EP3849489A1 - Assistent zum stabilisieren, mobilisieren und sichern eines patienten - Google Patents

Assistent zum stabilisieren, mobilisieren und sichern eines patienten

Info

Publication number
EP3849489A1
EP3849489A1 EP19780149.1A EP19780149A EP3849489A1 EP 3849489 A1 EP3849489 A1 EP 3849489A1 EP 19780149 A EP19780149 A EP 19780149A EP 3849489 A1 EP3849489 A1 EP 3849489A1
Authority
EP
European Patent Office
Prior art keywords
assistant
seat
patient
armrests
backrest
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP19780149.1A
Other languages
German (de)
English (en)
French (fr)
Inventor
Stefan Löcker
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.)
Asp GmbH
Original Assignee
Asp GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Asp GmbH filed Critical Asp GmbH
Publication of EP3849489A1 publication Critical patent/EP3849489A1/de
Withdrawn legal-status Critical Current

Links

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
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/104Devices carried or supported by
    • A61G7/1046Mobile bases, e.g. having wheels
    • 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
    • A61G7/1001Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto specially adapted for specific applications
    • A61G7/1007Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto specially adapted for specific applications mounted on or in combination with a toilet
    • 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
    • A61G7/1013Lifting of patients by
    • A61G7/1019Vertical extending columns or 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
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1049Attachment, suspending or supporting means for patients
    • A61G7/1059Seats
    • 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
    • A61G7/1063Safety means
    • A61G7/1067Safety means for adjustable bases
    • 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
    • A61G7/1084Head or neck
    • 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
    • A61G7/1088Back
    • 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
    • A61G7/1092Rests specially adapted for the arms
    • 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
    • A61G2203/10General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
    • A61G2203/14Joysticks

Definitions

  • the invention relates to an assistant for stabilizing, mobilizing and securing a patient.
  • patient mobilization is part of everyday therapy applications and treatments.
  • the patients In order to be able to perform the physiotherapeutic movement exercises, circulatory training and breathing training necessary for patient mobilization, the patients often have to be moved from a position in the patient bed to the sitting position.
  • Particular attention should be paid to the safety of the patients since the often weakened, injured or otherwise impaired patients cannot assume a stable sitting position by their own strength.
  • the patient To avoid accidents, the patient must be supported or secured in the sitting position during patient mobilization. From the edge of the bed, many patients can not only be brought into the sitting position. In many cases it is also possible that the patient can be stabilized in a standing position.
  • U1 describes an alternative device for securing the sitting position of a patient sitting in the edge region of a bed, in which an essentially rectangular holding bracket can be detachably connected to the frame of the bed by means of fastening means.
  • the bracket of the device is pivotally mounted on the fastening means, so that by means of a simple pivoting movement over the head of a patient sitting on the edge of the bed, the bracket can be guided up to the chest area of the patient and thus sufficiently secures the patient.
  • DE 10 2011 052 839 A1 discloses a seating aid for patient beds for attachment to a bed frame, which has at least one support element which can be detachably connected to the bed frame and has a main axis and at least two arm supports arranged on the support element and at least one between the arm supports on the support element arranged backrest.
  • the armrests and the backrest can be positioned independently of one another along the main axis on the support element and can be fastened to the support element with the aid of a fastening means.
  • the independently positionable arrangement of the backrest and the armrests on the support element is intended to offer the possibility of individually adapting the seat aid to a patient's body size and needs.
  • the positionable backrest can be attached to the support element at any desired position.
  • an assistant for mobilizing patients with a support part for laying on a bed and a backrest is known, the support part comprising a first side member and a second side member offset laterally to the first side member, the backrest being a frame Construction that is connected at one end to the first and second side members, and wherein the first and / or second side members can be fixed to a bed edge of the bed.
  • Bedridden patients should be mobilized into the seat as early as possible, preferably also into the stand, especially at the edge of the bed, in order to effectively promote their participation on the one hand, shorten ventilation times and accelerate the recovery of everyday functions, and on the other hand to have negative effects of early mobilization To prevent immobility such as pulmonary, dermatological, neuromuscular, psychiatric and cognitive complications.
  • the assistant according to the invention is mainly designed for the admission of a seated patient, but nevertheless also enables a patient to straighten up with his help in the standing position, which happens in particular at the edge of the bed, but is not limited to the edge of the bed, but from any sitting position can happen, for example from an ordinary chair or from a toilet seat.
  • the patient therefore benefits from the use of the assistant according to the invention in two ways: the above-mentioned negative effects of immobility are reduced.
  • Patient mobilization that starts as early as possible has a positive and healing effect with regard to alertness and patient participation, shorter ventilation times and faster recovery of independence.
  • the patient's recovery process is optimally supported by the early replaceable mobilization option. In this way, the risk of complications resulting from bedriddenness and immobility of a patient is considerably reduced.
  • the assistant also relieves the nursing staff. Without an assistant, another person would have to support the patient in the assisted seat for the entire duration of the sitting. Last but not least, the time and effort saved by the staff and the expected faster patient throughput due to the shorter length of stay of the individual patient in the ward are expected to provide financial benefits for the hospital.
  • an assistant which has a clear, easy-to-use construction method and can also be used in intensive care units.
  • the assistant according to the invention supports the patient on all sides, insofar as this is necessary in the respective case, and at the same time allows various forms of mobilization of the patient, for example the upper body, arms, legs, shoulders, head, etc.
  • the invention thus provides a technical aid to enable a patient to be mobilized on the edge of the bed.
  • the assistant can therefore be used both for outpatient care and for early mobilization in intensive care units and for long-term care in nursing homes, in handicapped facilities and in home care. Even in narrow patient rooms the assistant can use the space efficiently, since the seat attached to the assistant can be comfortably positioned in a position at bed height and lying height of the patient by adjusting the height of the seat accordingly and pivoting it into the patient's position .
  • the assistant helps to strengthen the musculature of the musculoskeletal system, for circulatory training, for breathing training, for pneumonia prophylaxis, i.e. i.e., to prevent pneumonia, to strengthen the perception of a patient, to change the visual environment, to train a physiologically desired sitting position, to shorten the stay in an intensive care unit or the hospital stay overall.
  • the elimination of a transfer of the patient from the bed due to a multitude of movement processes and the presence of supports and seat belts improve the patient's safety.
  • the mobilization of people in need of very long-term care is also made possible. Thanks to the stepless adjustment of the backrest, a comfortable sitting position is achieved.
  • the individual adaptability to the anatomical conditions of the patient ensures the best possible usability for all patients.
  • the workload of the nursing staff is greatly reduced. Because there is no transfer from the bed, the occurrence of dislocations of the venous access, drainage, tubes and other leads is reduced.
  • the assistant has a torque support, which is arranged substantially below the seat and is connected or connectable to the rolling frame, for example in the form of a further arm, which is arranged at least essentially below the support arm.
  • the center of gravity of the patient's seat lies directly above the point at which the torque support is supported against the floor. It is preferably provided that the torque support is likewise mounted on at least one roller and can be moved together with the roller frame.
  • the backrest additionally has at least one positioning means in order to be able to adjust or change an inclination of the upper body adapted to the patient.
  • the backrest can be pivoted and / or its height can be adjusted relative to the seat surface.
  • the armrests are preferably also each equipped with at least one positioning means.
  • the armrests are advantageously arranged such that they can be pivoted and / or adjusted in height relative to the seat surface. It can advantageously be provided that the armrests are adjustable in length.
  • the armrests are each split in the longitudinal direction into an upper arm support and a forearm support for separate support of the upper and lower arm of the patient, the upper arm supports and the Forearm supports are each connected via swivel and swivel joints and are each individually adjustable in length.
  • the seat can also be equipped with at least one positioning device.
  • the seat surface can advantageously be tilted forward relative to the vertical axis.
  • the seat surface can be tilted laterally with respect to the vertical axis. If, for example, the patient has an oblique position of the pelvic ring in relation to the spine as a result of scoliosis, this can be corrected in an orthopedic manner in the sitting position on the assistant's seat.
  • a motor drive for executing pivoting, rotating and / or lifting movements in all spatial directions can be provided for mobilizing the patient.
  • a motor drive for executing pivoting, rotating and / or lifting movements in all spatial directions can be provided for mobilizing the patient.
  • motor-assisted alternating movements of the individual support means for supporting the patient it can also be used to build up individual muscle groups of the patient, for example the arm flexor.
  • the setting of the movements by the nursing staff can easily be monitored from a control panel which is arranged, for example, on the masts of the assistant.
  • At least one of the armrests can be turned on equip the front end with a tray.
  • the tray is also only suitable for placing one hand of the patient; A foldable design of the tray is advantageous.
  • a vertical support which can be gripped by one hand of the patient, can also advantageously be attached to the at least one tray.
  • a positioning means that can be actuated by the patient and / or by a caregiver or a control stick for adjusting a sitting position, the backrest, the armrests, etc., of the patient can be arranged on the tray.
  • the seat preferably comprises a headrest which is arranged such that it can be adjusted in height and / or inclination relative to the backrest.
  • footrests which are arranged such that they can be adjusted in height and / or inclination relative to the seat surface and, if necessary, can preferably be pivoted away from the position in which the patient rests his feet on them while sitting.
  • a toilet bucket can be attached below the seat, which is arranged so as to be displaceable, in particular, so that it can be connected to the seat in sliding strips attached below the seat, and can be easily removed in this way.
  • operating means in particular an operating keyboard
  • This can be part of a computer which is adapted in particular to the intranet of a hospital, a nursing station, etc. and in particular is integrated in the assistants.
  • a monitor for displaying settings made on the roller frame, patient data and further information is arranged on the roller frame; Thanks to a digital online connection and, for example, our own application software, many functions such as the location of the assistant's location, the current use of the assistant, the display of maintenance work and intervals, automatic recording of operating data, error data, Realize statistical analyzes of the operating data in relation to the device, the station, the caregiver, etc.
  • the Aufricht Anlagenfunkti on is preferably best realized when both the seat and the backrest of the assistant can be pushed out of the sitting position and the backrest can be brought horizontally to accommodate the patient, while preferably the armrests are pivoted away to the side.
  • a brake is also preferably provided on the roller frame, in particular a brake that can be operated by foot actuation and is attached directly to at least one of the rollers.
  • the use of the assistant according to the invention also prevents the development of back diseases of the nursing staff, since the nursing staff no longer has to lift the patients.
  • the assistant can be used not only in the patient bed area, but also as a toilet chair, a shower wheelchair or as a seat or bath lift, that only the area of the seat receiving the patient is turned or pushed into the area that comes into contact with wetness or running water.
  • a belt system by which the patient is secured is preferably attached to the assistant.
  • 1 is a perspective view of a first assistant
  • FIG. 3 shows the assistant according to FIG. 1 in a view from the front
  • FIG. 4 shows the assistant according to FIG. 1 in a view from behind
  • FIG. 5 shows the assistant according to FIG. 1 in a top view
  • FIG. 6 is a perspective view of a second assistant
  • FIG. 9 the assistant of FIG. 6 in a view from behind
  • An assistant 1 (FIGS. 1 to 5) comprises a roller or bogie 3 mounted on rollers 2 and a seat 5 attached to the front of a mast 4 for receiving a patient.
  • the seat 5 comprises a seat 6, a backrest 7 and arm supports 8.
  • handles 9 On the front of the armrests 8 holding or support or actuating handles 9 are attached, which can be used to allow the patient to adjust individual positions of the seat 6, the backrest 7, etc. if the adjustability function by the nursing staff for the Patient is released.
  • the handles 9 can also be used to stabilize a patient sitting, for example on the edge of the bed, in the standing position. The patient grips the handles 9 from his seated position, with his face turned towards the support strut 10. By adjusting the height of the seat 5, the patient who is holding onto the handles 9 is supported in trying to stand up because the handles 9 move upwards at the same time. It goes without saying that the design of the handles 9 and their inclination with respect to the vertical can be adapted to the shape and position of the patient's hands.
  • the seat 5 is connected to the mast 4 via a vertical support strut 10 and a horizontal support strut 11.
  • the seat 5 is preferably adjustable in height by motor against the mast 4.
  • Operating means (not shown), a monitor and the like are preferably accommodated on the masts 4 or in a separate housing 12 attached to the masts 4.
  • the assistant 1 can be moved or rotated by means of a push handle 13, these movements preferably being supported by a motor.
  • the seat 6 preferably has a preferably closable recess 14 in order to be able to use a toilet bucket.
  • a second assistant 100 (FIGS. 6 to 10) comprises the same components as assistant 1, these are provided with the same reference symbols.
  • the assistant 100 additionally comprises a side support arm 101 which supports the seat 5.
  • the seat 5 is either height-adjustable relative to the support arm 101 or together with the support arm 101 relative to the mast 4 of the assistant. It can also be provided that the support arm 101 is pivotable relative to the mast 4 over a certain area, for example by 10 °. Alternatively, the seat 5 is pivotably attached to the support arm 101. All relative movements of the support arm 101 relative to the mast 4 are realized by a motor, for example, arranged in the interior of the mast 4.
  • the support arm 101 together with the seat 5 attached to it, generates a lateral torque with respect to the bogie 3 and the masts 4.
  • This torque is received by a torque support 102, which is firmly connected to the rolling or bogie 3 and opposite the floor via a Roller 103 is mounted so that the assistant 100 as a whole can be moved on the plane, the mobility being supported by side handles 104 attached to the mast 4.
  • the roller 103 is preferably attached under the center of gravity of the unit formed by the seat 5 and the support arm 101, so that when the seat 5 is loaded with a patient of average weight, no lateral torque acts on the masts 4.
  • a tray 105 which can preferably be swiveled or folded away, is provided for placing a hand of the patient.
  • a rod 106 which can be gripped by a hand and which, for example in the manner of a joystick, is used to operate the assistant by the nursing staff or - after appropriate approval - by the patient.
  • the seat 5 has a pivotable and / or height-adjustable headrest 107 above the backrest 7.
  • a guide means 108 for guiding supply hoses, cables and the like for supplying the patient or for recording data from the patient.
  • a monitor 109 for displaying data of the patient, the assistant 100 and other messages is provided on the mast 4.
  • the mast 4 In the area of the mast 4 there is preferably also an input keyboard, further input means such as a computer mouse and the like.
  • the input keyboard can be arranged on a panel 110 which is preferably pivotable relative to the mast 4.
  • holding straps are preferably provided, with which the patient is fixed in relation to the seat 6 and / or in relation to the backrest 7 so that he does not injure himself or fall out of the seat 5.
  • a personal scale is provided, in particular integrated in the seat 5, in order to weigh the patient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Rehabilitation Tools (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
EP19780149.1A 2018-09-12 2019-09-09 Assistent zum stabilisieren, mobilisieren und sichern eines patienten Withdrawn EP3849489A1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102018215529.1A DE102018215529A1 (de) 2018-09-12 2018-09-12 Assistent zum Stabilisieren, Mobilisieren und Sichern eines Patienten
PCT/EP2019/073924 WO2020053117A1 (de) 2018-09-12 2019-09-09 Assistent zum stabilisieren, mobilisieren und sichern eines patienten

Publications (1)

Publication Number Publication Date
EP3849489A1 true EP3849489A1 (de) 2021-07-21

Family

ID=68109271

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19780149.1A Withdrawn EP3849489A1 (de) 2018-09-12 2019-09-09 Assistent zum stabilisieren, mobilisieren und sichern eines patienten

Country Status (6)

Country Link
US (1) US20210282994A1 (zh)
EP (1) EP3849489A1 (zh)
CN (1) CN112930160A (zh)
DE (2) DE102018215529A1 (zh)
RU (1) RU2771537C1 (zh)
WO (1) WO2020053117A1 (zh)

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CN113413277A (zh) * 2021-08-03 2021-09-21 万彩荣 可预防残疾人上身畸形的多功能轮椅设置
CN118370666A (zh) * 2024-06-24 2024-07-23 山东惠浦医疗科技有限公司 用于医疗的康复护理设备

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FI127759B (fi) * 2017-08-30 2019-02-15 Liikuntavieteri Oy Henkilökohotin ja menetelmä henkilökohottimen käyttövoiman tuottamiseksi
CN107669434A (zh) * 2017-10-20 2018-02-09 贵州信邦富顿科技有限公司 一种临床、远程服务两用医疗机器人及其服务方法

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CN112930160A (zh) 2021-06-08
US20210282994A1 (en) 2021-09-16
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DE102018215529A1 (de) 2020-03-12
WO2020053117A1 (de) 2020-03-19

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