This invention relates in general to beds and more particularly to beds having a step deck and a mattress positioned on the step deck to provide a support surface for a person using the bed.
Beds with step decks are well known. Such a bed is manufactured and sold under the name VERSACARE by Hill-Rom Company, Inc. of Batesville, Ind., USA. The bed frame can reduce in length by about 10-11 inches (25.4-27.94 cm) via an actuator at the foot end of the bed to transport the bed.
An air mattress is needed for use with beds having a step deck.
The present invention is directed towards a bed comprising a bed frame and a bed deck supported by the bed frame. The bed deck comprises a step deck, including a lower deck, an upper deck, a side wall connecting the lower deck to the upper deck, and a recess defined by the lower deck and the side wall. The side wall at least partially surrounds the recess. A mattress comprises a safety mattress extending across the lower bed deck and having air cells including upper outermost side air cells resting on the upper bed deck.
The invention will become apparent to those skilled in the art from the following detailed description of the preferred embodiment, when read in light of the accompanying drawings.
Referring now to the drawings, there is illustrated in
The bed deck 22 may include a head section 32, a seat section 34, and a foot section 36, which may respectively include head, seat and foot pans 38, 40, 42, as shown in
Additionally, the bed deck 22 may be in the form of a step deck, including an upper deck 44 and a central, longitudinally extending recess 46, which may be defined by a lower deck 48 of the bed deck 22 and a side wall 50 at least partially surrounding the recess 46 and connecting the lower deck 48 to the upper deck 44. The upper deck 44 may include longitudinally extending upper deck side portions 52 and a head end upper deck portion 54 appended to a head end of the head section 32. An example of a bed deck 22 is described in U.S. Pat. No. 5,692,256, to Weismiller et al., granted Dec. 2, 1997, the disclosure of which is hereby incorporated by reference.
The head end side rails 24 may be mounted to the head section 32 of the bed deck 22 and the foot end side rails 26 may be mounted to the bed frame 20 adjacent to the seat section 40 of the bed deck 22. The bed deck 22 may cooperate with side rails 24, 26 to maximize the height relative to the support surface 30 at which side rails 24, 26 may be mounted. The tops of side rails 24, 26 are higher when in the raised position for improved coverage and protection of the person on the support surface 30 and the bottoms may be higher when in the tucked position for improved access to the bed frame 20.
The head end side rails 24 may be mounted to move with the head section 32 as the head section 32 pivots relative to the bed frame 20 between a lowered position and a raised position. The foot end side rails 26 may be mounted to the bed frame 20 and may be fixed relative to the bed frame 20 and seat section 34 so as to remain in a fixed position when the head and foot sections 32, 36 of the bed deck 22 are articulated.
The mattress 28 may include one or more mattress portions 56, 58 and a cover 60 positioned around mattress portions 56, 58, as shown in
The mattress portions 56, 58 may include various components such as low air loss (LAL) cells, foam pads, fluidized cells, or any other configurations that provide support for the person positioned on the mattress portions 56, 58. The exemplary mattress portions 56, 58 include several inflatable bladders or air cells 66, 68, 70 that provide support to the person positioned on the support surface 30. The cells 66, 68, 70 may be formed, for example, from stamped layers of polyurethane coated nylon sealed via welding (e.g., ultrasonic or radio frequency (RF) welding), gluing, fusing, bonding, sewing or other suitable seal.
The mattress portions 56, 58 may be configured to have separate portions positioned over the head, seat and foot sections 32, 34, 36 of the bed 10. Thus, the mattress portions 56, 58 may each comprise either a single component positioned over all the sections 32, 34, 36 of the bed deck 22 or multiple components positioned over one or more sections 32, 34, 36 of the bed deck 22.
The cover 60 may include top and bottom sections 72, 74. The top section 72 may define the support surface 30 and may protect the mattress portions 56, 58. The bottom section 74 may define a lower surface 76 positioned over the upper deck 44 and the side wall 50. The top and bottom sections 72, 74 may cooperate to define an interior region 78 of the cover 60 in which the air cells 66, 68, 70 are positioned. Mattress straps 80 or other suitable supports may be positioned outside and below the cover 60. The straps 80 may be configured to support the mattress 28 in a position against the lower deck 48 so that the mattress 28 is positioned in the recess 46, as will become more apparent in the description that follows.
The mattress portions may include a LAL mattress 56 and an underlying safety mattress 58. The LAL mattress 56 may span laterally (i.e., left to right when viewing
The LAL mattress 56 may be a mattress formed of air cells 68 that provide the therapeutic benefit of pressure relief and skin moisture management for pressure ulcer therapy. A low air loss mattress that constantly leaks more than 100 liters a minute under the patient may provide a very conforming support surface which reduces local pressure on the bony prominences (e.g., sacrum, shoulder blades, and heels) and wick away built-in moisture that can cause softening and breakdown of skin tissue. Such a mattress may be connected to a controller blower or pump 82 (shown in
The cells 68 of the LAL mattress 56 may come in pairs. The exemplary LAL mattress 56 has three cells 68 in the head and seat section and two cells 68 in the foot section of the bed 10. The dimensions of the cells 68 may be specifically chosen so that the separation between the cells 68 is consistent, coincident or otherwise lines-up with where the hinge or pivot points 84, 86 (shown in
For example, the exemplary LAL mattress 56 has eight 5 inch (12.7 cm)×10 inch (25.4 cm)×30 inch (76.2 cm) cells 68 that span the width of the mattress 28. The 10 inch (25.4 cm) dimension of the cells 68 of the LAL mattress 56 works well with the overall dimensions of the bed deck 22 to place intersections 88, 90 of the cells 68 conveniently at the pivot points 84, 86 of the bed deck 22 to reduce the risk that the mattress 28 will buckle when articulated.
The cells 68 of the LAL mattress 56 may be divided into different pressure zones, namely head, seat and foot zones 92, 94, 96. These different pressure zones 92, 94, 96 may be achieved by the provision of air bleed holes perforating the cells 68. The cells 68 may be connected via hose 98 to the controller pump 82 through various orifices to generate the different pressure zones 92, 94, 96, as will become more apparent in the description that follows.
The safety mattress 58 may be formed from contiguous cells 68, 68′ that are at the same pressure, that is to say the cells 68, 68′ of the entire safety mattress 58 may be one pressure. To achieve this, the cell 68, 68′ of the safety mattress 58 may be in fluid communication with one another. The safety mattress 58 sits under the LAL mattress 56 and may be in the form of sealed (i.e., non-perforated) air cells that serve to support a person using the mattress 28 if the LAL mattress 56 should fail and deflate. Ideally, a sealed air cell would maintain its pressure indefinitely but due to conventional air cell construction, some leakage may occur so the air cell may bleed down over time. A safety mattress with air cells of conventional construction having a thickness of two inches (5.08 cm) may support a person using the mattress 28 for up to 12 hours if the LAL mattress 56 should fail and deflate. Cell pressure in the safety mattress 58 may be maintained by a check valve positioned between the cells 68, 68′ and the pump 82.
Since the safety mattress 58 extends longitudinally or crosswise to the pivot points 84, 86 of the bed deck 22, the safety mattress 58 may be provided with short transverse welds 100 to form folding points that correspond to the pivot points 84, 86 of the bed deck 22 so that the safety mattress 58 may fold at the pivot points 84, 86 when the bed deck 22 is articulated. The safety mattress 58 may further be provided with welds that form a V-section 102 (one along each side of the safety mattress 58), wherein air is occluded from the cells 68, 68′ in the V-section 102 of the cells 68, 68′ to permit compression of the cells 68, 68′ without buckling of the cells 68, 68′ at the pivot point 84 between the head and seat sections 32, 34 of the bed deck 22 when the bed deck 22 is articulated.
It should be appreciated that there may be three cell configurations 110, 112, 114. For example, there may be a head cell configuration 110, a main body cell configuration 112, and a safety cell configuration 114. The head cell configuration 110 may include one or more head cells 70. The main body cell configuration 112 may include the LAL mattress 56. The safety cell configuration 114 may include the safety mattress 58. The head cells 70 need not be low air loss cells but may be low air loss cells if desirable.
The three cell configurations 110, 112, 114 may be enclosed in the cover 60, which may form a fabric surround. The top section 72 of the cover 60 may be in the form of a therapy cover, which may be in the form of a waterproof anti-microbial nylon therapy cover that reduces friction and shear. The cover 60 may have a fast-wicking acquisition layer to pull liquid quickly away from the skin. The bottom section 74 of the cover 60 may be in the form of a fabric tub. The exemplary fabric tub is sewn or otherwise tailored to fit or substantially conform to the shape of the bed deck 22. The aforementioned straps 80 may be attached to outside and below the fabric tub. The exemplary fabric tub has three straps 80 along each of its sides to strap the fabric tub in position on the bed deck 22, as will become more apparent in the description that follows. The exemplary fabric tub may have pleats that allow the fabric tub to conform to the bed deck 22.
The fabric tub holds the cells 66, 68, 70 and may have integral straps and stamp fasteners or snaps, or other suitable structure, that permit the cell configurations 110, 112, 114 to be attached securely to the tub. For example, the cells 66 of the LAL mattress 56 may terminate in integral tabs or straps 120, which may thread through longitudinally spaced slits or openings 122 in the safety mattress 58 adjacent the outermost side cells 68′ of the safety mattress 58 and may attach to the fabric tub via snaps 124, as shown in
The safety mattress 58 may in turn be strapped to the fabric tub by passing the straps 124 originating from opposing sides of the fabric tub through longitudinally spaced slits or openings 126 in the safety mattress adjacent the outermost side cells 68′ of the safety mattress 58. In the exemplary mattress 28, there are two such straps 124 on each side of the fabric tub corresponding to each zone (e.g., head, seat and foot zones 92, 94, 96) of the safety mattress 58 (see
The head cell configuration 110 may be separate from the main body cell configuration 112 as shown to accommodate a built-up region 116 (shown in
As shown in
The fabric tub may be attached to the head end of the bed deck 22 by any suitable means. As shown in
As shown in
The fabric tub may be attached to the foot end of the bed deck 22 by any suitable means. As shown in
The fabric tub may be attached to the bed 10 by any suitable means. As shown in
With the fabric tub secured in place in relation to the bed deck 22 and the cell configurations 110, 112, 114 secured in place in relation to the fabric tub, the therapy cover may be attached to the fabric tub. This may be achieved in any suitable manner. For example, the top and bottom cover sections 72, 74 of the exemplary mattress 28 may be attached to one another by one or more zippers 172. It should be appreciated that any suitable structure may be used for attaching the therapy cover to the fabric tub, or otherwise holding the two cover sections 72, 74 in relation to one another.
The cell configurations 110, 112, 114 may be charged in any suitable manner. For example, as stated above, the LAL mattress 56 may have three cells 66 in the head and seat zones 92, 94 and two cells 66 in the foot zone 96. The cells 66 in each zone 92, 94, 96 may be in fluid communication with the other cells 66 in the same zone 92, 94, 96 so as to be at the same pressure. This may be achieved by the provision of an open passage between the cells 66 or by the provision of a manifold or other suitable structure interconnecting the cells 66. Each zone 92, 94, 96 may be provided with one or more fittings for the connection of hose 98 or other suitable conduit, which in turn may be connected to the controller pump 82 for filling the cells 66 to a desired pressure. The desired pressure zones 92, 94, 96 may be achieved via the use of suitable orifices between the controller pump 82 and the cells 66 in the corresponding zones 92, 94, 96. The head cell configuration 110 may be connected to the controller pump 82 and filled to a desired pressure in a similar manner.
As stated above, the safety mattress 58 may be formed from contiguous cells 68, 68′ that are at the same pressure. The cells 68, 68′ may be in fluid communication with one another so as to be at the same pressure. This may be achieved by an open passage between the cells 68, 68′ or by the provision of a manifold interconnecting the cells 68, 68′. The safety mattress 58 may be provided with one or more fittings for the connection of hose 98 or other suitable conduit, which in turn may be connected to the controller pump 82 for filling the safety mattress 58 to a desired pressure.
An exemplary plumbing configuration for the mattress 28 is schematically shown in
In operation, the control pump 82 may charge the cells 66, 68, 70 by supplying air to the cells 66, 68, 70 through the hoses 98, fittings, and manifolds. The control pump 82 operates continuously to continuously supply air to the LAL mattress cells 66 to maintain the LAL mattress cells 66 at a desired pressure, even while air is continuously lost from the LAL mattress cells 66 via the air bleed holes perforating the cells 68. The same control pump 82 may supply air to the head cell configuration 110, which may be one or more low air loss cells or sealed (non-perforated) air cells, and the safety mattress cells 68, 68′. A series of orifices and check valves may be used to regulate air flow and maintain air pressure in the cells 66, 68, 70, as should be commonly understood by one of ordinary skill in the art.
When transporting a person using the bed 10, it may be desirable for the bed 10 to fit in relative narrow confines. In such case, the LAL mattress 56 may be deflated while the safety mattress 58 remains inflated or charged with air. In this condition, the safety mattress 58 may be buckled or compressed or otherwise shortened in length without being deflated and while still supporting the person using the mattress 28. This is useful when transporting the person, for example, in an elevator. The secure attachment of the fabric tub to the bed deck 22 and the cell configurations 110, 112, 114 to the fabric tub may permit the mattress 28 to retain reasonable conformity to the bed deck 22 even if the length of the bed 10 is shortened, as shown in
The mattress 28 may be provided with integral or optional edge protection 174, as shown in
The mattress 28 may be provided with integral or optional bolsters 184, as shown in
As shown in
The invention has been explained and illustrated in an exemplary embodiment. However, it must be understood that the invention may be practiced otherwise than as specifically explained and illustrated without departing from its spirit or scope.
This application is a continuation-in-part of application Ser. No. 11/616,266 filed Dec. 26, 2006, granted as U.S. Pat. No. 7,380,302, which was a continuation of application Ser. No. 11/002,604 filed on Dec. 2, 2004, granted as U.S. Pat. No. 7,155,766 on Jan. 2, 2007, assigned to the assignee of this application, the disclosure of which is hereby incorporated by reference.
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Number | Date | Country | |
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Number | Date | Country | |
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Child | 11616266 | US |
Number | Date | Country | |
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Parent | 11616266 | Dec 2006 | US |
Child | 11810215 | US |