Title: Therapeutic bed
Abstract: A therapeutic bed (1) comprises a patient support platform (7) rotatably mounted on a base frame (4) for rotation about a longitudinal pivot axis between a supine support position and a prone support position. The base frame (4) is in turn mounted on a wheeled chassis (2) by pivot linkages (5) which allow tilting and raising and lowering of the base frame (4) on the chassis (2). Drive interlocks prevent rotation of the patient support platform (7) unless side rails (25) are locked on the patient support platform (7) and patient support flaps (40, 41) extending between the side rails (25) are locked together to secure a patient on the patient support platform (7). Guides (51) are provided at each end of the patient support platform (7) at the longitudinal rotational axis to guide patient care lines between a patient on the patient support platform (7) and associated devices externally of the patient support platform (7). This prevents entanglement of patient care lines as the patient support platform (7) rotates.
Patent Number: 6,874,181 Issued on 04/05/2005 to Connolly, et al.
| Inventors:
|
Connolly; Patrick Joseph (late of Athlone, IE);
Connolly; Una (Athlone, IE);
Vijayendran; Chinnathamby (Coventry, GB)
|
| Assignee:
|
KCI Licensing, Inc. (San Antonio, TX)
|
| Appl. No.:
|
701739 |
| Filed:
|
June 28, 2001 |
| PCT Filed:
|
June 3, 1999
|
| PCT NO:
|
PCT/IE99/00049
|
| 371 Date:
|
June 28, 2001
|
| 102(e) Date:
|
June 28, 2001
|
| PCT PUB.NO.:
|
WO99/62454 |
| PCT PUB. Date:
|
December 9, 1999 |
Foreign Application Priority Data
| Dec 18, 1995[IE] | 950950 |
| Jun 03, 1998[IE] | S980415 |
| Current U.S. Class: |
5/609; 5/607; 5/429; 5/425; 5/503.1 |
| Intern'l Class: |
A61G 007//00.8 |
| Field of Search: |
5/607,609,503.1,658,424,426,429
|
References Cited [Referenced By]
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| 1667982 | May., 1928 | Pearson.
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| 1740906 | Dec., 1929 | Rothauszky et al.
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| 2103693 | Dec., 1937 | Pohl.
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| 2239821 | Apr., 1941 | Knox.
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| 2534471 | Dec., 1950 | Norheim.
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| 2613371 | Oct., 1952 | Keyes.
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| 2690177 | Sep., 1954 | Hogan | 602/34.
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| 3238539 | Mar., 1966 | Koch | 5/607.
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| 3286707 | Nov., 1966 | Shafer.
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| 3302218 | Feb., 1967 | Stryker.
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| 3434165 | Mar., 1969 | Keane | 5/61.
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| 3783863 | Jan., 1974 | Kliever.
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| 3827089 | Aug., 1974 | Grow.
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| 3832742 | Sep., 1974 | Stryker.
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| 4244358 | Jan., 1981 | Pyers.
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| 4357722 | Nov., 1982 | Thompson.
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| 4827541 | May., 1989 | Vollman et al.
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| 4841585 | Jun., 1989 | Masuzawa.
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| 4868937 | Sep., 1989 | Connolly | 5/61.
|
| 4939801 | Jul., 1990 | Schaal et al.
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| 4947496 | Aug., 1990 | Connolly | 5/607.
|
| 4987622 | Jan., 1991 | Shockey.
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| 5131105 | Jul., 1992 | Harrawood et al.
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| 5131106 | Jul., 1992 | Jackson | 5/613.
|
| 5152024 | Oct., 1992 | Chrones et al. | 5/609.
|
| 5274862 | Jan., 1994 | Palmer, Jr. et al.
| |
| 5334186 | Aug., 1994 | Alexander | 604/180.
|
| 6282736 | Sep., 2001 | Hand et al. | 5/608.
|
| 6499160 | Dec., 2002 | Hand et al. | 5/608.
|
| 6526610 | Mar., 2003 | Hand et al. | 5/607.
|
| Foreign Patent Documents |
| 4429062 | Feb., 1996 | DE.
| |
| 1362417 | Apr., 1964 | FR.
| |
| 1516488 | Jul., 1978 | GB.
| |
| WO96/27356 | Sep., 1996 | WO.
| |
| WO97/22323 | Jun., 1997 | WO.
| |
Primary Examiner: Trettel; Michael F.
Attorney, Agent or Firm: Cernyar; Eric
Parent Case Text
BACKGROUND OF THE INVENTION
This application claims priority to PCT/IE99/00049 filed Jun. 3, 1999,
which entered the United States national stage on Jun. 28, 2001. This
application also claims priority to PCT/IE96/00087 filed Dec. 17, 1996,
which entered the United States national stage on Jun. 18, 1998, and a
continuation of U.S. patent application Ser. No. 09/099,397 filed Jun. 18,
1998, which issued as U.S. Pat. No. 6,112,349 on Sep. 5, 2000. This
application also claims priority to Ireland application 950950 filed on
Dec. 18, 1995, on which PCT/IE96/00087 is based, and also claims priority
to Ireland application S980415 filed on Jun. 3, 1998.
Claims
What is claimed is:
1. A therapeutic bed comprising:
a base frame,
a patient support platform rotatably mounted on the base frame for
rotational movement about a longitudinal rotational axis of the patient
support platform,
a motor operable to rotate the patient support platform on the base frame,
and
a guide body defining one or more patient care line receiving slots
operable to guide one or more patient care lines from an apparatus
external of the patient support platform to a patient on the patient
support platform.
2. A therapeutic bed as claimed in claim 1, wherein the guide body is
mounted on the patient support platform.
3. A therapeutic bed as claimed in claim 1, further comprising a bore for
through passage of the patient care lines and wherein the guide body
comprises a bore insert that is provided for engagement within the bore,
the bore insert defining a number of spaced-apart slots about a periphery
of the insert, each slot for receipt of a patient care line, each slot
being closed by a side wall of the bore when the insert is mounted within
the bore.
4. A therapeutic bed as claimed in claim 1 wherein the slots are spaced
apart along the periphery of the guide body.
5. A therapeutic bed as claimed in claim 1 wherein each slot has a side
opening, and a spring-loaded finger normally biased into a slot closing
position across the side opening and retractable against the spring bias,
the finger facilitating secured retention of a line and also facilitating
insertion and removal of a line into or from the slot.
6. A therapeutic bed as claimed in claim 1 wherein each slot has a side
opening and a quick-release strip engagable across the side opening.
7. A therapeutic bed as claimed in claim 1 wherein the guide body is
movably mounted on the patient support platform.
8. A therapeutic bed as claimed in claim 1 wherein there is provided a
plurality of prone support elements mounted between a head end and a foot
end of the patient support platform for releasably securing a patient on
the patient support platform, said prone support elements being
operatively connected to the motor to regulate rotation of the patient
support platform in response to correct engagement of the plurality of
prone support elements.
9. A therapeutic bed as claimed in claim 8 wherein the plurality of prone
support elements comprise matching pairs of support elements mounted on
opposite sides of the patient support platform and fasteners to secure the
matching support elements together to retain a patient on the patient
support platform,
sensors associated with each fastener that sense correct engagement of the
fastener,
said sensors being connected to a controller for controlling operation of
the motor.
10. A therapeutic bed as claimed in claim 9 wherein each fastener has a
complementary pair of fastener parts, namely a first fastener part and a
second fastener part, one fastener part being mounted on each of the pairs
of support elements,
the first fastener part being normally biased out of engagement with the
second fastener part,
the first fastener part cooperating with the sensor when in an engaged
position to indicate that the fastener parts are engaged.
11. A therapeutic bed as claimed in claim 10 wherein the sensor has a
magnetically operated switch and an operating magnet is mounted on the
first fastener part to operate the switch.
12. A therapeutic bed as claimed in claim 9 wherein the support elements
are mounted on side rails upstanding at each side of the patient support
platform.
13. A therapeutic bed as claimed in claim 12 wherein each side rail is
removably mounted on the patient support platform having means for
releasably engaging the patient support platform,
locking means to secure the rail on the patient support platform,
rail sensing means to sense interlocking engagement of the rail with the
patient support platform,
said rail sensing means being operatively connected to the controller for
the motor such that the motor will only operate if the rail is correctly
engaged with the patient support platform.
14. A therapeutic bed as claimed in claim 12 wherein means is provided to
lock each rail on the patient support platform when the patient support
platform is in an inverted position.
15. A therapeutic bed as claimed in claim 1 wherein one or more hinged
panels are provided in the patient support platform to provide access to a
patient when the patient support platform is in an inverted position,
each panel having panel locking means to secure the panel in a closed
position on the patient support platform,
panel sensing means being provided to sense locking engagement of the panel
with the patient support platform,
said panel sensing means being operatively connected to a controller for
the motor such that the motor will only operate if the panel is locked in
a closed position on the patient support platform.
16. A therapeutic bed as claimed in claim 1 wherein there is provided means
for sensing the orientation of the patient support platform on the base
frame, and means for controlling operation of the motor in response to the
sensed position of the patient support platform on the base frame.
17. A therapeutic bed as claimed in claim 1, further comprising a ring
mounted on the patient support platform coaxially with the longitudinal
axis of the patient support platform, wherein the ring has a number of
parking slots located about the ring defining a number of parking
locations for the patient support platform on the base frame at which a
locking bolt is engagable between the patient support platform and the
base frame to lock the patient support platform on the base frame.
18. A therapeutic bed comprising:
a frame;
a patient support platform mounted on the frame and rotatable about a
longitudinal axis of rotation through substantially 180.degree. from a
patient face-up or supine position to a patient face-down or prone
position;
the patient support platform comprising a hinged section that provides
access to the back side of a patient when the patient support platform is
in the prone position;
a plurality of prone patient supports mounted to opposite sides of the
patient support platform; and
a motor operationally engaged with the patient support platform to move the
patient support platform from the supine position to the prone position
and to oscillate the patient support platform about an arc of rotation
intersecting the prone position.
19. The therapeutic bed of claim 18, wherein at least some of the prone
patient supports are hingedly mounted to the patient support platform.
20. The therapeutic bed of claim 18, wherein at least some of the prone
patient supports are split adjacent the longitudinal axis of rotation of
the patient support platform.
21. The therapeutic bed of claim 20, wherein at least some of the prone
patient supports are operable to be locked to each other.
22. The therapeutic bed of claim 21, wherein at least some of the prone
patient supports are hingedly mounted to the patient support platform.
23. The therapeutic bed of claim 20, wherein at least some of the prone
patient supports are operable to be locked to each other with fasteners.
24. The therapeutic bed of claim 20, wherein at least some of the prone
patient supports are operable to be locked to each other with straps and
fasteners.
25. The therapeutic bed of claim 18, the patient support platform having
side rails extending upwardly from opposite lateral sides of the patient
support platform,
at least some of the prone patient supports being mounted to the side rails
of the patient support platform.
26. The therapeutic bed of claim 25, wherein at least some of the prone
patient supports are hingedly mounted to the side rails of the patient
support platform.
27. The therapeutic bed of claim 26, wherein at least some of the prone
patient supports are split adjacent the longitudinal axis of rotation of
the patient support platform.
28. The therapeutic bed of claim 27, wherein at least some of the prone
patient supports are operable to be locked to each other.
29. The therapeutic bed of claim 27, wherein at least some of the prone
patient supports are operable to be locked to each other with fasteners.
30. The therapeutic bed of claim 27, wherein at least some of the prone
patient supports are operable to be locked to each other with straps and
fasteners.
31. The therapeutic bed of claim 18, wherein one of the prone patient
supports is an abdomen support adjustable to accommodate abdomens of
varying sizes.
32. The therapeutic bed of claim 31, wherein the abdomen support is
comprised of a flexible material.
33. The therapeutic bed of claim 18, wherein at least one of the prone
patient supports comprises a strap to support the patient's head.
34. The therapeutic bed of claim 18, wherein the prone patient supports
comprise a head support section separately adjustable from a shoulder and
upper body support section separately adjustable from an abdomen support
section separately adjustable from a lower body support section.
35. A therapeutic bed comprising:
a frame;
a patient support platform rotatably mounted on the frame about a
longitudinal axis of rotation, the patient support platform being
rotatable from a patient face-up or supine position to a patient facedown
or prone position;
a motor operationally engaged with and operable to rotate the patient
support platform from the supine to the prone position and to alternately
rotate the patient support platform about the longitudinal axis of the bed
through an arc of alternating rotation substantially centered at the prone
position; and
prone patient supports operable to retain a patient on the patient support
platform and to provide support to the patient while the patient support
platform is rotated from the supine to prone position and while the
patient support platform is alternately rotated through said arc of
alternating rotation;
wherein the therapeutic bed is operable to provide lateral rotation therapy
to the patient while the patient is in the prone position.
36. The therapeutic bed of claim 35, wherein the motor is operationally
engaged with and operable to rotate the patient support platform through
an arc of alternating rotation spanning from between positive 15 to 62
degrees from the prone position to a negative 15 to 62 degrees from the
prone position.
37. The therapeutic bed of claim 35, further comprising a pair of side
rails extending upwardly from the patient support platform.
38. The therapeutic bed of claim 37, wherein the side rails are operable to
be displaced from their upwardly extending position on the patient support
platform to facilitate mounting of patients on the patient support
platform.
39. A therapeutic bed comprising:
a frame;
a patient support platform mounted on the frame and rotatable about a
longitudinal axis of rotation through substantially 180.degree. from a
patient face-up or supine position to a patient face-down or prone
position;
a pair of side rails extending upwardly from the patient support platform;
and a
a motor operationally engaged with the patient support platform to move the
patient support platform from the supine to the prone position and to
provide controlled rotational movement to the patient support platform.
40. The therapeutic bed of claim 39, wherein the side rails are operable to
be displaced from their upwardly extending position on the patient support
platform to facilitate mounting of patients on the patient support
platform.
41. The therapeutic bed of claim 40, wherein the side rails are operable to
be locked into their upwardly extending position on the patient support
platform.
42. The therapeutic bed of claim 39, further comprising prone patient
supports mounted to the side rails.
43. The therapeutic bed of claim 42, wherein the side rails are operable to
be displaced from their upwardly extending position on the patient support
platform to facilitate mounting of patients on the patient support
platform.
44. The therapeutic bed of claim 43, wherein the side rails are operable to
be locked into their upwardly extending position on the patient support
platform.
45. A therapeutic bed operable to provide lateral rotational therapy to a
patient in both the supine and prone positions, the bed comprising:
a frame;
a patient support assembly mounted on the frame;
wherein the patient support assembly comprises a patient support platform
mounted on a circular structure having a center and a perimeter, the
patient support assembly being rotatable about a longitudinal axis of
rotation through substantially 180.degree. from a patient face-up or
supine position to a patient face-down or prone position;
wherein the longitudinal axis of rotation of the patient support assembly
intersects the center of the circular structure;
wherein load from the patient support assembly is transferred to the frame
through the perimeter of the circular structure; and
a motor operationally engaged with the patient support assembly to move the
patient support platform from the supine position to the prone position.
46. The therapeutic bed of claim 45, wherein the circular support comprises
at least one ring-shaped rail.
47. The therapeutic bed of claim 45, wherein the perimeter of the circular
support is barrel-shaped.
48. The therapeutic bed of claim 45, wherein the circular support is
cylindrically shaped.
49. The therapeutic bed of claim 45, wherein the circular support is
mounted on guide rollers on the frame.
50. The therapeutic bed of claim 45, further comprising prone patient
supports mounted to opposite sides of the patient support assembly.
51. The therapeutic bed of claim 50, wherein the patient support assembly
further comprises side rails extending upwardly from the opposite lateral
sides of the patient support assembly.
52. The therapeutic bed of claim 51, wherein at least some of the prone
patient supports are mounted to the side rails.
53. The therapeutic bed of claim 52, wherein at least some of the prone
patient supports are hingedly mounted to the side rails.
54. A method for treating a patient with respiratory problems comprising:
securing a patient to a mechanically powered patient support platform;
rotating the patient from a substantially supine position to a
substantially prone position; and
alternately laterally rotating the patient about a longitudinal axis of the
bed across an are spanning from between positive 15 to 62 degrees from the
prone position to a negative 15 to 62 degrees from the prone position.
55. A method for treating patients with adult respiratory distress syndrome
comprising:
securing a patient to a mechanically powered patient support platform;
rotating the patient from a substantially supine position to a
substantially prone position; and
alternately laterally rotating the patient about a longitudinal axis of the
bed across an arc spanning from between positive 15 to 62 degrees from the
prone position to a negative 15 to 62 degrees from the prone position.
Description
BACKGROUND OF THE INVENTION
This invention relates to a therapeutic bed, and in particular to prone
positioning beds.
Patient positioning has been used for some time as a treatment for patient
comfort, to prevent skin breakdown, improve drainage and to facilitate
breathing. One of the goals of patient positioning has been maximisation
of ventilation to improve systematic oxygenation. Various studies have
demonstrated the beneficial effects of body positioning and mobilisation
on impaired oxygen transport. The support of patients in a prone position
can be advantageous in enhancing extension and ventilation of the dorsal
aspect of the lungs.
The present invention particularly relates to therapeutic beds of the type
comprising a base frame, a patient support platform rotatably mounted on
the base frame for rotational movement about a longitudinal rotational
axis of the patient support platform, and drive means for rotation of the
patient support platform on the base frame.
In our previously filed patent application, publication no. WO
97.backslash.2323, we described a therapeutic bed of this type for
supporting a patient in either a supine position or a prone position and
for using kinetic therapy.
This type of bed is particularly suited for the treatment of patients with
respiratory problems. The beds advantageously allow rotation of the
patient on the patient support platform and, where required, rotation of
the patient support platform into a prone support position which is
particularly desirable in the treatment of patients with severe
respiratory problems.
In such therapy, a patient may be heavily intubated with a number of tubes
extending over a side of the bed between the patient on the bed and
associated apparatus mounted on stands or the like alongside the bed for
either delivering liquids to the patient or draining liquids from the
patient. Also, there may be a number of wires extending from sensors on
the patient to various monitors adjacent the bed. These ventilation and
drainage tubes, medication supply tubes, monitoring cables and the like
are collectively called patient care lines throughout this patent
specification. The term "patient care lines" as used in this patent
specification is taken to mean any tubes, pipes, conduits, cables and the
like lines for delivery or drainage of fluids to or from a patient, for
monitoring a patient's condition and generally speaking for treating a
patient on the patient support platform of the bed. These patient care
lines present a problem, particularly when rotating the patient support
platform between a supine support position and a prone support position,
in that they can easily become entangled and may be inadvertently pulled
away from the patient. To avoid this a nurse or other attendant has to
carefully handle and adjust the patient care lines as necessary whilst the
bed is rotating. This can be extremely awkward. Access to the patient and
the patient care lines is difficult when the patient support platform is
at or approaching the prone support position.
Another problem that arises is in ensuring that the patient is correctly
secured to the patient support platform before rotating the patient
support platform away from a horizontal supine support position. Again, a
nurse has to check all the patient retaining strapping, rails and supports
are secure prior to rotation of the patient support platform into the
prone support position. This tends to be very time consuming. Also, it is
not always easy to check the strapping or other restraints are correctly
and securely engaged.
To rotate the patient support platform between the supine support position
and the prone support position, typically a number of nursing staff are
required to rotate the patient support platform and at the same time,
handle the tubing and wiring to prevent entanglement or dislodgement.
Thus, a number of nursing staff may be diverted from other duties for a
considerable time. Consequently, the operational efficiency is adversely
effected and costs increased for the hospital.
The present invention is directed towards overcoming these problems.
SUMMARY OF THE INVENTION
Accordingly, a therapeutic bed operable to provide lateral rotational
therapy in both the prone and supine positions is provided having a frame,
a patient support platform mounted on the frame and rotatable about a
longitudinal axis of rotation through substantially 180.degree. from a
patient face-up or supine position to a patient face-down or prone
position, and a motor operationally engaged with the patient support
platform to provide controlled rotational movement to the patient support
platform. In one embodiment, the patient support platform comprises a
hinged section that provides access to the back of a patient when the
patient support platform is in the patient face-down or prone position. In
another embodiment, the patient support platform comprises side rails that
can be locked into place or that can be removed to facilitate mounting of
patients on the patient support platform. The therapeutic bed also
comprises a plurality of prone patient supports, including a head support,
an abdomen support comprised of flexible material and which is adjustable
to accommodate abdomens of varying sizes, and support pad sections that
are split longitudinally to define adjustable support parts that are
hingedly mounted to the corresponding opposite side rails. At least some
of the prone patient supports are operable to be locked to each other with
straps and fasteners. The head support includes a strap to support the
patient's head. Many of the prone patient supports are separately
adjustable.
In another embodiment, a therapeutic bed operable to provide lateral
rotational therapy to a patient in both the supine and prone positions is
provided comprising a frame; a patient support assembly mounted on the
frame; wherein the patient support assembly comprises a patient support
platform mounted on a circular structure having a center and a perimeter;
and a motor operationally engaged with the patient support assembly to
provide controlled rotational movement to the patient support assembly.
The patient support assembly is rotatable about a longitudinal axis of
rotation through substantially 180.degree. from a patient face-up or
supine position to a patient face-down or prone position; wherein the
longitudinal axis of rotation of the patient support assembly is coaxial
with the circular structure. The load from the patient support assembly is
transferred to the frame through the perimeter of the circular structure.
The circular support may comprise one or more ring-shaped rails mounted on
guide rollers on the frame. Alternatively, the perimeter of the circular
support may be cylindrically shaped or barrel-shaped.
Accordingly, an apparatus and method for treating a patient with
respiratory problems, and in particular, adult respiratory distress
syndrome, is provided in which a patient may be secured to a mechanically
powered patient support platform; the patient rotated from a substantially
supine position to a substantially prone position; and the patient
alternately laterally rotated about a longitudinal axis of the bed across
an arc spanning from between positive 15 to 62 degrees from the prone
position to a negative 15 to 62 degrees from the prone position.
The invention is characterised in that there is provided guide means for
patient care lines at one or both ends of the patient support platform for
guiding the patient care lines between a patient on the patient support
platform and associated apparatus externally of the patient support
platform, said guide means being mounted at or adjacent the longitudinal
rotational axis of the patient support platform.
Advantageously, the invention provides a bed incorporating a patient care
line management system for optimum handling of patient care lines
particularly when rotating the bed between a supine support position and a
prone support position. The risk of entanglement or dislodgement of the
patient care lines is minimised as the lines are securely supported by the
guide means during rotation of the patient support platform.
In a second aspect, the invention is characterised in that there is
provided a retaining means for releasably securing a patient on the
patient support platform, the retaining means being operatively connected
to the drive means for rotation of the patient support platform to
regulate rotation of the patient support platform in response to correct
engagement of the retaining means. This construction advantageously
prevents rotation of the patient support platform unless the patient is
securely strapped or otherwise restrained on the patient support platform.
Also, it gives a simple and quick indication to nursing staff as to
whether or not the patient is properly secured on the patient support
platform.
In a third aspect, the invention is characterised in that there is provided
drive means which is operable for rotation of the patient support platform
on the base frame, means for sensing the orientation of the patient
support platform on the base frame, and means for controlling operation of
the drive means in response to the sensed position of the patient support
platform on the base frame. In this way, the rotation of the patient
support platform can be readily controlled in a simple manner to rotate
the patient support platform between a number of desirable orientations on
the base frame. Also, the base support platform can be controlled to move
between different orientations leaving a nurse free to attend to the
patient if necessary while this is being carried out.
In one embodiment, means is provided for securing the patient care lines on
the guide means.
In another embodiment, the guide means comprises a tubular guide for
through passage of the patient care line or lines.
In a further embodiment, the tubular guide has a bore for through passage
of the patient care lines and a bore insert is provided for engagement
within the bore, the bore insert having a number of spaced-apart slots
about a periphery of the insert, each slot for receipt of a patient care
line, each slot being closed by a side wall of the bore when the insert is
mounted within the bore.
In another embodiment, the guide means comprises a guide body having a
number of patient care line receiving slots for reception of the patient
care lines.
In a further embodiment, the guide means has a guide body with a number of
spaced-apart peripheral slots for reception of patient care lines.
Preferably, each slot has a side opening, and closure means is engagable
across the side opening to releasably retain a line within the slot.
In another embodiment, the closure means is a spring-loaded finger normally
biased into a slot closing position across the side opening and
retractable against spring bias for insertion and removal of a line into
or from the slot.
Preferably, the closure means is a quick-release strip engagable across the
side opening.
In a further embodiment, the guide body is movably mounted on the patient
support platform for vertical movement of the guide body on the patient
support platform.
Preferably, the guide body is slidably mounted on the patient support
platform.
In another embodiment of the invention, there is provided retaining means
for releasably securing a patient on the patient support platform,
said retaining means being operatively connected to the drive means to
regulate rotation of the patient support platform in response to correct
engagement of the retaining means.
In a further embodiment, the retaining means comprises a number of pairs of
support elements mounted between a head end and a foot end of the patient
support platform,
each pair of support elements comprising associated support elements
mounted on opposite sides of the patient support platform and having a
fastener to secure the support elements together to retain a patient on
the patient support platform,
sensing means associated with each fastener to sense correct engagement of
the fastener,
said sensing means being connected to a controller for controlling
operation of the drive means.
In another embodiment, each fastener has a complementary pair of fastener
parts, namely a first fastener part and a second fastener part,
one fastener part being mounted on each of the pair of support elements,
the first fastener part being normally biased out of engagement with the
second fastener part,
the first fastener part co-operating with the sensor when in an engaged
position to indicate that the fastener parts are engaged.
In a further embodiment, the sensor has a magnetically operated switch and
an operating magnet is mounted on the first fastener part to operate the
switch.
In another embodiment, the support elements are mounted on side rails
upstanding at each side of the patient support platform.
Preferably, each side rail is removably mounted on the patient support
platform having means for releasably engaging the patient support
platform,
locking means to secure the rail on the patient support platform,
rail sensing means to sense interlocking engagement of the rail with the
patient support platform,
said rail sensing means being operatively connected to the controller for
the drive means such that the drive means will only operate if the rail is
correctly engaged with the patient support platform.
In another embodiment, means is provided to lock each rail on the patient
support platform when the patient support platform is in an inverted
position.
In a further embodiment, one or more hinged panels are provided in the
patient support platform to provide access to a patient when the patient
support platform is in an inverted position,
each panel having panel locking means to secure the panel in a closed
position on the patient support platform,
panel sensing means being provided to sense locking engagement of the panel
with the patient support platform,
said panel sensing means being operatively connected to the controller for
the drive means such that the drive means will only operate if the panel
is locked in a closed position on the patient support platform.
In another embodiment, there is provided means for sensing the orientation
of the patient support platform on the base frame, and means for
controlling operation of the drive means in response to the sensed
position of the patient support platform on the base frame.
In a further embodiment, the sensing means comprises a ring mounted on the
patient support platform co-axially with the rotational axis of the
patient support platform,
the ring having a first series of slots spaced at 1.degree. intervals about
the ring,
the ring having a number of sets of location slots spaced-apart about the
ring, each set of location slots giving an indication of a particular
orientation of the patient support platform relative to the base frame,
and a complementary position reader associated with the disc, the position
reader being mounted on the base frame and having complementary light
emitter and receiver pairs supported at opposite sides of the disc for
cooperation with the slots in the disc to determine the orientation of the
patient support platform on the base frame.
In another embodiment, the ring has a number of parking slots located about
the ring defining a number of parking locations for the patient support
platform on the base frame at which a locking bolt is engagable between
the patient support platform and the base frame to lock the patient
support platform on the base frame.
BRIEF DESCRIPTION OF THE DRAWINGS
The invention will be more clearly understood by the following description
of some embodiments thereof, given by way of example only, with reference
to the accompanying drawings, in which:
FIG. 1 is a perspective view of a therapeutic bed according to the
invention;
FIG. 2 is a another perspective view of the therapeutic bed, shown in
another position of use;
FIG. 3 is a further perspective view of the bed with a patient support
platform of the bed shown in an inverted prone patient supporting
position;
FIG. 4 is an end elevational view of the bed;
FIG. 5 is a perspective view of a frame of the therapeutic bed;
FIG. 6 is a perspective view of a base portion of the bed frame with a
patient support platform of the bed removed;
FIG. 7 is an elevational view of a frame of the bed;
FIG. 8 is a plan view of the bed frame shown in FIG. 7;
FIG. 9 is a plan view similar to FIG. 8 showing hinged panels of the
patient support platform in place on the bed frame;
FIG. 10 is a perspective view of the bed in use and supporting a patient in
a supine position;
FIG. 11 is a perspective view of the bed in use, supporting a patient in a
prone position;
FIG. 12 is a detail exploded sectional view of a side rail locking
mechanism for the bed;
FIG. 13 is a detail sectional elevational view of a side rail locking
mechanism for the bed shown in another position of use;
FIG. 14 is a sectional elevational view of a panel locking mechanism on the
patient support platform;
FIG. 15 is an enlarged detail sectional view of portion of the locking
mechanism of FIG. 14;
FIG. 16 is a view similar to FIG. 15 showing the locking mechanism in
another position of use;
FIG. 17a is a detail perspective view of patient retaining flaps of the
bed;
FIG. 17b is a circuit diagram for a rotational interlock incorporated in
the flaps;
FIG. 17c is a detail perspective view of a patient retaining strap and
buckle for securing the flaps;
FIG. 18 is an elevational view showing a tube guide at one end of the bed;
FIG. 19 is a detail elevational view of a rotary encoder ring forming
portion of a rotational control mechanism for the patient support platform
of the bed;
FIG. 20 is a detail side elevational view of a rotary encoder forming
portion of the bed; and
FIG. 21 is a detail view showing portion of the rotary encoder ring.
DETAILED DESCRIPTION OF THE INVENTION
Referring to the drawings there is illustrated a therapeutic bed according
to the invention indicated generally by the reference numeral 1. The bed 1
comprises a ground engaging chassis 2 mounted on wheels 3. A base frame 4
is secured on the chassis 2 by pivot linkages 5. Rams 6 housed within the
base frame 4 operate the pivot linkages 5 to raise and lower the base
frame 4 on the chassis 2. The rams 6 may be operated to keep the base
frame 4 level as it moves or may be operated to raise or lower one of the
ends of the base frame 4 to tilt the base frame 4 about a transverse axis
of the base frame 4 to move a patient support platform 7 carried on the
base frame 4 into a Trendelenburg position. The patient support platform 7
is rotatably mounted on the base frame 4 for rotation about a longitudinal
rotational axis of the patient support platform 7 between a supine support
position shown in FIG. 1 and a prone support position shown in FIG. 3.
The patient support platform 7 has a pair of upright end rings 8,9 each of
which sits on and rotatably engages an associated pair of spaced-apart
rollers 10 (FIG. 6) at each end of the base frame 4. Side support bars
12,13 extend between the end rings 8,9. A central cross bar 14 extends
between the side support bars 12,13. Hinged panels 16,17 (FIG. 9) are
hingedly connected to the cross bar 14 and can be opened when the bed 1 is
in the prone position as illustrated in FIG. 3 for access to the back of a
patient on the bed 1. It will be noted that this construction gives good
access to the patient with minimal obstruction.
A slap shut mechanism 20 (FIGS. 9 and 14 to 16) is mounted on each panel
16,17 for engagement with the support bars 12,13 to securely lock the
panels 16,17 in the closed position. A spring loaded locking pin 22 is
slidably mounted within an elongate tubular housing 23 for movement
between a retracted stored position (FIG. 15) and an extended position
(FIG. 16) in which the locking pin 22 engages in an associated receiver
slot 23a in the support bars 12,13. Sensors (not shown) detect correct
locking engagement of each locking pin 22 with its associated receiver
slot 23a and sends a signal to a rotational controller for the patient
support platform 7 which prevents rotation of the patient support platform
7 unless both panels 16, 17 are securely locked on the patient support
platform 7. A gravity pin 21 is slidable under gravity in an associated
tube 21a on the housing 23 side wall for engagement with a complementary
circumferential groove 24 in the locking bolt 22 when the patient support
platform 7 is in the supine position to prevent opening of the panels 16,
17, the gravity pin 21 sliding out of engagement with the groove 24 when
the patient support platform is in the prone position to allow opening of
the panels 16, 17. A handle 98 is provided at an inner end of the locking
pin 22 for manual release of the locking pin 22 which can be retracted
against spring 99 within the housing 23. Thus, the panels 16, 17 are
released for opening. In the retracted position, FIGS. 14, 15, a spring
loaded catch 100 mounted on the locking pin 22 engages a slot 101 in a
side wall of the housing 23 to retain the locking pin 22 in the retracted
position. The catch 100 can be pressed into the housing 23 against spring
105 bias to release the locking pin 22 which is then urged outwardly by
spring 99 into the outwardly extending engagement position shown in FIG.
16 for re-locking the panels 16, 17 on the patient support platform 7.
At each side of the patient support platform 7 upstanding side rails 25 are
provided. Each side rail 25 has a downwardly extending stanchion 26 at
each end which is engagable with a complementary socket 27 (see FIG. 13)
in one of the support bars 12,13 of the patient support platform 7. Upon
engagement of the stanchion 26 with the socket 27 a spring loaded locking
pin 28 housed within the bar 12,13 is engagable through an opening 24 in
the side wall of the socket 27 with a locking slot 29 in the stanchion 26.
A handle 30 at an inner end of the locking pin 28 is operable to slide the
locking pin 28 in an associated housing 31 housed within the bar 12, 13
for release of the stanchion 26. A spring 31a within the housing 31 urges
the locking pin 28 outwardly of the housing 31 into a stanchion engaging
position. It will be noted that an associated gravity operated retaining
pin 32 is slidably mounted in a tubular casing 33 on the housing 31 such
that when the patient support platform 7 is in the inverted prone position
the pin 32 drops downwardly under gravity (in the direction of arrow A,
FIG. 13) to prevent retraction of the pin 28 locking the rails 25 in
position. A sensor 35 is engagable with each pin 28 to determine the
position of the pin 28 to register if the pin 28 is engaged or disengaged
with the stanchion 26. All of the sensors 35 are connected in series and
are connected to a rotational controller for a motor which rotates the
patient support platform 7 such that the motor will not operate until all
the sensors 35 indicate that the pins 28 are properly engaged with the
stanchions 26 so that the rails 25 are securely attached to and locked in
position on the patient support platform 7.
To retain a patient on the patient support platform 7, associated pairs of
patient support flaps 40,41 (FIG. 1) are pivotally mounted on opposite
side rails 25 and can be secured together by locking straps 43 to securely
retain a patient on the patient support platform 7 as described in our
previous patent application Publication No. WO97/22323 (the details of
which are incorporated herein by reference). Each strap 43 comprises a web
44 with either a buckle 45 (FIG. 17) or associated clip 46 at a free end
of the web 44, the buckle 45 and clip 46 forming a quick release fastener.
The web 44 when the buckle 45 is released is shortened by an elastic band
47, which is sewn in a stretched position onto one side of the web 44, to
withdraw the buckle 45 from over a magnetically operated switch 48 mounted
on the associated flap 41 on which the buckle 45 is mounted. The magnetic
switch 48 is mounted inside each flap 41 and immediately below the magnet
in the tightened buckle 45. A series circuit of the magnetic switch 48 and
a resistor 49 terminates in a connector 49a which is accessible on an
exterior of the flap 41. By choosing a unique value of resistor for each
flap 41 and measuring it, correct closure of each buckle 45 can be
validated. Thus, when the buckle 45, which incorporates a small magnet, is
in the engaged position the magnetically operated switch 48 is operable to
confirm that the buckles 45 and clips 46 are correctly joined and the
patient is thus correctly secured on the patient support platform 7. Each
of the fasteners must be correctly engaged before the patient support
platform 7 can be rotated.
A hand-held controller 85 (FIG. 4) is mounted in a pocket 86 at the foot of
the bed 1. This controller 85 has a contact for engagement with the
connector 49a to allow the controller 85 to check the buckle 45 is
properly engaged (the switch 48 is closed) and determine the value of the
resistance 48 to identify the flaps 40, 41 being checked. Each of the flap
pairs 40, 41 are checked in sequence starting at the foot of the bed and
moving towards the head end of the bed. Preferably, the patient support
platform 7 will not be released for rotation unless flap locking is
confirmed in the correct sequence and the sequence is complete. This
ensures all the flaps are checked together at the same time.
Assuming all the interlocks are clear, the hand-held controller 85 can be
used to remotely send an operating signal to the rotation motor controller
to rotate the patient support platform 7. A nurse can move around the bed
1 as the patient support platform 7 rotates, controlling rotation with the
controller 85 to ensure there are no problems with the patient or the
patient care lines during rotation.
Management means for patient care lines such as tubes and sensor cables is
provided on the bed. At a foot end of the bed the management means
comprises a central opening 50 (FIG. 5) adjacent a longitudinal axis of
the patient support platform 7 for supporting and through passage of the
patient care lines. A care line holder 57 (FIG. 4) is removably engagable
within the opening 50 and has a number of spaced-apart circumferential
slots 56 each for reception of a patient care line. Each slot 58 is closed
by the side wall of the opening 50.
At a head end of the bed the patient care line management means comprises a
guide body 51 (FIGS. 1 and 18) mounted adjacent the longitudinal axis of
the patient support platform 7 and slidable on associated rails 52 so that
it drops beneath the head of the patient when the bed is in either the
supine or the prone position. The guide 51 has a number of slots 54 for
reception of patient care lines. The slots 54 may be of different sizes as
shown to accommodate different lines. When the patient care lines are
engaged with the slots 54, a spring loaded retaining finger 55 mounted
across the inlets of each slot 54 retains the patient care line within the
slot 54. The guide body 51 is mounted on a rod 56 which is rotatably
mounted on sliders 59 which slidably engage the rails 52. Thus, the guide
body 51 can be rotated out of the way for better access to a patient's
head if necessary. It will be appreciated that this patient care line
management by leading the patient care lines axially outwardly at each end
of the bed greatly facilitates handling of the patient care lines when
moving the patient support platform between the supine and prone support
positions. Also, the patient care lines are securely held to prevent
inadvertent withdrawal from a patient.
A drive for the patient support platform can be of the type described in
our Patent Specification No. WO97/22323 (the details of which are
incorporated by reference), essentially comprising a belt drive between
the patient support platform 7 and an associated electric motor on the
base frame 4 at a foot end of the bed 1. In this case however operation of
the motor is controlled by a rotary opto encoder comprising a code disc 60
with three concentric tracks of slots 61, 62, 63, see FIGS. 19 to 21 and a
complementary position reader 64. An outer angle track 61 comprises slots
at 1.degree. intervals. An intermediate track 62 has slots to provide
index identification and an inner index track 63 has slots in line with
the lock ring park position. The disc 60 is attached to the patient
support platform 7 and the associated position reader 64 is mounted on the
base frame 4. The position reader 64 has a channel 64a for reception and
through passage of an outer portion of the disc 60. Light emitters 65 are
mounted at one side of the channel 64a and complementary light receivers
66 are mounted at the opposite side of the channel 64a. The emitters 65
and receivers 66 co-operate with the associated slots 61, 62, 63 in the
disc 60 to indicate the orientation of the patient support platform 7 on
the base frame 4. Seven infra-red emitter/detector pairs 65, 66 are used
in the optical system to decode the positional information. The outer
track 61 comprises 360 sets of slots 70 and spaces 71. Ideally, a slot 70
occupies 0.5 degree of the circle, a slot 70 and space 71 together
occupying 1 degree. The inner track 63 consists of a number of narrow
slots 74, each corresponding to a locking position in which an associated
locking bolt 75 (FIG. 7) is engagable between the base frame 4 and the
patient support platform 7. The locking bolt 75 is slidably mounted on the
base frame 4 for engagement with and release from associated locking hobs
on the ring 9 of the patient support platform 7. The locking pin 75 serves
to mechanically anchor the patient support platform 7 on the base frame 4
and also operates an on/off switch for the rotation motor, preventing
operation of the motor when the locking pin 75 is engaged with the patient
support platform 7. Each slot 74 should be exactly in line with the centre
of an associated locking hole 75a on the patient support platform 7, the
narrowness of the slot 74 determining the accuracy of lock positioning.
The intermediate track 62 is used to assign a unique binary code to each
locking position 1. Each locking position has a set of holes 76 (varying
in number from one to four holes 76). The unique pattern of holes 76 at
each locking position conveys locking angle information to the controller
for controlling rotation of the patient support platform 7. The binary
pattern of the holes is shown in the table below.
Holes 76 (FIG. 21)
LockPin position D C B A
1 0 0 0 1
2 0 0 1 0
3 0 0 1 1
4 0 1 0 0
5 0 1 0 1
6 0
