EP1056372A1 - Procede et appareil de support d'un element a supporter, en particulier le corps d'un patient, a systeme integre d'equilibre dynamique et automatique de pression - Google Patents
Procede et appareil de support d'un element a supporter, en particulier le corps d'un patient, a systeme integre d'equilibre dynamique et automatique de pressionInfo
- Publication number
- EP1056372A1 EP1056372A1 EP99902624A EP99902624A EP1056372A1 EP 1056372 A1 EP1056372 A1 EP 1056372A1 EP 99902624 A EP99902624 A EP 99902624A EP 99902624 A EP99902624 A EP 99902624A EP 1056372 A1 EP1056372 A1 EP 1056372A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- pressure
- chamber
- sensor
- support device
- predetermined
- 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.)
- Granted
Links
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
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05769—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/34—General characteristics of devices characterised by sensor means for pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/36—General characteristics of devices characterised by sensor means for motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/44—General characteristics of devices characterised by sensor means for weight
Definitions
- the present invention essentially relates to a method and an apparatus for supporting an element to be supported, in particular a patient's body, with an integrated dynamic and automatic pressure balance system.
- interface pressures are indeed the main factor in the development of complications resulting from prolonged immobilization in the subject at risk, in particular pressure sores.
- the interface pressures also represent an essential element of the concept of comfort.
- Support devices have already been proposed in the prior art comprising a support device proper for an element to be supported, in particular the body of a patient, a support device generally mainly known under the name of mattress.
- Other support devices are naturally armchairs, cushions, back parts of seats.
- the support device proper comprises at least one closed chamber or with controlled exhaust, flexible, inflatable under pressure as a function of the maximum insertion distance authorized in the support of the element to be supported.
- filling and evacuation means are provided to fill or inflate said chamber until the depression is brought back below the maximum authorized insertion distance.
- the object of the present invention is to solve the new technical problem consisting in providing a solution which makes it possible to achieve dynamic and automatic or substantially automatic regulation of the inflation pressure of at least one chamber provided in or constituting the device for support, without using an electric, capacitive or inductive type detector device.
- the invention therefore aims at a solution entirely different from the solutions previously recommended, thereby opening up a particularly advantageous new way.
- the present invention also aims to solve the new technical problem consisting in providing a solution which makes it possible to achieve dynamic and automatic or substantially automatic regulation of the inflation pressure of at least one chamber provided in or constituting the device. of support, as a function of the weight of the morphological characteristics of the body to be supported, by comparing the pressure existing in said chamber with that restored by an appropriate sensor and cooperating with said chamber so as to give a coherent image of the forces which are applied to it and of their variation in order to bring the body to bear at an optimal equilibrium position from the point of view of the interface pressures exerted on said body at a given instant.
- the main object of the present invention is also to solve the aforementioned new technical problem by the use of a simple, economically inexpensive solution, thus making it possible to reduce the manufacturing and operating cost.
- the present invention also aims to solve the new technical problems stated above, so as to provide an efficient solution whose technical and physical characteristics, in particular the thickness, are such that they can be used in any support device, in particular mattresses including mattress toppers, also cushions and armchairs, or even in other types of applications such as, for example, lifting and measuring.
- the main object of the present invention is also to solve the new technical problem consisting in providing a solution advantageously making it possible to integrate an efficient pressure regulation system in a limited thickness, reliably, safely, easy to use, economical and usable on an industrial and medical scale.
- the present invention provides a method of dynamic and substantially automatic or automatic regulation of the inflation pressure of at least one first flexible, inflatable chamber provided in or constituting a support device, in particular a mattress, a mattress topper, an armchair, a cushion or a seat back, comprising a step of detecting the inflation pressure at a given instant, called P ⁇ (t) of said chamber, and a step of correcting this pressure P ⁇ (t) , as a function of predetermined support characteristics, characterized in that at least one physical pressure sensor is provided, comprising at least a second inflatable chamber inflated to a predetermined initial pressure P, in that said sensor is placed relative to said device of support so that the second chamber of said sensor has its pressure influenced by a pressure change in the first chamber the support device; in that the instantaneous pressure value at a given instant called P 2 (t) is detected in the second chamber of the sensor, in that the pressure measured in the first chamber P ⁇ (t) is compared with the pressure measured in the second chamber P 2 (t
- the senor has at least a second chamber having a substantially constant volume.
- the initial inflation pressure of the second chamber of the sensor is fixed at a predetermined value and this pressure is then allowed to evolve freely as a function of the influence of changes in pressure in the first chamber of the support device.
- the initial pressure of the second chamber of the sensor is equal to or substantially equal to atmospheric pressure.
- the sensor comprising the aforementioned second chamber is arranged under the support device comprising at least said first chamber.
- the pressure P ⁇ (t) in the first chamber is corrected when this pressure P ⁇ (t) deviates from a predetermined value or range of value of the pressure P 2 (t) of the second chamber serving as the reference pressure.
- the present invention also relates to a support device with dynamic and substantially automatic or automatic regulation of the inflation pressure Pi of at least one first flexible, inflatable chamber of a device for supporting an element to be supported , in particular the body of a patient, means for detecting the pressure in said first chamber; and means for controlling means for correcting the pressure in said first chamber as a function of predetermined pressure characteristics, comprising first means for inflating / deflating said chamber of the support device to a variable pressure, including a predetermined initial pressure, characterized in that it comprises at least one physical pressure sensor comprising at least one second inflatable chamber, inflated to a predetermined initial pressure P 2 , said sensor being arranged so as to have the pressure of its second chamber influenced by a change in pressure in the first chamber; means for comparing the pressure Pi in said first chamber with the pressure P 2 in said second chamber, said control means optionally controlling the means for correcting the pressure in said first chamber when the pressure difference is different from one predetermined set pressure value or a predetermined set pressure range.
- the invention makes it possible to solve all the technical problems previously stated in a reliable, safe, easy to implement, economical and usable on an industrial and medical scale.
- the invention provides a solution advantageously making it possible to integrate the various means or devices of the invention in a pressure regulation system performing in a limited thickness, thereby making it possible in turn to limit the overall size of the support device.
- FIG. 1 schematically shows a currently preferred embodiment of a support apparatus according to the present invention, comprising a support device with a single chamber;
- FIG. 2 shows a detailed top view of the sensor and the electronic system comprising associated pressure detection and comparison means, along a trace line II-II of Figure 1;
- - Figure 3 shows a schematic view of the control means 30 of the device;
- - Figure 4 shows the electronic circuit of the dynamic and substantially automatic or automatic pressure regulation device in the support device implementing the functions defined in Figure 3;
- - Figure 5 shows a pressure reaction curve separate from the mattress constituting here the support device 12, Pi, on the ordinate, in inch units of water equivalent to 2.54 bars, as a function of the load applied directly to the center the pressure sensor 50 expressed in kilograms, reported on the abscissa, the sensor 50 being physically uncoupled from the mattress 12;
- - Figure 8 represents the dynamic pressure value Pi or P 2 of response respectively of the mattress 12 or the sensor 50, expressed on the ordinate in inch of water equivalent to 2.54 mbar, according to the actual load applied to the mattress forming the support device 12, such as here a patient H applying by the weight of his body a load expressed in kilograms and on the abscissa
- a support device is represented by the general reference number 10.
- This support device makes it possible to support an element to be supported, in particular, as represented the body of a patient such as 'a human being H.
- This apparatus 10 comprises a support device proper 12 comprising at least one closed chamber or with controlled exhaust 14, flexible, inflatable, which can for example be composed of a multiplicity of inflatable tubes communicating with each other, said chamber 14 being inflatable under an inflation pressure Pi.
- this chamber 14 is not necessarily inflated, but it is more practical to start with an initial pressure, for example close to that of the second chamber 51 described below.
- This chamber 14 has an upper face 15 serving as a support for the element to be supported H, a lower face 16 which can, for example, here rest on a base element represented by the general reference number 40 which, itself, may rest directly or indirectly on a base not shown here.
- the device 12 - base element 40 assembly can be included in a cover 1 1.
- the apparatus also includes means 30 for controlling means 20 of so-called correction control of the filling pressure Pi of the chamber 14 by pumping means 20, comprising filling means proper 21 such as a compressor, using a fluid for filling the chamber 14, in particular air, evacuation means 22 such as a controlled leak valve, connected to the chamber 14 by an appropriate pipe 23.
- Means 31 pressure measurement (see FIG. 3), in particular of the pressure Pi in the first chamber 14 are also provided, connected to the first chamber 14 by a suitable conduit 32. These means 31 are physically incorporated into the means 30.
- the apparatus 10 also comprises a physical pressure sensor 50 comprising at least a second inflatable chamber 51, inflated to a predetermined initial pressure P.
- This sensor 50 is connected by a conduit 34 to the pressure measuring means 31 which also includes, in an integrated manner, means 38 for comparing the pressure between the pressure Pi prevailing in the first chamber 14 of the support device 12 and the pressure P 2 prevailing in the second chamber 51 of the sensor 50.
- this physical pressure sensor 50 is disposed relative to the support device 12 so as to have its pressure P 2 (t) prevailing in the chamber 51 influenced by a change in pressure Pj ( t) prevailing in the first chamber 14 of the support device 12.
- the sensor 50 while remaining independent, gives a pressure value P 2 (t) permanently reproducing a coherent image of the pressure P ⁇ (t) prevailing in the first chamber 14 of the support device 12.
- this sensor 50 comprises a closed, flexible pocket 52 defining the chamber 51 whose volume, once said chamber 51 is filled with an inert fluid such as distilled and treated water, the silicone oil or any other suitable fluid, is substantially constant so that the sensor acts like a real mechanical pressure transducer.
- an inert fluid such as distilled and treated water, the silicone oil or any other suitable fluid
- the pressure measurement means 31 which advantageously carry out a differential measurement of the pressures P ⁇ (t) and P (t) exerted respectively in the chamber 14 of the chamber 51, are an integral part of the control means 30, constantly converting into an electrical signal and by appropriate means shown in FIG. 3, the pressure differential value P ⁇ (t) - P (t) and delivering an electrical voltage, by means of means 38 also comprising a shaping circuit (see FIG.
- All the circuits constituting the means 30 for controlling the means 20 for filling / evacuating the fluid from the chamber 14 are clearly understandable to those skilled in the art from the electronic circuit of FIG. 3 which is incorporated here by reference fully in description and is part integral of the present invention.
- the means 31 for measuring the pressure Pi, P, for comparing and for delivering an output voltage value V s are well known to those skilled in the art and available commercially.
- the sensor 50 is broken down into the pocket 52 defining the pressure take-off chamber 51 P 2 (t) of an electronic circuit 30 constantly converting the pressure difference P ⁇ (t) - P 2 (t) into an electrical signal ) between the chamber 14 and the chamber 52 so as to automatically regulate the pressure in the chamber 14 by controlling the means 20 for filling (21) and evacuating (22) fluid.
- an electronic circuit 30 separately capturing the pressures Pi and P 2 respectively in the first chamber 14 and the second chamber 51, converting these pressures into signals electric then comparing these signals to finally automatically control the means 20 for filling and evacuating fluid from chamber 14.
- this type of pressure sensor 50 associated with the support device 12 and cooperating with an alarm system can also be used to monitor the patient, to detect the exit or possible fall of this patient.
- the second chamber 51 of the physical pressure sensor 50 be filled with a pressure P 2 close to, or equal to, atmospheric pressure so as to: a) ensure, taking into account of the constant or essentially constant volume of the chamber 51, the linearity of the response of the physical pressure sensor 50 in the pressure measurement range considered, b) does not compromise from the outset, by a significant pressure P 2 in the chamber 51, patient comfort and the performance of the support device 12 by a substantially hard surface, c) establishing a reference for the system, easily reproducible and controllable and constituting the zero of the measurement system, d) maximizing the amplitude of the response of the sensor 50 and therefore its resolution.
- a sensor 50 whose initial pressure P 2 in the chamber 51 would be fixed at any predetermined pressure value, different from atmospheric pressure constitutes another type of embodiment perfectly usable, in particular in other applications. It is also understood that the apparatus according to the invention behaves like a logic system with three states: a) rest at a given pressure Pi in the first chamber 14 of the support device 12, b) inflation of the chamber 14, or c) deflating the chamber 14.
- a pressure P ⁇ (t) is produced in the first chamber 14, for example by applying a body of a human being H to the upper face 15 of the chamber 14 or its removal, this pressure is transmitted to the pocket 52 defining the second chamber 51 which reacts with a pressure P 2 (t).
- the pressure P ⁇ (t) is compared to the pressure P 2 (t). a) If the difference in pressure P ⁇ (t) -P 2 (t) is less than a limit minus epsilon determined a priori, the filling means 21, such as a compressor, are actuated so as to restore within the limits provided pressure balance by inflation of the chamber; b) if the difference in pressure P 1 (t) -P 2 (t) is greater than a limit plus epsilon determined a priori, the discharge means 22, such as a leak valve, are actuated so as to restore within the limit provided the pressure balance by deflating the chamber 14; c) if the difference in pressure P ⁇ (t) -P 2 (t) is between -epsilon and + epsilon, the limit determined a priori, nothing happens, the pressures Pi and P 2 are considered to be in the vicinity l one of the other.
- the filling 21 or discharge 22 means are used for a certain duration ⁇ t until the instantaneous pressure balance is restored within the predetermined limits, that is to say until l 'we have P] (t + ⁇ t) between P 2 (t + ⁇ t) - epsilon and P 2 (t + ⁇ t) + epsilon.
- the hysteresis of the system allows regulation between the lower and upper limits of the setpoint area and avoids nuisance oscillation phenomena.
- the sensor 50 associated with the electronic measurement device 30 provides an electrical signal proportional to the pressure difference P ⁇ (t) -P 2 (t) between the first chamber 14 of the support device 12 and the second chamber 51 of the sensor respectively. 50, resulting from the insertion of the body here of a human being H into the chamber 14.
- This electrical signal represents the instantaneous set point of the system in dynamic equilibrium and around which the pressure regulation in the chamber 14 is effected, corrected automatically and in real time so as to ensure the pressure balance between the second chamber 51 of the pocket 52 of the sensor 50 and the first chamber 14 of the support device proper 12.
- Each set point corresponds to a given regulation pressure and therefore a position of the body in the chamber 14 according to its weight and its own morphological characteristics.
- the pressure is regulated by the means for filling and evacuating fluid, in particular all or nothing, by means of the compressor 21 and the controlled leak valve 22.
- the response of the system is as fast as can be the sensor 50 and the electronic control unit 30 coupled to the means 20 for filling (21) and evacuating (22) with fluid.
- the 10 V reference voltage is used for control and alarm comparators. It also serves to supply the electric pressure sensor 31 with pressure called U3.
- An initial adjustment makes it possible to shift the signal from point A in order to compensate for any dispersions due to the sensor 50 or to the electronic components.
- the signal obtained at point B is therefore that of point A increased by the initial setting signal.
- the electrical signal obtained at point B is therefore that of point A increased by the start-up signal.
- a pressure alarm can be triggered when the pressure difference P ⁇ (t) -P 2 (t) is very outside the regulation range, the alarm value is for example + 2 inches H O.
- the alarm signal present at point E is timed before activating the actual alarm, so as not to take into account rapid pressure variations such as, for example, those resulting from the patient's movements.
- This element response diagram is the subject of the graphical curves of FIGS. 5 to 8.
- the experimental reaction curve of the support device 12, here a mattress is obtained in the form of a graph where the pressure Pi in the mattress is a function of the load in kilograms applied centered on the sensor 50, the sensor 50 being uncoupled from the mattress 12, the initial pressure being, for reasons of convenience, fixed at 1.4 inches H 2 O.
- the curve obtained shows that the pressure response of the mattress 12 is linear in the field considered.
- the curves obtained in real operation make it possible to observe, in relation to the experimental results, the influence of the morphological data for a given population representative of the morphological characteristics of the population at risk as well as the influence of the inclinations of the rest plane.
- the curves have substantially the same appearance, for example for all the angles of the back-up part of an articulated bed at 0 °, 45 ° and 60 °, and for all body weights. ée 50 to 100 kg, with interface pressures Pi in chamber 14 of the mattress, the values of which show the effect of regulation in the field under consideration.
- the invention makes it possible to implement the process of dynamic and automatic regulation of pressures in a safe and reliable, economical manner, usable on an industrial and commercial scale as previously stated.
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- Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nursing (AREA)
- Invalid Beds And Related Equipment (AREA)
- Apparatus For Radiation Diagnosis (AREA)
- Mattresses And Other Support Structures For Chairs And Beds (AREA)
- Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
- Radiation-Therapy Devices (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Description
Claims
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9801466A FR2774573B1 (fr) | 1998-02-09 | 1998-02-09 | Procede et appareil de support d'un element a supporter, en particulier le corps d'un patient, a systeme integre d'equilibre dynamique et automatique de pression |
FR9801466 | 1998-02-09 | ||
PCT/FR1999/000277 WO1999039613A1 (fr) | 1998-02-09 | 1999-02-09 | Procede et appareil de support d'un element a supporter, en particulier le corps d'un patient, a systeme integre d'equilibre dynamique et automatique de pression |
Publications (2)
Publication Number | Publication Date |
---|---|
EP1056372A1 true EP1056372A1 (fr) | 2000-12-06 |
EP1056372B1 EP1056372B1 (fr) | 2003-05-02 |
Family
ID=9522724
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP99902624A Expired - Lifetime EP1056372B1 (fr) | 1998-02-09 | 1999-02-09 | Procede et appareil de support d'un element a supporter, en particulier le corps d'un patient, a systeme integre d'equilibre dynamique et automatique de pression |
Country Status (10)
Country | Link |
---|---|
US (1) | US6094762A (fr) |
EP (1) | EP1056372B1 (fr) |
JP (1) | JP2002501799A (fr) |
AT (1) | ATE238724T1 (fr) |
AU (1) | AU2285199A (fr) |
BR (1) | BR9907786A (fr) |
CA (1) | CA2319594A1 (fr) |
DE (1) | DE69907416T2 (fr) |
FR (1) | FR2774573B1 (fr) |
WO (1) | WO1999039613A1 (fr) |
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EP2050425A1 (fr) | 2007-10-18 | 2009-04-22 | Hill-Rom Industries SA | Procédé de gonflage alterné d'un dispositif de support à cellules gonflables et dispositif pour sa mise en oeuvre |
EP2289476A1 (fr) | 2009-08-31 | 2011-03-02 | Hill-Rom Industries SA | Dispositif d'inclinaison latérale |
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- 1998-04-03 US US09/055,096 patent/US6094762A/en not_active Expired - Lifetime
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1999
- 1999-02-09 WO PCT/FR1999/000277 patent/WO1999039613A1/fr active IP Right Grant
- 1999-02-09 BR BR9907786-8A patent/BR9907786A/pt not_active IP Right Cessation
- 1999-02-09 CA CA002319594A patent/CA2319594A1/fr not_active Abandoned
- 1999-02-09 AU AU22851/99A patent/AU2285199A/en not_active Abandoned
- 1999-02-09 DE DE69907416T patent/DE69907416T2/de not_active Expired - Lifetime
- 1999-02-09 JP JP2000530127A patent/JP2002501799A/ja active Pending
- 1999-02-09 AT AT99902624T patent/ATE238724T1/de not_active IP Right Cessation
- 1999-02-09 EP EP99902624A patent/EP1056372B1/fr not_active Expired - Lifetime
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2005929A1 (fr) | 2007-06-18 | 2008-12-24 | Hill-Rom Industries S.A. | Dispositif de support de type matelas comportant une structure gonflable hétérogène |
EP2050425A1 (fr) | 2007-10-18 | 2009-04-22 | Hill-Rom Industries SA | Procédé de gonflage alterné d'un dispositif de support à cellules gonflables et dispositif pour sa mise en oeuvre |
EP2289476A1 (fr) | 2009-08-31 | 2011-03-02 | Hill-Rom Industries SA | Dispositif d'inclinaison latérale |
US8429774B2 (en) | 2009-08-31 | 2013-04-30 | Hill-Rom Industries Sa | Lateral tilt device |
US8601622B1 (en) | 2009-08-31 | 2013-12-10 | Hill-Rom Industries S.A. | Patient support apparatus including a lateral tilt device |
EP3228294A1 (fr) | 2016-04-08 | 2017-10-11 | Hill-Rom Industries SA | Dispositif de support pneumatique et système de commande |
Also Published As
Publication number | Publication date |
---|---|
FR2774573A1 (fr) | 1999-08-13 |
JP2002501799A (ja) | 2002-01-22 |
AU2285199A (en) | 1999-08-23 |
EP1056372B1 (fr) | 2003-05-02 |
DE69907416D1 (de) | 2003-06-05 |
FR2774573B1 (fr) | 2000-04-28 |
ATE238724T1 (de) | 2003-05-15 |
WO1999039613A1 (fr) | 1999-08-12 |
DE69907416T2 (de) | 2004-01-08 |
BR9907786A (pt) | 2000-10-17 |
CA2319594A1 (fr) | 1999-08-12 |
US6094762A (en) | 2000-08-01 |
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