WO1984000683A1

WO1984000683A1 - Dissociated bed, with padded modules, fluidified interconnection, for all medical-surgical purposes

Info

Publication number: WO1984000683A1
Application number: PCT/FR1983/000151
Authority: WO
Inventors: Jean Albert Leo Denat
Original assignee: Jean Albert Leo Denat
Priority date: 1982-08-13
Filing date: 1983-07-22
Publication date: 1984-03-01
Also published as: FR2539619B1; JPS59501775A; FR2539619A1

Abstract

Dissociated bed, with padded modules, fluidified interconnection, for all medical-surgical purposes, comprising four integrated-spring columns (1/15: 2,3,4...) optionally connected to additional spring intercolumns (13/15, 27 and 15/15, 27). A modular structure comprised of padded frames makes possible the substitution of one module by another one. The assembly is convertible as desired into a lift bed (1/15), a rocking bed (7/15), a rolling bed (8/15) or a rotary bed (15/15).

Description

D E S C R I P T I O N

DISSOCIATED BED, WITH CAPITATED MODULES, INTERCONNECTION FLUIDI = FILE, INTEGRATEUR ALL PURPOSES MEDICO = SURGICAL. . +. +. +. +. +.

MOTIVATIONS: If the medico-surgical technique is far from trampling (punctual, brilliant achievements ...), it is retrograde in terms of facilities, hospital architecture = obsolete clinics, etc. For reasons of volume, p. currently very unfounded, it does not take sufficient account of modern perspectives (automation, service, operational units = rational ..) (SUCCESSIVE BOARDS underlined by a TRAIT) IMPROVEMENTS brought by the present PATENT: 1 °) The small LIT morv-obloc is replaced by a DISSOCIATED BED: 4 COLUMNS with springs (1/15: 2, 3, 4 ..), plus an ASSEMBLY of MODULES CA = PITOMES of 20, 25, 30, ... 50 cm: 1 / l5, 2 alveolus models.) In the 15/15 version, springs can be added with = very intercolumn springs: 15/15, 27 & 15/15, 27 2 °) FLUID INTERCONNECTION carried out in 4 Versions from COMMON TRUNK "A" authorizes the immediate and all-round access of the disabled person, as well as his punctual & precise treatment to the employees required by his condition. This INTERCONNECTION is the fruit, depending on the specific case to "work", either of the BED AS = CENSEUR (A), or of the LOCK TIP (B), or of the ROLLING BED (C) or of the ROTATING BED (D) : 1/15, 7/15, 6/15. 15/15. 2 PRINCIPLES OF INNOVATION: a) flexibility: fluidity of abage = dage obtained by lateral, angular, gyratory movement, etc., the DISSOCIATED BED being practically a TRANSFORMA = BLE BED forming an ALL QUADRIPARTITE suitable, starting from from a basic system (core) A, to complex situations, to extremely difficult tasks, and offering at least 4 practical solutions adaptable to each handicapped person (burned, accident victims of the road, damaged skulls, ... ..etc); b) such kinetics, diversified and accelerated xet (ROBOT: 1/15, 7/15, 8/15, 15/15: 16, 8bis, 66 ..), will be easily practicable, because of the following principle: human body does not bend (horizontally, including in the singing positinn that is placed side by side) if it presses on distant surfaces, if = Ion size, weight, handicap. .., under 20cm (in = phant ..), 25 to 30cm (medium-sized disabled in the middle ie on the side, pelvic area), ..50cm for feet & stews (adults ..) : 1/15. 5 / 15,12 / 15: 44 == 7/15: the 10. The 2 principles a) & b) have the effect of authorizing ALL MEDICO = SURGICAL ACTS, as well as the use of all means currently known or to come ir. The spatial & temporal amplitude (timing of execution ...) of the device prefigures & integrates the most appropriate implementations, hence an INTEGRATING BIT ALL = YOUR MEDICO PRACTICES = SURGICAL. EXAMPLES pell-mell of elements = components or components falling under this principle of integration: an = ti-bedsores of the TRIPOD CHAMPIGNONS type, in chicane, in envelope = loppes of the type recommended by in particular 5/15; elastic ëctocoërcitive blades for selective efiitocoërcition: 3/15. 2: fixa = manual tinns: 4/15, 2, CHASSIS = CUSHIONS (modules) specific: 4/15, 1,5,4: SSI bulbs in the form of starfish or oranges; electrical fixings if automation of the whole: 15/15. 16, 66 .; possible use, immediate sisnon of cylinders & robots: 15/15, 14, 15, 16, 66, two examples of automation in = dispensable in this XXth century.

SUCCESSIVE DESCRIPTION of the 4 DEVICES arising from the 1st: A:

ASCENSIONAL BED: Ordinary BED, formula which could remain popular (reserve BIT in case of illness), with very soft modules, the thickness of which can nevertheless be reduced to 10/20 cm, depending on the material used & the filling sophisticated such as 18: 15/15. A sketch of the SUBSTITUTION MODULES (ie after cleaning & reconditioning ...) already attests to the goal sought = anti-decubitus, back recovery, 4/15, 1,3 & 4 = 3/15, 1, 2, 3 etc, & allows us to imagine the use of cells in pre-studied fabric: ex. the tesles chlorofibres that Clévyl has as an external coating, Sétila, Frisurel for the lining

& emberlificotage dexx modules forming counter-balancexx .. One of the modules, the OCCIPITAL NET, of extremely limited use, will be articulated at the rear of the LIT according to a particular mode: 5/15 & 5, 6/15. The NET itself is a cozy "cradle", of which the picks are composed, p. ex. , SUperdouff or "frayedH" crinol (Designations shown for reference only). There are countless point applications

THE CAREER'S ART consists of: 1 °) adjusting the LIT to the level that is right for it, this LIT being a real lift (for example by hydraulic-hydraulic cylinder, with manual control: 1/15,

7, or by robot: 1/15, 8bis, 66, 16; 2) play the assembly of the 5 modules to the best of the situation, replacing the most contaminated alveoli by replacement alveoli .. or using the modules prepared in advance for a well-defined surgical operation (eg dressings renewed or not, etc .. etc ..): 1/15 , C or Cbis, 9, 5 The OCCIPITAL NET is compatible with 1/15 & 7 / 15.Compatibilities will depend on each disabled person.

In summary, the positioning of the patient, the planned interventions command the choice of the LIT first. The care will depend effortlessly (even in the case of manual manipulation of the SET), the level, the angle previously chosen.

ROCKER BED (or BED B), INTEGRATER like the previous one, very exactly. Same characteristics, except angular positioning. The preset angle will allow to intervene on the patient's sides: the shoulder in particular will be favored: 7/15, angles of 10, 20, 30 °. We may prefer modules of lesser thickness, just as effective, eg for less volumetric subjects (7/15, 8, 11, & TEN (10).

HANDLING: The self-lubricated flange slides 7/15, 3 allow the LIT to be gradually swayed, the angle obtained being sufficient to handle e.g. fractures, trauma, etc. lateral. The MODULE = KEY, dominant, remains the TEN (10) facing the pelvic area. Same fixings as 4/15, 2 = 6/15, 1,2, 3,4, but if robot, electric closings and fixings (7/15, 16, closure at 7, 7. 7) .. A cylinder can also replace the hand when lifting as downhill: 7/15, 15 & remote control 14. Finally, the OCCIPITAL NET, refined and therefore perfectible, can play. first roles on the skull side. 5/15, 72 = 6/15, 5. LIR ROULANT (C). I ₁ takes 2 of these beds, synchronous, the first by driving the disabled discharges on 2ème.Côté feet (rigid) of the patient, we compare the two beds cm, on their rails (manually, or cylinder, or robot: 8/15, 7, 8 & 8, 8bis The goal is to provide an ad libitum free space, a tunnel, a corridor, a "look" (from qqs cm to 20 / 30..cm) between the 2 BEDS in order to block passing the disabled area to "work ler ... Ex .: treat the abDOmen just at the required place, and above, with or without OPERATING TABLE brought to the desired height (Cf. modern retractable TABLE in height, length, width, diagonal) ... Another example: we want to "work" the

(if shoulder blades from below: we adapt the OCCIPITAL NET, we blo qtuuee) the shoulders between the 2 BEDS, fixing the 2 points most favorable to the intervention ...

The OPERATING TABLE finds here a very skilful cooperation, on the condition of evolving and seggeffering on the kinetics dnnt it must take advantage: 9/15 provides a diagram of this new type of TABLE: pedals raise it to the preferred height , levers retract it in length, in width, in diagea nql (9/15, 12 & 12 ,, 55 & 56, and the tunic 33 with self-fastening selvedges 34). The TABLE is even able to stadapter according to the dirt or the vacuum between the 2 BEDS, by pivoting if necessary, to the exact position of the human body, which undergoes minimal outrages during a possible deposition. Indispensable learning can last qqs days. The LIT (s) is a graduated scale which controls the state of the patient & the opportunities for manipulation. The disabled person fails in the 2nd LIT, and the 1st, rehabilitated, can receive a 2nd patient. This BED offers a LATITUDE of use, which will perhaps only be exceeded by the ROTARY BED (D), but it must be highlighted, as long as the Robot & its closers & electrical fixings are not within walking distance. work, manual FIXATIONS, whose ingenuity requires a very short apprenticeship. The "tunic", like any other ALAIZE or LAIZE used in the 4 devices, is provided with an elastomer edge with declining elasticity adorned with a flat anchor, such that the anchor is tightly tucked up and accelerated. (9/15. 33 & 34 == 12/15, 6. 18bis, 20bis

The CLEANING COLUMN, on the other hand, ensures sanitation. By lowering the LIT, it is made to marry the thin rim (29) of this sort with an adaptable bin, with its absorbent straps, (28), its "spray pump", its pedal (30) 9/15. A more elaborate description of this health innovation will be produced later together with that of the new OPERATING TABLE. It must be remembered from these 2 innovations that an EXTENSIBLE, VERSATILE, FUNCTIONAL SYSTEM hardly required anything. ingenuity sessions to operate at full capacity, is currently becoming (in 1983) necessary to deal with HEALTH affairs. There is an emergency not only because of demographics, but also because of the complication and the acceleration of surgical "dramas". It should not be overlooked either. accessories such as the "special flask" (21: 10/15: 23 ..) contained in TEN (10), & its watertight closure operated by hand or artificially by a finger striking, just in time, the column (10 / 15: 26, 24. 25). The modules here can be removed from the top, or they can be emptied or replaced especially once you have reached the lower level (overturned: 8/15: the 10 & the flask under the 22, most example c omplex). All "garbage" is evacuated by the crapaudine

51: 9/15.

The BEDS 'BEARING is carried out on drums (cylinders (8/15: 13). Cf the flattening of the spheres: 11/15, 55. The padded and waterproof cells are driven by a "conveyor": drive train, between semi-rigid restraints, in Technyl eg Cf. 11/15, 17, 20; 9; 18. This convector is hollowed out, leaving just the edges to support the modules: this allows access to the modules (in the patient’s abs, from above; if not, from below) easily, & L'nn will note the hatch 19 allowing more frequent evacuation of the gourd = urinal. A crank (7) or a suitable robot (8bis) , or a remote-controlled cylinder (8) (8) circulates the "double mattress" from left to right & from right to left.

Thus, even the ESTROPIED are found in modules responding to their condition (fractures, trauma, all your lesions misplaced), & after adjustment and positioning of the OPERATING TABLE, 2 ° of the 2 BEDS ADJUSTED, 3 ° of the disabled person brought back on this graduated table, we can "work" in the best conditions. AND this graduated table can even take the form of a sort of module foot or calliper allowing sliding to the cm, even to the nearest M / m. Modules essential to certain situations. Version A, thus slid and equipped with sliders (and similarly version B) would authorize the use of sliding modules coming at named pxxpoint, to the rescue of unpredictable troubles. See 7bιs / l5: 17 _c to d dashboard with cursor..DIX walkman. ROTARY BED (D)

. +. +. +. +.

This LIT will be animated, either manually, or by ROBOT or Vérin, with a circular movement of 90 ° around its AXIS. THE AXIS is integral with the modular system (in the center the TEN (10), and rests on 2 spring arrangements: those of the Columns already mentioned (25) and the pyramid (27) 13 / 15,25 & 27, which provide stability & enhanced comfort. The manual rotation is actuated by 2 toothed cones 9 & 9bis, and, inside, by 2 other cones also with gears 17 & 18. There is a choice between a braking system with sinusoidal baffles & an ad brake hoc type "Binder". 14/15. The support points 20..are freeing the carrying arms, under the effect of the ring 13, first wedged in 14, and which therefore engages on the ramp This braking will be reduced to its simplest expression by the very near addition of a ROBOT (16, 66).

The HANDICAPÉ is molded in its "cocoon", and more particularly protected, at the head, by a "bell with porthole", cozy (in Superdouff for example), transparent at eye level (OCCIPITAL NET in reduction or even mini c aisson: 12/15, 1) == 15/15, the 31bis. The usual modules that their thinness does not affect in any way on the "corrected suspension" plan: ad = & consistency, con = & maintenance, are removed 1 & 1, possibly by ROBOT (15/15. 162, 66) & replaced by ALAIZES or LAIZES (12/15, 18, 18bis, 6, ..). Other details, such as the more rigid CASE for skull (1, sliding, 5 ..) especially the 20 synonymous with anchoring & unclipping favored by "accommodating" elastomer, the ring forming the brake shoe or qq. "Binder", the comfort in "withdrawal" of the 2 spring assemblies (15/15, 15/15), means that the whole turns smoothly and without movement & that the patient is not shocked in any way, all arbitrary being banned from handling. In addition, we can also treat xi well after before turning the body over: 15/15, MUI / PIDIRECTIONAL OPERATING TABLE receiving the body on its "tunic" at 18. The most demanding & successful point will be the 'velvety'& accelerated impact of the disabled with the surgical tool (including the instrument): or it can be "worked" from above: feasible; or we will approach it from the bottom: we turn it over. It is in some way transferred from its "cocoon", of which we keep, if we want, the dress (the pod) on the TABLE, thanks to an easily assimilated gymnastics, which accelerate the selvedges (20) & vermiculated staples. The possible ROBOT, with grips in 2, 3, 4 points and instant anchoring (electric strike) will be a further progress.

This LIT can be widened to a potential harmony of 2M, or even 2m50 in width, being able to be suitable for large disabled, crippled people with complicated prostheses; the general stratificate with its constrained, but constrained & even more active modules, the mechanical discipline opening up to multiple positions, conditioned from the inside, from the outside, diagonally, will excel in borderline cases. an extremely simple device may be suitable for Pauperist countries: it consists, for the "ordinary" handicapped person, of bringing down to 1 SINGLE MODULE (especially the TEN) the apparent ranting of a 4-dimensional system. The TEN will slide on a ramp with slide & (or) casters 8 will take the most relevant pLAOe, This DIX player, starting from the feet, will be the permanent relay. In summary, the ROTATING, ASCENDING, ROCKING, ROLLING BED is only one and the same BED having for object the CAS by CAS, major problem of SURGERY.

The 5 MODULES, reducible to 1 ONLY, to a minimal thickness if patient little damaged, of the "current" type == The reassuring cogs (14/15: 15,14,16,20,21 ..) animated by steering wheel 15 / 15:

12 & 15 or by a harmonieax system, similar to a "rotation mill", which the Robot can take over == Easy access (including Robot) to the Modules, eg. by the recess of the "conveyor" at its lower part vector of the modules 11

15: 17 == The impact softened ("on the down") by the mxaièkemanière whose instruments & devices marry the body of the patient: 9/15

10/15: 29, 33, 34, 55.56 = 15/15: hammock cover 18 becoming a tunic "

9/15: 34 by marrying TABLE 26 == The repo ^so x ⁱ r ^r modernized by the transformation of the OPERATING TABLE: retractable in height, length, width, diagonal (Of diagram 9/15: 12 12 ,

55-56, 33 34; etc .. == The OCC IPITAL NET (5/15 & 6/15 fig 5), the semi-rigid BOX (12/15, 1 & 5), the PORT BELL (15 / 15, 31bis, all other occasional rectifying & folding elements ranging from the tripod mushroom (5/15, 1) to hypoid type damping (14/15: 14, 13, 19) etc etc

mean that the DISSOCIATED BED goes from the HOUSE BED, which we keep at home in anticipation (even used with a standard mattress on top: the Hospital at Home) to the very sophisticated SYSTEMATIC BED OPENING to the most dramatic "CAS" , the number of which is growing in our time.

Claims

R E V E N D I C A T I O N S. +. +. +. +. +.

1) DISSOCIATED BED, WITH CAPITATED MODULES, WITH DIFFERENTIAL FLUI INTERCONNECTION, INTEGRATING ALL MEDICO = SURGICAL PURPOSES, characterized in that it is based on 2 principles: a) Substitution of the MONO BLOCK BED of a SYSTEM of 4 COLUMNS with springs integrated 1/15, 1, 2 (& additional SPRINGS 13/15. 25. 27 = 15/15, 27), compound,

in addition, a MODULAR STRUCTURE consisting of CAPITONNED CHASSIS, ie. of MODULES (5 in general) of SUBSTITUTION (renewable after washing & restoration), the SET having the capacity: in Version A to facilitate the substitutions (care .. etc ..) just necessary; in Version B to modify the angular access; in Version C to synchronize 2 identical BEDS, to operate a continuous sequence (hence the sliding of the body), so as to spare a "look" for the purpose of punctual interventions; in Version D to rotate on itself and completely turn over the disabled, to adjust the angle of intervention and any harmonious positioning for the purposes of surgical operation == b) The human body is kept horizontal ( cannot bend) if it rests on surfaces close to 20, 25, 30 .. cm (amplitude according to size, age, handicap ... including edge position: 1/15. 2 / 15.3 / 15 , 4 / 15,12 / 15: 44), which makes it possible, at any time, to SUBSTITUTE from one Module to another (after soiling, or before either sanitary or surgical operation);

2) DISSOCIATED BED, WITH CAPITATED MODULES, WITH FLUIDIFIED INTERCONNECTION, INTEGRATING ALL MEDICO = SURGICAL USES, according to Claim 1, characterized in that the SUBSTITUTION MODULES (ie after restoration) are padded & coordinated sui generis, in pre-studied materials, of very variable thickness but of similar effectiveness according to the models & the sanitary necessities (5/15, 4 / 15,5 / 15, 12/15 in 6 & 18bis ...) In that they have multiple forms, anti-c ontact , anti-profile: tripod mushrooms, starfish, marbles, bulbs filled with SSI for example ... the material being variously sophisticated: Superdouff for example, divergent plastics, Waterbury fabrics for example etc ... : 1 = 15/15: 18, 31bis ..In that there is interdependence between them & their multimorphic fixations (qqs ex. 3/15, the 3 == 4/15, the 2 ++ 6/15 , 1,2, 3, 4 == 7/15, 13 == 12/15, lë 3), that we can adopt the appropriate closings for each case, and especially the electric closure, if there is Robot: 12/15 in 4 == 7 /

15, in 7x, 7, 7 etc ... That we can, apart from manual manipulation, call on the Cylinder (15/15, the 14, 15), but especially the accelerated precision of the Robot (7 / 15, the 16 == 15/15, the

16, 66)

3) DISSOCIATED BED, WITH CAPITATED MODULES, WITH INTEGRATED FLUIDIFIED INTERCONNECTION ALL MEDICO = SURGICAL USES, according to Claims 1, 2, characterized by the fact that the most sophisticated MODULES are Oe 10 (DIX), OCCIPITAL NET & CASE 1 15: the 10 == 7/15: the 10 == 8/15, the 10 == 5/15, the 72 F.Occ. == 12/15, the 1 .. The TEN, dominant module, alveolus = key, corresponds in the cutting of the body (5 uneven slices) to the pelvic part, the most filthy: it will include a "gourd with hatch & flattened edges" 10/15: 10, 21, 25, 22 .Also does as the NET OCC. with its 2 "cradles" with silky bands between crosses & movable fixings allowing the intrusion of the scalpel, meets a limited use: acute trauxmatism of the skull, operations in extremis of the head 5/15, 72 == 6/15, the 5 == 1/16: in 8 .. That the CAISSON semi-rigid & authorizing a "cabge", ¹² s ^/ e ¹ r ⁵ a ^{: 1} in C & D That one will have to use a special cover (bell) 31bis with porthole, at the same time box and net, in particular before returns Ment of a handicapped person (15/15);

4) DISSOCIATED BED, WITH CUSHIONED MODULES, FLUIDI FLÉE INTERCONNECTION, INTEGRATOR FOR ALL MEDICO = SURGICAL PURPOSES, according to Claims 1, 2, 3, c charactérisé by a set of TS RESSOR incorporated (1/15, 2 == 15/15 , 25) or subsidiary 13/15 & 15/15: the 27 which are combined with the movements of ascent (A: 1/15), of angular variation (B: 7/15) sar Self-lubricated slide, smooth passage from one LIT to another (C: 8/15), the patient's temperate reversal (D: 15/15). That consequently, this kinetics applies to the totality of the required gestures, wants to be anti-decubitus, pro-scarring, while ensuring to the "cocoon of security" that is the MODULAR STRUCTURE (swinging & elasticity against squares & most contiguous) the most sought after stability;

5) DISSOCIATED BED, WITH CAPITATED MODULES, WITH FLUIDIFIED INTERCONNECTION, INTEGRATOR FOR ALL USES MEDICO = SURGICAL, according to

Claims 1, 2, 3, 4, characterized in that the SET can be oversized, achieve greater multi-laterality, lend itself to exceptional cases (large infirms, etc.). Eg the PIVOTING BED can pivot at a level of 0m60, 0m80, etc. if the LIT is increased to 1.20m, im60, 2m in width. In that Modules made up on demand, will exert soothing or kneading pressures, coercion & ecto-coercitio possibly. That, therefore, this versatile STRUCTURE will have an intrinsic perfectibility &. extrinsic as it synthesizes all the devices & accessories already recognized, without the slightest disapproval of the smallest of them, by inserting them in operational fields, positioned. That this LIT = LABORATORY will be converted into OPERATING BLOCK by three ambient walls radiating continuous asepsis (Of corresponding Patent), the ROBOT, moreover, taking care of precision tasks (introduction of modules, handling, development of the triangle: disabled, bed , operating table..); that, under complicated appearances, he brings, after a brief apprenticeship, almost expeditious solutions, without disdaining the exploits of "minor surgery", of "sanitary cleaning". That it can be reduced, being a CAS by CAS process, to a rapid substitution of 1 or 2 Modules (ordinary patient), and suddenly pass to the "rescue" of an accident victim almost irremediable;

6) DISSOCIATED BED, WITH CAPITATED MODULES, WITH FLUIDIFIED INTERCONNECTION, INTEGRATOR FOR ALL MEDICO = SURGICAL PURPOSES, according to Claims 1,2,3,4, 5, characterized by the technical requirement of an ultra-modern OPERATING TABLE, i.e. retractable at will, in length, width, height, diagonally ..., adjustable, no longer to rigid situations, but to those, flexible, achievable now (C f. 10, 9/15, 12 / 12, 55/56, 29. 8bis; 21, 23 on 10/15 ... etc etc ..)

7) DISSOCIATED BED, WITH CAPITATED MODULES, WITH FLUIDIFIED INTERCONNECTION, ONTOGRATOR ALL MEDICO = SURGICAL PURPOSES, according to Claims 1,2,3,4,5,6, characterized in that the ASCENSIONAL BED represents a common trunk, capable of on the one hand be reduced to 1 or 2 substitutions of modules (eg the 10) thus providing a simplified (popular) LIT, which can on the other hand, be enriched by devices or accessories which confer greater scope. In that, consequently, it is necessary to deposit it, according to each need, from the following peculiarities: discs, pucks and self-lubricated spheres, (1/15: 4, 5, ..); cylinders & pla sliding heads or chucks (1/15, 40); OCCIPITAL NET

5/15 == 6/15: fig 5, folded in 8: 1/15; Modules infinitely varied (to measure if necessary, and in stock):

the module = key, the TEN, of 20 -300M generally corresponding to the "slice" of the body the most soiled, the most demanding; COLON NE of PPOPRETé, most often preceding the TABLE: 9/15 & 10/15

GOURDE = URINAL in the TEN (10/15, 21,23,22 ..). Etc etc. In that all these devices can be eliminated, if one thinks of a PRECAUTION BED, FAMILY BED (ritual mattress on top), before illness (Of. The current trend at Home Hospital)

8) DISSOCIATED BED, WITH CAPITATED MODULES, with FLUIDI FIXED INTERCONNECTION, MEDICO = CHIRIRGICAL INTEGRATOR, according to

Claims 1,2,3,4,5,6,7, characterized by the fact that the NECK SLAT is the salient aspect of the ROCKER BED, the DEVELOPMENT of a "look" between 2 synchronous BEDS for the purpose of he total approach is the strong point of the ROLLING BED, the ad libitum positioning and until the reversal in Security, of the human body, is the realism of the SWIVEL BED. In that the LAMPS with fast anchoring, the "TUNIC" jointly marrying the patient and the TABLE, the precision and the electrical fixation of the ROBOT, the general technique of configuration & dynamic conditioning, achieve an ALL functional & operational digneat of their mission. In that, in the vast majority of cases, we can be satisfied with the 17 sort of graduated dashboard / making the point of the pathology of the Disabled, of a slight superstructure on wheels (7bis / 15, vector of a TEN ready), to remove this or that module left to put it back, to substitute the TEN, / and thus to do the "little housekeeping", or prepare the surgical operation:

Sliding ramp to be developed, end of end of littera toutvena 9) DISSOCIATED BED, according to all the Claims already stated, characterized by a rigorous interaction of devices & accessories which play closely, either on the scale of angles, or on the infinitesimal impact SURGERY = PATIENT 9/15 12 / 12, 55/56, 33 & 34 ... rail, 11, 8/15, robot ..), or on the conditioning & rehabilitation of the flesh (3/15, 4/15, 5/15 6/15 etc ..; characterized by an "orchestration" of driving elements & sanitary techniques (15/15, 16 == 10/15, 28, 29 ... le 10, = 12/15, 18, 18bis, 6, 20bis , 1 ...), in particular sophisticated ROBOT & LAIZES offering a maximum of "enlightened support" by a precise & instant adequacy. The TEN, by itself, can be a key reservoir of sanitary & therapeutic hygiene. claws, gaffs, anchors .. extra-flat, barely foreshadow the fixing of Modules & positioning achievable by this flexible handling cell that is the Robot (Ex: electric closing in 7, 7, 7, : 7/15);

10) DISSOCIATED BED, according to all the Claims already set out, characterized, therefore, by a profusion of utilitarian means, the enumeration of which is claimed: 8/15 can be used as PORTABLE CIVIER 11/15, 35, 36 == = The provisional mechanism (before Robot) of rotation of the ROTARY BED is made up of CARRIER ARMS (20, 21: 14/15, 9, 9bis, 17 & 18) released by the clutch of the grooved cones, so that the LIT = FRAME rotates around AXIS 12-30, braked by baffled ramp (sinusoidal profile), on which the ring 13 engages === THE ROTARY BED authorizes SUCCESSIVE LEVELS as well as "GOING &RETURNS" Horizontal = Turning, marrying in this way simultaneously the epidermis of the Disabled, the surface of the OP TABLE or the neck of the CLEANING COLUMN (Synchronization 2 successive BEDS e.g., MULTIDIRECTIONAL TABLE, LAIZES with accelerated anchoring TUNIC 9/15, 53, 34) === Sophisticated TUNICS in Overduff eg. or Frisurel, or in "cocoons", shards "type" elater "=== Recess of the" conveyor "(8/15), which allows the modules to be taken up from the bottom === Flexible & folding SIDE panels articulated under the TABLE d 'OP., Which will make it possible to more quickly embrace an Operated === MODULAR THICKNESS of the MODULES, from 20 to 60 cm., Depending on the element (particle ..) anti-decubitus, anti-profile, Case Studies : deep for patients "to recover", 3/15; more orthopedic, 3/15, 2; 4/15, heads not too damaged; 5/15, & 6 /

15 fig 5, very traumatized skulls === PARTITION of the body and modules according to number & severity of handicaps (Of ramp gra duée 7bis / 15, 17), hence a very large STOCK of ready-made modules === CUT-OUT Modules & body corresponds to spatial & temporal agility [kinetic (very short execution timing) held by 15/15, 7/15, •• 9 / 15TABLE above all ≈≈≈ BOX 12/15, 1 OCCIPITAL NET : 5/15 "& 6/15 fig 5 provide ever perfectible support for head injuries === GESTES of performers, forms of Techniques (LAIZES, TUNICS, BANDES & even SPRINGS with" recessed "effects 15/15 , 27, 25; "cradle" with welcoming contours from 22: 11/15; col of the CLEAN COLUMN in S, "sticking" to the mattress & to the patient) generate a plastic conv gency === MINUTIE OF FOCUSES, almost photographic: the "look", the "row" between 2 BEDS thanks also to the increased maneuverability of the MULTIDIRECTIONAL TABLE 9/15, 12, 55; rail (& better actuator, robot) 11 or 13bis (8/15, 15/15) authorizing the "assembly", the tightening "as tight as possible" of SUCCESSIVE BEDS: VIEWING the "corner to" work "equals major imperative == = Finally transition from manual kinetics to ROBOT, flexible, precise.

DESCRIPTION OF BED A Summary & Simulation. +. +. +. +. +.

1 Spring columns

2 springs

3 (ST) Stabilizer (41)

4 Disc (pallet) at the end of the 4 longitudinal tubes

5 Cross tubes with their sphere

10 bis vertical tubes ensuring the balance of the spheres in their contact with the vector springs

40 Sliding sleeves lifting the LIT thanks to the

7 Cylinder

8 (& 16) Supply device for USE OCCIPITAL (Very very limited use net 7 Cylinder, or rollers, or rail, short contact in the ground. 44 Body surface (especially seizing) resting on vacuum

20/50 cm. once the module has been removed (Ex 10). 9 & 2 types of modules among others (density & destina

various): especially LIT ref. & BED B

11 & 32 Stapling modes of the OCCIPITAL NET. Cutting the corυs and corresponding modules.

25, 26, C, Cbis Manual fixings (Popular Bed)

99 Simulated positions of 3 different patients according to their handicap: hence the appropriate arrangement of MODULES: flat, all coming; half-hollow, the injured gran, skeleton very affected; hollow: burnt, in SSI, etc.

66 ROBOT SIMULATION

8/15: 1 / C

1 MODULAR MATTRESS (5-6 cells covering various disabilities as much as possible ..).

2 MATTRESSES which will come on the surface, rolling on "CON VOIEUR" (on the edge only).

4 & 5 Cutting of the body & modules, modules from 20 to 25, 30, ... 50cm. "styling" the sections of the body & especially the handicaps (once delimited).

10 TEN Most sophisticated key module (in the center!).

6 LIT called to adjoin the 1st (on rail 11 ..).

7 Crank, waiting for Robot.

8 Cylinder remote control (8, VIII). 8bis possible ROBOT

13 Cylinders on flat surfaces (11/15, 35, 36)

14 Stabilization rods.

18 Qqs. Manual attachments (If robot, electric closing).

19 Access hatch accessible through the conveyor recess.

22 See also 11/15, 4 / C: Soft oval, slightly quilted, corresponding to the seat. The 22 is the 10 flared, near the Col de la Gourde 10/15

21, 23.