1. Field of the Invention
This invention relates to a serious problem where certain patients in behavioral health care facilities or psychiatric institutions try to commit suicide by hanging themselves with cords or other items looped over the handles or knobs of doors to their rooms. This invention relates to methods and apparatus seeking to prevent such attempted suicides.
2. Background and Prior Art
It is known that certain patients in institutions try to commit suicide by various different means. Reasons for such behavior are complex and not the subject of the present invention; however, significant numbers of attempts do occur, and significant numbers of patients are committed into these institutions for the very reason that they are known to be candidates for suicide attempts and these institutions are supposed to be environments for treatment of these and other problems and for prevention of patients from achieving suicide.
While the methods employed for the attempted suicides vary with the available environment and creativity of the patients, the present invention is concerned with attempts by hanging with a cord, belt or other item with the near or proximal portion of the cord wrapped around the door knob, lever or other handle of a door. The distal or remote end of the cord, belt or other item on the interior side of the door is formed into the suicidal noose and then either draped over the door to the far side door knob or handle, or, if short, the patient attempts suicide by dropping down to the floor from the doorknob, lever or other handle on either side of the door.
In typical psychiatric institutions the patients' activities, as regards personal safety and behavior in general, are monitored carefully by staff; however, it is also common for patients to have private rooms with unlocked doors for them to come and go generally as they please. It is in these kinds of situations where a patient has periods of relative privacy and domain over his or her door, when a suicide attempt can be made without immediate awareness of institution staff and with enough time for the suicide to be successful before staff action can be taken. For various reasons there are surprisingly high numbers of attempted and successful suicides in psychiatric institutions that are not generally publicized or known, but administrators of these institutions are quite aware and concerned. The present invention addresses these tragedies and presents a practical apparatus believed to be able to significantly reduce the problem on a nationwide basis.
The present invention will be described herein as it functions within the known protocols of “Passage Mode” and “Classroom Mode” door lock systems. In Passage Mode the door lock is set so that a person can exit a room by pushing down on the interior side lever, and a person can enter the room by pushing down on the exterior side lever. In Classroom Mode the door lock is set differently so that a person inside the room can exit by pushing down on the lever; however, the lockset can be set to function by use of a lever, button, turn piece or key lock feature, in either (a) “Classroom (Locked) Mode” where pushing down on the exterior side lever will not open the door, to prevent patients from entering rooms without supervision, or (b) Classroom (Unlocked) mode which is like the above mentioned Passage Mode. These Passage and Classroom Mode protocols are continued in the present invention, as will be apparent herein and as are further illustrated in the attached Appendix A.
A first object of the present invention is to provide a method and apparatus to counter-act suicide attempts and thus to reduce the incidence of successful suicides in psychiatric hospitals and mental health wards, particularly regarding suicide attempts by hanging with a cord draped by a patient over the door in his or her room, with the distal or remote end of the cord tied or otherwise secured to the door lever or door knob on the exterior side of the door. Classroom Mode (Locked) is used to prevent patients from entering rooms without supervision. This object similarly concerns counter-acting suicide attempts by a patient who attaches a cord to the lever on either side of the door and attempts suicide by applying the noose and dropping down to the floor.
A further object of this invention is to install on a patient's door a new “Anti-Ligature Lever Latch Lock” or “A4L”, which will be resistant to a patient's suicide attempts to use a cord or ligature draped over the door and tied to a door lever or turn piece on the exterior or interior side of the door.
An additional object is to provide a new A4L system that is ADA-compliant, namely compliant with the Americans With Disability Accessibility Guidelines (“ADAG”).
Another object is to provide an ADA-compliant A4L lock system designed to function with conventional mortise latch lock or cylindrical latch lock openings in widely used conventional doors, as applied to both newly constructed doors and as a retrofit applied to doors already installed and in use.
A still further object is to provide a lock set which functions optionally in Passage Mode, Classroom Mode (Locked), and Classroom Mode (Unlocked). One preferred mechanism for Classroom Mode (Locked) is a keyed mechanism to decouple the lever from the latch engagement mechanism so that pivoting the external side lever will not open the door.
A still further object, in regard to any suicide attempt where the ligature is tied to said handle, is to provide an ADA-compliant A4L lock system where the escutcheon is conical and the proximal or shank portion of the lever/handle is coupled to the escutcheon and continues the conical shape in a smooth junction that will enhance the tendency of a ligature to slide down the conical escutcheon and off the conical shank of the handle/lever.
An additional object herein is to provide an A4L lock body which is operable in both of the earlier described Passage and Classroom Modes, as explained herein.
(A) In Passage Mode the lever can be pushed downward against normal spring and friction resistance from both interior and exterior sides of the door to open said door, and the lever can be pivoted upward freely on both interior and exterior sides with no or only minimal resistance. A ligature tied to the exterior or interior side lever and pulled upward in a suicide attempt, will slide off the lever, since this lever pivots freely upward and downward and will offer no resistance to the ligature.
(B) In Classroom Mode (Locked) a person can push the interior side handle downward to leave the room; however, on the exterior side the lever will not retract the latch, so that a person cannot enter without release of the lock by someone inside or by a person outside with a release key. In this Classroom Mode an unauthorized person cannot enter the room, and that includes the patient when such patient is expected to be out the room and in a different specified location; however, in Classroom Mode (Locked) and (Unlocked) the interior and exterior levers are freely pivotable upward and downward, so that the anti-ligature protocol remains in force and protection against suicide by a cord tied to either lever is prevented, even though the door is in “Locked” Mode.
In one preferred embodiment the door's mortise lock body has special properties and/or the spindle has special properties to allow the lever to move freely at all times in Classroom Mode (Locked), where the spindle will not engage the latch in this mode.
A further object of the present invention is to provide for the door latch lock mechanism a lever having shape and contours to induce any ligature looped by a patient over or onto the lever to readily slide off and thus defeat the suicide by hanging attempt. To that end, the new lever comprises a truncated conical escutcheon part and a lever having a rounded or cap-like hub part and a transversely extending handle where a smooth uninterrupted surface is established along the side of the escutcheon and its function with the hub of the handle.
In a preferred embodiment, the base of the hub part has a circumferential edge essentially the same as the top edge of the escutcheon so that the function is smooth and uninterrupted on the outwardly exposed surfaces as illustrated in the appended drawings. A further feature in this preferred embodiment is the transverse extension of the handle of the top portion of the curved hub part to further establish the continuous exposed surface and junction of the hub and handle with absence of any projections or edges on which the ligature could catch. In the preferred embodiment shows the escutcheon having conical walls extending at an angle of about 55° from the plane of the base of the escutcheon and the hub curvature is generally hemispherical; however, variations of the incline of the escutcheon walls and if the hub curvature are possible, so long as the ligature will readily slide off the lever.
The present invention relates particularly to apparatus to automatically respond to attempted suicide and efforts to prevent it from succeeding. The apparatus described herein would immediately release the distal end of the cord and defeat the suicide attempt.
An additional object of the present invention is to provide the above described apparatus in a form that can be installed in standard doors used in a great many buildings and commonly used in psychiatric institutions, where installation can be easily done doors where standard preparations have been made in factories at time of initial manufacture and also as a retrofit onto existing doors wherever they may be.
It is a further object that such installation be simple and reasonable in cost and reliable in use. It is expected that the retrofit procedure will be quite easy, since common commercial and institution building doors have relatively standard size door preparation for the components of door levers, shanks and related mechanisms, which components can be readily removed and replaced with a substitute A4L subassembly.
An additional object is to provide apparatus that is non-obtrusive so that it will not attract the patient's attention, while still being esthetically attractive.
These and other advantages of the invention will be further understood and appreciated by those skilled in the art by reference to the following written specification, claims and appended drawings.
The present invention is further defined by the following structures:
1. A lever latch lock assembly installable in a door having interior and exterior sides, said assembly when installed in a door, comprising:
2. A lever latch lock according to the structure “1” referred to above in Par. No. 0023 wherein said hub includes an axial recess extending in the direction of said bottom to said top thereof, and said spindle end is extended into said recess and keyed to rotate therewith.
3. A lever latch lock assembly according to the structure “1” referred to above in Par. No. 0023 wherein said hub part of said lever and said escutcheon have a common central axis.
4. A lever latch lock assembly according to the structure “1” referred to above in Par. No. 0023 wherein said escutcheon walls are inclined at about 55 degrees from the plane of the base of the escutcheon.
5. A lever latch lock assembly according to the structure “1” referred to above in Par. No. 0023 wherein said elongated handle part extends along a plane that defines an angle of about 91 degrees with said spindle axis and is inclined away from said door surface.
6. A lever latch lock assembly according to the structure “1” referred to above in Par. No. 0023 wherein said levers on said interior and exterior sides of said door can pivot from a generally horizontal rest position downward or upward, and said transmission is adapted so that either of said interior and exterior side levers can always freely pivot upwardly when pulled upward, and said transmission will engage said lock bolt to allow said door to open when said transmission is selectively directed to do so.
7. A lever latch lock assembly according to the structure “1” referred to above in Par. No. 0023 wherein said transmission means has:
(a) a Classroom Unlocked Mode where said exterior side lever is pivotable from said rest position downward which will move said lock bolt and open said door, and said lever is freely movable upward to an “anti ligature latch lock” release position, and
(b) a Classroom Locked Mode where said lever is pivotable from its rest position downward which will not open said door and is freely movable upward to said “anti ligature latch lock” release position.
8. A lock assembly according to the structure “7” immediately above wherein said transmission has a Passage Mode where movement of said lever downward in said Passage Mode lever on either interior or exterior side of said door will engage said transmission and move said bolt to open said door.
9. A lock assembly according to the structure “7” immediately above wherein movement of said lever upward in said Passage Mode will not move said bolt.
10. A lock assembly according to the structure “1” referred to above in Par. No. 0023 [see claim 2] wherein said transmission further comprises a switch movable between a first position Passage Mode which allows said lever to move downward without moving said bolt to its open state, and a second position for said Classroom Locked Mode which allows said lever to move downward to move said bolt to its open state.
11. A combination door and lever latch lock assembly installed therein, said door having interior and exterior sides, comprising:
12. A lever latch lock assembly installable in a door having interior and exterior sides, said assembly when installed in a door, comprising:
While the invention has been described in conjunction with several embodiments, it is to be understood that many alternatives, modifications, and variations will be apparent to those skilled in the art in light of the foregoing description. Accordingly, this invention is intended to embrace all such alternatives, modifications, and variations which fall within the spirit and scope of the appended claims.
The present invention is designed to defeat such an attempted suicide with an automatic decoupling and release of the distal end 20A of the ligature 20 from the exterior side door lever 10A, 11, 11A when suicide is attempted on the interior side. The invention further includes an optional keyed operation to alter the door latch mechanism from Classroom (Locked) to Classroom (Unlocked) Mode, although the Lever in both modes the Anti-Ligature Release arrangement is maintained.
The Anti-Ligature Release System
Switching The Door Latch Mechanism from Classroom (Locked) to Classroom (Unlocked) Modes.
Numerous mechanisms are known for allowing levers on interior and exterior sides of a door to selectively engage the latch bolt to open the door or to pivot without engaging the latch bolt, or to be barred from turning. The mechanism illustrated in
The switch mechanism is adapted to drive collar 33 between Position A (See
Between the left and right side portions of collar 33 is recess 33G to serve as clearance to separate right and left side portions 33L and 33R when switching between positions A and B. In the surface of the right side portion is a shallow groove 39 to be described later.
When collar 33 is shifted to the left as seen in
When collar 33 is shifted axially to the right side Position B seen in
As noted earlier, numerous other lever-engaging mechanisms including cam/follower or spring arrangements or variations of the one shown herein are possible to achieve Position A (lever disengaged) and door locked against entry by a patient, and Position B (lever-engaged) to allow entry from the exterior side, only as allowed by a staff person, and to simultaneously maintain the Anti-Ligature Lock Release capability of the door lock system on both sides.
Also shown in
The sequence of stages of an attempted hanging suicide are illustrated in
In
In Passage or Classroom (Unlocked) Modes persons on both interior and exterior sides of door 12 can unlatch and open door 12 by pushing downward on the respective interior or exterior side levers, and levers on both sides remain pivotable freely upward to defeat a suicide attempt.
The present invention provides a still further mode, herein called privacy mode, where the latch bolt assembly is switched via a key in a lock by a staff person, to bar entry from the exterior side 12B, while allowing exit from the interior side 12A, and retaining the upward release condition of levers on both the exterior side and the interior side to defeat a ligature suicide attempt. In “Classroom (Locked) Mode” the lock assembly is altered so that bolt 16 (or an optional drive element coupling the spindle transmission and the bolt 16) in a conventional lock assembly not shown, is disengaged from the door lever spindle 31, which thus bars opening the door from downward pivot of the lever from the exterior side 12B. At any subsequent time a staff person can, with a key 36 or other simple device such as a coin used in a non-lockable cylinder, switch the bolt's switch or cam element 38 coupled to collar 33 which is coupled to spindle 31 so that unlatching door 12 from the exterior side 12B is again possible.
In Passage Mode the exterior side lever 11 can be pushed downward where it will overcome normal spring and friction resistance and open the latch bolt 16, or it can be pivoted upward by ligature 20 where it will pivot freely with minimal resistance. When the lever is pivoted upward the distal part 20A of any ligature 20 looped about or tied to lever 11, will slide off quickly because of the conical taper of the escutcheon 10A and of the lever hub 11A, which together include smooth continuous or seamless surfaces and no edges that would restrain ligature 20 from sliding off. Thus, in Passage Mode a person on the outside can push lever 11 downward to open door 12 and enter the room; however, lever 11 is freely pivotable upward which will defeat a suicide attempt from a ligature tied to the exterior side lever. Any downward pivoting of a lever by a ligature tied thereto on either side of the door will also release a ligature hanging downward from such lever because of the unique shape of the lever, described in detail below.
In the Classroom (Unlocked) Mode the levers on the exterior and interior sides 11, 32 are the same as above in Passage Mode; however, in Classroom (Locked) or Lever-Disengaged Mode, on exterior side 12B, lever 11 is freely pivotable downward where it will not open the door, so that persons cannot enter without admission by a person inside or by a person with a key on the outside. The lever 11 remains freely pivotable upward to not violate the Anti-Ligature safety condition or protocol. One can use a cylinder on either side to set the Mode or an anti-ligature turnpiece apparatus on the interior side to set the Mode. On the interior side the lever will always pivot downward in Lever-Engaged Mode to open the door for egress by the patient or anyone in the room.
The opposite side spindle segment 43 has a similar square shank 47 and an axially spaced reduced diameter part 48. Collar 49 is formed of left part 49L secured by screw 49× to spindle segment 41, and right part 49R which is slidable between its left position seen in
As seen in
Spring 49T urges outside spindle segment 43, and spring 49S urges inside spindle 41 inward to the lock mechanism. Stops are provided to stop each of said spindles from moving too far inward. The stops not shown may be small pins extending perpendicularly through and extending beyond the spindle body at selected axial locations.
The mechanism to move collar part 49R from Position A (lever-disengaged) to Position B (lever-engaged) is a lever 51 driven via lock 52 operated with key 53 by a staff person. Lever 51 drives collar part 49R between its respective positions. When collar part 49R is in Position B (lever engaged) and is rotated (as seen in
Where the latch bolt is normally spring-biased to engage the strike plate, cam 54 drives the latch bolt to disengage from the strike plate. When the cam and collar are disengaged from the spindle segment 43, rotation of lever 42 will not open the door, this being the Lever-Disengaged Classroom (Unlocked) Mode. In the lock assembly shown collar, part 49R is moved by the key-lock cylinder 52 and its lever or cam 51. The inside and outside levers are designed to always defeat suicide attempts by a ligature looped over the door and pulling upward, or by a ligature hanging directly down from the lever.
In both embodiments shown above the shape and orientation of the lever and of the coupled escutcheon are significant components alone or in combination with these lock assemblies, in defeating attempts of ligature suicide.
The escutcheon 61 shown has generally straight side walls 64 forming a truncated cone at 55° from the horizontal base; however, the truncated escutcheon could have straight walls of a different angle or curved walls as in an egg or hemispherical shape, so long as the walls were sufficiently steep and the lever's outer surface 63 flows smoothly into the top area 63 of the escutcheon 61 forming a smooth continuous surface off which a ligature will easily slide.
The invention herein covers a) the new anti-ligature releasable door lever assembly installable in a door, b) the combination of this assembly with a door, c) the conical escutcheon and lever sub-combination, and d) the method of applying these concepts for anti-ligature releasable door operation.
Although the best mode for carrying out the present invention has been described in the foregoing detailed description and illustrated in the accompanying drawings, it will be understood that the invention is not limited to the embodiments enclosed, but is capable of numerous rearrangements, modifications and substitutions of steps and elements without departing from the spirit of the invention. Accordingly, the present invention is intended to encompass such rearrangements, modifications and substitutions of steps and elements as falls within the scope of the appended claims.
_Lever freely pivots up
_Lever freely pivots Up
Lever retracts bolt to
Lever retracts bolt to permit entry
_Lever freely pivots Up
_Lever freely pivots Up
Lever retracts bolt to
Lever decoupled from bolt by use of
_Lever freely pivots Up
_Lever freely pivots Up
Lever retracts bolt to
Lever retracts bolt to permit entry
_Lever freely pivots Ip
_Lever freely pivots Up
Lever retracts bolt to
Lever decoupled from bolt, but lock
This application claims priority under 35 U.S.C. §119, 120 based upon applicant's Provisional Patent Application Ser. No. 61/197,887, filing date of Oct. 31, 2008.
Number | Name | Date | Kind |
---|---|---|---|
4646 | Ires | Jul 1846 | A |
738096 | Caley | Sep 1903 | A |
1164849 | Nilsen | Dec 1915 | A |
1357892 | Nelson | Nov 1920 | A |
1463341 | Somers | Jul 1923 | A |
1568567 | Myers | Jan 1926 | A |
1582189 | Nicholson | Apr 1926 | A |
1764945 | Flynn | Jun 1930 | A |
1876654 | Floraday | Sep 1932 | A |
2163101 | Newton | Jun 1939 | A |
2165534 | Brown | Jul 1939 | A |
2459920 | Clark | Jan 1949 | A |
2776161 | Gurski et al. | Jan 1957 | A |
3345103 | Parkin et al. | Oct 1967 | A |
4236396 | Surko et al. | Dec 1980 | A |
4841754 | Jones | Jun 1989 | A |
6062616 | Smolarski | May 2000 | A |
6351976 | Chen | Mar 2002 | B1 |
6463630 | Howie, Jr. | Oct 2002 | B1 |
6691538 | Yang et al. | Feb 2004 | B1 |
7219519 | Shen | May 2007 | B1 |
20100013248 | Keller | Jan 2010 | A1 |
20100072762 | Marks | Mar 2010 | A1 |
20110120024 | Shilts | May 2011 | A1 |
Number | Date | Country | |
---|---|---|---|
20100126239 A1 | May 2010 | US |
Number | Date | Country | |
---|---|---|---|
61197887 | Oct 2008 | US |