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
  • A61G7/001—Beds specially adapted for nursing; Devices for lifting patients or disabled persons with means for turning-over the patient

Definitions

• This invention relates to a therapeutic bed, and in particular to prone positioning beds.
• Patient positioning has been used for some time as a treatment for patient comfort, to prevent skin breakdown, improve drainage and to facilitate breathing.
• One of the goals of patient positioning has been maximisation of ventilation to improve systematic oxygenation.
• Various studies have demonstrated the beneficial effects of body positioning and mobilisation on impaired oxygen transport.
• the support of patients in a prone position can be advantageous in enhancing extension and ventilation of the dorsal aspect of the lungs.
• the present invention particularly relates to therapeutic beds of the type comprising a base frame, a patient support platform rotatably mounted on the base frame for rotational movement about a longitudinal rotational axis of the patient support platform, and drive means for rotation of the patient support platform on the base frame .
• This type of bed is particularly suited for the treatment of patients with respiratory problems.
• the beds advantageously allow rotation of the patient oh the patient support platform and, where required, rotation of the patient support platform into a prone support position which is particularly desirable in the treatment of patients with severe respiratory problems.
• a patient may be heavily intubated with a number of tubes extending over a side of the bed between the patient on the bed and associated apparatus mounted on stands or the like alongside the bed for either delivering liquids to the patient or draining liquids from the patient. Also, there may be a number of wires extending from sensors on the patient to various monitors adjacent the bed.
• These ventilation and drainage tubes, medication supply tubes, monitoring cables and the like are collectively called patient care lines throughout this patent specification.
• patient care lines as used in this patent specification is taken to mean any tubes, pipes, conduits, cables and the like lines for delivery or drainage of fluids to or from a patient, for monitoring a patient's condition and generally speaking for treating a patient on the patient support platform of the bed.
• Another problem that arises is in ensuring that the patient is correctly secured to the patient support platform before rotating the patient support platform away from a horizontal supine support position. Again, a nurse has to check all the patient retaining strapping, rails and supports are secure prior to rotation of the patient support platform into the prone support position. This tends to be very time consuming. Also, it is not always easy to check the strapping or other restraints are correctly and securely engaged.
• the present invention is directed towards overcoming these problems .
• the invention is characterised in that there is provided guide means for patient care lines at one or both ends of the patient support platform for guiding the patient care lines between a patient on the patient support platform and associated apparatus externally of the patient support platform, said guide means being mounted at or adjacent the longitudinal rotational axis of the patient support platform.
• the invention provides a bed incorporating a patient care line management system for optimum handling of patient care lines particularly when rotating the bed between a supine support position and a prone support position.
• the risk of entanglement or dislodgement of the patient care lines is minimised as the lines are securely supported by the guide means during rotation of the patient support platform.
• the invention is characterised in that there is provided a retaining means for releasably securing a patient on the patient support platform, the retaining means being operatively connected to the drive means for rotation of the patient support platform to regulate rotation of the patient support platform in response to correct engagement of the retaining means.
• This construction advantageously prevents rotation of the patient support platform unless the patient is securely strapped or otherwise restrained on the patient support platform. Also, it gives a simple and quick indication to nursing staff as to whether or not the patient is properly secured on the patient support platform.
• the invention is characterised in that there is provided drive means which is operable for rotation of the patient support platform on the base frame, means for sensing the orientation of the patient support platform on the base frame, and means for controlling operation of the drive means in response to the sensed position of the patient support platform on the base frame.
• drive means which is operable for rotation of the patient support platform on the base frame, means for sensing the orientation of the patient support platform on the base frame, and means for controlling operation of the drive means in response to the sensed position of the patient support platform on the base frame.
• means is provided for securing the patient care lines on the guide means.
• the guide means comprises a tubular guide for through passage of the patient care line or lines .
• the tubular guide has a bore for through passage of the patient care lines and a bore insert is provided for engagement within the bore, the bore insert having a number of spaced-apart slots about a periphery of the insert, each slot for receipt of a patient care line, each slot being closed by a side wall of the bore when the insert is mounted within the bore.
• the guide means comprises a guide body having a number of patient care line receiving slots for reception of the patient care lines.
• the guide means has a guide body with a number of spaced-apart peripheral slots for reception of patient care lines.
• each slot has a side opening, and closure means is engagable across the side opening to releasably retain a line within the slot.
• the closure means is a spring- loaded finger normally biased into a slot closing position across the side opening and retractable against spring bias for insertion and removal of a line into or from the slot.
• the closure means is a quick-release strip engagable across the side opening.
• the guide body is movably mounted on the patient support platform for vertical movement of the guide body on the patient support platform.
• the guide body is slidably mounted on the patient support platform.
• retaining means for releasably securing a patient on the patient support platform
• said retaining means being operatively connected to the drive means to regulate rotation of the patient support platform in response to correct engagement of the retaining means .
• the retaining means comprises a number of pairs of support elements mounted between a head end and a foot end of the patient support platform,
• each pair of support elements comprising associated support elements mounted on opposite sides of the patient support platform and having a fastener to secure the support elements together to retain a patient on the patient support platform,
• sensing means being connected to a controller for controlling operation of the drive means.
• each fastener has a complementary pair of fastener parts, namely a first fastener part and a second fastener part,
• one fastener part being mounted on each of the pair of support elements, the first fastener part being normally biased out of engagement with the second fastener part,
• the first fastener part co-operating with the sensor when in an engaged position to indicate that the fastener parts are engaged.
• the senor has a magnetically operated switch and an operating magnet is mounted on the first fastener part to operate the switch.
• the support elements are mounted on side rails upstanding at each side of the patient support platform.
• each side rail is removably mounted on the patient support platform having means for releasably engaging the patient support platform,
• rail sensing means to sense interlocking engagement of the rail with the patient support platform
• said rail sensing means being operatively connected to the controller for the drive means such that the drive means will only operate if the rail is correctly engaged with the patient support platform.
• means is provided to lock each rail on the patient support platform when the patient support platform is in an inverted position.
• one or more hinged panels are provided in the patient support platform to provide access to a patient when the patient support platform is in an inverted position
• each panel having panel locking means to secure the panel in a closed position on the patient support platform
• panel sensing means being provided to sense locking engagement of the panel with the patient support platform
• said panel sensing means being operatively connected to the controller for the drive means such that the drive means will only operate if the panel is locked in a closed position on the patient support platform.
• means for sensing the orientation of the patient support platform on the base frame and means for controlling operation of the drive means in response to the sensed position of the patient support platform on the base frame .
• the sensing means comprises a ring mounted on the patient support platform co-axially with the rotational axis of the patient support platform,
• the ring having a first series of slots spaced at 1° intervals about the ring
• the ring having a number of sets of location slots spaced-apart about the ring, each set of location slots giving an indication of a particular orientation of the patient support platform relative to the base frame, and a complementary position reader associated with the disc, the position reader being mounted on the base frame and having complementary light emitter and receiver pairs supported at opposite sides of the disc for cooperation with the slots in the disc to determine the orientation of the patient support platform on the base frame.
• the ring has a number of parking slots located about the ring defining a number of parking locations for the patient support platform on the base frame at which a locking bolt is engagable between the patient support platform and the base frame to lock the patient support platform on the base frame.
• Fig. 1 is a perspective view of a therapeutic bed according to the invention
• Fig. 2 is a another perspective view of the therapeutic bed, shown in another position of use;
• Fig. 3 is a further perspective view of the bed with a patient support platform of the bed shown in an inverted prone patient supporting position;
• Fig. 4 is an end elevational view of the bed
• Fig. 5 is a perspective view of a frame of the therapeutic bed
• Fig. 6 is a perspective view of a base portion of the bed frame with a patient support platform of the bed removed;
• Fig. 7 is an elevational view of a frame of the bed
• Fig. 8 is a plan view of the bed frame shown in Fig. 7;
• Fig. 9 is a plan view similar to Fig. 8 showing hinged panels of the patient support platform in place on the bed frame;
• Fig. 10 is a perspective view of the bed in use and supporting a patient in a supine position
• Fig. 11 is a perspective view of the bed in use, supporting a patient in a prone position
• Fig. 12 is a detail exploded sectional view of a side rail locking mechanism for the bed
• Fig. 13 is a detail sectional elevational view of a side rail locking mechanism for the bed shown in another position of use;
• Fig. 14 is a sectional elevational view of a panel locking mechanism on the patient support platform
• Fig. 15 is an enlarged detail sectional view of portion of the locking mechanism of Fig. 14;
• Fig. 16 is a view similar to Fig. 15 showing the locking mechanism in another position of use;
• Fig. 17a is a detail perspective view of patient retaining flaps of the bed;
• Fig. 17b is a circuit diagram for a rotational interlock incorporated in the flaps
• Fig. 17c is a detail perspective view of a patient retaining strap and buckle for securing the flaps
• Fig. 18 is an elevational view showing a tube guide at one end of the bed
• Fig. 19 is a detail elevational view of a rotary encoder ring forming portion of a rotational control mechanism for the patient support platform of the bed;
• Fig. 20 is a detail side elevational view of a rotary encoder forming portion of the bed.
• Fig. 21 is a detail view showing portion of the rotary encoder ring.
• the bed 1 comprises a ground engaging chassis 2 mounted on wheels 3.
• a base frame 4 is secured on the chassis 2 by pivot linkages 5.
• Rams 6 housed within the base frame 4 operate the pivot linkages 5 to raise and lower the base frame 4 on the chassis 2.
• the rams 6 may be operated to keep the base frame 4 level as it moves or may be operated to raise or lower one of the ends of the base frame 4 to tilt the base frame 4 about a transverse axis of the base frame 4 to move a patient support platform 7 carried on the base frame 4 into a Trendelenburg position.
• the patient support platform 7 is rotatably mounted on the base frame 4 for rotation about a longitudinal rotational axis of the patient support platform 7 between a supine support position shown in Fig. 1 and a prone support position shown in Fig. 3.
• the patient support platform 7 has a pair of upright end rings 8,9 each of which sits on and rotatably engages an associated pair of spaced-apart rollers 10 (Fig. 6) at each end of the base frame 4.
• Side support bars 12,13 extend between the end rings 8,9.
• a central cross bar 14 extends between the side support bars 12,13.
• Hinged panels 16,17 (Fig. 9) are hingedly connected to the cross bar 14 and can be opened when the bed 1 is in the prone position as illustrated in Fig. 3 for access to the back of a patient on the bed 1. It will be noted that this construction gives good access to the patient with minimal obstruction.
• a slap shut mechanism 20 (Figs. 9 and 14 to 16) is mounted on each panel 16,17 for engagement with the support bars 12,13 to securely lock the panels 16,17 in the closed position.
• a spring loaded locking pin 22 is slidably mounted within an elongate tubular housing 23 for movement between a retracted stored position (Fig. 15) and an extended position (Fig. 16) in which the locking pin 22 engages in an associated receiver slot 23a in the support bars 12,13.
• Sensors (not shown) detect correct locking engagement of each locking pin 22 with its associated receiver slot 23a and sends a signal to a rotational controller for the patient support platform 7 which prevents rotation of the patient support platform 7 unless both panels 16, 17 are securely locked on the patient support platform 7.
• a gravity pin 21 is slidable under gravity in an associated tube 21a on the housing 23 side wall for engagement with a complementary circumferential groove 24 in the locking bolt 22 when the patient support platform 7 is in the supine position to prevent opening of the panels 16, 17, the gravity pin 21 sliding out of engagement with the groove 24 when the patient support platform is in the prone position to allow opening of the panels 16, 17.
• a handle 98 is provided at an inner end of the locking pin 22 for manual release of the locking pin 22 which can be retracted against spring 99 within the housing 23. Thus, the panels 16, 17 are released for opening. In the retracted position, Figs.
• a spring loaded catch 100 mounted on the locking pin 22 engages a slot 101 in a side wall of the housing 23 to retain the locking pin 22 in the retracted position.
• the catch 100 can be pressed into the housing 23 against spring 105 bias to release the locking pin 22 which is then urged outwardly by spring 99 into the outwardly extending engagement position shown in Fig. 16 for re- locking the panels 16, 17 on the patient support platform 7.
• Each side rail 25 has a downwardly extending stanchion 26 at each end which is engagable with a complementary socket 27 (see Fig. 13) in one of the support bars 12,13 of the patient support platform 7.
• a spring loaded locking pin 28 housed within the bar 12,13 is engagable through an opening 24 in the side wall of the socket 27 with a locking slot 29 in the stanchion 26.
• a handle 30 at an inner end of the locking pin 28 is operable to slide the locking pin 28 in an associated housing 31 housed within the bar 12, 13 for release of the stanchion 26.
• a spring 31a within the housing 31 urges the locking pin 28 outwardly of the housing 31 into a stanchion engaging position.
• an associated gravity operated retaining pin 32 is slidably mounted in a tubular casing 33 on the housing 31 such that when the patient support platform 7 is in the inverted prone position the pin 32 drops downwardly under gravity (in the direction of arrow A, Fig. 13) to prevent retraction of the pin 28 locking the rails 25 in position.
• a sensor 35 is engagable with each pin 28 to determine the position of the pin 28 to register if the pin 28 is engaged or disengaged with the stanchion 26.
• All of the sensors 35 are connected in series and are connected to a rotational controller for a motor which rotates the patient support platform 7 such that the motor will not operate until all the sensors 35 indicate that the pins 28 are properly engaged with the stanchions 26 so that the rails 25 are securely attached to and locked in position on the patient support platform 7.
• Each strap 43 comprises a web 44 with either a buckle 45 (Fig. 17) or associated clip 46 at a free end of the web 44, the buckle 45 and clip 46 forming a quick release fastener.
• the web 44 when the buckle 45 is released is shortened by an elastic band 47, which is sewn in a stretched position onto one side of the web 44, to withdraw the buckle 45 from over a magnetically operated switch 48 mounted on the associated flap 41 on which the buckle 45 is mounted.
• the magnetic switch 48 is mounted inside each flap 41 and immediately below the magnet in the tightened buckle 45.
• a series circuit of the magnetic switch 48 and a resistor 49 terminates in a connector 49a which is accessible on an exterior of the flap 41.
• the magnetically operated switch 48 is operable to confirm that the buckles 45 and clips 46 are correctly joined and the patient is thus correctly secured on the patient support platform 7.
• Each of the fasteners must be correctly engaged before the patient support platform 7 can be rotated.
• a hand-held controller 85 (Fig. 4) is mounted in a pocket 86 at the foot of the bed 1. This controller 85 has a contact for engagement with the connector 49a to allow the controller 85 to check the buckle 45 is properly engaged
• Each of the flap pairs 40, 41 are checked in sequence starting at the foot of the bed and moving towards the head end of the bed.
• the patient support platform 7 will not be released for rotation unless flap locking is confirmed in the correct sequence and the sequence is complete. This ensures all the flaps are checked together at the same time.
• the hand-held controller 85 can be used to remotely send an operating signal to the rotation motor controller to rotate the patient support platform 7.
• a nurse can move around the bed 1 as the patient support platform 7 rotates, controlling rotation with the controller 85 to ensure there are no problems with the patient or the patient care lines during rotation.
• Management means for patient care lines such as tubes and sensor cables is provided on the bed.
• the management means comprises a central opening 50 (Fig. 5) adjacent a longitudinal axis of the patient support platform 7 for supporting and through passage of the patient care lines.
• a care line holder 57 (Fig. 4) is removably engagable within the opening 50 and has a number of spaced-apart circumferential slots 58 each for reception of a patient care line. Each slot 58 is closed by the side wall of the opening 50.
• the patient care line management means comprises a guide body 51 (Figs. 1 and 18) mounted adjacent the longitudinal axis of the patient support platform 7 and slidable on associated rails 52 so that it drops beneath the head of the patient when the bed is in either the supine or the prone position.
• the guide 51 has a number of slots 54 for reception of patient care lines.
• the slots 54 may be of different sizes as shown to accommodate different lines.
• a spring loaded retaining finger 55 mounted across the inlets of each slot 54 retains the patient care line within the slot 54.
• the guide body 51 is mounted on a rod 56 which is rotatably mounted on sliders 59 which slidably engage the rails 52.
• the guide body 51 can be rotated out of the way for better access to a patient's head if necessary. It will be appreciated that this patient care line management by leading the patient care lines axially outwardly at each end of the bed greatly facilitates handling of the patient care lines when moving the patient support platform between the supine and prone support positions. Also, the patient care lines are securely held to prevent inadvertent withdrawal from a patient.
• a drive for the patient support platform can be of the type described in our Patent Specification No. W097/22323 (the details of which are incorporated by reference) , essentially comprising a belt drive between the patient support platform 7 and an associated electric motor on the base frame 4 at a foot end of the bed 1.
• operation of the motor is controlled by a rotary opto encoder comprising a code disc 60 with three concentric tracks of slots 61, 62, 63, see Figs. 19 to 21 and a complementary position reader 64.
• An outer angle track 61 comprises slots at 1° intervals.
• An intermediate track 62 has slots to provide index identification and an inner index track 63 has slots in line with the lock ring park position.
• the disc 60 is attached to the patient support platform 7 and the associated position reader 64 is mounted on the base frame 4.
• the position reader 64 has a channel 64a for reception and through passage of an outer portion of the disc 60.
• Light emitters 65 are mounted at one side of the channel 64a and complementary light receivers 66 are mounted at the opposite side of the channel 64a.
• the emitters 65 and receivers 66 co-operate with the associated slots 61, 62, 63 in the disc 60 to indicate the orientation of the patient support platform 7 on the base frame 4. Seven infra-red emitter/detector pairs 65, 66 are used in the optical system to decode the positional information.
• the outer track 61 comprises 360 sets of slots 70 and spaces 71.
• a slot 70 occupies 0.5 degree of the circle, a slot 70 and space 71 together occupying 1 degree.
• the inner track 63 consists of a number of narrow slots 74, each corresponding to a locking position in which an associated locking bolt 75 (Fig. 7) is engagable between the base frame 4 and the patient support platform 7.
• the locking bolt 75 is slidably mounted on the base frame 4 for engagement with and release from associated locking hobs on the ring 9 of the patient support platform 7.
• the locking pin 75 serves to mechanically anchor the patient support platform 7 on the base frame 4 and also operates an on/off switch for the rotation motor, preventing operation of the motor when the locking pin 75 is engaged with the patient support platform 7.
• Each slot 74 should be exactly in line with the centre of an associated locking hole 75a on the patient support platform 7, the narrowness of the slot 74 determining the accuracy of lock positioning.
• the intermediate track 62 is used to assign a unique binary code to each locking position 1.
• Each locking position has a set of holes 76 (varying in number from one to four holes 76) .
• the unique pattern of holes 76 at each locking position conveys locking angle information to the controller for controlling rotation of the patient support platform 7.
• the binary pattern of the holes is shown in the table below.
• Seven infra-red emitter detector pairs 65, 66 are used in the optical system to decode the positional information.
• the emitter/detector pairs 65, 66 are positioned at A, B, C, D, I, X and Y as shown in Fig. 21.
• the incremental angle and direction information are read by X and Y. Every time a slot 70 passes over detector X, the angle is incremented or decremented by one. There are two spaced- apart detectors X and Y for the outer track 61 and the order in which the detectors X and Y see the emitter determines the direction. There are four spaced-part emitter/detector pairs A, B, C, D associated with the intermediate track 62 and these supply the pattern information to the controller to compute the locking angle information.
• emitter/detector pair I there is one emitter/detector pair I associated with the inner track 63 and this supplies the locking position information.
• the patient support platform 7 rotates the spaces between the slots interrupt infra-red beams passing between emitters 65 and receivers 66 on a support 67 on the base frame 4.
• Information from the infra-red detectors is processed by an optical processing controller to provide the angle of the patient support platform 7 which is indicated on a display screen 80 (Fig. 4) at a foot end of the bed 1.
• the pivot linkages 5 have pivot arms 90, 91 having inner ends which pivotally engage the base frame 4 by pivot pins 92, 93.
• an outer end of each pivot arm 90 pivotally engages the chassis 2 by a pivot pin 94
• the outer end of each pivot arm 91 pivotally engages the chassis 2 by pivot pins 95 which are also longitudinally slidable in elongate slots 96 on the chassis 2.
• the rams 6 are operable to rotate the pivot pins 92, 93 on the base frame 4 for operation of the pivot linkages 5.
• sensors associated with the side rails 25 and the panels 16, 17 on the patient support platform 7 are connected to the drive controller for the patient support platform 7 such that the patient support platform cannot be rotated unless all the locks are correctly engaged. Further the sensors for the straps of the patient retaining flaps 40, 41 also need to indicate correct engagement before the patient support platform 7 can be rotated. It will also be appreciated that the delivery of the patient care lines such as tubes and other cables and conduits axially outwardly at each end of the patient support platform greatly facilitates management of the patient care lines during movement of the patient support platform between the supine and prone positions.
• the patient support platform may be oscillated on the base frame or may be locked in a number of fixed orientations on the base frame.
• the invention provides a patient care line guide system for a hospital bed for neatly guiding patient care lines off each end of the bed.

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• Health & Medical Sciences (AREA)
• Nursing (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Invalid Beds And Related Equipment (AREA)
• Orthopedics, Nursing, And Contraception (AREA)
• Medicines Containing Material From Animals Or Micro-Organisms (AREA)

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• 1999
  • 1999-06-03 AT AT99955208T patent/ATE260629T1/de active
  • 1999-06-03 AU AU42862/99A patent/AU741477B2/en not_active Expired
  • 1999-06-03 CA CA002331555A patent/CA2331555C/en not_active Expired - Lifetime
  • 1999-06-03 NZ NZ508673A patent/NZ508673A/xx not_active IP Right Cessation
  • 1999-06-03 DE DE69915284T patent/DE69915284T2/de not_active Expired - Fee Related
  • 1999-06-03 EP EP99955208A patent/EP1083857B1/de not_active Expired - Lifetime
  • 1999-06-03 WO PCT/IE1999/000049 patent/WO1999062454A1/en active IP Right Grant
  • 1999-06-03 JP JP2000551714A patent/JP4487063B2/ja not_active Expired - Fee Related
  • 1999-06-03 CN CN99806914.0A patent/CN1198558C/zh not_active Expired - Lifetime
• 2001
  • 2001-09-27 HK HK01106849A patent/HK1036210A1/xx not_active IP Right Cessation

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