WO1999055276A1 - Bed - Google Patents

Bed Download PDF

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Publication number
WO1999055276A1
WO1999055276A1 PCT/GB1999/001154 GB9901154W WO9955276A1 WO 1999055276 A1 WO1999055276 A1 WO 1999055276A1 GB 9901154 W GB9901154 W GB 9901154W WO 9955276 A1 WO9955276 A1 WO 9955276A1
Authority
WO
WIPO (PCT)
Prior art keywords
bed
configuration
bed according
sections
occupant
Prior art date
Application number
PCT/GB1999/001154
Other languages
French (fr)
Inventor
Peter Walker
Original Assignee
Nightingale Care Beds 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 Nightingale Care Beds Limited filed Critical Nightingale Care Beds Limited
Priority to JP2000545481A priority Critical patent/JP2002512852A/en
Priority to AU34366/99A priority patent/AU746093B2/en
Priority to GB9926095A priority patent/GB2339387B/en
Priority to CA002329185A priority patent/CA2329185A1/en
Priority to NZ507273A priority patent/NZ507273A/en
Priority to EP99915952A priority patent/EP1073394A1/en
Publication of WO1999055276A1 publication Critical patent/WO1999055276A1/en

Links

Classifications

    • 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
    • A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • A61G7/0573—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with mattress frames having alternately movable parts
    • 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
    • A61G7/002—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/015—Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position

Definitions

  • This invention concerns a bed of the kind (hereinafter termed of the kind referred to) comprising hingedly connected sections adjustable between a flat configuration and a generally chair-like configuration.
  • the present invention is based on the discovery that quite small adjustments in the configuration of a bed of the kind referred have the effect of significantly moving the positions of maximum pressure between an occupant of the bed and the bed mattress.
  • a bed comprising a plurality of hingedly connected sections, characterised by means automatically to adjust the configuration of the sections of the bed at periodic intervals.
  • the bed may comprise three sections, a back-rest section, a central section and a foot-rest section.
  • the configuration of the bed may be controlled by a microprocessor.
  • the configuration of the bed may adjust in accordance with a selected one of a number of predetermined programmes.
  • the configuration of the bed may adjust in accordance with an operator generated programme.
  • the bed may incorporate pressure sensors at critical parts of the body prone to pressure sores of an occupant of the bed, there being means for comparing sensed pressures and the durations thereof with reference data to determine when the occupant is at risk of developing a pressure sore and means for adjusting the configuration of the bed when such risk is determined to mitigate the risk.
  • Each pressure sensor may comprise an array of strain gauges carried by a mat-like support.
  • the mat-like support may be located on, within or below the mattress.
  • Motors may be provided for adjusting the configuration of the bed.
  • Figure 1 shows a side view of the bed
  • Figures 2-5 show possible different configurations for the sections of the bed.
  • the bed comprises a rectangular base frame 10 which mounts ground engaging castor wheels 1 1, at least two of which can be immobilised by a brake pedal 12 to prevent unwanted movement of the bed over the floor.
  • a sub-frame 14 connected with the base frame 10 by four (two on each side) bell-crank levers 15, whose centre pivots are connected to posts 16 extending upwardly from the base frame 10 and whose upper ends are pivotally connected at 17 to the sub-frame 14.
  • the lower end of the lever 15 at the head of the bed is connected with the lower end of that at the foot of the bed by a link 18 and linear motor 19.
  • a further linear motor 20 drives a link 21 pivotally connected between a post 22 extending upwardly from the base frame 10 and the link 18 to move the lower arms of the bell-crank levers 15 forwardly or backwardly in the direction of the arrows X to raise or lower the sub-frame 14 relative to the base frame 10.
  • the bed itself comprising three hingedly connected sections, a back-rest section 30, a central section 31 and a foot-rest section 32, all of which support a mattress 33 (or mattress sections connected together by slide fasteners).
  • the back-rest section 30 is pivotally connected with the sub-frame 14 at 34.
  • a bell-crank lever 35 has its centre pivotally connected with the sub-frame 14 at 34, and the distal end of its rear limb pivotally connected with the hinge 36 between the sections 30 and 31.
  • a further linear motor 40 is operable to move the forward limb of the lever 35 fore and aft to raise and lower the back-rest section 30. It should be noted that raising the section 30 causes a lowering of the hinge connection 36 between the sections 30 and 31 and vice versa. This has the effect of preventing or minimising sliding movement of an occupant of the bed longitudinally therealong.
  • the footrest section 32 is connected with the sub-frame 14 by a pair of links 50 (one on each side) pivotally connected between the sub-frame 14 and the hinged connection 51 between the sections 31 and 32.
  • a link 52 is pivotally connected to the section 32 at its upper end, and to the distal end of a forward limb of a bell crank lever 53 whose centre is pivotally connected at 17 to the distal end of the rearward limb of the lever 15 adjacent the foot of the bed.
  • a further linear motor 54 is pivotally connected with the lower limb of the bell crank lever 53 to rotate the lever 53 about its centre to raise and lower the section 32 relative to the hinge 51.
  • Operation of the linear motor 19 causes rotation only of the rearward bell crank lever 15 adjacent the foot of the bed to cause the sub-frame 14 to pivot about the connection 17 between the sub-frame 14 and lever 15 adjacent the head of the bed to effect Trendenelberg movements of the bed.
  • Figures 2-5 show a number of possible different configurations for the sections of the bed.
  • the bed is provided with a control panel 60 incorporating a microprocessor capable of performing various functions.
  • one of a number of pre-selected programmes can be selected whereby the configuration of the bed will automatically adjust at pre-determined intervals in accordance with the programme parameters.
  • an operator may enter desired ranges of permitted angular movement for the back rest, the foot rest and Trendenelberg movement and a time interval desired between adjustments.
  • the control will then effect adjustments at the pre-determined intervals within the pre-determined parameters on a random basis.
  • control may automatically adjust the bed to prevent the incidence of pressure levels for periods longer than those which can be tolerated without the risk of pressure sores.
  • a sub-control panel 61 on an extensible lead is provided to enable an operator or indeed the patient to adjust the bed as desired at any time in any of its possible modes of movement.
  • the control panels include means to operate the motor 20 to raise and lower the entire bed structure relative to the base frame to position the bed at the most convenient height for re-making or transferring the patient to or from the bed.

Abstract

There is disclosed a bed comprising a plurality of hingedly connected sections, characterised by means automatically to adjust the configuration of the sections of the bed at periodic intervals.

Description

BED
This invention concerns a bed of the kind (hereinafter termed of the kind referred to) comprising hingedly connected sections adjustable between a flat configuration and a generally chair-like configuration.
A serious problem in hospitals, nursing homes and similar establishments is the development of pressure sores, particularly with the immobile and elderly. These can manifest in less than one hour and their subsequent treatment can be lengthy and costly.
The present invention is based on the discovery that quite small adjustments in the configuration of a bed of the kind referred have the effect of significantly moving the positions of maximum pressure between an occupant of the bed and the bed mattress.
According to the present invention, there is provided a bed comprising a plurality of hingedly connected sections, characterised by means automatically to adjust the configuration of the sections of the bed at periodic intervals.
The bed may comprise three sections, a back-rest section, a central section and a foot-rest section.
The configuration of the bed may be controlled by a microprocessor.
The configuration of the bed may adjust in accordance with a selected one of a number of predetermined programmes. The configuration of the bed may adjust in accordance with an operator generated programme.
The bed may incorporate pressure sensors at critical parts of the body prone to pressure sores of an occupant of the bed, there being means for comparing sensed pressures and the durations thereof with reference data to determine when the occupant is at risk of developing a pressure sore and means for adjusting the configuration of the bed when such risk is determined to mitigate the risk.
Each pressure sensor may comprise an array of strain gauges carried by a mat-like support.
The mat-like support may be located on, within or below the mattress.
There may be three sensors located in the vicinity of the heels, sacrum and shoulders of an occupant of the bed.
Motors may be provided for adjusting the configuration of the bed.
The invention will be further apparent from the following description with reference to the several figures of the accompanying drawings, which show, by way of example only, one form of bed embodying same.
Of the drawings :-
Figure 1 shows a side view of the bed; and
Figures 2-5 show possible different configurations for the sections of the bed. Referring firstly to Figure 1, it will be seen that the bed comprises a rectangular base frame 10 which mounts ground engaging castor wheels 1 1, at least two of which can be immobilised by a brake pedal 12 to prevent unwanted movement of the bed over the floor.
Above the base frame 10 is a sub-frame 14 connected with the base frame 10 by four (two on each side) bell-crank levers 15, whose centre pivots are connected to posts 16 extending upwardly from the base frame 10 and whose upper ends are pivotally connected at 17 to the sub-frame 14.
The lower end of the lever 15 at the head of the bed is connected with the lower end of that at the foot of the bed by a link 18 and linear motor 19.
A further linear motor 20 drives a link 21 pivotally connected between a post 22 extending upwardly from the base frame 10 and the link 18 to move the lower arms of the bell-crank levers 15 forwardly or backwardly in the direction of the arrows X to raise or lower the sub-frame 14 relative to the base frame 10.
Above the sub-frame 14 is the bed itself comprising three hingedly connected sections, a back-rest section 30, a central section 31 and a foot-rest section 32, all of which support a mattress 33 (or mattress sections connected together by slide fasteners).
The back-rest section 30 is pivotally connected with the sub-frame 14 at 34. A bell-crank lever 35 has its centre pivotally connected with the sub-frame 14 at 34, and the distal end of its rear limb pivotally connected with the hinge 36 between the sections 30 and 31. A further linear motor 40 is operable to move the forward limb of the lever 35 fore and aft to raise and lower the back-rest section 30. It should be noted that raising the section 30 causes a lowering of the hinge connection 36 between the sections 30 and 31 and vice versa. This has the effect of preventing or minimising sliding movement of an occupant of the bed longitudinally therealong.
The footrest section 32 is connected with the sub-frame 14 by a pair of links 50 (one on each side) pivotally connected between the sub-frame 14 and the hinged connection 51 between the sections 31 and 32.
A link 52 is pivotally connected to the section 32 at its upper end, and to the distal end of a forward limb of a bell crank lever 53 whose centre is pivotally connected at 17 to the distal end of the rearward limb of the lever 15 adjacent the foot of the bed.
A further linear motor 54 is pivotally connected with the lower limb of the bell crank lever 53 to rotate the lever 53 about its centre to raise and lower the section 32 relative to the hinge 51.
Operation of the linear motor 19 causes rotation only of the rearward bell crank lever 15 adjacent the foot of the bed to cause the sub-frame 14 to pivot about the connection 17 between the sub-frame 14 and lever 15 adjacent the head of the bed to effect Trendenelberg movements of the bed.
Figures 2-5 show a number of possible different configurations for the sections of the bed.
The bed is provided with a control panel 60 incorporating a microprocessor capable of performing various functions.
Firstly, one of a number of pre-selected programmes can be selected whereby the configuration of the bed will automatically adjust at pre-determined intervals in accordance with the programme parameters. Alternatively, an operator may enter desired ranges of permitted angular movement for the back rest, the foot rest and Trendenelberg movement and a time interval desired between adjustments. The control will then effect adjustments at the pre-determined intervals within the pre-determined parameters on a random basis.
Finally, when pressure sensors 70 are provided within or on the bed mattress 33, the control may automatically adjust the bed to prevent the incidence of pressure levels for periods longer than those which can be tolerated without the risk of pressure sores.
A sub-control panel 61 on an extensible lead is provided to enable an operator or indeed the patient to adjust the bed as desired at any time in any of its possible modes of movement.
The control panels include means to operate the motor 20 to raise and lower the entire bed structure relative to the base frame to position the bed at the most convenient height for re-making or transferring the patient to or from the bed.
It will be appreciated that it is not intended to limit the invention to the above example only, many variations, such as might readily occur to one skilled in the art, being possible, without departing from the scope thereof.

Claims

1. A bed comprising a plurality of hingedly connected sections, characterised by means automatically to adjust the configuration of the sections of the bed at periodic intervals.
2. A bed according to claim 1 comprising three sections, a back-rest section, a central section and a foot-rest section.
3. A bed according to claim 2 including mechanism whereby raising of the back-rest section causes a lowering of the hinge connection between the back-rest section and central section.
4. A bed according to any preceding claim wherein the configuration of the bed is controlled by a microprocessor.
5. A bed according to any preceding claim wherein the configuration of the bed adjusts in accordance with a selected one of a number of predetermined programmes.
6. A bed according to any one of claims 1-4 wherein the configuration of the bed adjusts in accordance with an operator generated programme.
7. A bed according to any one of claims 1-4 which incorporates pressure sensors at critical parts of the body prone to pressure sores of an occupant of the bed, there being means for comparing sensed pressures and the durations thereof with reference data to determine when the occupant is at risk of developing a pressure sore and means for adjusting the configuration of the bed when such risk is determined to mitigate the risk.
8. A bed according to claim 7 wherein each pressure sensor comprises an array of strain gauges carried by a mat-like support.
9. A bed according to claim 7 or claim 8 wherein there are three sensors located in the vicinity of the heels, sacrum and shoulders of an occupant of the bed.
10. A bed according to any preceding claim wherein linear motors are provided for adjusting the configuration of the bed.
PCT/GB1999/001154 1998-04-24 1999-04-15 Bed WO1999055276A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
JP2000545481A JP2002512852A (en) 1998-04-24 1999-04-15 bed
AU34366/99A AU746093B2 (en) 1998-04-24 1999-04-15 Bed
GB9926095A GB2339387B (en) 1998-04-24 1999-04-15 Bed
CA002329185A CA2329185A1 (en) 1998-04-24 1999-04-15 Bed
NZ507273A NZ507273A (en) 1998-04-24 1999-04-15 Bed with hingedly connected sections automatically adjustable at periodic intervals
EP99915952A EP1073394A1 (en) 1998-04-24 1999-04-15 Bed

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GBGB9808675.4A GB9808675D0 (en) 1998-04-24 1998-04-24 Smart bed
GB9808675.4 1998-04-24

Publications (1)

Publication Number Publication Date
WO1999055276A1 true WO1999055276A1 (en) 1999-11-04

Family

ID=10830850

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1999/001154 WO1999055276A1 (en) 1998-04-24 1999-04-15 Bed

Country Status (8)

Country Link
EP (1) EP1073394A1 (en)
JP (1) JP2002512852A (en)
AU (1) AU746093B2 (en)
CA (1) CA2329185A1 (en)
GB (2) GB9808675D0 (en)
NZ (1) NZ507273A (en)
WO (1) WO1999055276A1 (en)
ZA (1) ZA200006867B (en)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1312330A2 (en) * 2001-11-17 2003-05-21 Medi-Plinth Healthcare Group Limited Bed
GB2471401A (en) * 2009-06-25 2010-12-29 Ljubomir Gnjatovic Bed system having an adjustable configuration
EP2540275A3 (en) * 2011-06-30 2014-01-08 Hill-Rom Services, Inc. Occupant support with a cyclically variable profile
EP2508160B1 (en) * 2011-04-07 2020-08-05 Mizuho Orthopedic Systems, Inc Surgery table having coordinated motion

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7073219B2 (en) 2004-01-06 2006-07-11 Teknion Concept Side rail, hospital bed including the same, method of operating associated thereto and kit for assembling the side rail

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4403357A (en) * 1979-11-28 1983-09-13 Inpaver Ag Reclining furniture
US5230113A (en) * 1992-04-14 1993-07-27 Good Turn, Inc. Multiple position adjustable day night patient bed chair
FR2750041A3 (en) * 1996-06-07 1997-12-26 Chuang Ching Shan Bed for patient
WO1998034577A1 (en) * 1997-02-10 1998-08-13 Herbert Lewin Method and apparatus for supervision of health parameters

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4403357A (en) * 1979-11-28 1983-09-13 Inpaver Ag Reclining furniture
US5230113A (en) * 1992-04-14 1993-07-27 Good Turn, Inc. Multiple position adjustable day night patient bed chair
FR2750041A3 (en) * 1996-06-07 1997-12-26 Chuang Ching Shan Bed for patient
WO1998034577A1 (en) * 1997-02-10 1998-08-13 Herbert Lewin Method and apparatus for supervision of health parameters

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1312330A2 (en) * 2001-11-17 2003-05-21 Medi-Plinth Healthcare Group Limited Bed
EP1312330A3 (en) * 2001-11-17 2003-10-08 Medi-Plinth Healthcare Group Limited Bed
US6912746B2 (en) 2001-11-17 2005-07-05 Medi-Plinth Limited Bed
GB2471401A (en) * 2009-06-25 2010-12-29 Ljubomir Gnjatovic Bed system having an adjustable configuration
EP2508160B1 (en) * 2011-04-07 2020-08-05 Mizuho Orthopedic Systems, Inc Surgery table having coordinated motion
EP3692971A1 (en) * 2011-04-07 2020-08-12 Mizuho Orthopedic Systems, Inc Surgery table having coordinated motion
EP2540275A3 (en) * 2011-06-30 2014-01-08 Hill-Rom Services, Inc. Occupant support with a cyclically variable profile

Also Published As

Publication number Publication date
GB9808675D0 (en) 1998-06-24
CA2329185A1 (en) 1999-11-04
GB2339387A (en) 2000-01-26
GB9926095D0 (en) 2000-01-12
GB2339387B (en) 2002-01-30
EP1073394A1 (en) 2001-02-07
JP2002512852A (en) 2002-05-08
ZA200006867B (en) 2001-07-05
AU746093B2 (en) 2002-04-18
NZ507273A (en) 2002-09-27
AU3436699A (en) 1999-11-16

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