RU2755370C1 - Multifunctional complex for homes, hospitals and social institutions - Google Patents

Abstract

FIELD: medical equipment.

SUBSTANCE: invention relates to medical equipment and can be used for the care of bedridden patients and the disabled, in particular for changing the position of the patient and carrying out various medical, hygienic and rehabilitation procedures. The invention can be used for patients with a wide range of conditions both in hospitals and social institutions, and at home. The multifunctional complex for homes, hospitals and social institutions consists of easily connected units weighing no more than 20 kg each and dimensions that allow them to be transported in a passenger car, the base part of which is connected to a functional bed with three movable sections. The movement of the sections is provided by screw mechanical drives, the rotation of which is transmitted through the connecting element, which is a square pipe. The screwed-on mattress adapter nodes, in which the mattress is placed, attached by four threaded clamps located on the mattress adapter nodes at the corners of the bed, provide the overall size of the bed with a length of 1.6 to 2.5 m and a width of 0.6 to 1.4 m. The multifunctional complex has a set of nodes and parts that makes it possible for a person with minimal skills to provide low-load maintenance of a patient with any weight in a short time. The main power load is carried by pipes with a cross section of 50 by 25 mm. The connection of rectangular pipes is provided by inserting a long smaller pipe with one hole into a short segment of a larger pipe with three holes with nuts welded on them. Flat connecting nodes are made of sheet steel by the method for CNC cutting, followed by welding nuts to them.

EFFECT: ability of the attendant to move and position the patient in any position without load and as comfortably as possible for the patient.

45 cl, 8 dwg

Description

The invention relates to medical equipment and can be used for caring for bedridden patients and the disabled, in particular for changing the patient's position and carrying out various medical, hygienic and rehabilitation procedures. The invention can be used for patients with a wide range of conditions, both in hospitals and social institutions, and at home.

Devices for changing the position of a patient lying on it are known.

Examples are beds in which various design solutions are used, such as RF patent No. 1477406, RF patent No. 2407502, RF patent No. 2718341, etc.

Closer to our invention can be considered a multifunctional wheelchair-constructor, RF patent No. 2714704, containing a bed, in a private version, having three movable sections and vertical volumetric structures that provide the ability to position the bed at different heights and with different angles relative to the floor.

The disadvantages of RF patent No. 2714704 are the impossibility of performing some procedures on it, for example, postural drainage for patients with lung or bronchial problems, and ensuring an upright position for patients who have suffered a stroke. For the transportation and installation of a multifunctional gurney-constructor, at least two specialists with skills are required, and a truck, although small, should still be used. The problem to be solved by the invention is to create a device that allows the attendant to move and position the patient in any position without load and with maximum comfort for the patient. At the same time, the configuration of the complex can be changed in a short time by a person without skills. And all incoming units can be transported by any passenger car. In addition, the complex provides an opportunity for a person without skills with minimal physical effort to do all possible manipulations with a patient of large, almost any, weight, and without the use of electric drives.

The technical result of the invention is to expand the functionality, in particular, based on the possibility of comfortable finding the patient in any position relative to the space, expanding the range of medical, hygienic, rehabilitation and resuscitation procedures, improving patient care without significant physical effort on the part of the attendant, and without the use of electric drives, and, as a result, a positive impact on the health of seriously ill and disabled people.

The essence of the invention is expressed in a set of essential features, in which a multifunctional complex for home, hospitals and social institutions, consisting of easily connectable units, weighing no more than 20 kg each and dimensions that allow them to be transported in a passenger car, the base part of which is connected to a functional bed with three movable sections, the movement of which is provided by screw mechanical drives, the rotation of which is transmitted through a connecting element, which is a square pipe with screwed mattress adapter nodes, in which the mattress is placed, attached by four threaded clamps located on the mattress adapter nodes at the corners of the bed, providing a common bed size from 1.6 to 2.5 m long and 0.6 to 1.4 m wide, while all metal parts are made of powder-coated steel or stainless steel, characterized in that it has a set of assemblies and parts allowing in a short time a person with m with optimal skills to provide a low-load service to a patient of any weight, while volumetric connecting nodes are made of common steel pipes, and the main force load is carried by pipes with a cross section of 50 by 25 mm, while joining rectangular, including square, pipes is ensured by inserting a long pipe of a smaller size one hole with a diameter of more than 13 mm at a distance of several centimeters from each end, on a large wall, as close as possible to a small wall, in a short section of a larger pipe, having at least one set of three holes with a diameter of 12 mm with M12 nuts welded on them , while the hole in the large wall is displaced to one of the small walls so that the bolt screwed into the nut above this hole passes through a hole with a diameter of more than 13 mm of the pipe to be joined, without touching the edges of the hole when pressing the walls of the pressed pipes, and two holes in the larger of the abutting pipes are located on the smaller its wall at a distance greater and smaller from the end, as much as possible displaced to the larger wall with a hole, and two main connecting nodes, each of which is a two-meter rectangular pipe with two holes with a diameter of more than 13 mm, external dimensions 50 by 25 mm, have and welded clamps, into which the legs of the bed are inserted and tightly pressed by tightening the nuts, and the main docking part, to which the different nodes are welded, is a decimeter piece of pipe 60 * 30 mm with three holes, on which three M12 nuts are welded, and flat connecting nodes are made made of sheet steel by the method of CNC-laser or CNC-plasma cutting and have holes and places for welding nuts, providing the ability to attach to other nodes by screwing and pressing to another node.

The above set of essential features is sufficient to achieve the technical result of the invention in all cases to which the requested scope of legal protection extends.

In special cases of its implementation or use, a multifunctional complex for home, hospitals and social institutions can have: metal backs with welded main docking parts in the structures; in the leg part of the bed there is an attached metal back, and in the head of the bed there is an attached metal back, combined with a pull-up bar ("gander"); decorative elements using volumetric and flat connecting nodes; one or two nodes, in the upper part of each of which there is a hinge with a vertical axis, which provides a horizontal rotation of the table, forming a place for food, work or entertainment; brackets of folding side rails, each of which is made of three parts cut by a CNC machine from sheet steel, welded to each other and with a welded nut, into which a bolt is screwed, abutting against the corner of the pipe of the main connecting unit, while the parts made of sheet steel are installed along the edges, have three pairs of coaxial holes, and the side rails are made of a round pipe with flat supports having grooves with a width equal to the diameter of the holes of the brackets, and the direction of the grooves is parallel to the plane of the main part of the side railing, but shifted by a few centimeters, while installing the bolts into the upper pairs of holes, when the bolts also pass through the grooves of the flat supports of the side fence, then the folding side fence has two positions - working vertically upward, somewhat wider than the mattress, and vertically down, narrower than the mattress, and when inserting the bolts into the lower pairs of holes, with the passage of the bolts into the grooves of the flat supports of the side fence, standing vertically m position, the side rails can only stand vertically upwards, and if the bolts are inserted into the lower and middle holes, passing into the grooves of the flat supports, then the side railing rigidly stands between the horizontal and vertical positions; three levers, by turning of which the rods enter and exit the brackets of the side rails into the pairs of coaxial holes of the brackets; on the raised side railing, an attached node having a 25 * 25 mm square tube directed perpendicular to the side railing and parallel to the base of the bed, into which a 20 * 20 mm tube is inserted, which is part of the node, which has pairs of inserted pipes and bolts allowing them to be fixed relative to each other designed to press the mattress with the outer tube as close as possible to the patient and pass the inserted tube under the patient, pressing the mattress in a narrow area;

one or two nodes are attached to the raised side railing, each of which has a 25 * 25 mm square tube directed perpendicular to the side railing and parallel to the base of the bed, into which a 20 * 20 mm tube is inserted, which is part of the node, which has pairs of inserted pipes and bolts, allowing them to be fixed relative to each other, designed in order to install one of the replaceable hinges with two sections of pipes in a significant area above the surface of the bed, having along the hole near the ends farthest from the hinge, while pipes that act as a lever and various tips covered with a soft element or rope attachment point; brackets of side rails with bolts or rods inserted into the lower and middle holes, providing fixation of the side rails in a position between horizontal and vertical positions, while pads with a soft element are attached to the side rails; side rails brackets attached to the mattress adapters, while the side rails of the adapters can be easily installed, and in between procedures, they can be lowered or removed; on the side rails, standing in the upper position, one or two tables are installed, forming a place for food, work or entertainment; on one side rail, installed in the upper position, an installed structure consisting of three flat gratings made of round thin-walled pipes of small diameter 2 * 0.8 m in size, connected by hinges with axes along the bed, while the structure in the folded state is a flat structure, fixed vertically on the first side rail, and in the unfolded state, the third lattice is attached to the second side rail, fixed in a vertical position, while the second lattice takes a horizontal position, limiting the space above the bed with a height of one meter with the bed flat; installed one or two mechanisms, each of which consists of a closed rope with a diameter of about 3 cm, a length of about 5 m and four pulleys for a rope with a radius not less than the permissible bending radius of the rope, while the mechanism is attached to the main connecting node through two transition posts, and to the rack, installed near the head end of the bed, attaches one pulley of one mechanism with an axis parallel to the floor and the transverse bed, the second pulley is attached to the place of installation of the control knob for the mechanism for changing the angles of the bed section, the third and fourth pulleys are attached to the transition stand installed near the foot end with the axes of the pulleys, directed in such a way that the rope passing from and to the first pulley runs parallel to the floor, transferring the rotation to the second pulley, and a smoothly adjustable brake is installed on the first pulley; on each hinged side railing, two assemblies are installed, each of which has two bearing races that rotate a round pipe with an outer diameter of 30 mm and a length of more than half a meter, located along the bed and having a square pipe 20 * 20 mm welded inside it, at the end of which, outside a round pipe, located in the direction of the near end of the bed, a released brake is installed that prevents rotation in a certain direction, and the handle for rotating pipes has a pipe 15 * 15 a decimeter longer than a square pipe, while the brake of each pipe provides free rotation to the side, when in which the fabric cloth will be wound around a round pipe, going onto it from below; six docking nodes, each of which is two perpendicularly welded together two main docking parts, two one and a half meter pipes 50 * 25 with two holes near each end, with a diameter of more than 13 mm, on a large wall, offset from the middle, and one two-meter pipe 50 * 25 with two holes near each end, with a diameter of more than 13 mm, on a large wall, offset from the middle, while four docking nodes can be pre-fixed at the ends of the main connecting nodes, and each one and a half meter pipes is inserted and then fixed into two docking nodes attached to different main connecting nodes after the side rail brackets are removed from one of the main connecting nodes and a gurney is placed next to the bed so that the end of each one and a half meter pipe is behind the gurney, after which the fifth and sixth docking stations, connected d a vuh-meter pipe, on which a side fence is then installed in a vertical position with mechanisms for winding soft elements, and the bolts on the brackets of the side rails are tightened; four nodes, each of which is a rectangular vertical tube (cage tube) with a vertical groove directed to the bed, inside which there is a carriage, on which there are two vertically spaced rows of bearings that roll along the inner surfaces of the walls of the cage pipe, when In this case, each row has eight bearings - two on each wall, and a bearing is fixed in the upper part of the cage tube, which ensures the rotation of the vertical power screw, which has a connecting element in the form of a square tube in the upper part and has a kinematic interaction with the travel nut, fixed on the carriage, and each carriage has a hinge located between the rows of bearings, with two axes horizontally directed at right angles to each other, while the first axis from the carriage has a direction across the bed, and the second along, while the connecting part of the second axis of the hinge passing through the groove, attaches to the ends of the main prong connecting node through nodes of four types, node of the first type has a second part of the output hinge and is rigidly attached to one end of the first main connecting node, node of the second type is a piece of pipe 40 * 20 mm in length more than half a meter with the axis of the hinge directed along the pipe 40 * 20 mm, which is inserted into the second end of the first main connecting node, the second part of the hinge of the third type of assembly is welded to the end of a half-meter section of 40 * 20 mm pipe perpendicular to the 40 mm wall, in turn, a half-meter section of pipe 40 * 20 mm is inserted into a half-meter section of pipe 50 * 25 mm, welded to the main joining part, providing a rigid connection with one end of the second main connecting unit, and the second part of the hinge of the fourth type of unit is welded to a half-meter pipe segment 40 * 20 mm and inserted into a half-meter pipe segment 50 * 25 mm, which in its the queue is welded with a half-meter pipe 40 * 20 mm perpendicular to it, which th is inserted into the other end of the second main connecting unit, and the main joining parts are welded to the lower parts of the casing pipes, into which long pipes 50 * 25 mm with a hole at each end are inserted, providing a volumetric rigid structure, while the first and third casing pipes installed at one end of the bed; screwed docking nodes, which are two perpendicularly welded together two main docking parts, into the second parts of which vertical two-meter pipes 50 * 25 mm are inserted, to the upper parts of which, using docking nodes, the upper perimeter of rectangular pipes is screwed, forming a double frame of the Balkan ; on the upper longitudinal rectangular pipes of the Balkan frame, an installed mechanism consisting of six suspensions of rectangular pipes of three types, two of each type, two pairs of one and a half meter rectangular pipes located parallel at a distance of several centimeters between each other, four horizontally moving carriages, to which two are attached in pairs rectangular pipes with a length less than the longitudinal pipes of the Balkan frame, to each of which two nodes are installed, each of which has two bearing cages that ensure the rotation of a round pipe more than half a meter long, located along the bed and having a square pipe welded inside, at the end of which, outside the round pipe, located in the direction of the near end of the bed, a released brake is installed to prevent rotation in a certain direction, and the handle for rotating pipes has a pipe 15 * 15 per decimeter longer than a square pipe, while the brake of each pipe provides free sideways rotation, in which the fabric cloth will be wound on a round pipe, going onto it from below, while the suspension of the first type vertically connects the upper longitudinal pipe of the Balkan frame, near its end, with two parallel one and a half meter rectangular pipes located below, along the lower of which a pair of horizontal carriages is moving, and the suspension of the second type vertically connects the second upper longitudinal pipe of the Balkan frame, near its end, with the upper one of parallel one and a half meter rectangular pipes, and the suspension of the third type vertically connects the parallel one and a half meter rectangular pipes;

screwed on the main docking piece, to which, perpendicular to it, parallel to the floor, across the bed in the direction from the middle of the bed, a quarter-meter rectangular pipe is welded, to which, in turn, another main docking piece with a vertical direction is welded, to which a vertical two-meter pipe 50 * 25 is attached mm, with the direction of 25 mm of the wall to the bed, to the upper parts of which, using docking points, the upper perimeter of rectangular pipes is screwed, forming a double frame of the Balkan, with vertical posts installed wider than the dimensions of the bed, and having four stationary and one swivel grilles made of thin-walled pipes covered with a soft element, while the vertical rotary lattice is installed at one side of the bed of the complex between the vertical two-meter pipes, and one stationary vertical lattice stands opposite the rotary one at the second side of the bed, the two remaining vertical stationary lattices are fixed flanges on vertical two-meter pipes located at the ends, and the horizontal lattice is fixed on the upper perimeter of the Balkan double frame; screwed on the main docking piece, to which, perpendicular to it, parallel to the floor, across the bed in the direction from the middle of the bed, a quarter-meter rectangular pipe is welded, to which, in turn, another main docking piece with a vertical direction is welded, to which a vertical two-meter pipe 50 * 25 is attached mm, with the direction of 25 mm of the wall to the bed, to the upper parts of which, using docking points, the upper perimeter of rectangular pipes is screwed, forming a double frame of the Balkan, with vertical posts installed wider than the dimensions of the bed, and having four stationary and one swivel panels made of transparent, impermeable material, while the vertical swivel panel is installed at one side of the bed of the complex between the vertical two-meter pipes, and one stationary vertical panel stands opposite the swivel at the second side of the bed, the two remaining vertical stationary panels are fixed are mounted on vertical two-meter pipes located at the ends, and the horizontal panel is fixed on the upper perimeter of the double frame of the Balkan one, forming a transparent rectangular parallelepiped that covers the multifunctional complex; an injection compressor with a system for adding necessary substances to the discharge stream is connected to the window in one of the end panels. an exhaust compressor with a system for disinfecting the output stream is connected to the window in the other of the end panels; four rack units, each of which is a vertically standing rectangular pipe 50 * 25 mm, with the smaller side directed to the bed, at least two meters long, along which the carriage moves, having a motorcycle chain attached to it, which passes through the motorcycle sprocket in this way so that the free end of the chain descends inside the rectangular pipe, and the mechanism with an asterisk located on the top of the rectangular pipe has connecting elements on both sides in the form of a square pipe, while a brake is installed on the inner square pipe, which prevents rotation in a certain direction, and on the externally located a square tube is put on a handle, with which the mechanism rotates, while on the carriage there are two vertically spaced rows of bearings, each row has six bearings - two on a 50 mm wall and one on a 25 mm wall, and each carriage has a hinge located between the rows of bearings, with two horizontally axes directed at right angles to each other, while the first axis from the carriage has a direction across the bed, and the second along, while the connecting part of the second axis of the hinge is attached to the ends of the main connecting unit through nodes of four types, the first type has a second part of the output hinge and is rigidly attached to the end of the first main connecting node, located at the foot of the bed, the node of the second type is a piece of pipe 40 * 20 mm more than half a meter long with the hinge axis directed along the pipe 40 * 20 mm, which is inserted into the second (at the head end) the end of the first main connecting node, the second part of the hinge of the third type of joint is welded to the end of a half-meter section of a 40 * 20 mm pipe perpendicular to a 40 mm wall, in turn, a half-meter section of a 40 * 20 mm pipe is inserted into a half-meter section of a 50 * 25 mm pipe, welded to the main docking piece, providing a rigid connection to the end of the second main connection an interesting node located at the foot of the bed, and the second part of the hinge of the fourth type of node is welded to a half-meter section of a 40 * 20 mm pipe and inserted into a half-meter pipe section 50 * 25 mm, which in turn is welded with a half-meter pipe 40 * perpendicular to it 20 mm, which is inserted into the other end of the second main connecting unit, while half-meter pipes 40 * 20 mm differ in length by at least a couple of centimeters, moreover, for each square pipe located on the inner sides of mechanisms with an asterisk, a one-way disconnectable brake is installed, which in turn has its own connecting element in the form of a square pipe, while to two mechanisms with sprockets located on one side of the bed, to the squares located on the brakes, inter-axle sprockets are attached, having the ability to be rigidly connected with axis of the main sprocket, and the possibility of free rotation, and each center th sprocket has a connection with the inner square of the mechanism with a sprocket located on the opposite side of the bed, while this connection can be either rigid or provide independent rotation, and the upper parts of the strut nodes are interconnected, forming a double frame of the Balkan, and the lower parts knots-pillars are connected by a rigid structure, while the inter-axle sprockets are identical to each other and stand opposite each other and are interconnected by a chain closed in the form of an eight, and two hooks are attached to the head ends of the main connecting nodes at a height of a quarter meter between the knots-pillars and the end of the bed , opposite the knots-pillars, while the node that can be thrown over the hooks has the ability to attach to a vertically located motorcycle chain, and a half-meter bar is welded to each half-meter pipe segment 50 * 25, along which the part can be moved and fixed at the ends of the bar, to which is attached a piece of chain with a length of less than tra, while the second end of this chain is fixed to the lower part of the carriage moving along the node-rack of the third and fourth types; at least one mechanism for transferring the place of rotation of the handle, which has two units, each of which has a housing with two coaxial bearings, on which an asterisk rotates on the axis between the bearings, and outside the bearings there is a square tube, while the square tube of the upper mechanism is put on the square tube of the mechanism a stand-up unit located on the outer side of the bed, and on the inner square tube of the lower mechanism there is a release brake that prevents rotation in a certain direction, and a handle can be put on the square tube of the lower mechanism, moreover, to the lower part of the upper mechanism and to the upper part of the lower mechanism are welded along the main connecting part from a short section of pipe 60 * 30, into which a section of pipe 50 * 25 with a length close to a meter is inserted, and a closed section of a motorcycle chain is installed on the upper and lower sprockets so that half of the chain moves inside the pipe 50 * 25; spacers of pillar assemblies to the floor and ceiling; four rack units with spacers in the floor and ceiling, each of which is a vertically standing rectangular pipe 50 * 25 mm, with the smaller side directed to the bed, more than two meters long, along which the carriage moves, which has a motorcycle chain attached to it, which passes through the motorcycle sprocket in such a way that the free end of the chain descends into the rectangular pipe, and the mechanism with the sprocket located on the top of the rectangular pipe has connecting elements on both sides in the form of a square pipe, while a release brake is installed on the inner square pipe that prevents rotation in a certain side, and a handle is put on the externally located square tube, with which the mechanism rotates, or the mechanism for transferring the place of rotation of the handle according to claim 23, with an upper motorcycle sprocket several times larger than the lower one, while there are two vertically spaced rows of bearings on the carriage, in each row has six bearings nicknames - two on a 50 mm wall and one on a 25 mm wall, and each carriage between the rows of bearings has a main connecting piece made of a decimeter pipe section 60 * 30 mm, which is attached to the main connecting unit, and on the inner square pipes of the mechanisms of the assemblies - of racks, two square pipes are installed in pairs with the same asterisks facing each other and interconnected by a chain closed in the shape of an eight, in addition, each carriage has an attached segment of a chain or cable more than half a meter long in the lower part, the other end of which is attached to a similar carriage , which is part of the bed of the next tier (the second, counting from the top), which has two main connecting nodes, while the number of tiers is limited only by the height of the rack nodes; three rack units installed in the corner of the room, each at a distance of several centimeters from the walls, attached to the wall or having spacers to the floor and ceiling, while each rack unit is a vertically standing rectangular pipe 50 * 25 mm, with the smaller side directed to the bed, more than two meters long, along which the carriage moves, which has a motorcycle chain attached to it, which passes through the motorcycle sprocket in such a way that the free end of the chain falls inside the rectangular pipe, and the mechanism with the sprocket located on the top of the rectangular pipe has a connecting element in in the form of a square pipe directed towards the bed, and the rack unit located between other rack units, additionally, a connecting element in the form of a square tube and on the outside of the bed, while on each carriage there are two vertically spaced rows of bearings, in each row has six bearings - each two on a 50 mm wall and one on a 25 mm wall between the rows of bearings, and both carriages, on the uprights at the head of the bed, each have one main connecting piece made of decimeter pipe sections 60 * 30 mm, which are attached to the head ends of the main connecting nodes, and the carriage of the rack unit, standing in the leg of the bed, is connected to the main connecting unit at the foot end through a welded additional quarter-meter pipe segment 60 * 30, located horizontally in the direction across the bed, while the square of the corner post drive, directed towards the inside of the bed , is connected to the square of the drive unit-rack, standing at the head of the bed, by means of a larger square pipe, and an asterisk is coaxially connected to the square of the corner unit-rack, while the same sprocket is attached to the square of the rack unit at the foot of the bed, both asterisks have one direction and are connected to each other closed in the form of eights and a chain, and an electric drive with a gearbox is connected to the second side of the inter-axle sprocket; at least two carriages, each of which has the ability to move along a rectangular pipe located at the top of the structure, while a horizontal bar with two pulleys is attached to the carriage, ensuring that a piece of rope moves along them in such a way that one end of the rope descending from the first pulley , could be fixed to the patient's attachment point, and at the other end of the rope descending from the second pulley there was a knot, which was a set of hooks on which several five-liter plastic containers with water were hung, while when the carriage moved, the first pulley was above the bed, and the second a pulley over the area outside the bed, and the length of the rope has a length such that the counterweight falls to the floor when the maximum allowable lift of the patient is reached, while the patient's attachment point can be both a soft element with rope attachment points, and a knot that, in addition to a soft element, located on the patient, has a metal mechanism with bearings that provide the ability to rotate the patient inside the mechanism; on the upper longitudinal rectangular pipes of the Balkan frame, an installed mechanism consisting of two pairs of suspension carriages and two suspensions of rectangular pipes, two pairs of one and a half meter rectangular pipes located parallel at a distance of several centimeters between each other, and four carriages moving horizontally in the transverse direction relative to the bed , on each of which a horizontally located bar with two pulleys is fixed, ensuring the movement of a piece of rope along them so that one end of the rope descending from the first pulley can be fixed to the patient's attachment point, and at the other end of the rope descending from the second pulley, there was a knot, which is a set of hooks on which several five-liter plastic containers with water are hung, while when the carriage moves, the first pulley is above the bed or next to the bed installed by the gurney, and the second pulley is above the area outside the bed, and the length of the rope has a length, such that a counterweight dropped to the floor when the patient's maximum permissible lift was reached, while the patient's attachment point can be both a soft element with rope attachment points, and a knot that, in addition to the soft element located on the patient, has a metal mechanism with bearings that allow the patient to rotate inside the mechanism, while one pair of suspension carriages vertically connects the upper longitudinal tube of the Balkan frame with two located below, parallel to one and a half meter rectangular tubes, along the lower of which a pair of horizontal carriages moves, and the second pair of suspension carriages vertically connects the second upper longitudinal tube of the frame Balkan with the top of the parallel one and a half meter rectangular pipes, and a pair of suspensions vertically connects the parallel one and a half meter rectangular pipes, and the suspension carriages have the ability to move along the bed; at least two carriages, each of which has the ability to move along a rectangular tube located at the top of the structure, while a winch with a downward rope is attached to the carriage, to which a unit can be attached that provides a comfortable attachment to the patient; on the upper longitudinal rectangular pipes of the Balkan frame, a mechanism is installed, consisting of six suspensions of rectangular pipes of three types, two of each type, two pairs of one and a half meter rectangular pipes located parallel at a distance of several centimeters between themselves, and four carriages, with each carriage a winch is fixed with a rope descending downward, to which a knot can be attached that provides a comfortable attachment to the patient, while the suspension of the first type vertically connects the upper longitudinal tube of the Balkan frame with two parallel one and a half meter rectangular tubes located below, along the lower of which a pair of horizontal carriages moves, and the suspension of the second type vertically connects the second upper longitudinal pipe of the Balkan frame with the upper one of parallel one and a half meter rectangular pipes, and the suspension of the third type vertically connects the parallel one and a half meter rectangles ny pipes; a bathtub made of waterproof material is installed on vertical posts or on the main connecting nodes; on the structure above the bed, an installed system of rollers with a rope, one end of the rope of which is attached to a lever vertically installed in the foot zone of the bed with an axis located on top and having a horizontal position across the bed, and the other end of the rope hangs outside the bed area and has a knot representing a set hooks on which several five-liter plastic containers with water can be hung, and in the head part above the bed there are two vertical posts with soft elements that are located under the patient's armpits, while the lower part of the lever is attached to the soft element fixed on the legs; an installed mechanism, consisting of a closed rope with a diameter of about 3 cm, a length of about 4 m and two pulleys with axes parallel to the floor and transverse to the bed, for a rope with a radius not less than the permissible bending radius of the rope, while the mechanism is attached to the main connecting node through two transitional racks, and one pulley is attached to the rack installed near the head end of the bed, and the axis of the second pulley is attached to the rack in the area behind the foot end so that the bearings of the second pulley are located on one side of the second pulley, on which they are offset from the axis of the second pulley, a half-meter round pipe is installed parallel to the axis of the second pulley, the second end of which is located above the counterweight and passes through the rope ring located on the rope between the counterweight and the roller, while the patient, pulling the rope, can add and reduce the load from the counterweight; an electric drive with a gearbox installed above a roller with a counterweight, on the shaft of which a freely rotating fastener of a piece of rope is installed parallel to the axis of rotation with an offset from the center, the other end of which is attached to the counterweight, and the offset of the rope attachment from the center of rotation should provide a load on the counterweight from zero to full lifting or reducing the load by the required amount; a plastic tube with holes laid in a "snake" at the bottom of the bath, while the supply of compressed air provides pneumatic massage with air bubbles in the water; a variety of strength training equipment for a person on a bed, formed by roller systems with ropes, ropes, counterweights and adjustable brakes; various rehabilitation equipment, formed by systems of rollers with ropes, ropes, counterweights, using electric drives installed on different mechanical drives of the multifunctional complex, launched in a cyclic mode; castor wheels with brakes; system of extendable legs; a rolling platform with self-orienting wheels and an upper platform with a place where the main connecting units can be inserted, and a system of levers that provides a parallel lifting of the upper platform when rotating the lead screw handle; weighing system; at least one connection point, on which the handle is installed, an installed gearbox rotated by an electric motor; an installed handle instead of the electric drive in the event of a breakdown of the electric drive or in case of problems with the power supply; at least one lever with one or two perpendicular axes supported on rectangular pipes, each lever has at least one rope attachment, each of which can represent both a closed and non-closed rope segment, and each rope passes at least than through one roller, while at the end of the open rope there is a variable weight in the form of plastic containers, and one of the rollers of the closed rope has a rebuildable brake and an additional piece of rope is attached to the closed rope, on which a variable weight is located in the form of plastic containers, and on each the main rope or its pulley there is a knot that ensures the closure and opening of the contact depending on the position of the lever, and information about the closure and opening of the specified contact is sent to the joystick or keyboard of the computer in which a certain game program is installed; in the head part of the bed there are legs with self-orienting wheels, and on the legs, the leg part of the bed, there are wheels rotating around a horizontal axis across the bed, the rotation of which is provided by electric motors with gearboxes, while on each wheel with an electric drive there is a lever that ensures the disconnection of the gearbox from the wheel ensuring free rotation of the wheel.

The causal relationship of the listed features with the technical result of the invention is manifested, in particular, in the fact that the quick assembly of a multifunctional complex by a person without skills from parts that are transported in a passenger car allows a patient of any weight and who is anywhere to provide any action for the most effective carrying out resuscitation and rehabilitation procedures, as well as transportation, and without the use of large physical efforts by the attendant.

The essence of the invention is illustrated by drawings, where figure 1 of the multifunctional complex according to claim 6 is shown from the side. Figure 2 shows the joining of rectangular pipes from the end, and figure 3 - from the side. Figure 4 shows a multifunctional complex according to claim 16 from the side. Figure 5 shows a multifunctional complex according to claim 27 from the side. Figure 6 shows a multifunctional complex according to claim 27 from the end. Figure 7 shows a multifunctional complex according to claim 22 from the side. Figure 8 shows a top view of a multifunctional complex according to claim 22 (and according to claim 17).

The multifunctional complex for home, hospitals and social institutions contains the base part of a three-section functional bed, which is assembled from four parts by twisting bolts and nuts weighing no more than 20 kg each and dimensions that allow them to be transported in a passenger car. The base part consists of the base of the head part 1, the base of the leg part 2, the head bed 3 and hinged between each other the femoral and foot beds 4. The motion of the boxes is provided by drives with screw mechanisms, the rotation of which is transmitted through a connecting element, which is a square tube 5. To the head box 1 is screwed onto the head node-adapter of the mattress 6, and the femoral 7 and foot 8 nodes-adapters are screwed to the node 4. The mattress 9 fits into the nodes-adapters 6, 7, 8. Mattress 9 with a sheet on it are fixed with four threaded clamps 10 on corners of the bed. Legs from a round pipe 11 are inserted into the places for the legs of nodes 1 and 2, which are clamps. The main connecting node 12 of a two-meter rectangular pipe with external dimensions of 50 * 25 mm has welded clamps, similar to those of nodes 1 and 2. To the main the connecting node is attached to the brackets of the folding side rails 13. The side rails, installed in a vertical position, are made of a round pipe 14 with flat supports 15.

Most of the power connections of the nodes, which can be made by a person without skills with reliability from error and are provided with low material and labor costs, are made by putting on the main docking part 16 on the main connecting unit 12. The main docking part 16 is a decimeter pipe section with a size of 60 * 30, to to which a node or part is welded (for example, perpendicular, the same). Part 16 has three holes 12 mm in diameter with M12 nuts welded on them - 17, 18, 19. Moreover, the hole for nut 17 is drilled on a large wall at a distance of about 10 mm from one small wall, and for nuts 18 and 19 on a small wall in the distance from the nut 17 at a distance of about 10 mm from the large wall with the nut 17. A hole with a diameter of more than 13 mm is made on the main connecting unit 12 at a distance of about 8 mm from the small wall.

When docking, the bolt 20 is screwed into the nut 17 and presses the pipe walls together. Then the bolt 20 is unscrewed, for example, by 60 degrees. Then the bolts 21 and 22 are screwed into the nuts 18 and 19. The pipes are pressed on the small sides. Then the bolt 20 is tightened with an allowable force for it. Due to the fact that the bolts press the pipes in the area of the ribs, the pipes practically do not deform and are pressed with the maximum force provided by the M12 thread. If the assembler is mistaken and does not press with sufficient force, then the structure of the complex will stagger, but will not fall apart.

The multifunctional complex according to claim 16 has two folding side fences, on pipes 14 of each of which two units are installed, designed to wind a soft element on them, for example, from a sheet material half a meter wide and several meters long. Each unit has two bearing races that rotate a round pipe 23 with an outer diameter of 30 mm, more than half a meter long, located along the bed and having a welded square pipe 20 * 20 mm - 24 inside, at the end of which, outside the round pipe, located in the direction of to the near end of the bed, a switchable brake 25 is installed, which prevents rotation in a certain direction. Side rails 26, 27 with attached mechanisms for winding soft elements are installed on brackets 13 fixed to the main connecting nodes 12.

Each of the six docking nodes 28, 29, 30 are two perpendicularly welded together two main docking parts 16. Four nodes 28 and 29 connect the main docking nodes 12 and two one and a half meter pipes 50 * 25 (with two holes near each end, with a diameter of more 13 mm, on a large wall, offset from the middle) - 31. Two nodes 30 connect pipes 31 and a two-meter pipe 50 * 25 (with two holes near each end, with a diameter of more than 13 mm, on a large wall, offset from the middle) - 32. In Fig. 4, the side railing 27 is shown mounted on the tube 32, which was rearranged in preparation for moving the patient 33 from the gurney - 34 to the bed using a soft element 35, for example, a half-meter wide piece of sheet fabric.

The multifunctional complex according to claim 27 is based on a double frame of the Balkan (item 18), installed on two main connecting nodes 12, consisting of four docking nodes 28, four vertically installed two-meter pipes 36 (the same as pipes 32), four docking nodes 37, each of which provides a perpendicular connection of a vertical pipe 50 * 25 mm and two horizontal pipes 40 * 20. Two two-meter pipes 40 * 20 mm with two holes more than 13 mm in diameter - 38 and two similar pipes with a length of 0.6 m - 39. Figure 5 shows a variant of two pairs of carriages - 40 and 41. A horizontal bar is fixed on carriages 40 and 41 42 and 43 with two pulleys 44, 45, 46 and 47, allowing a piece of rope 48 and 49 to move along them so that one end of the rope descending from the first pulley 44 and 46 can be attached to the patient attachment 50 and 51, and at the other end of the rope descending from the second pulley 45 and 47 was knot 52 and 53, which is a set of hooks to which several five-liter, plastic containers of water are suspended. A support with bearings 54 is installed on the pipe 39 in the leg part of the complex, on which the rods 42 and 43 are supported.

The multifunctional complex according to clause 19 is assembled on a double frame of the Balkan (clause 18) by installing a mechanism consisting of three pairs of suspensions of rectangular pipes of three types 55, 56, 57, two pieces of each type, two pairs of one and a half meter rectangular pipes 58 and 59, located parallel at a distance of several centimeters between themselves. Carriages 60 and 61 move horizontally along pipes 59, to which two rectangular pipes with a length less than the longitudinal pipes of the Balkan frame 62, 63 are attached in pairs, to each of which two winding units 64, 65 of the soft element 35 are installed.

The multifunctional complex according to claim 22 has four rack units 66, 67, 68, 69, each of which is a vertically standing rectangular pipe 50 * 25 mm 36, with the smaller side directed to the bed, at least two meters long, with a mechanism 70 at the top ... Carriages 71, 72, 73, 74 move along pipes 36, resting on bearings. Each carriage is attached to the mechanism 70 by means of a motorcycle chain 75. Each mechanism 70 has a motorcycle sprocket through which the chain 75 passes so that the free end of the chain drops inside the rectangular pipe 36. The mechanism 70 has from below and from above on the main docking part (16). The lower part 16 provides a connection with 36. And a pipe 50 * 25 is inserted into the upper part 16, which can be used as a base for the upper pipes of the Balkan frame and / or to abut against the ceiling (paragraphs 24, 25, 26). On the sprocket axis of the mechanism 70, outside the support bearings, leaving the housing, there are docking squares. Squares 76 are directed away from the bed. On the squares directed to the bed, one-way directional brakes 77 are installed. With the maximum use of the configurations of the complex according to claim 22, the connecting paths 78 and 79 are connected to the squares on which the brakes 77 are installed. In partial uses, the connecting paths can be much simpler, for example sections of a square pipe. Or, connecting paths may be missing. For example, if four gearboxes with electric motors are installed on the squares 76 (although it is possible on the inner squares) (item 42). Inter-axle sprockets 80 are installed on the connecting paths 78 and 79, which are identical to each other, facing each other and interconnected by a chain 81 closed in the form of an eight.

Each carriage 71, 72, 73, 74 has a hinge located between the rows of bearings, with two axes horizontally directed at right angles to each other. The first axis 82 from the carriage has a direction transverse to the bed. The second axis 83 is directed along the bed. The connecting part of the second hinge axis 83 is attached to the ends of the main connecting unit 12 through assemblies of four types 84 (at the carriage 71), 85 (at the carriage 72), 86 (at the carriage 73), 87 (at the carriage 74). The assembly 84 has a second outlet hinge portion and is rigidly attached to the end of the first main connector 12 at the foot of the bed. Node 85 is a piece of pipe 40 * 20 mm 88 more than half a meter long with the axis of the hinge directed along the pipe 40 * 20 mm, which is inserted into the second (at the head end) end of the first main connecting node 12. The second part of the hinge of node 86 is welded to the end a half-meter pipe section 40 * 20 mm 89 perpendicular to 40 mm wall, in turn, a half-meter pipe section 40 * 20 mm 89 is inserted into a half-meter pipe section 50 * 25 mm 90, welded to the main joint part, providing a rigid connection with the end of the second main connecting unit located at the foot of the bed. The second part of the joint 87 is welded to a half-meter pipe segment 40 * 20 mm 91 and inserted into a half-meter pipe segment 50 * 25 mm 92, which in turn is welded with a half-meter pipe 40 * 20 mm 93 perpendicular to it, which is inserted into the other end the second main connecting node. The carriages 73 and 74 have attachment points for chains less than a meter long, the second ends of which can move along the rods welded to pipes 90 and 92. The chains can be fixed at points 94, 96 and 95, 97.

1 - the base of the head.

2 - base of the leg part.

3 - head bed.

4 - hinged and hinged femoral and leg beds.

5 - square connecting pipe of the mechanism.

6 - head node-mattress adapter.

7 - femoral node-adapter.

8 - foot knot adapter.

9 - mattress.

10 - four threaded clamps on the corners of the bed.

11 - legs from a round pipe.

12 - main connection unit.

13 - brackets for folding side rails.

14 - round pipe of the side fence.

15 - flat supports of the side fence (stick).

16 - main docking piece.

17 - nut M12 on a 60 mm wall.

18 - nut М12 on a 30 mm wall.

19 - nut М12 on a 30 mm wall.

20- bolt into nut 17.

21 - bolt into nut 18.

22 - bolt into nut 19.

23 - round 30 mm tube of "rolls".

24 - square tube 20 * 20 mm "rolls".

25 - rolls brake.

26 - one side rail with attached mechanisms.

27- other (movable) side railing with attached mechanisms

28 (or 29, or 30) - a docking unit of two main docking parts 16.

31 - a pair of one and a half meter pipes 50 * 25 with two holes over 13 mm.

32 - two-meter pipe 50 * 25 with two holes over 13 mm.

33 - patient.

34 - gurney.

35 - a soft element, for example, made of a sheet material, half a meter wide.

36 - vertically installed two-meter pipes (the same as pipes 32).

37 - docking unit for perpendicular connection of a vertical pipe 50 * 25 mm and two horizontal pipes 40 * 20.

38 - a two-meter pipe 40 * 20 mm with two holes more than 13 mm in diameter.

39 - pipe 0.6 m long, similar to 38.

40 or 41 - carriage.

42 or 43 - barbell.

44, or 45, or 46, or 47 - pulley.

48 or 49 - rope.

50 or 51 - patient mount.

52 or 53 is a counterweight.

54 - support with bearings.

55 - suspension connecting three rectangular pipes.

56 - connecting two rectangular pipes, upper and middle.

57 - connecting two rectangular pipes middle and bottom.

58 - upper one and a half meter pipe.

59 - bottom one and a half meter pipe.

60 or 61 - carriages.

62 or 63 - longitudinal pipes less than two meters long.

64 or 65 - knots for winding a soft element.

66, 67, 68, 69 - rack node.

70 - chain mechanism.

71, 72, 73, 74 - vertical carriage.

75 - chain.

76 - docking squares.

77 - one-way directional brakes.

78, 79 - connecting path.

80 is an inter-axle sprocket.

81 is a closed circuit in the form of an eight.

82 - the first from the carriage, the transverse horizontal axis.

83 - the second from the carriage, the longitudinal horizontal axis.

84 - the node connecting the hinge 83 (through the hinge 82) the carriage 71 with the node 12.

85 - node connecting hinge 83 (through hinge 82) carriage 72 with node 12.

86 - the node connecting the hinge 83 (through the hinge 82) the carriage 73 with the node 12.

87 - the node connecting the hinge 83 (through the hinge 82) the carriage 74 with the node 12.

88 - half-meter pipe 40 * 20, node 85.

89 - half-meter pipe 40 * 20, node 86.

90 - half-meter pipe 50 * 25, node 86.

91 - half-meter pipe 40 * 20, node 87.

92 - half-meter pipe 50 * 25, node 87, into which pipe 91 is inserted.

93 - half-meter pipe 40 * 20, node 87, which is inserted into node 12.

94, 95, 96, 97 - attachment points for chains with carriages 73 and 74.

Actions related to the Multifunctional complex for home, hospitals and social institutions according to claim 1 are as follows. The first part of the assembly from nodes 1, 2, 3, 4 and 11 between each other takes ten minutes for a person without skills. To ensure the operation of the complex as a three-section functional bed, it is enough then, using twelve pairs of bolt-nut M12, to fasten three mattress adapter nodes 6, 7, 8 and lay the mattress 9 (with a sheet). By inserting into the square tube 5, offset from the middle of the foot end of the bed, a square tube 15 * 15, which is the connecting part of the handle, and by rotating the handle, you can change the angle of the head section of the bed. And by rotating the handle inserted into the tube 5, located in the middle of the foot end of the bed, you can change the angle of the femoral section. This also changes the position of the leg section. With the use of four 10 threaded clamps on the corners of the bed, a secure fit of the mattress and a smooth sheet is ensured, even when the angles of the sections are changed up to 90 degrees. Nodes-adapters of the main mattress, the most common size, provide space for a 2 * 0.8 m mattress. But there are patients for whom the optimal mattress size may differ greatly from the indicated one. By installing the mattress adapter nodes, you can install a mattress with a width from 0.6 m to a very wide one, for example, up to 1.4 m. And a length from 1.6 m to a very large one, for example 2.5 m. By choosing the length of legs 11, you can set any reasonable for operation height. The bed is made either from steel, covered with powder paint, or from stainless steel, without the use of materials that lose their properties at temperatures up to 132 degrees, which allows the bed to be disinfected in parts or completely by heating. You can also disinfect all parts of the claimed Multifunctional complex. By installing a pair of main connecting nodes 12 on the legs 11, the functional bed gets additional strength. But so far this is fully justified only for patients weighing much more than 200 kg. The functional bed of patent No. 2718341 provides reliable strength for a patient weighing 200 kg when the main body of the bed is divided into two parts (node 1 with node 3 and node 2 with node 4). But at the same time, if the part - nodes 1 + 3 - weighs 20 kg, then the part - nodes 2 + 4 - weighs 27 kg. The division of the main part of the bed into four nodes (1, 2, 3, 4) makes the main sense in connection with the rationality, simplification and reduction in the cost of manufacturing technology, and not in connection with a decrease in the weight of the heaviest node for transportation from 27 kg to 16 kg. The installation of a pair of main connecting nodes 12 will make it possible to lighten the heaviest part during the main assembly into two parts (nodes 2 + 4) from 27 kg to a value close to 20 kg, with reliable strength for a patient weighing 200 kg, changing part of the incoming parts made of 2 mm of sheet steel into parts of 1.5 or 1.2 mm. This will allow the main assembly to be done not from four nodes, but from two nodes - by the simplest connection with four pairs of bolt-nut and screwing one bolt.

To obtain the complex according to claim 2, it is necessary to take two backs, to the metal part of each of which two main joining parts 16 are welded. After putting the parts 16 onto the nodes 12, the bolt 20 is screwed into the nut 17 and presses the pipe walls together. Then the bolt 20 is unscrewed, for example, by 60 degrees. Then the bolts 21 and 22 are screwed into the nuts 18 and 19. The pipes are pressed on the small sides. Then the bolt 20 is tightened with an allowable force for it. Due to the fact that the bolts press the pipes in the area of the ribs, the pipes practically do not deform and are pressed with the maximum force provided by the M12 thread. If the assembler makes a mistake and does not press with sufficient force, then the structure of the complex can stagger at any point, but will not fall apart. The installation of the backs makes the most sense in the presence of self-orienting wheels on legs, which is quite simply ensured by changing the legs 11 to legs of the required height with self-orienting wheels (p. 38).

To obtain the complex according to claim 3, it is necessary to take the back, to the metal part of which two main joining parts 16 are welded, and the back connected to the pull-up bar ("gander"), and do the same steps as described when assembling the complex according to claim 2. If two "gander" are installed on the complex and they are connected by a pipe, then a single Balkan frame is obtained.

To obtain the complex according to claim 4, decorative elements are attached to the bed using the corresponding parts for connection to the nodes 12.

To obtain a complex according to claim 5, one or two rotary or removable tables are installed by attachment to the node 12, forming the most convenient place for food, work or entertainment.

To obtain a complex according to claim 6, brackets of folding side fences 13 are attached to the nodes 12, each of which has three pairs of holes coaxial with each other. Each side fence consists of a bent round pipe 14 welded together and two flat supports of the side fence 15 having grooves. When installing the bolts in the grooves in the upper holes, the side guard can be installed in vertical positions. Either at the top vertically or at the bottom vertically. In this case, the change of position is made by the simplest movement of the hand. If bolts are inserted into the bottom holes when the side rail is in the vertical position, the side rail will have a rigid upper position. If bolts are inserted into the grooves of the side rail in the middle and lower holes, then the side rail takes a position between horizontal and vertical, closer to horizontal. When installing pads with a soft element (the complex according to claim 10), it is possible to provide a temporary, significant expansion of the bed or to provide a low-load overturn of a heavy patient from the back to the chest (and vice versa) with the configuration of the complex having the function of lateral tilt (paragraphs 17 and 22 ). For the overturn, the attendant just needs to hold the patient or put pillows in certain positions with lateral inclinations.

If the side fences need to be regularly and quickly removed and installed (the complex according to claim 7), then between the brackets of the folding side fences 13 installed on one unit 12, a mechanism with three levers moving the rods is installed, which are inserted and retracted into the holes of the brackets 13.

In order to bring a soft element (sheet, sling, etc.) under the patient without using significant efforts, the complex according to claim 8 is used. Leaning on the side rail, a 25 * 25 mm decimeter pipe section, directed perpendicular to the bed, is pressed into the mattress near the patient. A meter tube 20 * 20 mm is inserted into this segment and, applying little effort (for a patient with a large weight using levers), the attendant passes the tube under the patient without disturbing him. When pulling out the 20 * 20 mm pipe, the necessary soft element is pulled under the patient, which is necessary for the functioning of several configurations of the complex. For example, a soft element made of sheet material, half a meter wide.

In order to move or even move the patient onto the gurney or turn from back to chest or vice versa, the complex according to claim 9 is used without the use of significant efforts. A system of pipes with mutual fixation is inserted into a pipe section of 25 * 25 mm, simply fixed to the pipe of the side fence 14, a system of pipes with mutual fixation is inserted, on which there is a hinge, resting on which, with the help of a lever with a soft element, the operator can, with the use of slight efforts, lift or move by units of decimeters in one action. Using these two systems with the ability to fix the position of the lever and pillows, it is possible, with minimal loads for the attendant and comfortably for the patient, to move him along the plane of the bed and to the trolley next to it, and also turn it over.

The adapter assemblies of the complex according to claim 11 have holes to which the brackets of the side fences of the adapters can be screwed, which can be easily installed, and in the intervals between procedures, they can be lowered or removed.

In a number of situations, it is most convenient for the attendant to install the table on the raised side rails (item 12.).

One of the main problems for caregivers is that they need to keep an eye on the patient around the clock, who at times loses his memory, but at the same time retains the ability to move around. The complex according to claim 13 will fundamentally improve the life of the attendant and protect the patient. To do this, one of the side rails is fixed in a vertical position, a flat light lattice of thin-walled round pipes 2 * 0.8 m in size is attached to it. In the folded position, all three lattices stand vertically, occupying a minimum volume. The full possibility of serving the patient with the approach from one side of the bed is retained. The attendant, using little effort, in tens of seconds, can unfold the assembly by attaching a third lattice to a second, vertically installed second side railing. There is a meter-high space for the patient. The patient can be comfortable on the bed, up to a sitting position. In some cases, it will make sense to permanently install flat lattices with a size of 1 * 0.8 m on the installed backs according to claim 2. ...

To date, there is a well-established situation in which the control of the angles of the sections of the functional bed, with the patient lying on it, having mechanical drives, is carried out only by the attendant. The patient can only operate the sections on the electric bed. But there is also an economic and emotional meaning in which the patient could change the angles of the sections on the bed without an electric drive. (For example, functional gas spring beds are designed to solve this problem as well.) When installing four pulleys with a thick (about 3 cm in diameter) closed rope (item 14) so that the rope runs parallel to the bed (in two directions), the patient pulls on the corresponding upper or lower rope, with minimal effort (units kg) , increases or decreases the section angle. The large diameter of the rope is needed for easy grip. Moreover, by placing a tunable brake on one pulley (available to the patient), a simulator is obtained.

Figure 4 shows the movement of the patient 33 from the bed to the gurney 34 (item 16). The complex of claim 15 has two side rails with mechanisms for winding soft elements 26 and 27. There is a patient on the bed who needs to be moved to a gurney. Under the patient, there should be two soft elements 35 made of sheet fabric, half a meter wide and more than four meters long. If there are no soft elements 35 under the patient in advance, then, using, for example, the devices according to claim 8, they are slipped under the patient. Two bolts are loosened on the brackets 13, fixed on the nodes 12, of the side fence 27 and it is removed from the bed. At the ends of the four nodes 12 there may be two pairs of joints 28 and 29 in advance, each of which is two main joint pieces 16 welded together perpendicularly. Or, joints 28 and 29 are installed. Gurney 34 is installed next to the bed of the complex. A one and a half meter pipe 31 is installed in the nodes 28 and 29 at one end of the bed. On the node 28, the pipe 31 is securely attached with a bolt 20 through a hole with a diameter of more than 13 mm. Pressing the remaining bolts on the nodes 28 and 29 reduces the wobbling of the pipe system. The same actions are performed with 28, 29 and 31 at the other end of the bed. The nodes 30 are installed on the pipes 31. A two-meter pipe 32 is inserted into the nodes 30 and bolted to the nodes 30. Then a side fence 27 is installed on the pipe 32. After that, the serviceman either simply by hand, or by winding one end of the soft element 35 onto the pipe 23 of one of the fences 26 or 27, aligns the ends of the pad 35 wrapped around the patient 33 in the chest area. The steps are repeated for the leg area. The soft element 35 is fed onto the pipe from the bottom, since it is so much easier to ensure the laying of 35 on the pipe 23 than when it is fed from above. By inserting a 15 * 15 mm handle pipe into the square pipes 24 of the fence 27 and turning to the required turns, the initial position of the soft elements 35 is set. Then, inserting the 15 * 15 mm handle pipe into one pipe 24 and pushing it to the next pipe 24 and inserting it into it, at least a few centimeters, the attendant, rotating the handle, moves the patient from the bed of the complex to the gurney.

The complex according to claim 15 in a similar way, winding soft elements on the pipes 23 of the fence 26, ensures the movement of the patient from the gurney 34 to the bed of the complex. In this case, the guard 27 can be removed or stand on the bed in a lowered state. If on the complex according to claim 15 there are fences 26 and 27 in a raised position, winding one end of the element 35 on the pipe 23 of the fence 26, and the other end of the element 35 on the pipe 23 opposite the first, the fence 27, using the brakes 25, you can raise the patient above the bed and change the sheet, mattress or other actions. If, alternately, or at the same time, the soft elements are wound on one coaxially located pair of pipes and rolled from the opposite one, the patient rotates around the patient's longitudinal axis (for example, the patient turns over from the back to the chest, and vice versa).

The double frame of the Balkan (item 18) is assembled from six two-meter pipes and two 0.6 m long and eight simple docking units and is the basis for assembling a large number of configurations of the Multifunctional Complex. For example, according to claim 27. Figure 5 shows a variant with four carriages, which can ensure the position of the patient in a condition of conditional weightlessness, when the attendant in a certain area of space can change the position of the patient with minimal effort. Various patient mounts can be used. One example is a cloth web as used in claims 15, 16, 19. Another example is a foam pad that is rigidly attached to a patient. The third example is when it is necessary to rotate the patient around the longitudinal axis. Then the pad according to the second example is attached to a bearing mechanism, which allows the patient to rotate inside the attachment mechanism.

When using two carriages 40 with nodes 42, 44, 45, 48, 50 and 52, the complex according to claim 27 can be used as a demanded rehabilitation equipment. Having installed the weight on counterweights 52 close to the patient's weight, the patient rises to a vertical position and can carry out rehabilitation actions - walking on a two-meter track with a decrease in the load, down to zero.

If a winch is installed on the carriages 40 and 41 instead of nodes 42, 43, 45, 47, preferably with an electric drive, or a mechanism with motorcycle chains according to claim 22 (and others), then this will be a complex according to claim 29, with the possibility of many actions with the patient related to lifting the patient - changing the sheet, mattress, installing a bath, etc.

The multifunctional complex according to clause 19 is assembled on a double frame of the Balkan one (clause 18). First, two pairs of hangers 55, 56 are installed. Then two one and a half meter rectangular pipes 58 are installed and fixed with bolts. Then two hangers 57 are installed and fixed with pipes 58. Pipes 59 are inserted into the hangers. the carriages 60 are put on and the pipe 62 is inserted into them. The carriages 60 with the pipe 62 are displaced to the hangers 55. The carriages 61 with the pipe 63 are installed. The pipes 59 are inserted into the hanger 57 and fixed with it and the hanger 55. These actions can be done by one person and easy for two people with no skills. The average action time is ten minutes. To use the complex according to claim 19, according to the main purpose, under the patient there must be a soft element 35, which is a sheet of sheet material half a meter wide and several meters long.

If there is no soft element 35 under the patient, then in the presented invention there are several possibilities to bring it down without load. The simplest, even for very heavy patients, are the following. It is necessary to raise the head back vertically, which allows the base bed of the complex. In some situations, it is necessary to install side rails on the headstock mattress adapter (item 11) and use additional soft elements. The soft element 35 is then inserted under the upper part of the patient very simply and without stress. Similarly (even easier), you can bring the soft element 35 under the lower body. There are other, often simpler, actions. But there are also situations when you cannot do the above. For example, with a patient lying on the bed of the complex, but with spinal problems. Or with a patient lying on a functional bed with generally accepted angles (about 60 degrees for the back and even less for the hip). And even more so if the bed is flat. Many features of the presented complex can be adapted to other beds. Then under the patient, lying on a flat mattress, you can bring the soft element 35 using the complex according to claim 8 or claim 9.

Further, a pipe 15 * 15 mm is inserted into one of the nodes 64 and one end 66 is wound onto a round pipe with a diameter of 30 mm when the brake 25 is on. The brakes must be set so that 35 goes to 64 from below. This is due to the fact that it is much easier to ensure the initial fastening of 35 to 64. Then the actions are repeated for the oppositely located node 65. Actions stop at a slight interference 35 between 64 and 65. Actions are repeated for the second 64 and 65. But at the same time pipe 15 * 15 handles inserted into second 64 (and 65) should not extend to first 64 (and 65). After carrying out the preliminary actions, the pipes 15 * 15 handles must completely, after passing through 64 (and 65), go a few centimeters into the second coaxial 64 (and 65).

With appropriate rotations of the handles, the patient rises above the mattress. For example, you can do the necessary steps with a soft element on the bed. You can do the main action in clause 19 - move the patient to a nearby gurney (or vice versa). It is possible, sequentially or simultaneously, by winding 35 on one pair of winding mechanisms (64 or 65), releasing from the second (65 or 64), to turn the patient lying on his back onto his chest. And vice versa.

When installing two gearboxes with electric motors instead of handles (according to clause 42), two pieces of pipe 15 * 15 with a length of more than 0.6 m are additionally used, which are inserted into the square pipes of the winding mechanisms 64 and 65. And also the brakes 25 are turned off.

If the lifting elements instead of winding mechanisms are used winches, preferably with an electric drive, or mechanisms with motorcycle chains according to claim 22 (and others), then this will be a complex according to claim 30. The capabilities of the complexes of items 19 and 30 are close. The main difference is that in the complex according to item 30, it is possible, by changing the installation sites with a suspension or using suspension carriages (as in item 28), to move with the patient attached.

The complex according to claim 28 combines the advanced capabilities of the complexes of claims 19 and 27. Instead of suspensions 55, 56, suspension carriages are installed. And instead of carriages 60 and 61 with longitudinal tubes 62 and 63 and winding mechanisms 64 and 65, carriages similar to carriages 40 and 41 with rods, pulleys and counterweights will be installed. The complex according to claim 28 provides conditional weightlessness in the area above two adjacent beds.

The multifunctional complex according to claim 22 provides the maximum possible range of changes in the position of a patient of practically unlimited weight lying on the bed. Figures 7 and 8 show a variant when it is possible to restructure the selected motions as quickly as possible with the ability to control the minimum number of control points. All these actions with changing the positions of the bed can be performed without installing the connecting nodes 78, 79, 80, 81. In these cases, the attendant can, by successive turns of the handles installed on the mechanisms 70, change the position of the bed. The same can be done by turning on and off the four electric motors on the gearboxes attached to the squares 76 of the mechanisms 70. The joints 78, 79, 80, 81 allow reducing changes to one (sometimes two) control points for the selected configuration. In some cases, instead of complex assemblies 78 and 79, simple parts (square pipe or square pipe with sprocket 80) can be installed. And this is most rational if the complex is used with disabilities. Further, the complex according to claim 22 will be described under conditions of minimizing the places where the control knob should be installed.

If the connecting nodes 78 and 79 act as pipes, then by rotating the handle (or by installing one gearbox with an electric motor) on any mechanism 70, it is possible to change the height of the bed above the floor as wide as possible.

If chain 81 is not installed (or is disabled at nodes 78 and 79), then turning the handle on one of the nodes of the posts 66 (which is equivalent to 68) or 67 (which is equivalent to 69), you can change the lateral angle of the bed. These are the functions of Trendellenburg and Anti-Trendellenburg. The multifunctional complex according to claim 22 provides tilt angles up to 40 degrees in each direction.

If nodes 78 and 79 are configured so that rotation 68 is independent of 66, and 69 is independent of 67 (66 are connected to 67 by 81), then by rotating knob 66 (or 67), you can change the lateral (lateral) inclination of the bed. In the described design, the lateral tilt reaches 60 degrees in each direction.

Variable height functions, trendellenburg and antitrendellenburg, can only be provided by pressing buttons (or turning the trickles), and to obtain the function of a verticalizing bed or to turn the bed 180 degrees, the attendant needs to carry out simple and non-stressful actions.

To rebuild the complex into a verticalizer bed, the operator needs to lower the carriages 71 and 73 to the lowest position for further operation. This is either as close to the floor as possible or to the previously placed on the bottom of the vertical pipes of the nodes 66 and 68 of the pipe 12 stops. The installation of these stops may be necessary so that the bed has the selected height in the intervals between verticalization procedures.

After the carriages 72 and 74 have been lifted to the level of the longitudinal position of the bed more than 30 degrees (beforehand before the exits of the pipes 88 and 93 from the nodes 12), the carriages 72 and 74 stop. Further, the mechanisms 70 of nodes 66 and 69 are triggered in the decimeter lowering mode. Hooks are placed on the chain near the mechanisms 70. Mechanisms 70 knots 66 and 69 lower the chains a couple more meters. The hooks are attached to the places intended for them, fixed on nodes 12 at a quarter-meter height between the head section and the posts of nodes 67 and 69. Parallel lifting of all carriages (71, 72, 73, 74) or short successive lifts 71-73 and 72-74 increases the angle of the bed to the outlets of pipes 88 and 93 from nodes 12. After that, the angle of the bed can be changed in the range from 0 to 90 degrees by the movement of the carriages 71 and 73. And if stops are installed on the lower part of the pipes of nodes 66 and 68, which determine the base height of the vertical bed , then the amplitude of the change in the angles will be added with negative angles.

The multifunctional complex according to claim 22 also includes the possibility of turning the bed with the patient lying on it by 180 degrees. For this, when setting independent rotation 68 from 66 and 69 from 67 in the presence of connection 66 to 67 by means of 81 (lateral tilt function), the initial position is with all carriages (71, 72, 73, 74) at the same level. On the lower part of the carriage 73, a chain less than a meter long is fixed, the other part of which is fixed at point 94 on a bar welded to the pipe 90. On the lower part of the carriage 74, a chain less than a meter long is fixed, the other part of which is fixed at point 95 on the rod welded to the pipe 92.

Raising the carriages 71 and 72 with an increase in the angle of lateral inclination approaching 60 degrees, there is a partial exit of pipe 88 from pipe 90 and pipe 91 from pipe 92. Pipes 88 and 91 should differ from each other by several centimeters. For example, pipe 88 is shorter than pipe 91. Then the lifting of the carriages 71 and 72 stops when the pipe 88 has already exited the pipe 90, and the pipe 91 has not yet exited the pipe 92. The chain attachment from point 94 is transferred to point 97. The carriage 73 rises to one and a half meters and takes the load on itself. Further lifting of the carriages 71 and 72 by several centimeters leads to the exit of the pipe 91 from the pipe 92. The chain attachment from point 95 is transferred to point 96. The carriage 74 rises one and a half meters and also takes the load on itself. The carriages 73 and 74 are raised to a position where the patient's center of gravity together with the bed approaches the area above the line connecting the axes 83 of the carriages 71 and 72. Then, with an effort of several kilograms, the attendant transfers the patient's center of gravity with the bed from the middle of the bed. The center of gravity can cross the equilibrium point without the attendant's participation. Then the operator will have to cross the equilibrium point in the opposite action. Lowering the carriages 73 and 74 will continue to roll the bed with the patient until the bed is parallel to the floor. Then you can change the longitudinal angle of the bed with the patient by parallel movements of the carriages 71 from 74 or 72 from 73.

The operation of the Multifunctional complex according to claim 17 is similar to the described operation of the complex according to claim 22. Only without the possibility of verticalization and flipping by 180 degrees and with smaller amplitudes and angles.

In the Multifunctional complexes according to clauses 20 and 21, the Balkan frame is wider than the bed. The complex according to claim 20 is effective for a certain circle of patients who are now usually tied to a bed. The complex according to claim 21 provides the ability to create a microclimate. Both to treat a patient and to reduce the likelihood of contracting a patient (or from a patient) with infectious diseases.

To transfer the rotation handle of the mechanism to a more convenient place for the service place, item 23 is used. This mechanism can be equipped with an optimal gear ratio for the selected situations from the handle to the chain movement mechanism.

The multifunctional complex according to claim 24 is especially effective for patients with very large weight. And also when the complex according to claim 25 is used - a multi-tiered bed and the complex according to claim 26.

The multifunctional complex according to claim 25 is a quickly unfolding multi-tiered bed, consisting of parts of low weight and volume, each and taking up minimal space during storage. The complex is effective when used in medical institutions in emergency situations associated with illness and injury and refugees. They have a wide range of benefits for use by the military. The complex makes it possible to provide a comfortable place not only for people who can use the stairs, but also with many restrictions on movement. The complex according to claim 25 provides the ability to move the beds vertically with people lying on it. If people from the lower tiers can leave the beds on their own, then people from the upper tiers can go to bed and leave the bed with a low position of the bed relative to the floor. The use of folding side rails makes it safe for people to stay on the upper tiers as well.

The multifunctional complex according to claim 26 is intended for home use both for people involved in treatment and for absolutely healthy people. The bed can be raised only one, but it can be double, and only without a lying person. But at the same time to the very ceiling. For a number of cases, this is similar to an increase in housing space.

One of the big problems for people who are unable to leave the bed on their own, especially for patients with back problems, is the problem of bathing. The complex according to claim 31, when using the capabilities of the complexes of other points, provides not only the possibility of comfortable for the patient, but also low-load for service bathing, but also effective treatment. For example, the treatment of a spine with a normalized stretch of the spine in water is considered effective. This is provided by the complex according to claim 32. Moreover, in the complex according to claim 33, the patient can himself reduce and increase the load on the spine relative to the baseline. The complex according to claim 34 provides a long-term normalized load on the spine. To increase comfort and increase the efficiency of washing in a bath without detergents, step 35 is used.

The multifunctional complex according to claim 36 provides the opportunity to combine the most comfortable place for a long stay on it and a place for playing sports in the form of simulators. This applies to both sick and healthy people.

All mechanisms of the complex are adapted for the installation of electric drives on them. Some of them, starting with mechanisms that change the angles of the beds, can be used as rehabilitation equipment if the electric drive is started in a cyclic mode at specified amplitudes and speeds (complex according to claim 37).

The main approach to moving the complex is that the complex must stand steadily on the floor. Even the highest quality and very expensive caster wheels do not provide such stability as simple legs, especially if at least one leg can be adjusted in length. Some configurations of the complex (for example, according to items 24, 25, 26) cannot move. For most configurations, it is effective to use item 40. This is a mechanism on castor wheels, which rolls under the main connecting nodes 12, which has the function of lifting the upper platform using an electric drive. This device has dimensions 1.2 * 0.6 * 0.3 m. And, although it weighs more than 20 kg, it can be easily transported. Moreover, it is not difficult to divide it into two easily assembled parts. If the consumer constantly uses the complex with frequent movements, then the legs 11 change to legs of the required height, to which are attached caster wheels with or without brakes. For some configurations, special wheel assemblies can be developed if required. To combine frequent transportations with a minimum wobbly berth, clause 39 is used.

The complex using according to claim 38 can be part of the most efficient gurney. For example, a gurney equipped according to claims 1, 2, 6, 8, 9, 15, 16 and a variable-height mechanism according to claim 40 will have unique opportunities.

The most effective way to weigh a patient lying on a bed is to use item 41.

All mechanisms of the complex, which are controlled by a handle, have connecting elements adapted to control electric drives (p. 42).

All units of the complex, which, for their main use, involve the installation of an electric drive (for example, item 26), and even more so in which electric drives are used, in the places of handles, in case of problems with electric drives (for example, in case of power failure), can be quickly replaced with handles by a person without skills (p. 43). The exception is clause 45. In the event of a power outage or other power problem, the wheels are put into free rotation.

There is an opinion that physical activity against the background of emotional uplift brings many more benefits than just physical activity, even for healthy people. For sick people, the effect is even more radical in a positive sense. To some extent, the complex according to claim 44 provides for healthy people a combination of emotional uplift and physical normalized load. For sick people, this combination is much more difficult and important.

The multifunctional complex, when choosing the appropriate units, in addition to alleviating the burden on the attendant, ensures the maximum possible activity of the person lying on the bed, including those who spend almost all the time. For some, it is necessary, perhaps even important, to be able to move around the room or part of the house without resorting to the services of an attendant. The complex according to claim 45 provides the indicated.

Claims (45)

1. A multifunctional complex for home, hospitals and social institutions, consisting of easily connectable units weighing no more than 20 kg each and with dimensions that allow them to be transported in a car, the base part of which is connected into a functional bed with three movable sections, the movement of which is provided by screw mechanical drives, the rotation of which is transmitted through a connecting element, which is a square tube with screw-on mattress adapter nodes, into which the mattress is placed, attached by four threaded clamps located on the mattress adapter nodes at the corners of the bed, providing an overall bed size from 1.6 to 2, 5 m and a width of 0.6 to 1.4 m, while all metal parts are made of powder-coated steel or stainless steel, characterized in that it has a set of assemblies and parts that allows the person to provide low-load patient care, while voluminous I make connecting nodes are made of common steel pipes, and the main power load is borne by pipes with a cross section of 50 by 25 mm, while the joining of rectangular, including square, pipes is ensured by inserting a long pipe of a smaller size, having one hole with a diameter of more than 13 mm on a large wall, into a short section of pipe larger, having at least one set of three holes with a diameter of 12 mm with M12 nuts welded on them, while the hole in the large wall is located so that the bolt screwed into the nut above this hole passes through a hole with a diameter of more than 13 mm of the pipe to be joined , without touching the edges of the hole when pressing the walls of the pressed pipes, and two holes in the larger of the abutting pipes are located on the smaller wall, and two main connecting nodes, each of which is a two-meter rectangular pipe with two holes with a diameter of more than 13 mm, external dimensions of 50 25 mm, they also have welded clamps into which the knife is inserted bed and are tightly pressed by tightening the nuts, and the main docking part, to which different nodes are welded, is a decimeter pipe section 60 * 30 mm with three holes, on which three M12 nuts are welded, and flat connecting nodes are made of sheet steel by the CNC method - laser or CNC-plasma cutting and have holes and places for welding nuts, providing the ability to connect with other nodes by screwing and pressing to another node. 2. The multifunctional complex according to claim 1, characterized in that metal backs are attached to the main connecting assemblies, having welded main joining parts in the structures. 3. The multifunctional complex according to claim 1, characterized in that a metal back is attached to the main connecting nodes in the leg of the bed, which has two main connecting parts welded in the structure, and a metal back is attached to the main connecting elements in the head of the bed, combined with a bar for pulling up ("gander"), which has two main joint parts welded in the structure. 4. Multifunctional complex according to claim 1, characterized in that decorative elements are attached to the main connecting nodes using volumetric and flat connecting nodes. 5. The multifunctional complex according to claim 1, or 2, or 3, or 4, characterized in that one or two units are installed on the main connecting unit, in the upper part of each of which a hinge with a vertical axis is installed, which provides horizontal rotation of the table, forming a place to eat, work or play. 6. Multifunctional complex according to claim 1, or 2, or 3, or 4, characterized in that brackets of folding side rails are attached to the main connecting nodes, each of which is made of three parts cut by a CNC machine from sheet steel, welded between itself and with a welded nut, into which a bolt is screwed, abutting against the corner of the pipe of the main connecting unit, while the sheet steel parts installed at the edges have three pairs of coaxial holes, and the side rails are made of a round pipe with flat supports having grooves of width equal to the diameter of the holes of the brackets, and the direction of the grooves is parallel to the plane of the main part of the side fence, but has a shift, while when installing the bolts in the upper pairs of holes, when the bolts also pass through the slots of the flat supports of the side fence, the folding side fence has two positions - working vertically up, wider than the mattress, and vertically down, narrower than the mattress, and when inserting the bolts into the lower pairs holes, with the passage of the bolts in the grooves of the flat supports of the side fence, standing in a vertical position, the side rails can only stand vertically upwards, and if the bolts are inserted into the lower and middle holes, passing through the grooves of the flat supports, the side fence stands rigidly between the horizontal and vertical positions. 7. The multifunctional complex according to claim 6, characterized in that between the brackets there is a unit having three levers, by turns of which rods enter and exit into the pairs of coaxial holes of the brackets. 8. Multifunctional complex according to claim 6 or 7, characterized in that a node is attached to the raised side rail, which has a square tube 25 * 25 mm directed perpendicular to the side rail and parallel to the base of the bed, into which a 20 * 20 mm tube is inserted, which is a part of assembly, which has a pair of inserted pipes and bolts, allowing them to be fixed relative to each other, designed to press the mattress with the outer tube as close to the patient as possible and pass the inserted tube under the patient, pressing the mattress in a narrow zone. 9. Multifunctional complex according to claim 6, or 7, or 8, characterized in that one or two nodes are attached to the raised side rail, each of which has a square tube 25 * 25 mm directed perpendicular to the side rail and parallel to the base of the bed, in which a 20 * 20 mm pipe is inserted, which is part of the assembly, which has pairs of inserted pipes and bolts that allow them to be fixed relative to each other, designed in order to install one of the replaceable hinges with two pieces of pipes having a hole in a significant area above the bed surface near the ends farthest from the hinge, while pipes acting as a lever and various tips covered with a soft element, or a rope attachment point can be attached to these segments. 10. A multifunctional complex according to claim 6 or 7, characterized in that bolts or rods are inserted into each bracket of the side rails into the lower and middle holes, ensuring the fixation of the side rails in a position between the horizontal and vertical positions, while strips with soft element. 11. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, characterized in that the brackets of the side rails are attached to the mattress adapters, while the side rails of the adapters can be easily installed, and in the intervals between procedures go down or take off. 12. The multifunctional complex according to claim 6, or 7, or 8, or 9, characterized in that one or two tables are installed on the side rails installed in the upper position, forming a place for food, work or entertainment. 13. Multifunctional complex according to claim 6, or 7, or 8, or 9, characterized in that a structure consisting of three flat gratings made of round thin-walled pipes of small diameter size 2 is installed to one side fence, installed in the upper position * 0.8 m, interconnected by hinges, with axes along the bed, while the structure in the folded state is a flat structure, reinforced vertically on the first side rail, and in the unfolded state, the third lattice is attached to the second side rail, fixed in a vertical position , while the second lattice takes a horizontal position, limiting the space above the bed with a height of one meter when the bed is flat. 14. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 11, characterized in that one or two mechanisms are installed on the main connecting unit, each of which it consists of a closed rope of a three-centimeter diameter of a five-meter length and four pulleys for a rope with a radius not less than the permissible bending radius of the rope, while the mechanism is attached to the main connecting node through two transition posts, and one pulley of one is attached to the post installed near the head end of the bed mechanism with an axis parallel to the floor and the transverse bed, the second pulley is attached to the place where the control knob for the bed section angle change mechanism is installed, the third and fourth pulleys are attached to the transition stand installed near the foot end, with the pulley axes directed so that the rope passing from and to the first pulley, passed parallel to the floor, transferring rotation to the second pulley, and on the first pulley set There is a continuously variable brake. 15. Multifunctional complex according to claim 6, or 7, or 8, or 9, characterized in that two units are installed on each hinged side guard, each of which has two bearing races that ensure rotation of a circular pipe with an outer diameter of 30 mm, a length more than half a meter, located along the bed and having a 20 * 20 mm welded square pipe inside, at the end of which, outside the round pipe located in the direction of the near end of the bed, a released brake is installed that prevents rotation in a certain direction, and the handle for rotating the pipes has a pipe 15 * 15 per decimeter is longer than a square pipe, while the brake of each pipe provides free rotation to the side, in which the fabric cloth will be wound around the round pipe, coming into it from below. 16. Multifunctional complex according to claim 15, characterized in that it has six docking nodes, each of which is two perpendicularly welded together main docking parts, two one and a half meter pipes 50 * 25 with two holes near each end, with a diameter of more than 13 mm, on a large wall, offset from the middle, and one two-meter pipe 50 * 25 with two holes near each end, with a diameter of more than 13 mm, on a large wall, offset from the middle, while four docking nodes can be pre-fixed at the ends of the main connecting nodes, and each of the one and a half meter pipes is inserted and then fixed in two docking nodes attached to different main connecting nodes after the side rail brackets are removed from one of the main connecting nodes and a gurney is placed next to the bed so that the end of each one and a half meter pipe was behind the gurney, after which at the ends of one and a half meter x pipes, the fifth and sixth docking nodes are installed, connected by a two-meter pipe, on which the side fence is then installed in a vertical position with mechanisms for winding soft elements and the bolts on the side fence brackets are tightened. 17. Multifunctional complex according to claim 1, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, characterized in that it has four nodes, each of which is a rectangular vertical pipe (cage tube) with a vertical groove directed to the bed, inside which there is a carriage, on which there are two vertically spaced rows of bearings that roll along the inner surfaces of the walls of the cage pipe, with each a row of eight bearings - two on each wall, and a bearing is fixed in the upper part of the cage pipe, which ensures the rotation of the vertical power screw, which has a connecting element in the form of a square pipe in the upper part and has a kinematic interaction with the travel nut fixed on the carriage , and each carriage has a hinge located between the rows of bearings, with two axes horizontally directed at right angles to each other, while the axis first from the carriage has a direction cross-bed, and the second along, while the connecting part of the second axis of the hinge, passing through the groove, is attached to the ends of the main connecting unit through nodes of four types, the first type has a second part of the output hinge and is rigidly attached to one end of the first main connecting unit, the node of the second type is a piece of pipe 40 * 20 mm more than half a meter long with the axis of the hinge directed along the pipe 40 * 20 mm, which is inserted into the second end of the first main connecting node, the second part of the joint of the node of the third type is welded to the end of the half-meter section of pipe 40 * 20 mm perpendicular to the 40 mm wall, in turn, a half-meter pipe section 40 * 20 mm is inserted into a half-meter pipe section 50 * 25 mm, welded to the main joint part, providing a rigid connection with one end of the second main connecting unit, and the second part of the joint hinge of the fourth type is welded to a half-meter section of pipe 4 0 * 20 mm and inserted into a half-meter pipe section 50 * 25 mm, which in turn is welded with a half-meter pipe 40 * 20 mm perpendicular to it, which is inserted into the other end of the second main connecting unit, and welded to the lower parts of the clip pipes main docking parts, into which long pipes of 50 * 25 mm are inserted with a hole at each end, providing a rigid volumetric structure, while the first and third clip pipes are installed at one end of the bed. 18. Multifunctional complex according to claim 1, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15, or 16, characterized in that that to the ends of the main connecting nodes docking nodes are screwed, which are two perpendicularly welded together main docking parts, into the second parts of which vertical two-meter pipes 50 * 25 mm are inserted, to the upper parts of which, using the docking nodes, the upper perimeter of rectangular pipes is screwed, forming a double Balkan frame. 19. Multifunctional complex according to claim 18, characterized in that a mechanism is installed on the upper longitudinal rectangular pipes of the Balkan frame, consisting of six suspensions of rectangular pipes of three types, two pieces of each type, two pairs of one and a half meter rectangular pipes arranged in parallel, four horizontally moving carriages, to which two rectangular pipes with a length less than the longitudinal pipes of the Balkan frame are attached in pairs, to each of which two nodes are installed, each of which has two bearing races that ensure the rotation of a round pipe more than half a meter long, located along the bed and having inside itself a welded square pipe, at the end of which, outside the round pipe located in the direction of the near end of the bed, a release brake is installed that prevents rotation in a certain direction, and the handle for rotating pipes has a pipe 15 * 15 per decimeter longer than a square pipe, while the brake is on every labor would provide free rotation to the side, in which the fabric cloth will be wound around a round pipe, going onto it from below, while the suspension of the first type vertically connects the upper longitudinal pipe of the Balkan frame, near its end, with two parallel one and a half meter rectangular pipes located below, along the lower one of which moves a pair of horizontal carriages, and the suspension of the second type vertically connects the second upper longitudinal pipe of the Balkan frame, near its end, with the upper one of parallel one and a half meter rectangular pipes, and the suspension of the third type vertically connects the parallel one and a half meter rectangular pipes. 20. The multifunctional complex according to claim 1, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 15, or 16, characterized in that to each end of the main connecting nodes, the main docking piece is screwed, to which, perpendicular to it, parallel to the floor, across the bed in the direction from the middle of the bed, a quarter-meter rectangular pipe is welded, to which, in turn, another main docking piece with a vertical direction is welded, to which a vertical two-meter pipe 50 * 25 mm, with the direction of the 25 mm wall to the bed, to the upper parts of which, using docking points, the upper perimeter of rectangular pipes is screwed, forming a double frame of the Balkan, with vertical posts installed wider than the size of the bed, and having four stationary and one swivel grilles made of thin-walled pipes covered with a soft element, with a vertical swivel grate installed at one side and the bed of the complex is between the vertical two-meter pipes, and one stationary vertical lattice stands opposite the rotary one at the second side of the bed, the two remaining vertical stationary lattices are fixed on the vertical two-meter pipes located at the ends, and the horizontal lattice is fixed on the upper perimeter of the double Balkan frame. 21. The multifunctional complex according to claim 1, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 15, or 16, characterized in that to each end of the main connecting nodes, the main docking piece is screwed, to which, perpendicular to it, parallel to the floor, across the bed in the direction from the middle of the bed, a quarter-meter rectangular pipe is welded, to which, in turn, another main docking piece with a vertical direction is welded, to which a vertical two-meter pipe 50 * 25 mm, with the direction of the 25 mm wall to the bed, to the upper parts of which, using docking points, the upper perimeter of rectangular pipes is screwed, forming a double Balkan frame, with vertical posts installed wider than the size of the bed, and having four stationary and one swivel panels made of transparent, breathable material, with a vertical pivot panel installed on one side and the bed of the complex is between the vertical two-meter pipes, and one stationary vertical panel stands opposite the swivel at the second side of the bed, the two remaining vertical stationary panels are fixed on vertical two-meter pipes located at the ends, and the horizontal panel is fixed on the upper perimeter of the double Balkan frame, forming a transparent rectangular a parallelepiped covering the multifunctional complex, an injection compressor with a system for adding substances to the discharge stream is connected to a window in one of the end panels, and an exhaust compressor with an outlet stream disinfection system is connected to the window in the other of the end panels. 22. Multifunctional complex according to claim 1, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15, or 16, characterized in that , which has four rack units, each of which is a vertically standing rectangular pipe 50 * 25 mm, with the smaller side directed to the bed, at least two meters long, along which the carriage moves, which has a motorcycle chain attached to it, which passes through the motorcycle an asterisk so that the free end of the chain descends into the rectangular pipe, and the mechanism with an asterisk located on the top of the rectangular pipe has connecting elements on both sides in the form of a square pipe, while a release brake is installed on the inner square pipe that prevents rotation in a certain direction, and a handle is put on an externally located square tube, with which the mechanism rotates, while there are two vertically spaced rows of bearings on the carriage, each row has I have six bearings - two on a 50 mm wall and one on a 25 mm wall, and each carriage has a hinge located between the rows of bearings, with two axes horizontally directed at right angles to each other, while the first axis from the carriage has direction across the bed, and the second along, while the connecting part of the second axis of the hinge is attached to the ends of the main connecting unit through nodes of four types, the first type has a second part of the output hinge and is rigidly attached to the end of the first main connecting unit located at the foot of the bed, the node of the second type is a piece of pipe 40 * 20 mm more than half a meter long with the hinge axis directed along the pipe 40 * 20 mm, which is inserted into the second (at the head end) end of the first main connecting node, the second part of the joint of the third type is welded to the end half-meter pipe section 40 * 20 mm perpendicular to the 40-mm wall, in its turn a half-meter section of pipe 40 * 20 mm is inserted into a half-meter section of pipe 50 * 25 mm, welded to the main docking part, providing a rigid connection with the end of the second main connecting unit located at the foot of the bed, and the second part of the hinge of the fourth type is welded to the half-meter a piece of pipe 40 * 20 mm and inserted into a half-meter piece of pipe 50 * 25 mm, which in turn is welded with a half-meter pipe 40 * 20 mm perpendicular to it, which is inserted into the other end of the second main connecting unit, while half-meter pipes are 40 * 20 mm differ from each other in length by at least a couple of centimeters, in addition, a one-way disconnectable brake is installed on each square pipe located on the inner sides of mechanisms with an asterisk, which in turn has its own connecting element in the form of a square pipe, while to two mechanisms with stars, located on one side of the bed and, to the squares located on the brakes, inter-axle sprockets are attached, having the possibility of both rigid connection with the axis of the main sprocket, and the possibility of free rotation, and each inter-axle sprocket has a connection with the inner square of the mechanism with a sprocket located on the opposite side of the bed, while this connection can be either rigid or providing independent rotation, and the upper parts of the strut nodes are interconnected, forming a double Balkan frame, and the lower parts of the strut nodes are connected by a rigid structure, while the inter-axle sprockets are the same, stand opposite each other and are interconnected by a chain closed in the form of an eight, and two hooks are attached to the head ends of the main connecting nodes at a height of a quarter of a meter between the uprights and the end of the bed, opposite the uprights, while the node that can be thrown over the hooks has the ability attach to a vertically positioned motorcycle chain, and a half-meter bar is welded to each half-meter pipe segment 50 * 25, along which a part can move and be fixed at the ends of the bar, to which a chain segment less than a meter long is attached, while the second end of this chain is fixed to the bottom of the carriage moving along the rack-assembly third and fourth types. 23. The multifunctional complex according to claim 22, characterized in that it has at least one mechanism for transferring the place of rotation of the handle, which has two units, each of which has a housing with two coaxial bearings, on which an asterisk rotates on the axis between the bearings, and outside the bearings square tube, while the square tube of the upper mechanism is put on the square tube of the rack unit mechanism, located on the outer side of the bed, and on the inner square tube of the lower mechanism there is a released brake that prevents rotation in a certain direction, and the square tube of the lower mechanism can be put on the handle, in addition, to the lower part of the upper mechanism and to the upper part of the lower mechanism are welded along the main connecting part from a short section of 60 * 30 pipe, into which a meter section of pipe 50 * 25 is inserted, and a closed section of a motorcycle chain is installed on the upper and lower sprockets so that half of the chain moves in Inside the pipe 50 * 25. 24. Multifunctional complex according to claim 22 or 23, characterized in that the rack units have spacers in the floor and ceiling. 25. The multifunctional complex according to claim 1, or 6, or 7, characterized in that it has four rack units having spacers in the floor and ceiling, each of which is a vertically standing rectangular pipe 50 * 25 mm, with the smaller side directed towards a bed, more than two meters long, along which a carriage moves, which has a motorcycle chain attached to it, which passes through a motorcycle sprocket in such a way that the free end of the chain descends into the rectangular pipe, and the mechanism with an asterisk located on the top of the rectangular pipe has connecting elements on both sides in the form of a square pipe, while on the inner square pipe there is a deactivated brake that prevents rotation in a certain direction, and a handle is put on the outer square pipe, which rotates the mechanism, or the mechanism for transferring the place of rotation of the handle according to claim 23, with an upper motorcycle sprocket , larger than the bottom, while on the carriage there are two spaced p about the vertical of the row of bearings, each row has six bearings - two on a 50-mm wall and one on a 25-mm wall, and each carriage between the rows of bearings has a main connecting piece made of a decimeter pipe section 60 * 30 mm, which is attached to the main connecting node, and two square pipes with identical sprockets facing each other and interconnected by a chain closed in the shape of an eight are installed in pairs on the inner square pipes of the mechanisms of the strut nodes, in addition, each carriage has an attached piece of chain in the lower part or a cable with a length of more than half a meter, the other end of which is attached to a similar carriage, which is part of the bed of the next tier (the second, counting from the top), which has two main connecting nodes, while the number of tiers is limited only by the height of the rack nodes. 26. Multifunctional complex according to claim 1 or 4, characterized in that it has three rack units installed in the corner of the room, attached to the wall or having spacers to the floor and ceiling, with each rack unit being a vertically standing rectangular pipe 50 * 25 mm, the smaller side directed to the bed, more than two meters long, along which the carriage moves, which has a motorcycle chain attached to it, which passes through the motorcycle sprocket, so that the free end of the chain falls into the rectangular pipe, and the one on the top a rectangular pipe mechanism with an asterisk has a connecting element in the form of a square pipe directed towards the bed, and a post unit located between other post units, additionally a connecting element in the form of a square tube and on the outside of the bed, with each carriage there are two vertically spaced rows of bearings, each row has a number of bearings - two on a 50 mm wall and one on a 25 mm wall between the rows of bearings, and both carriages on the uprights at the head of the bed have one main connecting piece made of decimeter pipe sections 60 * 30 mm, which are attached to the head ends of the main connecting nodes, and the rack unit carriage, standing in the leg of the bed, is connected to the main connecting unit at the foot end through an additional 60 * 30 quarter-meter pipe section welded to it, located horizontally in the direction across the bed, while the square of the corner post drive directed towards the inside of the bed, is connected to the square of the drive unit-rack, standing at the head of the bed, by means of a larger square pipe, and an asterisk is coaxially attached to the square of the corner unit-rack, while the same sprocket is attached to the square of the rack unit at the leg beds, and both stars have the same direction and are connected s between each other by a chain closed in the form of an eight, and an electric drive with a gearbox is connected to the second side of the inter-axle sprocket. 27. Multifunctional complex according to claim 18, or 22, or 23, or 24, characterized in that it has at least two carriages, each of which has the ability to move along a rectangular pipe located on the top of the structure, while the carriage is fixed a horizontal bar with two pulleys allowing a piece of rope to move along them so that one end of the rope descending from the first pulley can be attached to the patient's attachment point, and at the other end of the rope descending from the second pulley there is a knot representing a set of hooks , on which are hung five-liter plastic containers with water, while when the carriage moves, the first pulley is above the bed, and the second pulley is above the area outside the bed, and the length of the rope has a length such that the counterweight falls to the floor when the maximum allowable lift of the patient is reached, while the patient's attachment point can be both a soft element with rope attachment points, and a knot that, in addition to the soft element, p Located on the patient, it has a metal mechanism with bearings that allow the patient to rotate inside the mechanism. 28. The multifunctional complex according to claim 18, characterized in that a mechanism is installed on the upper longitudinal rectangular pipes of the Balkan frame, consisting of two pairs of suspension carriages and two suspensions of rectangular pipes, two pairs of one and a half meter rectangular pipes located parallel to each other, and four, horizontally moving in the transverse direction relative to the bed, carriages, on each of which a horizontally located bar with two pulleys is fixed, ensuring the movement of a piece of rope along them so that one end of the rope descending from the first pulley can be fixed to the patient's attachment point, and on the other end of the rope descending from the second pulley was a knot, which is a set of hooks on which five-liter plastic containers with water are hung, while when the carriage moves, the first pulley is above the bed or next to the bed installed by the gurney, and the second pulley is above the area outside bed, and the length of the rope has a length such so that the counterweight falls to the floor when the maximum permissible patient lift is reached, while the patient attachment point can be both a soft element with rope attachment points, and a knot that, in addition to the soft element located on the patient, has a metal mechanism with bearings that provide the ability to rotation of the patient inside the mechanism, while one pair of suspension carriages vertically connects the upper longitudinal tube of the Balkan frame with two parallel one and a half meter rectangular tubes located below, along the lower of which a pair of horizontal carriages moves, and the second pair of suspension carriages vertically connects the second upper longitudinal tube a Balkan frame with the upper one of parallel one and a half meter rectangular pipes, and a pair of suspensions vertically connects the parallel one and a half meter rectangular pipes, and the suspension carriages have the ability to move along the bed. 29. Multifunctional complex according to claim 18, or 22, or 23, or 24, characterized in that it has at least two carriages, each of which has the ability to move along a rectangular pipe located on the top of the structure, while a winch is attached to the carriage with a rope going down, to which the patient's attachment point can be attached. 30. Multifunctional complex according to claim 18, characterized in that a mechanism is installed on the upper longitudinal rectangular pipes of the Balkan frame, consisting of six suspensions of rectangular pipes of three types, two pieces of each type, two pairs of one and a half meter rectangular pipes located parallel to each other, and four carriages, while on each carriage a winch is fixed with a rope descending downward, to which the patient's attachment point can be attached, while the suspension of the first type vertically connects the upper longitudinal tube of the Balkan frame with two parallel one and a half meter rectangular tubes located below, along the lower of which it moves a pair of horizontal carriages, and the suspension of the second type vertically connects the second upper longitudinal pipe of the Balkan frame with the upper one of parallel one and a half meter rectangular pipes, and the suspension of the third type vertically connects the parallel one and a half meter rectangles new pipes. 31. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15 , or 16, or 17, or 18, or 19, or 20, or 21, or 22, or 23, or 24, or 25, or 26, or 27, or 28, or 29, or 30, characterized in that a bathtub made of waterproof material is installed on the existing vertical posts or installed on the main connecting nodes. 32. Multifunctional complex according to claim 31, characterized in that a system of rollers with a rope is installed on the structure above the bed, one end of the rope of which is attached to a lever vertically installed in the foot zone of the bed with an axis located on top and having a horizontal position across the bed, and the second the end of the rope hangs outside the bed area and has a knot, which is a set of hooks on which five-liter plastic containers with water can be hung, and in the head part above the bed there are two vertical posts with soft elements that are located under the patient's armpits, while the lower part of the lever attaches to a soft element attached to the legs. 33. The multifunctional complex according to claim 32, characterized in that a mechanism is installed on the main connecting node, consisting of a closed rope of three centimeters in diameter and four meters in length and two pulleys with axes parallel to the floor and transverse to the bed, for a rope with a radius not less than the permissible bending radius of the rope, in this case, the mechanism is attached to the main connecting unit through two adapter posts, and one pulley is attached to the post installed near the head end of the bed, and the axis of the second pulley is attached to the post in the area behind the foot end so that the bearings of the second pulley are located on one to the side of the second pulley, on which a half-meter round pipe is installed, offset from the axis of the second pulley, parallel to the axis of the second pulley, the second end of which is located above the counterweight and passes through a rope ring located on the rope between the counterweight and the roller, while the patient pulls the rope , can add and reduce naga counterweight. 34. Multifunctional complex according to claim 32, characterized in that an electric drive with a gearbox is installed above the roller with a counterweight, on the shaft of which, parallel to the axis of rotation with an offset from the center, a freely rotating fastener of a piece of rope is installed, the other end of which is attached to the counterweight. 35. Multifunctional complex according to claim 31, or 32, or 33, or 34, characterized in that a plastic tube with holes is laid on the bottom of the bath with a "snake", while the supply of compressed air provides pneumatic massage with air bubbles in water. 36. Multifunctional complex according to claim 18, or 22, or 23, or 24, characterized in that the system of rollers with ropes, ropes, counterweights and adjustable brakes form a variety of strength training equipment for a person on a bed. 37. The multifunctional complex according to claim 18, or 22, or 23, or 24, characterized in that the systems of rollers with ropes, ropes, counterweights using electric drives installed on different mechanical drives of the multifunctional complex, launched in a cyclic mode, form a variety of rehabilitation equipment. 38. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15 , or 16, or 17, or 18, or 19, characterized in that the legs are equipped with caster wheels with brakes. 39. Multifunctional complex according to claim 38, characterized in that it has a system of retractable legs. 40. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15 , or 16, or 17, or 18, or 19, characterized in that it has a rolling platform with self-orienting wheels and an upper platform with a place where the main connecting units can be inserted, and a system of levers that provides parallel lifting of the upper platform when the lead screw is rotated by the handle ... 41. Multifunctional complex according to claim 40, characterized in that it has a weighing system. 42. Multifunctional complex according to claim 26, characterized in that in the event of a breakdown of the electric drive or problems with the power supply, a handle is installed instead of the electric drive. 43. Multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 or 25 or 27 or 28 or 29 or 30 or 31 or 32 or 33 or 34 or 35 or 36 or 37 or 38 or 39 or 40 or 41 or 42 electric motor. 44. Multifunctional complex according to claim 18, characterized in that it has at least one lever with one or two axes perpendicular to each other, supported on rectangular pipes, each lever has at least one rope attachment, each of which can be closed , and an unclosed segment of the rope, and each rope passes through at least one roller, while at the end of the unclosed rope there is a variable weight in the form of plastic containers, and one of the rollers of the closed rope has a rebuildable brake and an additional segment is attached to the closed rope a rope, on which a variable weight in the form of plastic containers is located, and on each main rope or its pulley there is a knot that ensures the closing and opening of the contact depending on the position of the lever, and information about the closing and opening of the specified contact is sent to the joystick or computer keyboard, in where the game program is installed. 45. The multifunctional complex according to claim 1, or 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, characterized in that that in the head part of the bed there are legs with self-orienting wheels, and on the legs of the foot part of the bed there are wheels rotating around a horizontal axis across the bed, the rotation of which is provided by electric motors with gearboxes, while each electric wheel has a lever that disconnects the gearbox from the wheel ensuring free rotation of the wheel.

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