ES2712326A1 - Security system for patients in bed (Machine-translation by Google Translate, not legally binding) - Google Patents

Abstract

The system object of this invention comprises a vest, of the type in which the closure zipper is of high strength, which contains at least one strap attached to the back of the vest to be fixed to the bed frame by means of a removable fastening system with a key, the tape leaving some freedom of movement so that the patient can lateralize the torso, the tape being articulated from the center line of the bed. In a preferred embodiment, the system comprises a sheet with elements that cover the tapes from the vest to said fastening system. (Machine-translation by Google Translate, not legally binding)

Description

DESCRIPTION

Security system for patients in bed

OBJECT OF THE INVENTION

The purpose of this invention application is to register a security system in bed for demented patients, be disoriented, altered, aggressive or violent, to avoid the risk of getting out of bed in an uncontrolled manner and to wander around the institution. without control, to prevent them from falling out of bed, injuring themselves or injuring those around them, which incorporates notable innovations and advantages over the techniques used so far.

More specifically, the invention proposes the development of a system based on a vest that, due to its particular system of fixation to the bed, increases the comfort and safety of the patient, at the same time that it facilitates the application by the health personnel and saves working time.

BACKGROUND OF THE INVENTION

The basic objective of the mechanical containment of a patient is to avoid situations that endanger the physical integrity of the patient and their environment, such as their family, other patients, health personnel or the facilities of the center where they are located. . It is a sanitary measure in a situation of dementia, psychomotor agitation or violent behavior that is considered to be caused by a medical pathology (organic or psychiatric).

To achieve this goal, the movements of part or of the whole body of the patient are limited by physical systems, placing the patient in a state of deprivation of freedom, which entails a serious risk of damaging consequences due to severe damage, such as compression. of nerves, contractures, broken bones or even death by suffocation or strangulation. Between January 1, 1985 and January 1, 2013, the FDA reported 901 incidents of patients trapped, entangled or strangled in hospital beds, of which 531 were deaths, the majority being elderly or mentally insane.

The patient restraint systems are known by means of straps fixed to the bed, which usually incorporate a piece for the torso support, a piece for the pelvic support and / or parts for the support of the wrists and ankles. An example of these systems is disclosed in patent document EP2384726. These systems allow the fixation of the patient to the bed, making possible the lateralization of the torso in some cases. The disadvantage is that they are visually aggressive, oppressive and disrespectful to the patient's dignity, while they are difficult to apply correctly and can become a dangerous element for their physical integrity.

Therefore, there is still a need for a system that is easy to apply, that ensures the physical integrity of the patient and visually preserves their dignity. The invention described below contributes to solve and solve the existing lack.

DESCRIPTION OF THE INVENTION

The present invention has been developed in order to provide an improvement in the bed restraint systems, which is configured as a novelty within the field of application and which resolves the aforementioned setbacks.

The system object of this invention comprises a vest, of the type in which the closure zipper is of high strength, which contains at least one strap attached to the back of the vest to be fixed to the frame of the bed by means of a removable fixation system with key. For this purpose, at least one end of the belt comprises a section of pots or latching elements.

Regarding the vest tape, the invention contemplates two versions. In a first version, a central section of the belt is formed by two branches, joined by both of their ends, where the central part of the first branch is sewn to the vest, and where the length of the second branch is smaller than that of the first branch. In this way, when the tape is fully pressed against the bed in its condition of use, the second branch is in intimate contact with the bed, but the first branch, attached to the vest and longer than the second, allows the patient Some freedom of movement to be able to lateralize the torso, by way of articulation. Ace! same, this configuration allows the immobilized area of said articulation to be located in the central line of the bed.

In case the vest has two straps of this type, for example one of them located in the pelvic area and the other in the area of the shoulder blades, so that the patient can not injure themselves with them, a fabric is added that unites both tapes between them, partially or totally, so that there is no space for the patient to put his head under the tape located in the area of the shoulder blades.

When this type of tape is used at least in the area of the pelvis, it is possible to use a wetting element applicable between the tape and the sheet of the bed, for example for changing the patient's diapers. For this purpose, the sheet can comprise fastening means suitable for fixing this damper element.

A second version of the tape, in which only one of its ends is attached to the vest, makes it easier to tie and untie the patient to the bed. In this version, the system also includes a sheet and at least one loop with some rings crimped at its ends to be fixed to the bed frame by means of a removable fastening system with a key. In its central area, coinciding with the central line of the bed, the loop has another ring inserted by which the tape of the vest is inserted in its condition of use, so that the vest is immobilizable from the back to the central line from the bed.

So that the patient can not injure himself with the tape or with the rope, the invention contemplates two options. In the first, the reata is on top of the savannah and cover, except in the areas of the rings, by one or several textile jackets sewn to the savanna. In the second option, the loop and the belt are placed underneath it, the savanna comprising at least one eyelet where the end of the belt that goes to the vest goes out to the outside and optionally the ring set in the central area of the tow .

To facilitate the crimping of the vest tape to the ends of the loop, these may comprise another set of rings. On the other hand, the tape may comprise a rope attached to a pot of its free end to facilitate its introduction by the rings or the repositioning of the tape underneath the sheet or the jacket. In this way, when releasing or placing the vest, the medical personnel can recover the fastening tape to the frame easily and quickly.

Another option considered in the invention to facilitate the tying and untying of the patient to the bed, is that the tape is attached to the vest by means of a removable fixation system with key, so that the tape is already introduced beforehand by the loop of the loop and below the sheet or the jackets before joining it to the vest.

To avoid the risk of suffocation by sliding down the patient with respect to the vest, this comprises a perineal tape, which is fixed at one end to the rear perineal area of the vest and which contains at the other end a section of pots for can be fixed to the front perineal area of the vest by means of a removable fastening system with key. As an option, the fixation system of the perineal area can be formed by a small strap attached to the lower slide of the zipper and containing a pot, by a belt stitched to the entire lower end of the vest, of such a length that its ends they overlap and with at least one pot at their ends, and a mechanical bolt that retains the perineal tape with the small tape and the two ends of the belt.

So that the patient does not notice the possible straps or rings, the vest may comprise a padding in the inner area of the back, attached to the vest removably, for example by velcro.

So that the patient does not damage the zipper of the vest or can damage it with the teeth, a protector can be placed on the upper end of the zipper that covers it, formed by a padded flap, with a section in contact with the outer and the other section in contact with the inside of the vest, so that it partially covers the neck of the vest, sewn by one of its ends to one of the waistcoats of the vest and comprising at the other end a mechanical bolt for secure attachment and removable to the other skirt of the vest.

A possible vest configuration can have a length at its lower end sufficient to cover the patient's legs partially or totally, for those cases in which it is necessary to fix them. In another version contemplated by the invention, instead of being equally long throughout its perimeter, the leg section can be formed by a second body that extends only from the rear perineal area of the vest, this second body comprising two skirts which are joined together by another zipper of high resistance and which partially or completely cover the legs of the patient. In any of these versions, the vest may comprise another strap attached to the back of the leg area to be attached to the bed frame by means of a removable fastening system with a key.

In addition, the vest can comprise a pair of wrist bands joined at their sides by means of adjustable tapes in their length, and in which their play can be locked by means of a mechanical bolt.

Preferably, the removable fastening system with key comprises a mechanical bolt that fixes the belts or belts with other elements through pots made in them. This bolt can only be released with a magnetic key and only authorized personnel can possess it.

As regards the removable fixing system which is fixed to the frame of the bed, in particular, it can be formed by a strap and a mechanical bolt which holds together the two ends of the strap to a pot located in its central area, one of the ends of the strap forming a first loop that is attached to the frame of the bed and the other end a second loop that is attached to one of the rings of the loop of the sheet and / or a tape of the vest.

For the adjustment of the belts to the belts or of the belts themselves to the frame of the bed, these can comprise a first section of pots in its central zone for the adjustment of the first loop and / or a second section of pots on the end for the adjustment of the second loop.

As far as the composition of the belts is concerned, they preferably have a reinforced textile core covered by synthetic material, thus being very resistant to tearing and tension, and easily cleanable with a cloth and disinfectants. On the other hand, it is preferable that the color of the straps is very visible, to facilitate that the sanitary personnel can realize of a possible incorrect application.

As one skilled in the art will be able to verify, the configuration of the present invention allows an application on the user and a simple and comfortable bed installation for the healthcare personnel. With regard to the removable fastening systems with key, they avoid the risk of uncontrolled opening by manipulation of the patient or unauthorized persons. Another advantage of this system is that it allows the patient to lateralize the torso, that is, to turn both sides, as well as to incorporate it at the will of the health personnel. On the other hand, thanks to the present invention, it is allowed to expand or restrict the degree of containment safely as required by the patient's treatment.

In summary, the present invention provides a system that simplifies the application and increases safety and comfort, avoiding risks for the patient due to excessive adjustment or for the health personnel for too much slack, while at the same time preserving the patient's privacy and dignity. as a person.

These and other characteristics and advantages of the system object of the present invention will be evident from the description of a preferred embodiment, but not exclusive, which is illustrated by way of non-limiting example in the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1.- It is a view of a first preferred embodiment of the system.

Figure 2.- It is a view of the area of the back of the vest of the first preferred embodiment of the system.

Figure 3.- It is a view of the removable fastening system with a key fixed to the frame of the bed.

Figure 4.- It is a view of the system with a soaking element applied.

Figure 5.- It is a view of the area of the back of the vest of a second preferred embodiment of the system.

Figure 6 .- It is a partial view of a second preferred embodiment of the system.

Figure 7.- It is a view of the removable fastening system with key of the perineal area of the vest.

Figure 8.- It is a view of the quilted extraldo of the internal area of the back.

Figure 9.- It is a view of the zipper protector.

DESCRIPTION OF A PREFERRED EMBODIMENT

In view of the mentioned figures and, according to the numeration adopted, an example of a preferred embodiment of the invention can be observed, which comprises the parts and elements that are indicated and described in detail below.

As shown in Fig. 1 and 2, the system object of this invention comprises a vest (1) with a zipper closure (2) of high strength, which in a first preferred embodiment contains two tapes (3) attached on the back of the vest (1), one of them located in the pelvic area and the other in the area of the shoulder blades. These belts comprise hooking elements formed by rings (33) at their ends, which are fixed to the frame (5) of the bed by means of four removable fixing systems (6) with key.

As regards these four removable fixing systems (6), fixed to the frame (5) of the bed, one of them can be seen in Fig. 3. Each one is formed by a strap (60) and a mechanical latch (61) that holds together the two ends of the belt to a pot (62) located in its central zone, one of the ends of the belt forming a first loop (63) that is attached to the frame (5) of the and a second loop (64) attached to one of the rings (33) of the straps (3) of the vest (1). Each belt (60) comprises a first section of pots (65) in its central area for adjusting the first loop (63) and / or a second section of pots (66) at the end for adjusting the second loop (64) .

In this first preferred embodiment, a central section of the belts (3) is formed by two branches (31, 32), joined by both ends (311, 321) where the central part (312) of the first branch (31) it is sewn to the vest (1), and where the length of the second branch (32) is less than that of the first branch (31). A fabric (34) joins both tapes (3) between them, so that it leaves no space for the patient to put the head under the tape (3) located in the area of the shoulder blades. A dampening element (10) is applied between the tape (3) located in the pelvis and the sheet (8), which comprises clamping means (11) suitable for fixing the damper element (10), such as It is shown in Fig.4.

In a second preferred embodiment, shown in FIG. 5, the tape (4) located in the area of the shoulder blades has one end (41) attached to the vest (1) and the other end (40) attached to the system of removable fixation (6) with key fixed to the frame (5). In this second embodiment, the system also comprises a loop (9) with rings (91) crimped at its ends to be fixed to the removable fixing system (6) with key. In its central area, coinciding with the central line of the bed, the loop (9) has another ring (92) attached by which, in its condition of use, the ribbon (4) of the shoulder blades is inserted.

In this second embodiment, the loop (9) is located above the sheet (8), and two textile jackets (81) are sewn to the sheet (8) so that they cover the tape (4) of the shoulder blades and two parts of the loop (9), as shown in Fig. 6. A in turn, the belt (4) comprises a rope (42) crimped to a flange (43) of its free end (40).

In both previous embodiments, the vest (1) comprises a perineal belt (7), which is fixed at one end to the rear perineal area (71) of the vest (1) and which contains at the other end a section of pots (73) to be fixed to the front perineal area (72) of the vest by means of a removable fixation system (70) with key. This fastening system (70) is formed by: a small belt (74) fixed to the lower rack of the rack (21) and containing a pot (75); by a belt (76) sewn to the entire lower end of the vest (1), of such a length that its ends (77) overlap and with at least one pot on its ends (77); and by a mechanical bolt (78) that retains the perineal belt (7) with the small belt (74) and the two ends (77) of the belt (76), as can be seen in Fig. 7.

As shown in Fig. 8, in both previous embodiments the vest (1) comprises a padding (12) in the inner area of the back, removably attached by velcro.

In both previous embodiments, as shown in Fig. 9, a padded flap (20) covers the upper end of the zipper (2), with one section in contact with the outside and the other section in contact with the inside of the vest ( 1), so that it partially covers the neck of the vest (1), sewn by one of its ends to one of the flaps (13) of the vest (1) and comprising at the other end a mechanical latch (21) for the fixation secure and removable to the other skirt (14) of the vest (1).

The details, the forms, the dimensions and other accessory elements, as well as the materials used in the fabrication of the system of the invention, may be conveniently replaced by others that are technically equivalent and do not depart from the essentiality of the invention or scope. defined by the claims that are included below.

Claims (20)

1. Security system for patients in bed, characterized by understanding: - a vest (1), with a closure system formed by a zip (2) of high resistance, with at least one belt (3, 4) attached to the back of the vest (1), one end of which comprises a section of pots or latching elements; - at least one removable fastening system with key attached to the frame of the bed and to which a tape (3, 4) of the vest (1) is attached. System according to claim 1, characterized in that it comprises a sheet and at least one textile thread stitched thereon, the loop including rings set in its central area and at its ends, and at least one textile jacket covering partially or totally It consists of at least one section of the at least one belt, in its condition of use, placed inside the central ring and below one of the textile jackets of the savannah. System according to claim 1, characterized in that it comprises a sheet with at least one loop below it, the loop comprising rings set in its central area and at its ends, at least one section of a tape being, in its condition of use, placed inside the central ring and below the sheet, the sheet comprising at least one buttonhole for the passage of the tape. System according to any one of the preceding claims, characterized in that it comprises at least one rope attached to a flange of the free end of the at least one belt. System according to any of the preceding claims, characterized in that the tape is attached to the vest by means of a removable fastening system with a key. System according to claim 1, characterized in that a central section of the belt is constituted by two branches, joined by both ends, where the central part of the first branch is sewn to the vest, and where the length of the second branch is smaller than that of the first branch. 7. System according to claim 6, characterized in that the vest comprises two belts joined partially or totally between them by a fabric. System according to claim 6 or 7, characterized in that the bed sheet comprises fixing means suitable for fixing a soaking element that is placed between the sheet and at least one tape. System according to any one of the preceding claims, characterized in that the vest comprises a perineal band, with one of the ends fixed to the rear perineal area of the vest and the other end comprising a section of pots or elements of attachment to the front perineal area of the vest. 10. System according to claim 9, characterized in that the vest comprises a removable fastening system with a key in the front perineal area of the vest, which comprises a small strap attached to the lower slide of the zipper and containing a pot, a stitched waistband to all the lower end of the vest, of such a length that its ends overlap and with at least one pot at its ends, and a mechanical latch retaining the perineal tape with the small tape and the two ends of the belt. System according to any one of the preceding claims, characterized in that it comprises a removable padding in the inner area of the back of the vest. 12. System according to claim 11, characterized in that the padding is removably attached to the vest by velcro. System according to any one of the preceding claims, characterized in that the upper end of the zipper is covered by a protector, formed by a padded flap, with one section in contact with the outside and the other section in contact with the inside of the vest, so that it partially covers the collar of the vest, sewn by one of its ends to one of the waistcoats of the vest and comprising at the other end a mechanical bolt for secure and removable attachment to the other skirt of the vest. System according to any one of the preceding claims, characterized in that the vest has a length such that it partially or completely covers the legs. System according to any one of the preceding claims, characterized in that the vest comprises a second body that extends from the rear perineal area thereof, comprising two skirts that are joined together by a high-strength zipper and that covers partially or completely the legs of the patient. 16. System according to claim 14 or 15, characterized in that it comprises a belt attached to the rear part of the leg area, where at least one end of the belt comprises a section of pots or hooking elements. 17. System according to any of the preceding claims, characterized in that it comprises some wrist-bands, attached to the sides of the vest by means of adjustable tapes in their length, and in which their clearance is blocked by a mechanical bolt. 18. System according to any of the preceding claims, characterized in that the removable fastening system with a key fixed to the frame of the bed comprises a belt and a mechanical bolt that holds together the two ends of the belt to a pot located in its central area, one of its ends forming a first loop that is attached to the frame of the bed and the other end a second loop that is attached to one of the rings of the rete of the savannah. 19. System according to claim 18, characterized in that the at least one belt comprises in its central zone a first section of pots for adjusting the first loop and a second section of pots at the end for adjusting the second loop. System according to any one of the preceding claims, characterized in that the at least one strap fixed to the frame of the bed is made of synthetic material with a textile reinforced core.