EP1092408A2 - Modular nursing system to reduce the cost of care of the elderly and others - Google Patents

Abstract

The invention of a modular nursing system is intended to reduce physical stress to a minimum, both for the person to be cared for and for the caregiver, and at the same time it should be able to be adapted accordingly to changes due to the modular structure. The task is to achieve cost reductions in hospital and nursing facilities through versatile applications of the individual modules. The invention relates to a nursing system, the essential components of which are a bed, a chair, a bathing device and a toilet bowl that can be used. It can also be used with a patient whose arm movements are essentially not restricted by additionally attaching large wheels to the resting chair. Both the sick bed and the chair are modular and the corresponding modules can be used in some systems. <IMAGE>

Description

By inventing a modular nursing system, both the person to be cared for and the caregiver's physical stress should be reduced to a minimum and at the same time it should be modular structure can be adapted accordingly to changes can. The task is through versatile applications of the individual modules to achieve a cost reduction in health and nursing facilities.

EP 0 576 924 B1 ein Ruhebett mit in der Höhe verstellbarem Matratzenrahmen, der in der Längsrichtung neigbar und auf Rollen geführt ist;

EP 0 524 998 B1 eine Vorrichtung zum Heben oder Positionieren einer kranken oder pflegebedürftigen Person;

EP 0 420 263 A1 einen Rollstuhl für jeden Zweck;

PN 19529813 bzw. PN 19632681 ein Kranken- und Pflegebett mit integriertem Rollstuhl, das dem Patienten einen vereinfachten übergang vom Bett auf einen Rollstuhl und umgekehrt ermöglicht;

EP 0 341 358 A1 ein doppelt hydraulisches Krankenhausbett mit Umgehungskreis;

DE 35 90 309 C2 eine Vorrichtung zum Wenden des Patienten;

EP 509292 B1 941026 eine Waschvorrichtung, die es ermöglicht den Patienten im Bett zu waschen;

EP 0 491 679 B1 ein automatisches System zur Pflege bettlägeriger Patienten;

EP 0558 527 B1 ein Umbettungs- und Pflegesystem;

In the nursing field, it is already common to use appropriate devices to considerably simplify the workload of nursing staff using different devices, as shown, for example, by the following patent applications:

EP 0 576 924 B1 a day bed with a height-adjustable mattress frame that can be tilted in the longitudinal direction and is guided on rollers;

EP 0 524 998 B1 a device for lifting or positioning a sick or dependent person;

EP 0 420 263 A1 a wheelchair for every purpose;

PN 19529813 and PN 19632681 a nursing and nursing bed with an integrated wheelchair, which enables the patient to make a simplified transition from bed to wheelchair and vice versa;

EP 0 341 358 A1 a double hydraulic hospital bed with bypass circuit;

DE 35 90 309 C2 a device for turning the patient;

EP 509292 B1 941026 a washing device which enables the patient to wash in bed;

EP 0 491 679 B1 an automatic system for the care of bedridden patients;

EP 0558 527 B1 a transfer and care system;

However, none of these systems is modular and therefore open or closed disarmable nursing bed known and it must be with appropriate Changes in the clinical picture on different care systems be used, which is costly.

In the case of the care systems mentioned, it is not possible to essentially adapt them accordingly to changing needs.
The object of the invention is to provide a modular care system with a diverse construction, which satisfies the basic needs, such as resting, mobility outside the relaxation area, monitoring the state of health as well as personal hygiene, the patient, relieving the nursing staff and reducing the costs in the nursing area. In addition, all drive elements can be driven both by motor and by hand, which also allows use in the third world.

This task is accomplished through a modular design that enables one Care system due to a relatively low cost and effort adapt to the needs of the patient and the staff, easily future developments can also be adapted with the characteristics of claim 1 solved.

Due to the modular structure, the care system can e.g. at a Nursing situation in which the state of care of the person to be cared for deteriorated, according to the resulting needs Acquisition of appropriate modules can be adjusted. Thus, one is omitted Complete new purchase, which significantly reduces costs.

Description of the invention:

The invention relates to a nursing system, the essential components of which are bed, recliner, bathing device and insertable toilet bowl.
It can also be used with a patient whose arm movements are essentially not restricted by additionally attaching large wheels to the resting chair. Both the bed and the chair are modular and the corresponding modules can be used in some systems.

The individual elements are described as follows:

As is well known, the bed element consists of its Basic equipment from a bed frame and a mattress frame, the Head and foot ends are adjustable in height, preferably by a Tripartite division of the mattress frame, which is connected by joints and by means of a lever that is on the right and left of the bed frame are attached and preferably via a gas pressure spring or a Spring element can be raised or lowered.

The bed frame preferably consists of, as is well known Head and foot sections, each with two legs, preferably made of metal, pointing upwards are open and preferably with a cover made of plastic can be closed. In this, after removing the cover, different modules can also be used on the recliner can be used, such as preferably a frame for receiving Dropper bottles, a control device for motor control of the Bed, a reading device, a support for electronic devices for patient monitoring or support, a device that does it allows the patient to read or use a device that has a Double joint brings a tray in front of the patient so that it is comfortable can eat food in bed or have a device for ingestion several devices .. The device for receiving the dropper bottles also enables uncomplicated transportation of freshly operated or injured people. In addition, at the head and foot of the Different mattress frame brackets in variable height be attached so that the relatively cheapest care position for the Patient can be adjusted. The head and foot sections are connected by two cross connections, which are available in normal and variable overlength preferably bayonet catches connected together.

Armament bed

The modular structure of the standard bed system enables this Replacing appropriate elements that hold the mattress frame retrofitting, the automatic lifting and lowering or allow to lean to the left or right of the lying surface, which one Relief of the burden on the nursing staff when changing the bed Enables patients. At the cross-connections of the sick or Nursing beds have a groove on the lower side into which there is an angle intervenes, which can be folded out sideways on the recliner and preferably made of metal with a lubricious plastic is covered, whereby the chair from the head or foot end in this Groove can be inserted and remains freely movable in the longitudinal direction and thus the most favorable position for the patient can be taken, which is fixed by locking the wheels. At the same time through groove and angle prevents the recliner from moving off the bed removed or even overturned.

Is a motorized or crank operated height adjustment on the bed used by appropriate modules, the mattress surface be placed in a position that is slightly higher than what it does Patients relieved to get from bed to rest chair or lower is what makes it easier for him to get from bed to bed. This Conditions can be reduced by slightly lowering the mattress frame in the Longitudinal axis or the seat of the recliner, depending on the module application still optimize. Through contacts in the groove and corresponding ones Contact surfaces on the guide rail of the relaxation chair can be electronic and electrical controls both control the bed and also enable the recliner. If there is an electric motor on the relaxation chair Drive is used, this can preferably be via a reversing gear, which engages in the drive element of the nursing bed for adjustment of the mattress frame can be used. At the same time an electrical one Connection takes place in the time where the recliner next to the bed stands, a recharge of the accumulators of the chair that allows with this upgrade even for severely disabled patients Locomotion can be used.

The different modules, which are described in detail as follows, should preferably include the following options:
automatic lifting and lowering of the lying surface (the mattress frame), a slight swiveling of the longitudinal axis. In addition, the same wheels can be used on the legs of the head and foot section as required on the relaxation chair via vibration dampers, the wheels either by lowering or by locking the wheels, as is well known, to allow the bed to stand firmly.

The same modules that are used to raise and lower the chair Application can also be brought to bed automatic lifting and lowering of the lying surface can be used interchangeable.

The mattresses for the bed consist of three elements that are free Allow mobility of the mattress frame and preferably over Tabs and snaps are still securely connected so that the elements do not slip among each other but are still interchangeable are, e.g. against a middle part of the mattress, in which a round middle part removed and replaced with a flat plastic shell in which a bedridden patient can relieve himself can do without being in his own excrement afterwards got to. These mattress elements are available with different fillings, e.g. normal innerspring mattress elements or elements as required Air, gas or gel filling in order with appropriate care situation Possibility to exclude pressure points (incubation), which in the case of Occurrence of the patient's pain burden and the care effort of the Personnel only increased. At the same time, by choosing one appropriate vibration damper on the rolling elements of the bed and appropriate choice of mattress for seriously injured or fresh operated on the patient's concussion during the Transportes, e.g. from the OR to the intensive care unit, reduced to a minimum, what corresponding complications such as embolism or thrombosis risks and corresponding follow-up costs are greatly reduced. In addition, there is Possibility of a preferably thin, stable plastic film, which in the manner of an air mattress, as is well known, after which the patient has been moved onto this mattress by a rolling movement thereof can then be pumped up with compressed air, the side Elements are higher and thus have a trough shape in which a drain is integrated, so that a bedridden patient with little effort can be showered or bathed in his bed, for which purpose in the care room only a hot water connection and drain are necessary, which in particular in home care for the elderly and nursing through fewer renovation measures leads to a significantly more favorable cost situation.

The seat, backrest and footrest element of the relaxation chair can be replaced by an element that is as indicated in the sketch, via two pins, preferably made of metal, which fit into the two lateral openings of the two-part intended for this purpose Intervene mattress frame, preferably three on the top Tapered pins are present in openings on the mattress frame intervene and thus after lifting this mattress frame part Prevent slipping sideways, which results in the halved mattress frame can be used as a seat and lying surface and this part of the Mattress frame by further lowering the mattress frame holder from the bed frame with the patient lying on this way on the Rest chair can be brought, the lowering of the leg section and the Raising the back part is preferably a crank or motor driven spindle can be reached and thus the patient from the recliner can be brought into the sitting position. This also enables the patient to other treatment rooms without lifting them can also be transported lying down and treated on it.

The relaxation chair:

The relaxation chair can be used to safely transfer the patient, as above described about a groove and a fold-out angle with the Nursing bed and lockable castors in a safe position brought, which prevents that when the bed is Patient instability, rolling away or by a caregiver even overturning the wheelchair or resting chair and resulting The patient may become intolerable or even injured. It also enables a patient who is in his Mobility is not completely restricted, independent and safe to get from the bed to the recliner and vice versa without doing that Nursing staff must be used, so the The patient's independence is promoted, especially in the home Care area is very useful.

If the modular system has an electric motor for the lifting device is used, this motor, which preferably has a Bayonet connection attached and easy to use on other beds Can also be used to move the chair are used, with different operating and control elements, as is well known, e.g. Joy Stick or others Operating systems adapted to the disabilities of the patient, such as adequate known, can be controlled. The same electric motor can also be used in the care bed system used to raise and lower or incline of the corresponding mattress frame module can be used.

The standard mattress frame of the nursing bed can be replaced by an in Longitudinal direction two-part mattress frame, on the middle part both right and left are preferably two openings in the preferably two pins can engage on the upper side preferably carry three conical pins that are in openings of the Grasp mattress frame and make a contact that the Personnel or patients via a buzzer and / or the lighting up of a preferably green lamp, depending on the modules used, signal that the mattress frame part lies firmly and securely on the recliner and through can be removed from the side of the bed frame construction can.

Claims (10)

Modular nursing system to reduce costs in the elderly and Nursing area, especially in the private nursing area characterized in that the nursing system consists of different modules exists, in part both on the nursing bed and on the chair can be used and due to the modular construction enable subsequent upgrading or replacement of defective parts and thus when the patient's clinical picture changes Circumstances can be adjusted accordingly and thus a Auf- or Dismantling of the technical care aids can be achieved inexpensively can. A device according to claim 1, characterized in that a Rolled chair can be positioned to the right or left of the bed. Located on the cross connections of the hospital or nursing bed a groove (3.3) in the lower side, into which preferably an angle (Fig. 4) intervenes, which can be folded out sideways on the recliner and preferably consists of metal, preferably with a lubricious Plastic is covered, making the recliner from the head or foot end forth can be inserted into this groove and freely in the longitudinal direction movable and fixed by locking the wheels. A device according to claim 1 + 2 for transferring a patient, characterized in that the seat, backrest and footrest element on the resting chair (Fig. 10) can be replaced by an element of the two-part mattress frame (Fig. 1), as described below, which replaced the standard mattress frame.
For this purpose, a height-adjustable module is used on the roller frame of the resting chair (Fig. 2). Which preferably consists of 2 pins made of metal or plastic (2.2) which engage in the corresponding lateral openings (1.2) of the two-part mattress frame provided for this purpose and on the top of which there are preferably 3 conical pins (2.1) which are in corresponding openings on Intervene in the mattress frame and close a contact (1.1) that signals to the staff or the patient via a buzzer and / or the lighting of a preferably green lamp that the mattress frame part rests firmly and securely on the module used for this purpose and depending on the modules used by lifting the half mattress frame, by the height-adjustable recliner module (Fig. 2), which is preferably known from a hand crank or an electric motor, or by lowering the mattress frame brackets (Fig. 7), as described above on the bed, half the mattress frame with the P on top patients can be brought from the bed to the chair. A nursing bed according to claim 1, characterized in that it is modular. The modular structure of the standard bed system makes it possible by exchanging corresponding elements that the Hold mattress frame (Fig. 6 / Fig. 7), a subsequent upgrade, the automatic lifting and lowering via a crank or a Electric motor, as is well known, allow or dislike Allow left or right of the lying surface. On the cross connections of the There is a groove on the lower side of the hospital or nursing bed (3.3), in which an angle (Fig. 4) engages, the side of the recliner can be folded out and is preferably made of metal with a slidable plastic is covered, whereby the chair from the head or foot end can be inserted into this groove and in Longitudinally remains freely movable and by locking the wheels, such as well known, fixed. If the bed is a motor or per The crank operated height adjustment module can be used Mattress surface can be brought into a position that is slightly higher or lower than the seat of the recliner. Let these conditions yourself by slightly lowering the mattress frame in the longitudinal axis or optimize the seat of the recliner, depending on the module application. By contacts in the groove on the longitudinal connections (Fig. 3) (3.2) and corresponding contact surfaces (4.2) on the guide rail of the The recliner can use both electronic and electrical controls enable control of the bed as well as the recliner. If on An electric motor module can be used to drive this chair preferably via a reversing gear, which in the drive element of the Care bed intervenes and is used to adjust the mattress frame become. At the same time there is an electrical connection, the one Allows recharging the batteries of the relaxation chair. The nursing bed according to claim 1, characterized in that the Bed frame preferably as is well known from a head and foot section with two legs each (Fig. 5), preferably made of metal, which is open at the top are executed and preferably with a cover made of plastic can be closed. In this, after removing the Coverage, different modules can also be used on the recliner can be used, such as preferably a frame for receiving dropper bottles (8.2), a control device for the motorized control of the bed, a reading device, a support (8.1) for electronic apparatus for monitoring or supporting the Patient, a device that enables the patient to read or a device that a tray in front of a double joint Patient brings. The different modules according to claim 1, which are as follows in The following options should preferably be described include: automatic lifting and lowering of the lying surface (of the Mattress frame), a slight swiveling of the longitudinal axis (Fig. 6) You can also use the legs of the head and foot sections as needed via vibration damper (5.1) the same wheels as on the recliner are used, the wheels either by lowering or by Locking the wheels, as is well known, a firm stand of Allow bed. The same modules according to claim 1, which are used for lifting and resting Lowering can also be applied to the bed automatic lifting and lowering of the lying surface can be used interchangeable. (Fig. 6 / Fig. 7) The mattresses according to claim 1 for the bed consist of three elements, which allow free movement of the mattress frame (Fig. 9) and preferably securely with one another via tabs and push buttons are connected so that the elements do not slip together are still interchangeable, e.g. against a mattress center part in which a round middle section (9.1), as is well known, removed and against a flat plastic shell (9.2) can be replaced. This Mattress elements are available with different fillings, such as adequate known preferably normal innerspring mattress elements or depending Need elements with air, gas or gel filling. At the same time, through the choice of a corresponding vibration damper module (5.1) to the Rolling elements of the bed achieved a reduction in vibrations. In addition, there is the possibility of a stable, preferably thin Plastic film, which in the manner of an air mattress, as is well known, after which the patient rolls the same onto this mattress has been moved, which can then be inflated using compressed air, the side elements are higher and thus have a tub shape, in which a drain is integrated, as is well known. Device characterized in that the seat, backrest and footrest element of the recliner replaced by an element can be, as indicated in the sketch (Fig. 1 / Fig. 2), over two preferably made of metal pegs (2.2), which in the two lateral Openings of the two-part intended for this purpose Mattress frame (Fig. 1) engage on the top preferably three conical pins (2.1) are present, which in openings on Intervene mattress frame and thus after lifting this Prevent the mattress frame part from slipping sideways, causing the halved mattress frame can be used as a sitting and lying surface and this part of the mattress frame by further lowering the Mattress frame holder brought from the bed frame to the resting chair can be, the lowering of the leg part and the raising of the Back part preferably via a crank or motor-driven spindle (Fig. 10) is reached. The resting chair according to claim 1 can be driven to an impeller holder on the big wheels, like conventional wheelchairs known, so mounted in a bracket that the chair through Drive back with the big wheels, preferably without doing anything People, what can be connected by a conventional drive of the resting, wheelchair can be reached; with motor drive can, preferably driven by a differential gear, the rear small drive wheels drive the large wheels, whereby by Braking one or the other large impeller changes direction is achieved.

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