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WO2014114367A1 - Lit déplaçable pour soins intensifs - Google Patents

Lit déplaçable pour soins intensifs Download PDF

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Publication number
WO2014114367A1
WO2014114367A1 PCT/EP2013/064688 EP2013064688W WO2014114367A1 WO 2014114367 A1 WO2014114367 A1 WO 2014114367A1 EP 2013064688 W EP2013064688 W EP 2013064688W WO 2014114367 A1 WO2014114367 A1 WO 2014114367A1
Authority
WO
WIPO (PCT)
Prior art keywords
bed
supports
thigh
longitudinal rods
actuators
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/EP2013/064688
Other languages
English (en)
Inventor
Mohammad AL NATOUR
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
VERNIPOLL Srl
BRAIN TOOLS LLC
Original Assignee
VERNIPOLL Srl
BRAIN TOOLS LLC
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 VERNIPOLL Srl, BRAIN TOOLS LLC filed Critical VERNIPOLL Srl
Publication of WO2014114367A1 publication Critical patent/WO2014114367A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/015Beds 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/018Control or drive mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/053Aids for getting into, or out of, bed, e.g. steps, chairs, cane-like supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/10Type of patient
    • A61G2200/16Type of patient bariatric, e.g. heavy or obese
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/30Devices for specific treatment or diagnosis for intensive care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/50Devices for specific treatment or diagnosis for radiography

Definitions

  • This patent application for an industrial invention relates to a movable bed for intensive care units, such as physiotherapy, orthopaedic radiography, and the like.
  • Intensive care movable beds are well know, particularly in the medical and therapeutic field. They generally comprise a frame on wheels for easy transport. Four substantially rectangular sections are mounted on the frame: the back section, the seat section, the thigh section and the leg section.
  • the seat section is generally fixed to the frame, the other three sections - back, thigh and leg sections - are movable relative to the frame and to each other.
  • the bed can thus be used in a variety of positions according to needs and type of therapy.
  • actuators and drive mechanisms are placed central to the frame, under the thigh and leg sections.
  • the film holder cassette is made of stainless steel or any other material which can absorb X-rays so that the image will be impressed only on the film and will not show any other object placed under the slab - for example: it will not show the motors located under the deck, the base structure, etc. All joints are de facto isolated from the image thanks to the film cassette which slides along the lying deck in correspondence of the patient's body part to be X-ray scanned.
  • Beds are currently supplied with fully or partially radio-transparent decks, which is highly convenient when using a film cassette. However, if the bed has been designed to assume a chair position, it is not possible to have the film cassette sliding all along the deck. On the contrary, if the film cassette can slide all along the deck - from head to foot - the bed cannot assume a chair position. This is, obviously, a limit.
  • the beds currently available on the market only permit to carry out an X-ray examination with an image intensifier on the upper part (from the waist upward) of the patient body. In some exceptional cases they may feature a radio transparent seat section, too. But never a transparent thigh or leg section.
  • the back section is made of material transparent to X-rays and the quick-return mechanisms are placed laterally below the backrest as to connect the actuators that operate it, while not interfering with the radiography. It goes without saying that this type of bed cannot be used when carrying out an X-ray examination on the lower (from the waist downward) part of the patient body, since the actuators and drive mechanisms located central to the thigh and foot sections would interfere with the radiography. If this is the case, then the patient is forced to leave the bed and be seated somewhere else.
  • leg section is made of a single rectangular slab supporting both legs, which means that the patient cannot position one leg differently from the other to undergo therapy, as may be required.
  • the aim of our invention is to overcome the drawbacks of the available technology by designing an intensive care movable bed which is simultaneously versatile, practical and reliable.
  • This kind of bed has been designed, in compliance with the invention, according to the characteristics specified in the independent claim 1 hereto annexed. The advantages are pointed out in the dependant claims..
  • the movable intensive care bed according to the invention comprises of:
  • a radio transparent bed deck with a high maximum weight capacity The actuators are placed on both sides of the bed, external to the two longitudinal rods in such a way as to leave an empty space between and below said rods. This allows to X-ray scan any part of the patient body, while the patient is lying on the bed.
  • the motors are located at the deck ends to facilitate maintenance. Therefore it is possible to repair or replace the motors without having to modify the structure of the bed.
  • this bed according to the invention are self-evident, since it allows to carry out X-ray tests on any part of the patient body without moving the patient, it features the chair position and can hold obese patients.
  • Figure 1 is a perspective view of the bed frame according to the invention, in the chair position showing the various actuators and kinematic mechanisms;
  • Figures 1 A and 1 B represent two enlarged details of Figure 1 , showing the junctions for the inclination of the bed deck - in order to reach the Trendelemburg and Anti-Trendelemburg position - and transversally to facilitate the resuscitation operations;
  • Figure 2 is a perspective view of the bed according to the invention in which various panels (bed deck sections and mattress positioning) have been added to the frame of Figure 1 ;
  • Figure 3 is a side view of the frame of Figure 1 ;
  • Figures 4 and 5 like Figures 1 and 2 show the frame and bed in the chair position with the left leg section raised with respect to the right leg section;
  • Figures 6 and 7, like Figures 1 and 2, show the frame and bed in an inclined position relative to a horizontal plane, with the side borders parallel to a horizontal axis;
  • Figures 8 and 9 like Figures 1 and 2 , show the frame and bed in an inclined position - on the right, assuming the patient is lying supine on the bed - with respect to a horizontal plane while the side borders are oblique relative to a horizontal axis.
  • the bed can be inclined on the right or on the left.
  • the bed (100) now consists of a bearing rectangular frame (1 ) which is made of two longitudinal and two transverse profiles forming four angles.
  • Twin swivel castors (not shown in the drawings) are fitted to the frame legs in order to allow easy transport.
  • Each actuator (2) is connected to the four angles of the bearing frame (1 ) at a vertical axis.
  • Each actuator (2) is made of a sleeve or cylinder (20) which is fixed to the frame (1 ) and a piston (21 ) which slides vertically inside the cylinder and sticks out of it (20).
  • a sleeve or cylinder (20) which is fixed to the frame (1 )
  • a piston 21
  • said sleeve may also have a parallelepiped shape, as shown in the drawings.
  • the actuators (2) are telescopic, which is particularly advantageous.
  • Each actuator can also be provided with an intermediate piston (25) sliding within the cylinder (20). Therefore the piston (21 ) slides within the intermediate cylinder (25).
  • the bed comprises two longitudinal rods (3) placed above the bearing frame (1 ) which are substantially on the same vertical plane with respect to the longitudinal profiles of the bearing frame (1 ), and parallel to the left and right sides of the bed. These longitudinal rods (3) protrude slightly outwards relative to the vertical axis of the actuators (2).
  • the actuators (2) are connected to the longitudinal rods (3) by junctions (4, 4').
  • the longitudinal rods (3) are a little longer than the average distance between the knee and head of a person.
  • Each longitudinal rod (3) is connected to the upper end of two pistons (21 ) by a first junction (4) and a second junction (3'). Both junctions (4, 4') consist of articulated joints in order to have the rod (3) rotate around a longitudinal first axis and a second transverse one.
  • the first junction (4) comprises a crank (40), consisting of a first horizontal pin (41 pivoted to a flange (22) integral to the piston (21 ) and a second horizontal pin (43) pivoted to a flange (30) integral to the longitudinal rod (3).
  • the first horizontal pin (41 ) has a longitudinal axis, that is, its axis is parallel to the longitudinal rod (3) axis; on the contrary the second pin (43) has a transverse axis, that is, its axis is orthogonal relative to the axis of the second horizontal pin (43).
  • the flanges (22, 30) feature respective slots (23, 31 ) where the crank pins (41 , 43) turn allowing the translation of the pins in the respective slots (23, 31 ) in order to adjust the position of the longitudinal rods (3).
  • Figure 1 B shows the second junction (4') which is fundamentally similar to the first junction (4).
  • the second junction (4') differs from the first one (4) because it lacks the longitudinal slot (31 ) in the longitudinal rod (3) flange.
  • the first junction (4) ( Figure 1 A) and the second junction (4') ( Figure 1 B) must exist simultaneously in order to ensure the necessary deck inclinations, that is the longitudinal tilt (to reach the Trendelemburg and Anti- Trendelembur positions) and the transversal tilt (to facilitate the resuscitation operations).
  • the bed consists of a back rest (5) made of a substantially inverted "U" shape tubular structure, supplied with two end flanges (51 ).
  • the back rest (5) is connected to the two longitudinal rods (3) by the respective articulated junctions (50) which allow it to roto-translate relative to the longitudinal rods (3).
  • the articulated junctions (50) of the back rest comprise a first lever (52) and a second lever (53).
  • Each lever (52, 53) is pivoted to the longitudinal rod (3) and at the back rest flange (51 ) so as to form an articulated quadrilateral which allows the back support (5) to roto- translate relative to the longitudinal rods (3).
  • the back rest (5) is moved by two linear actuators (6).
  • the back support actuators (6) are positioned laterally toward the outside relative to the longitudinal rods (3).
  • Each linear actuator (6) comprises a cylinder (60) which is fixed to the stem (21 ) of a vertical axis actuator (2) or to the longitudinal rod (3), and a piston (61 ) which slides inside the cylinder.
  • a "L" shaped crank (62) is connected to one of the ends of the piston (61 ) and pivoted to the back rest flange (51 ) in order to move the back rest (5).
  • the bed comprises two seat supports (33) which are fixed to the two longitudinal rods (3) and protrude laterally toward the outside of the longitudinal rods (3).
  • the bed comprises two thigh supports (7) positioned laterally toward the outside relative to the longitudinal rods (3).
  • the thigh supports (7) are connected to the longitudinal rods (3) by articulated junctions (70) which allow them to roto-translate relative to the respective longitudinal rod (3).
  • the thigh support articulated junctions (70) comprise a first lever (71 ) and a second lever. Each lever (71 , 72) is pivoted to the longitudinal rod (3) and to the thigh support (7), so as to form an articulated quadrilateral that allows the thigh support (7) to roto-translate relative to the respective longitudinal rod.
  • Two linear actuators (8) move the relative thigh supports (7).
  • the thigh support actuators (8) are positioned laterally towards the outside relative to the longitudinal rods (3).
  • Each actuator (8) comprises a cylinder (80) which is fixed to the longitudinal rod (3) and a piston (81 ) which slides inside the cylinder.
  • a crank (81 ) is pivoted to the thigh support (7) in order to move it.
  • the bed comprises two leg supports (9) made of two section bars connected to the thigh supports (7) by hinges (90) so that the leg supports can rotate around the hinge axis (90).
  • Each actuator (91 ) moves the relative leg supports (9).
  • the leg support actuators (91 ) are positioned laterally toward the outside relative to the longitudinal rod (3).
  • Each actuator (91 ) comprises a cylinder (92) and a piston (93) which slides inside the cylinder.
  • the cylinder (92) is pivoted to one of the leg support flanges (94) while the piston (93) is pivoted to the thigh support (7). In this way, each actuator (91 ) independently controls the movement of the respective leg support (9) relative to the respective thigh support (7).
  • all the actuators (6, 8, 91 ) and all the articulated junctions (50, 70, 90) that operate the respective back, thigh, and leg supports (5, 7, 9) are positioned externally to the bed frame bulk (1 ) and longitudinal rods (3), leaving a empty space between and below the two longitudinal rods (3).
  • This position permits to use this bed (100) to carry out X-ray exams on all and any part of the patient body.
  • a back rest (101 ) is fixed to the back support (5)
  • a seat (102) is fixed to the seat supports (33)
  • the two thigh rests (103) are fixed to the respective thigh supports (7)
  • the two leg rests (104) are fixed to the respective leg supports (9).
  • the back (101 ), the seat (102), the two thigh (103) sections and the two leg (104) sections form the bed deck.
  • the back rest (101 ), the seat (102), the two thigh sections (103), and the two leg sections (104), are made of advanced composite material panels or slabs, transparent to X-rays and having the required technical characteristics to withstand a 600 kg lifting capacity - deck, relative motors, and junctions excluded -, up to 450 kg patient load, and up to 300 kg maximum load concentration - concentrated point of maximum capacity.
  • the bed When subject to the maximum load capacity on a concentrated point, the bed begins to flex at 304 kg, springing then back to its original shape without any deformation or rupture. Since the patient's weight is distributed on the deck and is not concentrated on a single point - as during the loading capacity test
  • the bed can withstand patients weighing up to 450 kg.
  • thigh sections (103) and the leg sections (104) are cantilevered relative to their respective rod shaped supports (7, 9).
  • plastic laminate can have but a limited use in case of bariatric patients, due to the maximum load capacity it can withstand.
  • the slabs used are made of glass laminate having at least eight layers of glass for a total thickness between 5 and 6 mm.
  • the glass laminate comprises precisely:
  • the glass laminate is placed between two aluminium plates to ensure the surface is flat on both sides, it is secured in place by a vacuum treatment and undergoes an autoclave firing cycle at a temperature of 120°C. and 6 bar pressure for 3 hours.
  • the aluminium plates form the baking glass fibre mold.
  • the aluminium plates are then removed and the glass fibre slab is cut into the desired shape and dimensions using water jet devises.
  • the end panels thus obtained can be placed, together with the entire bed structure, in a bed-washer for general cleaning and disinfection up to a 80 °C. temperature, with low pressure water jets.
  • Figures 4 and 5 show the frame and the bed in a chair position where both the left thigh and leg section are raised with respect to the right thigh and leg sections. This position is not available in any of the beds currently manufactured since the thigh and leg sections are combined together in a single slab.
  • Figures 6 and 7 show the frame and bed in an inclined deck - relative to a horizontal plane - position, with the side borders of the panels (101 -104) parallel to a horizontal axis.
  • the back, seat, thigh, and leg supports (5, 33, 7, 9) are aligned on each side of the bed.
  • the left side of the bed is higher than the right side.
  • This position is possible thanks to the fact that the two left vertical axis actuators (2) have been equally elevated to a higher position than the two right vertical axis actuators(2).
  • Figures 8 and 9 show the frame and bed in an inclined - relative to a horizontal plane - position, with the side borders of the panels (101 -104) parallel to a horizontal axis. This position is possible thanks to the fact that the four vertical axis actuators (2) have been raised at different heights between them.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Finger-Pressure Massage (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

La présente invention concerne un lit déplaçable pour soins intensifs (100) comprenant : un châssis de support (1), deux tiges longitudinales (3) raccordées au châssis de support, une section dos (5) et une section cuisses (7) raccordées aux tiges longitudinales (3) par des charnières articulées (50, 70), un appui pour jambes (9) raccordé à l'appui pour cuisses (7) par des charnières (90), des actionneurs (6, 8, 91) pour actionner le dossier (5), les appuis pour cuisses (7) et les appuis pour jambes (9). Les actionneurs (6, 8, 91) sont positionnés sur le côté des extrémités gauche et droite du lit, à l'extérieur des tiges longitudinales (3), laissant un espace vide entre et en dessous desdites tiges longitudinales (3) pour permettre de réaliser un examen radiographique sur toute partie du corps du patient alors que le patient est allongé sur le lit.
PCT/EP2013/064688 2013-01-28 2013-07-11 Lit déplaçable pour soins intensifs Ceased WO2014114367A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITAN2013A000014 2013-01-28
ITAN20130014 2013-01-28

Publications (1)

Publication Number Publication Date
WO2014114367A1 true WO2014114367A1 (fr) 2014-07-31

Family

ID=47780110

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2013/064688 Ceased WO2014114367A1 (fr) 2013-01-28 2013-07-11 Lit déplaçable pour soins intensifs

Country Status (2)

Country Link
IT (1) ITAN20130117U1 (fr)
WO (1) WO2014114367A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016027138A1 (fr) * 2014-08-19 2016-02-25 Universidad Eafit Lit adaptable permettant differentes positions
WO2020053027A1 (fr) * 2018-09-10 2020-03-19 Foiani Leonardo Dispositif de support de patient
WO2022254373A1 (fr) 2021-06-03 2022-12-08 Tissot Daguette Daniel Lit médicalisé

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3503082A (en) * 1968-12-18 1970-03-31 Malcolm Kerwit Hospital bed
FR2556198A3 (fr) * 1983-12-09 1985-06-14 Matifas Sa Lit a plan de couchage degage
EP0705091A1 (fr) * 1993-05-22 1996-04-10 Nesbit Evans & Co Ltd Lit pour traitement intensif
US7017210B2 (en) * 2002-07-24 2006-03-28 France Bed Co., Ltd. Rising-type bed apparatus and mattress
US20100005592A1 (en) * 2008-06-27 2010-01-14 Craig Poulos Bed with modified foot deck
US20110030142A1 (en) * 2009-08-05 2011-02-10 Deepak Patient care and transport assembly

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3503082A (en) * 1968-12-18 1970-03-31 Malcolm Kerwit Hospital bed
FR2556198A3 (fr) * 1983-12-09 1985-06-14 Matifas Sa Lit a plan de couchage degage
EP0705091A1 (fr) * 1993-05-22 1996-04-10 Nesbit Evans & Co Ltd Lit pour traitement intensif
US7017210B2 (en) * 2002-07-24 2006-03-28 France Bed Co., Ltd. Rising-type bed apparatus and mattress
US20100005592A1 (en) * 2008-06-27 2010-01-14 Craig Poulos Bed with modified foot deck
US20110030142A1 (en) * 2009-08-05 2011-02-10 Deepak Patient care and transport assembly

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016027138A1 (fr) * 2014-08-19 2016-02-25 Universidad Eafit Lit adaptable permettant differentes positions
WO2020053027A1 (fr) * 2018-09-10 2020-03-19 Foiani Leonardo Dispositif de support de patient
WO2022254373A1 (fr) 2021-06-03 2022-12-08 Tissot Daguette Daniel Lit médicalisé
CH718702A1 (fr) * 2021-06-03 2022-12-15 Daniel Tissot Daguette Lit médicalisé.

Also Published As

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