EP0799010B1 - Vorrichtung, insbesondere zur dekubitus-prophylaxe - Google Patents

Vorrichtung, insbesondere zur dekubitus-prophylaxe Download PDF

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Publication number
EP0799010B1
EP0799010B1 EP95936504A EP95936504A EP0799010B1 EP 0799010 B1 EP0799010 B1 EP 0799010B1 EP 95936504 A EP95936504 A EP 95936504A EP 95936504 A EP95936504 A EP 95936504A EP 0799010 B1 EP0799010 B1 EP 0799010B1
Authority
EP
European Patent Office
Prior art keywords
drive unit
bed
mattress
drive device
patient
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
EP95936504A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP0799010A1 (de
Inventor
Albrecht Hörlin
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
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0799010A1 publication Critical patent/EP0799010A1/de
Application granted granted Critical
Publication of EP0799010B1 publication Critical patent/EP0799010B1/de
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
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/001—Apparatus for applying movements to the whole body
    • A61H1/003—Rocking or oscillating around a horizontal axis transverse to the body
    • A—HUMAN NECESSITIES
    • A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47C—CHAIRS; SOFAS; BEDS
    • A47C21/00—Attachments for beds, e.g. sheet holders or bed-cover holders; Ventilating, cooling or heating means in connection with bedsteads or mattresses
    • A47C21/006—Oscillating, balancing or vibrating mechanisms connected to the bedstead
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00—Additional characteristics concerning the patient
    • A61H2203/04—Position of the patient
    • A61H2203/0443—Position of the patient substantially horizontal
    • A61H2203/0456—Supine

Definitions

  • the invention relates to a bedside device, in particular for pressure ulcer prophylaxis.
  • Therapeutic measures are dependent on the extent and stage of the the progressive process on the one hand the surgeon clean up the necrotic area, and above all else the nursing treatment with intensive skin care, antibiotic Local therapy, massage and last but not least constant relocation of the patient to the affected area spare and keep vital. These measures require one high personnel, time and financial expenditure, the mainly due to lack of staff, sometimes only in is operated insufficiently.
  • German patent application DE 42 39 942 is provided for the treatment of sleep disorders. So that this can be put into a rocking movement, it must but freely suspended from the ceiling like a hammock be what its use in the inpatient clinic area as good as makes impossible.
  • a therapeutic bed is known from US Pat. No. 4,586,492 Frame can be put into a rhythmic circular motion that resemble of the movement of a boat on moving seas.
  • the Drive device is below the center of gravity of the Frame arranged and has means for controlling the speed the circular motion.
  • This circular movement is represented by a Drive device realized, which is connected to a lower frame is and drives the upper frame, which is mounted on shock absorbers.
  • a rocking bed is known, which is a kind Precession movement, i.e. a rocking movement from head to toe or can run from one side to the other.
  • the bed frame is connected to a drive device, so that the bed is horizontal as well as vertical Axis oscillates.
  • the drive device is very expensive.
  • a gear transmission is coupled to a cam drive. The cam rotates in a spiral groove, which is the oscillating one Movement realized.
  • the invention seeks to remedy these disadvantages.
  • the invention lies Task based on a device, in particular for pressure ulcer prophylaxis provide by a bedridden patient constantly changing his position almost imperceptibly, is relocated without the patient being disturbed by noises or fibrillation is affected immediately if needed is available, i.e. without changing the patient's bed, and so on is compact and functional in that it itself is inexpensive is producible and also saves costs in a conventional one Bedside can be integrated.
  • this device can be designed so that a so equipped Sick bed usually in the disinfection chamber can be disinfected.
  • a bedside grate mountable device suggested by a substantially symmetrical around the center of gravity of the bed base, support and patient Drive device is characterized, by which the Bed frame or the surface normal to the bed frame in a Precession movement can be offset by this drive device can.
  • the drive device has an upper and a lower one Storage on, between which a gear is arranged, in which in the middle is a ring or disc with an inclined surface.
  • the Gear transmission is designed so that a motor a so-called drive wheel is driven with a gear, which is between an upper and a lower bearing drives another rotating gear.
  • This indirectly driven Gear has either an attached disc or Ring or a centrally located in the driven gear Disc with an inclined surface, with this attached the disc triggering the precession movement differs widely has axial heights.
  • the upper storage is with a holding device Bed grid connected.
  • the lower storage is with a Recording frame connected.
  • a connecting element is provided between the bed grate and the frame, which is between the bed frame and the lower bed frame.
  • This connecting element can either on the mounting frame or be arranged and connected to the receiving frame and bed frame.
  • the holding device which is connected to the bed frame and to which the upper bearings are attached Stop element on which in the connecting element, which arranged between the receiving frame and the bed frame intervenes.
  • the connecting element is designed such that that arranged on or connected to the holding device Stop element protrudes into the connecting element, this stop element the deflection of the precession movement of the bed grate through the circumferential inclination element limited.
  • the stop element leads in the connecting element a vertical upward and downward lifting movement during the circulation of the inclination element.
  • the surface can be Gear mechanism of the drive device be incorporated, that is can be formed centrally in the indirectly driven gear or be arranged.
  • the upper bearing and the lower bearing have an inner and outer bearing ring.
  • the inner bearing ring of the upper bearing is fixed with the arranged in or on the gear inclined surface formed disc connected.
  • the outer The bearing ring is firmly attached to the holding device.
  • Of the inner ring of the lower bearing is indirectly driven Gear firmly connected and rotates with this ring, whereby the outer bearing ring is firmly fixed on the receiving frame is.
  • the entire drive device is one in terms of Disinfectant used in hospitals resistant and flexible rubber or plastic material encased liquid-tight.
  • the rubber or plastic jacket is flexible and follows the precession movement the drive device.
  • Essential for the well-being of a bedridden patient is controlled in addition to the low noise and vibration minimalized movement of the bed.
  • This is through the present invention first of all on practical and uncomplicated Way about the dimensioning of the components of the Drive device (e.g. gear diameter, Bearing height and height of the inclination element) and Furthermore, the control is as problem-free as it is precise allows for the drive device in their respective Embodiment can be used.
  • the parameters of such a controlled and minimized Movement of the bed are advantageous on the control provided means adjustable and changeable. It was found that the frequency of a complete precession movement of the bed should not be less than 1/10 min should not be perceived as disturbing by the patient. Of course, this frequency should be in the interest of the patient kept as low as possible and individually adjustable be. So it can with appropriate physical and illness-related conditions also reduced to 1/1 h be, while still moving the patient in always changed positions is ensured so that pressure ulcers can be effectively prevented and the intact alveolar Structures of the lungs remain available for gas exchange.
  • the statements made about the frequency also apply accordingly for the amplitude of the precession movement.
  • the one for the patient the limit value of the amplitude, which is still well tolerated, can Radius of about 25 cm around the center of gravity of the bed frame do not deflect more than 3 cm from the horizontal.
  • the amplitude of the precession movement is preferably in a range of 3 cm to 10 cm Displacement adjustable from the horizontal.
  • conventional protective agents such as e.g. Grid, are attached to prevent the patient from falling out to prevent larger displacement amplitudes and the patient secure overall.
  • FIG. 1 is a schematic representation of a drive device, which is designed as a gear transmission.
  • a holding device is located below the bed grate 1 12 arranged. This holding device extends essentially in the middle of the longitudinal extension of the bed the entire bed width from left to right bed frame.
  • This Holding device is designed in the manner of a flat bearing surface, the ones extending transversely to the longitudinal direction Extend edge areas away from the bed frame.
  • a stop element 15 is with the holding device following the precession movement firmly connected and engages in a connecting element 14 a.
  • This connecting element 14 which between Receiving frame 17 and bed frame 1 is arranged, in particular as a limit stop to limit the amplitude of deflection of the bed frame from the horizontal.
  • the Precession movement of the bed base 1 is carried out according to FIG the circulation of an inclination disk 13 with respect to its circumference variable axial height expansion reached.
  • the tilt disc is designed in the manner of a wedge plate so that opposing points in their axial height expansion deviate from each other so that a deflection amplitude is guaranteed in the range of 3 to 10 cm.
  • the gear 18, which is driven by a gearwheel connected to the motor 16 is running between an upper bearing 11 and one lower storage 10 um. In the middle, in gear 18, there is one Inclination disc 13 arranged.
  • This inclination disk 13 is tied to the inner bearing ring of the upper bearing 11.
  • the outer bearing ring is firmly connected to the holding device.
  • the gear 18 is with the inner bearing ring of the lower one Bearing 10 connected, the outer bearing ring of the lower Storage 10 is connected to the receiving frame 17.
  • the inner ring of the lower bearing 10 is firmly connected to the indirectly driven gear and runs around with this bearing ring, the outer bearing ring is firmly fixed on the mounting frame.
  • engine and gears are also arranged and fixed in the receiving frame 17.
  • in the shown in Fig.1 embodiment is Part of the wedge plate 13 with the largest possible axial extent on the side of the drive device opposite the motor.
  • the stop element 15 is in the connecting element 14 inclined towards the receiving frame.
  • the inclination disc 13 is integrated and becomes indirect over the driven gear around them into a rotational movement transferred.

Landscapes

  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
EP95936504A 1994-10-16 1995-10-16 Vorrichtung, insbesondere zur dekubitus-prophylaxe Expired - Lifetime EP0799010B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE4436652A DE4436652C1 (de) 1994-10-16 1994-10-16 Vorrichtung zur Dekubitus-Prophylaxe
DE4436652 1994-10-16
PCT/EP1995/004061 WO1996011659A1 (de) 1994-10-16 1995-10-16 Vorrichtung, insbesondere zur dekubitus-prophylaxe

Publications (2)

Publication Number Publication Date
EP0799010A1 EP0799010A1 (de) 1997-10-08
EP0799010B1 true EP0799010B1 (de) 1999-12-15

Family

ID=6530712

Family Applications (1)

Application Number Title Priority Date Filing Date
EP95936504A Expired - Lifetime EP0799010B1 (de) 1994-10-16 1995-10-16 Vorrichtung, insbesondere zur dekubitus-prophylaxe

Country Status (6)

Country Link
EP (1) EP0799010B1 (da)
AT (1) ATE187634T1 (da)
DE (2) DE4436652C1 (da)
DK (1) DK0799010T3 (da)
ES (1) ES2139946T3 (da)
WO (1) WO1996011659A1 (da)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001050921A1 (de) 2000-01-11 2001-07-19 Hoerlin Albrecht Krankenbett

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT509583B1 (de) * 2010-10-25 2011-10-15 Peter Dipl Ing Larsson Betteinsatz

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2808828A (en) * 1955-01-10 1957-10-08 Rubin Joseph Salem Rocking bed
US3191594A (en) * 1963-01-10 1965-06-29 Kenneth H Bagnell Therapeutic chair
US3326209A (en) * 1964-01-29 1967-06-20 Mandl Eleonore Exercising and relaxing apparatus
US4290601A (en) * 1977-05-23 1981-09-22 Mittelstadt Robert A Wobble plate exercise device and toy
US4586492A (en) * 1983-08-08 1986-05-06 Manahan Antonio P Therapeutic bed
DE3800496A1 (de) * 1988-01-11 1989-07-27 Paul Doron Bewegungsbett
FR2680211A1 (fr) * 1991-08-06 1993-02-12 Skf Gmbh Roulement pour mouvements de nutation.
DE4239942A1 (de) * 1992-11-27 1994-06-01 Ludwig Fes Einschlafhilfe

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001050921A1 (de) 2000-01-11 2001-07-19 Hoerlin Albrecht Krankenbett
US7305727B2 (en) 2000-01-11 2007-12-11 Albrecht Horlin Sick-bed

Also Published As

Publication number Publication date
DE4436652C1 (de) 1995-12-21
DE59507448D1 (de) 2000-01-20
EP0799010A1 (de) 1997-10-08
DK0799010T3 (da) 2000-05-01
WO1996011659A1 (de) 1996-04-25
ES2139946T3 (es) 2000-02-16
ATE187634T1 (de) 2000-01-15

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