WO2003053194A1 - Systeme pour determiner et mesurer une surelevation optimale pour des patients alites - Google Patents

Systeme pour determiner et mesurer une surelevation optimale pour des patients alites Download PDF

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Publication number
WO2003053194A1
WO2003053194A1 PCT/IT2002/000783 IT0200783W WO03053194A1 WO 2003053194 A1 WO2003053194 A1 WO 2003053194A1 IT 0200783 W IT0200783 W IT 0200783W WO 03053194 A1 WO03053194 A1 WO 03053194A1
Authority
WO
WIPO (PCT)
Prior art keywords
measure
determination
embossing
bedridden patients
module
Prior art date
Application number
PCT/IT2002/000783
Other languages
English (en)
Inventor
Guido A. Danieli
Marco S. Ghionna
Original Assignee
Danieli Guido A
Ghionna Marco S
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 Danieli Guido A, Ghionna Marco S filed Critical Danieli Guido A
Priority to EP02805466A priority Critical patent/EP1505894A1/fr
Priority to AU2002366760A priority patent/AU2002366760A1/en
Publication of WO2003053194A1 publication Critical patent/WO2003053194A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/057Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/30General characteristics of devices characterised by sensor means
    • A61G2203/32General characteristics of devices characterised by sensor means for force
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/30General characteristics of devices characterised by sensor means
    • A61G2203/40General characteristics of devices characterised by sensor means for distance

Definitions

  • decubitus sores are one of the more common complications facing bedridden patients. These are mainly caused by to high pressures between patient and supporting mattress, that induce local microcirculatory crises with related tissue ischaemia or ulcers.
  • the attempt is made to introduce mattresses specially shaped to reduce the pressures on the patient skin through an ad hoc configuration. Till today, to determine the shape of an embossing apt to host a bedridden patient materials characterised by the ability to be embossed by the laying patient are utilised, the embossing being then scanned with an interferometric laser for distance measurement. The patient is thus transported on these mattresses to measure the shape that suits him best. This system, however, even using different supporting elements, guarantees only adaptability in horizontal position. Moreover, since the measure is accomplished on the embossing made by the patient, the resulting mattress may turn to be wrong due to the material elasticity.
  • the measure will be obtained not only in horizontal position, but also in sitting or in any intermediate position, fully determining the shape of the optimal embossing, accomplishing the measure in presence of the patient's load and while varying the internal pressure in order to register in the same time the patient's local tissue elasticity.
  • the spatial position of each module the embossing shape is determined.
  • the instrument looks like a "normal” mechanised bed, able to turn into a chair with back
  • leg support fully perpendicular to the seat, passing through innumberables intermediate
  • the system presents a supporting surface, made up by a certain number of independent
  • the entire embossing will be composed by at least three different sub-frames individually
  • leg and back support may be moved independently from the seat.
  • the back support may in fact be variably inclined independently from the seat, its vertical (in order to host patients of any size) and horizontal position may also be changed (see Table l and 2).
  • the system may in fact adapt to the most usual or critical position thanks to the ability to vary the orientation of the various modules, and to regulate differently the pressures in ever ⁇ ' strip, thus varying the support rigidity, using also, whenever necessary the possibility to vary the inclination and position of the frame's elements.
  • each module Passing to the module's description, they are the element fundamental of the system and collect all the informations necessary to the patient's optimal position. Inside the structure of each module, hollow and closed on the upper part by a membrane, air is present, whose pressure is monitored by barometers and regulated by compressors. The module will also host the laser detecting system. Each module is supported by three threaded bars, couplet to the module through spherical hinges hosted in cavities obtained in the module's lower portion, having axes coincident to that of the holes which can be observed in Table 3. The three cavities so disposed give the possibility to orient in space each module.
  • the en- largement on the right shows the spherical slot; two rectangular cavities impeding the rotation of the sphere about the screw axis leaving free all other movements.
  • the hinges are simply spheres presenting internally a threaded hole and small cylindrical protuberances on the external surface.
  • the hinge's mechanism is completed by cavities corresponding to the previously described obtained on a plate of dimensions equal to the module's base .
  • Every module is supported by another plate on which it is fixed with cylindrical hinges, blocking the unthreaded portion of the screw, made by the union of two semi-cylinders;
  • the lower one presents a threaded hole to connect the motor support and a circular cavity that coupled to that present un the upper portion of the hinge contains the head of the worm screw.
  • the slots of these hinges are partly obtained on the supporting plate (part of the frame) and partly on some hinge covers that complete the hinge's lodging.
  • Each worm screw is actuated by a motor, fixed on the lower part of the hinge by a supporting element.
  • the cylindrical part of this supporting element threaded in the final portion, sticks out from an ovoid hole having axis perpendicular to the hinge's axis. This hole allows the motor's supporting elements to move jointly to the hinge.
  • the hinge's position of the module system allows to obtain an isostatic system (zero degrees of freedom) for any length of the threaded bars between the lower and upper portion od each module, fundamental characteristic for the system stability.

Abstract

L'invention concerne un système pour déterminer et mesurer une surélévation optimale pour des patients alités, ce système comportant une structure ajustable composée d'un certain nombre de modules indépendants, dont la pression interne peut être modifiée indépendamment, pour équilibrer la pression exercée sur la surélévation par une personne confinée dans un lit ou un fauteuil roulant. Un laser interférométrique sert alors à mesurer la configuration interne exacte de chaque module pour permettre, connaissant la position spatiale exacte de chaque module, de déterminer la configuration correcte de la surélévation ainsi obtenue, également réalisable par fraiseuse à commande numérique. Selon l'invention, la rigidité locale des différentes parties du corps du patient est également déterminée, afin d'évaluer le degré optimum d'élasticité qui, point par point, satisfait au mieux le patient.
PCT/IT2002/000783 2001-12-12 2002-12-12 Systeme pour determiner et mesurer une surelevation optimale pour des patients alites WO2003053194A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP02805466A EP1505894A1 (fr) 2001-12-12 2002-12-12 Systeme pour determiner et mesurer une surelevation optimale pour des patients alites
AU2002366760A AU2002366760A1 (en) 2001-12-12 2002-12-12 System for determination and measure of optimal embossing for bedridden patients

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITCS20010007 2001-12-12
ITCS2001A00007 2001-12-12

Publications (1)

Publication Number Publication Date
WO2003053194A1 true WO2003053194A1 (fr) 2003-07-03

Family

ID=11441369

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IT2002/000783 WO2003053194A1 (fr) 2001-12-12 2002-12-12 Systeme pour determiner et mesurer une surelevation optimale pour des patients alites

Country Status (3)

Country Link
EP (1) EP1505894A1 (fr)
AU (1) AU2002366760A1 (fr)
WO (1) WO2003053194A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110779679A (zh) * 2019-11-21 2020-02-11 中国空气动力研究与发展中心低速空气动力研究所 一种校准箱压力补偿室对高精度测力天平影响的修正方法

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2071356A5 (fr) * 1969-12-24 1971-09-17 Florant Jean
US4890235A (en) * 1988-07-14 1989-12-26 The Cleveland Clinic Foundation Computer aided prescription of specialized seats for wheelchairs or other body supports
DE19902352A1 (de) * 1998-01-21 1999-07-29 Peter Mayer Verfahren zum Herstellen einer Matratze aus Schaumstoff
FR2777077A1 (fr) * 1998-04-02 1999-10-08 Gilbert Modere Procede de determination d'un profil de sommier de lit, notamment de sommier a lattes, adapte a la morphologie de chaque individu et dispositif pour la mise en oeuvre du procede
JP2000083928A (ja) * 1998-07-16 2000-03-28 France Bed Co Ltd 体形測定装置、寝具の選択装置及びその方法
EP1104660A1 (fr) * 1999-12-01 2001-06-06 Pendo Ergonomic Systems Ag Lit
JP2002188911A (ja) * 2000-12-20 2002-07-05 Matsushita Electric Works Ltd クッション分割型寝具用クッション状態診断装置及びその診断方法

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2071356A5 (fr) * 1969-12-24 1971-09-17 Florant Jean
US4890235A (en) * 1988-07-14 1989-12-26 The Cleveland Clinic Foundation Computer aided prescription of specialized seats for wheelchairs or other body supports
DE19902352A1 (de) * 1998-01-21 1999-07-29 Peter Mayer Verfahren zum Herstellen einer Matratze aus Schaumstoff
FR2777077A1 (fr) * 1998-04-02 1999-10-08 Gilbert Modere Procede de determination d'un profil de sommier de lit, notamment de sommier a lattes, adapte a la morphologie de chaque individu et dispositif pour la mise en oeuvre du procede
JP2000083928A (ja) * 1998-07-16 2000-03-28 France Bed Co Ltd 体形測定装置、寝具の選択装置及びその方法
EP1104660A1 (fr) * 1999-12-01 2001-06-06 Pendo Ergonomic Systems Ag Lit
JP2002188911A (ja) * 2000-12-20 2002-07-05 Matsushita Electric Works Ltd クッション分割型寝具用クッション状態診断装置及びその診断方法

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
PATENT ABSTRACTS OF JAPAN vol. 2000, no. 06 22 September 2000 (2000-09-22) *
PATENT ABSTRACTS OF JAPAN vol. 2002, no. 11 6 November 2002 (2002-11-06) *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110779679A (zh) * 2019-11-21 2020-02-11 中国空气动力研究与发展中心低速空气动力研究所 一种校准箱压力补偿室对高精度测力天平影响的修正方法

Also Published As

Publication number Publication date
EP1505894A1 (fr) 2005-02-16
AU2002366760A1 (en) 2003-07-09

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