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TWI886081B - Auxiliary displacement device with multiple postures - Google Patents

Auxiliary displacement device with multiple postures Download PDF

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Publication number
TWI886081B
TWI886081B TW113146992A TW113146992A TWI886081B TW I886081 B TWI886081 B TW I886081B TW 113146992 A TW113146992 A TW 113146992A TW 113146992 A TW113146992 A TW 113146992A TW I886081 B TWI886081 B TW I886081B
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Taiwan
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support rod
body support
displacement device
unit
stand
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TW113146992A
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Chinese (zh)
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謝其昌
林禮獎
楊慶煜
英淑玲
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國立高雄科技大學
義大醫療財團法人義大醫院
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Abstract

一種具多姿態之輔助位移裝置,包含:一基架,包括一底座及一立架,該底座與該立架共同形成一容身空間;一第一升降單元,可升降地設於該立架,並具有位於該容身空間的一上身支撐桿;一第二升降單元,可升降地設於該立架,並具有位於該容身空間的一下身支撐桿;及一彈性承載件,位於該容身空間中,並連接該上身支撐桿與該下身支撐桿。A multi-posture auxiliary displacement device includes: a base frame, including a base and a stand, the base and the stand together forming a accommodating space; a first lifting unit, which can be levitationally arranged on the stand and has an upper body support rod located in the accommodating space; a second lifting unit, which can be levitationally arranged on the stand and has a lower body support rod located in the accommodating space; and an elastic supporting member, which is located in the accommodating space and connects the upper body support rod and the lower body support rod.

Description

具多姿態之輔助位移裝置Auxiliary displacement device with multiple postures

本發明係關於一種護理輔助設備,尤指一種可輔助照護臥床者的具多姿態之輔助位移裝置。 The present invention relates to a nursing assistive device, in particular to a multi-position assistive displacement device that can assist in caring for bedridden persons.

依據推估,台灣預計會在2025年底左右,65歲以上人口占比將達20.8%,正式進入「超高齡社會(Ageing Society)」。隨著老年人口的增加,臥床病人的數量必然隨之上升;此外,還有因疾病或意外造成失能而需長期臥床的病人。因此,對於臥床病人的各種照顧需求,將對照護體系帶來重大的挑戰。 According to estimates, Taiwan is expected to enter an "Ageing Society" with a population of 65 and above accounting for 20.8% by the end of 2025. As the elderly population increases, the number of bedridden patients will inevitably increase; in addition, there are patients who need to stay in bed for a long time due to disability caused by illness or accidents. Therefore, the various care needs of bedridden patients will bring major challenges to the care system.

首先,長期臥床者面臨著多種健康風險,包括壓瘡、肌肉萎縮及關節僵硬等,故定期改變臥床者的姿態不僅能促進血液循環,還能減少壓力點,降低併發症的發生率。其次,因應臥床、洗浴或排泄等照顧需求,若能使臥床者對應呈現躺、坐或蹲等身體姿態,不僅更便於照護,還可提升臥床者的舒適度,並有助恢復或維持臥床者的身體機能,提高臥床者的生活品質。 First, long-term bedridden people face a variety of health risks, including pressure sores, muscle atrophy and joint stiffness, so regularly changing the posture of bedridden people can not only promote blood circulation, but also reduce pressure points and reduce the incidence of complications. Secondly, in response to care needs such as lying, bathing or defecation, if bedridden people can present corresponding body postures such as lying, sitting or squatting, it will not only be easier to care for, but also improve the comfort of bedridden people, and help restore or maintain the body functions of bedridden people, and improve the quality of life of bedridden people.

但上述的改變臥床者姿態,常需要照護者費力地徒手拉引、攙扶,甚至揹扛臥床者,反而對照護者帶來了職業傷害。為此,許多歐美國家已開始提倡「No-Lift Policy」理念,禁止照護者徒手搬運臥床者,需改用轉移位機或相關行動輔具,藉以保護照護者的身體健康,減少因搬運臥床者而造成的職業傷害;這同時也意味著需要更高效的輔具來協助照護者進行臥床者的姿態調整。 However, the above-mentioned changes in the bedridden person's posture often require caregivers to laboriously pull, support, or even carry the bedridden person, which in turn brings occupational injuries to the caregivers. For this reason, many European and American countries have begun to promote the concept of "No-Lift Policy", prohibiting caregivers from moving bedridden people by hand, and requiring the use of transfer machines or related mobility assistive devices to protect the health of caregivers and reduce occupational injuries caused by moving bedridden people; this also means that more efficient assistive devices are needed to assist caregivers in adjusting the bedridden person's posture.

然而,當前市場上的許多位移輔具都僅具備基本的位移功能;例如移位腰帶只能進行站起轉位,移位滑墊只能依型態進行坐姿平移或仰躺平移,移位轉盤或站立式移位機都只能進行站起轉位,懸吊式移位機只能進行懸吊移位等。簡言之,目前並沒有單一個習知的位移輔具能滿足臥床者在不同情境下的姿態需求。 However, many of the current mobility assistive devices on the market only have basic mobility functions; for example, a mobility belt can only be used for standing up and turning, a mobility slide can only be used for sitting or lying down horizontally depending on the type, a mobility turntable or standing lift can only be used for standing up and turning, and a suspension lift can only be used for hanging and turning, etc. In short, there is currently no single known mobility assistive device that can meet the posture needs of bedridden people in different situations.

有鑑於上述習知技術之缺憾,發明人有感其未臻於完善,遂竭其心智悉心研究克服,進而研發出一種具多姿態之輔助位移裝置,可輔助臥床者呈現躺、坐或蹲等身體姿態。 In view of the above shortcomings of the known technology, the inventor felt that it was not perfect, so he devoted all his energy to research and overcome it, and then developed a multi-position auxiliary displacement device that can assist bedridden people to present body postures such as lying, sitting or squatting.

為達上述目的及其他目的,本發明係提供一種具多姿態之輔助位移裝置,包含:一基架,包括一底座及一立架,該底座與該立架共同形成一容身空間;一第一升降單元,可升降地設於該立架,並具有位於該容身空間的一上身支撐桿;一第二升降單元,可升降地設於該立架,並具有位於該容身空間的一下身支撐桿;及一彈性承載件,位於該容身空間中,並連接該上身支撐桿與該下身支撐桿。 To achieve the above and other purposes, the present invention provides a multi-position auxiliary displacement device, comprising: a base frame, including a base and a stand, the base and the stand together forming a body accommodation space; a first lifting unit, which can be lifted and lowered on the stand and has an upper body support rod located in the body accommodation space; a second lifting unit, which can be lifted and lowered on the stand and has a lower body support rod located in the body accommodation space; and an elastic bearing member, which is located in the body accommodation space and connects the upper body support rod and the lower body support rod.

上述的具多姿態之輔助位移裝置中,該第一升降單元與該第二升降單元可以相鄰地設於該立架,該上身支撐桿與該下身支撐桿可概呈平行設置。 In the above-mentioned multi-position auxiliary displacement device, the first lifting unit and the second lifting unit can be arranged adjacent to each other on the stand, and the upper body support rod and the lower body support rod can be arranged generally in parallel.

上述的具多姿態之輔助位移裝置中,該彈性承載件可以為彈性網。 In the above-mentioned multi-position auxiliary displacement device, the elastic support member can be an elastic net.

上述的具多姿態之輔助位移裝置中,該第一升降單元可以包括有一第一移動座,該第一移動座可受驅動而相對於該立架升降位移,該上身支撐桿可以連接於該第一移動座。 In the above-mentioned multi-position auxiliary displacement device, the first lifting unit may include a first moving seat, the first moving seat can be driven to move up and down relative to the stand, and the upper body support rod can be connected to the first moving seat.

上述的具多姿態之輔助位移裝置中,該第一升降單元還可以包括一握桿,該握桿可折收地連接於該第一移動座,且該握桿位於該上身支撐桿與該下身支撐桿之間。 In the above-mentioned multi-position auxiliary displacement device, the first lifting unit may further include a handlebar, which is foldably connected to the first moving seat, and the handlebar is located between the upper body support rod and the lower body support rod.

上述的具多姿態之輔助位移裝置,另可以包含一微控制器單元,該握桿上可以設有一生理訊號量測單元,該微控制器單元電性連接該生理訊號量測單元,以接收該生理訊號量測單元的量測結果。 The above-mentioned multi-position auxiliary displacement device may further include a microcontroller unit. A physiological signal measuring unit may be provided on the handle. The microcontroller unit is electrically connected to the physiological signal measuring unit to receive the measurement results of the physiological signal measuring unit.

上述的具多姿態之輔助位移裝置中,該上身支撐桿及該下身支撐桿分別可沿橫向往相對外側伸縮。 In the above-mentioned multi-position auxiliary displacement device, the upper body support rod and the lower body support rod can be extended and retracted laterally toward the relative outside.

上述的具多姿態之輔助位移裝置,另可以包含一影像擷取單元及一微控制器單元,該微控制器單元電性連接該影像擷取單元,該影像擷取單元適於朝該容身空間拍攝臥床者的影像,該微控制器單元接收該影像後分析該臥床者的身高,或辨識該臥床者的上背部與後膝處位置,以控制該上身支撐桿和/或該下身支撐桿沿橫向自動伸縮調整該上身支撐桿與該下身支撐桿在橫向上的相對距離。 The above-mentioned multi-position auxiliary displacement device may further include an image capture unit and a microcontroller unit. The microcontroller unit is electrically connected to the image capture unit. The image capture unit is suitable for taking an image of the bedridden person toward the accommodation space. After receiving the image, the microcontroller unit analyzes the height of the bedridden person, or identifies the position of the upper back and back knees of the bedridden person, so as to control the upper body support rod and/or the lower body support rod to automatically extend and retract in the horizontal direction to adjust the relative distance between the upper body support rod and the lower body support rod in the horizontal direction.

上述的具多姿態之輔助位移裝置,另可以包含一微控制器單元,該基架設有一重量量測單元,該微控制器單元電性連接該重量量測單元,以接收該重量量測單元的量測結果。 The above-mentioned multi-position auxiliary displacement device may further include a microcontroller unit. The base frame is provided with a weight measuring unit. The microcontroller unit is electrically connected to the weight measuring unit to receive the measurement result of the weight measuring unit.

上述的具多姿態之輔助位移裝置中,該底座可以具有二延伸桿分別連接於一橫桿的二端,該二延伸桿相對,該橫桿與該底座的開口相對,該立架可以由該橫桿往上延伸,該容身空間形成於該立架的前方及該二延伸桿的上方。 In the above-mentioned multi-position auxiliary displacement device, the base can have two extension rods respectively connected to the two ends of a horizontal rod, the two extension rods are opposite to each other, the horizontal rod is opposite to the opening of the base, the stand can extend upward from the horizontal rod, and the accommodation space is formed in front of the stand and above the two extension rods.

上述的具多姿態之輔助位移裝置中,該基架可以包括一移動模組,該移動模組可以具有二前輪及至少一後輪,該二前輪可以分別嵌設於對應的延伸桿,該後輪可以鄰近該橫桿,該前輪的尺寸可以小於該後輪的尺寸。 In the above-mentioned multi-position auxiliary displacement device, the base frame may include a mobile module, the mobile module may have two front wheels and at least one rear wheel, the two front wheels may be respectively embedded in the corresponding extension rods, the rear wheel may be adjacent to the crossbar, and the size of the front wheel may be smaller than that of the rear wheel.

上述的具多姿態之輔助位移裝置中,該後輪可多向轉動並可以具有自鎖功能。 In the above-mentioned multi-position auxiliary displacement device, the rear wheel can rotate in multiple directions and can have a self-locking function.

藉此,本發明的具多姿態之輔助位移裝置,可因應臥床、洗浴或排泄等照顧需求,利用簡易的結構輔助臥床者改變多種身體姿態,不僅能有效減少照護者的工作負擔,提高工作效率,還能使臥床者維持良好的血液循環、減少壓力點及降低臥床併發症的發生率。此外,該具多姿態之輔助位移裝置還能讓臥床者感到安全及舒適,降低其掙扎或亂動的情況,從而減少搬運過程中可能造成的意外傷害。故本裝置不僅是提升了臥床者的生活品質,同時也保障了照護者工作安全、減少職業傷害並提升工作效率;且除了輔助搬運臥床者的功能外,本裝置還可輔助臥床者進行簡易的復健運動,實用性極高。 Thus, the multi-position auxiliary displacement device of the present invention can assist bedridden people to change various body postures in response to care needs such as lying in bed, bathing or excretion, etc., with a simple structure, which can not only effectively reduce the workload of caregivers and improve work efficiency, but also enable bedridden people to maintain good blood circulation, reduce pressure points and reduce the incidence of bed complications. In addition, the multi-position auxiliary displacement device can also make bedridden people feel safe and comfortable, reduce their struggles or movements, and thus reduce accidental injuries that may be caused during transportation. Therefore, this device not only improves the quality of life of bedridden people, but also ensures the work safety of caregivers, reduces occupational injuries and improves work efficiency. In addition to assisting in the transportation of bedridden people, this device can also assist bedridden people in simple rehabilitation exercises, and is extremely practical.

1:基架 1: Base frame

11:底座 11: Base

111:橫桿 111: horizontal bar

112:延伸桿 112: Extension rod

12:立架 12: Stand

13:移動模組 13: Mobile module

131:前輪 131:Front wheel

132:後輪 132:Rear wheel

14:重量量測單元 14:Weight measurement unit

2:第一升降單元 2: First lifting unit

21:上身支撐桿 21: Upper body support pole

22:第一移動座 22: First moving seat

24:握桿 24: Grip

241:生理訊號量測單元 241: Physiological signal measurement unit

3:第二升降單元 3: Second lifting unit

31:下身支撐桿 31: Lower body support rod

32:第二移動座 32: Second mobile seat

4:彈性承載件 4: Elastic bearing parts

5:影像擷取單元 5: Image capture unit

6:微控制器單元 6: Microcontroller unit

S:容身空間 S: Accommodation space

[圖1]為本發明一實施例的立體示意圖。 [Figure 1] is a three-dimensional schematic diagram of an embodiment of the present invention.

[圖2]係本發明一實施例的立體示意圖,其中未繪示彈性承載件。 [Figure 2] is a three-dimensional schematic diagram of an embodiment of the present invention, in which the elastic support member is not shown.

[圖3]係本發明一實施例輔助臥床者呈現平抱姿態時的示意圖,其中未繪示彈性承載件。 [Figure 3] is a schematic diagram of an embodiment of the present invention assisting a person lying in bed to assume a horizontal position, wherein the elastic supporting member is not shown.

[圖4]係本發明一實施例輔助臥床者呈現坐姿時的示意圖,其中未繪示彈性承載件。 [Figure 4] is a schematic diagram of an embodiment of the present invention assisting a bedridden person to assume a sitting position, wherein the elastic supporting member is not shown.

[圖5]係本發明一實施例輔助臥床者呈現洗浴姿態時的示意圖,其中未繪示彈性承載件。 [Figure 5] is a schematic diagram of an embodiment of the present invention assisting a bedridden person in bathing posture, wherein the elastic support member is not shown.

[圖6]係本發明一實施例的電性連接關係示意圖,其中未繪示彈性承載件。 [Figure 6] is a schematic diagram of the electrical connection relationship of an embodiment of the present invention, in which the elastic carrier is not shown.

為充分瞭解本發明之目的、特徵及功效,茲藉由下述具體之實施例,並配合所附之圖式,對本發明做一詳細說明,說明如後: In order to fully understand the purpose, features and effects of the present invention, the present invention is described in detail through the following specific embodiments and the attached drawings, as follows:

請參考圖1及圖2,其係本發明具多姿態之輔助位移裝置的一較佳實施例。該具多姿態之輔助位移裝置係包含有一基架1、一第一升降單元2、一第二升降單元3及一彈性承載件4。 Please refer to Figures 1 and 2, which are a preferred embodiment of the multi-position auxiliary displacement device of the present invention. The multi-position auxiliary displacement device includes a base frame 1, a first lifting unit 2, a second lifting unit 3 and an elastic supporting member 4.

該基架1包括一底座11及一立架12,且該底座11與該立架12共同形成一容身空間S。該第一升降單元2可升降地設於該立架12,並具有位於該容身空間S的一上身支撐桿21。該第二升降單元3可升降地設於該立架12,並具有位於該容身空間S的一下身支撐桿31。該彈性承載件4位於該容身空間S中,並連接該上身支撐桿21與該下身支撐桿31。使用時,臥床者會躺在該彈性承載件4上,並由該上身支撐桿21扶持臥床者的上半身,及由該下身支撐桿31扶持臥床者的下半身。 The base frame 1 includes a base 11 and a stand 12, and the base 11 and the stand 12 together form a living space S. The first lifting unit 2 is liftably disposed on the stand 12 and has an upper body support rod 21 located in the living space S. The second lifting unit 3 is liftably disposed on the stand 12 and has a lower body support rod 31 located in the living space S. The elastic support member 4 is located in the living space S and connects the upper body support rod 21 and the lower body support rod 31. When in use, the bedridden person lies on the elastic support member 4, and the upper body support rod 21 supports the upper body of the bedridden person, and the lower body support rod 31 supports the lower body of the bedridden person.

本發明不限制該基架1的型態,以能夠供該第一升降單元2、該第二升降單元3及該彈性承載件4穩固架設,並透過該第一升降單元2、該第二升降單元3與該彈性承載件4,安全地輔助位於該容身空間S中的臥床者改變身體姿態為原則。 The present invention does not limit the type of the base frame 1, and is based on the principle that the first lifting unit 2, the second lifting unit 3 and the elastic supporting member 4 can be stably installed, and the first lifting unit 2, the second lifting unit 3 and the elastic supporting member 4 can be used to safely assist the bedridden person in the accommodation space S to change his/her body posture.

舉例而言,於本發明的一實施例中,該底座11可概呈ㄇ字型而具有一橫桿111及二延伸桿112,該二延伸桿112分別連接於該橫桿111的二端。其中,該二延伸桿112可以在X方向上相對;該橫桿111與該底座11的開口可以在Y方向上相對,且該橫桿111位於後端,該底座11的開口位於前端;該立架12則主要由該橫桿111沿著Z方向往上延伸,讓該容身空間S可以形成於該立架12的前方及該二延伸桿112的上方,使整體基架1可以在承載有臥床者時,仍保持穩固而不易傾倒。 For example, in one embodiment of the present invention, the base 11 may be roughly U-shaped and have a crossbar 111 and two extension rods 112, and the two extension rods 112 are respectively connected to the two ends of the crossbar 111. The two extension rods 112 may be opposite in the X direction; the crossbar 111 and the opening of the base 11 may be opposite in the Y direction, and the crossbar 111 is located at the rear end, and the opening of the base 11 is located at the front end; the stand 12 mainly extends upward from the crossbar 111 along the Z direction, so that the accommodation space S can be formed in front of the stand 12 and above the two extension rods 112, so that the entire base frame 1 can remain stable and not easy to fall when carrying a bedridden person.

為提升整體具多姿態之輔助位移裝置的移動便利性,該基架1還包括一移動模組13,該移動模組13可以設於該基架1的底端,或是在欲移動該具多姿態之輔助位移裝置時,才將該移動模組13組接或移至該基架1的底端。本發明亦不限制該移動模組13的型態,舉例而言,該移動模組13可以是輪子、履帶、滾筒、滑墊、滑板或氣浮等習知技術之應用;本實施例中則選擇以輪子的型態進行說明,但並不以此為限。 In order to improve the mobility of the auxiliary displacement device with various postures, the base frame 1 also includes a moving module 13, which can be arranged at the bottom of the base frame 1, or when the auxiliary displacement device with various postures is to be moved, the moving module 13 is assembled or moved to the bottom of the base frame 1. The present invention does not limit the type of the moving module 13. For example, the moving module 13 can be an application of known technologies such as wheels, tracks, rollers, sliding pads, skateboards or air flotation; in this embodiment, the wheel type is selected for explanation, but it is not limited to this.

於本實施例中,該移動模組13可以是設於該底座11的至少一前輪131及至少一後輪132。於一較佳實施例中,該前輪131及該後輪132的數量各可以為二個,該二前輪131可分別組裝於該二延伸桿112的前端,該二後輪132則可分別組裝於鄰近該橫桿111二端的位置。其中,該前輪131的尺寸小於該後輪132的尺寸,且該前輪131可以嵌設於對應的延伸桿112,使該底座11的前端能夠形成薄型而便於伸入病床下方,讓該立架12盡量靠近病床,使病床上大部分的範圍都對位於該容身空間S中,以便透過該第一升降單元2及該第二升降單元3從病床上抱起臥床者,或將臥床者抱回病床上。例如但不限制地,該前輪131可採用2吋輪,該後輪132則可採用10吋輪。 In this embodiment, the mobile module 13 can be at least one front wheel 131 and at least one rear wheel 132 disposed on the base 11. In a preferred embodiment, the number of the front wheel 131 and the rear wheel 132 can be two, and the two front wheels 131 can be respectively assembled at the front ends of the two extension rods 112, and the two rear wheels 132 can be respectively assembled at positions adjacent to the two ends of the crossbar 111. The size of the front wheel 131 is smaller than that of the rear wheel 132, and the front wheel 131 can be embedded in the corresponding extension rod 112, so that the front end of the base 11 can be formed thin and convenient to extend under the bed, so that the stand 12 is as close to the bed as possible, so that most of the bed is located in the accommodation space S, so that the bedridden person can be lifted from the bed or carried back to the bed through the first lifting unit 2 and the second lifting unit 3. For example, but not limited to, the front wheel 131 can be a 2-inch wheel, and the rear wheel 132 can be a 10-inch wheel.

此外,於本發明的一實施例中,該前輪131可以被設置為只能沿單一軸向旋轉,該後輪132則可以多向轉動,以便由該後輪132控制整體具多姿態之輔助位移裝置的移動方向。該後輪132另可以具有自鎖功能,使整體具多姿態之輔助位移裝置可以停止固定於指定處,防止非預期的滑動造成意外。於某些實施例中,該後輪132還可以是可電控驅動的,以節省照護者推動該具多姿態之輔助位移裝置的施力,或甚至可直接遙控該具多姿態之輔助位移裝置位移至指定位置。 In addition, in one embodiment of the present invention, the front wheel 131 can be set to rotate only along a single axis, and the rear wheel 132 can rotate in multiple directions, so that the rear wheel 132 can control the movement direction of the entire multi-position auxiliary displacement device. The rear wheel 132 can also have a self-locking function, so that the entire multi-position auxiliary displacement device can be stopped and fixed at a designated location to prevent unexpected sliding from causing accidents. In some embodiments, the rear wheel 132 can also be electrically controlled to save the caregiver's force in pushing the multi-position auxiliary displacement device, or even directly remotely control the multi-position auxiliary displacement device to move to a designated position.

另一方面,該上身支撐桿21與該下身支撐桿31可以同步升降,也可獨立升降位移。於本發明的一實施例中,該第一升降單元2與該第二升降 單元3可以相鄰地設於該立架12,並使該上身支撐桿21與該下身支撐桿31概呈平行設置。在抱持臥床者時,該上身支撐桿21大致上對位於臥床者的小圓肌(teres minor muscle)、棘下肌(infraspinatus muscle)與大圓肌(teres major muscle)等參與肩關節運動的肩部重要肌肉之範圍,即大約對位於臥床者的腋窩(axilla)高度。該下身支撐桿31則大致上對位於臥床者的膕窩(popliteal fossa),即膝蓋後方的凹陷部位,又稱膝窩。如此,該上身支撐桿21與該下身支撐桿31可共同維持穩固地抱持臥床者,並透過改變該上身支撐桿21與該下身支撐桿31之間的高度差,達到改變臥床者身體姿態的效果(容後詳述)。 On the other hand, the upper body support rod 21 and the lower body support rod 31 can be raised and lowered synchronously or independently. In one embodiment of the present invention, the first lifting unit 2 and the second lifting unit 3 can be disposed adjacent to each other on the stand 12, and the upper body support rod 21 and the lower body support rod 31 are disposed approximately in parallel. When holding a bedridden person, the upper body support rod 21 is approximately in the range of important shoulder muscles involved in shoulder joint movement, such as the teres minor muscle, infraspinatus muscle and teres major muscle, that is, approximately in the height of the axilla of the bedridden person. The lower body support rod 31 is generally located at the popliteal fossa of the bedridden person, that is, the concave part behind the knee, also known as the knee fossa. In this way, the upper body support rod 21 and the lower body support rod 31 can jointly maintain a stable hold on the bedridden person, and by changing the height difference between the upper body support rod 21 and the lower body support rod 31, the effect of changing the body posture of the bedridden person is achieved (details will be described later).

其中,該上身支撐桿21及該下身支撐桿31的外層可包覆有軟墊,以提升臥床者被抱持時的舒適性。另,該彈性承載件4可例如是彈性網,使該彈性承載件4可充分適應該上身支撐桿21與該下身支撐桿31調整相對高度的情況,並對臥床者的軀幹提供安全、舒適的包覆感,讓臥床者在該彈性承載件4上能感到安心且放鬆。此外,網狀的彈性承載件4也有助提升臥床者排泄或洗浴時的舒適性與便利性。 The outer layer of the upper body support rod 21 and the lower body support rod 31 may be covered with a soft cushion to improve the comfort of the bedridden person when being held. In addition, the elastic support member 4 may be, for example, an elastic net, so that the elastic support member 4 can fully adapt to the relative height adjustment of the upper body support rod 21 and the lower body support rod 31, and provide a safe and comfortable covering feeling for the bedridden person's trunk, so that the bedridden person can feel safe and relaxed on the elastic support member 4. In addition, the net-shaped elastic support member 4 also helps to improve the comfort and convenience of the bedridden person when defecating or bathing.

請參考圖3,本實施例的具多姿態之輔助位移裝置使用時,可以先將該上身支撐桿21與該下身支撐桿31調整到差不多等高,並使該底座11的前端伸入病床下方,讓該立架12盡量靠近床沿,使該上身支撐桿21與該下身支撐桿31可以分別扶持於臥床者的上背部與後膝處,再同步上升以抱起臥床者;隨後使整體具多姿態之輔助位移裝置移動離開床沿,即可開始調整該上身支撐桿21與該下身支撐桿31的相對位置。 Please refer to Figure 3. When the multi-position auxiliary displacement device of this embodiment is used, the upper body support rod 21 and the lower body support rod 31 can be adjusted to almost the same height, and the front end of the base 11 can be extended under the bed, and the stand 12 can be as close to the bedside as possible, so that the upper body support rod 21 and the lower body support rod 31 can support the upper back and back knees of the bedridden person respectively, and then rise synchronously to pick up the bedridden person; then the whole multi-position auxiliary displacement device is moved away from the bedside, and the relative positions of the upper body support rod 21 and the lower body support rod 31 can be adjusted.

當該上身支撐桿21與該下身支撐桿31維持差不多等高,或是該上身支撐桿21稍高於該下身支撐桿31的狀態下,臥床者可以呈現如圖3所示的平抱姿態。此時,該具多姿態之輔助位移裝置能對卧床者施予猶如被雙手抱起的狀態,並抱著卧床者平穩地移動,及減低移動過程中的搖晃;而卧床者 的身體重量還可由該彈性承載件4(繪示於圖1)來全面承托及分散壓力,增加移動時的穩定性。此外,此時卧床者的背部相較於躺臥在床上,可以呈現大幅減壓的舒適狀態,也能便於照護者對卧床者施予按摩,或輔助卧床者做些緩和的伸展運動等。 When the upper body support rod 21 and the lower body support rod 31 are maintained at almost the same height, or the upper body support rod 21 is slightly higher than the lower body support rod 31, the bedridden person can present a flat embrace posture as shown in FIG3. At this time, the multi-posture auxiliary displacement device can make the bedridden person feel like being held by both hands, and hold the bedridden person to move smoothly and reduce the shaking during the movement; and the body weight of the bedridden person can also be fully supported and the pressure is dispersed by the elastic support member 4 (shown in FIG1), thereby increasing the stability during movement. In addition, the back of the bedridden person can be in a comfortable state with much less pressure than lying on the bed, which makes it easier for the caregiver to massage the bedridden person or assist the bedridden person to do some gentle stretching exercises, etc.

欲輔助卧床者排泄時,由於一般在坐姿下能較容易排便,故可控制該下身支撐桿31相對於該上身支撐桿21下降,使卧床者改變成如圖4所示的坐姿,即卧床者的大腿可大致成水平狀,以相較於臥床便溺可更加順暢地排泄,也更便於後續的清潔。同時,由於「能坐」是排泄自立支援的基礎,故不排泄時,也可以輔助卧床者改變成坐姿,並訓練卧床者做腹部用力等復健運動,可有助於卧床者恢復或維持身體機能。 When assisting a bedridden person to defecate, since it is generally easier to defecate in a sitting position, the lower body support rod 31 can be controlled to descend relative to the upper body support rod 21, so that the bedridden person can change to a sitting position as shown in Figure 4, that is, the bedridden person's thighs can be roughly horizontal, so that compared with lying down, defecation can be smoother and more convenient for subsequent cleaning. At the same time, since "being able to sit" is the basis of independent support for defecation, when not defecating, the bedridden person can also be assisted to change to a sitting position, and the bedridden person can be trained to do rehabilitation exercises such as abdominal force, which can help the bedridden person recover or maintain body functions.

欲對卧床者進行一般洗浴或如廁後沖洗時,則可以再控制該上身支撐桿21與該下身支撐桿31的高度差,從圖4的坐姿狀態再稍微調小一些,讓卧床者的大腿可向上傾斜,以改變成如圖5所示類似於蹲姿的洗浴姿態。在此姿態下,照護者可便於幫卧床者沐浴、洗頭、剪髮或進行日常梳洗;此外,此姿態也能便於照護者檢查臥床者的體表是否有紅腫破裂處,以便即時予以護理。其中,當該彈性承載件4呈網狀時,臥床者的排泄物可易於穿過該彈性承載件4排入便器中,且沖洗的時候也能較容易且快速地完成清潔工作,對臥床者及照護者來說都更舒適且方便。 When the bedridden person wants to take a bath or wash after going to the toilet, the height difference between the upper body support rod 21 and the lower body support rod 31 can be slightly reduced from the sitting position in FIG. 4 so that the bedridden person's thighs can be tilted upward to change to a bathing position similar to a squatting position as shown in FIG. 5. In this position, the caregiver can bathe, wash, cut hair or do daily grooming for the bedridden person; in addition, this position can also facilitate the caregiver to check whether there are red, swollen or ruptured areas on the body surface of the bedridden person so as to provide timely care. Among them, when the elastic support member 4 is in a mesh shape, the excrement of the bedridden person can easily pass through the elastic support member 4 and be discharged into the toilet, and the cleaning work can be completed more easily and quickly during flushing, which is more comfortable and convenient for the bedridden person and the caregiver.

另,洗浴前,可以將整體具多姿態之輔助位移裝置移到浴室;或是在其他可能的實施例中,該基架1還可加裝超音波噴霧洗具,且該底座11上也可加裝汙水收集桶,或也可以在欲使用時才將汙水收集桶放置到臥床者下方,本發明均不加以限制。 In addition, before bathing, the whole multi-position auxiliary displacement device can be moved to the bathroom; or in other possible embodiments, the base frame 1 can also be equipped with an ultrasonic spray washing device, and a sewage collection bucket can also be installed on the base 11, or the sewage collection bucket can be placed under the bed when it is to be used, and the present invention is not limited to this.

綜上,本實施例的具多姿態之輔助位移裝置,可因應臥床、洗浴或排泄等照顧需求,利用簡易的結構輔助臥床者改變多種身體姿態,不僅 能有效減少照護者的工作負擔,提高工作效率,還能使臥床者維持良好的血液循環、減少壓力點及降低臥床併發症的發生率。此外,該具多姿態之輔助位移裝置還能讓臥床者感到安全及舒適,降低其掙扎或亂動的情況,從而減少搬運過程中可能造成的意外傷害。故本裝置不僅是提升了臥床者的生活品質,同時也保障了照護者工作安全、減少職業傷害並提升工作效率;且除了輔助搬運臥床者的功能外,本裝置還可輔助臥床者進行簡易的復健運動,實用性極高。另一方面,由於本實施例的具多姿態之輔助位移裝置,其結構簡易而可降低成本與體積,無論是醫療院所、照護機構或家庭都很適合購置使用。 In summary, the multi-position auxiliary displacement device of this embodiment can assist bedridden people to change various body postures in response to care needs such as lying in bed, bathing or excretion, etc., using a simple structure, which can not only effectively reduce the workload of caregivers and improve work efficiency, but also enable bedridden people to maintain good blood circulation, reduce pressure points and reduce the incidence of bed complications. In addition, the multi-position auxiliary displacement device can also make bedridden people feel safe and comfortable, reduce their struggles or movements, and thus reduce accidental injuries that may be caused during transportation. Therefore, this device not only improves the quality of life of bedridden people, but also ensures the work safety of caregivers, reduces occupational injuries and improves work efficiency. In addition to assisting the movement of bedridden people, this device can also assist bedridden people in simple rehabilitation exercises, and is extremely practical. On the other hand, since the multi-position auxiliary displacement device of this embodiment has a simple structure and can reduce costs and volume, it is very suitable for purchase and use in medical institutions, care institutions or families.

請再參考圖2,於本發明的一實施例中,該第一升降單元2可以另包括有一第一移動座22,該第一移動座22可受驅動而相對於該立架12升降位移,該上身支撐桿21可直接或間接地連接於該第一移動座22,以隨該第一移動座22同步相對於該立架12升降位移。相類似地,該第二升降單元3可以包括有一第二移動座32,該第二移動座32可受驅動而相對於該立架12升降位移,該下身支撐桿31可直接或間接地連接於該第二移動座32,以隨該第二移動座32同步相對於該立架12升降位移。 Please refer to Figure 2 again. In an embodiment of the present invention, the first lifting unit 2 may further include a first moving seat 22, which can be driven to move up and down relative to the stand 12, and the upper body support rod 21 can be directly or indirectly connected to the first moving seat 22 to move up and down relative to the stand 12 synchronously with the first moving seat 22. Similarly, the second lifting unit 3 may include a second moving seat 32, which can be driven to move up and down relative to the stand 12, and the lower body support rod 31 can be directly or indirectly connected to the second moving seat 32 to move up and down relative to the stand 12 synchronously with the second moving seat 32.

其中,驅動該第一移動座22及該第二移動座32產生升降位移的組件可以相同或不同。例如可採用液壓缸驅動,或是以馬達搭配線性滑軌或滾珠螺桿,或是滑輪組與配重塊等結構,本發明並不加以限制;以能夠分別控制該上身支撐桿21與該下身支撐桿31升降,並能穩固停止在預定高度為原則。 The components that drive the first moving seat 22 and the second moving seat 32 to generate lifting displacement can be the same or different. For example, a hydraulic cylinder can be used for driving, or a motor can be used with a linear slide rail or a ball screw, or a pulley set and a counterweight block, etc. The present invention is not limited to this; the principle is to be able to control the lifting of the upper body support rod 21 and the lower body support rod 31 respectively, and to be able to stably stop at a predetermined height.

除上述實施例外,於本發明的一實施例中,該上身支撐桿21及該下身支撐桿31分別可朝外伸縮,即沿X方向往該上身支撐桿21與該下身支撐桿31的相對外側伸縮。如此,本實施例的該第一升降單元2與該第二升降單 元3可以依照不同臥床者的身高,調整該上身支撐桿21與該下身支撐桿31在X方向上的相對距離,使該上身支撐桿21與該下身支撐桿31能夠維持準確地扶持於每位臥床者的上背部與後膝處。 In addition to the above-mentioned embodiments, in one embodiment of the present invention, the upper body support rod 21 and the lower body support rod 31 can be extended and retracted outward, that is, along the X direction to the relative outer sides of the upper body support rod 21 and the lower body support rod 31. In this way, the first lifting unit 2 and the second lifting unit 3 of this embodiment can adjust the relative distance between the upper body support rod 21 and the lower body support rod 31 in the X direction according to the height of different bedridden people, so that the upper body support rod 21 and the lower body support rod 31 can maintain accurate support on the upper back and back knees of each bedridden person.

其中,前述的調整可以是手動或電動控制的。請參考圖2及圖6,在電動控制的一實施例中,該具多姿態之輔助位移裝置另可以包含一影像擷取單元5及一微控制器單元6(microcontroller unit,MCU)。該微控制器單元6電性連接該影像擷取單元5,該影像擷取單元5則可以架設於該基架1或其他位置,適於由該影像擷取單元5朝該容身空間S拍攝臥床者在該彈性承載件4上或病床上的影像;該微控制器單元6可於接收該影像後分析該臥床者的身高,或辨識該臥床者的上背部與後膝處位置,並控制該上身支撐桿21和/或該下身支撐桿31沿X方向伸縮,以自動調整該上身支撐桿21與該下身支撐桿31在X方向上的相對距離,使該上身支撐桿21可概對位於該臥床者的腋窩,該下身支撐桿31則概對位於該臥床者的膕窩。 Wherein, the aforementioned adjustment can be manually or electrically controlled. Please refer to Figures 2 and 6. In an embodiment of electric control, the multi-posture auxiliary displacement device can also include an image capture unit 5 and a microcontroller unit 6 (MCU). The microcontroller unit 6 is electrically connected to the image capture unit 5, and the image capture unit 5 can be mounted on the base 1 or other positions, suitable for the image capture unit 5 to shoot the image of the bedridden person on the elastic support 4 or on the bed toward the accommodation space S; the microcontroller unit 6 can analyze the height of the bedridden person after receiving the image, or identify the bed. The upper back and back knee positions of the bedridden person are detected, and the upper body support rod 21 and/or the lower body support rod 31 are controlled to extend and retract along the X direction to automatically adjust the relative distance between the upper body support rod 21 and the lower body support rod 31 in the X direction, so that the upper body support rod 21 can be roughly aligned with the armpits of the bedridden person, and the lower body support rod 31 can be roughly aligned with the popliteal fossa of the bedridden person.

又,該第一升降單元2還可以包括一握桿24,該握桿24可折收地連接於該第一移動座22,且該握桿24在X方向上位於該上身支撐桿21與該下身支撐桿31之間。如此,在該上身支撐桿21與該下身支撐桿31共同將臥床者抱持在該容身空間S後,該握桿24可以往該容身空間S翻出來,供臥床者的手部握持,以提升臥床者在維持或改變姿勢時的安全感,且用不到的時候還可以將該握桿24可往該立架12的方向折收。 Furthermore, the first lifting unit 2 may further include a handle 24, which is foldably connected to the first moving seat 22, and the handle 24 is located between the upper body support rod 21 and the lower body support rod 31 in the X direction. Thus, after the upper body support rod 21 and the lower body support rod 31 hold the bedridden person in the accommodation space S together, the handle 24 can be turned out to the accommodation space S for the bedridden person to hold with his hands, so as to enhance the bedridden person's sense of security when maintaining or changing postures, and the handle 24 can be folded toward the stand 12 when not in use.

此外,於本發明的一實施例中,該握桿24上還可以設有一生理訊號量測單元241,該生理訊號量測單元241可例如是心律、血氧、血壓、血糖和/或體溫等一個或多個量測器,該微控制器單元6電性連接該生理訊號量測單元241。如此,當臥床者握持該握桿24時,還可一併由該生理訊號量測單元241量測對應的生理訊號,該微控制器單元6可以接收該生理訊號量測單元 241的量測結果,做記錄或提出對應的警示,以便照護者即時做出對應的適當處理。 In addition, in one embodiment of the present invention, a physiological signal measuring unit 241 may be provided on the handle 24. The physiological signal measuring unit 241 may be one or more measuring devices such as heart rate, blood oxygen, blood pressure, blood sugar and/or body temperature. The microcontroller unit 6 is electrically connected to the physiological signal measuring unit 241. In this way, when the bedridden person holds the handle 24, the physiological signal measuring unit 241 may also measure the corresponding physiological signal. The microcontroller unit 6 may receive the measurement result of the physiological signal measuring unit 241, record it or issue a corresponding warning, so that the caregiver can make appropriate corresponding treatment in time.

於本發明的一實施例中,該基架1上還可以設有一重量量測單元14,該微控制器單元6電性連接該重量量測單元14。如此,當臥床者被抱持在該容身空間S時,還可一併由該重量量測單元14量測臥床者的體重,該微控制器單元6可以接收該重量量測單元14的量測結果做記錄,或例如臥床者在短期內體重增加或減輕太多時提出對應的警示,以便照護者即時做出對應的適當處理。 In one embodiment of the present invention, a weight measuring unit 14 may be provided on the base frame 1, and the microcontroller unit 6 is electrically connected to the weight measuring unit 14. Thus, when the bedridden person is held in the accommodation space S, the weight of the bedridden person may also be measured by the weight measuring unit 14. The microcontroller unit 6 may receive the measurement result of the weight measuring unit 14 for recording, or, for example, issue a corresponding warning when the bedridden person gains or loses too much weight in a short period of time, so that the caregiver can take appropriate corresponding measures in real time.

於本發明的一實施例中,該基架1上還可以設有一電池15,該電池15可以供應該微控制器單元6、該影像擷取單元5、該生理訊號量測單元241及該重量量測單元14等構件運作所需的電力。如此,本實施例的具多姿態之輔助位移裝置可無漏電風險,且可不受限於電源位置,自由推移至任意處皆可運作,具有更佳的使用安全性及便利性。 In one embodiment of the present invention, a battery 15 may be provided on the base frame 1, and the battery 15 may supply the power required for the operation of the microcontroller unit 6, the image capture unit 5, the physiological signal measurement unit 241, and the weight measurement unit 14. In this way, the multi-position auxiliary displacement device of this embodiment has no leakage risk, and is not limited by the power source position, and can be freely moved to any place for operation, with better safety and convenience.

本發明在上文中已以較佳實施例揭露,然熟習本項技術者應理解的是,該實施例僅用於描繪本發明,而不應解讀為限制本發明之範圍。應注意的是,舉凡與該實施例等效之變化與置換,均應設為涵蓋於本發明之範疇內。因此,本發明之保護範圍當以申請專利範圍所界定者為準。 The present invention has been disclosed in the above text with a preferred embodiment, but those familiar with the present technology should understand that the embodiment is only used to describe the present invention and should not be interpreted as limiting the scope of the present invention. It should be noted that all changes and substitutions equivalent to the embodiment should be included in the scope of the present invention. Therefore, the scope of protection of the present invention shall be based on the scope defined by the patent application.

1:基架 1: Base frame

11:底座 11: Base

12:立架 12: Stand

2:第一升降單元 2: First lifting unit

21:上身支撐桿 21: Upper body support pole

3:第二升降單元 3: Second lifting unit

31:下身支撐桿 31: Lower body support rod

4:彈性承載件 4: Elastic bearing parts

S:容身空間 S: Accommodation space

Claims (10)

一種具多姿態之輔助位移裝置,包含: 一基架,包括一底座及一立架,該底座與該立架共同形成一容身空間; 一第一升降單元,可升降地設於該立架,並具有位於該容身空間的一上身支撐桿; 一第二升降單元,可升降地設於該立架,並具有位於該容身空間的一下身支撐桿,該上身支撐桿及該下身支撐桿分別可沿橫向往相對外側伸縮; 一彈性承載件,位於該容身空間中,並連接該上身支撐桿與該下身支撐桿; 一影像擷取單元;及 一微控制器單元,電性連接該影像擷取單元; 其中,該影像擷取單元適於朝該容身空間拍攝臥床者的影像,該微控制器單元接收該影像後分析該臥床者的身高,或辨識該臥床者的上背部與後膝處位置,以控制該上身支撐桿和/或該下身支撐桿沿橫向自動伸縮調整該上身支撐桿與該下身支撐桿在橫向上的相對距離。 A multi-position auxiliary displacement device comprises: A base frame, including a base and a stand, the base and the stand together form a body accommodation space; A first lifting unit, which can be lifted on the stand and has an upper body support rod located in the body accommodation space; A second lifting unit, which can be lifted on the stand and has a lower body support rod located in the body accommodation space, the upper body support rod and the lower body support rod can be extended and retracted laterally to the relative outside; An elastic bearing member, which is located in the body accommodation space and connects the upper body support rod and the lower body support rod; An image capture unit; and A microcontroller unit, which is electrically connected to the image capture unit; The image capture unit is adapted to capture an image of the bedridden person toward the accommodation space, and the microcontroller unit receives the image and analyzes the height of the bedridden person, or identifies the position of the upper back and back knees of the bedridden person, so as to control the upper body support rod and/or the lower body support rod to automatically extend and retract in the horizontal direction to adjust the relative distance between the upper body support rod and the lower body support rod in the horizontal direction. 如請求項1所述之具多姿態之輔助位移裝置,其中,該第一升降單元與該第二升降單元相鄰地設於該立架,該上身支撐桿與該下身支撐桿呈平行設置。The multi-posture auxiliary displacement device as described in claim 1, wherein the first lifting unit and the second lifting unit are adjacently arranged on the stand, and the upper body support rod and the lower body support rod are arranged in parallel. 如請求項1所述之具多姿態之輔助位移裝置,其中,該彈性承載件為彈性網。The multi-posture auxiliary displacement device as described in claim 1, wherein the elastic supporting member is an elastic net. 如請求項1所述之具多姿態之輔助位移裝置,其中,該第一升降單元包括有一第一移動座,該第一移動座可受驅動而相對於該立架升降位移,該上身支撐桿連接於該第一移動座。As described in claim 1, the auxiliary displacement device with multiple postures, wherein the first lifting unit includes a first moving seat, which can be driven to move up and down relative to the stand, and the upper body support rod is connected to the first moving seat. 如請求項4所述之具多姿態之輔助位移裝置,其中,該第一升降單元包括一握桿,該握桿可折收地連接於該第一移動座,且該握桿位於該上身支撐桿與該下身支撐桿之間。As described in claim 4, the multi-posture auxiliary displacement device, wherein the first lifting unit includes a handlebar, which is foldably connected to the first moving base, and the handlebar is located between the upper body support rod and the lower body support rod. 如請求項5所述之具多姿態之輔助位移裝置,另包含一微控制器單元,該握桿上設有一生理訊號量測單元,該微控制器單元電性連接該生理訊號量測單元,以接收該生理訊號量測單元的量測結果。The multi-posture auxiliary displacement device as described in claim 5 further includes a microcontroller unit. A physiological signal measuring unit is provided on the handle. The microcontroller unit is electrically connected to the physiological signal measuring unit to receive the measurement results of the physiological signal measuring unit. 如請求項1所述之具多姿態之輔助位移裝置,另包含一微控制器單元,該基架設有一重量量測單元,該微控制器單元電性連接該重量量測單元,以接收該重量量測單元的量測結果。The multi-posture auxiliary displacement device as described in claim 1 further includes a microcontroller unit. The base frame is provided with a weight measuring unit. The microcontroller unit is electrically connected to the weight measuring unit to receive the measurement result of the weight measuring unit. 如請求項1至7中任一項所述之具多姿態之輔助位移裝置,其中,該底座具有二延伸桿分別連接於一橫桿的二端,該二延伸桿相對,該橫桿與該底座的開口相對,該立架由該橫桿往上延伸,該容身空間形成於該立架的前方及該二延伸桿的上方。An auxiliary displacement device with multiple postures as described in any one of claims 1 to 7, wherein the base has two extension rods respectively connected to the two ends of a cross rod, the two extension rods are opposite to each other, the cross rod is opposite to the opening of the base, the stand extends upward from the cross rod, and the accommodation space is formed in front of the stand and above the two extension rods. 如請求項8所述之具多姿態之輔助位移裝置,其中,該基架包括一移動模組,該移動模組具有二前輪及至少一後輪,該二前輪分別嵌設於對應的延伸桿,該後輪鄰近該橫桿,該前輪的尺寸小於該後輪的尺寸。An auxiliary displacement device with multiple postures as described in claim 8, wherein the base frame includes a moving module, the moving module has two front wheels and at least one rear wheel, the two front wheels are respectively embedded in corresponding extension rods, the rear wheel is adjacent to the cross bar, and the size of the front wheel is smaller than that of the rear wheel. 如請求項9所述之具多姿態之輔助位移裝置,其中,該後輪可多向轉動並具有自鎖功能。An auxiliary displacement device with multiple postures as described in claim 9, wherein the rear wheel can rotate in multiple directions and has a self-locking function.
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TW200831065A (en) * 2007-01-24 2008-08-01 Bethesda Entpr Co Ltd Posture corrective assisted device
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