EP3421024A1 - Teleskopständer für bettengitter, und krankenbett, das ein solches gitter umfasst - Google Patents

Teleskopständer für bettengitter, und krankenbett, das ein solches gitter umfasst Download PDF

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Publication number
EP3421024A1
EP3421024A1 EP18178066.9A EP18178066A EP3421024A1 EP 3421024 A1 EP3421024 A1 EP 3421024A1 EP 18178066 A EP18178066 A EP 18178066A EP 3421024 A1 EP3421024 A1 EP 3421024A1
Authority
EP
European Patent Office
Prior art keywords
barrier
control means
cam
notch
raised position
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.)
Granted
Application number
EP18178066.9A
Other languages
English (en)
French (fr)
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EP3421024B1 (de
Inventor
David Le Roux
Julien Billaud
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.)
Winncare France SAS
Original Assignee
Winncare France SAS
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Filing date
Publication date
Application filed by Winncare France SAS filed Critical Winncare France SAS
Publication of EP3421024A1 publication Critical patent/EP3421024A1/de
Application granted granted Critical
Publication of EP3421024B1 publication Critical patent/EP3421024B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/0507Side-rails
    • A61G7/0508Side-rails characterised by a particular connection mechanism
    • A61G7/0509Side-rails characterised by a particular connection mechanism sliding or pivoting downwards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/0507Side-rails
    • A61G7/0516Side-rails with height adjustability

Definitions

  • the invention relates to the field of beds, including medical beds, and finds applications in different environments: intensive care provided in a hospital, short-term care provided in a hospital or medical infrastructure, long-term care provided in medical infrastructure, home care, outpatient outpatient care.
  • the invention finds application, for example, in medical beds present in accommodation establishments for dependent elderly people (EHPAD), or intended to be used at home, in particular for people hospitalized at home.
  • EHPAD dependent elderly people
  • the invention relates more specifically to the barriers or half-barriers of such beds, called medical beds or medical beds.
  • Medical bed rails are a specific means of restraint used on medical prescription, and are primarily designed to prevent the fall of a person during sleep or transport, and not to prevent him from voluntarily leaving his bed.
  • barriers are prescribed when there are significant risks of falling, due to agitation or dementia, related to cerebral, tumoral or vascular pathologies.
  • the aging of the population has been accompanied by an increase in the number of patients in acute confusion, or neurodegenerative diseases (mainly Alzheimer's disease affecting more than 550,000 people in France, Parkinson's disease affecting more than 150,000 people). people in France, Lévy body dementia and multiple sclerosis concerning about 80,000 people in France).
  • neurodegenerative diseases mainly Alzheimer's disease affecting more than 550,000 people in France, Parkinson's disease affecting more than 150,000 people.
  • people in France Lévy body dementia and multiple sclerosis concerning about 80,000 people in France).
  • the medical bed is a Class I DM medical device.
  • the framework of the materiovigilance, the medical beds were the subject of report in France to the Afssaps (until May 2012), then to the ANSM (since May 2012).
  • the Agency received 115 reports concerning the fall or trapping of a patient linked to the barriers of his medical bed, 27 of which resulted in the death of the patient concerned.
  • the standard EN 60601-2-52 provides in its paragraph 201.9.1.101 provisions concerning the risks of entrapment of patients, and the Afssaps took a decision of animal health (DPS) on April 30, 2012 making obligatory the conformity with the provisions of 201.9.1.101 this paragraph of the standard for medical beds for adults equipped with gates and barriers for these beds, marketed in France as of 1 June 2012.
  • DPS decision of animal health
  • the zones at risk are the following: between the half-gates (for this first risk zone, the most decisive point is the distance separating the two half-gates, whatever the operation of these half-gates), and between the bars of the barrier (for this second risk zone, the important point is the size of the openings present on the half-gates, whatever the operation of these half-gates).
  • the critical element is the presence of a space between an accessory (stem of remote control, infusion stand) and the barrier, sufficient space for the passage of a patient's head, or the patient's climbing of the lateral barrier and the fall of the patient.
  • Barriers for hospital beds can be classified according to different criteria.
  • a first criterion for classifying medical bed rails is their extension on the side of the bed.
  • a first category extends over the entire edge of the bed to be protected, and are called “full length".
  • This type of barrier has the advantage of providing maximum patient safety.
  • a second category of barrier aims to cover only part of the bed. It is thus known the use of half-barriers, generally mounted in pairs, one next to the other, to protect the entire side of the bed. In this way, the actuation of each half-barrier is effected independently of the other half-barrier disposed on the same bed side, a half-barrier may for example be placed in the upper position, while the other half -barrier is left in the low position.
  • half-head barrier located in the vicinity of the patient's head, called half-head barrier, while leaving the half-barrier adjacent to the foot of the patient, said foot barrier, in the high position, the caregiver can provide easily care to the patient, who is protected from falls. It is also possible to lower the half-foot barrier, and leave the head half-barrier in the up position, so that the patient can get out of bed, possibly leaning on the half-barrier left up.
  • the invention relates as well to the half-barriers of medical beds as the so-called full-length barriers, and finds advantageous applications in the realization of half-barriers head and / or foot.
  • the invention relates more particularly to barriers or half-barriers for medical beds, mounted movable in vertical planes.
  • the invention relates more particularly to the barriers and half-barrier of telescopic medical beds, to be placed in at least three distinct positions: an extreme position high, an intermediate position, and an extreme low position, these barriers comprising sliding stages relative to each other.
  • the document EP 1623654 discloses a half-barrier comprising two vertical uprights formed of three telescopic nested elements, a handrail integral with the upper elements forming an upper part O, two crossmembers secured to the intermediate elements of the uprights forming an intermediate portion M, and lower elements uprights forming a lower portion U, the handrail can take three positions: a compact low position, a raised high position, and an intermediate position.
  • the lower crossbar carries an actuating handle to move the lower part U of the intermediate portion M.
  • Two lateral tumblers can move the upper part O of the intermediate portion M.
  • the document EP 2052707 (Wissner) has an arrangement of a barrier formed of a lower portion U, a central portion M, and an upper portion O carrying the handrail, the descent of the barrier being obtained by a single action on two side handles, and exerting downward pressure.
  • the actuation of the lateral handles unlocks the upper part O of the central part M, and the displacement of the upper part O towards the central part M releases this central part M of the lower part U.
  • actuating handles are easily accessible for patients and can be operated in one action.
  • patients may unwittingly actuate one of the actuating handles, for example in leaning on a raised half-barrier to get out of bed.
  • Such an action would trigger the descent of one of the arrangements of the barrier, leading to a start of descent at a slant of the barrier.
  • Such a phenomenon could not only unbalance the patient, but could also block the barrier by bracing, rendering it temporarily unserviceable.
  • the operating handle of such a barrier is protruding from the upper part of the arrangement, and is likely to be hooked by a caregiver, for example at its sleeve, causing discomfort in the achievement care.
  • the amounts of such an actuating device are provided with holes for indexing the positions.
  • such holes are anfractuosities in which are housed the soil, promoting microbial proliferation, especially pathogenic bacteria that can be antibiotic resistant.
  • the cleaning and disinfection of the barrier are complicated.
  • the document FR 2986951 discloses a medical bed barrier comprising an upper portion, an intermediate portion, and a lower portion, the upper portion being slidably movable relative to the intermediate portion, and the intermediate portion being slidably movable relative to the bottom part.
  • Each of the upper, intermediate and lower parts comprises two amounts interconnected by a cross.
  • the barrier comprises means for locking the upper part with respect to the intermediate part, and means for locking the mobility of the intermediate part with respect to the lower part.
  • the intermediate part is provided with manual unlocking means allowing inactivate the locking means of the upper part relative to the intermediate part, and able to inactivate the locking means of the mobility of the intermediate portion relative to the lower part, when the upper part is in the close position of the intermediate part . Following the actuation of each manual unlocking means, the upper part descends by gravity and approaches the intermediate portion, which inactivates the locking means of the mobility of the intermediate portion relative to the lower part.
  • barriers or semi-barriers of medical beds those formed of telescopic sliding elements are not the most frequent. They have indeed various disadvantages.
  • the achievements proposed in the prior art are complex and expensive structures, and their actuation is not intuitive, requiring a time of adaptation of caregivers. In addition, they sometimes include complex parts to clean and disinfect. There is, moreover, a significant risk of accidental actuation, which may lead to a blockage in buttressing of the barrier or half-barrier, or a complete descent of the barrier or the half-barrier, with consequences in terms of security.
  • the present invention proposes to solve in all or part the disadvantages of the prior art.
  • a first object of the invention is to provide a telescopic barrier post having a secure actuating device for the patient.
  • a second object of the invention is to provide a telescopic barrier amount, easily manipulated by the caregiver.
  • a third object of the invention is to provide such an amount with a limited risk of jamming in buttresses.
  • a fourth object of the invention is to provide such an amount, easy to clean.
  • a fifth object of the invention is to provide a medical bed comprising at least one barrier or a half-barrier as presented above.
  • a telescopic amount of medical bed barrier comprising an upper part, an intermediate part, a lower part, movable relative to each other, a control means comprising a first means retainer, adapted to cooperate with the upper part so as to block the upper part in a raised position relative to the intermediate part, a second retaining means adapted to cooperate with the lower part, so as to block the intermediate part in a position raised relative to the lower part, the control means being rotatably mounted relative to the upper part and to the intermediate part, so that when the upper part and the intermediate part are in a raised position, a pivoting of the control means causes the unlocking of the upper part relative to the intermediate part, or to the once the unlocking of the upper portion relative to the intermediate portion and the intermediate portion relative to the lower part.
  • a barrier of a medical bed comprising an upper rail, an intermediate cross, a lower rail, and two barrier posts as presented above, the upper rail being secured to the upper part, the intermediate cross member being secured to the intermediate portion, the lower cross member being slidably mounted relative to the lower portion.
  • the intermediate portion comprises a connecting screw, adapted to be inserted into a recess arranged on the lower cross member, when the intermediate portion is in the raised position.
  • the lower part comprises a slot, the lower rail being provided with a slat, able to slide in the slot.
  • Figures 1 to 3 represent a telescopic barrier 1 , in particular a medical bed, the barrier 1 being represented in different positions.
  • the barrier 1 can be manually placed in three stable predetermined positions, represented in FIG. Figures 1 to 3 .
  • the barrier 1 shown is intended to be fixed on a bed, preferably a hospital bed, for example by means of a system 2 hooking.
  • the fastening system 2 allows a pivoting movement of the barrier 1 along a horizontal axis, followed by a sliding movement of the barrier 1 under the coating plane.
  • the barrier 1 is intended to be fixed on a stretcher, or a stretcher.
  • the barrier 1 shown is for example a half barrier, covering half of a bed side, or covers the entire length of a bed, or three quarters of a bed.
  • barrier used later in the present description makes indistinct reference to a barrier 1 full width or a barrier portion, regardless of size.
  • the barrier 1 comprises two uprights 3, and a plurality of crosspieces 4, 5, 6.
  • the terms “longitudinal” or “longitudinally” refer to a direction coincident with the X axis
  • the terms “transverse” or “transversely” refer to a direction coincides with the Y axis
  • the terms “vertical” or “vertically” refer to a direction coincident with the Z axis.
  • Absolute position terms such as “forward”, “backward”, “high”, “ bottom “,” left “,” right “, or relative as” above “,” upper “,” below “,” below “are defined in relation to the amount 3.
  • Each of the uprights 3 is telescopic, and is linked with the cross members 4, 5, 6, so as to give the barrier 1 the possibility of changing between different predetermined stable positions.
  • the barrier 1 comprises three cross members 4, 5, 6, namely an upper cross member 4 , an intermediate cross member 5 and a lower cross member 6 .
  • the barrier 1 is shown in the rectified position. For simplification purposes, the sleeping plan is not shown.
  • the height of the upper crossbar 4 with respect to the lying plane is large enough to prevent the fall of a patient.
  • the crosspieces 4, 5, 6 have between them, when the barrier is in the upright position, a predefined spacing, preventing certain parts of the body of the patient (such as the head) can enter or get stuck.
  • the upper cross member 4 is brought closer to the intermediate cross member 5 , the barrier 1 being in a so-called intermediate position.
  • the intermediate cross member 5 and the lower cross member 6 have a predefined spacing, preventing certain parts of the patient's body (such as the head) from entering or trapping therein.
  • This intermediate position is a position of compromise between safety and comfort for the patient. Indeed, a bedridden patient surrounded by barriers 1 in the upright position (as shown in FIG. figure 1 ) sometimes feels a sense of confinement, which can be oppressive. Placing the barriers 1 at mid-height in the intermediate position reduces the risk of occurrence of such a disorder. The intermediate position also allows a patient to obtain support if needed, helping him to get out of bed.
  • the upper crossbar 4 advantageously has shapes and surface condition allowing its use by the patient in manual support, especially when the patient wishes to get out of bed, the barrier 1 being a half-barrier headboard, placed in its upright or intermediate position.
  • the cross members 4, 5, 6, in particular the upper crosspiece 4 advantageously have a neat finish, for example of the brushed aluminum type, or of the wood type, and are devoid of sharp angles.
  • the upper crossbar 4 has a curved or curved surface, in particular on its two end parts, the contact with the upper crossbar 4 being non-injurious.
  • the barrier 1 is shown in a so-called lowered position.
  • the barrier 1 In the lowered position, the barrier 1 is fully retracted. In this lowered position, the delivery of care by the nursing staff is facilitated, and the access or exit of the bed is made easy for the patient, including by sliding the bed to a stretcher or a stretcher and vice versa.
  • a net or a flexible panel (not shown) is attached to the cross members 4, 5, 6, to reduce the risk of climbing barrier 1 by the patient.
  • the three stable and predetermined positions described above are, according to a first use of the barrier, achieved successively, stepwise or sequentially, when the barrier 1 is lowered, "in cascade", or when the barrier is raised.
  • the barrier In a second use of the barrier 1, the barrier is lowered continuously from the deployed position to its lowered position, without stopping in the intermediate position, but controlling its descent as specified later in the description.
  • each of the three positions can be locked, so as to maintain the barrier 1 in a stable state.
  • the sliding surfaces of the elements of the barrier are provided with a coating, for example of polymeric material, and dimensioned so as to ensure a smooth and silent sliding.
  • the cascade descent of the barrier is obtained against a damper cylinder, for example gas jack.
  • each amount 3 comprises a control means 7 .
  • An action on the control means 7 makes it possible to block or unlock the amount 3 while sliding .
  • control barrier 1 is advantageous in terms of security.
  • duplication of the control means 7 makes it possible to limit the risks of an involuntary unlocking of the barrier 1 by actuation of a single control means 7 .
  • the barrier 1 has a symmetry with respect to a vertical plane passing through the middle of the crosspieces 4, 5, 6, the uprights 3 being of similar structures. In the rest of this description, the structure of a single amount 3 is described in detail .
  • the upright 3 includes an upper portion 8 , an intermediate portion 9 , and a lower portion 10 extending all three vertically.
  • Top 8 slides in part 9 intermediate, and the portion 9 intermediate slide 10 in the lower part.
  • the parts 8, 9, 10 are advantageously hollow profiled parts.
  • Each portion 8, 9, 10 respectively has an upper inner wall 11 , an inner inner wall 12 , and a lower inner wall 13 , as shown in FIG. figure 7 , and as visible in figures 15 and 16 10 for the lower part.
  • the intermediate portion 9 comprises an intermediate tube 91 , and an intermediate cap 17 fitted into this intermediate tube 91 on its upper part.
  • Such an intermediate plug 17 makes it possible in particular to provide a stop preventing the exit of the upper part 8 of the intermediate part 9 .
  • the lower part 10 comprises a tube 74 the lower profile, and a lower stopper 73 fitted into the lower tube 74 on its upper part.
  • Such a lower stopper 73 serves in particular to provide a stop preventing the exit of the intermediate portion 9 and the lower cross-member 6 with respect to the lower part 10.
  • the sections forming the parts 8, 9, 10 of the uprights 3 are for example made of aluminum alloy, steel, polymer material or composite.
  • the profiles are advantageously extruded or pultruded.
  • the profiles are molded or profiled cold.
  • the parts 8, 9, 10 have a substantially elliptical section, which limits the risk of stress concentration.
  • the section of the portions 8, 9, 10 is substantially polygonal.
  • the inner dimensions of the upper part 8 , the intermediate part 9 and the lower part 10 are respectively increasing, so as to allow their interlocking.
  • the amount 3 has a telescopic character.
  • system 2 attachment is arranged on the lower portion 10, the barrier 1 when folded will approximate closer to the lying surface.
  • the upper cross-member 4 is secured to the upper portion 8, the intermediate crosspiece 5 is fixed to the intermediate portion 9, and the lower cross-member 6 is slidable relative to the lower part 10 of the uprights 3.
  • the joining of the crosspieces 4, 5 to the parts 8, 9 is for example made by screwing, welding, riveting, bolting, gluing.
  • the barrier 1 thus comprises three sliding stages, each stage being U-shaped with a downward opening, each stage being formed of a crossbar 4, 5, 6 and of two parts 8, 9, 10 of upright 3.
  • the setting in motion of the amount 3 is made by blocking or unblocking the parts 8, 9, 10 of the amount 3 between them, by means 7 of control, manually operable by the user.
  • the upper part 8 can be locked in translation relative to the intermediate portion 9, and the intermediate part 9 can be locked in translation with respect to the 10 lower part.
  • control means 7 evolves inside the parts 8, 9, 10, in other words within the upright 3.
  • control means 7 The risks of accidental actuation of the control means 7 are limited, the control means 7 being essentially internal to the upright 3, with the exception of a portion of a manual control member, such as a wheel, and it will appear more completely in the following description.
  • control means 7 is thus masked in view, giving the barrier 1 a neat appearance.
  • control means 7 is not located inside the parts 8, 9, 10, but is for example arranged outside, in juxtaposition of the parts 8, 9, 10.
  • control means 7 is shown in solid line, the other components of the barrier 1 being in dashed lines, for simplification purposes.
  • the control means 7 comprises a first portion 14, and a second portion 15, each extending in a substantially vertical direction, so as to be inserted within the portions 8, 9, 10.
  • the first portion 14 is stopped in translation relative to the upper portion 8 .
  • the second portion 15 is stopped in translation relative to the intermediate portion 9 .
  • the control of the translation of the portions 14, 15 relative to each other causes the translation of the upper portion 8 relative to the intermediate portion 9 .
  • the first portion 14 comprises a rod, advantageously having a polygonal section, for example rectangular.
  • the first portion 14 is rotatably connected to the second portion 15.
  • this rotational connection is obtained by placing the first portion 14 in sliding in a cavity 16 of the second portion 15, having a complementary section, this cavity 16 being visible in FIG. Figures 10 and 11 .
  • This arrangement allows the formation of a slide connection between the first portion 14 and the second portion 15, making the telescopic control means 7 .
  • the cavity 16 has a substantially polygonal cross section, for example rectangular.
  • the cavity 16 has a circular section.
  • the first portion 14 is pivotally mounted relative to the upper portion 8 and the second portion 15 is rotatably mounted relative to the intermediate portion 9 .
  • the first portion 14 and the second portion 15 have a length sufficient to not be separated from each other when the upper portion 8 is abutted against the intermediate plug 17 .
  • the cavity 16 of the second portion 15 comprises a lumen 38, as shown in medallion in FIG. figure 9 .
  • This light 38 aims for example to facilitate the removal of an insert for obtaining the cavity 16 by molding process.
  • the second portion 15 comprises a first retaining means.
  • the first retaining means comprises, for example, a notch 18 disposed on a first cam 19 (see figures 9 and 5 , 6 , and in medallion in figure 8 ), which is adapted to cooperate with the upper part 8 , so as to prevent the translation of the upper part 8 downwards.
  • the upper portion 8 comprises a sleeve 22 upper, to abut with the first cam 19.
  • the upper portion 8 can be stopped relative to the intermediate portion 9 , for locking the upper cross member 4 relative to the intermediate crosspiece 5 , which corresponds to the raised position of the barrier 1.
  • the second portion 15 includes a second retaining means, for example a bearing surface 20 arranged on a second cam 21, adapted to cooperate by abutment with the lower portion 10, so as to prevent the translation of the intermediate portion 9 to the bottom.
  • a second retaining means for example a bearing surface 20 arranged on a second cam 21, adapted to cooperate by abutment with the lower portion 10, so as to prevent the translation of the intermediate portion 9 to the bottom.
  • the intermediate portion 9 comprises a lower sleeve 23 , coming into abutment with the second cam 21, when the barrier 1 is in an extended or retracted position, as shown in FIG. figure 5 and figure 6 respectively.
  • the intermediate portion 9 can be stopped relative to the lower part 10, for locking the intermediate crosspiece 5 with respect to the lower cross-member 6, which corresponds to the intermediate position of the barrier 1.
  • the second portion 15 comprises at its respective free ends the first cam 19 and the second cam 21, both connected by an intermediate cam 24 , as shown in FIG. figures 8 and 9 .
  • the first cam 19 comprises two lobules 25, which extend vertically.
  • the first cam comprises a single lobule 25, or at least three lobules 25.
  • the two lobes 25 each have a transversely arcuate side 26 and two lateral sides 27 extending at each end of the arcuate side 26.
  • the lobules 25 are symmetrical to one another, with respect to a vertical plane passing through the middle of each junction 28, as represented in FIG. figure 10 .
  • the intermediate cam 24 has lobes 29, advantageously vertical, in number identical to the number of lobules 25 equipping the first cam 19.
  • the intermediate cam 24 comprises two lobes 29.
  • the intermediate cam 24 comprises a single lobe 29, or at least three lobes 29.
  • the two lobes 29 each have an arcuate edge 30 , and two lateral edges 31 , extending at each end of the arcuate edge 30 .
  • a connection 32 favorably ellipsoidal, makes it possible to connect each lobe 29.
  • the lobes 29 are advantageously symmetrical to one another, with respect to a vertical plane passing through the middle of each connection 32, as represented in FIG. figure 11 .
  • a groove 33 provided with a first continuous rim 34 , and a second rim 35 stepped, including the notch 18, or a step, as shown in medallion in figures 8 and 9 .
  • the notch 18 defines a retaining surface 36 on the first cam 19, advantageously extending on a transverse plane, so as to be able to cooperate with the upper sleeve 22 .
  • the second portion 15 comprises two notches 18, so as to define two retaining surfaces 36 .
  • the upper sleeve 22 is then stopped in two locations, which makes it possible to secure the stop of the amount 3 by redundancy. The safety of the barrier 1 is thus increased.
  • the junction 28 is arranged in extension of a connection 32.
  • arcuate edges 30 and the arcuate sides 26 have a substantially circular contour, so as to rotate and translate within the sleeve 22 higher.
  • the second cam 21 is a piece of revolution.
  • the second cam 21 comprises a rear face 92 , able to serve as a support.
  • the second cam 21 advantageously comprises two lugs 40, separated from each other by two notches 44.
  • the lugs 40 have an arcuate portion 41 and two lateral portions 42 .
  • Units 41 are complementary to the arcuate wall 13 inner bottom, being preferably cylindrical, so as to slide within the lower portion 10.
  • the indentations 44 are defined in particular by the lateral portions 42 and a bottom 43, advantageously cylindrical, in order to prevent the pivoting of the control means 7 .
  • the ears 40 are symmetrical to each other, in a plane passing through the middle of the bottom 43 of the notches 44.
  • each of the lugs 40 comprises a recess 45.
  • the recess 45 is blind, that is to say does not fully penetrate the ear 40.
  • the recess 45 allows, for example, insertion of a tab 49, internal to the lower part 10.
  • the recess 45 serves in particular to create an indexing mechanism for the control means 7 , which makes it possible to secure the use of the barrier 1.
  • the recess 45 comprises, a support face 46 , two banks 47 and a end 48, as shown in the medallion of the figure 8 or 9 .
  • the recess 45 is intended in particular to be inserted within the tongue 49, the support face 46 serving at that time of support.
  • the banks 47 and the end 48 form in a vertical plane a U.
  • the banks 47 are preferably vertical, and the end 48 horizontal, so that the banks 47 are orthogonal at the end 48.
  • control means 7 can be stopped in rotation, preventing its involuntary actuation, which is favorable for the safety of the barrier 1.
  • the depth of the recess 45 is set such that the insertion of a tongue 49 blocks the rotation of the control means 7 by indexing.
  • Such a feature is favorable to prevent the rotation of the control means 7 , when a locking of the amount 3 is desired.
  • the barrier 1 in the raised position can not therefore be manipulated involuntarily by the patient.
  • the second portion 15 further comprises a shoulder 50 disposed between the intermediate cam 24 and the second cam 21.
  • the shoulder 50 comprises a groove 51 intended to allow the passage of a connecting piece, such as for example a connecting screw 52 , integral with the intermediate portion 9 , as shown in FIG. figure 7 .
  • the intermediate portion 9 and the second portion 15 are thus linked in translation.
  • the notch 44, and the notch 18 are each arranged so as to have an angular offset between them, along a vertical axis passing through the middle of the second cam 21.
  • the orthogonal projection of the notch 44 on a horizontal plane and the orthogonal projection of the notch 18 on a horizontal plane are entirely distinct.
  • the angular offset offers the possibility of achieving a successive release, not simultaneous, of the first cam 19 and the second cam 21.
  • the upper sleeve 22 is located on a low end portion of the upper portion 8 .
  • the upper sleeve 22 advantageously has a contour 53 substantially homothetic with respect to the periphery of the intermediate portion 9 .
  • the upper sleeve 22 is advantageously provided with upper ridges 54 , protruding from the contour 53, which minimizes the friction of the upper sleeve 22 inside the intermediate part 9 , and thus facilitates the sliding of the upper part 8 within the intermediate part 9 .
  • the upper sleeve 22 comprises an orifice 55 having a circular cross section.
  • the upper sleeve 22 comprises two lugs 37, advantageously facing one another.
  • the lugs 37 have a stop surface 56 , advantageously arranged in a transverse plane.
  • This blocking maintains the barrier in the raised position, as shown in FIG. figure 1 .
  • the lugs 37 each have a lateral surface 57 intended to stop a lateral force coming from a lateral side 27 of the first cam 19.
  • the lug constitutes in particular a stop for the first cam 19.
  • the sleeve 22 upper comprises, in addition, at least one boss 58, projecting from an upper face 59 of the sleeve 22 upper.
  • Such a boss 58 comprises an internal face 60 , in extension of the orifice 55, which makes it possible to guide the second portion 15 in rotation , while ensuring the sliding of the second portion 15 with respect to the upper sleeve 22 .
  • Such a boss 58 also makes it possible to position the upper sleeve 23 relative to the intermediate tube 91 , for example by interlocking, prior to its attachment, for example by screw, on the bottom of the intermediate tube 91 . Due to its vertical extension, the upper sleeve 23 when recessed within the intermediate tube 91 stiffens the intermediate portion 9 of the upright 3. The stability of the barrier 1, particularly when in the raised position is found improved
  • the lower sleeve 23 is advantageously provided with lower ridges 61, projecting from its perimeter 62, which minimizes friction of the lower sleeve 23 inside the lower portion 10, and thus facilitates the sliding of the intermediate portion 9 in 10 of the lower part.
  • the lower sleeve 23 advantageously comprises an opening 63 complementary to the shape of the second portion 15.
  • the opening 63 allows in particular the rotation of the second portion 15 relative to the lower sleeve 23 .
  • control means 7 is pivotable relative to the intermediate part 9 .
  • the lower sleeve 23 comprises two recesses 64 having a shape similar to the shape of the notch 44, which allows to frame the tongue 49.
  • the lower sleeve 23 is thus able to follow the displacement of the second cam 21, when it slides along the tongue 49.
  • the lower sleeve 23 comprises two recesses 64 symmetrical to one another, with respect to a plane YZ passing through the center of the opening 63.
  • the lower sleeve 23 comprises a plateau 65 and a boss 66 protruding in vertical extension relative to the plate 65.
  • the hump 66 includes at least one hole 67 formed in a transverse direction.
  • a bore 67 is favorably made to coincide with the groove 51, when the second portion 15 is inserted into the sleeve 23 below.
  • a connecting piece such as a connecting screw 52 , if inserted into such a bore 67, extends within the groove 51, creating a translation stop of the second portion 15 relative to the sleeve 23. inferior.
  • the intermediate portion 9 and the second portion 15 are thus integral in vertical translation, but are pivotable between them.
  • the lower portion 10 defines an apex 71 and a base 72, which in the embodiment shown, each extend in a transverse plane.
  • the lower plug 73 is inserted into the lower tube 74 , through the apex 71.
  • the lower plug 73 comprises grooves 75 cooperating with the intermediate portion 9 , in particular to promote its sliding.
  • the lower part 10 comprises a wall 76 lower outer establishing the limits of the lower part 10.
  • the lower outer wall 76 serves in particular to form a fastening surface of the fastening system 2 .
  • the lower portion 10 comprises a wall 77 guide, which favorably extends vertically, so as to allow to provide vertical guidance of the crossbeam 6 below.
  • the lower portion 10 comprises a tongue 49 projecting from the lower inner wall 13.
  • the tongue 49 is substantially paralepipedic with rounded corners, and defines an upper end 78 and a lower end 79 .
  • the tongue 49 is particularly intended to come into support against the surface 20 bearing the cam 21, when the intermediate portion 9 is in the raised position relative to the lower part 10.
  • the upper end 78 of the tongue 49 is complementary to the recess 45 of the second cam 21, so that the upper end 78 can be inserted into the recess 45, when the barrier 1 is in the raised position.
  • the tongue 49 advantageously has a cross section smaller than the dimension of the notch 44.
  • the notch 44 surrounds the tongue 49, and can move freely along the tongue 49 in a vertical direction, without its movement is hindered.
  • a gap is provided between the top 71 and the upper end 78 , so as to allow the insertion of a fraction of the intermediate portion 9 , sufficient to allow a maintenance of the barrier 1 in the unfolded position.
  • a gap is defined between the base 72 and the lower end 79 , which allows the possibility of housing the second cam 21 between the lower end 79 and the base 72.
  • the guide wall 77 includes a notch 80, which develops from the apex 71, and stops away from the base 72, so as to form a surface stop 81 .
  • the lower outer wall 76 includes a substantially vertical slot 82 extending from the top 71 to the base 72.
  • the slot 82 defines two guide flanks 83 , facilitating the sliding of the lower cross member 6 and the upper cross member 4 .
  • the lower crossbar 6 is provided with a shoe 84, advantageously fixed to its end.
  • the shoe 84 is, in a favorable manner, nested and held in position within the lower beam 6 .
  • the shoe 84 is provided with a slat 85, slidable in the slot 82, and an abutment 87 intended to be introduced into the slit 80.
  • the shoe 84 slides in the lower part 10 , its stroke being limited by the vertical dimension of the notch 80.
  • the translation of the shoe 84 can be blocked down by the stop 81 surface.
  • the translation of the shoe 84 is blocked upwards, through the lower plug 73 , except for the case where the barrier 1 is in the lowered position.
  • the lower cross-member 6 is slidably mounted relative to the lower part 10 over a predetermined distance.
  • the shoe 84 comprises, for example, a location, such as a counterbore 86, for inserting a connecting piece, such as the head 88 of the connecting screw 52 .
  • the movement of the lower sleeve 23 is by such a bias imposed on the lower crossbar 6 , when the head 88 is inserted within the countersink 86.
  • the upper crosspiece 4 advantageously rests on the two upper parts 8 of the uprights, for example on flanges 89.
  • the upper crosspiece 4 comprises a groove 90 allowing in particular its interlocking on the intermediate crosspiece 5 , for example when the barrier 1 is locked in the intermediate position or in the retracted position.
  • control means 7 The operation of the control means 7 is now described.
  • the upright 3 comprises an actuating device, for example a wheel 68, capable of rotating the control means 7 , along a vertical axis.
  • an actuating device for example a wheel 68, capable of rotating the control means 7 , along a vertical axis.
  • the actuating device comprises a lever, in the form of a trigger, or a button, means being provided for converting the movement of the trigger or button into a rotational movement, for example by rack.
  • the wheel 68 is in pivot connection with the upper part 8 , and integral with the first portion 14.
  • knob 68 does not have a protruding part, unlike a handle or a trigger.
  • the wheel 68 is accessible on the outer side and the inner side of the barrier 1. In this way, it is possible to ideally use at least three fingers to pivot the wheel 68, which allows precision in pivoting, but also offers the possibility of exerting a gripping force sufficient to control and hold the descent of the barrier 1.
  • only a portion of the wheel 68 is accessible on the outer side of the barrier 1, the upper crosspiece 6 covering the greater part of the wheel 68.
  • the patient placed in the bed does not see and does not have access, on the inner side of the bed, to the knobs 68.
  • Involuntary operation of the wheel 68 is thus less likely to occur than involuntary actuation of a handle.
  • the wheel 68 is partially covered or covered, for example by the upper cross 4 .
  • the upper crosspiece 4 is advantageously of complementary shape to the wheel 68, and cutouts 69.
  • knob 68 In this way, only a small fraction of the knob 68 is left visible, so as to allow its handling by the user.
  • the actuating device is electrically controlled, for example by means of a motor.
  • the wheel 68 is also provided with a return element 70 , such as a torsion spring.
  • the return element 70 makes it possible to return the wheel 68, and by extension the control means 7 , in the opposite direction of the rotation allowing the unlocking of the upper part 8 with respect to the intermediate part 9 , or of the part 9 intermediate with respect to the lower part 10.
  • Such a return element 70 makes it possible to maintain the control means 7 in an equilibrium position, and thus to maintain the locking or unlocking of the parts 8, 9, 10 between them.
  • a method of descent of the barrier 1 is described below , in order to make it evolve from the deployed position of the figure 1 at the lowered position of the figure 3 .
  • each of the control means 7 is in its initial position, in other words, for each post 3, the lug 37 is in contact with the first cam 19, and the tongue 49 is inserted in the recess 45.
  • the barrier 1 When the barrier 1 is in the raised position and a person lifts the upper crossbar 4 , without operating the control means 7, the barrier 1 can not slide down, and when the person releases the upper crossbar 4 , the barrier 1 returns to its predetermined raised position stable and secure.
  • each control means 7 is rotated against the elastic means 70.
  • the pivoting of the knobs 68 has the effect of bringing each lug 37 of each first edge 34 and the notch 44 closer to the tongue 49.
  • each knob 68 is rotated by a first angle, until each lug 37 is no longer supported on the retaining surfaces 36 , and the tongue 49 is in position. look of the support face 20 .
  • Each lug 37 is thus made free because it is no longer in contact with the retaining surface 36 .
  • each upper portion 8 slides within an intermediate portion 9 , resulting in the approach of the upper crossbar 4 of the intermediate cross 5 .
  • the user releases the knobs 68.
  • Each of the return elements 70 causes a rotation in the opposite direction to that exerted by the user, coming to press each lug 37 against a second edge 35.
  • the descent of the barrier 1 is stopped when the flange 89 comes into contact with the top of the intermediate tube 91 , putting the barrier 1 in the intermediate position, as shown in FIG. figure 2 .
  • Barrier 1 leaves the intermediate position when the user applies a new rotation on the wheels 68.
  • Each notch 44 is positioned opposite a tongue 49, releasing the lower sleeve 23 from any obstruction of the second cam.
  • Each of the recesses 64 are faced with a tongue 49 allowing the intermediate portion 9 to slide by gravity in the lower part 10.
  • Each shoe 84 slides within a notch 80 until reaching the surface stop 81 , which stops their advancement.
  • the upper part 8 therefore remains embedded in the intermediate part 9 .
  • the intermediate crossbar 5 fits into the notches 80 and slots 82, so as to come into contact with the lower cross member 6 .
  • the notch 44 no longer surrounds the tongue 49.
  • each control means 7 pivots in the opposite direction to that allowing the unlocking of the parts 8, 9, 10, positioning the lug 37 in abutment against the first edge 35 of the groove 33, and placing a portion of the ear 40, particularly the rear face 92 against the base 72. in this way, an equilibrium position is reached, where the intermediate portions 9 are locked within the lower portions 10, while the upper parts 8 are unlocked with respect to the intermediate parts 9 .
  • none of the intermediate parts 9 can be raised relative to the lower part 10 without exerting rotation on the rollers 68, while the upper parts 8 can be lifted by a simple action upwards.
  • the barrier can thus be raised very easily by the user in the intermediate position from the low position.
  • the user pivots the wheel 68 by a second angle, advantageously greater than the first angle of the first use of the barrier 1 so as to release the pins 37 of each surface 36 retaining and positioning the notch 44 opposite the tabs 49. in such a situation, the upper part 8 is unlocked with respect to the intermediate portion 9, and the intermediate portion 9 is unlocked relative to the lower portion 10 .
  • the user has the choice between a continuous descent of the barrier 1 and a sequential descent by step, this choice being selected according to the pivot angle of the rollers 68.
  • each rear face 92 at the ears 40 is positioned facing the base 72, while the lug 37 abuts against the second edge 35.
  • the user raises the upper cross 4 , which has the effect of raising each first portion 14, so each of the upper parts 8 .
  • each upper part 8 locks in the raised position relative to the intermediate part 9 .
  • a rotation is then exerted by the user on the rollers 68, so as to position each notch 44 facing each of the tongues 49.
  • the upper sleeve 22 comes into abutment against the intermediate stopper 17, which allows lifting of the intermediate portion 9 relative to the lower part 10.
  • the raising of the intermediate part 9 also causes the lower crossbar 6 to be raised, thanks to the action of the connecting screw 52 on the countersink 86.
  • the notch 44 exceeds the upper end 78 .
  • the intermediate portion 9 comes to block 10 relative to the bottom by gravity or by an action down of the user on the upper cross member 4.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)
EP18178066.9A 2017-06-26 2018-06-15 Teleskopständer für bettengitter, und krankenbett, das ein solches gitter umfasst Active EP3421024B1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR1755827A FR3067927B1 (fr) 2017-06-26 2017-06-26 Montant telescopique de barriere de lit et lit medical comprenant une telle barriere

Publications (2)

Publication Number Publication Date
EP3421024A1 true EP3421024A1 (de) 2019-01-02
EP3421024B1 EP3421024B1 (de) 2020-01-08

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EP (1) EP3421024B1 (de)
FR (1) FR3067927B1 (de)

Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9216881U1 (de) 1992-12-11 1993-03-18 Joh. Stiegelmeyer GmbH & Co KG, 4900 Herford Scherenseitengitter für ein Krankenbett
EP0991344A2 (de) 1997-06-24 2000-04-12 VÖLKER MÖBELPRODUKTIONS-GESELLSCHAFT mbH Bett, insbesondere kranken- oder pflegebett
EP1623654A1 (de) 2004-08-03 2006-02-08 Wissner-Bosserhoff GmbH Bett, insbesondere Kranken-oder Pflegebett, mit teilweise absenkbaren Seiten-und/oder Kopfbeziehungsweise Fussteilen
EP2052707A1 (de) 2007-10-26 2009-04-29 Wissner-Bosserhoff GmbH Bett, insbesondere Kranken- oder Pflegebett, mit teilweise absenkbaren Seiten- und/oder Kopf- bzw. Fußteilen
EP2206486A2 (de) 2009-01-13 2010-07-14 H.C. Equipment APS Führungsschiene
EP2263632A1 (de) 2009-06-18 2010-12-22 Wissner-Bosserhoff GmbH Anordnung bildend ein Seiten-, Kopf- oder Fußteil eines Bettes mit einem Bewegungsübertragungsmittel und Bett mit einer solchen Anordnung
DE202011000785U1 (de) 2011-04-04 2011-06-09 Vauth-Sagel Holding GmbH & Co. KG, 33034 Seitensicherungseinrichtung für ein Bett, insbesondere ein Kranken- oder Pflegebett
FR2979818A1 (fr) 2011-09-08 2013-03-15 Medicatlantic Sa Barriere de lit, notamment de lit medical, et procede de montage d'une telle barriere
FR2986951A1 (fr) 2012-02-22 2013-08-23 Sotec Medical Barriere comprenant plusieurs parties coulissantes abaissables
FR3006159A1 (fr) 2013-05-28 2014-12-05 Edena Sas Barriere de lit a hauteur variable
DE202015101436U1 (de) 2015-03-20 2015-04-02 Fmb Care Gmbh Höheneinrichtbares Seitenteil für ein Pflegebett
GB2522602A (en) * 2013-09-17 2015-08-05 Renray Healthcare Ltd Locking mechanism
EP3000455A2 (de) 2014-09-24 2016-03-30 Benmor Medical (UK) Limited Barriere für ein bett
DE202016104234U1 (de) 2016-08-02 2016-08-19 Fmb Care Gmbh Höheneinrichtbares Seitenteil für ein Pflegebett
JP2016168098A (ja) * 2015-03-11 2016-09-23 パラマウントベッド株式会社 ベッドに取り付けられる側柵

Patent Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9216881U1 (de) 1992-12-11 1993-03-18 Joh. Stiegelmeyer GmbH & Co KG, 4900 Herford Scherenseitengitter für ein Krankenbett
EP0991344A2 (de) 1997-06-24 2000-04-12 VÖLKER MÖBELPRODUKTIONS-GESELLSCHAFT mbH Bett, insbesondere kranken- oder pflegebett
EP1623654A1 (de) 2004-08-03 2006-02-08 Wissner-Bosserhoff GmbH Bett, insbesondere Kranken-oder Pflegebett, mit teilweise absenkbaren Seiten-und/oder Kopfbeziehungsweise Fussteilen
EP2052707A1 (de) 2007-10-26 2009-04-29 Wissner-Bosserhoff GmbH Bett, insbesondere Kranken- oder Pflegebett, mit teilweise absenkbaren Seiten- und/oder Kopf- bzw. Fußteilen
EP2206486A2 (de) 2009-01-13 2010-07-14 H.C. Equipment APS Führungsschiene
EP2263632A1 (de) 2009-06-18 2010-12-22 Wissner-Bosserhoff GmbH Anordnung bildend ein Seiten-, Kopf- oder Fußteil eines Bettes mit einem Bewegungsübertragungsmittel und Bett mit einer solchen Anordnung
DE202011000785U1 (de) 2011-04-04 2011-06-09 Vauth-Sagel Holding GmbH & Co. KG, 33034 Seitensicherungseinrichtung für ein Bett, insbesondere ein Kranken- oder Pflegebett
FR2979818A1 (fr) 2011-09-08 2013-03-15 Medicatlantic Sa Barriere de lit, notamment de lit medical, et procede de montage d'une telle barriere
FR2986951A1 (fr) 2012-02-22 2013-08-23 Sotec Medical Barriere comprenant plusieurs parties coulissantes abaissables
FR3006159A1 (fr) 2013-05-28 2014-12-05 Edena Sas Barriere de lit a hauteur variable
GB2522602A (en) * 2013-09-17 2015-08-05 Renray Healthcare Ltd Locking mechanism
EP3000455A2 (de) 2014-09-24 2016-03-30 Benmor Medical (UK) Limited Barriere für ein bett
JP2016168098A (ja) * 2015-03-11 2016-09-23 パラマウントベッド株式会社 ベッドに取り付けられる側柵
DE202015101436U1 (de) 2015-03-20 2015-04-02 Fmb Care Gmbh Höheneinrichtbares Seitenteil für ein Pflegebett
DE202016104234U1 (de) 2016-08-02 2016-08-19 Fmb Care Gmbh Höheneinrichtbares Seitenteil für ein Pflegebett

Also Published As

Publication number Publication date
FR3067927A1 (fr) 2018-12-28
EP3421024B1 (de) 2020-01-08
FR3067927B1 (fr) 2019-08-16

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