The present invention relates to a buttock support for at least partial load-relief of the body weight of a person, at least comprising a receiving means for receiving at least part of a buttock region of the person, with a longitudinal extent, a height, a front face, a rear face, a top face and a bottom face, wherein the receiving means comprises at least one connecting element for operative connection to a bed or a load-relief system.
Both within the context of the rehabilitation of bedridden patients and during a targeted walking and/or running training session, it can be advantageous to regulate the weight loading on joints, bones, tendons and/or ligaments, etc. of a training person and/or to reduce it in comparison with loading by way of the entire body weight.
Different body weight load-relief systems have been disclosed for this purpose in the prior art.
DE 198 05 164 C1, DE 10 2014 004 997 A1, DE 10 2007 050 575 A1 and US 2017/024 60 69 A1 have disclosed, for example, training devices with an integrated body weight load-relief system, which training devices can be used for securing and weight load-relief of patients with walking difficulties, in particular stroke patients, when carrying out treadmill training.
A common feature of all the mentioned bodyweight load-relief systems is that the interaction between the respective apparatus and the user takes place via harnesses and/or belts which have to be arranged on the torso, on the hip and/or in the groin area of the user, in order to receive the latter in a secure and stable manner. In particular for the rehabilitation of the seriously ill and critically ill who cannot fasten harnesses/belts of this type themselves on account of unconsciousness, the known systems can make the care staff face the problem repeatedly of having to connect patients to the respective apparatus from a supine position, which makes lifting of the entire torso of the patient necessary. In addition, especially seriously ill patients are often connected to a multiplicity of diagnostic and/or therapeutic medical devices, such as ECGs, catheters and the like which cannot be taken off either during the rehabilitation measures, but should not be disrupted/impaired by way of the connection to a body weight load-relief system either.
In order to overcome this problem, the applicant has already proposed, in DE 10 2018 102 179 A1, a load-relief system for at least partial load-relief of the body weight of a person, which load-relief system makes a simple connection, in particular, of a bedridden patient to the load-relief system possible, as a result of which a comprehensive rearrangement of the patient and the disruption of other medical/therapeutic devices can be largely avoided and the patient is restricted in terms of his/her stepping/walking motion to a relatively small extent. However, the cuffs described therein for receiving at least part of an external extremity of a person impede access to the body via the thighs and/or the groin area (important positions for catheter ports which are used, in particular, in the case of veno-venous extracorporeal membrane oxygenation (VV-ECMO), in particular in the case of critically impaired patients requiring oxygenation.
Reference is additionally also to be made to DE 691 02 915 T2 within the context of the present invention.
Proceeding herefrom, the present invention is based on the object of further improving existing body weight load-relief systems of the prior art with regard to the connecting possibility to a user. The connection between a user, in particular a seriously ill, bedridden patient, and the load-relief system is intended here to be capable of being carried out as simply as possible and by a single person. Moreover, the body weight load-relief system is intended to be configured in such a way that a disruption or impairment of other medical devices which are connected to the body of the patient is avoided and, at the same time, a stepping/walking movement of the user is enabled without impediment.
This object is achieved first of all by way of a buttock support for at least partial load-relief of the body weight of a person with the features of independent patent claim 1 and by way of a load-relief system with the features of further independent claim 13.
In comparison with buttock supports which form the generic prior art, a buttock support according to the invention is distinguished by the fact that the receiving means comprises two support regions which are separated from one another by a gap, wherein the support regions are rounded at least with respect to the top face and the front face of the receiving means; and wherein the gap separates the two support regions from one another centrally with respect to the longitudinal extent of the receiving means.
The buttock support according to the invention makes it possible to connect a patient (for example, for preparation for manual and/or automated physical therapy) to a body weight load-relief system in a rapid and simple way. Here, the connection can advantageously be carried out by a single person, without it being necessary for the patient to be rotated with regard to his/her body longitudinal axis. Moreover, the gap according to the invention which separates the two support regions from one another centrally with regard to the longitudinal extent of the receiving means allows a medical treatment of the patient in the thigh and groin area, as is to take place, for example, via thigh catheter in the case of a patient who is oxygenated via veno-venous extracorporeal membrane oxygenation (VV-ECMO) to be advantageously maintained during the physical therapy. The rounded configuration of the two support regions at least with regard to the top face and the front face of the receiving means additionally leads, at every verticalization angle of a hospital bed which is assumed in order to carry out the physical therapy, for example by way of the verticalizable hospital bed, to an action of force on the ischial bones of the patient (at the buttock/support region contact point) which acts approximately perpendicularly with respect to a tangent with regard to the rounding of the respective support region, which has an advantageous effect on the “supporting/sitting feeling” of the patient and thus enables comfortable sitting on the buttock support. Finally, the buttock support according to the invention advantageously increases the freedom of movement of the thighs of the patient while said physical therapy is being carried out.
Further advantageous refinements and developments which can be used individually or in combination with one another are the subject matter of the respective dependent claims.
It has proven itself in one preferred refinement of the invention if the gap is between 2 and 7 cm, preferably between 4 and 5 cm, particularly preferably 4.75 cm. A gap in the range from 2 to 7 cm, preferably between 4 and 5 cm, particularly preferably 4.75 cm, advantageously allows the positioning of different catheters, sensors, etc. in the thigh and groin area of the patient.
In a further preferred refinement of the invention, the receiving means can be configured in one piece. A receiving means which is configured in one piece can advantageously be produced via additive manufacturing technologies.
As an alternative to this, one refinement of the buttock support according to the invention has also proven itself, in the case of which the receiving means is configured in multiple pieces, it being possible for the two support regions, in particular, to be configured as separate components. An alternative multiple-piece refinement advantageously enables a completely free selection with regard to the materials which are used for the individual components. Moreover, a multiple-piece refinement, in the case of which the support regions are preferably configured as separate components, makes it possible for the buttock support to be dismantled into individual parts for cleaning and disinfection. To this end, in particular, the support regions can be separated from the rest of the buttock support for cleaning after every use.
Furthermore, one refinement has proven itself, in the case of which the receiving means has a greater height in the region of its lateral faces than in the region of the gap. A greater height in the region of the lateral faces in comparison with the height in the region of the gap, that is to say widening at the outer edge of the buttock support, can advantageously reduce tilting of the buttock support. By virtue of the fact that it is not the entire buttock support, in particular the receiving means, but only the region close to the lateral faces which is widened, satisfactory handling when pushing the buttock support through below the legs of the person remains advantageously ensured, and the weight of the buttock support is also not increased unnecessarily. Moreover, a refinement of this type makes it simpler for the support regions and the base plane to terminate at the same height, which advantageously increases the comfort of use.
One refinement of the buttock support according to the invention is preferred according to the invention, in the case of which the two support regions are configured so as to project out of a base plane of the receiving means in the direction of its front face. A refinement of this type of the two support regions advantageously makes it possible to space the buttock area of the person away from the base plane of the receiving means and therefore also from the reclining surface of the hospital bed. This advantageously increases the accessibility of the thigh and groin area of the patient by way of medical staff.
Furthermore, one refinement of the buttock support according to the invention has proven itself, in the case of which the two support regions have a non-slip surface with respect to skin at least with regard to the top face and/or the front face. A non-slip surface of the support regions with respect to skin advantageously prevents the patient from slipping off the buttock support, in particular on the two support regions of the receiving means, during use. Here, slipping off can advantageously be prevented, in particular, during the verticalization of the hospital bed or during a change in the verticalization angle.
In addition, it is advantageous if the two support regions are formed from an elastic material or are provided with an elastic cushion layer at least with regard to the top face and/or the front face. The use of elastic material to configure the two support regions and/or the provision of said support regions with an elastic cushion layer advantageously increase/increases the seating comfort of the patient and prevent/prevents unnecessary pressure loads in the region of the buttock/support region contact point. A refinement of this type of the support regions at least with regard to the top face and/or the front face additionally also makes comfortable support during the entire radius of the movement carried out within the context of physical therapy possible.
It has proven itself in a further refinement if the buttock support comprises at least one, preferably two, belts for reversible fixing of the receiving means on the person. Belts of this type which are preferably arranged in the base plane of the receiving means and can be placed in each case around the thighs of the user and can then be connected in turn to the receiving means, in particular to its base plane, and/or run from a lateral face of the buttock support, in particular its receiving means, along the longitudinal extent of the buttock support to the other lateral face, advantageously make a further securing option possible for particularly greatly impaired (above all, also unconscious) patients against slipping off from the buttock support.
Moreover, one refinement of the invention has proven itself, in the case of which the receiving means, in particular the two support regions, are formed at least in sections from a disinfectable plastic, in particular from polyurethane, or are provided with a disinfectable coating, in particular made from polyurethane. The use of a disinfectable plastic as construction materials for the receiving means, in particular for the two support regions, and/or the provision of the receiving means, in particular of these regions, with a disinfectable coating, advantageously makes rapid and thorough cleaning or disinfection of those regions of the buttock support which come into contact with a patient possible. As a result, increased hygiene requirements, in particular in an intensive care unit, can also advantageously be met more simply.
It is also advantageous if the receiving means comprises at least one handle for transporting the buttock support, in particular the receiving means, when not in use. With the aid of a handle, the buttock support can be transported comfortably from one location of use to the next.
It has proven itself in a further refinement of the invention if the connecting element for operative connection to the bed comprises a connecting apparatus with at least one connecting arm, preferably two connecting arms, wherein the connecting arm or possibly the connecting arms is/are mounted pivotably via at least one joint, with the result that the buttock support can be moved from a storage position below a mattress of the bed into a use position above the mattress of the bed and vice versa. A connecting element which is configured in this way for operative connection to the bed advantageously makes it possible for the buttock support to be mounted on the bed in a manner which is space-saving and nevertheless always ready for use and, in order to use it, to be transferred into a use position in a rapid and uncomplicated manner. A buttock support which is configured in this way or a connecting element which is configured in this way for operative connection to the bed is suitable, in particular, for retrofitting to an already existing infrastructure in hospitals and care facilities.
Moreover, the present invention also relates to a load-relief system for at least partial load-relief of the body weight of a person, at least comprising a suspension means for fastening the load-relief system to a head end of a hospital bed, and a supporting means for operative connection of the suspension means to an apparatus for supporting the person, wherein the apparatus for supporting the person is a buttock support as described above.
In one preferred refinement of the load-relief system, it has proven itself here if the supporting means or a connecting means for operative connection to the load-relief system comprises a quick-action fastener which is configured to release the connection between the buttock support and the suspension means without further tools. A quick-action fastener of this type (“quick release fastener”) advantageously makes it possible to release the connection between the buttock support and the suspension means even when a certain tensile stress is still acting on the supporting means. This can be the case, in particular, when, after rehabilitation exercises have been carried out in a verticalized state of the bed, the latter is moved again into a horizontal position, and the completely relieved starting state is not set again between the mattress of the bed and the patient or the buttock support on account of friction.
The buttock support according to the invention and the load-relief system for at least partial load-relief of the body weight of a person comprising a buttock support of this type considerably facilitate the connection of a patient to said load-relief system in order to prepare for manual and/or automated physical therapy, since the patient no longer has to be rotated with regard to his/her body longitudinal axis during the installation, but rather the legs of the patient merely have to be angled and the buttock support has to be pushed in below the buttocks from one bedside. Here, the gap according to the invention for separating the two support regions advantageously maintains the accessibility of the thigh area, in particular the inner side of the thighs, and the groin area for continuing medical/therapeutic treatment by way of the medical staff. Finally, the buttock support according to the invention provides high supporting/sitting comfort for the patient during the entire range of movement of the therapy movement which is carried out.
Additional details and further advantages of the invention will be described in the following text on the basis of preferred exemplary embodiments, to which the present invention is not restricted, however, and in conjunction with the appended drawing, in which, diagrammatically:
a-c show a sequence of figures of the operative connection of a further embodiment of a buttock support according to the invention to a bed via a corresponding connecting element comprising a connecting apparatus and pivotably mounted connecting arms; and
a-c show a sequence of figures of the operative connection of a further embodiment of a buttock support, configured in multiple pieces, according to the invention to a bed via a corresponding connecting element comprising a connecting apparatus and pivotably mounted connecting arms.
In the following description of preferred embodiments of the present invention, identical designations denote identical or comparable components.
For the preparation of manual and/or automated physical therapy of critically ill, in particular unconscious patients, said patients can preferably be connected in their verticalizable hospital bed 5 to a load-relief system 4 for at least partial load-relief of the body weight of the person 9. In this way, the performance of the rehabilitation movements can be carried out in a manner which is dependent on the verticalization angle set in each case by way of a verticalization mechanism 52 of a bed 5, in particular of a hospital bed, or of a standing table (not depicted), under the influence of an increasing correspondingly decreasing magnitude of the weight acting on the lower extremities of the person. Here, the load-relief system 4 makes both securing and support of the patient possible, by a part of the body weight being absorbed by the load-relief system 4, with the result that therapy movements can be carried out even at comparatively high verticalization angles (for example, >70°) which are necessary for the performance of a movement sequence which is as similar as possible to the normal walking movement, which therapy movements are adapted to the respective health state of the patient with regard to the weight loading on the lower extremities. Here, said therapy movement can be carried out manually by a physiotherapist or else can take place in an automated manner, preferably by way of a rehabilitation mechanism which is arranged at the foot end 54 of the hospital bed 5. To this end,
The load-relief system 4 according to the invention for at least partial load-relief of the body weight of a person 9 comprises at least one suspension means 44 for fastening the load-relief system 4 to a head end 51 of a bed 5, in particular of a hospital bed, and a supporting means 41 for operative connection of the suspension means 44 to a buttock support 1 according to the invention as apparatus for supporting the person 9.
The buttock support 1 according to the invention for at least partial load-relief of the body weight of a person 9 comprises at least one receiving means 11 for receiving at least one part of a buttock region of the person 9, with a longitudinal extent LA, a height H, a front face VS, a rear face RS, a top face OS and a bottom face US. In addition, the receiving means 11 comprises at least one connecting element 12a; 12b for operative connection to the bed 5 (connecting element 12b, cf.
As shown in
As described in the first embodiment, the two support regions 13 can be configured so as to preferably project out of a base plane 111 of the receiving means 11 in the direction of its front face VS, in order to increase the spacing of the person 9 seated on the buttock support 1 from the receiving means 11, in particular its base plane 111, and therefore also from the bed surface of the hospital bed 5. In addition, the support regions 13 can also preferably protrude beyond the base plane 111 of the receiving means 11 in the direction of the top face OS of the receiving means 11. The “protruding beyond the base plate 111 of the receiving means 11 in the direction of the top face OS of the receiving means 11” is advantageously increased further by way of the approximately V-shaped arrangement of the side elements of the receiving means 11 in this embodiment.
Moreover,
In contrast,
According to the invention, the two support region 13 are of rounded configuration at least with regard to the top face OS and the front face VS of the receiving means 11. Here, as shown in
The two support regions 13 can preferably be formed from an elastic material or can be provided with an elastic cushion layer 131 at least with regard to the top face OS and/or the front face VS. The use of an elastic material for the construction of the two support regions 13 advantageously increases the supporting/sitting comfort for the patient. If, as indicated in
The receiving means 11, in particular the two support regions 13, can be formed at least in sections from a disinfectable plastic, in particular from polyurethane, or can be provided with a disinfectable coating, in particular made from polyurethane. This advantageously facilitates rapid and thorough cleaning, and makes multiple use possible with simultaneous maintenance of high hygiene standards.
In particular in the case of soft underlying surfaces such as, for example, a mattress, on which the buttock support 1 lies in the case of use, it can be advantageous if the support regions 13 and/or the holders 132 are arranged on the base plane 111 centrally with regard to the height H of the base plane 111, as shown here. In this way, torques which act on the buttock support 1 and are caused by way of the weight of the patient can advantageously be compensated for, which in turn reduces raised edges and associated punctiform loading of the mattress.
It can also be seen in
In this embodiment, the receiving means 11 also comprises two connecting elements 12b for operative connection to the bed 5. One or more connecting means 12b of this type can be arranged on the receiving means 11 as an alternative or in addition to one or more of the connecting means 12a for operative connection to a load-relief system 4. Here, a connecting means 12b of this type for operative connection to the bed 5 is preferably configured in such a way that it makes an operative connection, which is rigid but can be displaced along the longitudinal faces of the bed 5, between the receiving means 11 and the bed 5 possible. This can be realized, in particular, by way of a connecting means 12b of slide-like configuration which engages into a rail 121 arranged on the bed 5 and can be shifted therein along the longitudinal faces of the bed 5 and can be fixed reversibly at a position with regard to the longitudinal faces of the bed 5. One example for an embodiment of this type of the connecting means 12b is shown in
a-c and 15a-c in each case show a sequence of figures of the operative connection of further embodiments of a buttock support 1 according to the invention to a bed 5 via a corresponding connecting element 12b for operative connection of the buttock support 1 to a bed 5, comprising a connecting apparatus 123 and pivotably mounted connecting arms 124.
A connecting element 12b which connects, via a connecting apparatus 123, two connecting arms 124 which are mounted pivotably with respect to the bed 5 via joints 125 is provided in the embodiment in
In the case of the embodiment which is shown in
The present invention relates to a buttock support 1 for at least partial load-relief of the body weight of a person 9, at least comprising a receiving means 11 for receiving at least part of a buttock region of the person 9, and to a load-relief system 4 comprising the aforementioned buttock support 1. The buttock support 1 is characterized in that the receiving means 11 comprises two support regions 13 which are separated from one another by a gap 14, wherein the support regions 13 are rounded at least with respect to the top face OS and the front face VS of the receiving means 11; and wherein the gap 14 separates the two support regions 13 from one another centrally with respect to the longitudinal extent LA of the receiving means 11. The invention significantly simplifies the connection of a person 9 to the aforementioned load-relief system 4 to prepare for manual and/or automated physical therapy and also ensures that the thigh region, in particular the inner face of the thigh, and the groin region are accessible for further medical/therapeutic treatment by the medical staff.
Number | Date | Country | Kind |
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10 2021 101 293.7 | Jan 2021 | DE | national |
Filing Document | Filing Date | Country | Kind |
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PCT/DE2022/100052 | 1/19/2022 | WO |