WO2012099503A1 - Life support and active recovery unit (variants) - Google Patents

Abstract

The life support and active recovery unit (1) (variants) relates to the field of medicine and can be used for caring for severely ill recumbent patients. The unit (1) is connected to a water supply source and to a sewerage system or is used autonomously. Moveable lateral safety guards (5), end boards (2) and a bed (4) form a box lined with an underlay made from a waterproof material with hermetically sealed connectors. A module with balanced ventilation is provided. A portable hot and cold water mixer (14) can be removed, transferred and reinstalled. The unit (1) can additionally be equipped with a receiving device (18) for the collection and reuse of waste, wherein a through-hole is provided in the bed (4), mattress (10) and the bed-clothes between the patient and the receiving device for collection purposes, and the bed is lined with an underlay made from a waterproof material. The presence of the through-hole and the receiving device makes it possible for patients to perform even involuntarily acts of defecation and urination in bed. The technical result is an increase in the functionality of the unit by making it possible to carry out sanitary procedures involving the use of water and by making it possible for patients to perform even involuntarily acts of defecation and urination in bed comfortably.

Description

 COMPLEX OF LIFE SUPPORT AND ACTIVE RECOVERY (OPTIONS)

Usage: in medicine for placement, sanitary and hygienic care and the implementation of vital functions of bedridden patients. The complex provides an opportunity for the patient to take a shower, steam bath, therapeutic and hygienic baths, healing inhalations, mud procedures in the bed itself. Use hygiene and medical products. After bathing the patient, the module and the complex are dried with a stream of warm air. The ability to select the characteristics of the air environment inside the module that are adequate to the state and desire of the user. A portable hot and cold water mixer can be used as a water source. The universal fixator allows you to remove, transfer and install a source of water in such places of the complex, which would most fully use the patient’s remaining capabilities, as well as outside the complex. The patient can comfortably perform in bed

physiological administration, remaining clean even in the absence of self-monitoring of urination and defecation. Treatment with medicinal solutions, washing and disinfection of the perineum of the patient is carried out with drying with a stream of warm air.

According to the first invention of the group, the complex is connected to a source

water supply, sewerage. It contains backs, a bed, side rails, stiffening ribs, support legs, wide, height-adjustable tips, a transverse shelf, hermetic adapters for draining dirty water, residual water and to prevent overflow, additional substrates, backing, plugs, flexible hoses, a universal lock , siphon nozzle, water source, calibration rollers, module, fixing roller, damper, safety locks, safety device, squeezing locks, runners, through hole, cover, supply and exhaust

ventilation, air ionizer, air conditioning, bactericidal installation, heater, oxygen supply device, generator for creating a salt finely dispersed aerosol, generator of medicinal aerosols, a source of air, regulated by temperature, humidity and pressure.

As a result, the patient is given the opportunity to take a shower, steam bath, hygienic and therapeutic baths, mud procedures in the bed itself. After swimming the patient’s body, the inner surface of the module and the complex are dried by a stream of warm air. Water overflow and splashing are excluded when bathing the patient outside the complex. Humidification of the room where water procedures are carried out is reduced. Increases reliability, convenience and safety while

using the complex. Protection against depressurization of the complex and a massive spill of water is provided, as well as protection for the patient from the possibility of drowning when swimming. The volume of water required to fill the complex when bathing the patient is regulated. The universal lock allows you to remove, transfer and install a source of water in such places of the complex, so that it would be most fully used

preserved abilities of the patient. Significantly reduced the proportion of manual labor associated with the care of bedridden patients. The module allows you to adapt the air to the needs of an individual user. It provides a comfortable living environment for a patient lying in bed and increases the effectiveness of comprehensive treatment and preventive measures. The module can be used on beds and sunbeds of any type.

According to the second invention of the group, the complex is connected to a water supply, sewage system, a source of temperature and pressure controlled air, a system that supplies disinfectants, drugs, hygiene and other liquids for treating the perineum. Contains tilt-adjustable sections of the bed. A collection device is used to collect and dispose of sewage. The bed, mattress, bedding, hygiene items, softeners, lining with a sleeve and an anti-decubitus mattress have a through hole between the user and the receiving device. Pneumatic chambers regulating the size of the through hole, cover, sliding plates, locking roller, sliding mechanism, moving plate, elastic plate, tension device,

mattress pad, cover, filler, receiving device, dry closet, container, remote switch for flushing out stools and a regulating switch for air supply, nozzles, universal lock, siphon nozzle, water source, sink, anti-decubitus system adapted to the through hole, flushing tank, lining with sleeve, support racks, wide height-adjustable tips, panels, bed sections, calibration rollers, rack, capacity for solutions.

As a result, it is possible: directly in the bed to comfortably carry out physiological departures, remaining clean even in the absence of self-control during urination and defecation. Washing, disinfection and treatment with medicinal solutions of the perineum of the patient is carried out, followed by drying with a stream of warm air. Contaminated air is actively disposed of. The patient has the ability to take a position that contributes to the comfortable fulfillment of their physiological needs. The patient’s body is projected over the through hole using calibration rollers. Dirty water and feces of the patient are drained into the sewer. It is possible to use the complex autonomously without connecting to the sewer. To collect and dispose of sewage, a toilet, dry closet or other container can be used as a receiving device. An anti-decubitus mattress with a through hole provides prevention of the formation and treatment of existing pressure sores.

DESCRIPTION OF THE INVENTION

 The group of inventions relates to medicine and can be used for placement, sanitary and hygienic care and the implementation of vital functions of bedridden patients.

 The invention can be used both for beds with mechanisms for regulating the position of the bed, and those without such mechanisms. The complex can be used both when connected to the sewerage and water supply system, and autonomously without connection to the sewerage and water supply system. Designed for placement in medical institutions, sanatoriums, nursing homes, boarding houses, rehabilitation centers and at home.

Known devices and appliances intended for the care and washing of patients and disabled people. So, it is known a device that is a mobile node

service, which is an accessory of the bathroom and made in the form of a flexible mat. The edges of the mat are raised on all sides with the formation of a waterproof bath. The unit is equipped with a drain and is connected to water sources, to which a hose with a hand shower is connected. However, the device requires a lifting device to move the patient and additional space for placement.

Known bath chair for the disabled RU N ° 2063736 CI A61G3 / 00, A61G7 / 00 publ. 1996.07.20 To wash a disabled person, he is seated in a chair, which is taken to the bathroom, where the disabled person is washed in the shower. The disadvantage is the need to transfer the patient and the need for additional space for placement.

s Known functional bed, RU 2268698 C2 IPC A61G 7/00 publ. 2006.01.27 containing a base, a bed, including the back, hip, intermediate and foot sections and side rails in the form of side enclosing elements.

It is impossible to fully bathe the patient, due to the lack of the ability to create the necessary frame, sealing system, connection to the sewage system and water supply system.

Known bathroom lift for seriously ill by bus. St. (SU 163720 A, 09/10/1964) containing a rack with catching sunbed. The disadvantage is the need for additional space for placement and the complexity of the design, requiring expensive maintenance.

The prototype for the first invention of the sanitary-hygienic complex group is the first invention of the sanitary-hygienic complex group for bedridden patients care (options) RU 2342112, A61G7 / 00, registered on December 27, 2008. It is a bed with side rails that are fixed in the upper position and creating a rigid frame lined with an airtight substrate.

You can not take a shower and a steam room in bed. High risk of massive water spill. Patient protection from accident is not provided. In the room where water procedures are carried out, high humidity. When swimming, water is sprayed outside the complex. Too much water is needed to fill the complex when bathing the patient and, as a result, the complex is heavy and has an increased floor load. The complexity and unreliability of the design. The possibility of skewing the structure in the horizontal plane and subsequent jamming of the moving parts of the complex. The inability to evenly redistribute the weight of the complex on the floor. Sliding the substrate into the gaps between the movable side rails and the bed frame. The possibility of disposal of the water remaining in the pelvic segment of the complex after bathing is not provided. The hot and cold water mixer is fixed in a specific, even convenient place. The possibility of removal, transfer and reinstallation of the hot and cold water mixer is not provided. The functional use of the hot and cold water mixer is limited.

The task to which the first invention of the claimed group is directed is to expand the capabilities of the complex during water procedures, due to original design and creating the ability to fully bathe the patient in the bed itself. Adaptation of inhaled air to the needs of an individual user. Providing a comfortable living environment for the patient lying in bed. Reducing the proportion of manual labor associated with the care of bedridden patients. Improving the reliability and security of the complex. The most complete use of the patient’s remaining capabilities and increase his independence.

The specified technical result is achieved due to the fact that the complex is connected to the sewer, water supply system, air source, and the air is regulated by composition, humidity, temperature and pressure, as well as cleaned and sterilized. Various components are added to the air entering the module, for example, essential oils, volatile medicinal plants, salt spray and medications. The air is saturated with ozone and light negative aerons. The side fences of the complex are movable and when installed in the upper position are fixed by squeezing locks and safety locks, which exclude the involuntary lowering of the side fences during the bathing of the patient. The bed is brought into a position when the back section is raised so that the patient’s head is above the water level. A safety device, such as a traction with a carabiner, fixes the back section of the bed in a raised position and eliminates the involuntary lowering of the back section of the bed down and the patient's choking. To prevent bending, the side rails in the upper position are fixed with hooks located on the lower edge, in one or several places to the complex. Across the side

stiffeners are located in the guards, providing lateral resistance to bending of the side guards. The upper part of the side rails is fixed to each other by a transverse shelf, which provides resistance to bending of the upper part of the side rails. The transverse shelf, in addition to preventing the side fences from bending outward, is used to place detergents, as well as for eating. Due to the backs, side rails raised to the upper position and the bed, a rectangular box is formed. To ensure the resistance of the frame to sagging, under the weight of the patient and water, one and, or several support stands with wide, height-adjustable tips are used. By adjusting the height of the tips, alignment of the complex in the horizontal plane is achieved. In this case, a uniform redistribution of the weight of the complex to all the tips of the complex occurs. The through hole in the bed during bathing is blocked by a removable lid and, or a locking roller and, or pneumatic chambers and, or a camera and, or a sliding plate and, or plates and, or a filler. By the method of turning the patient from side to side and, or using technical means, a substrate is made under the patient from a flexible moisture-proof material, for example, polyethylene, to waterproof the inner surface of the complex while bathing the patient. The panels of the backs, sections of the bed and side rails are made of durable, lightweight material, for example, alloys of metal and, or plastic and, or perforated metal. Due to this, the total weight of the complex decreases, and when filled with water, the substrate is pressed into the holes made in the perforated metal, which prevents the substrate from sliding. The edges of the substrate hanging from the outside of the complex are fixed to the backs and side rails with the help of clothespins and, or hooks and, or magnets and, or are stretched using a suspended load. Hermetically sealed adapters are tightly fixed in the substrate to drain used water into the sewer and maintain the required water level. A sealed adapter in the hip portion of the substrate facilitates the disposal of water remaining after draining. The sealed adapter in the foot part of the substrate is more easily matched with the waste water drainage system in

sewer. Plugs block the drain, pressing water pressure to the hole of the sealed adapters. To reduce the risk of massive water spills

using an additional substrate and, or additional substrates, from

waterproof material hermetically sealed with hermetic

adapter adapters. A module made of moisture-proof material is located on the frame and, or without the frame. At the top of the module is a hole and

ventilation pipe for the disposal of moist air from the module into the environment. The damper controls the flow rate of moist air or completely blocks the air outlet from the module through the ventilation pipe. The inner edge of the lower part of the module is lowered into the complex below the upper edge of the backs and side rails located in the upper position. The outer edge of the lower part of the module is fixed outside the complex and, or stretched with a suspended load, ensuring the location of the lower part of the module around the perimeter of the complex. That eliminates the ingress of water when bathing the patient outside the complex. From the device generating hot, humid air through the duct, through the air flow regulating damper, hot, moist air enters the module creating the effect of a steam bath inside. The module may be watertight and, or

gas-vapor permeable and, or heat-insulating material. The module has

the ability to provide and regulate the concentration of finely dispersed salt aerosols and, or negatively charged air ions and, or volatile medicinal

b plants and, or essential oils and, or medicinal aerosols and, or oxygen.

The user can be inside the module in full or in part. It is possible to change the temperature and, or humidity and, or the composition of the air entering the module. It is possible to clean and, using ultraviolet radiation, sterilize the air entering the module using filters. It is possible to create a closed air circulation between a device that changes the characteristics of air and the module. To provide dynamic monitoring of the patient's condition, the module has a window made of transparent material. The window has the ability to close with a curtain. The module can be used on beds and sunbeds of any type. Drying the patient’s body, the complex and the module after bathing is carried out by a stream of warm air through the duct from a device that provides dry warm air along the patient’s body. As a source of water, a portable hot and cold water mixer can be used to control the pressure and temperature of the water supplied to the complex. With the help of a universal clamp and the availability of flexible hoses connected to the water supply system, the water source is removed, transferred and installed without using tools and additional adjustment in such places of the complex in order to make full use of the patient’s remaining capabilities, increasing his independence, and provide additional opportunities for the attendant to staff. A water source can be installed outside the complex.

A universal lock with water sources is installed on the complex on the principle of a key with a lock. A water source can be installed both by the gander inside the complex when bathing the patient, and by the gander outside the complex above the sink and can

used to adjust the temperature of the water before it is supplied to the patient’s body, as well as by maintenance personnel to observe personal hygiene. Draining from the sink is carried out into the sewer and, or into the tank. The flexible siphon nozzle is connected to a water source. During showering, the siphon nozzle is mounted above the patient in the upper part of the module. A flexible hose allows the use of a siphon nozzle when bathing the patient, as well as for sanitizing the complex, the through hole and the receiving device. When installed in the through hole, the siphon nozzle is projected to be washed onto the patient's crotch. When the user bathes, the fixing roller placed under the substrate rests on the hip part of the user and prevents the user from sliding down from the raised back section of the bed. As the fixing roller, a pneumatic chamber can be used. A known method of sanitary-hygienic care for a bed patient, A. S. RU

 1785677, A 61 G 7/00, 1993 including the rotation of the patient and its processing

drug, litter removal after physiological administration, its subsequent cleaning and disinfection. The disadvantages of this method are:

prolonged use of great physical force to turn the patient in order to prevent pressure sores and change of litter. Low efficiency with

the lack of self-control in the patient for physiological administration.

Known hospital complex for seriously ill and disabled people in the form of a bed, providing the patient with a rotation from back to stomach and back, in which it is possible to replace bedding. US Patent 3827089, Cl. A 61G 7/10, 1986.

The disadvantages of the known design are the low comfort of turning the patient, especially on the side. Low efficiency in the absence of self-control in the patient for physiological administration.

A conventional medical vessel used in hospitals to collect urine and stool of a patient is known. Low efficiency in the absence of self-control in the patient for physiological administration. It is difficult to use the ship yourself.

Known hospital complex, the application of Germany 3614572, cl. A 61G 7/10, 1986. The disadvantages of the known complex are the lack of comfort and considerable laboriousness of the process of transferring the patient to all objects of the hospital complex, the need for additional space for accommodation.

A known method of sanitary-hygienic care for a bed patient, RU N "2257877 A61G7 / 00 C2 publ. 2005.08.10, including cleaning, disinfection and removal of litter after physiological administration. Additional area is required, the presence of an active hood, high energy consumption and fire hazard, with

sand annealing up to 750 degrees.

The prototype for the second invention of the sanitary-hygienic complex group is the second invention of the sanitary-hygienic complex group for bedridden patients (options) RU 2342112, A61G7 / 00, registered on December 27, 2008 in the box of the complex, there is an oval hole where the universal vessel is mounted for collecting sewage connected to a source of water supply and sewage. The mechanism governing access to a universal ship is complex and unreliable.

Fixation of a universal vessel in a bed is not adapted to the patient's body, elasticity and thickness of the mattress.

The problem, the solution of which the second invention of the claimed group is directed, is to provide the possibility of comfortable execution of physiological departures to patients in bed. To provide the possibility of sanitary-hygienic processing of the receiving device and the contaminated area in the area of the slit-like opening. Reducing the height of the bed and increasing the thickness of the mattress. Creating the necessary conditions for quality care staff for bedridden patients.

Prevention of sharp bends and displacements of the mattress relative to the bed.

The specified technical result is achieved due to the fact that between the user and the receiving device there is a through hole passing through the bed, mattress, bedding, softeners, hygienic

accessories, anti-decubitus mattress, lining with sleeve,

Made of waterproof material. The mattress is made of soft elastic material under compression, which bulging to the sides is insignificant, for example foam rubber. The pelvic segment of the mattress is lined with a sleeve of

waterproof material. The outer edges of the lining with the sleeve are attached to the complex. A lining with a sleeve lines the walls of the through hole and hangs with its lower edge into the receiving device. The tensioner provides a tensioned condition of the sleeve along the walls of the through hole. As a tensioning device, you can use the load, for example a chain located in the channel along the lower edge of the sleeve. The dimensions of the through hole are up to 80 cm in width and up to 190 cm in length. The optimal dimensions of the through hole, obtained experimentally, are up to 20 cm in width and up to 50 cm in length. For a more accurate projection of the patient’s crotch over the through hole, calibration rollers are used that are located along the patient’s body and are inversely proportional to the patient’s body thickness. Calibration rollers are made of soft, elastic material - for example, foam rubber and, or are made inflatable. The duct system provides the supply of warm air to the perineum of the patient and the active utilization of air from the through hole and the receiving device.

In a preferred embodiment of the invention, under the through hole is a movable platform with a lifting device located thereon and lowering the locking roller and the receiving device. When a command is issued, the electric drive ensures lowering of the locking roller blocking the through hole. The mobile platform is shifted to the side and under the through hole

the receiving device moves. The patient performs his physiological departure and through the control panel gives a command to the electric drive and the mobile platform is shifted to its original position. At the same time, together with the movable platform, the receiving device moves and its upper part is pressed against the elastic plate that prevents the spread of unpleasant odor into the surrounding space. In this case, a device for lifting and lowering the locking roller is moved under the through hole. The locking roller rises and closes the through hole. The receiving device can be used independently and, or connected to a source of water supply and, or provides a drain of used water and or stool of the patient into the sewer directly and, or through a fecal pump. As a receiving device, a toilet, dry closet or other capacity can be used. Along the side walls of the through hole are located pneumatic chambers suspended on flexible clips fixed to the complex. At

When inflated, the pneumatic chambers increase in size, displace the sleeve inward and change the size of the through hole until it completely overlaps. In the deflated state, the pneumatic chambers lose volume and hang along the side walls of the through hole, opening up access to the receiving device. When patients perform physiological departures, urine and feces through a through hole fall into a receiving device located on a moving platform. To reduce draft in the area of the through hole along the upper perimeter of the receiving device

is an elastic roller covered with a moisture-proof material.

The elastic roller, tightly pressing from below to the panel and, or to the panels of the sections of the bed, prevents air from entering the through hole from below into the perineal region of the patient. A pneumatic chamber can be used as an elastic roller covering the gap between the receiving device and the panels of the sections of the bed. Using traction, the patient may include draining _\ water from the flushing tank to flush bowel movements in the receiving device after the act of defecation. Using the pump, air is supplied to the pneumatic chambers and the compressed air supply to the pneumatic chambers is regulated through a receiver with a valve to maintain a given pressure in them. A portable switch adjusts the position of the sections of the bed and is located in an accessible place for the patient. Yu A siphon nozzle on a flexible hose is connected to a water source and is fixed in a through hole for washing the patient's crotch, sanitizing the complex, a through hole and a receiving device. The bed surface adjacent to the through hole has a recess with rounded edges anatomically close to the pelvic part of the user, which allows you to evenly redistribute the pressure of the bed on the patient’s body and reduce the risk of bedsores. Anatomical depressions on the surface of the bed are also provided in places of increased risk of pressure sores: the back of the head, shoulder blades, elbows and heels. A hygienic, disinfectant or medicinal fluid for treating the perineum is poured into a container suspended on a rack. From the tank through a flexible tube with an adjustable clamp, the fluid enters the perineum. The pressure in the system is generated due to the high level of the location of the tank and, or the pressure coming through the valve from the receiver. Panels line sections of the bed from below and, or from above. To reduce the height of the bed and increase the thickness of the mattress, the bed is located on the same level with the frame of the complex and, or above. Handles protruding above the frame and curved upward along the movable side rails are attached to the bed sections. Handles, protruding beyond the sections of the bed, fix and support the edges of the mattress. Handles are used to tie bedding and adjust the position of the sections of the bed. A durable mattress pad is fixed to the dorsal section of the bed and the pelvic section of the bed overlaps the gap formed between the back section of the bed and the pelvic section of the bed in order to reduce the sharp bending and displacement of the mattress relative to the bed formed when the back section is displaced.

The invention is illustrated by drawings, where figure 1 shows a complex;

 Figure 2 - position of the movable platform - 1;

 In Fig.Z - position of the moving platform - 2;

 Figure 4 - overlap of the through hole with a locking roller;

 Figure 5 - the source of water in the collection;

 Figure 6 - universal retainer;

 In Fig.7 - the position of the universal latch - 1;

 On Fig - position of the universal latch - 2;

 In Fig.9 - the position of the universal latch - 3;

 Figure 10 - position of the universal latch - 4;

 11 - side rails;

On Fig - bed on the same level with the frame; In Fig.13 - the position of the hook -1;

On Fig - position of the hook -2;

In Fig.15 - the position of the hook -3;

In Fig.16 - the position of the hook -4;

On Fig - transverse shelf;

 On Fig - substrate with sealed adapters;

On Fig - module with a steam generator;

In Fig.20 - shower;

 On Fig - open through hole;

 On Fig - lining with a sleeve;

 In Fig.23 - closed through hole;

 On Fig - calibration rollers mid section;

 In Fig.25 - nozzle - siphon in the through hole;

 On Fig - rack with capacity;

 The life support and active recovery complex 1 (Fig. 1) contains backrests2 on which the frameZ, bed 4, side rails 5 are attached. When bathing, the back section of the bed 4 is raised so that the patient’s head is above the water level. The back section is locked in a raised position by a safety device 7.

The mattress pad 8 is attached to the dorsal section of the beds and the pelvic section of the bed 9 prevents the strong bending of the mattress 10 and blocks the resulting gap 11. RamaZ has at least one support post 12. At the ends of the support posts 12 and, or backs2 in contact with the floor, there are wide, height-adjustable tips 13 and, or wheels. A water source 14 is installed on the complex 1 gander 15 above the sink 16 or gander 15 inside the complex! when bathing the patient. The flushing tank 17 provides a flush of sewage in the receiving device 18. Under the bed 4 there is a movable platform 19 with a receiving device 18 and a device for raising and lowering 20 of the locking roller 21. When a command is given, the electric drive lowers the locking roller 21 (FIG. 2). The movable platform 19 is displaced to the side and the receiving device 18 is moved under the open through hole 22 (FIG. 3). The patient carries out his physiological functions and through the control panel gives a command to the electric drive and the movable plate! 9 is shifted to its original position. At the same time, together with the movable plate 19, the receiving device 18 moves and the upper part of the receiving device 18 is pressed against the elastic plate 23 preventing the smell from the contents of the receiving device 18 from spreading to the surrounding space. At the same time, under the through hole 22 there is a device for raising and lowering 20 the locking roller 21. The locking roller 21 rises and closes the through hole 22. (figure 4) The receiving device 18 is connected to a water supply source and provides a drain of used water and stool of the patient into the sewer and, or operates autonomously. The water source 14 (Fig. 5) is installed using a universal lock 24 (Fig. 6) according to the principle of a key with a lock (Figs. 7, 8, 9, 10). The side rails 5 are moved along the runners 25 (Fig. 11) and are fixed with squeezing locks26 in various height positions. When installed in the upper position, the side rails 5 are fixed by squeezing locks26 and blocked by safety locks27. Stiffening ribs28 are located across the side rails5. Handles29 are fixed to the sections of the bed4 (Fig. 12). Box 4 is located inside and, or on top of the frame. ZO panels line sections of the bed 4 from below and, or from above. In the lower part of the side rails 5 there is a static part of the hook31, and on the frame 3 and, or sections of the bed 4, there is a moving part of the hook 32. When lifting the foot end of the bed 4 (FIG. 13), the moving part of the hook 32 is shifted from the vertical line relative to the static part of the hook 31 and when the side guard 5 is installed from top to bottom, the static part of the hook 31 passes by the moving part of the hook 32 (FIG. 14). When lowering the foot end of the bed 4, the static part of the hook 31 and the moving part of the hook 32 are located on the same vertical line (Fig. 15) When lifting the side rails 5 to the upper position (Fig. 16), the static part of the hook 31 is connected to the moving part of the hook 32, forming a docking unit ЗЗ providing lateral fixation the lower part of the side rails 5 with the complex1 thereby preventing bending of the lower part of the side rails 5 under water pressure. The upper part of the side rails 5 is fixed to each other, by the transverse shelf34 (Fig.17). In this case, a rigidly fixed box is formed. The inner surface formed by the sections of the bed 4, the backs 2 and the side rails fixed in the upper position 5 is lined for the duration of the patient’s bathing with the substrate 35 made of a flexible, waterproof material. The edges of the substrate35 are fixed to complex 1, for example, using magnets Zb. In the substrate 35 (Fig. 18), a sealed adapter 37 is sealed for draining residual water and, or a sealed adapter38 for draining used water and, or a sealed adapter39 to prevent overflow. Sealed adapters 37,38,39 are tightly connected to the drain system. Hermetic adapter38 is closed with a stopper if necessary. The additional substrate and, or additional substrates, of a moisture-proof material are hermetically connected to the sealed adapters 37, 38, 39 of the substrate35. The source of water14 when bathing the patient is attached to the complex1 gander15 inside the complex1 and connected to the system flexible hoses 40 designed to provide a safe supply of hot and cold water in the home. The siphon nozzle41 on a flexible hose40 is connected to a water source 14 Module b42 (Fig. 19) is made of waterproof material. At the top of the module42 there is an opening and a ventilation outlet43 for the disposal of used air. The damper 44 controls the air flow rate. Unit 45 generates hot, humid air through

air duct into the module42 creating a steam bath effect inside the module. The inner edge46 of the lower part of the module42 is lowered into the complex 1 below the level of the upper edge of the backs2 and side rails5 located in the upper position. The outer edge47 of the lower part of the module42 is located outside the complex !, providing the location of the lower part of the module42 along the perimeter of the complex 1. For showering, the siphon nozzle41 (Fig. 20) is mounted above the patient in the upper part of the module42. Module42 can be used on any variety of beds and sunbeds. The locking roller 48 prevents the user from crawling down from the raised back section. Between the user and the receiver 18 there is a through hole 22 (Fig. 21) including a box 4, a mattress, bedding 49, softeners 50,

hygiene items51, lining with sleeve52 made of

waterproof material and in an anti-decubitus mattress. Pneumatic chambers 53 located under the lining with a sleeve 52 (Fig. 22) in a deflated state hang down along the walls of the through hole 22. Tensioner 54 provides tension to the lining with sleeve 52 along the walls of the through hole22.

An elastic roller55 extends along the upper perimeter of the receiving device ^ and is pressed firmly against the elastic plate23 The through hole22, if necessary, is blocked by a locking roller21 and, or a cover56 and, or pneumatic

cameras53 (Fig.23) and, or retractable plates57 and, or filler.

Calibration rollers58 (Fig.24) are located along the side rails 5 and, or backs2. Anatomical recess59 with rounded edges reduces risk

the formation of pressure sores. Calibration rollers58 are used to more accurately project the patient's crotch over the through hole22. At the edge of the through hole 22, the siphon nozzle41 (Fig. 25) is fixed and projected onto the perineum of the patient. Drying of the perineum of the patient is carried out by warm air entering through the duct, for example from a heater. A disinfectant, hygienic or therapeutic fluid is poured into a container 61 suspended from a stand and used to treat the patient's perineum (Fig. 26). From the tank61, through a flexible tube62 with an adjustable clamp, the liquid flows to the nozzle64 for processing the perineum user. The pressure in the system is generated due to the high level of location of the tank 1 and, or by supplying compressed air to a hermetically sealed tank 1 through an adjustable valve, for example from a receiver65.

The claimed technical solution allows for the comfortable execution of the act of defecation and urination in bed, even uncontrolled patients, the prevention and treatment of pressure sores, as well as washing, disinfection, treatment with medicinal solutions and drying with warm air of the perineum of the patient. The patient himself can open and close access to the receiving device. Discharge of contaminated water and feces of the patient into the sewer. It makes it easier for the patient with a minimum of assistance. Get healing baths for showers, steam baths, healing inhalations. Significantly reduces the proportion of physical labor when caring for a bed patient. As a result, there is no smell of urine and fecal secretions. The patient is clean and tidy. He is not a burden to others and the patient feels it. The likelihood of a favorable treatment outcome increases.

Claims

CLAIM.  1. The complex contains backs, a frame, sections of the bed, side rails, a substrate made of flexible sealed material, a hot and cold water mixer, backs and additional support legs have wide tips, characterized in that the inner surface of the complex with side rails fixed in the upper position lined with a substrate of flexible, moisture-proof material, while at least one sealed adapter for draining water is sealed in the substrate, hermetically sealed ovki water drainage system, wherein there is at least one water source, the universal retainer and the module.  2. The complex according to claim 1, characterized in that at least one side fence is movable.  3. The complex according to claim 1, characterized in that the water source is attached to a universal fixture and has the ability to be removed, transferred and installed on the complex and beyond.  4. The complex according to claim 1, characterized in that the water source is connected to the system  water supply with at least one flexible hose.  5. The complex according to claim 1, characterized in that there is at least one siphon nozzle on a flexible hose.  6. The complex according to claim 1, characterized in that at least one of the sides of the module is movable.  7. The complex according to claim 1, characterized in that the flow of air into the module and the outflow of air from the module is provided.  8. The complex according to claim 1, characterized in that it has at least one back with wide, height-adjustable tips.  9. The complex according to claim 1, characterized in that it has at least one back with wheels.  10. The complex according to claim 1, characterized in that it has at least one reference  rack with a wide, height-adjustable tip.  P. The complex according to claim 1, characterized in that there is a sink.  12. The complex according to claim 1, characterized in that the water source has the ability  installed to supply water to the sink.  13. The complex according to claim 1, characterized in that the water source has the ability  installed to supply water inside the complex. SUBSTITUTE SHEET (RULE 26) 14. The complex according to claim 1, characterized in that it is possible to drain water from the sink into the water discharge system.  15. The complex according to claim 1, characterized in that there is at least one  calibration roller.  16. The complex according to claim 1, characterized in that there is at least one  fixing roller.  17. The complex according to claim 1, characterized in that it is equipped with a safety device  providing the ability to block the back section of the bed in an elevated position so that when bathing the user's head would be able to be above the water.  18. The complex according to claim 1, characterized in that it is equipped with safety locks  providing the ability to block the side rails in the upper position.  19. The complex according to claim 1, characterized in that at least one sealed adapter for maintaining the water level, sealed with a water drainage system, is hermetically fixed in the substrate.  20. The complex according to claim 1, characterized in that it has at least one  additional backing made of waterproof material.  21. The complex according to claim 1, characterized in that the substrate has the ability to be fixed to the complex.  22. The complex according to claim 1, characterized in that the side rails in the upper position have the ability to be fixed with their lower part to the complex.  23. The complex according to claim 1, characterized in that the water source and the water discharge system  made with the ability to disconnect from the complex and connect to the complex.  24. The complex according to claim 1, characterized in that the module is made of waterproof material.  25. The complex according to claim 1, characterized in that the module is made of vapor-permeable material.  26. The complex according to claim 1, characterized in that the module is made of heat-insulating material.  27. The complex according to claim 1, characterized in that it is possible to provide fine, salt aerosols to the module. SUBSTITUTE SHEET (RULE 26) 28. The complex according to claim 1, characterized in that it is possible to provide negatively charged air ions to the module.  29. The complex according to claim 1, characterized in that it is possible to provide the supply of volatile and essential oils to the module.  30. The complex according to claim 1, characterized in that it is possible to ensure the supply of medicinal aerosols to the module  31. The complex according to claim 1, characterized in that it is possible to provide oxygen to the module.  32. The complex according to claim 1, characterized in that it is possible to change the temperature of the air entering the module.  33. The complex according to claim 1, characterized in that it is possible to change the humidity of the air entering the module.  34. The complex according to claim 1, characterized in that it is possible to change the composition  air entering the module.  35. The complex according to claim 1, characterized in that it is possible to clean the air entering the module.  36. The complex according to claim 1, characterized in that it is possible to sterilize  air entering the module.  37. The complex according to claim 1, characterized in that the user is inside the module  completely.  38. The complex according to claim 1, characterized in that the user is inside the module  partially.  39. The complex according to claim 1, characterized in that there is a closed air circulation  between a device that changes the characteristics of the air and the module.  40. The complex according to claim 1, characterized in that the inner edge of the lower part of the module  lowered into the complex below the level of the upper edge of the backs and side rails located in the upper position.  41. The complex according to claim 1, characterized in that the module has a ventilation system with an adjustable damper.  42. The complex according to claim 1, characterized in that the module has at least one window made of transparent material.  43. The complex according to claim 1, characterized in that in the module, at least one window has a shutter. SUBSTITUTE SHEET (RULE 26) 44. A complex containing a frame, backs, sections of a bed and a device for collecting stool of a patient, characterized in that there is a through hole in the bed, mattress and bedding between the user and the receiving device, while the through hole has the ability to open and  to be closed, and the bed and the walls of the through hole have the ability to be lined with a sleeve with a sleeve made of waterproof material. 45. The complex according to item 44, wherein the through hole has the ability  overlap shutter roller.  46. The complex according to item 44, wherein the through hole has the ability to change its size,  47. The complex according to item 44, wherein the locking roller has the ability  move inside the through hole up and down.  48. The complex according to item 44, wherein the receiving device is located below  through hole and has the ability to move away from the through hole.  49. The complex according to item 44, wherein the movable plate  providing a change in the position of the locking roller and the receiving device relative to the through hole.  50. The complex according to item 44, wherein the through hole has the ability to overlap at least one pneumatic chamber.  51. The complex according to item 44, wherein the pneumatic chamber is suspended, according to  at least one flexible fixture fixed to the complex.  52. The complex according to item 44, wherein the through hole has the ability  overlap with at least one lid.  53. The complex according to item 44, wherein the through hole has the ability  overlap with at least one pull-out plate.  54. The complex according to item 44, wherein the through hole has the ability  overlap filler.  55. The complex according to claim 44, characterized in that there is at least one  calibration roller.  56. The complex according to item 44, wherein there is at least one source of water.  57. The complex according to claim 44, characterized in that there is at least one  elastic roller. SUBSTITUTE SHEET (RULE 26) 58. The complex according to item 44, wherein the hygiene items have a through hole.  59. The complex according to item 44, wherein the softening accessories have a through hole.  60. The complex according to item 44, wherein the anti-decubitus mattress  there is a through hole.  61. The complex according to item 44, wherein the surface of the bed adjacent to the through hole has a recess with rounded edges anatomically close to the pelvic part of the user.  62. The complex according to claim 44, characterized in that there is at least one  a mattress pad fixed to at least one section of the bed.  63. The complex according to claim 44, characterized in that it is possible to establish  siphon nozzle at the edge of the through hole and project onto the perineum of the user.  64. The complex according to claim 44, characterized in that it is possible to overlap  receiving device.  65. The complex according to claim 44, characterized in that it is possible to use  receiving device connected to the sewer.  66. The complex according to claim 44, characterized in that it is possible to use  the receiving device is autonomous.  67. The complex according to claim 44, characterized in that it is possible to use the toilet as a receiving device.  68. The complex according to claim 44, characterized in that it is possible to use a dry closet as a receiving device.  69. The complex according to claim 44, characterized in that it is possible to use a capacity as a receiving device.  70. The complex according to claim 44, characterized in that as a receiving device, it is possible to use a tray for draining stools and used water. 71. The complex according to item 44, wherein the panels line the sections of the bed from the bottom. 72. The complex according to claim 44, wherein the panels line the sections of the bed from above. 73. The complex according to item 44, wherein the bed is located inside the frame.  74. The complex according to item 44, wherein the bed is located above the frame. SUBSTITUTE SHEET (RULE 26)