DE202013010375U1 - Lighting device for a patient room and lighting system - Google Patents

Abstract

A lighting device (10) for a patient room, comprising a luminaire housing (30) in which a reading light (40), an examination light (50) and an indirect room light (60) are integrated and / or on which they are mounted.

Description

TECHNICAL AREA

The present invention relates to a lighting device for a patient room. The invention further relates to a lighting system with at least one such lighting device.

BACKGROUND OF THE INVENTION

There are patient and nursing room lighting fixtures incorporating a reading light and room lighting. A lighting device may also include a supply device for providing supply media such as technical gases and / or electricity.

Furthermore, in another patient room there is a supply unit which has a luminaire arrangement with a reading light in a profile-like housing for wall or ceiling mounting above a patient bed. The supply unit comprises at least one second luminaire for direct illumination of an examination area, which corresponds to a patient bed which can be set up in front of the supply unit.

SUMMARY OF THE INVENTION

Against this background, it is an object of the present invention to provide an improved lighting device and an improved lighting system.

This object is achieved by a lighting device with the features of the protection claim 1 and by a lighting system with the features of the protection claim 16.

• – Eine Beleuchtungsvorrichtung für ein Patientenzimmer, mit einem Leuchtengehäuse, in welchem eine Leseleuchte, eine Untersuchungsleuchte und eine indirekten Raumleuchte integriert sind und/oder an welchem diese angebracht sind.
• – Ein Beleuchtungssystem eines für ein Patientenzimmer, welches enthält: mindestens eine erfindungsgemäße Beleuchtungsvorrichtung, eine Steuerung zur Steuerung der Funktion der Beleuchtungsvorrichtungen, mindestens ein Zimmerschalter, mindestens ein und mindestens ein Beleuchtungsprogrammschalter.

Accordingly, it is provided:

• - A lighting device for a patient room, with a lamp housing, in which a reading light, an examination lamp and an indirect room lamp are integrated and / or on which they are mounted.
• - A lighting system for a patient room, comprising: at least one lighting device according to the invention, a controller for controlling the function of the lighting devices, at least one room switch, at least one and at least one lighting program switch.

An inventive concept is to provide a compact lighting device, which provides both a reading light and an examination lamp and an indirect room lamp. The reading lamp, examination lamp and indirect room lamp are integrated in a luminaire housing and / or attached to this. The indirect room lamp is designed such that it is designed glare-free, that is, that the light only indirectly via a ceiling or wall ceiling a room, preferably a patient room, illuminates. This has the advantage that only a single lighting device is installed and thus reduces the electrical wiring overhead in the walls. Furthermore, a room can be illuminated in an energy-efficient manner according to the temporary requirements that arise in a patient's room.

Advantageous embodiments and further developments will become apparent from the other dependent claims and from the description with reference to the figures of the drawing.

According to a preferred embodiment, to illuminate a patient room as large as possible, the indirect room lamp comprises two light devices, which project two differently aligned light beams each with an acute angle to the ceiling, in particular, the acute angle between 10 ° -30 ° differ. With a first light beam, in particular, the space is illuminated directly above a patient bed and with the second light beam as far as possible, another area, an area over the patient bed outgoing area, illuminated.

In order to produce the luminaire housing as efficiently and as maintenance-friendly as possible, the luminaire housing comprises a profile which is produced in particular from an aluminum alloy. On the light profile is a profile cover the indirect room light arranged protective. A profile cover has the advantage that it is easily and quickly wiped off as a whole regularly to remove accumulating dust, the underlying room lamp is protected.

According to an embodiment which further develops the profile, the profile cover has at least two concave profile valleys formed essentially at right angles, in such a way that LED lamp sources can be arranged substantially at right angles to a passage surface of the profile cover. The emitted light thus efficiently passes through the profile coverage with minimized deflection effects.

According to a preferred embodiment, the profile cover is made of polymethylmethacrylate (PMMA) produced. Such profile cover is easy and inexpensive to produce in terms of their weight. In order to make the manufacture of the lighting device as simple and efficient as possible, the reading light comprises LED lamps arranged on a printed circuit board and the printed circuit board is inserted into opposite profile grooves formed in the light profile, application-specific lenses being arranged in particular on the LED lamps. The opposite profile grooves are already formed at a suitable angle in the light profile, so that a further adjustment for the reading light is no longer required. The light beam from the reading light thus advantageously meets at an acute angle to an underlying patient bed. The light beam strikes a reading material substantially at a right angle when a patient wants to read erect in the patient bed.

In order to assemble and produce an examination lamp as efficiently as possible, the examination lamp comprises LED lamps arranged on a printed circuit board and also this printed circuit board is inserted in the lamp profile in trained, opposite profile grooves, being adaptable to the LED lamps, z. B. customer and application specific customizable lenses are arranged. Since the examination lamp is intended to illuminate a further area of a patient bed extending from the wall, the angle of the light beam of an examination lamp is aligned significantly sharper with respect to a patient bed. Furthermore, the examination lamp comprises significantly more LED lamps than the reading lamp, more preferably at least twice as many LED lamps, to provide a brighter examination light and a larger examination area.

In order to produce the lighting device as simply and cost-effectively as possible, the luminaire housing with the luminaire profile comprises only the printed circuit boards with LED lamps for the examination lamp, for the reading lamp and for the indirect room lamp. The controller and converter for the LED lamps are preferably housed in a further housing. The luminaire housing is further preferably arranged on a wall mounting housing. The wall-mounting case is mounted on the wall of a room. On the opposite wall mounting side of the wall mounting housing the lamp housing is arranged. In the wall mounting housing is preferably a 220 volt converter, which converts the voltage to an appropriate voltage LED lamps and, for example, a surge relay to switch the lighting device by remote switches on and off, and a plug-in module to control the lighting device from a controller can. Optionally, supply lines can be accommodated in the longitudinal profile of the wall mounting housing.

According to a further preferred embodiment, at least the two lighting devices of the indirect room lamp comprise four different color LED lamp rows, in particular in the colors blue, cold white, warm, warm white, extreme warm white, in particular with a relatively wide color spectrum in the range from 25,000 K to 2,100 K. Thus, a circadian daylight course in brightness and color temperatures can be imitated via these settings. It can also be imitated a brightly rising day, as well as a red light twilight. A bright morning light is important to invigorate a patient in the morning, since bright light can be used to address hormones by a human being.

According to a further preferred embodiment, the reading illumination is designed such that it forms an additional part of the examination light with an illumination of the head area of a patient area arranged underneath. Thus, from a central switch, which is preferably arranged in the door area of the room, both the reading light and the examination lamp simultaneously switched on and off, whereas the reading light is switched on and off separately by the patient by means of a corresponding reading light switch. This switch can be wired. The reading light switch can be arranged on the lighting device or operated by means of a wireless transmitter.

In order to produce the best possible light conditions in the area of the patient bed, the reading and examination light are designed with high color rendering values in the range of Color Rendering Index (CRI) 90 and 3000 K.

According to an embodiment further developing the examination lamp is designed such that it illuminates the body trunk area and the foot area of a patient on a bed, in particular with an illumination of 500 lx. Thus, sufficient illumination for examination of the patient is ensured.

According to an embodiment further developing the invention, the wall mounting housing comprises a wall mounting profile and a wall mounting housing cover, wherein the wall mounting profile has a recess in the middle, in particular in the form of a double socket to form a wall mounting gauge and a supply opening. This has the advantage that in the redesign of a room, the patient room already from Electrician can be set, where the power supply in the room should be arranged, and can be determined by this, where the lighting devices are to be arranged. The fitter of a lighting device can thus use, for example, a double socket as an assembly aid for arranging the lighting device in a patient room.

In order to simplify the assembly even further, a double socket profile foldable outwards toward the wall is arranged in the wall mounting housing, which can be folded into the wall mounting housing cover after the wall mounting profile has been mounted, the double socket profile in particular comprising functional electronics of the lighting device, in particular a plug-in module as control receiver of a remote control, includes. Thus, a functional electronics with a housing in the form of a double socket outlet profile has a double function. On the one hand, it serves to protect the functional electronics as well as the assembly of the lighting device when mounted on the wall in a patient room.

According to an embodiment further developing the illumination device, in particular in the wall mounting housing, arranged supply lines for the care of the patient. These supply lines can be power and / or telephone cables, but also, for example, gas lines.

The invention is also achieved by a lighting system in that the lighting system is formed with at least one lighting device, a controller, at least one room switch, at least one reading light switch and at least one lighting program switch. Advantageously, lighting devices are arranged per patient room according to the number of intended patients (eg four or six). Several lighting devices can be controlled individually by a central control, which is provided for each individual room, in particular patient rooms, so that they illuminate the room either individually or uniformly. The room switches are in particular provided for activating and deactivating each individual examination light from each lighting device. Read-only light switches either wired or wireless serve to activate the reading lights in each lighting device, and a central lighting program switch is used to turn on a room cleaning light, ensure complete light deactivation of the room, set a light energy saving program, and / or set circadian biologically active activation light programs. This lighting program switch thus controls the control, wherein the controller controls the lights in the lighting device accordingly.

To ensure that only authorized persons operate the lighting program switch, in particular the lighting program switch is designed as a key switch with which the light programs can be controlled via the control.

To save resources, a current surge relay is provided for controlling the lighting devices only for every second lighting device, which can thus control two lighting devices. LED lamps are conventionally driven and dimmed with a pulse width modulation (PWM) signal. In order to avoid a pulsating light signal, which is not directly perceptible because of the inertia of the eyes, but is perceived as pulsating by a living being, the LED lights are designed with an analog control as a dimming device for the LED lamps. The current is regulated analogously.

According to an embodiment further developing the invention, the lighting system comprises a presence sensor, in particular for the bed area, preferably installed in each lighting device, more preferably housed integrated in the wall mounting housing. The presence of a presence sensor provides the advantage that it conveys to the controller at least the reading light and the examination light for an operation to release or block, so that there is no operator error or the patient. Preferably, it can also be provided that the controller is designed to use the information obtained by the presence sensor for the control of the background light. For example, the backlight is activated only when a patient lies in the patient bed associated with the lighting device.

So that the controller takes into account the current brightness, in particular for the bed area, a brightness sensor is preferably arranged centrally within the room to be illuminated. Conceivable, of course, would be another arrangement of the brightness sensor within the room to be illuminated. It is essential that with this sensor, the brightness can be effectively sensed.

According to a preferred embodiment, the lighting system has an acoustic sensor which is adapted to a predetermined acoustic signal z. B. by a patient to operate the lighting devices, for. B. to activate or deactivate. For example, it would be conceivable that the reading light is activated or deactivated by a first acoustic signal, the room light is activated or deactivated by a second acoustic signal and / or the examination light is activated or deactivated by a third acoustic signal. Such acoustic signals can z. For example: a clapping, snapping, whistling, knocking, a call, a special word or the like.

According to a further preferred embodiment, the controller comprises light programs, in particular a room cleaning program, a program for complete light deactivation of the room, a light saving program and / or a circadian biologically active activation light program.

According to a further preferred embodiment, the controller is designed to control the lighting device with the light programs depending on the time of day.

According to a further preferred embodiment, the controller is designed to set parameters of at least one of the light programs and preferably all the light programs. These parameters can be z. Example: the time of day, light intensity, light color, light temperature, duration of a light program, start of a light program, end of a light program and the like.

According to a further preferred embodiment, the illumination program switch, in particular as a key switch, is designed to control light programs via the controller.

According to a further preferred embodiment, each several, in particular four, lighting devices are provided. In this case, every second lighting device comprises a current pulse relay for controlling the lighting device.

According to a further preferred embodiment, a dimming device for the LED lamps is provided, which comprises an analog control of the LED lamps by means of controlled current intensity.

The above embodiments and developments can, if appropriate, combine with each other as desired. Further possible refinements, developments and implementations of the invention also include combinations, not explicitly mentioned, of features of the invention described above or below with regard to the exemplary embodiments. In particular, the person skilled in the art will also add individual aspects as improvements or additions to the respective basic form of the present invention.

CONTENT OF THE DRAWING

The present invention will be explained in more detail with reference to the exemplary embodiments indicated in the schematic figures of the drawings. It shows:

1 a schematic side view of the lighting device according to the invention;

2 a schematic side view according to the 1 with regard to a room illumination;

3 a perspective view of a lighting device according to the invention in a ready for assembly state;

4 an abstracted sectional view of a mounted lighting device;

5 a sectional view of a lighting device according to the invention in the operating state;

6 a perspective view of the lighting device from below;

7 a perspective view in a plan view;

8th a plan view of the lighting device according to the invention;

9 an abstracted plan of a patient room with the lighting system according to the invention; and

10 an abstracted plan for the circadian daylighting of a patient room by means of the indirect room lamp and the lighting system.

The accompanying drawings are intended to provide further understanding of the embodiments of the invention. They illustrate embodiments and, together with the description, serve to explain principles and concepts of the invention. Other embodiments and many of the stated advantages will become apparent with reference to the drawings. The elements of the drawings are not necessarily shown to scale to each other.

In the figures of the drawing are the same, functionally identical and same-acting elements, features and components - unless otherwise stated - each provided with the same reference numerals.

DESCRIPTION OF EMBODIMENTS

The 1 shows an abstracted side view of a patient room with a patient bed, wherein on a wall 2 above the head of the patient bed, a lighting device according to the invention 10 is arranged. The lighting device according to the invention 10 includes a wall mounting housing 20 to which a luminaire housing 30 is mounted extending in the bed direction. Both the wall mounting housing 20 as well as the luminaire housing 30 extend parallel to the patient bed width along. The luminaire housing 30 includes a reading light 40 with a ray of light 45 to form a reading light and an examination light 50 with a ray of light 55 for training an examination light, the reading light 40 also provides a part of the examination light. An indirect room light 60 creates an indirect room light glare-free, in which it is approximately mirrored to the luminaire housing 30 in a direction mirrored to the examination light direction light beam 65 throws at the ceiling. The indirect room light 60 includes two lighting devices 62 . 64 , with which light beams 61 . 63 be generated. As will be described later, the indirect room lamp includes 60 a variety of LED lamps with customizable, z. B. customized and application-specific lenses arranged in front of it.

The 2 shows the in 1 illustrated abstracted side view with the lighting device according to the invention 10 How it works throughout the patient room. The 2 shows that the room lamp 60 her light 65 over the entire ceiling 4 with their two beams of light 61 and 63 distributed. It is further shown that the light is distributed without glare when the lighting device according to the invention 10 at least above the general head height of the caregiving staff and the patient is mounted.

The light beams 61 . 63 each project their light at an acute angle β, γ to the ceiling 4 , The acute angles β, γ close with respect to their centerline rays 61a and 63a an angle α between 10 ° -30 °.

The 3 shows a perspective view of the lighting device according to the invention 10 seen from the wall-side mounting side. The lighting device 10 includes in side view a square wall mounting housing 20 as well as seen in a side view of a rectangular luminaire housing 30 , Both housings extend longitudinally rectangular and parallel to a width of an attachable patient bed. On the wall side in the middle is a double socket profile 26 in the direction of a mounting wall to be mounted 2 arranged. The double socket profile 26 serves as an assembly gauge for the lighting device 10 as a male plug part to the lighting device 10 in a double socket as a female plug in the wall 2 insert.

The wall mounting housing 20 includes a wall mounting profile 22 and a wall-mounting housing cover 24 which includes three profile sides, the lower side, the upper side and the side on which the luminaire housing 30 is mounted. The luminaire housing 30 is formed in the longitudinal direction parallel to the bed width significantly longer than the wall mounting housing 20 , At both ends of the wall mounting housing 20 and the luminaire housing 30 Cover plates are arranged.

The 4 shows in a sectional view in a wall 2 built-in lighting device 10 , 4 shows a double socket profile 26 inserted in the wall 2 , The double socket profile 26 thus serves as an assembly gauge for the lighting device 10 with her in cross-section seen square-shaped wall mounting housing 20 and the rectangular luminaire housing 30 ,

The 5 shows in a cross section transverse to the longitudinal direction of the lighting device 10 seen increases the lighting device 10 with the square wall mounting housing 20 and the luminaire housing arranged thereon 30 , The wall mounting housing 20 is essentially made of an aluminum alloy. The wall mounting housing 20 includes the wall mounting profile 22 and a wall-mounting housing cover 24 , the one lower side 241 a side parallel to the wall 242 and an upper side 243 of the housing cover 24 formed. In the lower side 241 of the wall mounting housing cover 24 is a presence sensor 70 built-in. Furthermore, the double socket profile 26 90 ° inwards in the wall profile housing 20 folded so that an outer circumferential edge of the double socket profile 26 , a parallel surface to the lower side 241 forms. In double socket profile 26 is a functional electronics housed for the lighting device, in particular, a plug-in module is provided as a control receiver for a controller here. The control receiver serves to control the luminaires of the luminaire housing 30 , In wall mounting housing 20 is also a converter 90 housed the voltage of 220 volts to a voltage for LED lamps of the luminaires from the luminaire housing 30 adapted voltage is converted, for example to 48 volts. Either flush with the upper surface 243 from the wall-mounting housing cover 24 or in the middle of the area 242 is the luminaire housing 30 attached.

The luminaire housing 30 includes a lighting profile 32 , preferably as well as the wall mounting housing 20 Made of an aluminum alloy, as well as a profile cover 34 which are the indirect room lamp 60 protects. The profile cover 34 is made of so-called plexiglass, preferably polymethylmethacrylate (PMMA). Such a plastic is lightweight and very transparent and inexpensive. The indirect room light 60 includes two lighting devices 62 and 64 , each light beam 61 . 63 at an acute angle to the ceiling 4 project. The lighting devices 62 . 64 include LED lamps, on which customer or application-specific lenses are arranged. The LED lamps are each located on a printed circuit board 31 . 33 , So that the emitted light is as vertical as possible through the profile cover 34 passes, has the profile cover 34 Seen in cross-section two concave profile troughs formed substantially at right angles 36 . 38 such that the passage surfaces 35 . 37 are formed in the profile cover substantially perpendicular to the emitting light.

The downward reading light 40 as well as the examination light 50 For example, have no profile coverage, since there is no such large risk of contamination due to dust here. For the reading light 40 are on a circuit board 42 Led Lamps 48 arranged on which customer and application-specific lenses 46 are grown. The circuit boards 42 are in, in the luminaire profile 32 trained, opposite profile grooves 43 . 44 inserted. Thus, the assembly is simplified and inexpensive and efficient feasible. Following the same principle is the examination lamp 50 , which preferably illuminates the foot area and the body area of a patient, constructed. On a circuit board 52 are LED lamps 58 arranged on which in turn customer or application-specific lenses 56 are arranged. The circuit board 52 is in, formed in the light profile, opposite profile grooves 53 . 54 inserted.

The 6 shows the lighting device according to the invention in a view from below. In this view is clearly shown that the reading light 40 Approximately four LED lamps centered, whereas the examination light 50 includes about 10 LED bulbs.

The 7 shows the lighting device 10 in a perspective plan view. In this view is visible that the indirect room lamp 60 according to the present embodiment with the light devices 62 . 64 Approximately 50-60 LED lamps each includes. Each lighting device comprises four different color LED lamp rows. The colors of the color LED lamp series are especially blue, cold white, warm white, extreme warm white. How these LED bulbs are used during the day becomes too 10 described in more detail. 7 shows in perspective the two profile valleys 36 . 38 as well as the profile cover 34 ,

The 8th shows in plan view the illumination device according to the invention 10 with the wall profile housing 20 and the luminaire housing 30 ,

The 9 shows a plan of a patient room in an abstract manner with four lighting devices 10 to a lighting system 1 to accomplish. The lighting system 1 includes a controller 100 There is also a room switch 110 , Reading light switch 120 , which are preferably controlled by a cordless operation of the patient, and a lighting program switch 130 ,

A presence sensor integrated in the lighting device 70 monitors the bed area such that mismanagements of the respective lighting device 10 be avoided by the operator or the patient. In order to include the daylight in the lighting by the indirect room lighting, is preferably in the room on the ceiling centrally a brightness sensor 80 arranged, which sends its brightness measurements to the controller 100 transmitted.

It is understood that a table light in the window area and an antechamber light can be arranged, which are controlled via, for example, known motion sensors. By means of a lighting program switch, which is more preferably a key switch to allow only a certain group of people to operate, the controller 100 controlled so that either a so-called Raumreinigungsicht, that is maximum illumination of the room, or a complete light deactivation or a standardized lighting is set to minimum lighting standards or a circadian biologically effective activation light program. Furthermore, it is sufficient if every second lighting device is a surge relay 12 includes to the lighting devices 10 head for. The reading light 40 is preferably two-stage switchable by the patient via an operating switch. The examination light, which is both the reading light 40 as well as the examination light 50 is activated centrally, by a room switch located near the entrance for each individual patient bed, ie for each individual lighting device 10 , via manual switch on and off.

According to an embodiment further developing the invention, an adjustable follow-up time in the controller can be switched off the reading lamp and the examination lamp and the indirect room light. So that the LED lamps in different strengths also dimmable pulse-free produce a light, no pulse width modulation, as conventionally used, but realized according to the invention an analog dimming over a regulated current for dimming.

Thus, a flicker-free room light or reading light and / or examination light is generated. According to the invention, in order to put the patents' well-being in the foreground, a more complex current intensity control of the room light is thus implemented in comparison to a dimming that is easier to control by means of pulse width modulation. The room light can be as in 10 generate a program for a daylight course.

According to the in the 10 Diagram shown is imitated a Tageslichtverlauf. The 10 shows that in the morning in a wake-up phase over a period of one hour, the LEDs of the blue L1 and white L3 color light series are slowly dimmed up to about 6000 K to the maximum intensity. This color temperature and brightness ensures that a patient can be woken up by his natural waking hormones. Starting at lunchtime, lighting is provided via an LED light series L4 and L3 at approx. 2700 K and for the evening area a white light L2 is also added to create a sunset-like red mood. By adding natural sunlight, adding brightness values via the brightness sensor 80 be taken into account, an extremely power-saving illumination by means of the illumination system according to the invention is carried out 1 , The lighting devices 10 can be connected via a so-called DALI interface by means of a CAT5e cabling from the controller 100 be controlled. DALI refers to the Digital Addressable Lighting Interface, which is a protocol for lighting control in building automation.

Although the present invention has been described in detail with reference to various embodiments, modifications and further developments of the lighting device or the illumination system can be made without departing from the gist of the invention.

LIST OF REFERENCE NUMBERS

10

lighting device

20

Wall mount Housing

30

luminaire housing

40

reading light

50

examination light

60

indirect room light

62, 64

Light beam

31, 33

circuit board

32

luminaire profile

34

profile cover

36, 38

profile valleys

35, 37

Passage area

42

circuit board

52

circuit board

48

Led Lamps

43, 44

profiled

53, 54

profiled

46, 56

lenses

22

Wall mounting profile

24

Wall mounting housing cover

26

Doppelsteckdose Profile

100

control

110

room switch

120

Reading light switch

130

Lighting program switch

70

presence sensor

80

brightness sensor

L1-L4

LED color temperature light row

Claims (26)

Lighting device ( 10 ) for a patient room, with a luminaire housing ( 30 ), in which a reading light ( 40 ), an examination lamp ( 50 ) and an indirect room lamp ( 60 ) are integrated and / or on which they are attached. Lighting device according to claim 1, characterized in that the indirect room lamp ( 60 ) comprises two light devices, the two differently aligned light beams ( 61 . 63 ) each with an acute angle to the ceiling ( 4 projecting the acute angles with respect to their centerline beams ( 61a . 63a ), in particular at an angle (α) between 10-30 °, differ. Lighting device according to claim 1 or 2, characterized in that the luminaire housing ( 30 ) a light profile ( 32 ), in particular made of an aluminum alloy, comprises, on which a profile cover ( 34 ) the indirect room lamp ( 60 ) is arranged protective. Lighting device according to claim 3, characterized in that the profile cover ( 34 ) seen in cross-section at least two concave, substantially at right angles formed profile valleys ( 36 . 38 ) such that LED lamps substantially at right angles to a passage surface ( 35 . 37 ) of the profile cover are aligned. Lighting device according to claim 3 or 4, characterized in that the Profile cover ( 34 ) is made of polymethyl methacrylate (PMMA). Lighting device according to one of the preceding claims, characterized in that the reading light ( 40 ) on a printed circuit board ( 42 ) arranged LED lamps ( 48 ) and the printed circuit board ( 42 ) in the luminaire profile ( 32 ) formed, opposite profile grooves ( 43 . 44 ) is inserted, wherein on the LED lamps ( 48 ) customizable lenses ( 46 ) are arranged. Lighting device according to one of the preceding claims, characterized in that the examination lamp ( 50 ) on a printed circuit board ( 52 ) arranged LED lamps ( 58 ) and the printed circuit board ( 52 ) in the luminaire profile ( 32 ) formed, opposite profile grooves ( 53 . 54 ) is inserted, wherein on the LED lamps ( 58 ) customizable lenses ( 56 ) are arranged. Lighting device according to one of the preceding claims, characterized in that the reading light ( 40 ) with an illumination of the head area an additional part of the examination light ( 50 ). Lighting device according to one of the preceding claims, characterized in that the reading and / or examination lamp ( 40 . 50 ) are formed with high color rendering values, in particular with a color rendering index (CRI) 90 and about 3000 K. Lighting device according to one of the preceding claims, characterized in that the examination lamp ( 50 ) is designed such that it illuminates the body trunk area and the foot area of a patient on a bed, in particular with an illumination of 500 lx. Lighting device according to one of the preceding claims 2 to 10, characterized in that at least the two lighting devices of the indirect room lamp ( 60 ) four different color LED lamp rows, in particular in the colors blue, cold white, warm white, extreme warm white, include, in particular with a large color spectrum in the range of 25,000 K to 2,100 K, are formed. Lighting device according to one of the preceding claims, characterized in that the lighting device ( 10 ) a wall mounting housing ( 20 ), to which the luminaire housing ( 30 ) is arranged. Lighting device according to claim 12, characterized in that the wall mounting housing ( 20 ) a wall mounting profile ( 22 ) and a wall-mounting housing cover ( 24 ), wherein the wall mounting profile ( 22 ) has a recess in the center, in particular in the form of a double socket, for the formation of an assembly jig and a supply opening. Lighting device according to the preceding claim, characterized in that in the wall mounting housing ( 20 ) a foldable outward towards the wall double socket profile ( 26 ), which after mounting the wall mounting profile ( 22 ) in the wall-mounting housing cover ( 24 ) is foldable, in particular the double socket profile ( 26 ) a functional electronics of the lighting device ( 10 ), in particular a plug-in module as a control receiver of a remote control comprises. Lighting device according to one of the preceding claims, characterized in that the lighting device ( 10 ) in particular in the wall mounting housing ( 20 ) arranged supply lines for the care of the patient. Lighting system for a patient room, comprising: - at least one lighting device ( 10 ) according to one of the preceding claims, - a controller ( 100 ) for controlling the function of the lighting devices ( 10 ), - at least one room counter ( 110 ), - at least one reading light switch ( 120 ) and - at least one lighting program switch ( 130 ). Illumination system according to claim 16, characterized in that the illumination system ( 1 ) a presence sensor ( 70 ), preferably for the bed area and in particular in each lighting device ( 10 integrated). Lighting system according to claim 17, characterized in that the control is adapted to that of the presence sensor ( 70 ) used for the control of the background light. Illumination system according to one of the preceding system-related claims, characterized in that the illumination system ( 1 ) a brightness sensor ( 80 ) arranged in the room to be illuminated, preferably in the middle of the room to be illuminated, in order to measure the brightness present in the room. Illumination system according to one of the preceding system-related claims, characterized in that the illumination system ( 1 ) an acoustic sensor adapted to respond to a predetermined acoustic signal the lighting devices ( 10 ), z. B. to activate or deactivate. Illumination system according to one of the preceding system-related claims, characterized in that the controller ( 100 ) Light programs, in particular a room cleaning program, a program for a complete light deactivation of the room, a light saving program and / or a circadian biologically active activation light program. Illumination system according to one of the preceding system-related claims, characterized in that the controller ( 100 ) is designed to control the lighting device depending on the time of day with the light programs. Illumination system according to one of the preceding system-related claims, characterized in that the controller ( 100 ) is adapted to set parameters of at least one of the light programs, in particular the time of day, light intensity, light color, light temperature, duration of a light program, start of a light program, end of a light program. Lighting system according to one of the preceding system-related claims, characterized in that the lighting program switch as a key switch for controlling lighting programs via the controller ( 100 ) is trained. Lighting system according to one of the preceding system-related claims, characterized in that a plurality, in particular four, lighting devices are provided, each second lighting device ( 10 ) a surge relay for controlling the lighting device ( 10 ). Lighting system according to one of the preceding system-related claims, characterized in that a dimming device is provided for the LED lamps, which comprises an analog control of the LED lamps by means of a regulated current.

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