the
- 22 -Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
patient 12 and the support body 18 therein. The barrier sheet 20 is shaped for location over the first and second flexible rod members 24, 26.
[000107]Referring now to FIGs. 14, 15 and 16, the problem of ensuring a seal around the living volume 13 is vitally important. The barrier sheet 20 is secured to the rod members 24, 26 using a plurality of sheet connectors 60 such as clip members 62 or Velcro strips located along the length of each rod member 24, 26 to permit a caregiver to sealingly connect the barrier 20 to the rods 24, 26. The clip members 62 extend around the perimeter of the support body 18 to secure the barrier sheet 20 to the support body 18. The barrier sheet 20 may also include first and second spaced apart adhesive strips against which the first and second flexible rod members adhere. The barrier sheet 20 is also sealed along the side of the bed 18 by the use of the sheet connectors 60. In the example shown in FIG. 14, another lock 64 is exemplified in which the caregiver can twist the lock 64 to either lock or unlock the rod length modifier 28.
[000108] As best seen in FIGs 15, 16 and 17, there may be instances, especially when the patient is towards the end of the isolation period when they may wish to sit up in bed.
Many hospital beds include an upper body portion 66 which can be articulated upwards at an angle to allow the patient 12 an additional body position. In this case, the barrier sheet 20 can accommodate the patient by including an upper body enclosure sheet portion 68 configured to accommodate the patient's upper body when the patient is permitted to sit up.
The upper body enclosure sheet portion is contiguous with a main barrier sheet. The upper body enclosure portion 68 has a
- 23 -Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
sufficient volume to permit the patient's head and upper body to move between a laying, prone position and an upright or angled sitting position. Although not illustrated, a similar design may be used for the lower body.
The lower body enclosure would be useful should the patient require washing of the lower extremities, for example [000109] Referring now to FIGs. 18 and 19, the barrier sheet 20 includes a patient access portion 70 to permit a caregiver access to the patient. When the caregiver needs access to the patient, they must exercise extreme care so as not to contaminate themselves with the infectious agent, or let the infectious agent escape from the isolation enclosure.
The patient access portion 70 includes a barrier sheet panel 72 that is contiguous with the barrier sheet 20. The barrier sheet panel has two opposing sides 74, 76 that is temporarily sealed to the barrier sheet 20. To open the patient access portion, the barrier sheet panel 72 is slidable up along the along the flexible rods 24, 26 to provide a temporary opening of sufficient size to allow the caregiver access to the patient, and thereafter to re-seal the temporary opening. The barrier sheet panel 72 is moved up in an accordion fashion or as a partial roll.
[000110] As seen in FIGs 2 through 24, there are a number of contemplated patient access portions 70, which are known to those skilled in the art, all of which can be temporarily sealed. One preferred example is shown in FIG. 23, which may be used in extreme cases of highly infectious diseases. A
separate window 78 made from a deformable material provides "no touch" access to the patient 12. The material forms a skin around the caregiver's hands 80 and allows administration
- 24 -Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
of care without direct patient contact. It is desirable to have the patient access portion 70 located adjacent the patient's right-hand side near the patient's head, and also adjacent the top of the patient's head. This permits the caregiver to have specific access to the patient's body part where drug administration can take place or access to the patient if they are intubated.
[000111] Also, if desired, a pre-formed glove or gloves(not shown) may be provided in the window 78.
In FIG. 22, a closabe "slit" can be sealed using Velcro or self-adhesive tape surface fasteners. Also included with a "slit" could be a zipper type closure. The zipper would permit the caregiver easy access and closure through the zippered slit.
[000112] Referring back to FIGs. 18 and 19, the barrier sheet 20 is made from transparent material. The barrier sheet 20 includes an inner surface 82 disposed towards the patient, and an exterior side surface 84 disposed outwardly towards the caregiver. For additional protection both to the patient and the caregiver, the barrier sheet 20 can be coated substantially across the entire surface area with an antimicrobial material such as an anti-viral material or an anti-bacterial material. A person skilled in the art will readily recognize that there exists transparent materials currently on the market that have anti-microbial properties and which could easily be used as an additional layer on the inner or outer surfaces of the barrier sheet 20.
[000113] One of the main advantages of the isolation enclosure is its ability to provide quick and easy transportation and assembly. Referring now to FIGs. 25 to 28, and 28A, the barrier sheet 20 includes first and second spaced apart
- 25 -Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
sleeves 86, 88 into which the first and second flexible rod members 24, 26 are slidably inserted. Once fully deployed, the barrier sheet 20 drapes substantially over the four sides of the support body 18 and, in some cases, contacts the ground so as to completely enclose the patient and the support body.
Another set of hinges 90 can be located between the sleeves 86, 88 to allow collapse of the barrier sheet 20 and the frame 14 for transportation.
[000114]Referring now to FIGs 28 and 28A, the barrier sheet 20 is generally supplied as a two-dimensional pattern 100 for assembling the isolation enclosure 10. The barrier sheet 20 includes a generally rectangular-shaped central panel 102 and two end square-shaped panel sheets 104, 106 are each connected to the respective spaced apart joints 108, 110.If desired, the barrier sheet 20 includes the strip of shrink film which permits tightening of the sheet and reduces sagging in the middle once the isolation housing is erected.
Optional reinforcement (auxiliary) panels 109 can be connected between the panel 104, 106, and the central panel 102. Stitching 87 or some other means of securing the sleeves 86, 88 around the rods so that they can slide therethrough along the illustrated arrows 91.
[000115] Two spaced apart sleeve attachment portions 86, 88 located on one side of the barrier sheet and shaped to receive therein respective first and second flexible rods. The sleeve attachment portions 86, 88 each extend across the rectangular-shaped central panel 102 for receiving therein the flexible rods during assembly of the isolation enclosure. The sheet of transparent material has a generally rectangular-shaped central panel and first and second spaced apart joints.
- 26 -Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[000116] In another barrier sheet example as shown in FIG. 29, two spaced apart sleeve attachment portions 112, 114 are located on one side of the sheet 20 and shaped to receive therein the flexible rods. In this example, two substantially rhomboidal spaced apart panels 116, 118 extending away from the rectangular-shaped central panel 120.
The first and second sleeve attachment portions 112, 114 include an arcuate top portion 120 and two concave side portions 122, 124 contiguous therewith. The arcuate top portion 120 and the two concave portions 124 are moustache shaped.
[000117] Referring now to FIGs. 30, 31 and 32, an alternative embodiment can include the apparatus 200 has an air pump and fan 202 that is connected to the barrier sheet 20 to communicate oxygen and carbon dioxide into and out of the volume around the patient. The air pump and fan 202 can be located at the patient's foot area or above the patient's body.
This modification is especially important if the atmosphere around the patient becomes saturated with a high concentration of carbon dioxide. In one example, an additional filter 204, such as a Hepa filter can be incorporated into the design Operation of the System [000118] Using the isolation enclosure described herein is very straightforward. It begins with delivery of a collapsed unit.
The infected patient is typically located on a bed.
Two caregivers are employed to grab the two ends of the collapsed enclosure, either using handles which may be located at either end panel of the collapsed enclosure or by simply grabbing both upright portions of the frame.
-27-Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
[000119] Each caregiver will then exert a pulling force on the end panels to pull apart the enclosure. The flexibility of the two flexible rods 24, 26 will cause the enclosure to spring open when released from the shipping container.
Depending on the bed size and/or the size of the patient, the caregivers can immediately adjust the height of the enclosure so as to provide a comfortable living volume around the patient or if the patient or bed is unusually long, the enclosure can be extended using extension panels. Once the appropriate sided enclosure if desired, the caregivers then secure the enclosure to the bend frame or locate it on the floor.
[000120] If the patient needs attention during isolation, the patient access portion is used either by quickly sliding the panel up over the two flexible rods or by opening one of the other opening designs. After the patient is cared for, the access opening is then re-sealed to maintain isolation.
[000121] Once the patient is fit to leave isolation, the enclosure can be taken down, collapsed and either decontaminated or immediately disposed of using incineration.
Other Embodiments [000122] From the foregoing description, it will be apparent to one of ordinary skill in the art that variations and modifications may be made to the embodiments described herein to adapt it to various usages and conditions.
-28-Date Recue/Date Received 2020-08-07

Claims (41)

Docket#: 178-P01.CA
SPECIFICATIONWe claim:
1. An apparatus for isolating a patient, the apparatus comprising:
a) a frame connected to a first portion of a support body on which the patient is located, the frame having first and second spaced apart rod members sized and shaped for location away from the patient; and b) a barrier sheet connected to the frame to define a living volume of a size sufficient to substantially enclose the patient therein, the barrier sheet having a patient access portion to permit a caregiver access to the patient
2. The apparatus, according to claim 1, in which each of the rod members includes a rod length modifier located at one end thereof to permit the rod member to extend and contract along a path of travel so as to modify the distance between the frame and the patient
3. The apparatus, according to claim 2, in which the first and second spaced apart rod members includes first and second spaced apart flexible rods, each rod flexible rod having:
i) first and second rod length modifiers located at first and second rod ends; and ii) a passageway extending between the first and second rod ends to slidably receive therein the rod length modifiers.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
4. The apparatus, according to claim 3, in which the first and second rod length modifiers include a telescoping member slidably mounted in the passageway, the telescoping member being mounted in the passageway using an interference fit so that the telescoping member moves along a restricted path of travel.
5. The apparatus, according to claim 3, in which the first and second rod length modifiers include at least one lock to lock the flexible rod when a desired rod length is achieved.
6. The apparatus, according to claim 3, in which each of the flexible rods includes a connecting end for connecting the flexible rod to the support body.
7. The apparatus, according to claim 6, in which the connecting end is connected to an intravenous (IV) pole receiver using an interference fit.
8. The apparatus, according to claim 3, in which each of the flexible rods includes a connecting end for connecting the flexible rod to a support body frame.
9. The apparatus, according to claim 3, in which the first and second flexible rods each include at least one first hinge to permit a lower portion of each flexible rod to hinegably move away from the patient.
10. The apparatus, according to claim 9, in which the at least one hinge permits movement of the lower portion of the flexible rod from an upstanding configuration to a orthogonally disposed configuration.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
11. The apparatus, according to claim 3, in which the first and second spaced apart flexible rods are moveable relative to each other along a longitudinal path so as to accommodate support bodies having different lengths.
12. The apparatus according to claim 3, in which each flexible rod is made from a material that is sufficiently flexible to permit forming of the rod into a desired shape to accommodate the barrier sheet and the support body.
13. The apparatus, according to claim 2, in which the first and second flexible rods are arcuate.
14. The apparatus, according to claim 1, in which the support body is a hospital bed.
15. The apparatus, according to claim 14, in which the hospital bed includes a hospital bed frame, the frame being connected thereinto.
16. The apparatus, according to claim 1, in which the frame is mounted on the floor around the hospital bed.
17. The apparatus, according to claim 1, in which the support body is a wheeled hospital gurney.
18. The apparatus, according to claim 1, in which the support body is an ambulance stretcher.
19. The apparatus, according to claim 3, in which the barrier sheet is shaped for location over the first and second flexible rods, the barrier sheet being secured to the rod members using one or more sheet connectors.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
20. The apparatus, according to claim 19, in which the sheet connectors are clip members located along the length of each rod member to permit a caregiver to sealingly connect the barrier sheet to the flexible rods.
21. The apparatus, according to claim 20, in which the clip members extend around the perimeter of the support body to secure the barrier sheet to the support body.
22. The apparatus, according to claim 3, in which the barrier sheet includes first and second spaced apart sleeves into which the first and second flexible rods are slidably mounted.
23. The apparatus, according to claim 3, in which the barrier sheet includes first and second spaced apart adhesive strips against which the first and second flexible rods adhere.
24. The apparatus, according to claim 1, in which the barrier sheet is transparent.
25. The apparatus, according to claim 1, in which the barrier sheet includes an inner surface disposed towards the patient, and an exterior side surface disposed outwardly towards the caregiver.
26. The apparatus, according to claim 1, in which the barrier sheet is coated substantially across the entire surface area with an antimicrobial material.
27. The apparatus, according to claim 1, in which the barrier sheet includes a main barrier sheet and an upper body enclosure sheet portion configured to accommodate the patient's upper body when the patient is permitted to sit up, Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
the upper body enclosure sheet being located rearwardly of a moveable upper body portion of the support body.
28. The apparatus, according to claim 27, in which the upper body enclosure sheet portion being of sufficient volume to permit the patient's head and upper body to move between a prone position and an upright position.
29. The apparatus, according to claim 1, in which the barrier sheet drapes substantially over the four sides of the support body and contacts the ground so as to completely enclose the patient and the support body.
30. The apparats, according to claim 1, in which the patient access portion includes a barrier sheet panel that is contiguous with the barrier sheet, the barrier sheet panel having two opposing sides temporarily sealed to the barrier sheet, the barrier sheet panel being slidable along the along the flexible rods to provide an temporary opening of sufficient size to allow the caregiver access to the patient, and thereafter to re-seal the temporary opening.
31. The apparatus, according to claim 22, in which at least one second hinge located between the sleeves to allow collapse of the barrier sheet and the frame for transportation.
32. The apparatus, according to claim 1, in which an air pump and fan is connected to the barrier sheet to communicate ambient air, oxygen and carbon dioxide into and out of the living volume around the patient.
33. The apparatus, according to claim 1, in which the patient has a highly contagious disease.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
34. The apparatus, according to claim 33, in which the highly contagious disease is a viral infection, fungal infection, or a bacterial infection.
35. The apparatus, according to claim 34, in which the viral infection is COVID-19.
36. A method for deploying an isolation enclosure for location around a patient having a highly infectious disease, the method comprising:
a) locating first and second caregivers at respective first and second ends of a collapsed and substantially flattened isolation enclosure, the enclosure having first and second spaced apart flexible arcuate-shaped rods, and a barrier sheet connected to the flexible rods; and b)applying a pulling force to the respective first and second ends of the collapsed enclosure to fully deploy the enclosure for location around the patient so that the patient has a living volume therearound.
37. The method, according to claim 36, further comprising:
c) adjusting the flexible rod member lengths by extending or contracting the rod member lengths using rod length modifiers located at first and second rod ends so that the barrier sheet defines a living volume of a size sufficient to substantially enclose the patient therein.

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
38. A two-dimensional pattern for assembling an isolation enclosure to isolate a patient, the patient having a highly contagious disease, the two-dimensional pattern comprising:
a sheet of transparent material having a generally rectangular-shaped central panel and first and second spaced apart joints;
first and second end panel sheets each connected to the respective spaced apart joints;
first and second spaced apart sleeve attachment portions located on one side of the transparent material and shaped to receive therein respective first and second flexible rods; and first and second substantially rhomboidal spaced apart panels extending away from the rectangular-shaped central panel, the sleeve attachment portions each extending from the rhomboidal panels across the rectangular-shaped panel for receiving therein the flexible rods during assembly of the isolation enclosure.
39. The two-dimensional pattern, according to claim 38, in which the first and second sleeve attachment portions include an arcuate top portion and two concave side portions contiguous therewith.
40. The two-dimensional pattern, according to claim 39, in which the arcuate top portion and the two concave portions are moustache shaped.
41. A two-dimensional pattern for assembling an isolation enclosure to isolate a patient, the patient having a highly contagious disease, the two-dimensional pattern comprising:

Date Recue/Date Received 2020-08-07 Docket #: 178-P01.CA
SPECIFICATION
a sheet of transparent material having a generally rectangular-shaped central panel and first and second spaced apart joints;
first and second end square-shaped panel sheets each connected to the respective spaced apart joints; and first and second spaced apart sleeve attachment portions located on one side of the transparent material and shaped to receive therein respective first and second flexible rods, the sleeve attachment portions each extending across the rectangular-shaped central panel for receiving therein the flexible rods during assembly of the isolation enclosure.

Date Recue/Date Received 2020-08-07
CA3089447A 2020-08-07 2020-08-07 Isolation housing for patient having a contagious disease Abandoned CA3089447A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA3089447A CA3089447A1 (en) 2020-08-07 2020-08-07 Isolation housing for patient having a contagious disease

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CA3089447A CA3089447A1 (en) 2020-08-07 2020-08-07 Isolation housing for patient having a contagious disease

Publications (1)

Publication Number Publication Date
CA3089447A1 true CA3089447A1 (en) 2022-02-07

Family

ID=80222031

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3089447A Abandoned CA3089447A1 (en) 2020-08-07 2020-08-07 Isolation housing for patient having a contagious disease

Country Status (1)

Country Link
CA (1) CA3089447A1 (en)

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