EP3648723B1 - Lit médicalisé - Google Patents

Lit médicalisé Download PDF

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Publication number
EP3648723B1
EP3648723B1 EP18737495.4A EP18737495A EP3648723B1 EP 3648723 B1 EP3648723 B1 EP 3648723B1 EP 18737495 A EP18737495 A EP 18737495A EP 3648723 B1 EP3648723 B1 EP 3648723B1
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EP
European Patent Office
Prior art keywords
frame
lower leg
nursing bed
section
care bed
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP18737495.4A
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German (de)
English (en)
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EP3648723A1 (fr
Inventor
Hans-Joachim Kleeberg
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Individual
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Individual
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Publication date
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Publication of EP3648723A1 publication Critical patent/EP3648723A1/fr
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    • 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
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073Parts, details or accessories
    • A61G7/1082Rests specially adapted for
    • A61G7/1098Ankle or foot
    • 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
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/015Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position
    • AHUMAN NECESSITIES
    • A47FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47CCHAIRS; SOFAS; BEDS
    • A47C20/00Head -, foot -, or like rests for beds, sofas or the like
    • A47C20/04Head -, foot -, or like rests for beds, sofas or the like with adjustable inclination
    • A47C20/041Head -, foot -, or like rests for beds, sofas or the like with adjustable inclination by electric motors
    • AHUMAN NECESSITIES
    • A47FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47CCHAIRS; SOFAS; BEDS
    • A47C20/00Head -, foot -, or like rests for beds, sofas or the like
    • A47C20/08Head -, foot -, or like rests for beds, sofas or the like with means for adjusting two or more rests simultaneously
    • 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
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/012Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
    • 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
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/018Control or drive mechanisms
    • 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
    • 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
    • A61G7/057Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • A61G7/0573Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with mattress frames having alternately movable parts
    • 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
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • 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
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • A61G7/0755Rests specially adapted therefor for the limbs for the legs or feet
    • 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
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • 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
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/16Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto converting a lying surface into a chair
    • 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
    • A61G2203/00General characteristics of devices
    • A61G2203/70General characteristics of devices with special adaptations, e.g. for safety or comfort
    • 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
    • A61G7/053Aids for getting into, or out of, bed, e.g. steps, chairs, cane-like supports

Definitions

  • the invention relates to a care bed.
  • Nursing beds which have a first frame which carries a first mattress part, the first frame having a central section, a back section and a leg section.
  • the beds also have a base that supports the first frame.
  • the care beds have a second frame with a foot section which is arranged at the foot end of the care bed.
  • the second frame carries a second mattress part.
  • the first frame of well-known care beds can be transferred from a horizontal, flat lying position in which the first frame provides a mattress support surface that is flat from the head end of the bed to the end of the first frame on the foot side, into a position in which the leg section of the first frame is in a position relative to the position of the leg portion is arranged in the flat lying position relative to the raised position of the base.
  • the second frame is rigidly and immovably attached to the base.
  • the adjustability of the first frame can be used in practice in particular to elevate the patient's legs in relation to his or her pelvis for therapeutic or preventive reasons.
  • GB 1 259 181 A discloses a care bed according to the preamble of claim 1.
  • CN 202044435 U describes a couch in which the head part can be angled in relation to a middle part and in which a foot part can be moved vertically to the middle part.
  • WO 2017/031531 A1 a module which is set up for installation in beds. Individual areas of the bed can be raised using the module.
  • the bed described has a plurality of support surfaces which can be vertically positioned independently of one another, such as leg supports, arm supports, head supports and torso supports.
  • WO 2016/049696 A1 describes a bed and a bed insert.
  • the head part is vertically adjustable and adjacent to the head part there is an intermediate part whose inclination can be adjusted.
  • the object of the invention is to provide an improved care bed.
  • the care bed has a base which carries an adjustable first frame and a second frame of the care bed.
  • the first frame has a central section, a back section, a thigh section and a lower leg section.
  • the first frame carries a first mattress part for the patient's torso and legs.
  • the second frame has a foot section and supports a second mattress section for the patient's feet.
  • the second frame is supported separately from the first frame on the base.
  • the second frame is adjustable in height relative to the base, in particular relative to its upper side.
  • the second frame is particularly preferably height-adjustable separately from the first frame.
  • the first mattress part and the second mattress part are preferably separate mattress parts.
  • the second frame and the first frame are preferably separate from one another.
  • the second frame is preferably not hinged to the first frame, preferably at least not to the lower leg section of the first frame.
  • the position of the second frame relative to the base of the care bed according to the invention can be adjusted so that the second mattress part at least supports the patient's feet proportionally, even if the lower leg section is arranged in a position for therapeutic or preventive leg elevation.
  • the height of the support surface of the second frame for supporting the mattress relative to the base can be adjusted for adjustment after and / or while the vertical position of the support surface of the lower leg section for supporting the mattress is adjusted upwards relative to the base, for example for elevating the legs is or is being adjusted.
  • the height-adjustable foot section which can preferably follow the lower leg section, it can be prevented, for example, that the lower leg rests on a foot-side edge of the second frame (lower edge of the lower leg part) and the feet over the edge in a position of the lower leg section for preventive or therapeutic elevation of the leg survive, since the weight of the lower leg is at least partially borne by the foot section via the heel resting on the mattress part on the foot section.
  • This can prevent the formation of pressure ulcers in the lower leg area on the support edge of the lower leg part.
  • the abdominal muscles are relieved of the reflex tension that is triggered by pulling the lower leg and foot. If the feet are not hanging in the air, but the heel rests on the mattress part which is supported by the foot section, the feet can be covered and thereby remain warm.
  • the acceptance of the leg elevation can be improved and the duration or frequency of use of the leg elevation can be increased, since with the leg elevation in known beds possibly existing problems when using the care bed according to the invention do not occur. This can increase the effectiveness of the preventive or therapeutic elevation of the legs in the care bed according to the invention. If the care bed is set up for setting different positions, different positions of the foot section relative to the lower leg section, pressure reliefs of the heel area and of the lower leg area can be adjusted in a targeted manner.
  • the therapeutic or preventive elevation of the legs promotes the venous return of the blood.
  • elevating the legs can promote lymphatic drainage.
  • elevating the legs leads to relaxation of the abdominal wall.
  • elevating the leg leads to the prophylaxis of deep vein thrombosis and thus pulmonary embolism.
  • the temporary elevation of the legs can also prevent pressure sores in the leg and in the heel area. Since the therapeutic or preventive elevation of the legs can be carried out more frequently and / or longer than with known care beds, the therapeutic or preventive effectiveness of the care bed according to the invention is increased compared to known care beds.
  • the first frame of the care bed are preferably adjustable in such a way that the first frame can be brought into a sitting position, also called a chair position.
  • the first frame In the sitting position, the first frame is preferably rotated around a, preferably vertical, vertical axis (preferably 90 °) compared to the horizontal, flat lying position, in which the longest side of the first frame extends along the longitudinal axis of the bed, so that the patient can sit in the armchair position, oriented transversely to the longitudinal axis of the bed, sits in the armchair formed by the first frame and the mattress part of the first frame.
  • the back section In the armchair position, the back section is preferably upright.
  • the lower leg section In the armchair position, the lower leg section is preferably arranged folded down outside the bed border of the care bed.
  • the patient sits in the sitting position with his legs over the edge of the bed Bed surround.
  • the patient's feet preferably protrude over the lower edge of the mattress part, which is supported by the first frame, in the direction of the floor.
  • the lower edge of the mattress part is preferably at a distance from the floor in the sitting position.
  • the lower leg section of the second frame is preferably height-adjustable separately from the second frame. This allows the lower leg section to be raised over the second frame, for example to initiate the movement of the first frame into a chair position, without the second frame having to be lowered, so that the lower leg section when rotating the first frame about the vertical axis to reach the sitting position can be pivoted over the second frame.
  • the second frame is preferably height adjustable separately from the lower leg section relative to the base, so that the distance between the lower leg section and the base can remain unchanged when the height of the second frame is adjusted relative to the base.
  • the second frame is preferably non-rotatably attached to the base with respect to rotations about the vertical axis; in particular, the second frame preferably does not take part in a rotary movement of the first frame about the vertical axis.
  • the base is preferably adjustable in height.
  • the care bed is set up in such a way that the the second frame is moved upward at the same time with respect to the horizontal direction to the head end of the nursing bed when adjusting the height relative to the base.
  • the second frame can be moved upwards, for example, along a straight line that is oriented obliquely to the vertical and / or along a curved path, for example a curve.
  • the care bed can be set up in this way, for example, by a mechanical guide element and / or by appropriate control of the drive or drives for the height adjustment of the second frame.
  • the care bed is particularly preferably set up to adjust the height of the second frame in such a way that the distance between the second frame and the lower leg section is maintained during the height adjustment of the lower leg section. Maintaining the distance includes changes in the distance during the height adjustment of ⁇ 10%.
  • the height adjustment of the second frame is preferably carried out in such a way that the distance between the second frame and the lower leg section of the first frame remains constant during a height adjustment of the lower leg section. If the care bed is set up in such a way that the position of the second frame is adjusted by adjusting the height of the position of the lower leg section during the height adjustment of the lower leg section, the comfort for the patient lying in the care bed can be increased.
  • the gap increases during the adjustment preferably at most such that the distance between the first frame and the second frame remains at most 10% or the distance constant. If the movement of the second frame follows the movement of the lower leg section, pushing or pulling the heel of the patient's foot over the second mattress part during height adjustment can be reduced or largely avoided, which increases the comfort of the patient lying in the care bed.
  • the nursing care bed is preferably set up to maintain the angle which the mattress support surface of the lower leg portion of the first frame and the mattress support surface of the foot portion of the second frame includes during the height adjustment of the second frame. Maintaining the angle during a height adjustment includes a change in the angle in the range of ⁇ 10%.
  • the angle is particularly preferably kept constant during a height adjustment.
  • the care bed is preferably set up in such a way that the second frame can be lowered relative to the lower leg section of the first frame.
  • the second frame can be lowered relative to the lower leg section, for example by a corresponding device for controlling the care bed, while the first frame or at least its lower leg section is in its position persists.
  • the second frame can be lowered, for example, when the first frame is in the horizontal, flat lying position and / or when the lower leg section is in a position for elevating the legs.
  • the care bed is preferably set up for lowering the second frame relative to the lower leg section in such a way that the heels of the patient's feet in the lowered position still rest on the mattress part carried by the foot section of the second frame.
  • the care bed is preferably designed to move the second frame relative to the lower leg section in preparation for an adjustment or during an adjustment of the first frame from the flat lying position to the sitting position, from a position of the lower leg section for elevating the legs to the sitting position and / or from a sitting position in lower the lying position or the leg elevation position.
  • the care bed preferably has a first drive, which is assigned to the first frame for adjusting the first frame or at least for adjusting the height and / or the inclination of the lower leg portion of the first frame, and the care bed preferably has a second drive, which is the second Frame for adjusting the height of the second frame is assigned, wherein the first drive and the second drive are drives that are separate from one another.
  • the drive for the second frame is preferably arranged on the one hand in an imaginary vertical plane which is arranged between the first frame and the second frame, the first frame being arranged on the other hand in the plane.
  • the care bed preferably has at least two telescopic guides for guiding the second frame during height adjustment relative to the base and preferably at least one linear drive for driving the second frame for height adjustment.
  • Figure 1 shows a care bed 10 from the prior art DE 10 2007 014 101 A1 with a bed border 11 with a head part 12, a foot part 13 and side walls 14, 15.
  • a bed frame 16 is arranged which has a support surface 17 (see Fig. Figures 2 , 3 ) provides for a mattress 18.
  • the bed frame 16 assumes a flat lying position, so that the mattress 18 carried by the bed frame 16 in the flat lying position provides a flat lying surface for the patient that extends from the head part 12 to the foot part 13.
  • FIG. 16 shows a bed frame 16 of the prior art DE 10 2007 014 101 A1 , which is arranged within the bed surround 11.
  • the bed frame 16 has a height-adjustable base 20 with a lower frame 21 (bed leg) which stands on the floor 22 and an upper frame 23 which is supported by the lower frame 21, the vertical position of the upper frame 23 is adjustable relative to the lower frame 21 of the base 20 or relative to the floor 22.
  • components such as toggle lever pairs 25, 26 between the lower frame and the upper frame and a lifting motor 27 are provided, the arrangement and interaction of which for height adjustment in DE 10 2007 014 101 A1 is described in detail.
  • a rotary hinge is attached to the upper frame 23 of the base 20 and defines a vertical axis 31 (axis of rotation), which is preferably vertical.
  • the rotary hinge is arranged within the upper frame 23 and in the illustration of Figure 3 therefore not visible.
  • An intermediate frame 32 is arranged on the rotary hinge so that it can rotate about the vertical axis 31.
  • a bed frame 33 is arranged on the upper frame 23 of the base 20 and is divided into a first frame 34 and a second frame 35.
  • the first frame 34 is supported by the intermediate frame 32.
  • the first frame 34 has a central section 40, via which the first frame 34 is fastened to the intermediate frame 32, so that the first frame 34 takes part in a rotary movement of the intermediate frame 32 about the vertical axis 31.
  • the central section 40 has two longitudinal spars 41, which are located in the in Figure 3 The position shown and the flat lying position extend along the longitudinal direction 42 of the care bed 10.
  • the central section 40 is preferably fixed immovably on the intermediate frame 32 relative to the intermediate frame 32.
  • a back section 44 of the first frame 34 is hinged to the central section 32, so that a Inclination of the back section 44 relative to the central section 40 or relative to the upper frame 23 of the base 20 is made possible.
  • the back section 44 also has two longitudinal struts 45.
  • a thigh section 46 of the first frame 34 is hinged, at the end of which in turn a lower leg section 47 of the first frame 34 is hinged.
  • the thigh section 46 and the lower leg section 47 each have two longitudinal bars 48, 49. Only one of the longitudinal spars 41, 45, 48, 49 of the sections 40, 44, 46, 47 of the first frame 34 is visible due to the illustration.
  • the lower leg section 47 has at least one transverse spar 50, via which the longitudinal spars 48 of the lower leg section 47 are connected to one another.
  • the crossbars are shown in accordance with Figure 3 not visible.
  • the longitudinal spars of each further section 44, 45, 46 of the first frame 34 are also connected via transverse spars.
  • the care bed 10 is set up so that the lower leg section 47 of the first frame 34 opposite the horizontal, flat lying position ( Figure 1 ), in which the mattress support surface 51 of the central section 40, the mattress support surface 52 of the back section 44 as well as the mattress support surface 53 of the thigh section 46 and the mattress support surface 54 of the lower leg section 47 lie horizontally, are brought into a position for elevating the legs in which the lower leg section 47 is relative to the Central section 40 is raised and, moreover, the thigh section 46 is inclined relative to the horizontal (see FIG. Figure 3 ).
  • the mattress support surfaces 51, 52, 53, 54 provide support surfaces for supporting the mattress
  • the first frame 34 carries a first mattress part 18a for the upper body, the buttocks and the upper and lower legs of the patient's legs.
  • the second frame 35 carries a second mattress part 18b, which is separate from the first mattress part 18a, for the feet of the patient.
  • the mattress support surface 54 of the lower leg section 47 for supporting the second mattress part 18b can lie horizontally, for example.
  • the back section 44 is also inclined.
  • a mechanism for lifting the lower leg section 47 and the thigh section 46 by means of a drive with a lifting motor is, for example, shown in FIG DE 10 2009 025 285 A1 described.
  • the mechanism of the care bed 10 shown in FIG. 3 can be designed and set up in the same way.
  • the second frame 35 of the reclining frame 33 of the bed frame 16 according to FIG Figure 3 has a foot portion 57 which carries the second 18b mattress part (foot part) of the mattress 18.
  • the second frame 35 is rigidly attached to the upper frame 23 of the base 20.
  • the care bed 10 is set up to bring the first frame 34 into a sitting position, which can also be referred to as a chair position.
  • the care bed 10 in the armchair position is in Figure 2 shown.
  • the first frame 34 is oriented transversely to the longitudinal sides 58 of the care bed 10.
  • the first frame 34 arrives in this orientation by rotating the first frame 34 about the vertical axis 31 by 90 ° and by adjusting the back section 44, the thigh section 46 and the lower leg section 47.
  • the lower leg section 47 is arranged outside the bed surround 11 and folded down.
  • the back portion 44 is preferably upright. Assuming the chair position facilitates or enables the patient to get out of the care bed 10.
  • Figure 4a shows the upper frame 23 of the base 20 and the bed frame 33 of an exemplary embodiment of a care bed 10 according to the invention.
  • the mechanical structure of the base 20, the rotary hinge 59 (see FIG. Figures 5 and 6th ), the intermediate frame 32 and the first frame 34 of the care bed 10 according to the invention and their interaction can be the structure and interaction of the in connection with Figure 1 to 3 described care bed 10 same.
  • the care bed 10 according to the invention preferably has, in particular, the adjustment options described in connection with FIGS. 1 to 3.
  • FIG Figure 4a The arrangement shown with the upper frame 23 and with the facilities built on it, such as the bed frame 33, can be used instead of the corresponding arrangement with the upper frame 23 with the facilities of the care bed 10 built on it, as in FIG Figure 3 shown to be placed on the lower frame 21.
  • the above description of the Figures 1 , 2 , 3 can be used accordingly for the figures showing the arrangements for care beds according to the invention.
  • the vertical position of the second frame 35 in the care bed 10 according to the invention is relative to the upper frame 23 of the base 20 or relative to the central section 40 of the lying frame 33 of the care bed 10 can be changed.
  • the second frame 35 is supported separately from the first frame 34 on the upper frame 23 of the base 20.
  • the second frame 35 is supported by a second support device 60 in the raised positions and in the position for the flat lying position on the upper frame 23 of the base 20, which is separate from the first support device 61 with which the first Frame 34 is supported on the upper frame 23.
  • the first support device 61 has the intermediate frame 32 and the rotary hinge 59.
  • an additional cross member 62c is attached between the longitudinal members 63a, b of the upper frame 23.
  • each telescopic guide 65a, b has a first guide part 66 which is fastened to the additional cross member 62c and is supported on the additional cross member 62c (see Fig. Figure 4b ).
  • Each telescopic guide 65a, b has a second guide part 67 which is guided on the first guide part 66 relative to the first guide part 66 of the telescopic guide 65a, b telescopically along a straight line.
  • the second guide parts 67 are rigidly fastened to fastening sections 68 of the second frame 35.
  • the telescopic guides 65a, b are arranged obliquely to the vertical, so that the second frame 35 is moved at the same time with respect to the horizontal direction relative to the upper frame 23 during the upward movement.
  • the telescopic guides 65a, b are arranged inclined in particular towards the head end 70 of the care bed 10, so that the second frame 35 when the second frame 35 is raised relative to the upper frame 23 of the base 20 or relative to the central section 40 at the same time in the direction of the Head end 70 of the care bed 10 moves.
  • the second frame 35 is driven with two linear drives 75 for height adjustment, which are separate drives 75 from the drive unit 76 for the height adjustment of the lower leg section 47.
  • the linear drives 75 each have a first part 77 which can be driven to move in a straight line relative to a second part 78 of the linear drive 75.
  • the first parts 77 of the linear drives 75 are each articulated to the cross member 82 of the second frame 35, which is remote from the foot end 79 of the care bed 10.
  • the second parts 78 of the linear drives 75 are each connected to the first guide part 66 of the adjacent telescopic guide 65a, b, so that the second parts 78 of the linear drives 75 via the first guide parts 66 of the telescopic guides 65a, b on the cross member 62c and thus on the Support upper frame 23.
  • the direction of movement of the first part 77 relative to the second part 78 of each linear drive 75 is preferably parallel to the guidance direction of the telescopic guides 65a, b.
  • At least one linear drive 75, preferably both linear drives 75, are preferably self-locking, so that the linear drives 75 can be de-energized without changing the position of the second frame 35 with devices for locking the linear drives 75 To have to fix movement of the second frame 35 along the guide direction.
  • the linear drives 75 can, for example, each be an electromechanical linear drive 75, the electric motor of which drives a spindle in order to move a spindle nut linearly.
  • the possibilities of movement of the second frame 35 are restricted to movements along a vertical plane which extends along the longitudinal sides 58 of the care bed 10.
  • the second frame 35 does not take part in a rotary movement of the first frame 34 about the axis of rotation 31 in order to reach the chair position of the first frame 34. Rather, the second frame 35 preferably always remains within the bed border 11.
  • the linear drives 75 and the guides 65a, b for the height adjustment are in the in the Figures 4a , b , 5 , 6th illustrated embodiment, in particular in the lowermost position of the second frame 35 or in the position for the flat lying position of the care bed 10, arranged below the second frame 35.
  • the embodiment according to Figure 4a , 4b , 5 , 6th is an embodiment of the care bed 10 according to the invention, in which the drives 75 for adjusting the height of the second frame 35 are arranged in such a way that a plane can be arranged between the first frame 34 and the second frame 35 which divides the room into two halves,
  • the drives 75 for adjusting the height of the second frame 35 in one half of the room (ie on one side of the plane) and the first frame 34, and preferably also the drive 76 for adjusting the height of the position of the lower leg portion 47 with respect to the upper frame 23 of the base 20, in the other Half of the room (on the other side of the plane) is arranged.
  • the support device 60 for supporting the second frame 35 is arranged in one half of the room and the device for supporting the first frame 34 and / or the first frame 34 is arranged in the other half of the room.
  • the aforementioned vertical plane can be arranged in this way, in particular in the flat lying position of the first frame 34 and the second frame 35.
  • two stands 84 are arranged, onto which the second frame 35 can be lowered.
  • the uprights 84 can support the second frame 35 in one position of the second frame 35 and define vertical lower end positions of the second frame 35.
  • the care bed 10 can be used to change the vertical position of the second frame 35, for example by mechanically coupling the drive 76 for adjusting the height of the lower leg section 47 to the second frame 35 must be set up. Such a coupling can be established in one embodiment for the adaptation of the vertical position of the second frame 35 and then canceled again.
  • the second frame 35 and the drive unit 76 are preferred however, it is always decoupled for the height adjustment of the lower leg section 47 relative to the base.
  • the care bed 10 preferably has a control device (not shown) for controlling the drives 75, 76 for adjusting the first frame and the second frame.
  • a range of positions is defined for the care bed 10 in which the lower leg section 47 can be brought for therapeutic or preventive elevation of the legs, one position being characterized by a vertical position of the lower leg section 47 relative to the upper frame 23 of the base 20.
  • the longitudinal bars 41 of the central section 40 extend along the longitudinal direction 42 of the care bed (rotational position of the central section 40 and the first frame 34 as in the flat lying position ( Figure 1 )).
  • the lying surface is accordingly oriented in every position of the area along the longitudinal direction 42 of the care bed 10.
  • the area preferably includes at least positions of the lower leg section 47 for therapeutic or preventive elevation of the legs, in which the mattress support surface 54 of the lower leg section 47 is horizontal or tilted up to 10 ° relative to the horizontal towards the foot end 79 or towards the head end 70 of the care bed 10.
  • the area preferably includes at least all positions of the lower leg section 47 for therapeutic or preventive elevation of the legs, into which the care bed 10 is set up to transfer the lower leg section 47, and in which the mattress support surface 54 of the lower leg section 47 is horizontal or up to 10 ° relative to the horizontal the foot end 79 or towards the head end 70 of the care bed 10 is tilted.
  • the lower leg section 47 is raised relative to the flat lying position of the first frame 34.
  • the flat lying position of the care bed 10 according to Figures 4a , 4b is in Figure 5 shown.
  • Figure 5 Fig. 13 shows a view of the upper frame 23 and the structure on the upper frame 23 from the side.
  • the care bed 10 is preferably set up in such a way that the foot section 57 for each position of the lower leg section 47 of the range of positions for therapeutic or preventive leg elevation can be brought into a vertical position with the help of the control device, in which the patient's heel rests on the mattress part 18b ( in Figures 4a to 6 not shown) rests on the foot section 57 and the foot section 57 thus bears at least a portion of the weight of the patient's lower legs, while the lower leg section 47 is arranged in the position.
  • This avoids pressure points on the undersides of the lower legs, which arise when the lower leg is on the edge 85 on the foot side (see Sect. Figure 1 , 2 ) of the mattress part 18b arranged on the lower leg section 47 rests.
  • the control device is preferably set up to adapt the position of the foot section 57 to the position of the lower leg section 47 during a height adjustment of the lower leg section 47 in each position of the area at positions relative to the upper frame 23 for therapeutic and preventive leg elevation in such a way that the patient's heels during the height adjustment of the lower leg section 47 always rest on the mattress part 18b, which is carried by the foot section 57, so that the mattress part 18b always at least partially bears the weight of the patient's lower legs during the height adjustment of the lower leg section 47 due to the patient's heels resting on the mattress part 18b.
  • the control device of the care bed 10 is preferably set up so that the distance 87 that the second frame 35 has from the lower leg section 47 in the flat lying position of the lying frame 33, when the lower leg section 47 is moved into one of the positions in the range of positions for elevating the legs and the Adjustment of the vertical position of the second frame 35 is retained, with “retained” in this context being understood to mean a change in the distance 87 of a maximum of 10%.
  • the distance 87 between the lower leg section 47 and the foot section 57 even remains constant.
  • the control device of the care bed 10 is preferably designed such that the vertical position (height) of the second frame 35 can be adjusted relative to the upper frame 23, while the position of the lower leg section 47 relative to the upper frame 23 of the base 20 remains unchanged.
  • the second frame 35 can preferably be lowered and / or raised relative to the upper frame 23 with the control device, while the distance between the lower leg section 47 and the upper frame 23 of the base 20 remains unchanged.
  • the control device of the care bed 10 is preferably set up to be able to lower the foot section 57 relative to the lower leg section 47 in order to at least partially relieve the heel when the lower leg section 47 is in a raised position Leg elevation is positioned and / or when the lower leg portion 47 is positioned in the flat lying position.
  • the control device is preferably set up in such a way that the position of the lower leg section 47 for elevating the leg is maintained when the foot section 57 is lowered.
  • the control device for lowering is particularly preferably set up in such a way that the heel in the lowered position preferably still rests on the mattress part 18b on the foot section 57, so that the foot section 57 bears a portion of the weight of the patient's lower legs.
  • the control device is particularly preferably designed to lower the second frame 35 relative to the lower leg section 47 in preparation for turning the first frame 34 into a chair position and / or during the rotation of the first frame 34 into a chair position in order to allow the rotation into the chair position .
  • the lower leg section 47 can be moved upwards separately from the second frame 35 in order to pivot the lower leg section 47 over the second frame 35.
  • Figure 5 shows the arrangement for the care bed 10 according to the invention Figure 4a in a side view.
  • the first frame 34 is aligned along the longitudinal direction 42 of the bed border 11 of the care bed 10.
  • the lying frame 33 is in the flat lying position positioned.
  • the mattress support surface 54 of the lower leg section 47 of the first frame 34 and the mattress support surface 90 of the foot section 57 of the second frame 35 enclose an angle (here 180 °).
  • the mattress support surface 51, 52, 53, 54 of the first frame 34 and the mattress support surface 90 of the second frame 35 are aligned horizontally.
  • the mattress support surface 90 of the second frame 35 represents a support surface for supporting the mattress.
  • Figure 6 shows the care bed 10 in a view with the lower leg section 47 adjusted to elevate the patient's legs, which is in a position relative to the position in FIG Figure 5 is positioned relative to the upper frame 23 raised position.
  • the second frame 35 is positioned in a raised position in which the mattress part 18b (in Figure 6 not shown), which is carried by the second frame 35, can at least partially carry the heels of the patient's feet.
  • the distance 87 between the lower leg section 47 and the second frame 35 in the raised position preferably corresponds to a maximum of 10% of the distance 87 between the lower leg section 47 and the second frame 35 in the flat lying position.
  • the distance 87 between the lower leg section 47 and the second frame 35 in the raised position is preferably equal to the distance 87 between the lower leg section 47 and the second frame 35 in the flat lying position.
  • the amount of the angle enclosed by the mattress support surface 54 of the lower leg section 47 and the mattress support surface 90 of the foot section 57 of the second frame 35 corresponds to a maximum of 10% of the angle in the flat lying position.
  • the amount of the angle is preferably unchanged.
  • Figure 7 shows an arrangement for an embodiment of a care bed 10 according to the invention in a perspective view, the arrangement being essentially the same as the arrangement for a care bed 10 according to the invention according to FIG Figures 4a , 4b to 6 can be constructed.
  • two telescopic guides 65a, b are arranged below the second frame 35.
  • the control device of this embodiment can offer the same functionality as the control device of the embodiment of the care bed 10 according to Figure 4a , 4b to 6 .
  • Figure 7 shows a position in which the second frame 35 is raised in order to adapt the positioning of the second frame 35 to the raised position of the lower leg section 47.
  • Figure 8 shows a section of the embodiment according to the invention of the arrangement according to FIG Figure 7 in the same position.
  • Figure 9 shows a section of the arrangement according to Figure 7 with the second frame 35 lowered, in order to arrange the foot section 57 in a position for the flat lying position of the care bed 10.
  • the adjusting movement of the linear drive 75 for the height adjustment is transmitted to the second frame 35 via a cam 92.
  • a bearing element 93 is fastened to the second frame 35, on which a cylindrical roller 94 is rotatably mounted about an axis of rotation lying transversely to the longitudinal direction 42 of the care bed 10.
  • the cam 92 is mounted on opposite parts 95 rigidly connected to the frame about a horizontal pivot axis lying transversely to the longitudinal direction 42 of the bed.
  • only one drive can drive the second frame 35 for height adjustment 75 must be present.
  • the cam 92 has a lever section 92 a, the end of which is connected to a movable second part 78 of the linear drive 75.
  • the other part 77 of the linear drive 75 with respect to which the part 78 of the linear drive 75 is movable, is fastened to the upper frame 23.
  • the other part 77 is fastened to the upper frame 23 below the first frame 34, for example.
  • the Figures 10 , 11 and 12th show a further embodiment of an arrangement with an upper frame 23, intermediate frame 32 and bed frame 33 for a care bed 10 according to the invention.
  • Two telescopic guides 65a, b for guiding the movement of the second frame 35 during the height adjustment are also attached to the second frame 35.
  • Two struts 96 are articulated on opposite sides of the second frame 35. The two struts 96 on each side are, on the other hand, also articulated to a slide 97 which is movably guided in a guide rail 98 attached to the upper frame 23 in the direction of the foot end 79 and away from the foot end 79.
  • One carriage 97 is in Figure 10 through the longitudinal spar 63a of the upper frame 23 and the guide rail 98, in which the carriage 97 is guided, completely covered.
  • the other slide 97 is largely covered by the guide rail 98 on the opposite longitudinal spar 63b of the upper frame 23.
  • At least one strut 96 preferably the strut 96 arranged away from the foot end 79, has a section 99 on each side, which extends away from the pivot axis, which runs through the strut 96, from the second frame 35.
  • the movable part 78 of the linear drive 75 for adjusting the height of the second frame 35 is fastened in an articulated manner at the end of the section 99.
  • a transverse element 100 which is connected to part 78 of the linear drive 75, is attached to the sections 99 between the sections 99 of the opposite struts.
  • the Figures 11 and 12th are show details of the arrangement according to Figure 10 .
  • the movable part 78 of the linear drive 75 is moved in the direction of the foot end 79, the ends of the struts 96 articulated on the carriage 97 being pressed in the direction of the foot end 79 via the movable part 78 and the sections 99 and the carriage 97, whereby the second Frame 35 is raised over the ends of the struts 96 articulated on the second frame 35, guided by the telescopic guides 65a, b. the characters 10 and 12th show the second frame 35 in a fully raised position.
  • the telescopic guides 65a, b for guiding the movement of the second frame 35 when it is raised and lowered relative to the upper frame 23 do not have to be linear guides.
  • the guides 65a, b can be set up, for example, to guide the movement along a curved path, for example a curve.
  • the inclination of the mattress support surface 90 of the second frame 35 for the mattress part 18b can be changeable or unchangeable.
  • the mattress support surface 90 of the second frame 35 is preferably horizontal.
  • a care bed 10 which has a first frame 34 which carries a first mattress part 18a.
  • the first frame 34 has a central section 40, a back section 44 and a thigh section 46 as well as a lower leg section 47.
  • the care bed 10 also has a second frame 35 with a foot section 57, the second frame 35 carrying a second mattress part 18b.
  • the first frame 34 and the second frame 35 of the care bed 10 according to the invention are supported by a base 20 of the care bed 10.
  • the second frame 35 is supported on the base 20 separately from the first frame 34.
  • the care bed 10 is characterized in particular in that the second frame 35, which is supported by the base 20 separately from the first frame 34, is height-adjustable relative to the base 20.
  • the care bed 10 can be adjusted in such a way that the heels of the patient's feet are supported by the second mattress part 18b on the foot section 57 and thus by the second frame 35 when the lower leg section 47 is arranged in a position for elevating the patient's legs is. This relieves the patient and improves the elevation of the legs for therapeutic and preventive purposes.
  • the care bed 10 can be set up to guide the second frame 35 when adjusting the height of the second frame 35 in such a way that when the second frame 35 is moved upwards relative to the base 20, the distance measured in the horizontal direction between the vertical projection is simultaneously of the second frame 35 is reduced to a horizontal plane extending through the care bed 10 and the head end 70 of the care bed 10, and / or that with a guided movement of the second frame 35 downward relative to the base 20, the distance measured in the horizontal direction simultaneously between the vertical projection of the second frame 35 onto a horizontal plane extending through the care bed 10 and the head end 70 of the care bed 10 is enlarged.
  • the position of the second frame 35 can be adapted to the position of the lower leg section 47 when the position of the lower leg section 47 is changed for elevating the leg.
  • the second frame 35 can for example be adjusted in height relative to the base 20 along a straight line Path are guided obliquely to the vertical, the path to the head end 70 of the care bed 10 is inclined.
  • the second frame 35 can be guided in the height adjustment relative to the base 20 by means of a guide device of the care bed 10 according to the invention, for example along a path curved towards the head end 70 of the care bed 10.
  • the second frame 35 can be moved in a vertical direction upwards and / or downwards relative to the base 20 by means of a guide device, for example at least one vertically oriented telescopic guide, so that the distance measured in the horizontal direction between the perpendicular projection of the second frame 35 onto a horizontal plane extending through the care bed 10 and the head end 70 of the care bed 10 not changed during the guided movement.
  • a guide device for example at least one vertically oriented telescopic guide

Landscapes

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

Claims (13)

  1. Lit médicalisé (10) avec
    un socle (20),
    un premier cadre (34), qui porte une première partie de matelas (18a), dans lequel le premier cadre (34) présente une partie centrale (40), une partie dos (44) et une partie cuisse (46) ainsi qu'une partie jambe inférieure (47), et
    un deuxième cadre (35) avec une partie pied (57),
    dans lequel le deuxième cadre (35) porte une deuxième partie matelas (18b),
    dans lequel le premier cadre (34) et le deuxième cadre (35) sont portés par le socle (20),
    dans lequel le deuxième cadre (35) est soutenu sur le socle (20) séparément du premier cadre (34) et
    dans lequel le deuxième cadre (35) est déplaçable en hauteur par rapport au socle (20),
    caractérisé en ce que le lit médicalisé (10) est conçu de telle sorte que le deuxième cadre (35) lors du déplacement en hauteur est mû vers le haut simultanément horizontalement en direction de l'extrémité tête (70) du lit médicalisé (10).
  2. Lit médicalisé (10) selon la revendication 1, dans lequel le premier cadre (34) est déplaçable, dans lequel le lit médicalisé (10) est conçu de telle sorte que le premier cadre (34) peut être amené dans une position d'assise.
  3. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le socle (20) est déplaçable en hauteur.
  4. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour adapter la position du deuxième cadre (35) à la position de la partie jambe inférieure (47) pendant une modification de la position de la partie jambe inférieure (47).
  5. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour conserver la distance (87) du deuxième cadre (35) par rapport à la partie jambe inférieure (47) du premier cadre (34) par un déplacement en hauteur du deuxième cadre (35) pendant un déplacement en hauteur de la partie jambe inférieure (47).
  6. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour conserver l'angle que la surface d'appui (54) de la partie jambe inférieure (47) du premier cadre (34) et la surface d'appui (90) du deuxième cadre (35) forment, lors du déplacement en hauteur de la partie jambe inférieure (47).
  7. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour abaisser le deuxième cadre (35) par rapport à la partie jambe inférieure (47) du premier cadre (34) .
  8. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour abaisser le deuxième cadre (35) par rapport à la partie jambe inférieure (47) du premier cadre (34), lorsque le premier cadre (34) est dans une position allongée à plat.
  9. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) est conçu pour abaisser le deuxième cadre (35) par rapport à la partie jambe inférieure (47) aux fins de préparation et/ou pendant un déplacement du premier cadre (34) d'une position allongée dans une position assise ou à partir d'une position assise dans une position allongée.
  10. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel le lit médicalisé (10) présente un premier entraînement (76), qui est associé au premier cadre (34) pour le déplacement du premier cadre (34), et dans lequel le lit médicalisé (10) présente un deuxième entraînement (75), qui est associé au deuxième cadre (35) pour le déplacement du deuxième cadre (35), dans lequel le premier entraînement (76) et le deuxième entraînement (75) sont des entraînements (75, 76) séparés l'un de l'autre.
  11. Lit médicalisé (10) selon la revendication précédente, dans lequel un plan vertical imaginaire est disposé entre le premier cadre (34) et le deuxième cadre (35), dans lequel l'entraînement (75) pour le deuxième cadre (35) est disposé d'un côté du plan et dans lequel le premier cadre (34) est disposé de l'autre côté du plan.
  12. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel la première partie de matelas (18a) et la deuxième partie de matelas (18b) sont des parties de matelas (18a, 18b) séparées l'une de l'autre.
  13. Lit médicalisé (10) selon l'une quelconque des revendications précédentes, dans lequel au moins deux guidages télescopiques (65a, b) pour le guidage du deuxième cadre (35) lors du déplacement en hauteur par rapport au socle (20) et de préférence au moins un entraînement linéaire (75) pour l'entraînement du deuxième cadre (35) pour le déplacement en hauteur sont affectés au deuxième cadre (35).
EP18737495.4A 2017-07-05 2018-06-14 Lit médicalisé Active EP3648723B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017115031.5A DE102017115031A1 (de) 2017-07-05 2017-07-05 Pflegebett
PCT/EP2018/065829 WO2019007659A1 (fr) 2017-07-05 2018-06-14 Lit médicalisé

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Publication Number Publication Date
EP3648723A1 EP3648723A1 (fr) 2020-05-13
EP3648723B1 true EP3648723B1 (fr) 2021-08-18

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EP18737495.4A Active EP3648723B1 (fr) 2017-07-05 2018-06-14 Lit médicalisé

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Country Link
US (1) US20200383851A1 (fr)
EP (1) EP3648723B1 (fr)
CN (1) CN109199728B (fr)
AU (1) AU2018298299A1 (fr)
DE (1) DE102017115031A1 (fr)
DK (1) DK3648723T3 (fr)
WO (1) WO2019007659A1 (fr)

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* Cited by examiner, † Cited by third party
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EP3692966A1 (fr) * 2019-02-07 2020-08-12 Rotobed ApS Système de lit et procédé associé
CN115105317B (zh) * 2022-06-28 2024-04-12 周问艳 具有跌倒保护功能的防骨折功能的康复保护器
TWI803397B (zh) * 2022-07-21 2023-05-21 施權航 電動床

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Also Published As

Publication number Publication date
AU2018298299A1 (en) 2020-02-27
WO2019007659A1 (fr) 2019-01-10
CN109199728A (zh) 2019-01-15
EP3648723A1 (fr) 2020-05-13
US20200383851A1 (en) 2020-12-10
CN109199728B (zh) 2021-10-29
DE102017115031A1 (de) 2019-01-10
DK3648723T3 (da) 2021-11-22

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