EP2617403B1 - Lit comprenant une barrière comportant un point d'aide technique à la position assise - Google Patents

Lit comprenant une barrière comportant un point d'aide technique à la position assise Download PDF

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Publication number
EP2617403B1
EP2617403B1 EP13305033.6A EP13305033A EP2617403B1 EP 2617403 B1 EP2617403 B1 EP 2617403B1 EP 13305033 A EP13305033 A EP 13305033A EP 2617403 B1 EP2617403 B1 EP 2617403B1
Authority
EP
European Patent Office
Prior art keywords
bed
barrier
head
patient
handle
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
EP13305033.6A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP2617403A1 (fr
Inventor
David Le Roux
Julien Billaud
Fabrice Nouvel
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.)
Centre Hospitalier Universitaire de Nimes
Medicatlantic SA
Original Assignee
Centre Hospitalier Universitaire de Nimes
Medicatlantic SA
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 Centre Hospitalier Universitaire de Nimes, Medicatlantic SA filed Critical Centre Hospitalier Universitaire de Nimes
Publication of EP2617403A1 publication Critical patent/EP2617403A1/fr
Application granted granted Critical
Publication of EP2617403B1 publication Critical patent/EP2617403B1/fr
Active 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
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/0507—Side-rails
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/0507—Side-rails
    • A61G7/0508—Side-rails characterised by a particular connection mechanism
    • A61G7/0509—Side-rails characterised by a particular connection mechanism sliding or pivoting downwards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/0507—Side-rails
    • A61G7/0512—Side-rails characterised by customised length
    • A61G7/0513—Side-rails characterised by customised length covering particular sections of the bed, e.g. one or more partial side-rail sections along the bed
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/053—Aids for getting into, or out of, bed, e.g. steps, chairs, cane-like supports

Definitions

  • the invention relates to the field of medical beds, and more specifically to the field of medical beds equipped with barriers.
  • Medical beds can be found both in individuals needing home help, and in specialized institutions, such as hospitals, clinics, or retirement homes.
  • the barriers that rise on each side of the bed can prevent the patient from getting out easily.
  • the barriers are often retractable, that is to say they can take a raised position, in which they rise above the bed base, and a retracted position in which they are brought under the bed frame, thus allowing the patient out of bed or medical staff to easily access and care for the patient on the bed.
  • barriers There are different types of barriers, which can be grouped into three categories.
  • the first category includes so-called simple barriers, extending over the entire length of the bed.
  • the document DE 20 2004 017 406 (BOCK ) describes an example of such a barrier. The patient then has no way out of bed unless removing the barrier or put it in the retracted position.
  • the second category includes so-called three-quarter barriers, which extend over more than half the length of the bed. Such barriers generally extend from an edge of the head of the bed without reaching the edge of the feet, thereby leaving a free space through which the patient can get out of bed. However, in this case, the patient must move to the edge of the feet, which is not always possible.
  • the document EP 1 721 550 proposes a hospital bed that included a foldable lateral barrier with deformable parallelogram mechanism and a removable accessory extending between the lateral barrier in the upright position and the transverse barrier of the bed.
  • the function of this accessory is to fill the gap between the folding barrier, in the upright position and the transverse bed barrier, so as to avoid the patient's exit by this vacuum and the risk of falling.
  • the accessory is said to be shaped as a gripping bar and is plugged into the frame of the bed at the lower end of two free vertical branches. Starting from one of its two vertical free branches, the accessory comprises a first horizontal portion, a vertical portion and a second horizontal portion, so that the accessory is in the general form of a P-shaped tube.
  • a second accessory identical to the first is fixed to the bed to allow a gripping right and left of a patient sitting on the bed and trying to get up.
  • the bed further comprises a D-shaped gripping bar hinged to the retractable barrier, the gripping bar having a substantially vertical section in the upright position of the retractable barrier.
  • a P-shaped accessory is also described in the document EP 801 915 (THE COUVIOUR)
  • the third category includes half-barriers, that is, barriers extending over less than half the length of the bed.
  • half-barriers that is, barriers extending over less than half the length of the bed.
  • two half-gates are assembled on each side of the bed so as to extend over most of the length of the bed and prevent the patient from falling off the bed.
  • the advantage of the half-barriers is in particular to allow the withdrawal or the retracted position of a half-barrier, and leave the other in place, for example to allow the patient to get out of bed.
  • the documents CA 2,454,931 (TEKNION CONCEPT) and EP 1 364 635 (VASSILLI) offer examples of such half-barriers.
  • the patient must advantageously stand at the barrier throughout the transition from the extended position to the sitting position in which his legs are out of bed.
  • the three-quarter barrier requires the patient to climb to the foot of the bed to get out, moving his hand along the barrier, which is tedious or impossible for some patients.
  • HILL ROM The document EP 2,275,068 proposes forming on a three-quarter barrier a handle, placed about halfway length of the barrier, so that the barrier extends on both sides of the handle.
  • the barrier is not retractable and is integral with the portion of the bed supporting the bust, which can be raised.
  • point of technical assistance is meant here a point designed and located to help patients to change position on the bed by building on this point.
  • documents may be referred to US 2006/0130239 , US 5,394,581 , EP 0 626 163 .
  • the support handles reported on the sides of the bed are conventionally rigid barriers formed of horizontal and vertical tubes welded together, height 25 or 40 cm and variable width, for example 30, 50 or 80 cm.
  • a first object of the invention is to provide a bed, including a medical bed, comprising a barrier allowing the patient lying on the bed to grip it easily to get out.
  • Another object of the invention is to provide a bed, in particular a medical bed comprising a barrier facilitating the exit of the patient's bed.
  • Another object of the invention is to provide a bed, including a medical bed, comprising a barrier limiting obstacles to the patient's exit, while preventing falls of the patient lying on the bed.
  • Another object of the invention is to provide a bed, including a medical bed, comprising a barrier, particularly suitable for the elderly.
  • Another object of the invention is to provide a bed, including a medical bed, comprising a barrier whose manufacturing costs are limited.
  • the invention according to claim 1 relates to a bed, in particular a medical bed, comprising a sleeping surface bordered by a longitudinal edge and two transverse edges, called the leading edge and the foot edge, the bed comprising in addition to a head barrier positioned along the longitudinal edge, the barrier comprising a front end and a rear end, the front end being closer to the leading edge the rear end, the bed comprising a frame on which is fixed a sleeping surface, the head barrier being hinged to the frame and being retractable, the head barrier having a first substantially square handle for assisting the recovery of the patient.
  • the bed 1 comprises a frame comprising a lower frame 3 , an upper frame 4 surmounting the lower frame, and a device 5 for adjusting the height of the upper frame 4 .
  • the lower frame 3 comprises rails and cross members, the rollers 2 being disposed substantially at the four corners of the lower frame.
  • the upper frame 4 comprises a frame on which is fixed a sleeping surface.
  • the sleeping surface can comprise two articulated parts, namely a part for the legs of a user and a part for the bust.
  • the upper frame 4 may include equipment for a user such as a bracket, or a head and a footboard (not shown).
  • the adjusting device 5 comprises two braces 5a, 5b and a system for actuating the braces, for example an electric jack.
  • the bed 1 comprises, at least on one of its long lateral sides, two retractable barriers: a first retractable barrier 6 head and a second barrier 7 retractable feet.
  • the bed 1 comprises on each of its two longitudinal edges a retractable head barrier 6 and a retractable barrier 7 feet.
  • the first barrier 6 is retractable between a rectified or deployed position, represented in FIG. figures 1 , 2 and 3 , and a folded or retracted position, represented in figures 3 and 4 .
  • the first barrier 6 is articulated with respect to the upper frame 4 and is formed of tubular elements articulated between them.
  • the head barrier 6 comprises a first tubular element 8 hinged to the upper frame 4 about a transverse axis 9 and a second tubular element 10 hinged to the upper frame 4 about a transverse axis 11.
  • the head barrier 6 further comprises tubular connecting elements 12, 13, 14; each articulated, on the one hand with respect to the first tubular element 8 around a respective transverse axis 15, 16, 17, on the other hand with respect to the second tubular element 10 around a respective transverse axis 18, 19, 20 .
  • first tubular element 8 In the upright position of the head barrier 6 , the first tubular element 8 is substantially vertical and the tubular connecting elements 12, 13, 14 are substantially horizontal.
  • a first tubular connecting element 12 forms the upper edge of the barrier 6 head and extends, as an indication, at a height of 35 cm above the bed.
  • the second tubular element 10 comprises in the upper part a first handle 21.
  • the first handle 21 advantageously has a different color from that of the entire first barrier 6.
  • the first handle 21 will be blue, the rest of the first barrier 6 having a gray color typical of a metal part for example aluminum.
  • the user of the bed 1 thus sees his eyes attracted by the handle 21, of a color distinct from the rest of the barrier 6 head and distinct from the usual white of the hospital environment.
  • the first handle 21 is coated with a phosphorescent material.
  • the first handle 21 has a non-slip surface.
  • the first handle 21 is coated with an elastomer or is provided with ribs or embossings. The user of the bed 1 and has his touch attracted by this part of the barrier 6 head.
  • the first handle 21 is of generally annular shape with a substantially square or trapezoidal contour, allowing its seizure in at least six different ways: grasping with one hand on one of the four sides of the first handle 21, or grasping with both hands the first handle 21.
  • This provision provides comfort of use, especially for the elderly or suffering from joint problems.
  • the first handle comprises, in the embodiment shown, four tubular portions preferably forming a trapezoidal contour, namely: a tubular lower portion 21a , an upper portion 21b and two lateral portions 21c, 21d.
  • the lower portion 21a forms an angle A of about 30 ° with the horizontal in the raised position of the head barrier 6
  • the upper portion 21b forms an angle B of about 30 ° with respect to the lower portion 21a ( and therefore about 60 ° to the horizontal), these values being indicative.
  • the head barrier 6 In the lowered or retracted position, the head barrier 6 being below the upper plane of a mattress 40 and above the lower frame 3, the first barrier 6 thus forming no hindrance to the movements of the patient or persons placed around it of the bed 1. Stop stops ensure the end of pivoting stroke of the barrier 6 head in its retracted position.
  • the patient will take with his right hand the first handle 21 placed on his right (that is to say to the left of the bed 1 ), for example the lower portion 21a.
  • the position of the first 21 (height relative to the bed base, one-third of the bed length) and the angle of about 30 ° that form the lower portion 21a or the upper portion 21b of the handle 21 limit the movements of the shoulder of the patient, these shoulder movements can be difficult or painful for the elderly.
  • the patient does not advantageously have to raise his arm or elbow to seize the first handle 21.
  • the foot barrier 7 has been retracted beforehand.
  • the patient's hand is oriented palm facing up.
  • the patient can seize the handle 6 with both hands, grasping with his left hand the upper portion 21b . This provision provides comfort of use, especially for the elderly or suffering from joint problems.
  • a third step the patient sits on the bed 1 and always holds with one or both hands the first handle 21, as illustrated in dotted line on the figure 2 .
  • the patient can get up. It should be noted that no barrier element is placed directly behind the patient's knees or calves, which allows him to place his feet vertically above his center of gravity without having to pull the arms.
  • the first handle 21 is preferably placed at a longitudinal distance from the head edge of the bed between 50 cm and 75 cm, that is to say that it is at the level or below the elbow of the majority of patients.
  • a second handle 22 is articulated with respect to the first tubular element 8 of the first barrier 6. As is visible in FIG. figure 3 when the first barrier 6 is in the retracted position, this second handle 22 extends substantially close to the upper plane of the mattress 40 and can assist the patient in his movements, especially during repositioning or tilting on the side, for example during care.
  • handle 22 is positioned longitudinally relative to the bed 1 at a distance of between 25 cm and 60 cm from a leading edge of the bed 1, which corresponds to the shoulder of a patient of average size lying on the bed 1 .
  • the second handle 22 advantageously has a different color from that of the entire barrier 6 head.
  • the second handle 22 will be blue, the remainder of the first barrier 6 having a gray color typical of a metal part for example aluminum.
  • the user of the bed 1 thus sees his eyes attracted by the handle 22, of a color distinct from the rest of the barrier 6 and distinct from the usual white of the hospital environment.
  • the second handle 22 is coated with a phosphorescent material.
  • the second handle 22 has a non-slip surface.
  • the second handle is coated with an elastomer or is provided with ribs or embossings. The user of the bed thus has his touch attracted by this part of the first barrier.
  • the second handle 22 is advantageously retractable by being mounted articulated with respect to the tubular element 8 around an axis coincident with this element 8 or, as illustrated in the figures, parallel thereto.
  • the handle 22 is articulated by each of its ends around a pivot at the end of a finger 22a integral with the tubular element 8 .
  • the second handle 22 In its folded position, illustrated on the Figures 1 to 3 and dotted on the figure 4 , The second handle 22 does not obstruct the patient's movements at its output the bed or its entry therein. In its raised position, illustrated in solid lines on the figure 4 the second handle 22 provides a function of assisting the patient's rolling.
  • the second handle 22 preferably has a curved shape, arc or elliptical arc and thus has a substantially horizontal section and parallel to the bed, when the second handle 22 is in the raised position.
  • This second handle 22 can be used when the head barrier 6 is in the lowered position, as shown in FIG. figure 4 , where a tilting of the patient on the side is necessary. Rather than helping the patient to perform this movement, the caregiver tilts the handle from its folded position to its raised position, as indicated by the arrow on the figure 4 .
  • the tubular element 8 around which the handle 22 is articulated extends substantially horizontally, or slightly obliquely, below the upper surface of the mattress 40.
  • the The handle is at least partially projecting above the mattress 40, so that it is sufficient for the patient to grasp the handle 22 of the hand opposite the side of the bed where the handle 22 is located , and to pull on his arm to tilt on the side, as indicated by the arrow on the figure 4 .
  • a stop system which blocks it in the raised position. This system operates for example snap or friction. Alternatively, it is the caregiver who holds the handle 22 in the raised position.
  • the handle 22 allows not only to be placed, but also to stay on the side when lying on the bed 1, in a so-called lateral rolling position facilitating some care or avoiding necrosis. Access to this second handle 22 promotes autonomy and rehabilitation, while reducing the efforts of health care personnel in mobilizing the patient.
  • the blocking means in the deployed and retracted position of the first barrier 6 are advantageously placed at the working height of the caregiver, who thus does not have to bend or stretch their arms to actuate them.
  • These locking means are for example friction latches, known in themselves.
  • the second barrier 7 is retractable between a rectified or deployed position, represented in FIG. figure 4 and a folded or retracted position, represented in figures 1 and 2 .
  • the second barrier 7 is hingedly mounted relative to the upper frame 4 and is formed of tubular elements hinged together.
  • the second barrier 7 comprises a first tubular element 23 hinged to the upper frame 4 about a transverse axis 24 and a second tubular element 25 hinged to the upper frame 4 about a transverse axis 26.
  • the second barrier 7 further comprises tubular connecting elements 27, 28, 29 each of these connecting elements being hinged on the one hand with respect to the first tubular element 23 around a transverse axis 30, 31, 32, on the other hand with respect to the second tubular element 25 around a transverse axis 33, 34, 35.
  • first tubular element 23 In the upright position of the second barrier 7, the first tubular element 23 is substantially vertical and the tubular connecting elements 27, 28, 29 are substantially horizontal.
  • a first tubular connecting element 29 forms the upper edge of the barrier 7 feet and extends, as an indication, at a height of 35 cm above the bed.
  • the barrier 7 feet extends below the upper plane of the mattress 40 and above the lower frame 3, the barrier 7 thus forming no hindrance to the movements of the patient or persons placed around the bed 1 .
  • the end stops ensure the end of pivoting travel of the second barrier 7 in its retracted position.
  • the locking means in the extended and retracted position of the barrier 7 of feet are advantageously placed at the working height of the caregiver, who thus does not have to bend or stretch their arms to actuate them.
  • These locking means are for example friction latches, known in themselves.
  • the barriers 6 and 7 have a substantially identical structure, with the exception of the handles 21, 22 attached to the first barrier 6.
  • the elements of the bed 1 are made for example of metal, such as aluminum , or alloy, for example stainless steel.
  • Decorative wood planks can be detachably attached to the side members and sleepers.

Landscapes

  • 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)
EP13305033.6A 2012-01-20 2013-01-14 Lit comprenant une barrière comportant un point d'aide technique à la position assise Active EP2617403B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR1250601A FR2985903B1 (fr) 2012-01-20 2012-01-20 Lit comprenant une barriere comportant un point d'aide technique a la position assise

Publications (2)

Publication Number Publication Date
EP2617403A1 EP2617403A1 (fr) 2013-07-24
EP2617403B1 true EP2617403B1 (fr) 2016-03-30

Family

ID=47603509

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13305033.6A Active EP2617403B1 (fr) 2012-01-20 2013-01-14 Lit comprenant une barrière comportant un point d'aide technique à la position assise

Country Status (4)

Country Link
EP (1) EP2617403B1 (es)
DK (1) DK2617403T3 (es)
ES (1) ES2580014T3 (es)
FR (1) FR2985903B1 (es)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102018129370A1 (de) * 2018-11-21 2020-05-28 ReActive Robotics GmbH Vorrichtung und Verfahren zur reversiblen Verbindung eines Rehabilitationsmechanismus mit einem Bett, sowie Verfahren zum Betreiben eines mit einem Bett verbundenen Rehabilitationsmechanismus

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5335385A (en) 1993-05-10 1994-08-09 Brown David J Support mechanism for a bed
US5394581A (en) 1993-10-07 1995-03-07 Leoutsakos; Thomas Manual support apparatus
US5678267A (en) * 1995-07-11 1997-10-21 Kinder; Florence E. Medical examination table handle system
EP0780075B1 (de) 1995-12-18 1998-04-01 Le Couviour Sa Bettseitenteil
DE59600056D1 (de) 1996-04-11 1998-01-22 Le Couviour S A Liegemöbel
US6728985B2 (en) 2001-08-15 2004-05-04 Hill-Rom Services, Inc. Ambulatory assist arm apparatus
US20030167568A1 (en) 2001-12-20 2003-09-11 Brooke Jason C. Bed siderails
ITPD20020133A1 (it) * 2002-05-22 2003-11-24 Vassilli Srl Letto particolarmente articolato
CA2454931C (en) 2004-01-06 2009-03-24 Teknion Concept Side rail, hospital bed including the same, method of operating associated thereto and kit for assembling the side rail
US20060130238A1 (en) 2004-07-16 2006-06-22 Robyn Smith Bed side rail method and apparatus
DE202004017406U1 (de) 2004-11-09 2005-01-27 Hermann Bock Gmbh Vorrichtung zur Anordnung eines Seitengitters an einem Bett
FR2885504B1 (fr) 2005-05-13 2009-07-10 Hill Rom Sas Soc Par Actions S Lit de malade a barriere laterale complete
CA2615955A1 (en) 2005-07-20 2007-01-25 Huntleigh Technology Limited Bed assembly
US8104118B2 (en) * 2008-01-21 2012-01-31 Stryker Corporation Hospital bed
US9072638B2 (en) 2009-07-15 2015-07-07 Hill-Rom Services, Inc. Transition assist siderail and article employing the same
US8413270B2 (en) * 2010-11-03 2013-04-09 Hill-Rom Services, Inc. Siderail assembly for patient support apparatus

Also Published As

Publication number Publication date
EP2617403A1 (fr) 2013-07-24
DK2617403T3 (da) 2016-07-25
FR2985903B1 (fr) 2014-12-19
ES2580014T3 (es) 2016-08-18
FR2985903A1 (fr) 2013-07-26

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