The present disclosure relates to a spreader bar assembly for a ceiling lift tilt system and a patient ceiling lift system including a spreader bar assembly as taught herein.
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 that better address the handling challenges that 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.
The tilting function increases patient comfort and reduces caregiver effort required to transfer a patient. Although this functionality can significantly improve patient comfort, it can lead, particularly for very large patients, to uncomfortable or hazardous situations.
The solution of using two spreader bars in the context of such a system can present, in some circumstances, a risk of user injuries, particularly of the user being hit by one of the spreader bars.
The present disclosure seeks to provide an improved spreader bar assembly for a ceiling lift tilt system and to a ceiling lift system incorporating such a spreader bar assembly. According to an aspect of the present disclosure, there is provided a spreader bar assembly for a ceiling lift tilt system, including: first and second spreader bars, each in the form of a support element having first and second ends, a coupling element being provided at each end; and an extendable connecting structure connected between the spreader bars.
The connecting structure can assist in keeping the spreader bars together and enabling a care giver to manipulate them by holding just one of the spreader bars. In an illustrative embodiment, the extendable connecting structure is connected at a midpoint between the first and second ends of each spreader bar. In an advantageous non-limiting embodiment, the extendable connecting structure has bending rigidity. In practice, this can allow the assembly to be manipulated as a single component.
In an embodiment, the extendable connecting structure has high torsional rigidity. In another embodiment, the extendable connecting structure has low torsional rigidity.
In an illustrative embodiment, the extendable connecting structure is a telescopic bar arrangement formed of at least first and second telescopically arranged members. There is advantageously provided, in an illustrative embodiment, a low friction coupling between the first and second telescopic members. The low friction coupling may allow for low friction movement in a telescopically extending or contracting direction. For this purpose, the low friction coupling may include a plurality of rolling elements disposed in a transverse direction. The low friction coupling between the first and second telescopic members may, in some embodiments, allow for telescopic and rotational movement between the telescopic members. For this purpose, the low friction coupling may include a plurality of spherical rolling elements or a low friction dry bushing, for example.
In an illustrative embodiment, the first and second spreader bars are connected to the extendable connecting structure by hinged links. The hinged links can allow rotation of the spreader bars about the connecting structure in a first axis parallel to an axis between the first and second ends of each spreader bar. The first axis may be a horizontal axis, in which case the spreader bars can pivot or rotate vertically.
In an embodiment, the hinged links prevent rotation of the spreader bars about an axis perpendicular to a second axis between the first and second ends of each spreader bar. The second axis is, in an embodiment, a vertical axis, in which case the spreader bars cannot pivot or rotate horizontally relative to the connecting structure and one another. Advantageously, according to an embodiment, the first and second spreader bars are connected to the connecting structure in a manner preventing or limiting twisting of the spreader bars in a plane in which the spreader bars lie.
In another embodiment, a spreader bar assembly for a ceiling lift tilt system, includes a first and second spreader bars, each configured as a support element having first and second ends, a coupling element being provided at each end; and a rigid connector extending between and connecting the first and second spreader bars, wherein the connector secures the first and second spreader bars to one another so as to substantially restrict independent rotational movement of the spreader bars with respect to one another in at least one direction.
According to another aspect of the present disclosure, there is provided a 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, wherein each motor unit is 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; and a spreader bar assembly including first and second spreader bars, each in the form of a support element having first and second ends, wherein a coupling element is provided at each end, and an extendable connecting structure connected between the spreader bars.
In accordance with an embodiment, the extendable connecting structure is connected at a midpoint between the first and second ends of each spreader bar and is a telescopic bar arrangement formed of at least first and second telescopically arranged members.
Advantageously, in an illustrative embodiment, the first and second spreader bars are connected to the extendable connecting structure by hinged links allowing rotation of the spreader bars about the connecting structure in a first axis parallel to an axis between the first and second ends of each spreader bar and preventing rotation of the spreader bars about an axis perpendicular thereto. It is to be understood that the motor units are preferably but not necessarily separate components. They may in some instances share a common casing, in which each motor unit will include a motor and a drum, which are independently operable relative to one another.
Illustrative embodiments provide a spreader bar assembly, which includes first and second spreader bars and a coupling member, which extends between the two spreader bars and holds them together. The spreader bars are pivotally coupled to the connecting member and are able to pivot with respect to the connecting member in a single direction only. The connecting member is, in an embodiment, a telescopic structure with a rod and cylinder and is able to extend and contract in length. It is preferred also that the rod and cylinder of the spreader bar can rotate relative to one another, which enables the spreader bar assembly to accommodate loading differences from one side of a spreader bar to the other. The structure enables two spreader bars to be manipulated together, reducing the risk of injury to a patient or caregiver.
Other features and aspects of the disclosure herein will become apparent from the disclosure of illustrative embodiments, which follows.
Embodiments of the present invention 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 wind and unwind 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 18 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
The use of two spreader bars 20 can, in some instances, hurt or injure the user. For example, when the caregiver is trying to attach the patient sling to the spreader bars, it is a challenge to keep control over both spreader bars while at the same time operating the ceiling lift system. This can result in the second spreader bar hitting the patient or the caregiver. Moreover, when initiating a patient lift operation, it has been observed that in some cases' the load (direction and magnitude) supported by each hook of the leg spreader bar may be uneven, which can lead to uncontrolled movement if left unattended, particularly of rotation of the spreader bar around the vertical axis passing through the strap, which connects the spreader bar to the associated motor unit. This can cause the spreader bar to hit the caregiver or patient.
Referring now to
Projecting horizontally from each spreader bar is a hinge coupling 64, 66, which in one embodiment may comprise two spaced sideways extending flanges having a pair of holes therein for receiving a hinge rod or pin. Disposed between and connecting the two spreader bars 52, 54 together is a connector 70 which secures the spreader bars 52, 54 to one another and substantially prevents torsion and rotation of the spreader bars 52, 54 with respect to one another and with respect to the longitudinal axis of connector 70 in the direction best shown in
The cylinder element 74 has a similar hinge coupling 82 at the end opposite that of the rod 72 and which may have a similar structure and arrangement as the coupling 76 of the rod element 72, for receiving hinge bolt 84. In this manner, the spreader bars 52, 54 are connected to the connecting structure 70 in such a manner that the spreader bars can pivot around their respective hinge joints in the direction of the arrows 90 and 92. This allows the spreader bars 52, 54 to be disposed at different heights as will be explained below in further detail.
The telescopic connector structure 70 also includes a bushing 100 which holds the cylinder 74 to the rod 72 and in a manner in which the rod 72 can at least slide longitudinally within the cylinder 74, in the longitudinal direction of the connecting element 70. In illustrative embodiments, the rod 72 can also rotate within the cylinder 74, as described in further detail below. Longitudinal displacement is shown by the arrow 102.
The cylinder 74 may include an end stop 104 to limit the extent to which the rod 72 can be pushed into the cylinder 70, and which may usefully be made of a rubber or elastomeric material. There is also provided a stop ring or washer 106 attached to the distal end of the rod or shaft 72, and which in practice prevents the shaft 72 from being pulled completely out of the cylinder element 74. This could usefully be fixed to the end of the rod 70 by a suitable circumferential groove in the rod, by pins or by any other mechanism or bonding.
In the configuration shown in
The structure of connector element 70 allows the distance between the two spreader bars 52 and 54 to be increased in the horizontal direction, along the X axis as depicted in
All of the components of the connecting element 70, that is the cylinder 74, the bushing 100 and the rod 72, are, in an embodiment, all of circular cylindrical shape. The rod 72 can be made from anodized aluminium and the bushing 100 of a polymer in order to minimise friction. The low friction coupling between the rod 72 and the cylinder 74 allows the connector 70 to lengthen and shorten readily by external influences, such as forces generated by the lifting motors, the size of the sling attached to the spreader bar assembly 50, the size of the patient and so on. It also enables the caregiver to alter the distance between the spreader bars 52, 54 readily in order to accommodate different size patients and different sling sizes.
The angle of pivot or tilt of the spreader bars 52, 54 relative to the connecting member 70 is, in an embodiment, limited in order to avoid the risk of a user trapping his or her fingers between the spreader bar and the connecting member. Suitable stop elements to restrict the angle of tilt will be readily apparent to the person skilled in the art. The ability of the spreader bars 52 and 54 to rotate around the X axis ensures that torsion torque is not transmitted through the connecting member 70 between the two spreader bars 52, 54, which may be generated during uneven loading on one or both of the spreader bars.
Referring now to
Furthermore, the head end spreader bar 52 is at a greater height relative to the foot spreader bar 54, made possible by the fact that the connecting structure 70 is pivotally connected to the spreader bars 52, 54, as explained above in connection with
The operator 122 is able to manipulate the assembly 50 by handling just one of the spreader bars 52, 54, with the coupling element 70 causing the spreader bars 52, 54 to act as a single unit and as a result to stop any independent movement or inadvertent swinging of the other spreader bar, which might hit the caregiver 122 or patient 110.
Referring now to
Referring now to
Referring now to
Referring now to
It will be appreciated that the bearing 160 allows free, that is low friction, sliding of the rod 72 within the bushing 60 and, therefore, in and out of the cylinder 74. The friction between the rollers 162 and shaft or rod 72 is preferably low enough to allow rotation, but high enough to provide for rolling of the rollers 162 during contraction/extension of the rod 72. It is not excluded, though, that high friction rollers 162 could be used in some embodiments.
Referring now to
The skilled person will appreciate that the bushing 100 could, in other embodiments, be disposed in abutment with and attached to the end of the cylinder 74, rather than being within the cylinder.
All optional and preferred features and modifications of the described embodiments are usable in all aspects of the disclosure taught herein. Furthermore, the individual features of the various embodiments, as well as all optional and preferred features and modifications of the described embodiments, are combinable and interchangeable with one another.
The disclosure in the abstract accompanying this application is incorporated to herein by reference.
While systems, apparatuses 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.
This application is the United States national phase of International Application No. PCT/CA2015/051201 filed Nov. 17, 2015, and claims priority to U.S. Provisional Patent Application No. 62/080,870 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/CA2015/051201 | 11/17/2015 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2016/077924 | 5/26/2016 | WO | A |
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