WO2021038105A1 - Unité de couchage servant aux soins d'un prématuré, conçue en particulier pour une couveuse - Google Patents

Unité de couchage servant aux soins d'un prématuré, conçue en particulier pour une couveuse Download PDF

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Publication number
WO2021038105A1
WO2021038105A1 PCT/EP2020/074224 EP2020074224W WO2021038105A1 WO 2021038105 A1 WO2021038105 A1 WO 2021038105A1 EP 2020074224 W EP2020074224 W EP 2020074224W WO 2021038105 A1 WO2021038105 A1 WO 2021038105A1
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WO
WIPO (PCT)
Prior art keywords
lung
mattress
fluid
unit
lounger
Prior art date
Application number
PCT/EP2020/074224
Other languages
German (de)
English (en)
Inventor
Karoline PTAK
Original Assignee
Korossis, Sotirios
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 Korossis, Sotirios filed Critical Korossis, Sotirios
Priority to GBGB2202775.9A priority Critical patent/GB202202775D0/en
Publication of WO2021038105A1 publication Critical patent/WO2021038105A1/fr

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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
    • A61G11/00Baby-incubators; Couveuses

Definitions

  • Lying unit for the care of a premature baby, especially for an incubator
  • the invention relates to a bed unit for the care of a premature baby, in particular for use in an incubator, according to the preamble of claim 1.
  • Incubators or incubators are used to care for newborns, especially after premature birth, and to create an environment for the premature baby in which it can be cared for under optimal environmental conditions, taking hygienic requirements into account.
  • the influences in the incubator are measured, controlled and adjusted using various sensor technologies. This means that air humidity, oxygen, calm and ambient temperature as well as the heart rate of the premature baby can be constantly monitored.
  • the direct physical contact of the premature baby which it experienced in the womb before birth, cannot be reproduced too satisfactorily in a conventional incubator.
  • the contact of the premature baby to the Parents for example, lying on their chests to perceive the warmth, smell, voice, movements and heartbeat that the premature baby is used to from the womb, is not continuously possible.
  • the premature baby often has to spend a long period of time in an incubator, and in this environment the above-mentioned familiar sensory stimuli are missing in conventional incubators, which severely restricts the development of the premature babies, both acutely and later in life, and often premature babies have development lungs delays, concentration problems, lung diseases or even disabilities and blindness.
  • a mattress is provided as part of the bed unit in the cited publication, which mattress consists of an elastically flexible body in which, in particular, an elastically deformable, gel-like lung body is firmly embedded.
  • the lung body has a bellows which can be inflated and deflated via a fluid line in order to be able to raise and lower the lying surface formed by the body for placing the premature baby on.
  • the movement of the body of the lunar imitates the movement of a natural lung.
  • the body of the lung itself has an elastic material with a mass density which is similar to that of the human body or of muscle and fat tissue of the human body.
  • the material includes in particular PU rubber, PU gel, latex or another elastic material.
  • the mattress with the embedded artificial lung or the gel-like lung body is thus designed as a coherent element in the bed unit, which is pre-assembled so that the bed surface has a certain fixed shape. It is therefore disadvantageous that the material used for the mattress is only adaptable to a limited extent despite the appropriate choice of mass density. This means that the mattress or the lying surface can only adapt to the body contour of the premature baby to a limited extent. The contours are therefore already given by the material used, and not all of the preterm infant's reclining positions can be covered. Accordingly, the premature baby cannot be comfortably brought and held in different positions as suggested by the medical authorities.
  • the selected material of the mattress can only reproduce the vibration generated by the lung body to a limited extent, depending on the situation in the womb or on the mother's or father's breast. This follows, in particular, from the fact that the lung body only causes slashing and lowering, while the premature baby experiences movement in all spatial directions in the womb or lying on the body of the respective parent. Overall, natural movement can only be passed on to the premature baby to a limited extent. Even the slight weightlessness that an infant experiences in the uterus because it swims in the amniotic fluid cannot be conveyed to the child.
  • the prior art shown is not very adaptable to the special needs of premature babies.
  • premature babies can react differently to the elastic resilience or the vibration transmission of the mattress, depending on their individual sensations.
  • the mattress can only be adjusted by removing and replacing the entire mattress. Even if the lung is defective, it can be prevented by embedding it in the resilient body cannot be replaced without destroying the entire mattress or impairing other components of the mattress.
  • Such a structure the maintenance and servicing of the mattress and thus the bed unit per se are made more difficult.
  • the object of the invention is to provide a bed unit, in particular for an incubator, with which sensory stimuli can be transmitted to a premature baby in an optimized manner, which is comfortable for the premature baby and which has a high degree of variability or flexibility. Furthermore, a lying unit is provided which is very similar to the environment in the uterus, so that the premature baby can develop better because he lacks this time in the womb and since the development of the child in the womb could not take place completely.
  • the bed unit in particular for an incubator, has a mattress, the mattress having a body with an elastically flexible wall, the wall delimiting a sealed interior into which a fluid, preferably water or a water-similar fluid is filled, and the mattress in a receiving area of a base frame with a frame so loosely or repeatedly detachable (e.g.
  • a Velcro fastener or adhesive tape rests on a, for example, sickle-shaped elastic lung body that the lung body is an underside of the mattress in a vibration entry area at least partially loosely touched, so that a vibration generated by the elastic deformation of the lung body can be coupled via the vibration entry point into the fluid in the body to move the bed surface over the fluid.
  • the water-like fluid in the body of the mattress can advantageously also ensure that the lying surface can optimally adapt to the body contour of the preterm infant lying on it, which is not the case in the prior art.
  • the water-like fluid is at the same time so flexible that it adapts to the contour of the lying surface and thus to the body contour of the premature baby by being displaced.
  • This is also modeled on a water bed, in which the lying surface adapts itself optimally to the body contour of the person lying on it.
  • a large number of lying positions of the premature baby can advantageously be covered, since a contour adjustment automatically takes place through the displacement of water when the lying surface is rotated and thus when the force (weight) changes.
  • the lying surface can automatically adapt to a premature baby lying on its side as well as to the body contour of a premature baby lying on its stomach or back.
  • This also avoids pressure points that can arise from additional blankets or pads or possibly also the cabling in the incubator when the premature baby rests on it. These changes in shape can also be intercepted by a displacement of the fluid.
  • the premature baby can thus be comfortably positioned in any position on the lying surface, so that comfort can be increased and the positive perception of the premature baby can be improved.
  • the mattress rests loosely or repeatedly detachable e.g. via a Velcro fastener or an adhesive tape as a multiple detachable connection
  • the mattress is advantageous can be removed from the incubator independently of other elements of the bed unit or could even be exchanged for other mattresses, for example gel mattresses, foam mattresses if necessary.
  • a high degree of flexibility is achieved as a result, since the premature baby, for example, including the mattress, can be transported from one position in an incubator to another position, for example into a transport incubator or onto an operating platform.
  • the lying unit according to the invention is therefore not only suitable for use in an incubator, but also in other environments in which the premature baby is to be positioned in the correspondingly advantageous environment.
  • the premature baby does not necessarily have to be removed from its accustomed and adapted base and can remain in the existing lying position on the mattress.
  • the premature baby is not very aware of the transport itself and is only slightly influenced in its sensory stimuli, since it remains on the fluid-filled body.
  • the bed unit can also be easily transported in its entirety by transporting the underframe together with the mattress. This can be provided in particular in the event of great danger to life, if the premature baby is not to be removed from the bed unit and a corresponding treatment has to take place without being transported from the bed unit.
  • the mattress can be easily removed from the underframe and reinserted independently of the other elements of the lying unit, a high degree of variability or flexibility can be guaranteed.
  • the mattress can as a result, they can not only be cleaned and / or exchanged individually in a simple manner without affecting the other components of the bed unit. Rather, a mattress adapted and selected to the respective premature baby can be placed loosely or via a multiple detachable connection in the subframe, the coupling of the oscillation taking place automatically when the mattress rests on the lung.
  • a body can be provided with a selected fluid that is specifically adapted to the sensitivity of the premature baby due to its flexibility or toughness. This means that a certain level of calming down can be set individually for the respective premature baby.
  • the other components of the bed unit can remain unchanged in the incubator or the respective environment and can then be used again.
  • the elastic lung body can also be exchanged independently of the mattress. This ensures a high degree of flexibility and maintenance and servicing are simplified if, for example, a defect occurs in the lung body or on the mattress.
  • the assembly and disassembly are very simple in such a case, as there are no fixed connections between the individual components hen best.
  • the construction of the bed unit has a positive effect on the child's level of development, as the child can perceive his or her sensory stimuli via the imitated breathing movement in an optimized manner and tailored to the respective situation.
  • an environment is created that has a positive effect on the feeling and thus the development of the premature baby. This demonstrably minimizes the risk of blindness due to excessive oxygen administration, the premature baby needs less additional oxygen and develops better physically.
  • the bed unit has a diffuse lighting device and / or acoustic elements for generating acoustic signals, for example heart sounds or the voices of the parents. These are linked to the bed unit and can therefore be transported with it into the respective surroundings and used accordingly.
  • FIG. 1 shows a schematic exploded view of a bed unit, for example in an incubator.
  • a bed unit 1 for the care of a premature baby is Darge presents, which has an underframe 2, which can be set up on any base, for example a table.
  • the underframe 2 is preferably manufactured from a hemp polymer by means of an injection molding process in order to enable ecologically optimized production.
  • a correspondingly shaped mattress 4 with a lying surface 5 can be placed in a receiving area 3 of the underframe 2, the mattress 4 not being attached to the underframe 2 and being removable.
  • the premature baby can be placed on the lying surface 5 of the mattress 4, the premature baby being additionally covered with blankets or scarves in a protective and supportive manner.
  • the mattress 4 is surrounded by a cover 6, it being possible, for example, to choose polyurethane (PU) as the material to enable easy cleaning.
  • a body 7 with an elastically flexible wall 7a is arranged, the wall 7a delimiting a sealed interior 7b into which a fluid 7c, in particular water or a water-like fluid, is filled.
  • the interior 7b can be filled with the fluid 7c depending on the situation via a closable closure in the wall 7a or the fluid 7c can be removed.
  • the material of the resilient wall 7a is chosen such that it follows the movement of the fluid 7c in the interior 7b immediately, as is known in particular for water beds.
  • the cover 6 can be provided with any desired opening mechanism, for example with a zipper, in order to be able to remove the body 7. In this way, cleaning and / or replacement of the cover 6 and / or the elastically flexible body 7 can be ensured.
  • an elastic lung body 8 in the receiving area 3. According to the embodiment shown, this lies in the shape of a sickle on an underside 4a of the mattress 4 in the area loosely, ie not firmly connected to it, in which the head of the premature baby rests on the lying surface 5.
  • the elastic lung body 8 is constructed in such a way that a surface 9, which is preferably directed towards the underside 4a of the mattress 4, can be elastically deformed in response to an external operating input B, which is received via an operating element 10.
  • the elastic deformation of the surface 9 can take place in any way.
  • a pump 11, in particular a micro-pump is arranged in or on the operating element 10. This is connected to the elastic lung body 8 via a fluid line 12, the fluid line 12 opening into a cavity 13 in the interior of the elastic lung body 8.
  • the pump 11 can be controlled in such a way that it alternately pumps a fluid, for example air, into and out of the cavity 13 via the fluid line 12.
  • the surface 9 is deformed in a pulsating or alternating elastic manner, i.e. expanded and contracted again in a certain "rhythm", which corresponds to a pulsating movement or a kind of oscillating movement.
  • the natural pulsating movement of a human lung can be mimicked when the pump 11 is activated accordingly.
  • the vibration S generated by the elastic deformation is in a vibration entry area 14 on the mattress 4 or on the wall 7a of the cover 6 recorded body 7 transferred. Since the wall 7a follows the movement of the fluid 7c in the interior space 7b, the oscillation S coupled in via the oscillation entry point 14 is, conversely, also transmitted to the fluid 7c, which is thus set in a kind of wave motion. As is known, the generated oscillation S is propagated in the fluid 7c, so that the lying surface 5 of the mattress 4 also follows the coupled oscillation S directly. The premature baby lying on it is therefore subjected to the undulations of the fluid 7 c moves up and down as well. These movements imitate the movements that the premature baby is already familiar with from the womb and give the premature baby the security they need in the incubator.
  • the pump 11 is preferably controlled in such a way that the elastic deformation of the lung body 8 imitates the breathing or the lung movement of a parent part, preferably the mother, of the premature baby.
  • a parent part preferably the mother
  • familiar sensory stimuli can be conveyed to the premature baby, which it would otherwise also perceive on the breast of the parent, preferably the mother, or in the womb.
  • the water or water-like fluid 7c in the elastically resilient body 7 ensures, with the almost undamped wave movement, a kind of weightlessness that results from the movement of the elastic lung body 8. This is transmitted directly to the premature baby, so that a particularly gentle transmission of the movement of the lung body 8 and thus a very efficient perception of the sensory stimuli by the premature baby can be achieved.
  • the premature baby can also be moved or swung in all spatial directions, which is very similar to the situation in the womb as well as lying on the mother's or father's stomach.
  • the arrangement of the elastic's lung body 8 in the area of the head of the premature baby below the mattress 4 can in particular also simulate the situation as the premature baby perceives it on the mother's or father's chest. This gives the premature baby the familiar environment from the uterus that a premature baby lacks in a conventional incubator.
  • the water-like fluid 7c is flexible in all spatial directions, as a result of which the mattress 4 can adapt to the contour of the premature baby lying on it.
  • the mattress 4 can adapt to the contour of the premature baby lying on it.
  • uneven loads and so that pressure points are avoided, so that comfort is increased and the positive perception of the premature baby can be improved.
  • an electrically, in particular electromechanically, operated actuator (not shown) to be embedded in the lung body 8.
  • This can be controlled electrically as a function of an external operating input B via the operating element 10 in such a way that the elastic lung body 8 is deformed by a mechanical influence.
  • This also allows the surface 9 to be elastically deformed alternately, i.e. expanded and contracted again in a certain "rhythm", which corresponds to an oscillating movement.
  • the natural movement of a human lung can be mimicked when the actuator is activated accordingly.
  • the structure of the bed unit 1 shown makes it possible to quickly and easily remove the mattress 4 including the resilient body 7, ie with the vibration-transmitting fluid 7c, and to clean, transport or, if necessary, replace it without destroying the bed unit 1 .
  • An exchange of the mattress 4 or the resilient body 7 can be seen, for example, in front of the elastic resilience and thus the comfort of the mattress
  • an elastically flexible body 7 with a different fluid 7c and / or with different dimensions can be used in the cover 6. This causes the vibrations generated by the same lung body 8 and coupled into the fluid 7c
  • the bed unit 1 is designed to be very variable and can be easily and specifically adapted to the given circumstances.
  • the elastic lung bodies 8 can be exchanged or replaced individually without affecting the other components of the incubator.
  • the removal of the mattress 4 can advantageously also be used to easily and conveniently remove the premature baby from the incubator or the corresponding environment of the bed unit 1 as part of a repositioning, and to another environment, for example another To move the incubator, for example into a transport incubator, or onto an operating table or the like.
  • the premature baby is not to be removed from the mattress 4 when using the lying unit 1 according to the invention. This has a less negative impact on conceiving the premature baby.
  • the mattress 4 can continue to be used together with the underframe 2 in the new position, so that the premature baby does not have to be repositioned unnecessarily.
  • the transport incubator or the operating table or the like can have a correspondingly adapted receiving area 3. Accordingly, the bed unit 1 according to the invention can be used not only in an incubator, but also in other environments. Overall, the process of relocation for the premature baby can therefore be designed very gently, starting from the bed unit 1 according to the invention.
  • a lighting device 15 in particular a diffuse lighting device, for example a downwardly directed LED strip, is arranged on the underframe 2 of the bed unit 1.
  • an acoustic element 16 can be provided, for example in the area of the lung body 8, by means of which acoustic signals can be generated in a targeted manner in the vicinity of the premature birth.
  • the acoustic signals can imitate heart sounds as well as intrauterine sounds.

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  • Health & Medical Sciences (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pediatric Medicine (AREA)
  • Pregnancy & Childbirth (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)

Abstract

L'invention concerne une unité de couchage (1) servant aux soins d'un prématuré, conçue en particulier pour une couveuse, comprenant un bâti inférieur (2), un matelas (4) et un corps pulmonaire (8) élastique disposé sur le bâti inférieur (2), ce corps pulmonaire (8) pouvant être déformé élastiquement de manière qu'une surface (9) de ce corps pulmonaire (8) effectue un mouvement pulsé de va-et-vient vertical, ledit corps pulmonaire (8) coopérant avec le matelas (4) de manière qu'une surface de couchage (5) sur laquelle le prématuré peut être placé puisse être mûe par la déformation élastique du corps pulmonaire (8). Selon l'invention, le matelas (4) comporte en outre un corps (7) possédant une paroi (7a) présentant une conformabilité élastique, cette paroi (7a) délimitant un espace interne (7a) étanche rempli d'un fluide (7c), et le matelas (4) reposant sur le corps pulmonaire (8) élastique dans une zone de réception (3) du bâti inférieur (2), de manière amovible ou multi-amovible, de sorte que ce corps pulmonaire (8) soit en contact avec une face inférieure (4a) du matelas (4) dans une zone d'entrée de vibration (14), de façon qu'une vibration (S) générée par la déformation élastique du corps pulmonaire (8) puisse être injectée dans le fluide (7c) se trouvant dans le corps (7) par l'intermédiaire de cette zone d'entrée de vibration (14) pour mouvoir la surface de couchage (5) par l'intermédiaire dudit fluide (7c).
PCT/EP2020/074224 2019-08-29 2020-08-31 Unité de couchage servant aux soins d'un prématuré, conçue en particulier pour une couveuse WO2021038105A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GBGB2202775.9A GB202202775D0 (en) 2019-08-29 2020-08-31 Reclining unit for caring for a premature baby, in particular for an incubator

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102019123141.8 2019-08-29
DE102019123141.8A DE102019123141A1 (de) 2019-08-29 2019-08-29 Liegeeinheit für die Versorgung eines Frühgeborenen, insbesondere für einen Inkubator

Publications (1)

Publication Number Publication Date
WO2021038105A1 true WO2021038105A1 (fr) 2021-03-04

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Application Number Title Priority Date Filing Date
PCT/EP2020/074224 WO2021038105A1 (fr) 2019-08-29 2020-08-31 Unité de couchage servant aux soins d'un prématuré, conçue en particulier pour une couveuse

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Country Link
DE (1) DE102019123141A1 (fr)
GB (1) GB202202775D0 (fr)
WO (1) WO2021038105A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114983719A (zh) * 2022-05-10 2022-09-02 四川大学华西第二医院 一种具有安抚功能的高危儿早期干预训练辅助装置
CN115399962A (zh) * 2021-12-20 2022-11-29 郭少霞 一种多功能早产儿温箱用床垫

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2050839A (en) * 1979-03-17 1981-01-14 Engments Ltd Infant care apparatus
US6918770B2 (en) * 2002-08-19 2005-07-19 Brightwave Enterprises, Llc Infant nurturing medical device
EP2659929A2 (fr) 2012-05-03 2013-11-06 Camilo Andres Anabalon Alamos Emulation de stimuli sensoriels provenant d'une personne de référence pour un enfant
US20140292529A1 (en) * 2011-11-11 2014-10-02 Hill-Rom Services, Inc. Person support apparatus

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2050839A (en) * 1979-03-17 1981-01-14 Engments Ltd Infant care apparatus
US6918770B2 (en) * 2002-08-19 2005-07-19 Brightwave Enterprises, Llc Infant nurturing medical device
US20140292529A1 (en) * 2011-11-11 2014-10-02 Hill-Rom Services, Inc. Person support apparatus
EP2659929A2 (fr) 2012-05-03 2013-11-06 Camilo Andres Anabalon Alamos Emulation de stimuli sensoriels provenant d'une personne de référence pour un enfant

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115399962A (zh) * 2021-12-20 2022-11-29 郭少霞 一种多功能早产儿温箱用床垫
CN115399962B (zh) * 2021-12-20 2023-12-15 广州医科大学附属第五医院 一种多功能早产儿温箱用床垫
CN114983719A (zh) * 2022-05-10 2022-09-02 四川大学华西第二医院 一种具有安抚功能的高危儿早期干预训练辅助装置
CN114983719B (zh) * 2022-05-10 2024-05-07 四川大学华西第二医院 一种具有安抚功能的高危儿早期干预训练辅助装置

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Publication number Publication date
DE102019123141A1 (de) 2021-03-04
GB202202775D0 (en) 2022-04-13

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