RU2342112C1 - Sanitary-and-hygienic complex for bed patients care (versions) - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: complex is conected with a source of water supply and through the water shutter with the sewage. Lateral barriers in the upper position due to backrests and floor form a box covered with tight substrate from inside. The complex allows to bathe the patient, and the universal bedpan ensures performance of defecation and emiction in bed even uncontrollably by patients. The atomisers located on flexible tubes purposefully wash away anal area and genitals of the patient with warm water. The system of separate liquid submission ensures submission of disinfecting, medicinal and hygienic liquids for treatment patient's perineum. The heater and air ducts allow to dry patient's perineum and his body with warm air after water hygienic procedures, as well as the internal surface of a complex. The compressor, air ducts and the switch of compressed air submission provide an opportunity of moving a pneumatic ring in the direction of the open space of bedpan spot before its full blocking and, or opening. As a result, the first version of the invention ensures extension of bed functionalities for carrying out water sanitary-and-hygienic procedures, due to its original design and creation the opportunity to bathe the patient right in the bed completely. The second version of the invention ensures extension of sanitary hygienic complex functionalities for carrying out water sanitary-and-hygienic procedures, comfortable defecation and emiction in bed, even uncontrollably by patients, providing prophylaxis and treatment of decubituses, as well as washing lower parts, disinfection, treatment by medicinal solutions and predrying of patient's perineum with warm air, automatic opening and closing of the universal bedpan spot and discharge of the used water and patient's excrements in the sewage.

EFFECT: expansion of functionalities of bed for carrying out of water sanitary-and-hygienic procedures.

13 cl, 21 dwg

Description

Usage: in medicine for placement, maintenance and comprehensive sanitary and hygienic care for bedridden patients. The sanitary-hygienic complex implements measures aimed at treating and preventing the formation of pressure sores, provides an opportunity to bathe the patient and receive therapeutic water procedures in the bed itself, to comfortably fulfill their physiological needs for patients, and provides hygiene of the perineum even if the patient is unable to control their physiological functions.

According to the first invention of the claimed group, the sanitary-hygienic complex comprises backs, a frame, a bed, side rails, the lower edges being fixed in the longitudinal groove of the frame. Additional support stands under the frame, wide lugs, stiffeners on the side rails, crossbars, a flexible airtight substrate with adapters for drain holes, a portable water mixer to control the pressure and temperature of water on flexible hoses, air heater. The sanitary-hygienic complex is connected to the sewerage and water supply system. As a result, the ability to fully bathe the patient in the bed itself and receive the therapeutic baths needed in the complex treatment of most diseases is greatly facilitated. It is not required to transport the patient to the bathroom and back.

According to the second invention of the claimed group, the sanitary-hygienic complex comprises a universal sewage collection vessel connected to a source of water supply, sewage, a heater and a system supplying disinfectant, medicinal, hygienic and other liquids for treating the perineum. Air duct, nozzles, flexible tubes of different lengths, a portable water mixer for regulating the pressure and water temperature in the multi-purpose vessel, as well as in the pelvic part of the anti-decubitus mattress, has a pneumatic ring made of flexible elastic material with an opening corresponding to the universal vessel, including whole-cavity lower level and upper level divided into cells. The air supply switch from the compressor through the duct system alternately changes the pressure in the pneumatic ring and in individual cells of the decubitus mattress. As a result, a universal vessel provides an opportunity: to comfortably fulfill the patient’s even uncontrolled physiological needs, wash, disinfect, treat with various fluids and dry the patient’s crotch. To prevent the formation and treatment of existing pressure sores. To discharge the used water and stool of the patient into the sewer.

DESCRIPTION OF THE INVENTION

The group of inventions relates to the field of medicine and can be used for sanitary and hygienic care for bedridden patients and persons with disabilities, namely, means of accommodation, maintenance and full sanitary and hygienic care for bedridden patients and persons with disabilities. The invention can be used both for beds with mechanisms for regulating the position of the bed, and those without such mechanisms. The sanitary-hygienic complex is designed to accommodate patients with reduced mobility and not controlling their physiological departures in medical institutions, sanatoriums, nursing homes, rehabilitation centers and home conditions.

Known bathing chair for the disabled RU No. 2063736 C1, A61G 3/00, A61G 7/00, publ. 1996.07.20. To wash a disabled person, he is seated in a chair, which is taken to the bathroom, where the disabled person is washed in the shower. The disadvantage is the need to transfer the patient and the need for additional space for placement.

Known devices and appliances intended for the care and washing of patients and disabled people. So, it is known a device, which is a mobile service node, which is an accessory of the bathroom and made in the form of a flexible mat. The edges of the mat are raised on all sides with the formation of a waterproof bath. The unit is equipped with a drain and is connected to the mains of hot water and cold water, to which a hose with a hand shower is connected. However, the device requires a lifting device to move the patient and additional space for placement.

Also known is a bathroom lift for seriously ill patients according to Auth. (SU 163720 A, 09/10/1964), containing a rack with catching sunbed. The disadvantage is the need for additional space for placement and the complexity of the design, requiring expensive maintenance.

The prototype for the first invention of the claimed group of the sanitary-hygienic complex is a functional bed, RU 2268698 C2, IPC A61G 7/00, publ. 2006.01.27, containing the base, bed, including the back, hip, intermediate and foot sections and side rails in the form of side enclosing elements. It is impossible to fully bathe the patient, due to the lack of the ability to create the necessary frame, sealing system, connection to the sewage system and the hot and cold water supply system.

The task to which the first invention of the claimed group is directed is to expand the functionality of the bed for conducting water sanitary-hygienic procedures due to the original design and creating the opportunity to fully bathe the patient in the bed itself.

The specified technical result is achieved due to the fact that the sanitary-hygienic complex is connected to the sewage system and the source of water supply. When installed in the upper position, the side rails fit snugly against the bed. The bed is brought into a position when the dorsal part is raised so that the patient’s head is higher than the water level, and the foot end of the bed is brought into a horizontal position for maximum immersion of the patient’s body in water. Side rails are raised and fixed with the lower edge in the longitudinal groove of the frame. Stiffening ribs are located across each side fence, providing lateral resistance to bending of the side fences. The upper part of the side rails is fixed to each other with removable cross members, which provide resistance to bending of the upper parts of the side rails. In this case, a rigidly fixed rectangular box is formed. To ensure the resistance of the frame to bending under the weight of the patient and water, additional support stands with wide flat tips are used. The oval hole of the universal vessel in the hip of the bed at the time of bathing is closed with a hard cover. By turning the patient from side to side, a flexible sealed substrate is introduced underneath him to seal the inner surface of the sanitary-hygienic complex while bathing the patient. The substrate has sealed adapters, located respectively holes for draining water into the sewer. Adapters are fixed with water drain holes in the rigid cover of the universal vessel and an opening to maintain the required water level in the back of the sanitary-hygienic complex. The conical plug closes the drain hole in the adapter of the rigid cover of the universal vessel while bathing the patient. Hot and cold water is supplied to the sanitary-hygienic complex using pipes and appropriate fittings from the general water supply system. The regulation of pressure and water temperature when bathing the patient is carried out by a mixer. The mixer is connected to the water supply connection with long flexible hoses and is fixed in any place convenient for the patient along the perimeter of the sanitary-hygienic complex. Drying the patient’s body and the inner surface of the sanitary-hygienic complex after bathing is carried out as follows: the side fences are covered with a screen with counterweights approximately to the patient’s shoulders. The heater provides a flow of warm air through the duct from the foot end of the sanitary-hygienic complex. The warm air stream passing along the patient’s body through the created tunnel (bed, side rails, screen with two counterweights), leaves the hole that is not closed and simultaneously removes moisture, drying the patient’s body and the inner surface of the sanitary-hygienic complex. The patient is warm, ethically comfortable (his body is closed from prying eyes), does not require additional extraneous efforts to dry the patient and the sanitary-hygienic complex.

A known method of sanitary-hygienic care for a bed patient, and.with. RU No. 1785677, A61G 7/00, 1993, including the rotation of the patient and the processing of the drug, removal of the litter after physiological administration, its subsequent cleaning and disinfection. The disadvantages of this method are the long-term use of great physical strength to turn the patient in order to prevent pressure sores and change litter. Low efficiency in the absence of self-control in the patient for physiological administration.

Known hospital complex for seriously ill and disabled people in the form of a bed, providing the patient with a rotation from the back to the stomach and back, in which it is possible to replace bedding, US patent 3827089, cl. A61G 7/10, 1986. The disadvantages of the known design are the low comfort of turning the patient, especially on the side. Low efficiency in the absence of self-control in the patient for physiological administration.

A conventional medical vessel used in hospitals to collect urine and / or feces of a patient is known. Low efficiency in the absence of self-control in the patient for physiological administration. It is not possible to use the vessel without assistance.

Known hospital complex, the application of Germany 3614572, cl. A61G 7/10, 1986. The disadvantages of the known complex are insufficient comfort and considerable laboriousness of the process of transferring the patient to all objects of the hospital complex, the need for additional space for placement.

The prototype for the second invention of the claimed group of the sanitary-hygienic complex is a method of sanitary-hygienic care for a bed patient, RU No. 2257877 A61G 7/00 C2, publ. 2005.08.10, including cleaning, disinfection and removal of litter after physiological administration. It is impossible to wash and process different parts of the perineum of the patient with liquids. Additional area is required, the presence of an active hood, high energy consumption and fire hazard when annealing sand up to 750 degrees.

The task to which the second invention of the claimed group is directed is to expand the functionality of the sanitary-hygienic complex for conducting water sanitary-hygienic procedures, to comfortably perform the act of defecation and urination in bed, even uncontrolled by patients, providing prevention and treatment of pressure sores, as well as providing washing , disinfection, treatment with medicinal solutions and drying with warm air of the perineum of the patient, automatic opening and closing of the glasses universal vessel and discharge of used water and stool of the patient into the sewer.

The specified technical result is achieved due to the fact that in the pelvic part of the bed of the sanitary-hygienic complex there is an oval hole where a universal vessel for collecting sewage is mounted. A universal vessel is connected to a source of water supply and provides a drain of used water and feces of the patient into the sewer. The curved exit of the vessel provides a water shutter function that prevents the penetration of unpleasant odors from the sewer into the room. The universal vessel is equipped with three nozzles located on tubes with the necessary flexibility and different lengths, which makes it possible to give the nozzles the desired direction. Nozzles spray and direct a stream of warm water to the patient's crotch. The first nozzle washes the anal area with warm water. The second nozzle washes the genitals with warm water. The third nozzle sprays and directs a stream of disinfectant, drug and / or hygiene solution for treating the perineum. Solutions are poured into containers through a nozzle with a screw cap. Its supply to the universal vessel is carried out through tubes through the collector due to the pressure created in the tanks by the compressor through the air ducts, and is regulated by taps. Physiological waste from a universal vessel is washed off by a stream of water into the sewer. The flow of warm air coming from the air heater through the duct to the universal vessel dries the perineum of the patient. For the prevention and treatment of pressure sores, a pneumatic anti-decubitus system of the bubble type is used. The pelvic part of the anti-decubitus system contains a pneumatic ring with an opening corresponding to the point of the universal vessel. The pneumatic ring, in turn, consists of a full-cavity lower level and divided into cells of the upper level. The compressor through the duct system provides compressed air, and the switch alternately changes the pressure in the cells of the anti-decubitus mattress and the pneumatic ring, providing a change in the compression zones of the cells on the patient's body. The special mode of operation of the compressed air supply switch allows you to close and open the oval hole in the pneumatic ring, providing access to the point of the universal vessel. The first, second and third rows of anti-decubitus mattress cells from the pneumatic ring are brought into a relaxed state, and when the lower tier is inflated, the pneumatic ring moves them apart and moves to the outside, thereby pushing the patient’s buttocks and facilitating the act of defecating, washing, disinfecting and drying the crotch with a warm by air. The entrance to the universal vessel opens. The cells of the upper tier of the pneumatic ring are switched on in the alternate inflation and depressurization mode. After the act of defecation, washing, disinfection and drying of the perineum of the patient is completed, the first, second and third rows of cells of the decubitus mattress from the pneumatic ring are switched on in the alternate inflation and pressure relief mode. The lower and upper levels of the pneumatic ring are disconnected from the compressed air supply, brought into a relaxed state, and are shifted to the midline, blocking the entrance to the universal vessel. The buttocks of the patient take the usual, combined, physiological position. The cells of the pneumatic ring are disconnected from the compressor at this time.

The invention is illustrated by drawings, where

figure 1 shows a sanitary-hygienic complex without side rails;

figure 2 - side rails of the sanitary-hygienic complex in the lower position;

figure 3 is a side fence of the sanitary-hygienic complex in the upper position;

figure 4 - side railing;

figure 5 is a side fence and a frame with a longitudinal groove;

figure 6 - sanitary-hygienic complex assembled for bathing sick form;

Fig.7 is a sanitary-hygienic complex with additional support stands and an opening for a universal vessel;

on Fig - filled with water sanitary-hygienic complex;

figure 9 - cover universal vessel;

figure 10 - site drain water from the sanitary-hygienic complex;

figure 11 - node maintaining the required water level in the sanitary-hygienic complex;

in Fig.12 is a diagram of the water supply of the sanitary-hygienic complex;

in Fig.13 - a sanitary-hygienic complex with equipment placed;

on Fig - drying of the patient after water procedures;

on Fig - screen with balances for drying the patient;

in Fig.16 is a diagram of the movement of warm air when drying the patient and the sanitary-hygienic complex;

on Fig - universal vessel and pelvic section of an anti-decubitus mattress;

on Fig is a diagram of a separate supply of liquids;

in Fig.19 - universal vessel in open form;

in Fig.20 - universal vessel in closed form;

on Fig - frame with a sheet, the screen closes the hip part of the patient's body.

The sanitary-hygienic complex 1 (Fig. 1) contains backs 2, 3, on which a frame 4 with a bed 5 located on it is attached. The bed includes a back section 6, a hip 7, an intermediate 8 and a foot 9 section connected in series. Side rails 10 can be installed in the lower (figure 2) and upper (figure 3) positions. Side rails 10 have stiffeners 11 (figure 4). The inner side 12 of the side rails 10 is solid, even, tightly adjacent to the side surfaces of the bed 5. When installed in the upper position, the side rails 10 with their lower sides 13 are fixed in the longitudinal grooves available in the frame 4 (Fig. 5). The upper side 14 of the side rails 10 is fixed to each other by a removable cross member 15 (Fig.6). The frame 4 has additional supporting posts 16. At the ends of the supporting posts 16 and backs 2, 3 in contact with the floor, there are wide tips 17 (Fig. 7). The gap between the back section 6 of the bed 5 and the back 2 is closed by an intermediate plate 18, which is fixed with brackets 19 on the back 2. The inner surface formed by the bed 5, the intermediate plate 18, the backs 2, 3 and the side rails 10 fixed in the upper position are lined with a substrate 20 from a sealed flexible material, for example polyethylene (Fig. 8). Universal vessel 21 at the time of bathing the patient is closed by a lid 22, in which there is a water drain 23 (Fig. 9) with an internal thread for an adapter 24, which provides sealing and drainage of water into the sewer 25. The adapter 24 is closed by a stopper 26. The holes are made in the substrate, coinciding with the water drain hole 23 in the cover 22 of the universal vessel 21 and the hole to maintain the required water level 27 in the back 3. From where the water flows through the pipe 28 into the sewer 25. The tightness of the junction of the water drain hole 23 is provided by the adapter 2 4 with external thread and gasket 29 (figure 10). The tightness of the junction of the hole to maintain the required level of water 27 in the back 3 (Fig. 11) is provided by gaskets 30, 31 and a nut 32. In the sanitary-hygienic complex 1, hot 33 and cold 34 water is supplied from the general room water supply system 35 using pipes (Fig. .12). The regulation of pressure and water temperature when bathing the patient is carried out by the mixer 36 (Fig.13). The mixer 36 includes a hot water tap 37, a cold water tap 38, a water mixing tank 39, a water switch 40 supplied to the half-bent tube 41 and a siphon 42. The mixer 36 is connected to the water supply connection 43 by long flexible hoses. The mixer 36 is fixed anywhere on the perimeter of the sanitary-hygienic complex 1 (left and right side rails 10, backs 2, 3, removable cross member 15). After bathing the patient through the drainage hole 23, the water drains into the sewer 25. Using a siphon 42, the patient and the substrate 20 are rinsed. The side rails 10 are covered with a screen 44 (Fig. 14) made of flexible material with counterweights 45 on both sides (Fig. 15) approximately to the shoulders of the patient. The heater 46 through the duct 47 provides the supply of warm air 48 from the foot end of the sanitary-hygienic complex 1 along the patient's body (Fig. 16). Multipurpose vessel 21 comprises a rigid hull 49 and a plastic nozzle 50. The multipurpose vessel is connected to the sewer 25. The bent outlet 51 of the multipurpose vessel 21 serves as a water shutter 52, which prevents the penetration of unpleasant odor from the sewer system into the room. Multipurpose vessel 21 is equipped with three nozzles 53, 54, 55 (Fig. 17) located on tubes having the necessary flexibility and different lengths, which makes it possible to give the nozzles the desired direction. Nozzle 53 for washing the anal part of the perineum. Nozzle 54 for washing the genitals. Nozzle 55 for disinfecting the perineum and treating it with various fluids. The regulation of the pressure and temperature of the water supplied to the nozzles 53, 54 in the universal vessel 21, is carried out by the mixer 56 (Fig.14). The mixer includes a hot water tap 57, a cold water tap 58, a tank 59 for mixing hot and cold water, a switch 60 for water supplied to the nozzles 53, 54. The mixer 56 is connected to the node connecting to the water supply 43 with long flexible hoses, which provides it mobility. The mixer 56 is fixed in any convenient place around the perimeter of the sanitary-hygienic complex 1. Water supply to the universal vessel 21 can be adjusted either manually or automatically. The stool is washed off from the universal vessel 21 into the sewer 25 through the slit-shaped opening 61 by the water pressure regulated by the valve 62. The perineum of the patient is dried by the warm air supplied through the air duct 63 from the air heater 46. The compressor 64 through the air duct 65 creates the necessary pressure in the vessels 66, where through the nozzles 67 closed by screw caps are filled with a disinfectant, hygienic, therapeutic or any other liquid for treating the perineum. Each tank 66 at the outlet has its own valve 68, which regulates the supply of the necessary fluid through the pipeline 69, the collector 70, a flexible tube that provides a given direction of the nozzle 55 to the perineum of the patient (Fig. 18). Through the distribution mechanism from the compressor 64 through the air duct in the cell cavity of the decubitus mattress 71, compressed air is alternately supplied. As a result of alternating pumping of the cells, parts of the body that rely on the mattress are replaced, and the patient's blood circulation improves. The hip part 72 of the decubitus mattress has a pneumatic ring 73, which consists of a full-cavity lower level 74 and is divided into cells of the upper level 75. When inflating the lower level 74, the pneumatic ring 73 increases in size, allowing access to the universal vessel 21. In the cells surrounding the pneumatic ring 73 76, 77, 78, the pressure decreases, they decrease in size, are crushed by the pneumatic ring 73 and disconnected from the alternate inflation mode. The cells located at the upper level 75 of the pneumatic ring 73 are switched on in the alternate pumping mode (Fig. 19). When the pressure in the lower level 74 of the pneumatic ring 73 decreases, it decreases in size, blocking access to the universal vessel 21. The pressure in the cells 76, 77, 78 surrounding the pneumatic ring 73 increases. They increase in size, squeeze the pneumatic ring 73 under them, pushing it to the midline, and turn on the alternate pumping mode (Fig. 20). The cells located at the upper level 75 of the pneumatic ring 73 are disconnected from the alternate pumping mode. Moreover, all other cells of the hip part 79, as well as the entire anti-decubitus mattress, constantly operate in a variable pumping mode. For the convenience of the staff, when caring for the patient, the side rails of the bath-bed are normally lowered to the level of the bed. Or on the left side. Or on the right side. Or both together. The patient at the same time lies on a universal vessel. The hip part of the patient's body is covered by a screen 80 with a sheet 81 (Fig.21). The sanitary-hygienic complex allows you to use any, including multi-functional bed, as well as any drives used to change its position.

The claimed technical solution allows for the comfortable implementation of the act of defecation and urination in bed, even uncontrolled by patients, the prevention and treatment of pressure sores, as well as washing, disinfection, treatment with medicinal solutions and drying with warm air of the patient's perineum. Automatic opening and closing of a universal vessel point. Discharge of used water and stool of the patient into the sewer. The used water lock prevents the entry of unpleasant odors from the sewer into the room. The patient’s opportunity is greatly facilitated with a minimum of outside assistance to fully bathe from the heart as much as desired. Get the healing baths needed in the complex treatment of most diseases. Provides comprehensive care for long-term seriously ill and disabled people. Significantly reduced the proportion of physical labor and the need for constant monitoring of the hygienic condition of the patient. As a result, there is no smell of urine, fecal secretions and rotting flesh. The patient is clean and tidy. He is not a burden to others, and the patient feels it. The likelihood of a favorable treatment outcome increases.

Claims (13)

1. A sanitary-hygienic complex for caring for bed patients, containing backs, a frame on which the bed is mounted, and side rails, characterized in that it is connected to the sewer and the water supply and contains a warm air supply system for drying the body of the bed patient with a heater and a screen for covering the side rails, provided with two counterweights, while the inner surface formed by the bed, the intermediate plate, the backs and the side rails fixed in the upper position At least one of which is removable, the substrate is of a flexible sealing material configured to input a patient and having a sealable opening and adapters matching the water drain hole and the hole to maintain the desired water level. 2. The sanitary-hygienic complex according to claim 1, characterized in that the inner side of the side rails is solid and even, tightly adjacent to the outer edges of the bed. 3. The sanitary-hygienic complex according to claim 1, characterized in that when installed in the upper position, the side rails with their lower sides are located in the longitudinal grooves available in the frame. 4. The sanitary-hygienic complex according to claim 1, characterized in that the hot and cold water mixer is connected to the water supply connection by flexible hoses and has the ability to be fixed in a place convenient for the user on the crossbars, backs or side rails. 5. The sanitary-hygienic complex according to claims 1 to 3, characterized in that the gap between the back section of the bed and the back is closed by an intermediate plate. 6. The sanitary-hygienic complex according to claim 1, characterized in that the frame has at least one additional supporting stand. 7. The sanitary-hygienic complex according to claim 1, or 2, or 3, characterized in that the upper sides of the side rails are connected to each other by at least one removable cross member. 8. The sanitary-hygienic complex according to claim 1 or 6, characterized in that at the ends of the additional supporting posts and backs in contact with the floor there are wide tips. 9. A sanitary-hygienic complex for caring for bed patients, including a device for collecting stool of the patient, characterized in that it contains a vessel connected to a water supply source and through a water lock to the sewage system, a hot and cold water mixer, an air duct from the air heater for supplying flow of warm air to the perineum, a system for supplying various liquids for treating the perineum, a nozzle for washing the anal part of the perineum with warm water, a nozzle for washing the floor with warm water patient’s organs, nozzle for treating the perineum with various fluids, compressor, air ducts, compressed air supply switch, at least the pelvic part of the pneumatic, anti-decubitus mattress, pneumatic ring made of elastic material, such as rubber, including a one-cavity lower level and divided into cells upper level, with a hole combined with the point of the vessel. 10. The sanitary-hygienic complex according to claim 9, characterized in that each capacity of the fluid supply system has a valve that controls the flow of fluid. 11. The sanitary-hygienic complex according to claim 9 or 10, characterized in that the compressor through the duct is connected to the tanks of the fluid supply system for treating the perineum. 12. The sanitary-hygienic complex according to claim 9, characterized in that the hot and cold water mixer is connected to the water supply connection by long flexible hoses and can be fixed in any place convenient for the user. 13. The sanitary-hygienic complex according to claim 9, characterized in that the pneumatic ring has the ability to move in the direction of the open space of the vessel’s point until it completely overlaps and / or opens when adjustable compressed air pressure is applied to the internal cavities of the pneumatic ring and / or adjacent to pneumatic cell ring.

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