EP0612237B1 - Lit d'accouchement - Google Patents

Lit d'accouchement Download PDF

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Publication number
EP0612237B1
EP0612237B1 EP92923553A EP92923553A EP0612237B1 EP 0612237 B1 EP0612237 B1 EP 0612237B1 EP 92923553 A EP92923553 A EP 92923553A EP 92923553 A EP92923553 A EP 92923553A EP 0612237 B1 EP0612237 B1 EP 0612237B1
Authority
EP
European Patent Office
Prior art keywords
supporting part
main
leg
main supporting
bed according
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP92923553A
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German (de)
English (en)
Other versions
EP0612237A1 (fr
Inventor
Iris Podgorschek
Karin Berghammer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from AT223391A external-priority patent/AT396327B/de
Application filed by Individual filed Critical Individual
Publication of EP0612237A1 publication Critical patent/EP0612237A1/fr
Application granted granted Critical
Publication of EP0612237B1 publication Critical patent/EP0612237B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/02—Adjustable operating tables; Controls therefor
    • A61G13/06—Adjustable operating tables; Controls therefor raising or lowering of the whole table surface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/0009—Obstetrical tables or delivery beds

Definitions

  • the invention relates to a birthing bed with a lying surface which is divided into two mutually adjustable parts, etc. a main bearing part supporting the upper body and the pelvis of the parturient and a leg supporting part supporting the legs, the main bearing part and the leg bearing part being mutually adjustable from a common lying plane located at a predetermined height in planes located at different heights and approximately parallel to the lying plane, u. between by lowering and lifting the leg support part by means of an adjustment mechanism, and the leg support part being displaceable in the position in the longitudinal direction of the birth bed under the main support part, in a position lower than the main support part, into a space provided at least in the pelvic region below the main support part.
  • Simple birthing beds are known for example from US-A-4,615,058, EP-A-0 136 419, US-A-4,682,376 and DE-GM - 88 06419.
  • the invention has for its object to provide a birthing bed that meets the new demands of natural obstetrics, including upright birth, where the woman can determine her position yourself and the partner with good accessibility for the doctor treating in an upright posture or the midwife is integrated. Furthermore, it should be possible to convert it quickly into an operating table for any medical interventions that may be necessary.
  • the main bearing part is supported on a bracket projecting from a main support arranged at the head end region of the main bearing part and can be raised and lowered again from a predetermined lying height into a higher position by means of an adjustment mechanism, independently of the leg bearing part.
  • a childbirth bed in which a main bearing part and a leg bearing part can also be adjusted in height relative to one another, but the leg bearing part can only be pushed under the main bearing part in a completely lowered position.
  • the leg support part can only be fixed at a certain height, so it cannot assume any intermediate height positions between its uppermost position and its lowest position. It is therefore hardly possible for the woman giving birth to take a squatting position, and even if so, this squatting position can only be taken up near the floor, so that the doctor or midwife must adopt a stooped posture during all of her manipulations.
  • the leg support part In the semi-lowered position, which would allow a crouching position in a slightly higher position, the leg support part cannot be inserted under the main support part, since a height adjustment device for the main support part, which is designed as a column, would be in the way in the pelvic region of the main support part. This makes access to the leg support part protruding forward very difficult - the doctor or midwife has to bend over the protruding front end of the leg support part.
  • the inventive arrangement of the main support at the head end area of the main bearing part below it creates a free space, so that the leg bearing part can be inserted at any height position under the main bearing part.
  • the birthing bed according to the invention offers the possibility of creating two levels with a level difference, which enables both the sitting posture for the woman giving birth and the squatting position on the lower level, alone or supported on the legs of the partner sitting on the upper level.
  • This difference in level is of the order of 50 cm. It is important here that the leg support part can be partially inserted under the main support part, so that there is good access from the front.
  • the main bearing part and the leg bearing part can preferably be continuously raised and lowered.
  • An expedient space-saving construction is characterized in that the main bearing part can be raised and tilted with respect to the carrier rigidly arranged on the rigid main support, the leg bearing part advantageously being able to be brought in a lowered position under the carrier carrying the main bearing part.
  • the main bearing part can advantageously be adjusted to different inclinations by means of the adjustment mechanism.
  • the main bearing part has a back and a pelvic plate, which are connected to one another in an articulated manner and can be brought individually into different inclinations.
  • a guide rail is advantageously arranged on the main support in the direction of the cantilever and supporting the main support part, along which the leg support part can be moved.
  • a further preferred embodiment is characterized in that the leg support part can be removed completely from the main support part, the leg support part being supported by means of swivel arms on a separate support frame provided independently of the main support of the main support part.
  • the leg support part is advantageously equipped at its end facing the main storage part with a convexly projecting, preferably semicircular part, which engages in a concave indentation arranged opposite one another on the main storage part, with the main storage and leg storage part located at the same height.
  • a universal usability of the birthing bed is particularly given when a plug-in back is provided, which can be plugged on both at the head end of the main bearing part, preferably at the level of the support supporting the main bearing part, and at the foot end of the leg bearing part, and when handle supports and / or leg supports are also provided , the can be attached either to the main bearing part and / or to the leg bearing part.
  • the leg support part can advantageously be connected to the guide rail by means of brake shoes engaging the guide rail and guided on the guide rail by means of guide rollers, the guide rail preferably being used as an energy supply line, preferably as Current conductor, is designed to supply the adjustment mechanism of the leg support part.
  • leg support part Independent movement of the leg support part is advantageously ensured in that the leg support part is supported on the foundation by means of support rollers mounted on its support frame, the support rollers of the leg support part advantageously being designed as fixable steering rollers.
  • both the main bearing part and the leg bearing part are expediently each equipped with their own electrically operated hydraulic unit.
  • a structurally simple construction which enables both the lifting and lowering and inclinability of the main bearing part, is characterized in that the main bearing part has a frame which can be raised and lowered with respect to the carrier and which is arranged with a head end as well as at the opposite end
  • the toggle lever is articulated to the carrier, wherein on each of the toggle levers a hydraulic cylinder articulated on the one hand on the knee and on the other hand on the carrier or on the frame acts.
  • FIGS. 1 and 2 each showing a side view of a birthing bed once in the lying position (FIG. 1) and once with the maximum adjustable Illustrate the height difference between the main bearing part and the leg bearing part in a schematic representation.
  • Fig. 3 is a plan view of the birthing bed
  • Fig. 4 shows a section taken along the line IV-IV of Fig. 1.
  • 5, 6 and 7 each show schematic side views of the birthing bed, with FIGS. 5A to 5F showing the birthing bed in different positions, but with the main bearing part and the leg bearing part located at the same height.
  • 6A to 6D illustrate positions of the birthing bed with the main support member and the leg support member at different altitudes
  • Figs. 7A to 7D show the separate use of either only the main support member or the main support member and the leg support member.
  • the Fig. 5 , 6 and 7 show in an analogous representation to FIGS. 5, 6 and 7 the application in practice.
  • the birthing bed according to the invention has a lying surface 1, which is formed by two parts which are adjustable relative to one another, etc. of a main bearing part 2, on which a childbearing woman lying on the lying surface 1 can support the upper body and the pelvis, and a leg bearing part 3, on which the legs can be supported.
  • the main bearing part 2 is supported on a support 6 which projects from a main support 5 fastened to the foundation 4.
  • the main support 5 itself is firmly anchored to the foundation 4 with anchoring means 7.
  • the other end of the toggle levers 8, 9 is connected in an articulated manner to a frame 10 which can be raised and lowered relative to the carrier 6.
  • a hydraulic cylinder 12, 13 articulated on the one hand on the knee 11 and on the other hand on the support 6 is articulated, by the actuation of which the frame 10 can be raised and lowered continuously relative to the support 6, as shown in particular in FIGS. 1 and 2 can be seen. If the hydraulic cylinders 12, 13 are acted on unevenly, it is possible to face the frame 10 to let the carrier 6 assume an inclined position continuously, cf. e.g. Fig. 7C.
  • Two further hydraulic cylinders 17, 18 allow both the pivoting of the back plate 14 and the pelvic plate 15 relative to one another and also relative to the frame 10 (cf. FIGS. 5B, 5D).
  • the back 14 and pelvic plate 15 serve to receive a foam mattress 19 with a plastic cover.
  • the actuators for the main bearing part 2 are supplied with power via a power supply line 20 which opens into the main support 5.
  • An electrically operated hydraulic unit 21, with which the hydraulic cylinders are supplied, is arranged in the main support 5 in a space-saving manner.
  • the main support 5 is covered on all sides and provided with a revision door 22 in order to enable good access to the hydraulic unit 21.
  • the leg bearing part 3 is supported on its own support frame 23.
  • a guide rail 25, which is directed from the main support 5 of the main support part 2 parallel to the support 6 and is arranged near the floor, projects towards the free end of the support 6 and is the support frame 23 of the leg support part 3 guided on the guide rail 25 by means of guide rollers 26.
  • Brake shoes 27, preferably hydraulically operated, serve to fix the leg support part 3 in a certain position along the guide rail 25.
  • the guide rail 25 also receives an energy supply line for supplying an adjustment mechanism of the leg support part 3, preferably the guide rail itself is designed as a low-voltage conductor for supplying an electrically operated hydraulic unit 28 accommodated in the support frame 23 of the leg support part 3.
  • a plate 31 surrounded by a rigid frame 30 can be raised and lowered on the support frame 23 by means of two articulated and mutually parallel swivel arms 29, the swivel arms 29 being adjustable by means of a hydraulic cylinder 32.
  • the plate 31 serves to receive a foam mattress 33 with a plastic cover.
  • the mattress 33 of the leg support part 3 can be raised and lowered continuously in the horizontal position with the aid of the swivel arms 29.
  • the leg support part 3 has, at its end directed towards the main support part 2, a convexly projecting semicircular part 34, which in an indentation 35 arranged opposite to the main support part 2 with the main support 2 and leg support part 3 at the same height engages so that a closed lying surface 1 is present despite this indentation.
  • a backrest 36 is both at the head end of the main storage part 2, etc. at the level of the cantilever beam 6, as well as at the foot end of the leg support part 3, etc. into the liftable and lowerable plate 31 or its frame 30, can be inserted.
  • the plug-in back 36 when it is attached to the leg support part (cf. FIG. 5C), can be raised and lowered with its mattress 33.
  • Handle supports 37 and leg supports 38 can be attached either to the main bearing part 2 and / or to the leg bearing part 3.
  • a linkage 39 for suspending a handle 40 can be mounted on the main support 5 at the head end of the main bearing part 2.
  • the linkage protrudes approximately to over the front half (the pelvic plate 15) of the main bearing part and projects so high that a high position below the linkage 39 can be taken.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

Un lit d'accouchement avec une surface de repos (1) divisée transversalement en deux parties pouvant se déplacer l'une par rapport à l'autre présente une partie (2) soutenant la majeure partie du corps et une partie (3) soutenant les jambes. Ces deux parties (2, 3) peuvent se déplacer l'une par rapport à l'autre, à partir d'un plan commun correspondant à une position allongée, dans des plans situés à différentes hauteurs et approximativement parallèles au plan de la position allongée. La partie (3) soutenant les jambes peut être déplacée, en position abaissée par rapport à la partie (2) soutenant la majeure partie du corps, dans le sens longitudinal du lit d'accouchement, sous la partie (2) soutenant la majeure partie du corps, dans un espace libre prévu sous cette partie (2) soutenant la majeure partie du corps au moins dans la zone de cette partie correspondant au bassin. Pour permettre à la parturiente de prendre une position correspondant à son souhait, y compris une position verticale de parturition, offrant une bonne accessibilité pour le médecin et la sage-femme, la partie (2) supportant la majeure partie du corps s'appuie sur un support (6) sortant d'un appui principal (5) s'appuyant sur le sol (4) et disposé dans la zone qui correspond à la tête dans la partie (2) soutenant la majeure partie du corps et elle peut être soulevée jusqu'à une position supérieure et ramenée ensuite à la première position au moyen d'un mécanisme de réglage (8, 9, 11, 12, 13).

Claims (18)

  1. Lit d'accouchement, comportant une surface de repos (1) divisée transversalement en deux parties réglables l'une par rapport l'autre, à savoir une partie de support principale (2) qui supporte le buste et le bassin de la parturiente et une partie de support pour les jambes (3) qui supporte les jambes, la partie de support principale (2) et la partie de support pour les jambes (3) pouvant être réglées l'une par rapport à l'autre depuis un plan de repos commun situé à hauteur prédéterminée jusque dans des plans situés dans différentes positions en hauteur et approximativement parallèles au plan de repos, et ceci grâce à la possibilité d'abaisser et de monter la partie de support pour les jambes (3) au moyen d'un mécanisme de réglage (29, 32), et la partie de support pour les jambes (3) pouvant être déplacée au-dessous de la partie de support principale (2) dans une position abaissée par rapport à la partie de support principale (2) en direction longitudinale du lit d'accouchement dans un espace prévu au-dessous de la partie de support principale (2) au moins dans sa région de bassin, caractérisé en ce que la partie de support principale (2) est supportée par un support (6) en surplomb par rapport à un appui principal (5) agencé dans la région d'extrémité de tête de la partie de support principale (2), et en ce qu'elle peut être levée depuis la position de repos prédéterminée jusque dans une position supérieure et être abaissée en retour, au moyen d'un mécanisme de réglage (8, 9, 11, 12, 13), indépendamment de la partie de support pour les jambes (3).
  2. Lit d'accouchement selon la revendication 1, caractérisé en ce que la partie de support principale (2) et la partie de support pour les jambes (3) peuvent être levées et abaissées en continu.
  3. Lit d'accouchement selon la revendication 2, caractérisé en ce que la partie de support principale (2) peut être levée, abaissée et inclinée par rapport au support (6) agencé rigidement sur l'appui principal (5) rigide en lui-même.
  4. Lit d'accouchement selon l'une ou l'autre des revendications 2 et 3, caractérisé en ce que la partie de support pour les jambes (3) peut être amenée dans la position abaissée au-dessous du support (6) qui porte la partie de support principale (2).
  5. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 4, caractérisé en ce que la partie de support principale (2) est réglable au moyen du mécanisme de réglage (8, 9, 11, 12, 13) dans différentes inclinaisons.
  6. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 5, caractérisé en ce que la partie de support principale (2) présente une plaque à dos (14) et une plaque à bassin (15), qui sont reliées l'une à l'autre avec articulation et qui peuvent être amenées individuellement sous différentes inclinaisons.
  7. Lit d'accouchement selon l'une ou plusieurs des revendications 2 à 6, caractérisé en ce que sur l'appui principal (5) est agencé un rail de guidage (25) dirigé en direction du support (6) en surplomb qui supporte la partie de support principale (2), le long duquel est mobile la partie de support pour les jambes (3).
  8. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 7, caractérisé en ce que la partie de support pour les jambes (3) peut être entièrement enlevée de la partie de support principale (2), la partie de support pour les jambes (3) étant supportée au moyen de bras de basculement (29) sur un châssis propre (23) prévu indépendamment de l'appui principal (5) de la partie de support principale (2).
  9. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 8, caractérisé en ce que la partie de support pour les jambes (3) est équipée à son extrémité dirigée vers la partie de support principale (2) d'une pièce (34) faisant saillie de façon convexe et de préférence en forme de demi-cercle, qui s'engage dans une cavité concave (35) agencée de façon complémentaire sur la partie de support principale (2) lorsque la partie de support principale (2) et la partie de support pour les jambes (3) se trouvent à la même position en hauteur.
  10. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 9, caractérisé en ce qu'il est prévu un dossier (36) qui peut être fixé à l'extrémité de tête de la partie de support principale (2), de préférence à la hauteur du support (6) qui supporte la partie de support principale (2), et/ou à l'extrémité de pied de la partie de support pour les jambes (3).
  11. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 10, caractérisé en ce qu'il est prévu des appuis de poignée (37) et/ou des appuis de jambe (38).
  12. Lit d'accouchement selon la revendication 7, caractérisé en ce que la partie de support pour les jambes (3) peut être reliée au rail de guidage (25) au moyen de mâchoires de frein (27) attaquant le rail de guidage (25), et en ce qu'elle est guidée sur le rail de guidage (25) au moyen de galets de guidage (26).
  13. Lit d'accouchement selon la revendication 8, caractérisé en ce que la partie de support pour les jambes (3) est appuyée sur le socle (4) au moyen de galets d'appui (24) montés sur son châssis (23).
  14. Lit d'accouchement selon la revendication 13. caractérisé en ce que les galets d'appui (24) de la partie de support pour les jambes (3) sont réalisés sous la forme de galets de guidage susceptibles d'être fixés.
  15. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 14, caractérisé en ce que la partie de support principale (2) et également la partie de support pour les jambes (3) sont équipées chacune d'une propre unité hydraulique (21, 28) entraînée électriquement.
  16. Lit d'accouchement selon la revendication 2, caractérisé en ce que la partie de support principale (2) présente un cadre (10) pouvant être levé et abaissé par rapport au support (6), qui est relié au support (6) en articulation par des leviers à genouillère (8, 9) agencés respectivement à l'extrémité de tête et également à l'extrémité opposée, et en ce qu'il est prévu un cylindre hydraulique articulé d'une part sur la genouillère (11) et d'autre par sur le support (6) ou sur le cadre, qui attaque chaque levier à genouillère (8, 9).
  17. Lit d'accouchement selon la revendication 7, caractérisé en ce que le rail de guidage (25) est réalisé sous la forme d'une ligne d'alimentation en énergie, de préférence sous la forme d'un conducteur électrique, pour alimenter le mécanisme de réglage (29, 32) de la partie de support pour les jambes (3).
  18. Lit d'accouchement selon l'une ou plusieurs des revendications 1 à 17, caractérisé en ce qu'il est prévu un système à tiges (39), qui peut être monté au choix à l'extrémité de tête de la partie de support principale (2), et en ce qu'une poignée (40) est montée sur le système à tiges (40).
EP92923553A 1991-11-12 1992-11-12 Lit d'accouchement Expired - Lifetime EP0612237B1 (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
AT223391A AT396327B (de) 1991-11-12 1991-11-12 Gebaerbett
AT2233/91 1991-11-12
AT147892 1992-07-20
AT1478/92 1992-07-20
PCT/AT1992/000145 WO1993009750A1 (fr) 1991-11-12 1992-11-12 Lit d'accouchement

Publications (2)

Publication Number Publication Date
EP0612237A1 EP0612237A1 (fr) 1994-08-31
EP0612237B1 true EP0612237B1 (fr) 1995-10-11

Family

ID=25595954

Family Applications (1)

Application Number Title Priority Date Filing Date
EP92923553A Expired - Lifetime EP0612237B1 (fr) 1991-11-12 1992-11-12 Lit d'accouchement

Country Status (5)

Country Link
US (1) US5522098A (fr)
EP (1) EP0612237B1 (fr)
DE (1) DE59204014D1 (fr)
DK (1) DK0612237T3 (fr)
WO (1) WO1993009750A1 (fr)

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CN103735378B (zh) * 2013-12-04 2017-02-08 施晓明 一种人体移位辅助装置和人体移位方法
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CZ307343B6 (cs) * 2016-09-20 2018-06-20 BORCAD Medical a.s. Zdravotnický prostředek
CN109674609A (zh) * 2019-01-23 2019-04-26 邹晓磊 一种产科临床辅助顺产装置
NL2023741B1 (nl) * 2019-08-30 2021-04-13 Schell Ind Bv Bevallingsbed
CN114099209A (zh) * 2021-11-27 2022-03-01 罗文� 一种智能阴道精准整形系统

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Also Published As

Publication number Publication date
US5522098A (en) 1996-06-04
DE59204014D1 (de) 1995-11-16
WO1993009750A1 (fr) 1993-05-27
EP0612237A1 (fr) 1994-08-31
DK0612237T3 (da) 1996-02-05

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