EP2258331B1 - Dispositif d'alignement d'une personne - Google Patents

Dispositif d'alignement d'une personne Download PDF

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Publication number
EP2258331B1
EP2258331B1 EP10164025A EP10164025A EP2258331B1 EP 2258331 B1 EP2258331 B1 EP 2258331B1 EP 10164025 A EP10164025 A EP 10164025A EP 10164025 A EP10164025 A EP 10164025A EP 2258331 B1 EP2258331 B1 EP 2258331B1
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EP
European Patent Office
Prior art keywords
support
person
swivelling
frame
unit
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.)
Active
Application number
EP10164025A
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German (de)
English (en)
Other versions
EP2258331A1 (fr
Inventor
Reinhard Heymer
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.)
Rehatechnik Heymer GmbH
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Rehatechnik Heymer GmbH
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Publication of EP2258331A1 publication Critical patent/EP2258331A1/fr
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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
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/14—Standing-up or sitting-down aids
    • 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
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1089—Anti-tip devices
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1013—Lifting of patients by
    • A61G7/1015—Cables, chains or cords
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/104—Devices carried or supported by
    • A61G7/1046—Mobile bases, e.g. having wheels
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1049—Attachment, suspending or supporting means for patients
    • A61G7/1051—Flexible harnesses or slings
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073—Parts, details or accessories
    • A61G7/1082—Rests specially adapted for
    • A61G7/109—Lower body, e.g. pelvis, buttocks

Definitions

  • the invention relates to a device for erecting a person, in particular from a sitting position, comprising a footrest, a knee brace and a drive and a movable traction means comprising this lifting device.
  • Such devices are also referred to as Cognitiverichtelifter.
  • Such lifters are used for erecting a person restricted in terms of their freedom of movement, for example for transferring this person from a bed into a wheelchair or from a wheelchair to a toilet.
  • Such Aufrichtelifter have a frame, which is supported on the bottom side typically four castors. Part of the frame is a vertically upwardly extending support column to which a provided foot for each foot and a knee or shin support is attached. Handrails are also connected to the support column, so that a person to be erected can hold on to it.
  • the support column according to a previously known Fatrichtelifter has at its upper end, which is located above an upright person, via a pulley on which a traction device connected to an electric motor operated winch, is deflected. At the free end of such, serving as a traction cable a padded Aufrichtschale is attached, which is placed for erecting a person around the back of the same.
  • a person from a sitting position can be placed in an inclined, backward inclined standing position. In this position, the feet are on the footrests and the knees and the shins are on the relevant support as an abutment. A raising a person in a normal standing position is not possible with such a lifter.
  • the invention is therefore the object of developing a righting device of the type mentioned in such a way that can be maintained with this a person and basically without the necessary use of additional holding systems about to lower the pants before a toilet.
  • the device has a thorax support for supporting the thorax of a person erected with the device, and the at least one thorax support, the knee brace and the footrest as a pivoting unit for pivoting one upright person in the direction of the erection movement are pivotable about a horizontal axis.
  • This Aufrichte has a pivoting unit, which makes it possible to pivot the erect person so that after performing the pivoting the person is supported on the pivoting unit. For this reason, to keep the person after the Pivoting requires no additional holding or fixing.
  • the weight of the person is absorbed via the footrest, knee and / or tibial support and chest support.
  • the upright person only needs to be pivoted so far that they do not fall back due to gravity.
  • a righting device which, as provided in a preferred embodiment, has a very low-lying pivot point, the pivoting amount does not need to be particularly large to bring a person after erecting the same in the support bearing after Verschwenkvorgang.
  • the pivoting unit is pivoted during the process of pivoting about a dead center and thus this together with the person pivoted therewith in its pivoted position is in an over-center position. It is then not necessary to provide additional securing devices for holding the swivel unit in these positions in the end positions of the erecting device.
  • Such an over-center position is typically limit stop.
  • the center of gravity of the pivoting unit with a person connected to it is at the beginning of the pivoting operation for Erecting the person in a position seen in the pivoting direction in front of the pivot axis and after completion of the pivoting process behind the pivot axis.
  • the pivoting unit is thus designed as a rocker in such a configuration.
  • Such a pivot unit may be pivotally connected to a frame or a stand unit, wherein the pivoting operation manually, even by the person thereon, or by a drive, such as an electric motor drive can be performed.
  • the frame itself is fixed in such a configuration relative to the pivoting unit.
  • the frame itself can be pivoted via its base-side support, preferably overcoming a dead center.
  • the pivot axis forms the lever bearing of a two-armed lever, of which the footrest forms the shorter lever arm and an angularly adjoining the footrest portion of the frame, which corresponds in prior art lifters of the support column, the longer lever arm.
  • the bottom-side support can be made via a Wipplager, which is formed for example by two spaced apart rollers or their axis of rotation. Due to the above leverage pivoting even a heavy, connected to the swivel unit person after raising the same in the pivoted position for the nursing staff without much effort is possible.
  • a stop is used in such a configuration, for example, one of the footrest with respect to the lever bearing opposite stop arm, which is supported on the bottom side in the pivoted position of the pivot unit. In the other position, however, this stop arm is not in contact with the ground.
  • it is provided to equip the righting device with a Kipp Fernsmechanismus, so that when actuated, the righting device does not swing back unintentionally after pivoting back into the starting position.
  • the lifting device is in such a configuration part of the pivot unit and is pivoted with this from one to the other position. Since a person to be upright is typically erected with a buttock or lumbar while the feet of the To be supported on the footrest and support the knees or shins on the relevant support, it is not necessary to have to use the typically used as a rope or belt traction over the height of the chest of a person to be raised. In the upright position, this may be outside the facial area of the erect person.
  • a erecting device 1 for erecting a person from a sitting position in an erect standing position has a frame 2.
  • the frame 2 is supported on the bottom side by two spaced-apart wheels 3, 3.1.
  • the axis of rotation of the wheels 3, 3.1 is in FIG. 1 denoted by the reference numeral 4.
  • To support the frame 2 in the in FIG. 1 two further positions of the wheels are used 3, 3.1 spaced, smaller castors 5, 5.1.
  • the frame 2 consists essentially of two spaced-apart, in the illustrated embodiment, each made of a tube frame parts 6, 6.1 (see FIG. 2 ), which are connected in a manner not shown rigidly by transverse struts or other, the frame parts 6, 6.1 connecting elements together.
  • the frame parts 6, 6.1 are designed largely L-shaped.
  • the shorter leg 7 of each frame part 6, 6.1 serves as a holder of the frame parts 6, 6.1 connecting footrest 8.
  • the longer legs 9 of the frame parts 6, 6.1 together form a support column unit.
  • the longer legs 9 of the frame parts 6, 6.1 are formed in the region of their upper end to a support and handle member 10, which is designed in the illustrated embodiment as an open ring.
  • the two frame parts 6, 6.1 are connected to an axle 11, to which in turn a padded supporting plate 12 serving as a thorax support is connected.
  • a knee brace 13 At the height of the upper tibia of a person to be erected is a knee brace 13. At this support 13, the shins of a person can be supported.
  • the knee brace 13 is in a manner not shown in the vertical direction relative to the frame parts 6, 6.1 set up.
  • the erecting device 1 further has a generally designated by the reference numeral 14 lifting device comprising in the illustrated embodiment, an electric motor driven Gurtwinde 15 as a drive unit, a belt 16 as traction means and a seat belt 17 which is connected to the free end of the belt 16.
  • the seat belt 17 serves as in FIG. 1 shown schematically, for grasping the buttocks of a person to be erected.
  • To the frame 2 is further connected to each frame part 6, 6.1 associated support arm 18, with respect to its in FIG. 1 recognizable inclination 19 can be established by means of a longwall.
  • connection holes 20 are in the frame parts 6, 6.1 introduced, it being provided that the strut 19 with its frame-side end according to the desired inclination in the respective connection opening 20 can be fixed.
  • the strut 19 is hinged to the respective support arm 18.
  • the pivot axis of the support arm 18 carries the reference numeral 21.
  • An adjustment of Inclination of the support arm 18 can also be done by means of an electric motor drive or, for example, a manual spindle drive instead of the embodiment shown in the figures.
  • the two support arms 18 are connected by a cross brace. This cross brace can also be designed as a tread.
  • the erecting device 1 is for erecting a person 23, which is to be brought in the illustrated embodiment from a seated position to an upright position.
  • the person 23 is raised by placing the feet of the same on the footrest 8 and placing the knees or the upper section of the shins against the knee brace 13.
  • the seat belt 17 has been placed in a buttocks of the person 23 enclosing arrangement.
  • the person 23 is not yet in the position provided for an erection.
  • the person 23 will first move the feet further towards the front end of the device 1 until the knees and / or the upper portion of the lower legs contact the knee brace 13. If, starting from such a position, the lifting device 14 is actuated, the person 23 is due to the above-described support on the footrest 8 and the knee brace 13 in an upright position, as in FIG. 3 shown, brought. In this upright position, the rib cage is inserted between the support and grip elements 10 of the frame parts 6, 6.1, so that in this way the rib cage of the person 23 can experience a lateral guidance of the support. With his hands, not shown in the figures, the person 23 can grasp the end region of the support and grip elements 10 and hold on to it.
  • the support plate 12 is either already in this erected position on the chest of the person 23 or is located at a small distance to this.
  • the support plate 12 is, as in FIGS. 1 and 3 recognizable, on the axis 11 off-center hung up so that in FIG. 1 shown position is the typical rest position, which due to their articulated arrangement on the frame 2, the support plate adapts to the contour of the person to be supported in the region of her rib cage.
  • the erecting device 1 is pivoted about the axis of rotation 4 of the wheels 3, 3.1 until the guide rollers 22 of the support arm 18 come into contact with the ground and thereby end the pivoting movement.
  • Such a pivoting movement is exercised by gripping the support and gripping elements 10 by a caregiver or assistant, who typically places one foot against the strut connecting the two support arms 18 as an abutment.
  • This pivoted position of the erector 1 with the person 23 is in FIG. 4 shown. In this position, the center of gravity S of the person 23, including the pivoting unit formed by the frame 2 or erecting device 1 itself, is located behind the pivot axis 4 with respect to the executed pivoting direction.
  • the weight of the person 23 as well as the pivoting unit acts on the support arms 18 and their swivel rollers 22.
  • the swivel unit together with person 23 is in a stable over-center position.
  • position of the seat belt 17 is no longer needed to hold the person 23, as this is securely held on the footrest 8, knee brace 13 and extending between the support and handle members 10 support plate 12. Consequently, the seat belt 17 can be loosened or removed in order to be able to loosen and lower the pants of the person 23, for example, for a toilet.
  • the erecting device 1 without the body of the person 23 necessarily having to be held over additional train holding means.
  • the in FIG. 4 shown tilting storage for the person 23 also not unpleasant.
  • tilting storage of the person 23 can this, if desired, also be transported.
  • the relatively large wheels 3, 3.1 ensure safe driving and the castors 22 a problem-free maneuvering.
  • the support arm 18 may be relatively short, which facilitates driving with the erecting device 1, in particular the maneuvering.
  • an electromotive drive can be used to drive the erecting device 1.
  • the distance of the footrest 8 from the ground, despite the arranged thereon casters 5, 5.1 which can be basically designed as a glider, be low, since the support on these rollers 5, 5.1 ultimately only required for receiving the person 23.
  • the low height of the footrest 8 ensures that it can be easily pushed with their bottom support under beds, chairs or the like. Furthermore, it is advantageous that the device can be designed with a short wheelbase, whereby a maneuvering the same, in particular with a person in their dumping person is possible.
  • the device 1 can be designed as a self-propelled. In such a case, it is expedient if a tread is arranged abstützarm facility on which an assistant is able to stand in the pivoted position of the erecting device 1.
  • the erecting device 1 is designed or adjusted in terms of Verschwenkbetrages that in the tilted storage position of the center of gravity is arranged sufficiently far behind the pivot axis 4 in order to avoid unintentional pivoting back.
  • the amount of the executable pivoting movement is provided.
  • the pivoting amount is less than 45 °. In most cases, a pivoting amount of 15-30 ° should be sufficient, without this having to be explained in detail in the context of these statements.
  • FIG. 5 shows a further erecting device 1.1, which basically the erecting device 1 of FIGS. 1 to 4 equivalent. Therefore, the same parts are also identified by the same reference numerals.
  • the erecting device 1.1 has in addition to the features of Aufrichteech 1 via a Kipp Klischsmechanismus 24.
  • the anti-tilt mechanism 24 is used to prevent pivoting back of the erector 1.1, after this from its in FIG. 5 shown position in their in FIG. 6 shown pivoted position has been brought.
  • the anti-tilt mechanism 24 is in the position of the erector 1.1 in FIG. 5 not activated.
  • the anti-tilt mechanism 24 has a swivel foot 25 arranged below the footrest 8.
  • the swivel foot 25 is pivotable about a pivot axis arranged parallel to the axis of rotation 4 of the wheel 3.
  • the swivel foot 25 is adjustable by an adjusting lever 26, which in turn is connected to an actuating lever 27 articulated.
  • the actuating lever 27 is designed in the illustrated embodiment as an angle and mounted in the region of the end of its longer leg 28 pivotally mounted on the strut 19. In the FIG. 5 shown end position of the actuating lever 27 is not stop limit in a manner not shown in detail.
  • a tension spring 29 keeps the operating lever 7 pressed against the stop.
  • the anti-tilt mechanism 24 can be actuated for pivoting the pivot foot 25.
  • the operating lever 27 in the FIG. 5 adjusted arrow direction. In the course of this movement, this is moved over the defined by the tension spring 29 dead center and is located in the in FIG. 6 shown position against another stop acting and held by the tension spring 29 in this position.
  • the swivel foot 25 is swung out and is supported on the ground. Consequently, a pivoting back of the erector 1.1 in the in FIG. 5 shown basic position not possible.
  • the anti-tilt mechanism 24 must first be brought into its other position.
  • the actuating lever 27 is manually operated in the illustrated embodiment by the erecting device 1.1 serving person.
  • an actuator to arrange on the support and handle element, via which then the operating lever 27 is moved in one or the other position.
  • Such a tilt lock is used to prevent inadvertent pivoting back of the erector 1.1, such as unintentional movements of the person supported thereon 23rd
  • the anti-tilt mechanism 24 includes a swivel foot 25.
  • the Kipp Klischsmechanismus with two pivoting feet, of which then each one under the respective, the leg 7 forming tube of the footrest is arranged.
  • a righting device to design these gorgeneinrichtbar.
  • Suchciteneinricht sadness is used to adjust the frame of the erector to different body sizes so people to be erected.
  • the frame is telescopically extendable and lockable at different heights, preferably at a point above the arrangement of the lifting device and below the belt deflecting role.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Invalid Beds And Related Equipment (AREA)

Claims (14)

  1. Dispositif de redressement d'une personne, notamment à partir d'une position assise, comprenant un repose-pieds (8), un appuie-genoux (13) et un dispositif de levage (14) présentant un entraînement (15) et un moyen de traction (16, 17) qui peut être mis en mouvement par ce dernier, le dispositif (1, 1.1) disposant d'un appui thoracique (12) destiné à servir d'appui pour la cage thoracique d'une personne (23) redressée à l'aide de ce dispositif (1, 1.1), caractérisé en ce que l'au moins un appui thoracique (12), l'appuie-genoux (13) ainsi que le repose-pieds (8) en tant qu'unité de pivotement pour faire pivoter une personne redressée (23) peuvent être pivotés autour d'un axe (4) s'étendant horizontalement, dans le sens du mouvement de pivotement.
  2. Dispositif selon la revendication 1, caractérisé en ce que l'axe de pivotement (4) présente une position spatiale qui permet de déplacer au cours du processus de pivotement, le centre de gravité (S) de l'unité de pivotement sur laquelle est appuyée une personne (23), d'une position localisée devant l'axe de pivotement (4) au début du processus de pivotement vers une position localisée derrière l'axe de pivotement (4) après l'achèvement du processus de pivotement.
  3. Dispositif selon la revendication 1 ou 2, caractérisé en ce que le mouvement de pivotement de l'unité de pivotement est limité par une butée (18, 22).
  4. Dispositif selon la revendication 3, caractérisé en ce que la position de la butée (18, 22) est ajustable afin de régler le taux de pivotement exécutable par l'unité de pivotement.
  5. Dispositif selon l'une des revendications 1 à 4, caractérisé en ce que le dispositif (1, 1.1) comprend un châssis (2), sur lequel sont raccordés le repose-pied (8), l'appuie-genoux (13), l'appui thoracique (12) ainsi que le dispositif de levage (14) et le châssis (2) est appuyé au sol par un palier à bascule qui définit l'axe de pivotement (4) de l'unité de pivotement formée par le châssis (2).
  6. Dispositif selon la revendication 5, caractérisé en ce que le repose-pied (8) forme l'un des bras du levier à deux bras logé dans le palier à bascule et, par son plan, une équerre est disposée avec un tronçon de châssis (9) s'étendant de façon sensiblement parallèle à une personne (23) redressée à l'aide de ce dispositif, ce tronçon de châssis (9) formant, par rapport au palier (4) du levier, un second bras de levier.
  7. Dispositif selon la revendication 6, caractérisé en ce que le châssis (2) présente au moins un bras d'appui (18) afin de mettre à disposition une butée limitant le mouvement de pivotement grâce à un appui au sol, qui, par rapport au repose-pied (8) et au palier à bascule (4), forme un second bras à levier.
  8. Dispositif selon l'une des revendications 5 à 7, caractérisé en ce que le palier à bascule est formé par deux roulettes ou roues (3, 3.1) à distance l'une de l'autre, montées de façon rotative au châssis (2), dont l'axe de rotation (4) est l'axe de pivotement de l'unité de pivotement.
  9. Dispositif selon la revendication 8, caractérisé en ce que le repose-pied (8) et/ou au moins un bras d'appui (18) dispose de roulettes (5, 5.1 ; 22) ou de patins à des fins d'appui au sol.
  10. Dispositif selon l'une des revendications 1 à 9, caractérisé en ce que le châssis (2) présente, en guise d'appui thoracique, une plaque d'appui (12) disposée de préférence de façon à pouvoir être pivotée.
  11. Dispositif selon l'une des revendications 1 à 10, caractérisé en ce que le dispositif de levage (14) dispose en guise d'entraînement d'un treuil à courroie ou à câble (15) à électromoteur et qu'une courroie (16) ou un câble est prévu, en correspondance avec le moteur, en tant que moyen de traction mobile.
  12. Dispositif selon la revendication 11, caractérisé en ce qu'un élément de support et/ou d'appui, par exemple une coquille ou une toile, est raccordé au moyen de traction (16) afin de servir d'appui à la personne (23) à redresser au cours du processus de redressement.
  13. Dispositif selon l'une des revendications 5 à 12, caractérisé en que le dispositif (1.1) dispose d'un mécanisme de sécurité anti-basculement (24) réglable lequel empêche, s'il est actionné, le basculement du dispositif (1.1) dans sa position initiale.
  14. Dispositif selon la revendication 13 caractérisé en ce que le mécanisme de sécurité anti-basculement (24) est réalisé en tant que chaîne à articulations avec deux positions finales stables.
EP10164025A 2009-06-04 2010-05-27 Dispositif d'alignement d'une personne Active EP2258331B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE202009004889U DE202009004889U1 (de) 2009-06-04 2009-06-04 Einrichtung zum Aufrichten einer Person

Publications (2)

Publication Number Publication Date
EP2258331A1 EP2258331A1 (fr) 2010-12-08
EP2258331B1 true EP2258331B1 (fr) 2012-06-20

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DE (1) DE202009004889U1 (fr)

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DE102022004008A1 (de) 2022-10-26 2024-05-02 Eckart Baum Vorrichtung zur Bereitstellung eines Einzelperson-Arbeitsplatzes für eine körperbehinderte und auf einen Rollstuhl angewiesene Arbeitsperson

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