EP1813243A2 - Table d'accouchement - Google Patents

Table d'accouchement Download PDF

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Publication number
EP1813243A2
EP1813243A2 EP07101399A EP07101399A EP1813243A2 EP 1813243 A2 EP1813243 A2 EP 1813243A2 EP 07101399 A EP07101399 A EP 07101399A EP 07101399 A EP07101399 A EP 07101399A EP 1813243 A2 EP1813243 A2 EP 1813243A2
Authority
EP
European Patent Office
Prior art keywords
bed
leg
bed according
lifting column
delivery bed
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.)
Withdrawn
Application number
EP07101399A
Other languages
German (de)
English (en)
Other versions
EP1813243A3 (fr
Inventor
Christian Rüthlein
Bodo Nitzsche
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP1813243A2 publication Critical patent/EP1813243A2/fr
Publication of EP1813243A3 publication Critical patent/EP1813243A3/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/0009—Obstetrical tables or delivery beds

Definitions

  • the invention relates to a maternity bed according to the preamble of claim 1 and a leg support for a maternity bed according to the preamble of claim 21 for the medically stationary application.
  • Various maternity beds are known in the art, which can be divided into two categories.
  • One category is the so-called machine beds. For beds of this category, only functional requirements will be sufficient done, aesthetic requirements can not meet these beds.
  • This category includes the maternity bed of Müller GmbH & Co. KG with the model number 15-37-48. This birthing bed meets the dimensions of the requirements for a double bed.
  • the second category consists of delivery beds that meet aesthetic requirements.
  • the PCT / AT92 / 00145 of the DE 297 02 889 U1 and the DE 20 2004 008 667 U1 Maternity beds are described with the integration of the required functions to be assigned to the second category.
  • a disadvantage of all three is the arrangement of the lifting device for the bed shell.
  • the double bed act in all three solutions large loads on the lifting device by the large lever distance to the center of gravity of the bed upper part to be lifted with the people lying on it.
  • the lifting device must be made massive, this is costly and to the detriment of the aesthetic effect.
  • the DE 29 11 743 discloses a delivery table which is provided with a lifting device below an upper part designed as a lying surface, which is connected to the upper part in the vicinity of the centroid of the upper part and extends from this vertically to a lower bed frame. Due to the arrangement close to the centroid, the occurring moments are reduced when the delivery table is unloaded. The reduction of the moments occurring, however, is not given when using the delivery table, since the focus of the woman located on the upper part is not above the connection point between the lifting device and upper part, and thus by the woman on the delivery table considerable moments on the system shell / Lifting device can be applied.
  • DE 43 19 684 A1 discloses a delivery bed having a three-piece bed surface consisting of a back, a pelvis and a footboard.
  • the foot can be lowered by means of a vertical lifting device independently of the other two parts of the lying surface in a horizontal position below the level of the other two lying surface parts.
  • the remaining parts of the lying surface are adjustable in height by means of support arms in a horizontal position, which are connected with their respective lower ends with a further, vertically extendable lifting column for height adjustment.
  • a delivery bed is shown with a massage device.
  • the corresponding massage section comprises small air cushions and is stored in the mattress of the backrest of the delivery bed.
  • leg supports are usually attached laterally. These leg brackets are designed primarily for mounting or dismounting so that the obstetrician must mount them when needed or remove them when not in use. This leads to an increased effort and especially in case of shift changes to problems when an obstetrician has disassembled the leg brackets and put away and these are needed at the next birth.
  • the leg holders may not be completely or partially disassembled when not in use, but here is the problem that the leg holders disturbing and visible remain on the bed.
  • U1 shows at a gynecological / urological examination chair a legrest, which is adjustable in position relative to the chair foundation and / or the chair seat surface.
  • a multiply angled cantilever arm is used, one free end of which is mounted so as to be rotatable about a vertical axis in the area of the seat surface on the chair.
  • the other free end carries a swivel foot or calf rest.
  • US 5 057 800 shows a delivery bed with footrest sections. Their ends associated with the bed frame are designed with fork-shaped profiles for receiving fastening tongues projecting from the bed frame.
  • the invention has for its object to provide a maternity bed available, the current requirements for the possible birth positions as well as in medical technical and hygienic terms and corresponds to the load caused by occurring moments during use in the various possible positions are minimized. Furthermore, the task is to provide leg mounts available that can be used easily and can be brought without disassembly into a position without disassembly, in which they do not affect the birth process and are not visually perceived.
  • a lifting column is arranged below the center of mass of the upper bed part.
  • This lifting column is advantageously equipped with an integrated linear drive, so that let lifting operations and changes in the bed height, which are necessary for different Gebärpositionen or the work of or obstetrician, easily and without effort by the obstetrician.
  • the arrangement of the lifting column below the center of gravity avoids the occurrence of large bending moments, which in an asymmetrical arrangement as in DE 20 2004 008 667 U1 are inevitable. As a result, the lifting column can be made slimmer, resulting in a more pleasing appearance.
  • a telescopic lifting column is used as a lifting column, can be achieved by the particularly large strokes, so that both a low bed height for a simplified ascent to the bed and a raised bed on which the obstetrician without an exhausting and harmful bent posture can work.
  • the lower end of the lifting column is rigidly connected to a bed base. This can be done with rollers to simplify the inevitable to perform after a childbirth cleaning.
  • the lying surface of a maternity bed according to the invention is preferably divided into several areas. It is advantageous to provide at least a foot part, a pelvic part and a part for the upper body and head.
  • the lifting column is fastened in such a shared lying surface below the pelvic part, preferably in the upper body / head part facing half of the pelvis and particularly preferably at a distance of a quarter of the length of the pelvic part in the bed longitudinal direction of the common edge between pelvic and upper body / Headboard removed. Since the center of gravity in humans is slightly above the coccyx, such an arrangement leads practically automatically to the lying or sitting on the maternity bed, the center of gravity of the person above or close to the center of gravity of the bed, thereby avoiding the introduction of large moments in the lifting column becomes.
  • the foot part is preferably not firmly connected to the pelvic part, but arranged lowerable via its own lifting mechanism.
  • the different height positions and angle of the foot part are realized by means of one or more gear, locking devices and / or lifting aids. These may be, for example, linkage with lockable gas springs or similar-acting machine elements.
  • the lifting mechanism is preferably mounted on a cantilever, which in turn is connected via a pivot bearing with the lifting column for the entire bed surface.
  • the foot part can simply be rotated about the pivot bearing, preferably a rolling bearing, through the lifting column by 180 °, so that it is arranged behind the lifting column or under the upper body / head part.
  • the obstetrician can act directly in front of the lower body of the woman giving birth. In particular, in sitting positions such pivotability of the foot is of particular advantage.
  • the use of a pivot bearing in the maternity bed according to the invention together with the central arrangement of the lifting column the particular advantage that the foot can be pivoted both clockwise and counterclockwise under the upper body / head part. So even in confined space situations in the delivery room, the footboard can be removed easily and quickly.
  • the foot part can be locked by means of a lock in different positions.
  • the pelvic part is below the pelvic part a console, by means of which the connection of the pelvic part is realized to the lifting column.
  • the pelvic part is connected via a joint / hinge connection and locking devices with the console and can be so tilt over the horizontal and lock.
  • the upper body / head part can be pivoted by means of its own joint / hinge connections and locking devices either also on the console or on the pelvic part.
  • An attachment to the pelvic part here has the advantage that when tilting the pelvis against the console, the upper body / head part of the movement of the pelvis automatically follows and in particular the connection area of pelvic and upper body / head requires no adaptive adjustment.
  • Leg supports are attached to the side of the pelvis. These leg brackets are mounted below the pelvic portion, with the portion of the leg brackets mounted in the bearings being slidable along its longitudinal axis in storage. Thus, there are inserted and extended positions of the leg support in which the leg support can be fixed by a locking device. At the same time, this portion is rotatable in the storage, the leg holder can thus be pivoted relative to the longitudinal axis of the mounted portion. At the outboard end of the stored portion is a lockable pivot having a degree of freedom whose axis of rotation is perpendicular to the direction of displacement of the portion.
  • leg holder After pivoting about this axis of the leg holder is pivoted about the longitudinal axis of the stored portion so far that it is located below the lying surface. By being pushed in, the entire leg holder disappears below the lying surface and can not be disturbed anymore. If the leg holder is to be used during childbirth, the procedure can just as easily be reversed by first pulling the leg holder out and then pivoting it twice. In this position, it is then detected and can be used safely.
  • rollers 4 On bed base frame 3 are rollers 4 for easy moving or procedure of delivery bed.
  • an electric spindle drive for example, an electric spindle drive, a hydraulic system, a pneumatic system or a linear electric motor can be used as the linear drive for a delivery bed according to the invention.
  • the pivot bearing 2 At the upper part of the lifting column 1 is the pivot bearing 2, which is connected via a cylindrical intermediate part 40 with the lifting / lowering device 41 for the foot part 5.
  • the pivot bearing 2 consists of a rolling bearing, but other designs, such as a plain bearing, are conceivable.
  • This pivot bearing 2 makes it possible to pivot the lowered foot part 5 about the lifting column 1, so that it is possible to position the foot part 5 under the upper body / head part 7 when it is not needed to carry out the birth.
  • the lifting / lowering device 41 consists of a projecting portion 42 which is fixedly connected to the cylindrical intermediate part 40.
  • gear and / or adjusting devices such as lockable gas springs, a pivot arm 43, which may be formed, for example, in one piece or as a parallelogram mechanism and pivotable with its one end with the projecting portion 42nd is connected, adjusted and locked.
  • the foot part 5 is hinged, which in turn can be locked by means known per se, not shown here, transmission and / or adjusting devices at different angles to the horizontal.
  • the lifting column 1 is connected to the pelvic part 6 so that the longitudinal axis or center axis of the lifting column 1 extends through the center of mass 10b of the upper bed part.
  • the upper body / head part 7 is in turn pivotally mounted about the axis 6a on the pelvic part 6, wherein by means of known per se, not shown locking mechanisms a locking of the upper body / head part 7 in a raised position is possible (see also Fig. 7 and 8) ,
  • the center axis 10a of the lifting column 1 it has proven to be advantageous to align the center axis 10a of the lifting column 1 so that it extends through an area in the upper body / head part 7 facing half of the pelvis 6.
  • an area is to be selected which is spaced by approximately one quarter of the width of the pelvic part 6 from the edge of the pelvic part 6 adjoining the upper body / head part 7.
  • Fig. 2 shows the maternity bed with the foot part 5 in its lowered, but not pivoted position.
  • the foot part 5 is now lowered by means of the lifting / lowering device 41 and pivoted 180 ° backwards, so that it is located below the upper body / head part 7.
  • the foot part 5 can also be located at least partially below the pelvic part 6 in the position pivoted by 180 °.
  • the foot part 5 can be locked in this or other pivot positions.
  • a holding rod 11 is fixed, which was not shown in the preceding figures. It has a pad 12 for depositing the head and is pivotable about the axis 13.
  • the ability to pivot the support rod 11, it can be used for a variety of purposes.
  • the support rod 11 can serve as a handhold for the woman giving birth when it is raised.
  • the support rod 11 with padding 12 acts as a headboard.
  • the support bar is usable in this position for moving the bed. Rotated about the attachment axis 13, the support bar can be brought into a position which serves as a support aid for the user.
  • leg holder 15 below the lying surface are leg holder 15 in a retracted position in which they are hidden below the lying surface (see also Fig. 4). If necessary, they can be brought out and locked in a desired position (see also Figs. 5 and 6).
  • the leg holders 15 are connected via the tubes 16 to a shaft 17 which are mounted in bearings (shown in Figures 4 and 5) on the underside of the bed top.
  • Fig. 4 shows the maternity bed in the starting position from above.
  • the leg holders 15 are shown with dashed lines, which are located at the end of the side tubes 16 and are fastened via the shaft 17 in bearings 19 on the underside.
  • the lifting column 1 and the bed base frame 3 are also shown in dashed lines as further hidden components.
  • the central in bed transverse direction arrangement of the lifting column 1 is easy to see.
  • the support rod 11 with the head pad 12 has a U-shape, the middle, provided with the head pad 12 section is stored at the front end of the upper body / head part.
  • the support rod 11 is rotatably supported at its two ends about the axis 13.
  • the upper body / head part 7 can be pivoted relative to the pelvis part 6 about the axis 6a arranged parallel to the edges running in the transverse direction of the bed.
  • leg holders 15, 16, 17 are attached to the underside of the couch in the area of the pelvis 6 on both sides, which can be brought under the couch 6, 7 when not in use are and are not in direct field of view. If necessary, these are pulled out and erected and adjusted to the desired position and locked.
  • the leg support 15 of the leg holders 15, 16, 17 is connected to a guide projection 17 formed as a shaft via a profiled piece 16 which is formed in an L-shaped form and which is preferably designed as a tube in cross-section.
  • the shaft 17 is mounted in the example designed as a bearing bush or bearing sleeve bearing 19.
  • the shaft 17 is rotatable in the bearing 19 and displaceable in the axial direction and by means of a locking element 21 in the extended position can be locked.
  • a joint intermediate piece 20 is turned on, which allows a pivoting of the L-shaped profile piece 16 relative to the shaft 17 about the two axes 31 and 32.
  • These axes 31 and 32 are perpendicular to each other and each allow the rotation or pivoting of the L-shaped profile piece relative to the joint spacer 20 and the shaft 17 relative to the joint spacer 20, each with a degree of freedom.
  • the degrees of freedom of the shaft 17 in the bearing 19 and the joint piece 20 to the shaft 17 are lockable.
  • the tube 16 is locked relative to the joint piece 20 by means of a (not shown) locking element or detectable.
  • the adjoining the joint piece 20, longer leg portion 16b of the L-shaped profile piece 16 merges in an arc in the shorter leg portion 16a.
  • the rotations about the axes 33 and 34 can also be locked with (not shown) locking elements.
  • the various rotation and displacement of all joints or bearings of the leg holder 15,16,17 are shown in FIG. 5 with directional arrows.
  • FIG. 15 A plan view of the delivery bed with folded leg holders 15 is shown in FIG. In this unfolded position, the L-shaped profile pieces can also serve as handles.
  • Figures 7 and 8 show the delivery bed in a position for a sitting birth position.
  • the pelvic part 6 by means of known, not shown in the drawing gear and / or locking mechanisms such as gas springs, which engage in or on the console 8, detectable at an angle to the horizontal.
  • the center axis 10a of the lifting column 1 and the center of gravity 10c of the woman sitting on the maternity bed almost coincide again. Even in the seated position thus the bending moments occurring are minimized.
  • the pivotable pelvic and / or upper body / head part can be 6.7 equipped with a drive, preferably an electric linear drive for adjustment.

Landscapes

  • Health & Medical Sciences (AREA)
  • Gynecology & Obstetrics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
EP07101399A 2006-01-31 2007-01-30 Table d'accouchement Withdrawn EP1813243A3 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE202006001583 2006-01-31
DE202006006500U DE202006006500U1 (de) 2006-01-31 2006-04-20 Entbindungsbett

Publications (2)

Publication Number Publication Date
EP1813243A2 true EP1813243A2 (fr) 2007-08-01
EP1813243A3 EP1813243A3 (fr) 2008-04-09

Family

ID=37896765

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07101399A Withdrawn EP1813243A3 (fr) 2006-01-31 2007-01-30 Table d'accouchement

Country Status (2)

Country Link
EP (1) EP1813243A3 (fr)
DE (1) DE202006006500U1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014141259A1 (fr) * 2013-03-14 2014-09-18 Michael Gordon Lit sexuel (slb) ayant un dispositif d'élévation mécanique sexuel (sed)
WO2018054400A1 (fr) 2016-09-20 2018-03-29 BORCAD Medical a.s. Partie pied orientable d'un dispositif médical
CN109533916A (zh) * 2018-09-25 2019-03-29 青岛市妇女儿童医院（青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心） 一种产科临床用产前诊断检查系统

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202007006965U1 (de) 2007-05-11 2008-09-18 Rüthlein, Christian Halte- oder Entspannungsbügel für Liegen und Entbindungsbetten
EP3614887A1 (fr) 2017-04-28 2020-03-04 Lutron Technology Company LLC Hembar de traitement de fenêtre
CN113230073B (zh) * 2021-06-11 2022-09-09 张莹莹 一种妇产科疾病医疗诊治装置

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3318596A (en) * 1964-05-15 1967-05-09 American Sterilizer Co Surgical table
DE9103886U1 (de) * 1991-03-29 1991-06-27 Jürgen Lange Design, 7043 Grafenau Untersuchungsstuhl
DE4319684A1 (de) * 1993-06-15 1994-12-22 Wissner Gmbh Entbindungsbett
EP0717973A2 (fr) * 1994-12-21 1996-06-26 Wissner-Bosserhoff GmbH & Co. KG Lit d'accouchement
DE29702889U1 (de) * 1997-02-19 1997-04-10 Technische Universität Dresden, 01069 Dresden Entbindungsbett
DE202004008666U1 (de) * 2003-10-30 2004-08-05 Borcad Cz S.R.O. Massagevorrichtung für ein Entbindungsbett

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE410820C (sv) * 1978-03-28 1985-09-09 Landstingens Inkopscentral Forlossningsbord
US5157800A (en) * 1991-04-15 1992-10-27 Hill-Rom Company, Inc. Foot section for birthing bed
DE29911457U1 (de) * 1999-07-02 2000-09-14 Schmitz u. Söhne GmbH & Co KG, 58739 Wickede Beinstütze an einem gynäkologischen/urologischen Untersuchungsstuhl

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3318596A (en) * 1964-05-15 1967-05-09 American Sterilizer Co Surgical table
DE9103886U1 (de) * 1991-03-29 1991-06-27 Jürgen Lange Design, 7043 Grafenau Untersuchungsstuhl
DE4319684A1 (de) * 1993-06-15 1994-12-22 Wissner Gmbh Entbindungsbett
EP0717973A2 (fr) * 1994-12-21 1996-06-26 Wissner-Bosserhoff GmbH & Co. KG Lit d'accouchement
DE29702889U1 (de) * 1997-02-19 1997-04-10 Technische Universität Dresden, 01069 Dresden Entbindungsbett
DE202004008666U1 (de) * 2003-10-30 2004-08-05 Borcad Cz S.R.O. Massagevorrichtung für ein Entbindungsbett

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014141259A1 (fr) * 2013-03-14 2014-09-18 Michael Gordon Lit sexuel (slb) ayant un dispositif d'élévation mécanique sexuel (sed)
WO2018054400A1 (fr) 2016-09-20 2018-03-29 BORCAD Medical a.s. Partie pied orientable d'un dispositif médical
CZ307343B6 (cs) * 2016-09-20 2018-06-20 BORCAD Medical a.s. Zdravotnický prostředek
US11523962B2 (en) 2016-09-20 2022-12-13 BORCAD Medical a.s. Positionable foot portion of a medical device
CN109533916A (zh) * 2018-09-25 2019-03-29 青岛市妇女儿童医院（青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心） 一种产科临床用产前诊断检查系统

Also Published As

Publication number Publication date
DE202006006500U1 (de) 2007-03-15
EP1813243A3 (fr) 2008-04-09

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