The present disclosure is generally related to automated systems, and is specifically directed to automated systems for powered cots.
There are a variety of emergency cots in use today. Such emergency cots may be designed to transport and load bariatric patients into an ambulance.
For example, the PROFlexX® cot, by Ferno-Washington, Inc. of Wilmington, Ohio U.S.A., is a manually actuated cot that may provide stability and support for loads of about 700 pounds (about 317.5 kg). The PROFlexX® cot includes a patient support portion that is attached to a wheeled undercarriage. The wheeled under carriage includes an X-frame geometry that can be transitioned between nine selectable positions. One recognized advantage of such a cot design is that the X-frame provides minimal flex and a low center of gravity at all of the selectable positions. Another recognized advantage of such a cot design is that the selectable positions may provide better leverage for manually lifting and loading bariatric patients.
Another example of a cot designed for bariatric patients, is the POWERFlexx+ Powered Cot, by Ferno-Washington, Inc. The POWERFlexx+ Powered Cot includes a battery powered actuator that may provide sufficient power to lift loads of about 700 pounds (about 317.5 kg). One recognized advantage of such a cot design is that the cot may lift a bariatric patient up from a low position to a higher position, i.e., an operator may have reduced situations that require lifting the patient.
A further variety is a multipurpose roll-in emergency cot having a patient support stretcher that is removably attached to a wheeled undercarriage or transporter. The patient support stretcher, when removed for separate use from the transporter, may be shuttled around horizontally upon an included set of wheels. One recognized advantage of such a cot design is that the stretcher may be separately rolled into an emergency vehicle such as station wagons, vans, modular ambulances, aircrafts, or helicopters, where space and reducing weight is a premium.
Another advantage of such a cot design is that the separated stretcher may be more easily carried over uneven terrain and out of locations where it is impractical to use a complete cot to transfer a patient. Example of such cots can be found in U.S. Pat. Nos. 4,037,871, 4,921,295, and International Publication No. WO 2001/070161.
Although the foregoing multipurpose roll-in emergency cots have been generally adequate for their intended purposes, they have not been satisfactory in all aspects. For example, the foregoing emergency cots are loaded into ambulances according to loading processes that require at least one operator to support the load of the cot for a portion of the respective loading process.
The embodiments described herein are directed to automated systems for versatile multipurpose roll-in emergency cots which may provide improved management of the cot weight, improved balance, and/or easier loading at any cot height, while being rollable into various types of rescue vehicles, such as ambulances, vans, station wagons, aircrafts and helicopters.
According to one embodiment, a cot can include a support frame, a front leg, a back leg, a front actuator, a back actuator, and one of more processors. The support frame can extend between a front end of the cot and a back end of the cot. The front leg and the back leg can be slidingly coupled to the support frame. The front actuator can be coupled to the front leg. The front actuator can slide the front leg along the support frame to retract and extend the front leg. The back actuator can be coupled to the back leg. The back actuator can slide the back leg along the support frame to retract and extend the front leg. The one or more processors can be communicatively coupled to the front actuator and the back actuator. The one or more processors execute machine readable instructions to receive signals from one or more sensors indicative of the front end of the cot and the front leg. The one or more processors can actuate the back actuator to extend the back leg to raise the back end of the cot, when the front end of the cot is supported by a surface and the front leg is retracted a predetermined amount.
In some embodiments, the one or more sensors can include a front angular sensor that measures a front angle between the front leg and the support frame. The front angular sensor can communicate a front angle signal to the one or more processors such that the front angle signal is correlated to the front angle. The one or more processors can execute machine readable instructions to determine that the front leg is retracted the predetermined amount based at least in part upon the front angle. Alternatively or additionally, the front angular sensor can be a potentiometer rotary sensor or a hall effect rotary sensor.
According to the embodiments described herein the one or more sensors can comprise a back angular sensor that measures a back angle between the back leg and the support frame. The back angular sensor can communicate a back angle signal to the one or more processors such that the back angle signal is correlated to the back angle. The back angular sensor can be a potentiometer rotary sensor or a hall effect rotary sensor. The one or more processors can execute machine readable instructions to determine a difference between the back angle and the front angle based at least in part upon the front angle signal and the back angle signal. Alternatively or additionally, the one or more processors can execute machine readable instructions to compare the difference between the back angle and the front angle to a predetermined angle delta. The back leg can be automatically extended, when the difference between the back angle and the front angle is greater than or equal to the predetermined angle delta.
The one or more sensors can comprise a distance sensor that measures a distance indicative of a position of the front leg, the back leg, or both with respect to the support frame. The distance sensor can communicate a distance signal to the one or more processors such that the distance signal is correlated to the distance. The one or more sensors can comprise a distance sensor that measures a distance indicative of a position the front end of the cot with respect to the surface and communicates a distance signal to the one or more processors such that the distance signal is correlated to the distance. The distance sensor can be coupled to the support frame or the back actuator. The distance sensor can be an ultrasonic sensor, a touch sensor, or a proximity sensor.
According to the embodiments described herein, the cot can include a front actuator sensor and a back actuator sensor. The front actuator sensor can be communicatively coupled to the one or more processors. The front actuator sensor can measure force applied to the front actuator and can communicate a front actuator force signal correlated to the force applied to the front actuator. The back actuator sensor can be communicatively coupled to the one or more processors. The back actuator sensor can measure force applied to the back actuator and can communicates a back actuator force signal correlated to the force applied to the back actuator. The one or more processors can execute machine readable instructions to determine that the front actuator force signal is indicative of tension and the back actuator force signal is indicative of compression. The back leg can be automatically extended, when the front actuator force signal is indicative of tension and the back actuator force signal is indicative of compression.
According to the embodiments described herein, the one or more processors can execute machine readable instructions to abort actuation of the back actuator if a position of the back leg with respect to the back end of the cot fails to change for a predetermined amount of time after the back actuator is actuated.
In another embodiment, the cot can include a support frame, a front leg, a back leg, a middle portion and a line indicator. The support frame can extend between a front end of the cot and a back end of the cot. The front leg and the back leg can be slidingly coupled to the support frame. The front leg and the back leg can retract and extend to facilitate loading or unloading from a support surface. The middle portion can be disposed between the front end of the cot and the back end of the cot. The line indicator can be coupled to the cot. The line indicator can project an optical line indicative of the middle portion of the cot. Alternatively or additionally, the optical line can be projected beneath or adjacent to the middle portion of the cot to a point offset from a side of the cot. Alternatively or additionally, the line indicator can include a laser, a light emitting diode, or a projector.
According to the embodiments described herein, an intermediate load wheel can be coupled to the front leg between a proximal end and a distal end of the front leg. The intermediate load wheel can be substantially aligned with the optical line during loading or unloading. Alternatively or additionally, the intermediate load wheel can be a fulcrum during loading or unloading. Alternatively or additionally, the intermediate load wheel can be located at a center of balance of the cot during the loading or unloading.
According to the embodiments described herein, one or more processors can be communicatively coupled to the line indicator. The one or more processors execute machine readable instructions to receive signals from one or more sensors indicative of the front end of the cot. The one or more processors execute machine readable instructions to cause the line indicator to project the optical line, when the front end of the cot is above the support surface.
According to the embodiments described herein, the cot can include a back actuator and a back actuator sensor. The back actuator can be coupled to the back leg. The back actuator can slide the back leg along the support frame to retract and extend the front leg. The back actuator sensor can be communicatively coupled to the one or more processors. The back actuator sensor can measure force applied to the back actuator and can communicate a back actuator force signal correlated to the force applied to the back actuator. The one or more processors can execute machine readable instructions to determine that the back actuator force signal is indicative of tension. The optical line can be projected, when the back actuator force signal is indicative of tension.
According to the embodiments described herein, the one or more sensors can include a distance sensor that measures a distance indicative of a position the front end of the cot with respect to the support surface. The distance sensor can communicate a distance signal to the one or more processors such that the distance signal is correlated to the distance. The one or more processors execute machine readable instructions to determine that the front end of the cot is above the support surface, when the distance is within a definable range. The distance sensor can be coupled to the back actuator or aligned with the intermediate load wheel. The distance sensor can be an ultrasonic sensor, a touch sensor, or a proximity sensor.
In yet another embodiment, a cot can include a support frame, a front leg, a back leg, an actuator, a drive light, one or more processors, and one or more operator controls. The support frame can extend between a front end of the cot and a back end of the cot. The front leg and the back leg can be slidingly coupled to the support frame. The actuator can be coupled to the front leg or the back leg. The actuator can slide the front leg or the back leg along the support frame to actuate the support frame. The drive light can be coupled to the actuator. The one or more processors can be communicatively coupled to the drive light. The one or more operator controls can be communicatively coupled to the one or more processors. The one or more processors can execute machine readable instructions to automatically cause the drive light to illuminate, when an input is received from the one or more operator controls. The actuator can actuate the front leg, and the drive light can illuminate an area in front of the front end of the cot. The actuator can actuate the back leg, and the drive light can illuminate an area behind the back end of the cot.
These and additional features provided by the embodiments of the present disclosure will be more fully understood in view of the following detailed description, in conjunction with the drawings.
The following detailed description of specific embodiments of the present disclosures can be best understood when read in conjunction with the following drawings, where like structure is indicated with like reference numerals and in which:
The embodiments set forth in the drawings are illustrative in nature and not intended to be limiting of the embodiments described herein. Moreover, individual features of the drawings and embodiments will be more fully apparent and understood in view of the detailed description.
Referring to
Referring collectively to
Referring collectively to
Referring again to
In specific embodiments, the front legs 20 and the back legs 40 may each be coupled to the lateral side members 15. As shown in
In one embodiment, the front wheels 26 and back wheels 46 may be swivel caster wheels or swivel locked wheels. As the roll-in cot 10 is raised and/or lowered, the front wheels 26 and back wheels 46 may be synchronized to ensure that the plane of the lateral side members 15 of the roll-in cot 10 and the plane of the wheels 26, 46 are substantially parallel.
Referring again to
The front actuator 16 is coupled to the support frame 12 and configured to actuate the front legs 20 and raise and/or lower the front end 17 of the roll-in cot 10. Additionally, the back actuator 18 is coupled to the support frame 12 and configured to actuate the back legs 40 and raise and/or lower the back end 19 of the roll-in cot 10. The roll-in cot 10 may be powered by any suitable power source. For example, the roll-in cot 10 may comprise a battery capable of supplying a voltage of, such as, about 24 V nominal or about 32 V nominal for its power source.
The front actuator 16 and the back actuator 18 are operable to actuate the front legs 20 and back legs 40, simultaneously or independently. As shown in
In one embodiment, schematically depicted in
Referring to
Each vertical member 184 comprises a pair of piggy backed hydraulic cylinders (i.e., a first hydraulic cylinder and a second hydraulic cylinder or a third hydraulic cylinder and a fourth hydraulic cylinder) wherein the first cylinder extends a rod in a first direction and the second cylinder extends a rod in a substantially opposite direction. When the cylinders are arranged in one master-slave configuration, one of the vertical members 184 comprises an upper master cylinder 168 and a lower master cylinder 268. The other of the vertical members 184 comprises an upper slave cylinder 169 and a lower slave cylinder 269. It is noted that, while master cylinders 168, 268 are piggy backed together and extend rods 165, 265 in substantially opposite directions, master cylinders 168, 268 may be located in alternate vertical members 184 and/or extend rods 165, 265 in substantially the same direction.
Referring now to
The one or more processors 100 can be communicatively coupled to one or more memory modules 102, which can be any device capable of storing machine readable instructions. The one or more memory modules 102 can include any type of memory such as, for example, read only memory (ROM), random access memory (RAM), secondary memory (e.g., hard drive), or combinations thereof. Suitable examples of ROM include, but are not limited to, programmable read-only memory (PROM), erasable programmable read-only memory (EPROM), electrically erasable programmable read-only memory (EEPROM), electrically alterable read-only memory (EAROM), flash memory, or combinations thereof. Suitable examples of RAM include, but are not limited to, static RAM (SRAM) or dynamic RAM (DRAM).
The embodiments described herein can perform methods automatically by executing machine readable instructions with the one or more processors 100. The machine readable instructions can comprise logic or algorithm(s) written in any programming language of any generation (e.g., 1GL, 2GL, 3GL, 4GL, or 5GL) such as, for example, machine language that may be directly executed by the processor, or assembly language, object-oriented programming (OOP), scripting languages, microcode, etc., that may be compiled or assembled into machine readable instructions and stored. Alternatively, the machine readable instructions may be written in a hardware description language (HDL), such as logic implemented via either a field-programmable gate array (FPGA) configuration or an application-specific integrated circuit (ASIC), or their equivalents. Accordingly, the methods described herein may be implemented in any conventional computer programming language, as pre-programmed hardware elements, or as a combination of hardware and software components.
Referring collectively to
In one embodiment, the front actuator sensor 62 and the back actuator sensor 64 are coupled to the support frame 12; however, other locations or configurations are contemplated herein. The sensors may be proximity sensors, strain gauges, load cells, hall-effect sensors, or any other suitable sensor operable to detect when the front actuator 16 and/or back actuator 18 are under tension or compression. In further embodiments, the front actuator sensor 62 and the back actuator sensor 64 may be operable to detect the weight of a patient disposed on the roll-in cot 10 (e.g., when strain gauges are utilized). It is noted that the term “sensor,” as used herein, means a device that measures a physical quantity and converts it into a signal which is correlated to the measured value of the physical quantity. Furthermore, the term “signal” means an electrical, magnetic or optical waveform, such as current, voltage, flux, DC, AC, sinusoidal-wave, triangular-wave, square-wave, and the like, capable of being transmitted from one location to another.
Referring collectively to
Additionally, it is noted that distance sensors may be coupled to any portion of the roll-in cot 10 such that the distance between a lower surface and components such as, for example, the front end 17, the back end 19, the front load wheels 70, the front wheels 26, the intermediate load wheels 30, the back wheels 46, the front actuator 16 or the back actuator 18 may be determined
Referring collectively to
The front legs 20 may comprise intermediate load wheels 30 attached to the front legs 20. In one embodiment, the intermediate load wheels 30 may be disposed on the front legs 20 adjacent the front cross beam 22 (
The roll-in cot 10 may comprise a back actuator sensor 78 communicatively coupled to the one or more processors 100. The back actuator sensor 78 is a distance sensor operable to detect the distance between the back actuator 18 and the loading surface. In one embodiment, back actuator sensor 78 is operable to detect directly or indirectly the distance from the back actuator 18 to a surface substantially directly beneath the back actuator 18, when the back legs 40 are substantially fully retracted (
Referring still to
Referring collectively to
The back end 19 may comprise operator controls for the roll-in cot 10. As used herein, the operator controls comprise the input components that receive commands from the operator and the output components that provide indications to the operator. Accordingly, the operator can utilize the operator controls in the loading and unloading of the roll-in cot 10 by controlling the movement of the front legs 20, the back legs 40, and the support frame 12. The operator controls may include a control box 50 disposed on the back end 19 of the roll-in cot 10. For example, the control box 50 can be communicatively coupled to the one or more processors 100, which is in turn communicatively coupled to the front actuator 16 and the back actuator 18. The control box 50 can comprise a visual display component 58 such as, for example, a liquid crystal display, a touch screen and the like. Accordingly, the control box 50 can receive input, which can be processed by the one or more processors 100 to control the front actuator 16 and back actuator 18. It is noted that, while the embodiments described herein make reference to automated operation of the front actuator 16 and back actuator 18, the embodiments described herein can include operator controls that are configured to directly control front actuator 16 and back actuator 18. That is, the automated processes described herein can be overridden by a user and the front actuator 16 and back actuator 18 can be actuated independent of input from the sensors.
The operator controls may comprise one or more hand controls 57 (for example, buttons on telescoping handles) disposed on the back end 19 of the roll-in cot 10. As an alternative to the hand control embodiment, the control box 50 may also include a component which may be used to raise and lower the roll-in cot 10. In one embodiment, the component is a toggle switch 52, which is able to raise (+) or lower (−) the cot. Other buttons, switches, or knobs are also suitable. Due to the integration of the sensors in the roll-in cot 10, as is explained in greater detail herein, the toggle switch 52 may be used to control the front legs 20 or back legs 40 which are operable to be raised, lowered, retracted or released depending on the position of the roll-in cot 10.
In one embodiment the toggle switch is analog (i.e., the pressure and/or displacement of the analog switch is proportional to the speed of actuation). The operator controls may comprise a visual display component 58 configured to inform an operator whether the front and back actuators 16, 18 are activated or deactivated, and thereby may be raised, lowered, retracted or released. While the operator controls are disposed at the back end 19 of the roll-in cot 10 in the present embodiments, it is further contemplated that the operator controls be positioned at alternative positions on the support frame 12, for example, on the front end 17 or the sides of the support frame 12. In still further embodiments, the operator controls may be located in a removably attachable wireless remote control that may control the roll-in cot 10 without physical attachment to the roll-in cot 10.
Turning now to embodiments of the roll-in cot 10 being simultaneously actuated, the cot of
Referring collectively to
The embodiments described herein may be utilized to lift a patient from a position below a vehicle in preparation for loading a patient into the vehicle (e.g., from the ground to above a loading surface of an ambulance). Specifically, the roll-in cot 10 may be raised from the lowest transport position (
The roll-in cot 10 may be lowered from an intermediate transport position (
In one embodiment, when the roll-in cot 10 is in the highest transport position (
In another embodiment, any time the roll-in cot 10 is raised over the highest transport position for a set period of time (e.g., 30 seconds), the control box 50 provides an indication that the roll-in cot 10 has exceeded the highest transport position and the roll-in cot 10 needs to be lowered. The indication may be visual, audible, electronic or combinations thereof.
When the roll-in cot 10 is in the lowest transport position (
The front actuator 16 is operable to raise or lower a front end 17 of the support frame 12 independently of the back actuator 18. The back actuator 18 is operable to raise or lower a back end 19 of the support frame 12 independently of the front actuator 16. By raising the front end 17 or back end 19 independently, the roll-in cot 10 is able to maintain the support frame 12 level or substantially level when the roll-in cot 10 is moved over uneven surfaces, for example, a staircase or hill. Specifically, if one of the front legs 20 or the back legs 40 is in tension, the set of legs not in contact with a surface (i.e., the set of legs that is in tension) is activated by the roll-in cot 10 (e.g., moving the roll-in cot 10 off of a curb). Further embodiments of the roll-in cot 10 are operable to be automatically leveled. For example, if back end 19 is lower than the front end 17, pressing the “+” on toggle switch 52 raises the back end 19 to level prior to raising the roll-in cot 10, and pressing the “−” on toggle switch 52 lowers the front end 17 to level prior to lowering the roll-in cot 10.
Referring collectively to
As is depicted in
In one embodiment, after the front legs 20 have been raised enough to trigger a loading state, the operation of the front actuator 16 and the back actuator 18 is dependent upon the location of the roll-in cot. In some embodiments, upon the front legs 20 raising, a visual indication is provided on the visual display component 58 of the control box 50 (
Referring collectively to
In further embodiments, the one or more processors 100 can monitor the back angular sensor 68 to verify that the back angle αb is changing in accordance to the actuation of the back actuator 18. In order to protect the back actuator 18, the one or more processors 100 can automatically abort the actuation of the back actuator 18 if the back angle αb is indicative of improper operation. For example, if the back angle αb fails to change for a predetermined amount of time (e.g., about 200 ms), the one or more processors 100 can automatically abort the actuation of the back actuator 18.
Referring collectively to
It is noted that, the middle portion of the roll-in cot 10 is above the loading surface 500 when any portion of the roll-in cot 10 that may act as a fulcrum is sufficiently beyond the loading edge 502 such that the back legs 40 may be retracted with a reduced amount of force is required to lift the back end 19 (e.g., less than half of the weight of the roll-in cot 10, which may be loaded, needs to be supported at the back end 19). Furthermore, it is noted that the detection of the location of the roll-in cot 10 may be accomplished by sensors located on the roll-in cot 10 and/or sensors on or adjacent to the loading surface 500. For example, an ambulance may have sensors that detect the positioning of the roll-in cot 10 with respect to the loading surface 500 and/or loading edge 502 and communications means to transmit the information to the roll-in cot 10.
Referring to
Once the cot is loaded onto the loading surface (
Referring collectively to
Referring collectively to
Referring collectively to
When a sensor detects that the front legs 20 are clear of the loading surface 500 (
It should now be understood that the embodiments described herein may be utilized to transport patients of various sizes by coupling a support surface such as a patient support surface to the support frame. For example, a lift-off stretcher or an incubator may be removably coupled to the support frame. Therefore, the embodiments described herein may be utilized to load and transport patients ranging from infants to bariatric patients. Furthermore the embodiments described herein, may be loaded onto and/or unloaded from an ambulance by an operator holding a single button to actuate the independently articulating legs (e.g., pressing the “−” on the toggle switch to load the cot onto an ambulance or pressing the “+” on the toggle switch to unload the cot from an ambulance). Specifically, the roll-in cot 10 may receive an input signal such as from the operator controls. The input signal may be indicative a first direction or a second direction (lower or raise). The pair of front legs and the pair of back legs may be lowered independently when the signal is indicative of the first direction or may be raised independently when the signal is indicative of the second direction.
It is further noted that terms like “preferably,” “generally,” “commonly,” and “typically” are not utilized herein to limit the scope of the claimed embodiments or to imply that certain features are critical, essential, or even important to the structure or function of the claimed embodiments. Rather, these terms are merely intended to highlight alternative or additional features that may or may not be utilized in a particular embodiment of the present disclosure.
For the purposes of describing and defining the present disclosure it is additionally noted that the term “substantially” is utilized herein to represent the inherent degree of uncertainty that may be attributed to any quantitative comparison, value, measurement, or other representation. The term “substantially” is also utilized herein to represent the degree by which a quantitative representation may vary from a stated reference without resulting in a change in the basic function of the subject matter at issue.
Having provided reference to specific embodiments, it will be apparent that modifications and variations are possible without departing from the scope of the present disclosure defined in the appended claims. More specifically, although some aspects of the present disclosure are identified herein as preferred or particularly advantageous, it is contemplated that the present disclosure is not necessarily limited to these preferred aspects of any specific embodiment.
This application claims the benefit of priority under 35 U.S.C. § 119 of U.S. Provisional Application Ser. No. 61/673,971 filed on Jul. 20, 2012. This application is a division of U.S. patent application Ser. No. 14/414,812, filed Jan. 14, 2015.
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Number | Date | Country | |
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20160106605 A1 | Apr 2016 | US |
Number | Date | Country | |
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61673971 | Jul 2012 | US |
Number | Date | Country | |
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Parent | 14414812 | US | |
Child | 14979748 | US |