ES2318256T3 - DEVICE FOR THE CHANGE OF POSITION AND / OR THE TRANSPORTATION OF A PERSON PHYSICALLY DECREASED PERSON, SPECIALLY IN VIEWS TO HOME CARE. - Google Patents

Abstract

The device has a supporting frame with a perpendicular base, in which a foot rest, chest seat-back, lower shank rest and height adjustable head support are arranged for admission of a patient. A swingable support pair is arranged at an end of a base frame that is attached with the base. Another end of the base frame serves as a grip for handling the device. The chest seat is placed in an upper end of a stretcher rack.

Description

Device for changing position and / or the transport of a physically diminished person, especially views to home care.

The present invention refers to the scope of auxiliary means of aid for displacement and / or change of position of handicapped people and aims at a device for changing position and / or transport of this type of people, especially in view of care domiciliary

The mobility aid of people who find handicapped, permanently or provisionally, that are affected by difficulties to change position or to scrolling is usually carried out by means of devices specific to each need, such as lifting means in the form of a gantry that allow lifting and transferring said people from one support to another support or a device specific, or also means of transfer of the type of a Wheelchair.

The lifting means based on a porch, also called patient lifts, they involve usually a chassis mounted on rollers and an arm of lifting provided with a hitch device for harnesses of a transfer seat. These type lifting means known have forced care facilities to a series of adaptations of care or rest facilities, such as beds, bathtubs and other items, in order to allow, during the handling of said lifting means in relationship with patients, a displacement of the lower part of the chassis provided with rollers below said installations.

Such a medium has been especially disclosed throughout the document DE-U-202 19 389 and it turns out specially adapted to treatment establishments, of so that a domestic type of use results only imaginable in exchange for expensive adaptations. In addition and for another part the practical use of the means in question requires by usually a high degree of professional competence and the storing them after use requires a important space. It follows that the use of indicated means of known type are very limited in scope of home care.

In GB 2 290 757 it is disclosed a device according to the preamble of claim one.

On the other hand, The indicated type means known act usually on the spine of the facultative personnel in the sense of a charge, determining Long-term health problems for this staff, particularly in back pain form. On the other hand, it is posed for patients a problem of staying in bed, of what deduces a disorder of biological rhythms, so that it can occur and there is confusion between the hours of the day and of the night, so that the patient sleeps during the day and not I came to find sleep during the night.

For this purpose, the optional staff may be tempted to prescribe medications that facilitate the night dream, with the possibility, however, of begetting side effects. In fact, it is important to keep the patient out of bed, in sitting position, to read, to eat and even to watch television broadcasts, and even upright or upright or walking, to exercise intended to favor skeletal mineralization, as well as to avoid muscle atrophy.

The present invention has the objective of to alleviate the indicated inconveniences by proposing a device to the change of position and / or the transport of a person handicapped, especially in view of the performance of care in the address, which allows easy and simple use and a storage in a reduced volume.

To the indicated effect, the device for change of position and / or transport of a handicapped person, especially in view of home care, it is characterized by the technical elements of the characteristic part of the claim 1.

The invention will be more easily understood. thanks to the description that follows, which refers to a form preferred embodiment, given by way of example no limiting and explained by referring to the drawings schematic annexes, in which:

- Figure 1 is a perspective view of a device according to the invention, and

- Figures 2 to 12 are paths seen in side elevation, in which the device has been represented in different service positions as well as in the position retracted

In figure 1 of the attached drawings it has been represented a device for changing position and / or the transport of a handicapped person, especially in view of home care, which is intended to allow you to raise a patient from a certain position, for example, from  of a bed (figure 2) and to be transported to a certain care point or to constitute a travel aid of a person with reduced mobility (figure 9) or even for constitute a provisional support element waiting for some cares.

According to the invention and as it has been represented in figure 1 of the attached drawings, the device in question it is essentially constituted by a chassis vertical support and tilting support A and by a set of horizontal support B that can be folded over the rolling chassis of vertical support, in the position corresponding to the no device use.

The rolling vertical and tilting support chassis A is constituted by a vertical support frame 1 mounted on two wheels 2 and provided with a forward anti-swing stop system 3 provided on the vertical support frame 1, by a device 4 front support for the legs, by a headrest 5 that can be adjusted in height, by a chest support stop 6 and by an articulation device 7 of the horizontal support assembly B. This last set is constituted by a frame 8 articulated on the vertical support frame 1 of the rolling vertical support and tilting chassis A, which extends behind the chest support stop 6, through a seat 9 mounted at least partially removable or tilting with respect to to the frame 8 located behind the chest support stop 6, by means of maneuvering the position change mounted on the frame 8, by the side opposite the seat 9, and by an eclipsable backrest 11 mounted on the frame 8 by the side opposite the seat 9 at the opposite end to the maneuvering means 10 of the change of
position.

The previous stop system 3 that opposes the forward tilt is mounted on frame 1 a axle level of the wheels 2 which are provided with a means of reversible lock arranged to be operated by means of a pedal 12 (figure 1). This stop system 3 is intended for ensure a fixation of the device in certain positions against an accidental tilt forward and presents simultaneously, at its end away from the support frame vertical 1, a support element for voluntary tilting of the device as a whole, by intermediation of the means 10 of position change maneuver (figure 5).

The previous support device 4 for legs is intended to allow a patient, accommodated on the seat 9 of the device and whose legs are supported on the lower cross member of the frame 1 that constitutes the axis of the Wheels 2, can lean across their legs against the indicated  device 4 which under these conditions simultaneously constitutes a stop capable of preventing any sliding towards the part previous.

The height-adjustable headrest 5 is mounted on the vertical support frame 1 by means of a 5 'telescopic tube that can slide with respect to the frame of vertical support 1 and which is ready to be fixed in the position that in each case interests by means of a screw with its knurled head or other similar element 14. In this way, the Headrest 5 can be regulated exactly depending on the patient height in order to provide an optimal degree of comfort in a position, for example, in a position sitting in the course of being transferred (figure 3), sitting in a position normal use occupation (figure 4) or tilt towards a change of position (figures 5, 7 and 11). This headrest Adjustable 5 will preferably have two side elements 5 '' which constitute some supports for the face. These elements 5 '' they can be constituted based on a synthetic material with a flexible coating and be coupled to an element central, fixed on the 5 'telescopic tube by means of elastically deformable links that allow an ergonomic system of adaptation.

In its different possible positions, the top 6 Chest support can advantageously provide support complementary to the patient to guarantee a greater degree of comfort and is preferably constituted by a plate of concave shape, of synthetic material or any other suitable.

The joint articulation device 7 of patient support B preferably consists of a sleeve, a U profile or an analogous element that extends perpendicularly with respect to the vertical axis of the frame of vertical support 1, said sleeve forming a bearing of support for an axis 8 'of articulation of the frame 8 and being set to the latter. The 8 'axis of articulation of the frame 8 is coupled to this frame 8 by means of an intermediate frame 8 '', inserted in the expressed frame 8 and also provided in parallel with respect to the axis 8 'of articulation, of a reinforcement profile 8 '' 'and a locking means in position 15 consisting of about automatic latching latches that can be ruled in in order to determine its opening, independently or through a common maneuvering lever. Under these conditions, it remains perfectly secured the lock in frame position 8 with with respect to the vertical support frame 1.

The seat 9 is mounted on the frame 8 by means of stirrups 9 ', or cut plates removable or by means of removable curved tubes or elements analogues, cooperating the said stirrups 9 ', on at least one of the sides of the frame 8 with a retention means 9 '', such as a hook or an analogous element. This embodiment of the seat 9 allows you to disassemble it very easily to facilitate installation of a patient on the device or its transfer towards a priests post or towards a bed, allowing stirrups 9 'performing a pendular function of the seat 9 and allowing, consequently, the regulation of different angles seat. In addition, the seat 9 will be advantageously provided at its rear edge of an opening 9 '' 'designed to allow the Access to a toilet bowl.

The means 10 for changing the position It is swiveling on frame 8, on the side opposite to seat 9 and is preferably in the form of a U-frame articulated to the corresponding end of frame 8 by means of a pressure screw with a knurled head 16. As a consequence of this articulated assembly of the medium 10 on the frame 8, the latter can be folded over frame 8 in the position corresponding to the non-use of the device that constitutes object of the invention, as represented in the Figure 12 of the attached drawings.

According to a variant embodiment of the invention, which has not been represented in the attached drawings, the means 10 for changing the position can also be mounted on frame 8 by means of devices lace provided on the extremities of your arms and arranged to cooperate with corresponding devices provided in the frame 8, the fixing being secured in the position of service of the medium 10 with respect to frame 8, by means of pressure screws with knurled heads or elements analogues It would also be possible to carry out the coupling between the 10 means of governance of the change of position and frame 8 by means of a simple bolting or screwing of the limbs of said means 10 on the said frame 8.

The eclipsable backrest 11 will be found advantageously constituted based on two identical elements, symmetrical with respect to a central plane with respect to the whole of the device and each of them attached to a lever 11 ' articulated so that it can swing vertically around an axis provided on one side of the end of the opposite frame 8 to the means 10 for changing the position, being limited said vertical tilting, for each of the levers, in the service position and in the release position of the tilt, by means of stops provided on the axis of tilting and / or by means of a latch device that a each other free limbs of the expressed elements in the service position The indicated tilting device as well as the stop system and the latch device are themselves of known type and do not require any description complementary.

According to another feature of the invention, frame 8 of patient support assembly B, articulated on the vertical support frame 1 of the chassis vertical support and tilting support A, is provided, in addition, of retractable supports 17 in the form of a few feet articulated at the end of the expressed framework 8, in the proximities of the eclipsable backrest joint 11, cooperating each of these supports with a small connecting rod 18 articulated by a limb on the support 17 and endowed in its opposite limb of a python guided along a hole elongate 19 extending over the bottom of the frame 8, this python being able to be locked in position in service or in a retracted position of supports 17 at frame length 8 by means of a locking device 20 of the type based on a cam or eccentric that develops an effect of lock in position by deformation of the guide. A deformation of this type can especially be carried out by means of forecast, inside the element guidance system sliding, of a deformable element under the action of a cam or An analogous element. Moreover, the locking device 20 It can be perfectly maneuvered by a person who is placed before the means 10 for changing the position.

In short, the device that is the subject of the invention can also be equipped, between the frame of vertical support 1 with sleeve 7 for axis 8 'of tilt of frame 8 and axis 10 'of tilt of means 10 of position change maneuver, with a platform 21 that it constitutes at the same time a table and an element of support for forearms

According to another embodiment variant of the invention and as shown in figures 10 and 11 of the drawings attached, the vertical support frame 1 can be provided of a complementary means of anti-tilt rear 22 consisting essentially of two levers 22 'fixed to said frame 1 by one of its extremities and fixed by its extremities opposite a 22 '' crossbar arranged for support on the floor. Under these conditions, during travel relatively long, it is possible to lift the supports retractable 17 against frame 8 and ensure stability against an accidental tipping through the middle 22. This medium 22 it can also ensure a transfer to the position horizontal, serving in this case the crossbar 22 '' point of Support to carry out the rotation of the device.

In the position corresponding to the no use of the device that is the subject of the invention, This device is presented in a folded form on the rolling stand with vertical support and tilting A, as He has represented in figure 12 of the attached drawings. For the use of the device, the support set is displayed horizontal B by tilting frame 8 around the corresponding axis 8 ', after having previously disassembled the headrest 5 of the vertical support frame 1. And a they are then placed in the position that has been represented in the Figure 1 the retractable supports 17 by unlocking the outgoing with which each of the small ones is equipped connecting rods 18 by means of the locking device 20.

Next, it is forced to swing to the middle 10 of maneuver of the change of position around the axis 10 ', likewise in the position represented in figure 1 of the attached drawings and is locked in this position by means of the fixing screws with knurled heads 16, the flanges 9 'of one side of the seat 9 with respect to the corresponding anchoring means 9 '' and are tilted towards a vertical position of the eclipsable backrest elements 11, completely releasing the back of frame 8. From this Thus, the device that is the subject of the invention is in willingness to be used for the care of a certain patient.

To the indicated effect, for example, if a patient he is sitting on the edge of a bed (figure 2), the device is approached to said patient in such a way that this can be completely surrounded by the arms of frame 8, being lifted along these arms the retractable supports 17.

Once this position has been reached, install the patient in the device, after being locked previously wheels 2, in order to prevent any displacement of said device, by positioning your feet on the axis of the wheels 2 and the support of their legs against the support device 4. During the performance of these maneuvers, the patient's displacement on the flange of the bed, so that seat 9 can be passed under its thighs so that the flanges 9 'can be caught in the corresponding anchoring means 9 ''. In this position, the patient is already properly fixed on the device and it is sufficient to place the eclipsable backrest in its position of service against the patient's lower back, through a rotation of the levers 11 '.

The patient can then get up from his support on the bed by tilting the device on the antibasculation stop 3, followed by a support on the medium 10 of maneuver of the change of position. It follows a release of the patient with respect to the bed and, by way of security, the retractable supports 17 can be advantageously located in the service position (figure 5) to allow the device can be again placed in the normal position of service, as shown in figure 3 of the drawings annexes

In Figure 4 the device has been represented in a position where the patient is placed in a position sitting, for example, in view of having a meal.

To place a patient in a position horizontal, as shown in figure 6 of the attached drawings, must proceed before a partial refolding of the retractable supports 17 favoring the tilting towards behind the device assembly, as depicted in Figure 7 of the attached drawings. In this position, they can be done to swing the elements of the backrest 11 upwards in view of free up a space on the patient's back, and then you can tilt the device in question to the position that it has been represented in figure 6 of the attached drawings, after seat 9 has been released.

In order to carry out maintenance exercises in an upright and ambulation position, it is possible, either as shown in Figure 8, for the patient to carry out these exercises by simply standing in front of the seat 9 that remains attached to the frame 8 by means of the flanges 9 ', that is, without the need to introduce any modification to the device, either, as shown in Figure 9, that the patient performs the said exercises on the back of the frame 8 , standing or walking behind the latter, in which case the retractable supports 17 constitute a safety element against an excessively important tilting of the device. In the first case, when the patient is kept inside the frame 8, total security is guaranteed by all the constituent elements of the device and, in case of failure.
tiga, the patient can very quickly recover his sitting position, as depicted in figure 3.

Anyway, in the tilting position towards in front that has been represented in figure 5, it is possible, by supporting the device on the top of anterior anti-tilt 3 and over the limb anterior of the middle 10, to provide the patient with care specific on the lower back and, in particular, over the anal area, especially after passing through toilets

Thanks to the invention, it is possible possible to make a device for changing position and / or the transport of a physically diminished person allowing a good degree of patient support against fall hazards during periods of staying out of bed and that while allowing a very high number of possibility of  positions.

In addition, the device in question allows a recovery of solidification of the spine and the relaxation of this column, so that the dispensing staff of care can carry out recovery functions. All of this is particularly interesting, for example, for carry out the transfer of a patient to a bathtub to from a bed or vice versa, while favoring Exit from the edge of the bathtub or the bed.

It follows that the conditions of work of people in charge of patient care are clearly improved, in particular within the framework of home care Indeed, in this case the people caregivers are not always professional and they face risks that may affect their skeleton, as a result of false maneuvers. The device which is the subject of the invention allows to reduce very noticeably the expressed risks, and even allows suppress them, as a result of which determines on the skeleton of the caregiver a spinal discharge effect vertebral, as a result of maneuvering through the middle 10 allows to take advantage of the patient's weight.

In short, the device that is the subject of The invention allows patients to enjoy a certain degree of mobility practice maintenance exercises in vertical position and ambulation under surveillance, allowing in consequence a certain form of reeducation, always remaining perfectly insured against any risk of falling accidental.

As understood, the invention does not remain limited to the embodiment described and that has been represented in the attached drawings. It is possible to enter modifications, especially from the point of view of the constitution of the different elements or by substitution of technical equivalents, without meaning to depart from the scope of protection of the claims.

Claims (15)

1. Device for the change of position and / or the transport of a physically diminished person, especially in view of home care, essentially constituted by a rolling chassis with vertical support and tilting (A) and a set of horizontal support (B ), the vertical support and tilting rolling chassis (A) being constituted by a vertical support frame (1) mounted on two wheels (2) and provided with a front anti-swing stop (3), provided on the support frame vertical (1), by a front support device (4) for the legs, by a headrest (5) adjustable in height and by a support stop (6) for the chest, characterized in that the vertical support and rolling support chassis tilt (A) also includes a device (7) for articulating the horizontal support assembly (B) to allow its overflow on the vertical and tilt support rolling chassis (A), in the position corresponding to the use of the device and because the horizontal support assembly (B) is constituted by a frame (8) articulated to the vertical support frame (1) of the vertical support and tilting rolling chassis (A), which extends towards the part rear of the chest support stop (6), by a seat (9) mounted in a way at least partially removable or tiltable on the frame (8) behind the chest support stop (6), by means (10 ) for maneuvering the change of position mounted on the frame (8), on the side opposite the seat (9), and by an eclipsable backrest (11) mounted on the frame (8) at the end of the same opposite to the middle (10) ) of change position maneuver. Device according to claim 1, characterized in that the front anti-tilt stop (3) is mounted on the vertical support frame (1) at the level of the wheel axle (2) which are provided with a reversible locking means that can be operated by means of a pedal (12). Device according to claim 1, characterized in that the height-adjustable headrest (5) is mounted on the vertical support frame (1) by means of a telescopic tube (5 ') that can slide with respect to the support frame vertical (1) and which can be fixed in position by means of a knurled head screw (14) or an analogous element. Device according to claim 1, characterized in that the adjustable headrest (5) has two lateral elements (5 '') that constitute face supports and are related to a central element fixed on the telescopic tube (5 ' ) through elastically deformable links that allow ergonomic adaptation. Device according to claim 1, characterized in that the device (7) for articulating the patient support assembly (B) consists of a sleeve, a U-profile or an analogous element, which extends perpendicularly with respect to the vertical axis of the vertical support frame (1), this sleeve presenting a fixing bearing for an axis (8 ') of articulation of the frame (8) and being fixed to the latter. Device according to claim 5, characterized in that the axis (8 ') of articulation of the frame (8) is connected to this frame by means of an intermediate frame (8''), inserted in said frame (8) and provided, in addition, parallel to the axis (8 ') of articulation, a reinforcement profile (8''') and a locking means in position (15) consisting of automatic latching latches that can be maneuvered in the direction of the opening, either independently or by means of a common operating lever. Device according to claim 1, characterized in that the seat (9) is mounted on the frame (8) by means of stirrups (9), or by means of removable cut-out plates or removable bent tubes or similar elements, the said stirrups (9 ') being able to cooperate on at least one of the sides of the frame (8) with a coupling means (9'') such as a hook or an analogous element. Device according to claim 7, characterized in that the seat (9) is provided at its rear edge with an opening (9 '') designed to allow access to the toilet bowl. Device according to claim 1, characterized in that the means (10) for changing the position are tiltedly mounted on the frame (8), on the opposite side with respect to the seat (9) and is presented under the shape of a U-frame articulated on the corresponding end of the frame (8) by means of an axis (10 '), which can be immobilized in the service position with respect to said frame (8) by means of some screws pressure with a knurled head (16). Device according to claim 1, characterized in that the means (10) for changing the position is mounted on the frame (8) by means of crimping devices provided on the ends of its arms and arranged to cooperate with corresponding devices provided on the frame (8), the fixation being ensured in the service position of the medium (10) with respect to the frame (8) by means of pressure screws with knurled head or similar elements. Device according to claim 1, characterized in that the fixing between the means (10) for changing the position and the frame (8) is carried out by simple bolting or screwing the ends of the medium (10) onto said frame (8). 12. Device according to claim 1, characterized in that the eclipsable backrest (11) is constituted by two identical symmetrical elements with respect to a central plane of the device, each of which is coupled to an articulated lever (11 ') so that it can swing vertically around an axis provided on one of the sides of the end of the frame (8) opposite to the means (10) of maneuvering the change of posture, this vertical tilting movement being limited, for each lever, between a service position and a release position, by means of stops provided on the tilting axis and / or by means of a latch device that joins together the free ends of said elements in the service position. 13. Device according to claim 1, characterized in that the frame (8) of the patient support assembly (B), articulated on the vertical frame (1) of the vertical support and tilting rolling chassis (A), is provided , in addition, of retractable supports (17) in the form of articulated feet at the end of said frame (8), in the vicinity of the articulation of the eclipsable backrests (11), each of these supports cooperating (17) with a small connecting rod (18) articulated by a limb to the support (17) and provided at its opposite end with a python that is guided along an elongated hole (19) that extends along the bottom of the frame (8), said python being locked in the service position or in the position corresponding to the folding of the supports (17) along the frame (8), by means of a locking device (20) of type a cam base that determines the latch lock in position m by deformation of its guide. 14. Device according to any one of claims 1 and 6, characterized in that, between the vertical support frame (1) with the sleeve (7) for the tilting axis (8 ') of the frame (8) and the axis ( 10 ') of tilting the means (10) for maneuvering the change of position, is equipped with a platform (21) that simultaneously constitutes a table and a support element for the forearms. 15. Device according to claim 1, characterized in that the vertical support frame (1) is provided with a complementary means of anti-tilt towards the rear which consists essentially of two levers (22 ') fixed on the said frame ( 1) by one of its extremities and fixed by its opposite extremity to a crossbar (22 '') arranged to rest on the ground.