This invention relates to inflatable supports for patients, particularly human patients, for example mattresses for beds. The invention also relates to a method of operation of such supports.
For patients suffering from bedsores (decubitus), risk of bedsores or burns, mattresses which provide pressure relief have long been known and many have been placed on the market and put in use. A first type of such mattresses is exemplified by the Pegasus Airwave (registered trade mark) mattress, which has a double-layer array of cells in the form of tubes which are divided into groups which are sequentially inflated and deflated in a predetermined cycle (see GB-A-1595417). The tubes are of air-impermeable material, and are deflated by venting to atmosphere. Alternatively, in accordance with GB-A-2312835, the tubes are deflated by connection to a suction pump or pumps. It is an advantage of the Pegasus Renaissance mattress that it permits the use of an overlay or cover between the array of tubes and the patient, which has merits in hygiene and infection control, as well as appearance and comfort. A particular form of cover, which minimizes risk of interface pressure retention, is described in patent application EP-A-827705 of Pegasus.
It is preferable for the mattress to have means for preventing a patient from rolling off the mattress. Ideally the means is provided by portions of the mattress itself, e.g. by formations provided along both sides of the mattress.
Previously, this has been achieved using inflatable cells, known as side formers, located at sides of the mattress, which remain inflated continuously during inflation and deflation cycles of the groups of tubes. However, these side formers need an air supply which is independent of the alternating pressure air supply to the tubes. This causes manufacturing difficulties, and increases costs.
Alternative prior art side formations are e.g. solid side formations, formed of e.g. foam material. However, during Cardiopulmonary Resuscitation (CPR) procedures etc., where unobstructed access to a patient lying on the mattress is required, it is desirable for the mattress to be made flat. Unlike inflatable side formations, which can be deflated, solid side formations remain protruded from the mattress always.
At its most general, the present invention provides an alternating pressure mattress comprising a plurality of inflatable side formations, located on both sides of the mattress, which can be inflated and deflated cyclically in a predetermined sequence.
According to the present invention, there is provided an alternating pressure mattress including:
a first set of cells, comprising a plurality of inflatable first central cells and plurality of inflatable first side forming cells;
a second set of cells, comprising a plurality of inflatable second central cells and plurality of inflatable second side forming cells;
the first and second sets of cells being selectably connectable to a gas supply such that the first set of cells and the second set of cells are inflatable and deflatable cyclically in a predetermined sequence;
wherein:
the first and second central cells are provided along a central region between the head end and foot end of the mattress;
a plurality of the first and second side forming cells are provided along a first side region of the mattress; and
a plurality of the first and second side forming cells are provided along a second side region of the mattress.
The mattress is not limited to having two sets of cells. Further sets of cells, similar or identical to the first and second sets of cells, can be provided, with the inventive effect still being achievable.
The mattress of the present invention is preferably used as a ‘topper’ for an existing mattress, i.e., in use, it preferably rests on the top of an existing mattress. Nevertheless, it is envisaged that the mattress of the present invention could be designed, amongst other things, as a self-supporting ‘replacement’ mattress, that does not need to rest on an existing mattress.
In the case of a mattress for a patient to lie on, the longitudinal direction of the mattress is defined herein as the direction running between the head end and the foot end of the mattress, with the lateral direction of the mattress being construed accordingly.
Preferably, the first and second central cells are elongated in the lateral direction of the mattress, and preferably the first and second side forming cells are elongated in the longitudinal direction of the mattress.
Preferably, the first and second side forming cells each have a dimension in the longitudinal direction of the mattress greater than that of each of the first and second central cells.
Preferably the first and second side forming cells and central cells, when inflated and viewed in plan view, each have a generally rectangular shape.
Alternatively, the side forming cells, when inflated and viewed in plan view, may each have a generally circular shape. However, by providing side forming cells with the rectangular shape, the side forming cells can cover a larger mattress area.
Preferably, when inflated, the side forming cells protrude further from the mattress than the central cells. Therefore, the side forming cells may prevent a user of the mattress from rolling off the mattress.
The first and second sets of cells may include a number of groups (or ‘modules’) of interconnected central and side forming cells. Each of these cell groups may be supplied with inflation gas, via a single cell opening, e.g. a t-joint, provided in one of the cells of the group.
Preferably, the first set of cells includes a plurality of first cell groups, each first cell group comprising a said first side forming cell located along the first side region and having a respective opening to two of the first central cells, only one of the two first central cells having an opening to a said first side forming cell located along said second side region; and preferably, said second set of cells includes a plurality of second cell groups, each second cell group comprising a said second side forming cell located along the second side region and having a respective opening to two of the second central cells, only one of the two second central cells having an opening to a said second side forming cell located along the first side region.
Preferably, the first and second cell groups are each supplied by a separate gas supply tube, e.g. via a tee joint welded to each of the first and second cell groups and a valve located upstream of said tee joint. The tee joint may provide the mattress with increased structure, most notably when the mattress is completely deflated. This allows easy placement of a cover on top of the mattress. The cover may provide a comfortable layer for a patient to lie on. Nevertheless, it is preferable the mattress of the present invention can be rolled up, when deflated, for ease of transportation.
Alternatively, the first cell groups may be supplied with gas via a first side chamber provided along the first side region of the mattress, and the second cell groups may be supplied with gas via a second side chamber provided along the second side region of the mattress. Accordingly, only one tube is needed to supply inflation gas to each set of cells.
Preferably, the first side forming cells located along the first side region each have an opening to the first side chamber; and
said second side forming cells located along the second side region each have an opening to the second side chamber.
Preferably, first and second central cells are provided alternately, in the longitudinal direction of the mattress, along the central region of the mattress.
Preferably, first and second side forming cells are provided alternately, in the longitudinal direction of the mattress, along both the first and second side regions of the mattress.
Preferably the mattress is provided with inflation means, for inflating the first and second sets of cells, and a dump means, for dumping gas from the first and second sets of cells, e.g. to atmosphere. Preferably the mattress further includes a control means for causing the cells to be connected to the inflation means, and to the dump means, cyclically in a predetermined cyclical sequence.
Inflation means, dump means and control means, for alternating pressure mattresses, are well known in the art. The skilled person will understand that rotor valve systems, solenoid systems, or stepper motors etc. can be used for these purposes. A rotor valve system comprises a rotor and a stator. Inflation means may comprise a single pump or multiple pumps.
Preferably a rotor valve system is used in the mattress of the present invention. Preferably, cyclical inflation and deflation of the first and second sets of cells is provided when the rotor rotates in either direction. However, it is recognised that timing of the cyclical inflation and deflation may be optimised when the rotor is arranged to rotate in one direction.
In prior art alternating pressure systems it is known to dump gas from a set of deflating cells to a set of inflating cells, e.g. via a valve.
In the present invention, preferably no dumping of gas occurs between the first set of cells and the second set of cells. Instead, gas is preferably dumped from the cells to atmosphere. This is preferable as it may avoid a ‘cross-over period’ where neither the first set of cells, or the second set of cells, are adequately inflated for supporting the user of the mattress. ‘Cross-over periods’ are common with systems that dump gas between sets of cells. A ‘cross-over period’ is indicated by reference letter ‘X’ in
In the present invention, preferably the control system is such that the first set of cells is inflated before the deflation of the second set of cells begins, and vice-versa.
In addition to the above combinations of features, the mattress may further include, at the head end, a third set of cells comprising a plurality of adjacent cell groups which are connectable to a gas supply in a mode in which they are inflatable in unison with each other, while said first and second sets of cells are inflated and deflated cyclically in said predetermined sequence.
Further explanation of the invention and embodiments of it will now be described, by way of non-limitative example, with reference to the accompanying drawings, in which:
A first embodiment of a mattress according to the present invention will now be described with reference to
The mattress 1 is formed of two layers of air impermeable thermoplastic polymer material, and comprises a plurality of inflatable cells distributed across the mattress 1 in a desired pattern. The cells are formed by heat sealing selected overlying adjacent portions of each layer together. The heat-sealed portions define the peripheral extents of respective cells, and gaps between heat sealed portions allow communication between cells. Double-lines in
The mattress 1 comprises two sets of cells. In
The first set (A) of cells includes a plurality of first central cells 11a, and the second set (B) of cells includes a plurality of second central cells 11b. The first and second central cells 11a, 11b are provided alternately along a central region of the mattress, running between the head end 12 and the foot end 13 of the mattress. The first and second central cells 11a, 11b are generally cylindrical in shape when inflated, elongated in the lateral direction of the mattress. In use, inflated first or second central cells 11a, 11b support a user lying on the mattress.
Furthermore, the first set (A) of cells includes a plurality of first side forming cells 14a, and the second set (B) of cells includes a plurality of second side forming cells 14b. The first and second side forming cells 14a, 14b are provided both sides of the central region, along a first side region 15 and a second side region 16. Like the central region, the first and second side regions 15, 16 extend from the head end 12 to the foot end 13 of the mattress.
Inflated first and second side forming cells 14a, 14b are designed to protrude from the mattress 1 to a greater height than inflated central cells 11a, 11b. This is achieved by providing the side forming cells 14a, 14b with a dimension in the longitudinal direction of the mattress greater than the central cells 11a, 11b.
By protruding in this manner, the side forming cells 14a, 14b act as side barriers. They can prevent a user, lying on inflated central cells 11a, 11b, from rolling off the mattress 1.
In
The first set (A) of cells includes a plurality of first cell groups 17a, 18a, and the second set (B) of cells includes a plurality of second cell groups 17b, 18b. Each cell group 17a, 17b, 18a, 18b comprises interconnected central cells 11a, 11b and side forming cells 14a, 14b.
In
As
A second type of cell group 18a, 18b has a generally i-shaped configuration of cells. The i-shaped configuration comprises just one central cell 11a, 11b having an opening to a side forming cell 14a, 14b located at one side region 15, 16 of the mattress 1.
As
Each cell group 17a, 17b, 18a, 18b is connected to a gas supply (not shown) via tubing (not shown). The tubing is connected to respective valves (not shown) in series with tee-joints 19a, 19b, welded to each cell group 17a, 17b, 18a, 18b. The tee-joints 19a, 19b are provided at one end of a central cell 11a, 11b of each cell group 17a, 17b, 18a, 18b.
Although not shown, the mattress is provided with an inflation means, for inflating the first and second sets of cells (A, B) and a dump or deflation means, for dumping gas in the first and second sets of cells (A, B) to atmosphere. The mattress further includes a control means (not shown) for connecting the first and second sets of cells (A, B) to the inflation means and to the dump means cyclically in a predetermined cyclical sequence.
In the present embodiment, the inflation means, deflation means and control means are provided by a rotor valve system, which comprises a rotor and a stator.
As the rotor disc of the rotor valve system rotates, it sequentially causes inflation, or ‘filling’, and deflation, or ‘dumping’, of the first or second set of cells (A,B). As
The rotor valve systems used in the mattresses of
With the mattress of
A symmetrical system is cheaper to manufacture, and easier to use than an asymmetrical system. Nevertheless, an asymmetrical system can be configured to provide the most optimal timings for inflation and deflation of the first and second sets (A, B) of cells.
A second embodiment of the invention will now be described with reference to
Instead, the cell groups 27a, 28a of the first set (A) of cells each have an opening 241a between a side forming cell 24a, 24b and a first side connection chamber 29a provided along the first side region 25 of the mattress, and the cell groups 27b, 28b of the second set (B) of cells each have an opening 241b to a second side connection chamber 29b provided along the second side region 26 of the mattress 2.
Accordingly, each set (A, B) of cells need only be supplied with gas via tubing (not shown) connected to the side connection chambers 29a, 29b, rather than to each cell group 27a, 27b, 28a, 28b. However, the side connection chambers 29a, 29b add increased bulk to the mattress 2, making the mattress 2 more cumbersome than the mattress 1 of the first embodiment of the invention.
A third embodiment of the invention will now be described with reference to
Each set (A, B) of cells comprises a plurality of cell groups 38a, 38b, formed and configured similarly to the i-shaped cell groups 18a, 18b, 28a, 28b shown in
Interposed between i-shaped groups 38a, 38b of first and second sets of cells (A, B) are individual first side forming cells 34a and first central cells 31a, each with openings to a first side connection chamber 39a, and individual second side forming cells 34b and second central cells 31b each with openings to the second side connection chamber 39b.
The first and second side forming cells 34a, 34b are generally circular when viewed in plan view.
A fourth embodiment of the invention will now be described with reference to
There are, as in
Three cell groups 160 of set (A) and two cell groups 170 of set (B) are arranged in a similar way to the u-shaped groups of cells 17a, 17b shown in
A further cell group 190 of set (B) comprises two central cells 192 opening to a side forming cell 193 located at the side region 15 of the mattress 4. This side forming cell 193 is split into two chambers 193a, 193b, joined together by a narrow passage 193c. This is necessary to maintain the correct length of the side forming cell 193 when inflated. If this division was not made, the central cells 142, 192 would not assume their correct centre-to-centre spacing when inflated because of the effective length of the side forming cell 193. By splitting the side forming cell 193 into two chambers 193a, 193b, the length of the side forming cell 193 decreases sufficiently when inflated to allow the transverse central cells 142, 192 to assume their correct position when inflated.
The second set (B) of cells also includes a cell group 180 comprising a single central cell 182 opening to one side forming cell 181 located at the side region 15 of the mattress 4. This side forming cell 181 is not located directly adjacent to the central cell 182 in the lateral direction, but is positioned further along the mattress 4 in its longitudinal direction. The first set (A) also includes two such cell groups 140 in which the side forming cell 141, 143 is not located directly adjacent to the central cell 142 in the lateral direction.
The second set (B) of cells includes a cell group 150 comprising a single central cell 152 opening to two side forming cells 151, 153 located at respective side regions 15, 16 of the mattress 4. Again, one of the side forming cells 151 is not located directly adjacent to the central cell 152 in the lateral direction, but is positioned further along the mattress 4 in its longitudinal direction.
As with the first embodiment, the arrangement of the cells is such that along each side region 15, 16 of the mattress, the side forming cells are members of alternately set (A) and set (B). These side forming cells are elongated in the longitudinal direction of the mattress and when inflated protrude upwardly further than the central cells. Therefore, when a patient is lying on the central cells of the mattress 4 and the cell groups are made to inflate and deflate cyclically, a sufficient barrier is present at all times along each side 15, 16 of the mattress 4, to hinder the patient from rolling off the mattress 4.
As mentioned above, at the head end 12, the mattress 4 includes three adjacent cell groups 110, 120, 130 which are members of sets (A, B) but are in an alternative operating mode to be regarded as belonging to a third set (H) of cells as indicated by the reference letter ‘H’ in
As in the first embodiment of the invention, the cell groups of mattress 4 may be supplied with inflation gas, typically air, via conduits including tee joints 201, 202 welded to one cell of each of the cell groups. Each cell group of the third set (H) of cells is connectable to a gas supply such that it is inflatable in unison with the other cell groups in the set (H).
Although not shown, the mattress 4 is provided with an inflation means, for inflating the first, second and third sets (A, B, H) of cells. Such inflation means may be for example one or more compressor pumps. The cells are also connectable to deflation or dump means (venting to atmosphere).
The mattress further includes control means (not shown) for connecting the first, second and third sets (A, B, H) of cells to the inflation means and for causing their deflation, in a number of modes of operation. Such control means typically includes a rotor valve, as is well known for such alternating pressure mattresses. Additionally, there must be valve arrangements to permit switching of the device between the different operational modes. In this embodiment there are four such modes of operation.
In a first mode, the control means connects the first and second sets (A, B) of cells, other than the cells of the third set (H), to the inflation means and to the dump means cyclically in a predetermined cyclical sequence as in the embodiment of
In a second mode, the control means connects the first and second sets (A, B) of cells, including the cells of the third set (H), to the inflation means and to the dump means cyclically in a predetermined cyclical sequence such that all of the cell groups of the mattress 4 inflate and deflate cyclically, as in the embodiment of
In a third mode, the control means connects the third set (H) of cells to the inflation means such that the inflation of each of the cell groups 110, 120, 130 of the third set (H) of cells is maintained, while the remainder of the first and second sets of cells (A, B) are connected to the dump means, such that all the cell groups of the first and second sets of cells (A, B) are deflated.
In the event that it is necessary to perform Cardiopulmonary Resuscitation (CPR) on a patient lying on the mattress 4, a fourth mode of operation is used, in which all the cell groups of the mattress 4 are deflated. Typically, known systems for inflating air filled mattresses inflate cells at the head end of a mattress via a non-return valve, and deflate the head cells by a separate valve, such as a twist-action valve, or by pulling a tab connected to stopper valves in air supply lines to cells at the head end of a mattress. Both of these known methods require a valve to be reset or closed prior to further use.
In the present invention, the third set (H) of cells is inflated with air supplied from at least one of the first and second sets (A, B) of cells via a non-return valve. This maintains the inflated state of the cell groups 110, 120, 130 during normal operation. An additional pipe is provided between the cell groups 110, 120, 130 and a mattress air connector, which is blocked at the air connector end to maintain the air pressure in the third set (H) of cells. When the air in the whole mattress needs to be removed to perform CPR on a patient, only the air connector needs to be disconnected for all the cells of the mattress 4 to deflate simultaneously by venting to atmosphere. The third set (H) of cells then vent through the additional pipe.
When it is later desired to re-inflate the mattress, following deflation of all of the cells, only the air connector needs to be reconnected. No other valves need to be reset, as in existing inflatable mattress designs.
While the invention has been described in conjunction with the exemplary embodiments described above, many equivalent modifications and variations will be apparent to those skilled in the art when given this disclosure. Accordingly, the exemplary embodiments of the invention set forth above are considered to be illustrative and not limiting. Various changes to the described embodiments may be made without departing from the spirit and scope of the invention.
Number | Date | Country | Kind |
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0503050.7 | Feb 2005 | GB | national |
0518118.5 | Sep 2005 | GB | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/GB06/00530 | 2/14/2006 | WO | 00 | 8/10/2007 |