Person Transporter for Emergency Use
This invention relates to a person transporter for emergency use. It is particularly aimed at transporting invalids from hospitals or nursing homes. It is more particularly aimed at 5 transporting immobile patients over carpeted areas and the like. However it is not limited to these particular uses. It is envisaged that the invention is applicable to many settings; including, for example, aircraft, ships, motor vehicles, schools and hotels and similar accommodation.
Background of the Invention:
The field of use of the invention is primarily hospitals and nursing homes. It is often needed in emergencies to remove immobile people quickly from dangerous situations. There is also a need for such rescue apparatus to be suitable for carpeted areas. 15 Previously it was standard in hospitals and nursing homes to have all surfaces covered in easy to clean linoleum or other shiny readily cleanable surfaces. Therefore, the idea of dragging a sheet or blanket or other contraption with the patient thereon did not require any particular problems to be overcome. However over time it is now considered that hospitals and nursing homes should not be as cold or forbidding and therefore other 20 surfaces such as carpet are being employed with its sound-damping, warmth and friendliness qualities.
Also over time has been the change of architecture from wide open spaces and doors as needed in a busy casualty hospital to standard domestic structures for long term nursing 25 homes or smaller hospitals. This change in architectural structure improves the cost efficiency of building such facilities but increases the problems with emergency rescue. Large pods such as used in outdoor rescue and used in combination of winches and possibly helicopter lifts cannot be used in the modern facility. Similarly stretchers or the like are not suitable as they require the use of two emergency personnel for each patient 30 and the need to negotiate small doorways and angled hallways.
The major known rescue device for patients in hospitals is designed to remove the patient while still on the mattress. The patient is kept in place by straps, and the apparatus is under the mattress at all times. Not only is this hard to pull, if possible at all by one or two people, it places too much stress and strain on the rescuers, causing danger to their 5 health. It is also a complex task to find the straps from under the bed amongst the sheets and bring these over the patient to secure them and then remove the mattress when time is critical. Also, mattresses do not readily fit through the "average" doorway or hallway now common in nursing homes. Two mattresses can fully block the doorway or hallway by being wedged together and so increasing the dangers in the area being evacuated. 10 While useful when floors were vinyl, this apparatus is not suitable in many ways for the safety of patients and rescuers in the modern situation. Also due to the complexity this device is only in hospitals leaving nursing homes without any and definitely not suitable emergency transporters.
A number of person transporters for emergency use have been revealed from a search but they are not generally known in Australia.
In US Patent No 5,787,529 there is disclosed a rescue carrier device including a generally pear shaped sheet member. The sheet member is formed of a heat resistant material and 20 adapted for receiving an immobile body. The sheet member has a front side and a back side. The sheet member has a left peripheral edge, a right peripheral edge, a top peripheral edge and a bottom peripheral edge. Also, a pair of support strips is attached to the front side of the sheet member. An elongated securing harness is fixedly attached to the front side of the sheet member in a continuous fashion so as to be adjacent the right 25 peripheral edge and the left peripheral edge. An upper body restraining means is stitchedly attached juxtapose the front side of the sheet member. The upper body restraining means has a first end with a female coupling member and a second end with a male coupling member for coupling with the female coupling member. A pair of short straps is provided forming a left strap and a right strap. The left strap projects angularly 30 outward from the upper body restraining means, the right strap projects angularly outward from the upper body restraining means. Lastly, a waist strap is spaced from the
upper body restraining means and stitchedly attached to the front side of the sheet member,
However this structure requires tight securing of the person in the device by the 5 restraining means. Therefore the apparatus requires substantial force to be applied to the sides of the patient. This might not be suitable for patients of hospitals or elderly care hostels as such force can cause substantial injuries to the person being rescued. It is not practical for a doctor or nurse to be present to assess the patient and advise of correct transport for each patient. Also the rescuer does not have time to assess and might not be 10 suitably qualified. Another major problem is the substantial time needed to fully strap the patient in. Otherwise the patient will slide down and possibly out of the apparatus.
In US Patent No. 5,189,746 there is shown an emergency patient evacuation system, which relates to an apparatus for evacuating persons of decreased mobility from a 15 building, such as a hospital, in the event of emergency. It provides a device for moving a supine person by lifting or sliding. The device comprises an elongated, planar, rigid base portion on which the person lies and a lower surface provided with a layer of carpeting for sliding on a surface, flaps having adjustable straps for securing the person on the base portion, handles attached to each end of the base portion whereby the device may be 20 pulled from either end, and handles attached to both sides of the base portion whereby the device may be lifted from said both sides. This device relies on the planar rigid base and therefore is merely a rigid stretcher with a cover. Such a device is not suitable for dragging as it cannot withstand having the rigid support base at an angle. This device also has the problem like many others of requiring an enveloping of the patient by a 25 substantial number of straps. The time taken to fully encase the patient is too long to be useful in an emergency evacuation procedure and is more suitable to an emergency injury situation such as hiking accident or cliff fall or the like.
US Patent No. 5,978,989 discloses a flexible patient transporter with foot pocket 30 including an oblong PVC fabric sheet having two substantially parallel side edges and two substantially curved end edges. An edge reinforcing web is attached to the sheet
with monofilament stitching so that it extends substantially around all edges of the sheet. A pair of end handles is attached to each of the curved end edges of the sheet and a plurality of side handles attached to the side edges of the sheet. Each of the handles is equally spaced around the perimeter of the sheet and includes a PVC tube with a strap 5 extending through the tube and attached at each end to an edge of said sheet. A loop is attached near an apex of at least one of the end edges, and at least one fastener, is secured to each of the side edges of the sheet, said fasteners being adapted to be releasably secured to at least one of the loops, to thereby form a foot pocket at an end of the sheet, which pocket would prevent a patient from sliding out of the transporter. However the 10 flexible patent transporter of this patent has very detailed reinforcement webbing and therefore would incur huge drag factor if pulled along and particularly over a carpeted surface. This device has the disadvantage that it takes considerable time to adjust the foot pocket to fit patient and this is not available in emergency evacuations.
US Patent No. 4,442,557 shows a carrier apparatus for use by fire fighters to carry fire hose, and to serve as a personnel carrier; a carrier body of flaccid material about five feet long has a bottom and side walls, and at one end there is an end wall, and portions of the side walls adjacent the end wall being perpendicular to the bottom and end wall. Handles and securing straps are provided. A continuous length of fire hose is placed in two side 20 by side stacks, with a connecting portion from one stack to the other; a strap with hook and pile type fastener, such as sold under the trademark Velcro fastener extends around one stack and is released by force applied through the connecting portion of the fire hose. This device has the fundamental problem of the patient able to slide off the mat. As the patient is probably in nightwear and therefore of low resistance it is more inclined to slide 25 off the material. Further if the material of the carrier apparatus is high resistance then such is not suitable for dragging over carpeted areas as is required in modern facilities.
In US Patent No. 5,839,137 discloses roll-up emergency personnel carrier which comprises a tough fabric portion longer than a large human adult and wide enough to be 30 wrapped around such a person. A pouch on the foot end of the device receives the person's feet. A strap adjacent the foot end of the device ties the person's feet together in
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an upright position so the feet do not splay apart and snag on an obstruction when the device is moved. Transverse straps wrap the portion about the individual and, at the head end of the portion, preferably are crossed to pull the person's shoulders downwardly and inwardly thereby making the person's shoulders less apt to snag on an obstruction when 5 the device is pulled along an underlying surface.
US Patent No. 5,333,335 shows a patient support device comprising a flexible support means, the support means having a pair of ends each of which includes a pair of hand holds, the hand holds being formed by an aperture which is dimensioned to receive the 10 palm of a user's hand when lifting a patient and flap means hinged to one edge of the aperture permitting the flap means to engage the palm of the user's hand when lifting a patient, each of the hand holds being aligned with a respective hand hold so that, during use, the flap means may be nested together to form an integral handle with a folded cross section, the support means being formed of reinforced sheet material having sufficient 15 rigidity to enable the integral handle to resist collapse, the support means being dimensioned to position the hand holds above a floor surface in order to minimize discomfort experienced by a user when lifting a patient.
Finally US Patent No. 4,124,908 discloses a rescue and transportation device constructed 20 of flexible cloth-like material and including a bottom portion for receiving a victim, the bottom portion having a head end and a foot end with longitudinally extending first and second side flaps, the foot end and side flaps being configured for substantially surrounding the body. The foot end includes reinforcing members and the head end includes a head restraining device. Reinforcing webbing encircles the body lengthwise 25 with spaced lateral webbing providing support adjacent the jointed portions of the body, the webbing when fastened, in conjunction with the head restraining device and foot supporting end, substantially immobilizing the body to create body rigidity utilizing the body's own weight and physical characteristics for transporting the victim. Again this device also has the problem like many others of requiring an enveloping of the patient by 30 a substantial number of straps. The time taken to fully encase the patient is too long to be
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useful in an emergency evacuation procedure and is more suitable to an emergency injury situation such as hiking accident or cliff fall or the like.
Objects of the Invention:
It is therefore an object of the invention to provide an improved person transporter for emergency use, which overcomes or at least ameliorates the problem of the prior art. In particular it is an aim of the invention to provide a person transporter for emergency use by a single user for transporting an immobile patient over carpeted areas and the like.
In accordance with the invention there is provided a person transporter for emergency use able to be used for transporting immobile patients over carpeted areas and the like, the person transporter including:
a substantially rectangular tapered mat having a lower end sized to fit the legs of a 15 person and an upper end which is broader than the lower end and sized to fit the body and. head of the person;
a rear portion of the formed of a material that is strong but has low sliding resistance; and a pulling structure connected to the upper end of the mat;
wherein the pulling structure and the mat are formed and connected to each other to be sufficiently strong and at least the rear portion of the mat is formed of a material that is sufficiently strong but has low sliding resistance such that a person can be inserted in the mat and be dragged by the pulling structure with the rear portion sliding along the ground surface.
The mat can include a head part being a narrower insert at the upper end for supporting the head of the person. The mat can further include a substantially cylindrical foot casing with a base located and fixed to the lower end of die mat and formed to receive the feet of the person in a standing form relative to die legs. The foot casing can include 30 reinforcement. In this way the weight of the person can be transferred at least to the feet and spine of the person and thereby minimise injury to the person.
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The foot casing can also form a container for the mat in a rolled up form so that it can be readily stored alongside the bed of a patient of a hospital or nursing home.
The mat may be formed in a multi-layered composite construction. A suitable construction includes a corrugated structure such as corrugated polypropylene board, as is loiawn in the art. Such material and construction adds overall stability to the mat, is hard -wearing on abrasive surfaces and absorbs concussion during travel thus aiding patient comfort. Polypropylene board has suitably low sliding resistance over many types of 10 surface including, but not limited to, carpet, concrete, tiles, timber, gravel and grass. Significantly, the polypropylene board has a heat resistance of S0°C; enabling the mat to be taken safely across fire-affected surfaces.
The structure of the transporter can closely follow the shapcof a person except for a wide 15 top of the upper end. The shaping and particularly the narrowing from the upper end to the lower end is sufficient to provide a partial enveloping of the person and thereby form a resistive cocoon of the person such that the reactive force to the dragging force by the rescvier is transferred to a large portion of the person and thereby minimises forces on any one area,
The partial cocooning can be created by connections of the sides at the lower and and top end of the mat; the sides of the lower end of the mat extending partially up around a substantially cylindrical foot casing. The top end has a strap extending between lateral si des of the top end with the strap shorter than the linear length of material between the 25 connection points. In this way the top and bottom of the mat are partially folded over. By the shape of the mat following substantially the shape of the person a natural cocoon , occurs, This can be further augmented by straps extending between opposing sides.
The structure can be further enhanced by the material forming the mat being shaped to 30 leave the longitudinal length of the mat, from the connection point of a strap or harness, being the shortest linear length of the mat across its width. In this way this shortest linear
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length forms a tensile chord from which is suspended the cocooning shape of the mat, This provides the further benefit that this tensile chord can be reinforced to withstand substantially all of the tensile dragging forces.
The pulling structure can include a connection to a harness to be worn by the rescuer for dragging the person in or on the tapered rectangul ar mat with the connection simply attaching and detaching. The connection can be a clip structure for ready one handed attachment/detachment The pulling structure can include a strap extending from opposing sides substantially at or adjacent to the top of the upper end of the tapered. 10 rectangular mat. The pulling structure can include a resilient or elastic element such, that the variations in the dragging force are partially softened to provide a smoother passage for the person being transported.
The shaped substantially tapered rectangular mat can further include at least two straps 15 extending from opposing sides or ends of the shaped substantially tapered rectangular mat such that two people can lift the person in the shaped substantially tapered rectangular mat for particularly transporting the person up or down stairs.
Handles can be included on opposing laterall y spaced top underside of the mat to enable 20 lifting by two persons if required. A further handle is located at the end of the foot casing which can be used with the other two handles or the harness to allow the patient to be readily transported up or down stairs.
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Description of the Drawings:
In order that the invention may be more readily understood, two embodiments will be described, by way of illustration only, with reference to the drawings wherein:
Figure 1 is an upper plan view of person transporter in accordance with a first embodiment of the invention;
Figure 2a is a diagrammatic side view of a person transporter according to the invention in use with handles for carriage by a rescuer;
Figure 2b is a diagrammatic side view of a person transporter according to the invention 10 in use with a harness for a rescuer, illustrating the freedom of use of the hands;
Figure 3 is an upper plan view of a person transporter in accordance with a second embodiment of the invention;
Figure 4 is a lower plan view of the person transporter of Figure 3, illustrating a composite construction of corrugated polypropylene board;
Figure 5 is a side elevation view of the person transporter of Figure 3 rolled and stowed into its case; and
Figure 6 is a front elevation view of Figure 5.
Detailed Description of the Preferred Embodiments:
Referring to Figures 1 and 2, there is shown a person transporter (1) for emergency use able to be used for transporting immobile patients over carpeted areas. The person transporter includes a shaped substantially tapered rectangular mat (2). This is a tapered shape like a drinking glass or beer glass having a lower end sized to fit the legs of a 25 person and an upper end which is broader,than the lower end and sized to fit the body and head of the person.
A pulling structure in the form of a strap (3) extends from the outer edges of the upper end of the mat and is securely attached to be sufficiently strong to cope with the dragging 30 strain of a rescuer dragging a person on the mat by the strap. At the connection is an elastic webbing (4) forming part of the strap such that the variations in the drag strain are
dissipated. To facilitate the attachment of a harness (if required), an attachment ring (8) is threaded onto the strap (3).
The entire material of the mat is formed of a material that is strong but low sliding 5 resistance so that there is a rear portion that engages and slides along the ground when in use. That material can be PVC coated, canvas, plastic, tin, vinyl or other metal, Teflon™ or Teflon coating. If desired, the material can be a multi-layered composite. However it is flexible in order to at least partially envelope the person being transported along the sides. To enhance this effect the mat can include side panels. A silicone treatment can be 10 undertaken on the material to further increase its slippery characteristics.
The pulling structure and the tapered rectangular mat are formed and connected to each other to be sufficiently strong and at least the rear portion of the tapered rectangular mat is formed of a material that is sufficiently strong but low sliding resistance such that a 15 person can be placed on the tapered rectangular mat and be dragged by the pulling structure with the rear portion sliding along the ground surface.
Handles (5) can be included on opposing laterally spaced top underside of the mat to enable lifting by two persons if required. A further handle (6) is located at the end of the 20 foot casing (7) which can be used with the other two handles or the harness to allow the patient to be readily transported up and down stairs.
It can be seen that the invention provides an emergency transporter to remove people quickly from dangerous situations. The need for this rescue apparatus is due to the 25 technology of carpet in hospitals and nursing homes for patient comfort. The idea of the emergency transporter is to minimise structure and costs so that every bed is equipped with a unit. The transporter is a shaped mat of "easy slip" material to enable it to be pulled easily along carpet or similar surfaces and it envelops the patient securely. It is pulled along the floor with the patient lying on their back. The "pulling strap" at the end 30 of the emergency transporter lifts the patient's head off the ground and gathers the top of the mat to support the head. The foot end is sewn into a casing for the feet to sit in to
ensure the patient does not move off the mat. The rescuer wears a harness (9) that attaches to the attachment ring (8) by a spring-clip (10) to enable the patient to be dragged on the mat quickly and easily to maintain them free from harm. This also allows the rescuer's hands to be free to open doors and to crawl if necessary.
In use when a hazard such as a fire or gas leak occurs, the correct procedure for alerting authorities should be followed. Once this is achieved, evacuation may begin. The rescuer can fit the harness to their person while walking to the affected area. When the rescuer is in the room, he or she will remove the emergency transporter from a wall 10 mount located beside a patient's bed and, using the handle by which it is held to the mount, step two paces backwards while undoing the Velcro™ strap that is around the casing. The emergency transporter is then thrown while still holding onto it with the handle so that it will unroll from the casing beside the bed on the floor. The patient is moved from the bed onto the emergency transporter. The patient's feet are located in the 15 casing (they should slip in there automatically). The rescuer then attaches the emergency transporter to the back of the harness and turns to the exit with the patient following head first in the emergency transporter. Once the patient is at a safe location, the rescuer unattaches the emergency transporter and goes back to rescue more. The rescued patient is left on the mat, for protection from road/footpath surfaces etc and also in case they 20 need to be moved quickly once more. If stairs need to be negotiated, using the carry straps at either end, two rescuers can lift and carry the patient up or down the stairs whereupon one rescuer can continue with transporting the patient out of the affected area.
Referring to Figures 3 to 6, there is shown an alternative embodiment of a person 25 transporter (101) incorporating a panel of corrugated polypropylene board and having variations of the pulling and lifting structure and incorporating restraining straps.
The manufacture of the mat is much the same as the above described embodiment but with the addition of the extra straps. These are assembled and attached to the mat as 30 follows:
During the assembly of the main mat, 2 square cm of Yelcro™ (102,102a, 103,103 a) are stitched on the edge of the mat as the tabs which hold the body straps (104, 104a, 105, 105a) in place when not in use. There are four of these. Body straps have Velcro™ (106, 106a) sewn on the webbing and are then sewn on to the mat in the correct position. They 5 are reinforced with extra material under the initial connection when being sewn onto the mat for added strength.
Handles (107, 108) are pre-cut to required lengths and then assembled and positioned on the mat. As they overlap in their positions (at the corner of the mat on either side) they 10 are sewn in the one process with the other end of the side handles (which are positioned parallel to edge of mat) being sewn in position last.
The corrugated polypropylene board (109) is the final assembly required. The polypropylene board is pre cut to size of 300mm wide by 1950mm long with its flutes 15 running across-wise (the correct way to be creased for product design). The board is creased (110) every 20mm to allow it to roll with the mat for storage. The board is centred on the mat and stitched (111) onto the mat around the perimeter of the polypropylene board.
The various pulling straps are available to the rescuer ensuring their safety at all times. All are positioned at the head end of the patient and allow for one or two rescuers to assist in the evacuation of the patient. The options are listed below:
A two metre plain webbing strap (112,112a) is sewn either side of the mat which creates 25 a cocooning effect/support for the patient's head. This can be used by tall people who can lift the patients head and shoulders slightly off the ground while travelling or for shorter people who want to pull away from patient so that the patient is entirely on the ground. It also allows for enough leverage if two people are required to perform the evacuation.
There is also a strap (113) that is just the width of the mat which acts in the same way as the two metre strap only is more aimed at the shorter rescuer who can then lift the patient's head and shoulders off the ground and perform the evacuation with minimum strain on the rescuer's body.
The handles (107,108) either side of the mat that are parallel to the mat are positioned on the edge of mat and enable a lift of the patient while on the mat (using the handle (114) at the foot end with a person each end). The handles support the head and shoulders while the rigidity of the polypropylene board prevents sagging of the patient's body; so a lift
down stairs or the like is possible. These handles are also very beneficial (and recommended) if two people are performing the evacuation of the one patient. One rescuer on either side of the patient prevents any tangling up of the rescuers and allows for head and shoulders to be lifted off the ground. Each rescuer has a hand free and is not straining their body,
In this embodiment the harness and attachment have been eliminated. In this case, the plain webbing straps (in a fluorescent yellow) have been found to be easier for the rescuer to manoeuvre the patient when on the mat.
The two straps (104, 104a and 105, 105a) have been sewn into the design at approx chest and knee positions when a patient is on the mat. This is an added safety benefit in the instance of panicky patients as they are literally strapped onto the mat. The straps are sewn parallel in line with the edge of the mat and are held in place with Velcro™ tabs (102,102a, 103, 103 a). This ensures ready availability of the straps in comparison to
straps that are positioned horizontal across the mat as a patient may be lying on the straps, which makes it extremely hard to access them. The straps connect from side to side and are fasted by Velcro™ (106,106a). The length of the strap and Velcro™ and positioning of straps ensures a strong bond making it difficult for the patient to undo themselves.
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As With the other embodiment, described hereinabove, the person transporter (101) has an integrated case (115) into which the mat is rolled for storage and which serves as the foot casing. "When die mat is rolled into the case, it is held, in place by a strap (116) and Velcro™ tabs (117,117a).
It should be understood that the above description is of preferred embodiments and is provided by way of illustration only and by no means is limiting of the scope of the invention. Clearly a person skilled in the art will understand the invention and without any inventiveness understand possible variations. These are included within the scope of 10 the invention.
It should also be appreciated that the embodiments of the invention described herein have several advantages including, but not limited to, the following:
. • There, is ready access to a patient in the mat so that the patient is available for immediate treatment if cardiac arrest, or the like, occurs, If there is a need in, particular cases for the patient to be covered, a simple thermal cover can be stored in the foot pocket for use on those occasions. That cover would not interfere with the ready patient access that is inherent in the mat,
• The tapered slim line shape and the flexible, non-rigid structure of tlie mat assist iii easier mobility in narrow or confined spaces.
• Storage of the rolled mat is convenient; in storage mode the mat is a cylinder shape generally no larger than about 30cm x 7cm.
• Due to its construction, design and the materials used, the mat can be operated by 25 one rescuer rather that by two or more; which is the recommendation for most devices of the prior art.
The apparatus is self-contained and thus has independence of use by not having to rely an any other equipment to be effective for its purpose. The mat can be carried to the exact 30 location of a patient and does not rely on the patient being in a bed.
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