In the prior art, specialized cushions and mattresses for preventing decubitus ulcers are known. The cushions or mattresses, particularly air cell cushions or mattresses, are implemented in a variety of applications, such a wheelchairs, seats and beds. The cushions have various designs but generally are inflated with air to lift the person resting upon the cushion. One representative embodiment of an air cell cushion is disclosed in U.S. Pat. No. 4,541,136, which is incorporated herein by reference.
In many instances, the cushion is divided into zones, which may be separately inflated to different pressures in order to provide comfort and/or support to different areas of the body. A representative embodiment of such a zoned cushion and valve is disclosed in U.S. Pat. No. 6,564,410, which is incorporated herein by reference. To avoid decubitus ulcers, the cushion is set to a pressure that provides optimal immersion of the person within the cushion.
Optimal immersion occurs when the cushion is not so under-inflated that the person “bottoms out”, i.e. their body is supported directly by the chair or bed, rather than being directly supported by the cushion of air, but not so over-inflated that the surface area of the cushion area supporting the body is small and hard, such that the pressure per unit area exerted upon the body is high. Optimal immersion allows the spreading of pressure over a greater area of the anatomy to prevent pressure sores. One method of positioning and seating of the patient is provided in U.S. Pat. No. 6,564,410. In the past, there was no precise way to know whether the person being supported was at the proper immersion level.
Additionally, changing g-forces applied to the person or environment changed the proper pressure within the cushion to achieve proper immersion. Moreover, for elderly people or people suffering from loss of feeling in areas of the body supported by the cushion, the person could not give feedback to an assistant as to whether they were properly immersed in the cushion. The present invention solves this problem by providing a simple, cost-effective and precise method and apparatus for providing feedback as to the current immersion of the person within the cushion such that the appropriate pressure may be maintained within the cushion to provide the appropriate immersion depth.
One aspect of the invention is an immersion sensor that is positioned under a cushion or mattress so as to indicate when a patient resting on the cushion or mattress is properly immersed in the cushion or mattress to optimally relieve pressure on the patient's body.
In one aspect of the invention, the sensor comprises a base having a conductive area in an appropriate configuration relative to the area of the patient's anatomy that will be contacting the cushion. For example, the conductive area of the base can be optimally configured to correspond to the bony prominences of the buttocks or ischia position on an air cell cushion. There are electrodes connected to the conductive area and generate an electromagnetic field of a predetermined configuration. As the patient is positioned on the cushion, there is a disturbance of the electromagnetic field. That data is transmitted to a indicator so that an observer can determine if the patient is appropriately immersed in the cushion.
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It will be appreciated that the pattern of the conductive area, electrodes and resulting electromagnetic field can be adapted to conform to use. For example, a different pattern would be used for a mattress or a cushion placed under the heels of the patient. The pattern shown in the drawing is illustrative for a seat cushion, but should not be considered limiting.
It will be appreciated that the circuitry could be included in a closed loop system so that feedback to a pump could be used to change the inflation of the cushion based upon changes in the electromagnetic field.
It also will be appreciated that the change in electromagnetic field can be used to detect physiological changes, such as body temperature, weight, and so forth, with the detected changes being converted to electronic signals sent to appropriate visual or auditory indicators.
This application claims the benefit of provisional patent application Ser. No. 60/547,117, filed Feb. 24, 2004, which is incorporated herein by reference.
Number | Date | Country | |
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60547117 | Feb 2004 | US |