The present disclosure relates to a configurable patient ceiling lift for use, for example, in a hospital or care home.
Ceiling lifts for lifting and transporting patients have been in use for over twenty years. These types of patient lift are becoming more popular as they take up little space in a hospital or care home environment and are more efficient than floor lifts.
A ceiling lift can be described as a motor unit able to move along one or more rails arranged as a rail system, fixed to the ceiling. A flexible member such as a strap extends from the motor unit and is attached to a spreader bar. A patient sling or harness is attached to the spreader bar. An electrically motorized mechanism in the motor unit allows the user to extend or shorten the strap so as to raise or lower the spreader bar and with this to raise or lower the sling and any patient carried in the sling. The combination of rail system, motor unit, spreader bar and sling is often referred to as a ceiling lift system.
Some ceiling lift systems are said to be fixed (the motor unit is dedicated to one room) while others are said to be portable (the motor unit can move around from room to room).
Over the last decades the size (weight & morphology) of patients has increased, causing manufacturers of ceiling lift systems to develop solutions which better address the handling challenges which larger patients pose. The initial response from manufacturers was to increase the lifting capacity of their existing products. Since then, patient handling techniques were developed, industry standards were established and user (patient and care givers) needs were better understood. It appears that there was room for devices which could do more than just having a greater lifting capacity and be able to transfer a patient in a fixed seated position. Indeed, users were in the need of a product with greater versatility.
One design adopted by manufacturers for handling patients of very large size (with a Body Mass Index above 40 or of weight above 160 kg, for example) has two motor units with two spreader bars which operate together. In one configuration, one of the motor units and its associated spreader bar supports/lifts the shoulder section of the patient, while the other motor unit and spreader bar supports/lifts the patient's leg section. A key benefit of such solution is the ability to provide a tilting function to sit or recline the patient during transfer, by creating a height difference between the spreader bars. Bringing the leg section spreader bar above the shoulder section spreader bar leads to a patient reclined position, while bringing the leg section spreader bar below the shoulder section spreader bar leads to a patient sitting position.
A tilting function can increase patient comfort and reduce caregiver effort to transfer a patient. Although the above-described solutions for very large patients can provide significant benefits, they can sometimes have the drawback of being suitable only to such patient morphology. Care institutions face the challenge of making the care environment, typically the patient rooms, as versatile as possible when it comes to the range of patients they can handle. As a result the patient environment should be able to accommodate very large patients but also very small patients. Otherwise, a room dedicated for very large sized patients can often be unoccupied for long periods of time.
As described below, some solutions have been proposed but these have limitations.
The present disclosure seeks to provide an improved patient ceiling lift system and more specifically relates to a configurable patient ceiling lift.
According to an aspect of the present disclosure, there is provided a configurable patient ceiling lift system, including: first and second motor units; first and second flexible strap elements each coupled to a respective one of the first and second motor units, each motor unit being operable to change an operative length of its associated strap element by extending or retracting the strap out of or into the motor unit, each strap element including a coupling for attachment to a patient sling; a control unit coupled to the first and second motor units and configured to operate the motor units in a dual mode or a single mode, wherein in the dual mode the motor units are both operable and in the single mode the first motor unit is operable and the second motor unit does not operate.
According to another aspect of the present disclosure there is provided a configurable patient ceiling lift system, including: first and second motor units; first and second tensile support members operatively associated with a winding assembly to adjust an operative length of the tensile support members by extending or retracting the tensile support member, each tensile support member including a coupling for attachment to a patient sling; a control unit coupled to the first and second motor units and configured to operate the motor units in a dual mode or a single mode, wherein in the dual mode the motor units are both operable and in the single mode the first motor unit is operable and the second motor unit does not operate.
In practice, in the dual mode a double patient spreader bar assembly can be attached to the strap elements of and operated by the first and second motor units, while in the single mode a single spreader bar can be attached to the strap element of and operated by the first motor unit.
The motor units may be separate devices with separate casings and components, linked electrically for coordinated control, as well as being individually controllable. It is not excluded, though, that the motor units could be incorporated into a common device with a common casing. In such cases, the motors of each motor unit remain both independently controllable and controllable in coordinated manner. The link between the motor units may be a direct link or an indirect link, for instance through a controller. In another embodiment a single motor through a geared system could provide motion to a pair of strap simultaneously or to only one of the strap.
The configurable ceiling lift system is suited to accommodate patients of a large variety of sizes and weights, thereby making the system more useful in a care home or hospital environment.
Advantageously, in an embodiment, the second motor unit is disabled in the single mode. Thus, the second motor unit can be arranged not to interfere with a care giver or patient when the system is operated in the single mode.
In example embodiments, the control unit is operable to retract the strap element of the second motor unit in the single mode.
There may be provided a handheld controller coupled to the control unit, the controller including an input for switching between the dual and single modes.
A display unit may be associated with the first motor unit, the display being operative to indicate the operating mode of the system. In an illustrative embodiment, the display unit includes at least one input device for operating the system. The display unit may be menu based.
The strap element of the second motor unit may be manually withdrawn on a switch command from the single mode to the dual mode.
There may be provided at least one position sensor coupled to at least the strap element of the first motor unit, the position sensor being operable to sense at least one position of the strap element. There may also or in the alternative be provided at least one load sensor coupled to at least the strap element of the first motor unit, the load sensor being operable to sense load on the strap element.
In example embodiments, the control unit is incorporated in or associated with the first motor unit. In the embodiment, the first motor unit may be a leading or master unit and the second motor unit may be a driven or slave unit, the first and second motor units being communicatively connected to one another.
The apparatus may include a trolley element on which the first and second motor units are attached, the trolley element including wheel elements attachable to a ceiling rail system. The trolley element may include a first trolley member supporting the wheel elements and a second trolley member to which the first and second motor units are attached, the first and second trolley units being rotatable relative to one another. Advantageously, the first and second trolley units are coupled to one another by a rotatable coupler, the coupler including first and second concentric coupling rings with a cooperating rolling coupling therebetween, each coupling ring being attached to a respective one of the first and second trolley members.
According to another aspect of the present disclosure, there is provided a method of configuring a ceiling lift system, which system includes: first and second motor units; first and second flexible strap elements each coupled to a respective one of the first and second motor units, each motor unit being operable to change an operative length of its associated strap element by extending or retracting the strap out of or into the motor unit, each strap element including a coupling for attachment to a patient sling; a control unit coupled to the first and second motor units and configured to operate the motor units in a dual mode or a single mode; the method including the steps of: in the dual mode operating both the first and second the motor units together, and in the single mode operating the first motor unit and keeping the second motor unit in a non-operating condition; whereby in the dual mode attaching a double patient spreader bar assembly to the strap elements of the first and second motor units, and in the single mode attaching a single spreader bar to the strap element of the first motor unit.
According to another aspect of the present disclosure, there is provided a method of configuring a ceiling lift system. A method of configuring a ceiling lift system, which system includes: first and second motor units; first and second tensile support members operatively associated with a winding assembly to adjust an operative length of the tensile support members by extending or retracting the tensile support member, each tensile support member including a coupling for attachment to a patient sling; a control unit coupled to the first and second motor units and configured to operate the motor units in a dual mode or a single mode; the method including the steps of: in the dual mode operating both the first and second the motor units together, and in the single mode operating the first motor unit and keeping the second motor unit in a non-operating condition; whereby in the dual mode attaching a double patient spreader bar assembly to the tensile support members of the first and second motor units, and in the single mode attaching a single spreader bar to the tensile support member of the first motor unit.
The example method may include the step of disabling the second motor unit in the single mode. The method may also include the step of retracting the strap element of the second motor unit in the single mode. There may be included the step of manually withdrawing the strap element of the second motor unit on a switch from the single mode to the dual mode.
The example embodiment provides a ceiling lift assembly includes first and second motor units which can be operated together in a dual mode configuration and which can be operated in a single mode operation, in which only one of the motor units is operative with the other motor unit being dormant. The system provides routines for switching between the single and dual modes of the assembly and which ensure that in each mode the necessary parts of the apparatus are in an operative condition, whereas those parts of the apparatus which are not used are placed in a storage condition to avoid inconvenience or injury to personnel and patients. The apparatus also includes a motor unit support device of a structure which can accommodate asymmetric loads, on one motor unit only without causing deformation of the support structure.
Other features and aspects of the disclosure herein will become apparent from the disclosure of the example embodiments which follows.
Embodiments of the present disclosure are described below, by way of example only, with reference to the accompanying drawings, in which:
Referring first to
The motor unit 16 is operatively associated with, coupled to and/or includes a tensile support member, such as a flexible element or strap 18, which in practice is attached to a motorised spool or drum within the motor unit 16, and which can be unwound from the spool to lengthen the strap 18 and wound on the spool to shorten the strap 18, again in known manner. One skilled in the art would appreciate that one or more or any number of tensile support members may be operatively associated with, coupled to and/or form part of a motor unit to facilitate patient support. In one embodiment, the tensile support member is configured to be coilable about the drum or motorized spool of motor unit 16 and having sufficient tensile strength for lifting a patient. In an exemplary embodiment, the support member may be rigid in tension along its length yet permit motion in other directions to dynamically support a patient, inclusive of bariatric patients. Exemplary support members may include webbing, belts, rope, wire, cord, cable and chains. The strap 18 includes a coupler at its lower, free end, to which there can be attached a spreader bar 20, again of known form. The coupling can be any fastener, connector, attachment or securement mechanism suitable for connection to spreader bar 20. The spreader bar 20 includes coupling points 22, which are spaced from one another and specifically at either end of the bar 20. The coupling points 22 act as attachments for a sling 24, as shown in
While a system as shown in
The motor units 16 are operable to release and withdraw lengths of strap 18 such that the spreader bars 20 can be raised or lowered as required. For instance, the straps 18 can be lengthened to lower the spreader bars 20 towards a patient reclining on a bed and then wound into the motor units 16 to raise the spreader bars 20 and thus to raise the patient while carried in the sling 34. The motor units 16 are, for this purpose, controlled by a caregiver such as nurse, and are advantageously movable independently of one another so that the patient can be moved to different positions while suspended in the sling 34. For example, the patient can be held in a substantially reclining position as shown in
As explained above, issues arise with seeking to handle patients of different size in a common system, useful for maximising the usage of a patient lift care facility.
One solution which has been proposed is shown in
In
In
It is also known to use two independent spreader bars and two motor units to provide a tilt function, but these can present a limitation with regard to patients who are in the lower spectrum of patient size, in particular with precautions being necessary when using slings intended for smaller patients (both in height and body mass) in a spreader system intended or able to accommodate larger patients. This is especially true for patients who have lack of body tonus. The combination of a small sling and large spreader bar can create a large opening through which a patient can slide, particularly when using the tilting function and when left unattended. This is caused by the fact that the shoulder loops and legs loops of the sling are attached further away than when used with a smaller spreader bar. This can be seen in FIG. 6, in which a spreader bar arrangement 22 designed for larger patients is used with a sling 24 designed for a smaller patient, in which it can be seen that the straps 26 of the sling 24 are spread outwardly, leaving large gaps 30 through which the patient can fall. This can be contrasted with the arrangement of
Examples are shown in
The same system 100 is shown in
The principal components of the system 100 are shown in
A spreader bar assembly 22 is attached to the two straps 112, 114 for supporting a larger patient, with a sling 110 for attachment to the spreader bar assembly 22, in known manner.
Referring now to
The trolley 106 also includes a lower frame member 142 which is attached to the upper frame member 130 by a rotatable coupling 144 of suitable form. Thus, the lower frame member 142 can rotate relative to the upper frame member 130. The lower frame member 142 includes a plurality of suitable attachment points 146 to which a motor unit 102, 104 can be attached. The trolley 106 thus couples the motor units 102, 104 to rail system 108 in a manner which allows the motor units to rotate horizontally, thereby to rotate a patient carried by the ceiling lift system.
Referring now to
The rotary coupling element 144 includes inner and outer concentric rings 150, 152 which are able to rotate relative to one another, having a suitable rotational mechanism therebetween, which may for example be ball bearings disposed within annular channels (an internal channel in the ring 150 and an external channel in the ring 152).
Each ring 150, 152 comprises a plurality of holes therein, which may be threaded bores as appropriate, such that the rings 150, 152 can be fixed to a respective one of the upper and lower plates 130, 142 by suitable bolts. The use of a large diameter rotary connecting element 144 of this nature provides mechanical strength and stiffness to the trolley 106, enabling it to support asymmetrical loads on the trolley 106 which can occur, for example, during single mode use, that is when only one of the motor units 102, 104 is operated. In various embodiments, the trolley unit 106 will be configured to support very substantial loads, for example in excess of 270 kilograms.
The lower case in part 142 also includes upstanding walls and cross-members welded or otherwise fixed thereto, forming a chamber in which the rotary coupling member 144 can reside and which again provides mechanical strength and stiffness to the trolley unit 106. This structure can minimise or prevent deformation of the trolley 106 during asymmetrical loading and also during loading with very heavy patients.
The motor unit fixing elements 146 are, in this embodiment, box sections, again for strength and rigidity.
The trolley 106 has a large footprint, which provides for spread of the load and reduction in deflection forces. It has been found that trolleys having a design of this nature may deflect at their furthest point by a maximum of 5-10 mm under an asymmetrical load of 160 kilograms on one of the motor units and 0 kilograms on the other unit. This enables operating push/pull forces to be below 156 Newtons measured at the end of a spreader bar when rotating a patient supported in the assembly.
The trolley unit 106 can be made of any suitable material, including iron, steel, aluminum and so on.
Referring now to
There are a number of safety conditions which can be verified at step 202. A first condition involves detect, via a suitable load sensor provided in the motor units 102 and 104, that a mass exceeding 12 kilograms is suspended on any of the straps 112 and 114 (via any spreader bar attached thereto) when a request for reconfiguration is made. If such a load has been exceeded, the process is aborted and as a result steps 204 and 206 are not carried out.
Another condition applies during the reconfiguration process when, for instance, an automated motion of winding one of the straps 112, 114 into its respective motor unit is due to occur and the system 1010, via the leading motor unit, detects if: a) the lifted weight increases rapidly (for instance an increase of 3 kilograms in half a second or so) or b) the maximum lifted weight reaches or exceeds a value of around 12 kilograms. Again, the mode switch process is aborted in these circumstances.
It will be appreciated that for these purposes the driven control unit 102 will be provided with processing circuitry, typically including a microprocessor, suitable memory, load sensor and/or position sensor connected to the straps, an input/output interface and other conventional components.
The operation of the unit 100 is depicted in the sequence of steps shown in
The apparatus 100, in the dual mode, would normally have attached thereto a two-strap spreader bar assembly 22 of the type previously described. In operation, in the first stage, a raise or lift button 162 on the hand-held device 160 is pressed for a period, typically at least two seconds, to cause the assembly 100 to raise the spreader bar assembly 22 to a convenient height. It is during this lifting period that the safety condition of the support load is checked.
The spreader bar assembly 22 is then detached from the straps 112, 114 and can be stored in a suitable clip 164 located on a patient cart, support wall or the like.
Once the spreader bar 22 has been removed, as shown in
Finally, as shown in
Referring now to
Referring to the detail of
Next, as shown in
Once the single mode has been selected, the system can exit to the normal mode of operation, in which any further control by the handset 160 will cause only the driven motor 102 to operate, with the leading motor 104 being at rest, or prevented, from operating. As can be seen in
In the first instance, as shown in
Next, as shown in
Once lowered sufficiently, as shown in
With reference now to
In the first instance, as shown in
Once the dual mode has been activated, as shown in
Once the strap 112 has been lowered sufficiently, as shown in
Thus, the system disclosed herein provides a ceiling lift assembly which can be used both in the dual mode and in a single mode, useful for lifting patients of a large range of sizes and weights, which does not inconvenience or put at risk the user or patient, and which is also able to support a patient's weight without undue deformation of any components of the assembly caused by the patient load.
Although the embodiment described uses two separate motor units, it is to be understood that the motor units could be incorporated into the same casing and could also comprise a common motor, that is having two drums driven by the same motor through suitable transmissions. There may also be provided more than two motor units, for instance three or more motor units to have three or more straps, where all three can be used in a combined mode, some can be operated together and the other or others separately, and also in single mode where only one is operated.
All optional and preferred features and modifications of the described embodiments and dependent claims are usable in all aspects of the illustrative embodiments taught herein. Furthermore, the individual features of the dependent claims, as well as all optional and preferred features and modifications of the described embodiments are combinable and interchangeable with one another.
While systems and methods have been described with reference to certain embodiments within this disclosure, one of ordinary skill in the art will recognize that additions, deletions, substitutions and improvements can be made while remaining within the scope and spirit of the invention as defined by the appended claims.
The disclosure in the abstract accompanying this application is incorporated herein by reference.
This application is the United States national phase of International Application No. PCT/CA2015/051197 filed Nov. 17, 2015, and claims priority to U.S. Provisional Patent Application No. 62/080,894 filed Nov. 17, 2014, the disclosures of which are hereby incorporated in their entirety by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2015/051197 | 11/17/2015 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2016/077920 | 5/26/2016 | WO | A |
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