Beds – Invalid bed or surgical support – Tiltable along a longitudinal axis
Reexamination Certificate
2001-03-29
2004-01-06
Grosz, Alexander (Department: 3673)
Beds
Invalid bed or surgical support
Tiltable along a longitudinal axis
C005S609000, C005S430000, C005S424000, C005S622000, C005S621000, C005S624000, C128S845000, C128S869000, C128S876000, C280S801100, C340S668000
Reexamination Certificate
active
06671905
ABSTRACT:
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates generally to therapeutic beds, and more particularly to an improved rotating bed capable of placing a patient in a prone position.
2. Description of the Related Art
Various types of therapeutic supports for bedridden patients have been well known for many years. For example, such therapeutic supports include but are not limited to low air loss beds, fluidized bead beds, and patient positioning beds. Patient positioning has been used in hospital beds for some time to enhance patient comfort, prevent skin breakdown, improve drainage of bodily fluids, and facilitate breathing. One of the goals of patient positioning has been maximization of ventilation to improve systematic oxygenation. Various studies have demonstrated the beneficial effects of body positioning and mobilization 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.
One type of prone positioning bed comprises 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 a drive system for rotating the patient support platform on the base frame. Such therapeutic beds are described in international patent applications having publication numbers WO 97/22323 and WO 99/62454. This type of bed is particularly advantageous for the treatment of patients with severe respiratory problems. Preferably, as described in publication number WO 99/62454, each end of the bed has a central opening at or near the longitudinal rotational axis of the patient support platform for efficiently managing the numerous patient care lines that are generally necessary for treating a patient on the patient support platform.
In the therapeutic bed of WO 99/62454, the central opening for receiving patient care lines at the head of the bed is provided by a continuous upright end ring, which also serves as a means for rotatably mounting the patient support platform on rollers. One drawback of such an arrangement is that the continuous end ring obstructs access to the head of the patient. Additionally, the initial placement of a patient on the bed requires disconnection of all patient care lines, and to remove a patient care line from the end ring requires that one end of the patient care line be unplugged from either the patient or the piece of equipment to which the line is attached, which can be very inconvenient and may jeopardize the patient, depending on the particular condition of the patient.
To retain a patient on the patient support platform in the prone position, the bed of WO 99/62454 has a pair of side rails fixedly mounted to the patient support platform in an upright position using stanchions and complementary sockets. A plurality of patient support packs are pivotally mounted on the side rails, and associated straps are buckled over the patient to hold the patient in place. Although the patient support packs may be flipped to the outside of the bed to uncover the patient in the supine position, the side rails remain upright and thus obstruct access to the patient in the supine position. To improve access to the patient in the supine position, it would be desirable to be able to move the side rails completely out of the way without removing them from the bed. Also, it would be advantageous to have a reliable way to ascertain whether the straps that buckle over the patient are properly tensioned to support the patient prior to moving the patient to the prone position.
One of the problems in the art of prone positioning therapeutic beds is to provide electrical connections to the bed for both the power and controller equipment that moves the bed and for the patient monitoring systems on the bed. To allow unrestricted rotation of the bed of WO 99/62454, electrical power has been provided by wire brushes at the interface between the rotating part of the bed and the nonrotating part of the bed. However, due to vibration and other abrupt movements, such wire brushes cause problems of electrical intermittence, which can be detrimental to the therapy of the patient. A direct, wired electrical connection would be preferable to eliminate such intermittence, provided that the wired electrical connection is capable of articulation during movement of the rotating part of the bed into the prone position.
Another problem in the field of prone positioning beds is to sufficiently support the head of a patient during rotation. In the past, elastic straps have been stretched across the patient's head to secure the head to the patient support platform. However, such straps are generally uncomfortable for the patient and do not provide sufficient lateral support for the patient's head. Additionally, such straps do not provide sufficient adjustability. It would be a significant improvement to provide a comfortable, adjustable head restraint that supports the patient's head both laterally and vertically.
Typically, prone positioning beds have lateral support pads for supporting the sides of the patient during rotation. It is known in the art for such lateral support pads to be laterally adjustable. For purposes of rotational stability, it is desirable for the patient to be centered on the patient support platform. Therefore, it would be an advancement in the art to provide adjustable lateral support pads that automatically center the patient on the patient support platform. In conjunction with automatically centering lateral support pads, it would also be an advancement to provide symmetric leg adductors/abductors.
As mentioned above, prone positioning beds preferably have a drive system for rotating the patient support platform on the base frame. However, such drive systems generally prevent manual rotation of the patient support platform by medical personnel. If a patient develops an emergency condition, such as the need for CPR, while the bed is in a position other than the 0° flat supine position, the drive system must be used to rotate the bed back to the 0° supine position before administering appropriate care to the patient. Because the drive systems are subject to mechanical and electrical failures, it would be advantageous to provide a back-up means for quick, manual rotation of the patient support platform in emergency conditions.
Prone positioning beds also preferably have a locking mechanism to lock the patient support platform in a desired rotational position. One known locking mechanism comprises a lock pin longitudinally mounted in the base frame that is insertable into a corresponding hole on the patient support platform. However, such lock pins may be jostled loose under the influence of vibration and other abrupt movements of the bed. It would be an improvement to provide a means to prevent such accidental disengagement of the lock pin.
It is also known in the art of prone positioning beds to provide a sensor for determining and controlling the rotational position of the patient support platform. As taught in WO 99/62454, the rotational position of the patient support platform may be monitored and controlled by a rotary opto encoder of the type described therein. However, such a rotary opto encoder is fairly cumbersome and must be reinitialized by moving to an index location in the event of power interruptions. It would be more desirable to provide a simple and reliable sensor that determines angle positioning relative to a fixed reference to control the rotational position of the patient support platform.
SUMMARY OF THE INVENTION
A therapeutic bed in accordance with the present invention is directed to solving the aforementioned problems. The bed is a prone positioning 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, and a drive system for rotating the patient support platform on the base fr
Bartlett Alan L.
Krywiczanin Wladyslaw H.
Niederkrom Christopher T.
Cernyar Eric W.
Grosz Alexander
KCI Licensing Inc.
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