WO2014029998A1 - Aide à la marche à roues ayant un siège pour aider à se lever - Google Patents

Aide à la marche à roues ayant un siège pour aider à se lever Download PDF

Info

Publication number
WO2014029998A1
WO2014029998A1 PCT/GB2013/052210 GB2013052210W WO2014029998A1 WO 2014029998 A1 WO2014029998 A1 WO 2014029998A1 GB 2013052210 W GB2013052210 W GB 2013052210W WO 2014029998 A1 WO2014029998 A1 WO 2014029998A1
Authority
WO
WIPO (PCT)
Prior art keywords
walking aid
aid according
patient
frame
patient walking
Prior art date
Application number
PCT/GB2013/052210
Other languages
English (en)
Inventor
Richard Nilsson
Original Assignee
Arjo Hospital Equipment Ab
Huntleigh Technology Limited
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 Arjo Hospital Equipment Ab, Huntleigh Technology Limited filed Critical Arjo Hospital Equipment Ab
Publication of WO2014029998A1 publication Critical patent/WO2014029998A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for patients or disabled 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
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/053—Aids for getting into, or out of, bed, e.g. steps, chairs, cane-like supports
    • 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
    • A61G7/1038—Manual lifting aids, e.g. frames or racks
    • 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
    • A61G2200/34—Specific positions of the patient sitting
    • 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
    • A61G2200/36—Specific positions of the patient standing
    • 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
    • A61G5/10—Parts, details or accessories
    • A61G5/1005—Wheelchairs having brakes
    • A61G5/101—Wheelchairs having brakes of the parking brake type, e.g. holding the wheelchair
    • 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
    • A61G5/10—Parts, details or accessories
    • A61G5/1005—Wheelchairs having brakes
    • A61G5/1029—Wheelchairs having brakes engaging a surface, e.g. floor or wall
    • 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
    • A61G5/10—Parts, details or accessories
    • A61G5/1005—Wheelchairs having brakes
    • A61G5/1035—Wheelchairs having brakes manipulated by wheelchair user
    • 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
    • A61G7/1013—Lifting of patients by
    • A61G7/1019—Vertical extending columns or mechanisms
    • 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
    • A61G7/104—Devices carried or supported by
    • A61G7/1046—Mobile bases, e.g. having wheels
    • 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
    • A61G7/1082—Rests specially adapted for
    • A61G7/1094—Hand or wrist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for patients or disabled persons
    • A61H2003/046—Wheeled walking aids for patients or disabled persons with braking means

Definitions

  • the present invention relates to a wheeled walking aid.
  • the traditional rollator is well known and appreciated by patients, although it has some major drawbacks.
  • the patient is taught how to walk with a correct posture.
  • the patient very soon after walks in a crooked manner by relying upon the rollator and hanging onto its handles, which fails to train upper body stability and causes the patient to experience a loss of balance as soon as the patient lets go of the rollator.
  • IV intravenous
  • Extra staff is also needed if the patient might be tired and need to rest during the way. Then an extra staff brings a wheelchair or gets a chair.
  • Various devices are known for helping patients gaining mobility, such as walking frames and rollators some even helping with the sit-to-stand motion.
  • WO-2009/097520 “Systems and Methods for Assisting a Seated Person to a Standing Position" discloses a rollator which when aided by a second person may help a first person up from a sitting position.
  • the disclosed system has two drawbacks, it needs a second person for aiding in the sit to stand motion and it is prone to give the first person a forward leaning posture when walking behind it since it relies on the person applying a partially downwards directed force onto the two handles.
  • the present invention seeks to provide an improved patient walking aid.
  • a patient walking aid including a frame, the frame including an upright support and at least one rearwardly extending foot element; at least one roller coupled to the frame; at least one handle coupled to the frame, a brake element engageable with at least one of the at least one roller and a floor surface when a downward and/or rearward pressure is applied to the handle.
  • the walking aid includes first and second rearwardly extending feet elements.
  • the walking aid included first and second rollers in the form of wheels, the wheels being located at opposite sides of the frame.
  • the brake element is preferably engageable with a floor surface.
  • first and second brake elements are included.
  • the or each brake element may be located at a rearward extremity of the or an associated rearwardly extending foot element.
  • the or each brake element includes a high friction member.
  • a low friction element or roller spacing by a biasing element the high friction member from an engagement surface until sufficient force is applied to the low friction element or roller to overcome the biasing element.
  • the or each brake element includes a roller engagement member.
  • the or each engagement member may be coupled to the frame and movable against the force of a biasing element into an out of engagement with an associated roller.
  • at least one forward disposed low friction element coupled to the frame, which may be at least one roller or wheel.
  • the apparatus preferably includes at least two handles.
  • the or each handle is advantageously extendable between at least upper and lower positions relative to the frame.
  • the lower position is preferably selected for a patient sitting position and the upper position is preferably selected to allow a patient to stand upright while holding onto the handle or handles.
  • the or each handle is coupled to the frame by a suspension system.
  • the or each handle may be coupled to the frame by a ratchet mechanism, a spring arrangement, by a friction coupling, by motorized actuator or any combination of these.
  • the or each roller is freely rotatable when no downward of backward force is applied to the handle or handles.
  • the preferred embodiment can provide a patient walking aid which can take upper body posture in consideration and can therefore provide improved walking posture and balance for the user.
  • the disclosed embodiments can aid a person in coming safely up from a sitting position to a standing position and then walking with a correct posture and be given balance help from the apparatus.
  • the preferred apparatus provide two grips positioned adjacent the person, in such a position that they allow the person to grip them and push with the arms to come to a standing position.
  • the apparatus remains stable without any further action than pushing down on the handles.
  • the handles preferably adapt to the new distance from the floor of the persons hands versus the distance the handles had in the sit-to-stand sequence.
  • the apparatus is designed in such a way that it will be in balance when a small amount of upward force is applied to the handles.
  • the apparatus When a downward force is applied the apparatus will be to some degree hindered from moving, thus fostering a correct posture when walking.
  • the apparatus gives the person two handles to hold on to, side stability and a very small turning radius provide a good alternative to having a second person assist the first person in the sit-to-stand motion and walk, giving the first person a better self-esteem in being able to perform the action personally, Furthermore, it will free up resources in the healthcare sector, which is the intended environment, since a second person does not have to oversee the first.
  • the person using the apparatus will also gain in strength as the person with an aid like this will be able to walk more frequently than without an apparatus with the described functions.
  • the preferred embodiments disclosed combine the two elements which, from a physiotherapist perspective, form a workflow that promotes independence and good rehabilitation of a person in a healthcare environment, namely: 1 ) secure and supportive sit-to-stand and 2) aided walking with a correct posture-fostering design.
  • Figures 1 , 2 and 3 show in schematic form an embodiment of walking aid in the course of use by a patient
  • Figure 4 is a schematic side elevational view showing the detail of an embodiment walking aid
  • Figure 5 is a schematic side elevational view showing the detail of another embodiment walking aid.
  • Figure 6 shows two embodiments of side supports for the walking aids disclosed herein.
  • FIG. 1 the predominately horizontal surface (1 ) of a bed is shown, herein called the top.
  • the illustration shows a hospital bed but it is understood that it could also represent a sofa, a chair, a couch, a stretcher or any other surface that a person normally would sit on.
  • the patient (2) starting position is sitting on the surface (1 ) with the apparatus in front of her.
  • handles (3) are placed adjacent on either side of the patient (2).
  • the handles (3) are located at a distance y1 from the floor in that they are adapted to the height of the surface (1 ) to serve the patient (2) with a good platform to push up from in the sit-to-stand motion.
  • the handles (3) are attached to upright rigid support member (5), which extends from two rigid lateral members (6) and (7) and which form a frame on to which a plurality of rollers, in this example wheels (4), are connected on either side of the apparatus.
  • the wheels (4) are arranged in this embodiment in such a way that as the frame tilts backwards when the patient (2), holding on to the two handles (3), pulls forward in the direction of the patient's (2) torso and when the system lacks an upwards directed force on one or both of the handles (3) of sufficient magnitude.
  • the handles (3) are arranged in such a way that the apparatus is given a sideways stability, for which preferably one wheel (4) on each side of the apparatus is used.
  • the end of the rigid member (6) will touch the floor as the patient (2) push down on to the handles (3) to aid in the sit-to-stand motion.
  • the end of the rigid member (6) is configured in such a way that it provides enough friction against the floor to make the handles (3) a stable and safe platform for the patient (2) to push up from in the sit-to-stand motion.
  • rollers wheels (4) is not necessarily limited to two. Other configurations will give the same effect, for example but not limited thereto, four wheels will give the same effect.
  • the end of the rigid member (6) provides enough friction against the floor to make the handles (3) a stable and safe platform for the patient (2) to push up from in the sit-to-stand motion, in that two wheels (4) are touching the floor distanced apart by the rigid member (5) by a distance exceeding the width of the patient (2) and together with the end of the rigid member (6) at least three points have contact with the floor and the system is stable.
  • the patient (2) has come to a standing position.
  • the handles (3) on the apparatus are suspended to the rigid member (5) in such a way that they are able to alter in height from the floor between two distinctive levels, one lower lever represented by y1 in FIG. 2 and one represented by y2 which is characterized by being bigger than y1 .
  • the distance y2 is adapted to the patient
  • the handles (3) may in one embodiment move freely between the two levels y1 and y2, possibly through a suspension system to the rigid member (5) being guided with low friction. In another embodiment the handles (3) may be able to be locked in the upper position by the suspension system to the rigid member (5). It is understood that these two arrangements can have variations in between such and may be provided by, but not limited to, a ratchet mechanism allowing downwards stability at either height, spring arrangements allowing semi-downwards stability, friction couplings allowing a rigid connection on any given position between y1 and y2, motorized actuator controlling the position of the handles (3).
  • the dynamics of the apparatus is shown.
  • the end of the rigid member (7) When an upwards directed force is applied to one or both of the handles (3), the end of the rigid member (7) will close the gap B to the floor (8) and ultimately come in contact with the floor (8), by having the gap B sufficient small and with the end of the rigid member (7) being longitudinal spaced forward of the handles (3) by a distance enough for the system to form a stable platform taking account of the weight and speed of the walking patient (3) this will prevent any hazardous unwanted tilt forward motion.
  • the end of the rigid member (7) will preferably be configured to have low friction in that the apparatus shouldn't come to a sudden stop when it comes in contact with the floor (8).
  • the end of the rigid member could be designed, for example but not limited to, as a sphere in a low friction material such as plastic, a wheel or castor, a flat surface in a low friction material such as plastic.
  • the rigid member (6) is made to have a weight resulting in the upwards applied force to one or both of the handles (3) being pleasant for the patient (2) while still fostering a good upright walking posture.
  • the end of the rigid member (6) can be configured in a number of ways to provide enough friction against the floor to make the handles (3) a stable and safe platform for the patient (2) to push up from in the sit-to-stand motion.
  • the end of the rigid member (6) is made out of a high friction material (9) such as, but not limited to, polyurethane or rubber.
  • the end of the rigid member (6) is designed with a wheel (1 0) in contact with the floor (8) when the system lacks an upwards directed force on one or both of the handles (3) of sufficient magnitude and where the wheel (1 0) is suspended (1 1 ) to the end of the rigid member (6) in such a way that when a downwards directed force on one or both of the handles (3) of sufficient magnitude is applied the high friction part (9) at the end of the rigid member (6) comes in contact with the floor (8) as the wheel is allowed to move in regard to the end of the rigid member (6).
  • the wheel (1 0) can represent any form of low friction contact point to the floor (8).
  • FIG. 5 is shown another embodiment 3 (the wheels) of the apparatus as described above having plurality of wheels (4), preferably four or more, spaced apart to provide a stable platform forward, backwards and sideways, in regard of the patient (2), connected by a rigid member (1 3) or a plurality of rigid members (1 3).
  • the rigid member (5) is connected to the rigid member (1 3) by a flexible member (1 2) in the form of, for example but limited to, a spring, polyurethane, rubber, or a hinge.
  • the end of the rigid member (7) When an upwards directed force is applied to one or both of the handles (3) the end of the rigid member (7) will close the gap C to the rigid member (1 3) in that it is rigidly connected to a rigid member (5) and ultimately come in contact with the rigid member (1 3) and prevent any hazardous unwanted tilt forward motion.
  • the end of the rigid member (6), rigidly connected to the rigid member (5) is configured in such a way that it provides enough friction against one or more of the wheels (4) to make the handles (3) a stable and safe platform for the patient (2) to push up from in the sit-to-stand motion, in that the wheels (4) will be sufficiently locked against the floor (8). It is understood that the end of the rigid member (6) can be configured to be directed to the floor (8) as described earlier, thus giving the same result.
  • the rigid member (5), the rigid member (6) and the rigid member (7) can consist of a plurality of rigid members, preferably but not necessarily, spaced apart in that they form a symmetric apparatus in the same plane as the sagittal plane of a patient (2) holding on to the two handles (3).

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Rehabilitation Tools (AREA)

Abstract

L'invention concerne une aide à la marche à roues pour patient, qui comprend un cadre ayant un support vertical (5) auquel sont couplées deux poignées (3) et au moins deux roues (4). Le cadre comprend également deux éléments de pied s'étendant vers l'arrière (6) qui, dans un mode de réalisation, ont des éléments de frein à haut coefficient de frottement (9) fixés à ceux-ci. Les poignées (3) peuvent se déplacer entre des positions basses et des positions hautes, permettant à un patient (2) d'être debout tout en se tenant encore sur l'aide à la marche. Les freins (9) confèrent une stabilité à l'aide lorsque le patient se lève (2) d'une position assise à une position debout.
PCT/GB2013/052210 2012-08-23 2013-08-22 Aide à la marche à roues ayant un siège pour aider à se lever WO2014029998A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB1215013.2 2012-08-23
GB201215013A GB201215013D0 (en) 2012-08-23 2012-08-23 Wheeled walking aid with sit to stand help

Publications (1)

Publication Number Publication Date
WO2014029998A1 true WO2014029998A1 (fr) 2014-02-27

Family

ID=47045269

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2013/052210 WO2014029998A1 (fr) 2012-08-23 2013-08-22 Aide à la marche à roues ayant un siège pour aider à se lever

Country Status (2)

Country Link
GB (1) GB201215013D0 (fr)
WO (1) WO2014029998A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104856842A (zh) * 2015-05-28 2015-08-26 清华大学 足底轮式驱动的截瘫助行外骨骼
CN111658379A (zh) * 2020-05-12 2020-09-15 武汉理工大学 一种助老站立组件及可折叠家用助老站立装置
US10893988B2 (en) 2016-05-26 2021-01-19 Stryker Corporation Patient support systems and methods for docking, transporting, sterilizing, and storing patient support decks
CN114041977A (zh) * 2021-12-20 2022-02-15 郑州大学第一附属医院 一种老年人助行及辅助起坐装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1342397A (en) * 1971-05-21 1974-01-03 Drove Precision Eng Co Ltd Carrier with rolling elements
GB2061118A (en) * 1979-10-25 1981-05-13 King L M Walking aids
US4510956A (en) * 1983-08-15 1985-04-16 Lorraine King Walking aid, particularly for handicapped persons
EP0750897A2 (fr) * 1995-06-26 1997-01-02 Invacare Corporation Appareil d'aide à la marche avec élément permettant le glissement sur le sol
WO2003062038A1 (fr) * 2002-01-24 2003-07-31 Eli Razon Support de jambes reglable et chariot de marche verticalisateur

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1342397A (en) * 1971-05-21 1974-01-03 Drove Precision Eng Co Ltd Carrier with rolling elements
GB2061118A (en) * 1979-10-25 1981-05-13 King L M Walking aids
US4510956A (en) * 1983-08-15 1985-04-16 Lorraine King Walking aid, particularly for handicapped persons
EP0750897A2 (fr) * 1995-06-26 1997-01-02 Invacare Corporation Appareil d'aide à la marche avec élément permettant le glissement sur le sol
WO2003062038A1 (fr) * 2002-01-24 2003-07-31 Eli Razon Support de jambes reglable et chariot de marche verticalisateur

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104856842A (zh) * 2015-05-28 2015-08-26 清华大学 足底轮式驱动的截瘫助行外骨骼
US10893988B2 (en) 2016-05-26 2021-01-19 Stryker Corporation Patient support systems and methods for docking, transporting, sterilizing, and storing patient support decks
CN111658379A (zh) * 2020-05-12 2020-09-15 武汉理工大学 一种助老站立组件及可折叠家用助老站立装置
CN114041977A (zh) * 2021-12-20 2022-02-15 郑州大学第一附属医院 一种老年人助行及辅助起坐装置
CN114041977B (zh) * 2021-12-20 2023-08-25 郑州大学第一附属医院 一种老年人助行及辅助起坐装置

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Publication number Publication date
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