WO1986001999A1 - Lit de traitement - Google Patents

Lit de traitement Download PDF

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Publication number
WO1986001999A1
WO1986001999A1 PCT/EP1985/000499 EP8500499W WO8601999A1 WO 1986001999 A1 WO1986001999 A1 WO 1986001999A1 EP 8500499 W EP8500499 W EP 8500499W WO 8601999 A1 WO8601999 A1 WO 8601999A1
Authority
WO
WIPO (PCT)
Prior art keywords
treatment couch
couch according
treatment
net
arrangement
Prior art date
Application number
PCT/EP1985/000499
Other languages
German (de)
English (en)
Inventor
Wilhelm Van Den Brandt
Original Assignee
Wilhelm Van Den Brandt
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Wilhelm Van Den Brandt filed Critical Wilhelm Van Den Brandt
Priority to DE8585905324T priority Critical patent/DE3585614D1/de
Publication of WO1986001999A1 publication Critical patent/WO1986001999A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/02—Beds specially adapted for nursing; Devices for lifting patients or disabled persons with toilet conveniences, or specially adapted for use with toilets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/0005—Means for bathing bedridden persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G9/00—Bed-pans, urinals or other sanitary devices for bed-ridden persons; Cleaning devices therefor, e.g. combined with toilet-urinals

Definitions

  • the present invention relates to a treatment couch for hygienic cleaning and care, satisfying needs and for diagnostic monitoring and therapeutic care of permanently or temporarily bedridden, motionless, restricted and / or disabled people, according to the preamble of claim 1.
  • This type of patient can be a person who is bedridden due to age or is bedridden as a result of an incurable disease leading to slow death (e.g. cancer or MS) or is permanently paralyzed, or else those who have to wait for their healing process to lie down (eg thigh fractures).
  • slow death e.g. cancer or MS
  • thigh fractures e.g. thigh fractures
  • the invention has set itself the task of creating a treatment couch with which an optimal supply of this group of people in their apartments, i.e. is made possible in the family community of relatives or in nursing homes, so that the persons concerned are able to help themselves depending on their physical condition or the caregivers, i.e. Spouses, family members, neighborhood assistants, nursing staff, resident doctors etc. are taken away from the spatial and situation-related burdens that stand in the way of optimal care.
  • the treatment couch according to the invention takes into account the operational circumstances and environmental requirements as well as the existing psychological, personal, interpersonal, spatial, organizational and financial limitations to which bedridden and needing care outside a hospital are subject.
  • the invention is based on the fact that the bedridden person concerned primarily wants to be in his bed only to sleep and wants all nursing care to be carried out outside the bed, ie on the treatment couch.
  • a multitude of advantages are achieved with the treatment couch according to the invention; these are: nursing duties *. a low-force transport of the bedridden person from their bed to the treatment couch; the fulfillment of needs in a sedentary posture; the person sitting on a toilet-like arrangement; automatic and hygienic genital cleaning and drying; the disposal of excrement automatically and with little odor or manually without direct visual and touch contact; a whole body and genital shower cleaning for both sexes; a skin refreshing spray (e.g. rubbing alcohol); self-sufficiency of the people with regard to the daily activities such as brushing teeth, combing, shaving etc.
  • nursing duties * a low-force transport of the bedridden person from their bed to the treatment couch; the fulfillment of needs in a sedentary posture; the person sitting on a toilet-like arrangement; automatic and hygienic genital cleaning and drying; the disposal of excrement automatically and with little odor or manually without direct visual and touch contact; a whole body and genital shower cleaning for both
  • Another advantage in terms of optimal care for these people is therapeutic care for maintaining or restoring or improving the physical vital functions.
  • Such disorders are particularly addressed here, the origin of which can be found in the fact that people are bedridden, e.g. Bowel problems, blood pressure and circulatory problems, muscle weakness, circulatory disorders etc. and the consequent loss of life, depression etc.
  • Such individually indicated medically prescribed forms of therapy can also be complied with, which are disease-related aftercare therapies, such as, for example, infusion therapy, inflammation and infection therapy, getting up and walking training, extremity movement therapy, Kneipp water therapy , the stimulation current therapy or the inhalation or 0 2 ⁇ therapy.
  • disease-related aftercare therapies such as, for example, infusion therapy, inflammation and infection therapy, getting up and walking training, extremity movement therapy, Kneipp water therapy , the stimulation current therapy or the inhalation or 0 2 ⁇ therapy.
  • All of these therapy options are made possible by the treatment couch according to the invention either in direct or in direct form.
  • Such therapies are also possible, for which additional equipment is required, for example for the administration of syringes, for -4- Blood sampling, for minor surgical wound care, for rinsing therapy or reviving emergency aid.
  • Devices of known type for diagnosing and monitoring cardiac functions such as, for example, EKG monitoring and diagnostic evaluation of external cardiac pacemakers, defibrillators, to name only a few, can also be used in the sense of the modular principle.
  • bedridden people can also be held in such body positions as are required, for example, for a gynecological examination or rinsing therapy.
  • a device for internal human water therapy on a mobile frame is known with a device for supplying treatment liquid from a storage container via an outlet device to a patient with a seat and lying surface for a patient whose The inclination of the backrest and headrest parts can be adjusted and a treatment console with two inclined seat surfaces for the thighs with the knees drawn up is provided on the horizontal seat part adapted to the two seat halves, the console providing a device for guiding the patient away from the patient of the previously performed treatment liquid has excreted substances and with a device for collecting the excreted substances, which is connected to the device for guiding away.
  • FIG. 1A schematically shows a side view of a treatment couch, which consists of a collapsible couch surface 1, which is arranged on a console 2, in which the supply and disposal arrangement is accommodated.
  • the console is mobile, since 3 wheels 4 are arranged on its underside via a plurality of holding arms.
  • the holding arms 3 can be designed to be extendable in order to cope with different loads.
  • the treatment couch is shown schematically in the folded state of the couch surface.
  • Figure IC also shows schematically a side view of the console, which is provided on its upper side with an opening which ensures access to the supply and disposal arrangement. Separated from the supply and disposal arrangement, a multiplicity of electrical connections can be provided on the console.
  • the console can be equipped with an adjusting device for the lying surface 1 e.g. a hydraulic, pneumatic or electrical arrangement, which is schematically designated 6 in FIG. 1D.
  • an adjusting device for the lying surface 1 e.g. a hydraulic, pneumatic or electrical arrangement, which is schematically designated 6 in FIG. 1D.
  • pressure cylinders 7 FIG. 1F
  • these are e.g. Horseshoe-shaped attached to the top of the console so as to give the lying surface 1 any desired side, height and length adjustment.
  • FIG. 2b shows a reduced plan view of a lying surface which is divided into several sections 8, the individual segments being connected to one another in an articulated manner so as to fold the lying together.
  • Figure 2a shows an enlarged view of a plan view -6- on this lying surface, the individual sections 8 being provided with a large number of fields 9.
  • the fields 9 can consist of inflatable hollow bodies, for example of rubber, or of a suitable plastic which is so elastic that it adapts to the anatomical shape of the body.
  • the fields 9 can either be connected together or individually to an air pump, as indicated in FIG. 2d.
  • each individual field 9 can be inflated at different pressures by means of an associated hose 15 from a pump 14 in order to take account of the circumstances of the person.
  • Drainage grooves 17 are provided between the fields 9 and run to the lowest lying point of the lying surface 1, at which a preferably circular cutout 5 is provided, which is delimited by an edge 4. This section is directly connected to the supply and disposal arrangement in the console 2.
  • FIG. 1 On the outer edge of the lying surface is e.g. inflatable side wall 10 is provided which, after it has been filled with a fluid, enables the lying surface 1 to be filled with liquid.
  • Figure 2c shows a section through the lying surface 1 with the side wall 10 in an uninflated, i.e. at rest.
  • concertina-shaped joints 12 are provided in the side wall at the articulation points, which enable the straight course of the side wall 10 to be bent.
  • extension pieces 11 are provided on the two end parts, which can also be designed in accordion-like fashion in order to ensure the length of the lying surface can be adjusted.
  • the side wall 10 can be designed in such a way that it has a stiffened outer skin and a stretchable inner skin, so that when part of the filling air is released, the inner skin contracts downwards and thus the upper -7- edge of the outer skin also pulls down.
  • the round cutout 5 arranged approximately in the middle of the lying surface can be closed, as indicated in FIG. 2e.
  • This lockability is e.g. guaranteed by four elastic segments 16 which are inflatable and take the form of a quarter circle. They can be under the influence of a return spring 16 'which opens the cutout 5 when the pressure decreases; they can also be operated magnetically or electrically.
  • FIG. 2c also shows that a collecting tray 13 is provided below the section 5 and is connected to the disposal arrangement in the console.
  • the lying surface 1 can e.g. Via a central locking and unlocking arrangement shown in FIG. 2f, the console 2 and thus the supply and disposal arrangement can be released.
  • FIG. 3 schematically shows the structure of the supply arrangement, which in the selected example consists of a chamber system 19 which has a multiplicity of chambers 20 to 24, each chamber being provided with a level indicator.
  • the first chamber 20 can contain soap, for example, the second chamber 21 an inlet liquid, the chamber 22 a gynecological liquid, the chamber 23 a special mixture and the chamber 24 a disinfectant.
  • Each chamber is connected via an associated hose to a mixing valve 25, which is connected via a further hose to a pump 27, for example a roller pump, which in turn leads via a heat exchanger 28 to a two-way valve 29.
  • An air line 30 is connected at a suitable point, for example between the pump 27 and the heat exchanger 28.
  • a water line 32 for example connected to the house connection, with an associated decalcifier 33 is connected to the mixing valve 25.
  • An electrical control circuit 31 controls the functions of the individual drain arrangements of the chamber system of the mixing valve of the pump and of the heat exchanger 28.
  • a spray head Arranged after the two-way valve 29 is a spray head, designated in its entirety by 34, and a shower device 35 for cleaning the entire body of the person via a longer flexible hose.
  • the spray head 34 shown in more detail in Figure 4 is used to supply suitable liquid, e.g. for genital cleansing through section 5.
  • suitable liquid e.g. for genital cleansing through section 5.
  • it has two opposing and radially extending limiting lips 40, 41 and an approximately centrally arranged spray nozzle 36 which is adjustable in the direction of its longitudinal axis, the limiting lips 40 and 41 serving as a stop when the nozzle 36 is inserted rectally.
  • the spray head 34 can consist of a plurality of perforated disks 42 arranged one above the other and rotatable about their longitudinal axis, one of which is shown in plan view in FIG. 4d. By rotating the individual perforated disks relative to one another (FIG. 4c), different spray jets can be generated, as is indicated in plan view in FIG. 4e.
  • a corresponding liquid can either be supplied to the shower device 35 for whole body cleaning or the spray head 34, so that any jet, gushing or shower spraying can be carried out or heated air through the air connection 30.
  • Figure 4b 'spray head is net angeord- in the rest position adjacent to and below .of the cutout 34 and 5 via an appropriate hinge 58 strands will at a Ge 38 which is pivotable about a fulcrum. 39 This ensures that the spray head 34 cannot get dirty and that its spray is only at the selected time. -9- takes up the cleaning position in the middle of the section 5. In the rest position of the spray head 34 shown in FIG. 4b, it can carry out disinfection cleaning of the entire disposal arrangement.
  • the linkage 38 can be pivoted both by the person on the lying surface and by an auxiliary person.
  • FIG. 5a further shows that a profiled rail arrangement 46 is provided below the collecting bowl, which has a retaining bolt (not shown in more detail) which, if the excrement pan 43 is pushed over the rails under the discharge funnel, simultaneously opens the lid of the pan.
  • the waste bags for disposal can be found on the edges of the -10- have a perforated strip at the top and be in the form of an endless belt, which can be separated from one another via a perforation arrangement.
  • automatic disposal can also take place in that the collecting tray 13 is provided with a collecting container 51 via a shredding pump 50, to which a suction pump 52 is connected.
  • a spring-loaded flap 49 can be provided in the funnel of the outlet tray 13, which closes the funnel in the unloaded state and is opened only by means of the weight of the solid excrement or large amounts of liquid which are obtained when showering.
  • a further possibility consists, as indicated in FIGS. 5f and 5g, of connecting the collecting tray 13 directly to a separable collecting container 51 or a device for pulverizing the excrement and the liquid between the collecting tray 13 and collecting container 51 - to be provided, e.g. by appropriate cooling and evaporation or by supplying energy, such as laser radiation or ultrasound waves and then pulverizing the particles thus obtained.
  • Figures 6a to 6h show different possibilities of positioning the lying surface e.g. by using the pneumatic, hydraulic or electrical adjusting device, as is indicated schematically in FIGS. 6c to 6f.
  • 6a shows the lying surface in the form of a chair with a strongly inclined backrest, in FIG. 6b with at least one extended holding arm 3, etc.
  • a side wall of the treatment table is provided with a sliding surface 54 in order to transport the person from the lying surface 1 to another bed level, for example a sleeping bed 53.
  • a sliding surface 54 By means of recesses 55 incorporated in the sliding surface 54, the persons can also move independently over the sliding surface.
  • FIG. 7b shows a side view of the sliding surface 54 between the treatment couch and a sleeping bed 53.
  • the rollers or balls can also be arranged in such a way that they are adapted to the anatomical body shape.
  • the sliding surface 54 can also be connected to the treatment couch via a joint and can have a hollow profile that can be slipped over the frame of the sleeping bed on its opposite side; Furthermore, it can be provided with a liquid drain groove and with an outlet opening for warm air.
  • the lying surface 1 can e.g. be arranged on a frame, which is then also divided into articulated segments or consist of a suitable plastic that is stiff enough to bear the load of the person and is also divided into segments.
  • the treatment couch can also be provided with a variety of accessories, e.g. with an infusion stand, with an insertable table with rotating mirror, with a gynecological leg holder, with a rectoscopic examination arrangement or also with a bicycle ergometer.
  • an arrangement for storing medical data and values of the person being treated can have an arrangement for the telemetric transmission of these values. It can also have an electronic control system for the central actuation of all functions, which is operated by the person himself or an auxiliary person.
  • the treatment couch according to the invention is also particularly protected against explosions due to its special construction.

Abstract

Le lit de traitement permettant de donner des soins aux personnes alitées, possède une surface de couchage réglable (1), un arrangement pour l'alimentation et l'évacuation des liquides, ladite surface de couchage (1) étant une surface pouvant être utilisée comme siège, douche, surface de toilette, de satisfaction des besoins et de traitement; la surface (1) peut être divisée en un certain nombre de sections mobiles (8) reliées les unes aux autres par des articulations, chaque section (8) pouvant être dotée d'une pluralité de zones (9) dont la forme peut être modifiée pour s'adapter à l'anatomie du sujet; le lit de traitement possède sur un de ses côtés une surface coulissante pivotante (54), pour le transport des personnes.
PCT/EP1985/000499 1984-09-27 1985-09-25 Lit de traitement WO1986001999A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE8585905324T DE3585614D1 (de) 1984-09-27 1985-09-25 Behandlungsliege.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE3435555 1984-09-27
DEP3435555.3 1984-09-27

Publications (1)

Publication Number Publication Date
WO1986001999A1 true WO1986001999A1 (fr) 1986-04-10

Family

ID=6246555

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1985/000499 WO1986001999A1 (fr) 1984-09-27 1985-09-25 Lit de traitement

Country Status (4)

Country Link
EP (1) EP0195082B1 (fr)
AU (1) AU4868385A (fr)
DE (1) DE3585614D1 (fr)
WO (1) WO1986001999A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3533394A1 (de) * 1985-09-19 1987-04-09 Ernst Reitmeier Transfereinrichtung fuer patienten
DE3639799A1 (de) * 1985-12-23 1987-08-20 Jochen Dr Ing Kassner Pflegewanne
EP0306560A2 (fr) * 1987-09-07 1989-03-15 Hidetsugu Nishiguchi Lit d'invalide
DE3805431A1 (de) * 1987-09-08 1989-03-16 Siegener Feinmechanik Gmbh Liege fuer die kranken- und altenpflege
EP0402387A1 (fr) * 1988-02-22 1990-12-19 PAUNA, Kenneth Combinaison de lit et de salle de bain convertibles
WO1993010737A1 (fr) * 1991-12-01 1993-06-10 Loennqvist Marianne Dispositif portable pour l'hygiene corporelle
FR2690335A1 (fr) * 1992-04-23 1993-10-29 Metregiste Georges Lit pour personnes grabataires.

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2432147A (en) * 1944-08-11 1947-12-09 Robert R Freund Bath and lavatory supply construction for bed structures
FR1356926A (fr) * 1962-06-22 1964-04-03 Moyen mécanique et pratique facilitant le transport et le dépôt d'un opéré dans son lit
DE2140559A1 (de) * 1970-03-06 1973-02-22 Huedall Corp Vorrichtung fuer innere wassertherapie
CH566779A5 (en) * 1972-11-10 1975-09-30 Buri Maurice Sanitary truck for bed patients - has collecting receptacle drawing in foul air stools and urine
US4074370A (en) * 1976-04-02 1978-02-21 Mediglas, Inc. Bathing apparatus for hospital or bedridden patients
EP0024743A2 (fr) * 1979-09-03 1981-03-11 Bauer, Hans-Martin, Dr. med. Lit pour malade et installation de WC s'adaptant dessus

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2432147A (en) * 1944-08-11 1947-12-09 Robert R Freund Bath and lavatory supply construction for bed structures
FR1356926A (fr) * 1962-06-22 1964-04-03 Moyen mécanique et pratique facilitant le transport et le dépôt d'un opéré dans son lit
DE2140559A1 (de) * 1970-03-06 1973-02-22 Huedall Corp Vorrichtung fuer innere wassertherapie
CH566779A5 (en) * 1972-11-10 1975-09-30 Buri Maurice Sanitary truck for bed patients - has collecting receptacle drawing in foul air stools and urine
US4074370A (en) * 1976-04-02 1978-02-21 Mediglas, Inc. Bathing apparatus for hospital or bedridden patients
EP0024743A2 (fr) * 1979-09-03 1981-03-11 Bauer, Hans-Martin, Dr. med. Lit pour malade et installation de WC s'adaptant dessus

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3533394A1 (de) * 1985-09-19 1987-04-09 Ernst Reitmeier Transfereinrichtung fuer patienten
DE3639799A1 (de) * 1985-12-23 1987-08-20 Jochen Dr Ing Kassner Pflegewanne
WO1988003790A1 (fr) * 1986-11-21 1988-06-02 Mrd-Medical Research & Development Ag Baignoire a usage therapeutique
EP0306560A2 (fr) * 1987-09-07 1989-03-15 Hidetsugu Nishiguchi Lit d'invalide
EP0306560A3 (en) * 1987-09-07 1989-08-23 Hidetsugu Nishiguchi Invalid bed
DE3805431A1 (de) * 1987-09-08 1989-03-16 Siegener Feinmechanik Gmbh Liege fuer die kranken- und altenpflege
WO1989002260A1 (fr) * 1987-09-08 1989-03-23 Siegener Feinmechanik Gmbh Lit de soins pour malades et personnes agees
EP0402387A1 (fr) * 1988-02-22 1990-12-19 PAUNA, Kenneth Combinaison de lit et de salle de bain convertibles
EP0402387A4 (en) * 1988-02-22 1991-04-17 Kenneth Pauna Convertable bed and bathroom combination
WO1993010737A1 (fr) * 1991-12-01 1993-06-10 Loennqvist Marianne Dispositif portable pour l'hygiene corporelle
FR2690335A1 (fr) * 1992-04-23 1993-10-29 Metregiste Georges Lit pour personnes grabataires.

Also Published As

Publication number Publication date
AU4868385A (en) 1986-04-17
EP0195082A1 (fr) 1986-09-24
EP0195082B1 (fr) 1992-03-11
DE3585614D1 (de) 1992-04-16

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