WO1999007321A1 - Structure de support de patients pour malades et handicapes - Google Patents

Structure de support de patients pour malades et handicapes Download PDF

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Publication number
WO1999007321A1
WO1999007321A1 PCT/DE1998/002201 DE9802201W WO9907321A1 WO 1999007321 A1 WO1999007321 A1 WO 1999007321A1 DE 9802201 W DE9802201 W DE 9802201W WO 9907321 A1 WO9907321 A1 WO 9907321A1
Authority
WO
WIPO (PCT)
Prior art keywords
support
patient
arms
attached
lifting
Prior art date
Application number
PCT/DE1998/002201
Other languages
German (de)
English (en)
Inventor
Reinhold Wieszt
Original Assignee
Reinhold Wieszt
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 Reinhold Wieszt filed Critical Reinhold Wieszt
Priority to EP98947369A priority Critical patent/EP1056425A1/fr
Publication of WO1999007321A1 publication Critical patent/WO1999007321A1/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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1025—Lateral movement of patients, e.g. horizontal transfer
    • A61G7/1032—Endless belts
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1049—Attachment, suspending or supporting means for patients
    • A61G7/1055—Suspended platforms, frames or sheets for patient in lying position
    • 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
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073—Parts, details or accessories
    • A61G7/1076—Means for rotating around a vertical axis
    • 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
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/30—Specific positions of the patient
    • A61G2200/32—Specific positions of the patient lying
    • 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
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/006—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs convertible to stretchers or beds

Definitions

  • the invention relates to a patient admission according to the preamble of claim 1.
  • a patient admission is known from US 31 31 404.
  • the US 31 31 404 (esp. Fig. 1, 5) shows a patient admission with a self-propelled lifting transporter 10-14 with two-part lifting arm construction 11, 12.
  • a releasable connection coupling 31-33 (Fig. 5) is one the vertical axis rotatable rotating device 38 - 44 arranged, which allows unlimited rotation.
  • the patient receptacle has carrying units 24 which are articulated on lifting arms 23 and which grip around the patient ready for forceps (Fig. 1.3).
  • DE 39 17 240 AL shows in FIG. 1 a comparable patient receptacle that can be rotated about the axis V (column 6, line 60 ff.).
  • US 30 42 936 shows a patient admission with support units 57-60, the support devices 61, 62, 67 of which are guided in rails 68 and are driven by spindle drives 63 (FIGS. 1, 6).
  • the support units are pushed horizontally under the patient.
  • the support units are wrapped in bands 88, which are wound up and down by rollers 196, 197 (FIGS. 7, 8, 17 column III, 35 - column 12, WO 91/05 531 AL (esp. Fig. 1) shows a patient admission with support units 13-17 arranged like forceps.
  • Lifting arms 11 are arranged on a central unit 10, on which longitudinal supports 18, 19 are pivotably fastened via screw bolts 12.
  • the bolts 12 also allow pivoting of the upper parts 18 against the lower parts 19, and thus the setting of a sitting and a lying position (p.7, lines 20-35).
  • the US 54 28 851 (FIG. 2) shows a patient admission, the support units of which consist of two superimposed parts 24, each part being wrapped in a receiving band 28.
  • the belt thus has the same direction of movement on the top and bottom.
  • JP 08-322 888 A shows a similar prior art with endless belts.
  • the present invention is therefore based on the object of creating a patient admission for the sick and disabled, which can accommodate the patients very universally and gently by absolutely horizontally closing and opening the patient admission and transporting them while sitting or lying down.
  • the most important features of the present invention are, on the one hand, the spinal column-friendly and time-saving effort of the nursing staff, with simultaneous optimal care of the patient by only one nursing staff.
  • a counter-rotating double-band system can run under the patient simultaneously from both sides, as well as over a large area, without generating significant friction on the body and on the contact surface.
  • the patient is also gently and painlessly picked up and lifted, as well as laid down and lying down, without significantly changing his body position or position.
  • the patient admission according to the invention brings application and relief to the following groups of people, among others.
  • the patient admission according to the invention is very versatile in the application possibilities and covers, among other things, the following work processes or measures:
  • Transport to carry out diagnostic measures such as X-rays or computed tomography.
  • diagnostic measures such as X-rays or computed tomography.
  • computed tomography To facilitate further rehabilitation measures, as part of physiotherapy exercises, including water aerobics.
  • Weight can be called up at the push of a button and read on the LCD display.
  • the buttocks, back and leg supports provided with a mutually running double belt can be automatically adjusted to the body position or position on both sides by an electric motor or hydraulically. With little pressure on the lying surface, the patient's body is passed under almost smoothly from both sides and then raised. Now the patient can be rotated and transported on both sides by up to 180 degrees in any position by motorized adjustment of the buttocks, back and leg supports, or other desired actions can be carried out. If desired, the two body parts can be motorized, otherwise they can be manually adjusted to the body size.
  • the patient admission according to the invention is very universal and can be used extremely gently for the patient, only one person being required to operate it. After appropriate training, patients could also operate the device themselves, provided they were mentally and physically able to do so. Due to the hydraulic unit used in the base unit and the installation of an electrical or electronic control, powered by a battery or a rechargeable battery as the energy source, the necessary energy supply for the patient admission is available.
  • An electromotive rotating device attached below the coupling allows the patient support to be rotated on both sides by up to 180 degrees in its vertical axis and precisely positioned in any or required position so that the patient can be picked up and put down evenly and gently.
  • An integrated pressure transducer can be provided through a double bottom of the rotating device, which, if necessary, enables the patient to be weighed after lifting by simply pressing a button.
  • the cross member has a front and a rear guideway. Both guide carriages running in the guideways, which actuate the two lifting arms, each run via a threaded spindle, in the opposite direction of the other carriage. Since only one threaded spindle is driven by an electric motor and an intermediate, adjustable coupling and a gearwheel, but both threaded spindles are connected by a pair of gearwheels, the spindles turn to the left and thus a double stroke or double travel.
  • a carrier housing is arranged in the lower region of the symmetrically running lifting arms and is designed to be movable by an electric motor or hydraulically by a corresponding suspension with lateral guide plates, so that the horizontal base of the lying surface is inclined or adjusted on both sides can be.
  • two electric motors are located in each of the two carrier housings, which are connected via chain wheel sets between the inner and external walls are mounted, which make the lifting arms move. The same movements can of course also be achieved hydraulically, combined with an alternative toggle lever solution.
  • a further embodiment of the patient admission can consist in the fact that at the bottom of the support housings for the buttocks and thighs, as well as at the bottom of the lifting arms for the upper body and foot area, support double-band systems projecting towards the center are attached, which the patient has in common on both sides before lifting drive under.
  • Each of the three left-hand and right-hand double-belt systems which are provided in mirror image and thus represent an absolutely symmetrical design and functions, form an assembly for themselves.
  • these assemblies can be manufactured in such a way that there are two support arms projecting towards the center of the fastening profile at the front and rear, the lower surfaces of which are designed horizontally.
  • This U-shaped support unit forms the or an open frame for all the necessary components.
  • the weight-absorbing lying or sitting surfaces each form two cones which are conical to the center of the patient receptacle and which are spaced one above the other in the supporting arms by means of horizontal ones T-slots and T-rails can be inserted or hung in by means of vertical T-slots on the carrier and support bolts on the wings and locked in place by moving them.
  • both wings are equipped or covered with continuous endless belts.
  • a mutual pressing of the two bands between the two wings cause the required left and right rotation, which produces the desired direction of rotation on the counter surfaces, that is to say on the outside of the bands above and below.
  • rollers are installed on the inner circumferential radii of each wing, each of which is located on an axis with a spacer.
  • the outer circumferential radii are designed with mounted drive shafts, the speed or outer belt circulation speed of which is matched to the opening and closing speed of the upper guide carriages.
  • the drive shafts are manufactured on both sides in such a way that the two couplings installed in each of the support arms can engage centrally and centrally on the drive shafts.
  • An electric motor attached to the fastening profile transmits the torque to the front clutch located at the top by means of a chain and sprockets or toothed belts and toothed belt wheels.
  • a simple possibility of changing the band can consist in the fact that the band-wrapping wings are designed in two parts and in an articulated manner and can be tilted at an angle in the running direction via an axis. Since the circumference is reduced after the wings have been adjusted at an angle, the hinges can be easily changed and the entire unit can be cleaned or disinfected. After placing a fresh tape, the tape can be tensioned again by folding it back into the horizontal. After the simple and quick installation of the support unit, the two buttons must be arranged on the outside of the support arms Couplings on the drive shafts are engaged and disengaged before removal. The whole change takes just a few simple steps and requires little time.
  • An integrated disinfection system with storage containers and scrapers 5 over the entire range sterilizes automatically on request.
  • a patient admission trained in this way combines the greatest possible benefit with the utmost economy thanks to an optimal adaptation of requirements.
  • Fig. 1 is a schematic, perspective overall view of the patient admission according to the invention in the closed lying position.
  • Fig. 2 is a schematic, perspective overall view of the patient admission according to the invention in a closed, half-sitting position
  • Fig. 3 is a schematic representation of the principle of admission in the open version, with patient on the couch or bed.
  • Fig. 4 is a schematic representation of the central unit, the drive and 20 of the double guide and the two slides, in an open view.
  • Fig. 5 carrier housing with built-in parts, such as motors and translations, shown schematically in an open view.
  • Fig. 6 four different Schmeatische side representations of the carrying unit in pairs and three times open version.
  • the patient admission for the sick and / or disabled which includes all of the patient groups mentioned at the outset, has a central unit 1 which essentially contains two motorized, opposing slides which are covered by suitable covers 2, e.g. Wrinkle coverings are protected.
  • a connector 3 is attached to the top of the central unit 1.
  • length-adjustable head wedge holders 12 are arranged, which can be pulled out or pushed in and locked, for example, by the clamping or grid systems 13 to the desired length.
  • Attached to the underside in each case are on the support housings 7, on the support arms 9 for the foot area, and on the support arms 11 for the back area, the support units 15 projecting to the center, formed in the support double-band system, which are shown here in FIGS 2 are shown in perspective as a block.
  • bracketed arrow directions show a closing patient image (1-16).
  • Fig. 2 a half-sitting position is shown schematically and in perspective, where the bracketed arrow directions show an opening patient image (1-16).
  • the slides of the central unit 1 are fully extended, protected or concealed by the covers 2.
  • the support housings 7 connected via the lifting arms 5 and on which support booklets 15 fastened from below, designed in the support double-band system, but shown without support arms 54, are positioned on the patient couch or bed.
  • the arrow directions of the two lifting arms 5 and of the four receiving straps 17 point to the starting position for driving under or picking up the patient.
  • the base element is a double flat guide, consisting of a double T support 18 and two laterally attached support sides 19.
  • This guide which is at the front and at the back, is located installed, the right carriage 20 and the left carriage 21, which run linearly side by side.
  • the sliding elements between the guide parts 18/19 and the slide 20 and 21 are not shown.
  • the threaded spindle 23 for the right slide 20 and the threaded spindle 24 for the left slide 21 are arranged above the double T support, which are each connected via the driver 22.
  • This connection is designed so that there are slots in the support sides 19, at the middle height of the slide 20 and 21, as well as the threaded spindles 23 and 24, the lengths of which result from the slide path plus driver width.
  • the drivers 22, which are designed as an unequal-leg U-shape in cross section, are each fastened with the short leg through the lower elongated holes to the end region of the two slides 20 and 21 lying in the middle.
  • the upper, somewhat longer legs of the drivers 22 each protrude through the upper elongated holes, where they are connected to the receiving parts in which the built-in spindle nuts 25 are located.
  • the threaded spindles 23 and 24 are installed via slide or roller bearings (not shown) in the bearing walls 26 and 27, the fixed bearings being in the left bearing wall 27 and the floating bearings in the right bearing wall 26.
  • the two threaded spindles 23 and 24 are connected by two mounted gear wheels, the gear wheel pair 28, which in operation causes the two threaded spindles 23 and 24 to rotate in opposite directions.
  • the drive is carried out by the electric motor 32, the torque of which is suitable for both rotating devices, and elastic and completely maintenance-free Coupling 31, is transmitted to the drive shaft 30 and from there to the mounted gear 29 which engages in a gear of the gear pair 28.
  • the screwing surface for the electric motor 32, as well as for the central bearing wall 33 of the drive shaft 30, forms the cross member 34, which is fastened above the electric motor 32 between the two support sides 19.
  • the second bearing of the drive shaft 30 is located behind the gear 29 in the left bearing wall 27.
  • the bearings of the drive shaft 30 are not shown.
  • the top plate 35 inserted at the top between the two carrying sides 19 likewise forms the base plate of the rotating device 4.
  • the protective cladding 36 also serves for safety, but also prevents the ingress of dust, dirt and disinfectants.
  • the carrier housing 7 forms the basis of all attached or installed parts.
  • the centerpiece of the carrier housing 7 is the support frame 37, which is designed according to all design requirements and is connected or suspended on the lifting arm 5 via the joint 6.
  • the respective drive for pivoting or adjusting the support frame 37 is carried out by the electric motor 39, the torque of which is transmitted via the gear set 40 to the threaded spindle 41 mounted on both sides of the support frame.
  • the electric motor 43 moves the chain 45 via the chain wheel 44, which in turn actuates the chain wheel 46, which is connected to the joint 10 to which the support arm 11 for the back area is attached.
  • the electric motor 47 moves the chain 49 via the chain wheel 48, which chain in turn actuates the chain wheel 50, which is connected to the joint 8 to which the support arm 9 for the foot region is fastened.
  • the chain tensioners 51 and 52 enable a slip-free chain tension and thus a jerk-free and even raising and lowering of the leg and back area.
  • the two-part cover 53 serves, in addition to the pleasing appearance, also to protect against the ingress of dust, dirt or disinfectants. Furthermore, the cover 53 can also be used as a side or armrest.
  • the support units 15 are identified from A to D.
  • the drive motor 60 for the belt drive is attached to the fastening profile 55, the torque of which is built into the support arm 54 via the toothed belt or chain 61 on the upper of the two Couplings is transmitted.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

Dans les systèmes connus jusqu'à présent pour soulever les malades et les handicapés, il est souvent incommode, pénible et fastidieux d'effectuer une rotation gauche/droite pour les suspendre dans des sangles ou les insérer dans des draps, ainsi que pour les transférer ou les placer sur des civières ou d'autres structures de support, tous ces mouvements nécessitant généralement des manipulations. Cette nouvelle structure de support de patients (2/6) posée sur un appareil de base nécessite la présence d'un seul soignant tout en lui permettant de ménager sa colonne vertébrale et de gagner du temps, et simultanément de procurer des soins optimaux aux patients qui bénéficient par exemple d'une adaptation physique progressive et qui sont soulevés et reposés sans à-coups. Les unités porteuses (15) fonctionnant de manière synchrone avec l'unité centrale (1) et se présentant sous forme d'un système à deux garnitures assurent un fonctionnement symétrique lors de la fermeture ou de l'ouverture. Même la carcasse porteuse (7) montée mobile sur les bras de soulèvement (5), ainsi que les bras porteurs (9 et 11), se meuvent symétriquement par deux. Les repose-tête (14) sont réglables en longueur. Le système de rotation (4) est réglable à 180° de chaque côté. Cette structure de support permet de soulever et de reposer les patients en les ménageant, même les malades et les handicapés présentant une forte surcharge pondérale, par exemple dans le service des soins intensifs ou sur la table d'opération.
PCT/DE1998/002201 1997-08-05 1998-08-03 Structure de support de patients pour malades et handicapes WO1999007321A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP98947369A EP1056425A1 (fr) 1997-08-05 1998-08-03 Structure de support de patients pour malades et handicapes

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE1997133912 DE19733912C1 (de) 1997-08-05 1997-08-05 Patientenaufnahme für Kranke und Behinderte
DE19733912.3 1997-08-05

Publications (1)

Publication Number Publication Date
WO1999007321A1 true WO1999007321A1 (fr) 1999-02-18

Family

ID=7838086

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE1998/002201 WO1999007321A1 (fr) 1997-08-05 1998-08-03 Structure de support de patients pour malades et handicapes

Country Status (3)

Country Link
EP (1) EP1056425A1 (fr)
DE (1) DE19733912C1 (fr)
WO (1) WO1999007321A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1159948A2 (fr) * 2000-06-02 2001-12-05 Dieter Orthaus Dispositif pour faciliter le déplacement de personnes invalides
WO2004062546A1 (fr) * 2003-01-15 2004-07-29 Asger Gramkow Système de manipulation d'une personne et méthode associée
WO2017039467A1 (fr) * 2015-09-04 2017-03-09 Politechnika Rzeszowska Dispositif pour le transport de patients en position couchée
KR20170063813A (ko) * 2014-09-25 2017-06-08 안톤 케이. 심슨 환자 상승 장치
CN114795726A (zh) * 2022-04-20 2022-07-29 苏爱峰 呼吸重症患者用体位调节装置

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10141824A1 (de) * 2001-08-27 2003-03-27 Fraunhofer Ges Forschung Pflegegerät
DE102005000855B4 (de) * 2005-01-05 2007-08-16 Thomas Hannuschka Vorrichtung zur Lagepositionierung von Körpern

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3042936A (en) 1959-06-25 1962-07-10 Luther M Patterson Lift construction
US3131404A (en) 1961-09-01 1964-05-05 Pron O Lift Inc Patient lift
DE3917240A1 (de) 1989-05-24 1990-11-29 Mieczyslaw Giercarz Personenhebevorrichtung
EP0400664A1 (fr) * 1989-06-02 1990-12-05 Hans Schneider Dispositif de levage et de transport pour malades
WO1991005531A1 (fr) 1989-10-12 1991-05-02 Vittorio Bianchi Leve-malade
US5428851A (en) 1989-11-16 1995-07-04 Shore; Andrew N. Transfer trolley
JPH08322888A (ja) 1995-05-30 1996-12-10 Sanyo Electric Co Ltd リフターシート敷込み装置

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3042936A (en) 1959-06-25 1962-07-10 Luther M Patterson Lift construction
US3131404A (en) 1961-09-01 1964-05-05 Pron O Lift Inc Patient lift
DE3917240A1 (de) 1989-05-24 1990-11-29 Mieczyslaw Giercarz Personenhebevorrichtung
EP0400664A1 (fr) * 1989-06-02 1990-12-05 Hans Schneider Dispositif de levage et de transport pour malades
WO1991005531A1 (fr) 1989-10-12 1991-05-02 Vittorio Bianchi Leve-malade
US5428851A (en) 1989-11-16 1995-07-04 Shore; Andrew N. Transfer trolley
JPH08322888A (ja) 1995-05-30 1996-12-10 Sanyo Electric Co Ltd リフターシート敷込み装置

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1159948A2 (fr) * 2000-06-02 2001-12-05 Dieter Orthaus Dispositif pour faciliter le déplacement de personnes invalides
EP1159948A3 (fr) * 2000-06-02 2003-05-28 Dieter Orthaus Dispositif pour faciliter le déplacement de personnes invalides
WO2004062546A1 (fr) * 2003-01-15 2004-07-29 Asger Gramkow Système de manipulation d'une personne et méthode associée
KR20170063813A (ko) * 2014-09-25 2017-06-08 안톤 케이. 심슨 환자 상승 장치
CN106999331A (zh) * 2014-09-25 2017-08-01 安东·K·西姆森 患者提升设备
EP3197416A4 (fr) * 2014-09-25 2018-04-04 Anton K. Simson Appareil de levage de patient
US10238565B2 (en) 2014-09-25 2019-03-26 Anton K. Simson Patient lifting apparatus
KR102593745B1 (ko) 2014-09-25 2023-10-24 디엠이 이노베이션즈, 인코포레이티드 환자 상승 장치
WO2017039467A1 (fr) * 2015-09-04 2017-03-09 Politechnika Rzeszowska Dispositif pour le transport de patients en position couchée
CN114795726A (zh) * 2022-04-20 2022-07-29 苏爱峰 呼吸重症患者用体位调节装置

Also Published As

Publication number Publication date
EP1056425A1 (fr) 2000-12-06
DE19733912C1 (de) 1999-05-06

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