The present specification generally relates to person lifting apparatuses and, in particular, using sensors with person lifting apparatuses for determining types of lifting events.
Person lifting apparatuses, such as overhead lifts are often used to transport patients for any number of reasons. For example, overhead lifts may operate like a winch and include a lift motor and a lift drum that is driven by the lift motor. A lift strap may be coupled to the lift drum for lifting and lowering a patient when the drum is rotated and the lift strap is either wound up onto the lift drum or paid out from the lift drum. A sling bar device may be connected to an end of the lift strap. The sling bar device may include a load hook that connects to a patient lift sling.
The overhead lifts may be used for any number of repositioning, lifting and transporting events. It can be difficult to remotely determine a type of lifting event that occurs using the overhead lifts. For example, lifting events may be documented and then accessed to determine a type of lifting event after the lifting event has already occurred. What is needed is an automated process for determining types of lifting events.
In a first aspect A1, a method of determining a lifting event of a person lifting apparatus is provided. The method includes receiving one or more of (i) current load information from a current measuring device that is indicative of current drawn by an actuator operatively connected to a lifting strap of the person lifting apparatus; (ii) strap position information from a position sensor that is indicative of a paid out length of the lifting strap of the person lifting apparatus; and (iii) weight information from a weight sensor that is indicative of a load supported by the lifting strap of the person lifting apparatus. A computing device comprising a processor using logic is used to identify at least one of a raising event, a repositioning event and a lowering event based on the one or more of the current load information, strap position information and weight information.
A second aspect A2 includes the method of the first aspect A1 further including receiving current load information from the current measuring device. The computing device is used to identify the at least one of the raising event, the repositioning event and the lowering event based on the current load information.
A third aspect A3 includes the method of the first aspect A1 or the second aspect A2 further including receiving strap position information from a position sensor. The computing device is used to identify the at least one of the raising event, the repositioning event and the lowering event based on the strap position information.
A fourth aspect A4 includes the method of any one of the first-third aspects A1-A3 further including receiving weight information from the weight sensor. The computing device is used to identify the at least one of the raising event, the repositioning event and the lowering event based on the weight information
A fifth aspect A5 includes the method of any one of the first-fourth aspects A1-A4 further including receiving acceleration information indicative of an acceleration of the person lifting apparatus. The computing device to identify at least one of the raising event, the repositioning event and the lowering event based on the acceleration information
A sixth aspect A6 includes the method of any one of the first-fifth aspects A1-A5 further including receiving weight information from a weight sensor indicative of weight on the lifting strap and saving the weight information in the memory. Acceleration information is received that is indicative of an acceleration of the person lifting apparatus and saving the acceleration information in the memory. The computing device is used to identify the at least one of the raising event, the repositioning event and the lowering event based on the weight information and the acceleration information.
A seventh aspect A7 includes the method of any one of the first-sixth aspects A1-A6 further including receiving a signal from a proximity sensor indicative of location of the person lifting device. The computing device is used to identify the location of the person lifting device.
An eighth aspect A8 includes the method of any one of the first-seventh aspects A1-A7 further including communicating information indicative of the at least one of the raising event, the repositioning event and the lowering event to another computing device using a network.
In a ninth aspect A9, a method of determining a lifting event of a person lifting apparatus is provided. The method includes receiving strap position information from a position sensor that is indicative of a paid out length of the lifting strap of the person lifting apparatus. A computing device comprising a processor using logic is used to identify a lifting event based on the strap position information.
A tenth aspect A10 includes the method of aspect nine A9 including using the computing device to identify each of a raising event, a repositioning event and a lowering event based on the strap position information.
An eleventh aspect A11 includes the method of aspect nine A9 or aspect ten A10 including using the computing device to identify each of the raising event, the repositioning event and the lowering event based on the current load information, the weight information and the acceleration information.
A twelfth aspect A12 includes the method of any one of the ninth-eleventh aspects A9-A11 further including communicating information indicative of lifting event to another computing device using a network.
In a thirteenth aspect A13, a person lifting system includes an overhead rail that is secured to a ceiling of a room. A person lifting apparatus is movably connected to the overhead rail. The person lifting apparatus includes a lifting strap and an actuator operative coupled to the lifting strap for raising and lowering the lifting strap. The person lifting apparatus further includes at least one of (i) a current measuring device configured to provide current load information to a computing device; (ii) a position sensor configured to provide strap position information that is indicative of a paid out length of the lifting strap to the computing device; and (iii) a weight sensor that is configured to provide weight information that is indicative of a load supported by the lifting strap. The computing device includes a processor using logic saved in memory that, when executed by the processor: receives at least one of the current load information, the strap position information and the weight information; and identifies at least one of a raising event, a repositioning event and a lowering event based on the at least one of the current load information, the strap position information and the weight information.
A fourteenth aspect A14 includes the person lifting system of aspect fourteen A13, wherein the computing device: receives the current load information; and identifies the at least one of the raising event, the repositioning event and the lowering event based on the current load information.
A fifteenth aspect A15 includes the person lifting system of the thirteenth aspect A13 or the fourteenth aspect A14, wherein the computing device: receives the weight information; and identifies the at least one of the raising event, the repositioning event and the lowering event based on the weight information.
A sixteenth aspect A16 includes the person lifting system of any one of the thirteenth-fifteenth aspects A13-A15, wherein the computing device: receives the weight information; and identifies the at least one of the raising event, the repositioning event and the lowering event based on the weight information.
A seventeenth aspect A17 includes the person lifting system of any one of the thirteenth-sixteenth aspects A13-A16, wherein the computing device: receives acceleration information indicative of an acceleration of the person lifting apparatus; and identifies at least one of the raising event, the repositioning event and the lowering event based on the acceleration information.
An eighteenth aspect A18 includes the person lifting apparatus of any one of the thirteenth-seventeenth aspects A13-A17, wherein the computing device: receives a signal from a proximity sensor indicative of location of the person lifting device on the overhead rail; and identifies the location of the person lifting device.
A nineteenth aspect A19 includes the person lifting apparatus of any one of the thirteenth-eighteenth aspects A13-A18, wherein the computing device identifies a floor rescue based on the current load information.
A twentieth aspect A20 includes the person lifting device of any one of the fourteenth-nineteenth aspects A14-A19, wherein the computing device communicates information indicative of the at least one of the raising event, the repositioning event and the lowering event to another computing device using a network.
Additional features of the person lifting apparatuses and methods for operating the person lifting apparatuses described herein will be set forth in the detailed description which follows, and in part will be readily apparent to those skilled in the art from that description or recognized by practicing the embodiments described herein, including the detailed description which follows, the claims, as well as the appended drawings.
It is to be understood that both the foregoing general description and the following detailed description describe various embodiments and are intended to provide an overview or framework for understanding the nature and character of the claimed subject matter. The accompanying drawings are included to provide a further understanding of the various embodiments, and are incorporated into and constitute a part of this specification. The drawings illustrate the various embodiments described herein, and together with the description serve to explain the principles and operations of the claimed subject matter.
Reference will now be made in detail to embodiments of person lifting apparatuses and methods of operating the same, examples of which are illustrated in the accompanying drawings. Whenever possible, the same reference numerals will be used throughout the drawings to refer to the same or like parts. One embodiment of a person lifting apparatus is schematically depicted in
As two lift actuators and associated lift straps are used by the person lifting apparatuses, monitoring of the conditions of one of the lift actuators relative to the other of the lift actuators may be desired. For example, if one of the lift actuators is pulling much more current than the other of the lift actuators under operating conditions, an imbalance condition may be present. As will be described herein, the imbalance condition may be indicative of patient orientation as current draw can indicate load on the lift actuator due to patient position and weight distribution in a patient lift sling, as an example. As used herein, the terms “current draw” and “draw current” are used interchangeably to refer to an amount of current being provided by a power source under loading conditions. Various embodiments of person lifting apparatuses and methods for operating the same will be described herein with specific reference to the appended drawings.
Referring to
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As can be seen in
The lifting straps 18 and 20 may release from the drums 66 and 68 at points P1 and P2 where the lifting straps 18 and 20 are substantially tangent to their respective drum 66, 68. The lifting straps 18 and 20 are then directed over spacing rollers 74 and 76 that are spaced horizontally from the points P1 and P2 and offset horizontally from the drums 66 and 68 thereby increasing a horizontal spacing between the lifting straps 18 and 20 as they release from their drums 66 and 68 at points P1 and P1 to points P3 and P4 where they release from their spacing rollers 74 and 76. By the spacing rollers being “offset horizontally” from the drums, it is meant that a centerline of the spacing rollers is offset horizontally from a centerline of the drums. The points P3 and P4 may be spaced apart horizontally a predetermined distance D1, such as between about 10 inches and about 30 inches. The predetermined distance D1 depends on a number of factors including a maximum required distance between the free ends 26 and 28 of the lifting straps 18 and 20 under operating conditions.
Referring to
The user input device 90 may also include up and down controls 96 and 98 that causes both strap feeding devices 38 and 40 to operate simultaneously to raise and lower the lifting straps 18 and 20 together. While the tilt controls 92, 94 and the up and down controls 96 and 98 are illustrated there may be other controls. For example, there may be individual up and down controls for each of the strap feeding devices 38 and 40. The user input device 90 may be wired or wirelessly connected to the strap feeding devices 38 and 40. The user input device 90 may control the strap feeding devices 38 and 40 directly, or controller 84 may receive input signals from the user input device 90.
The user input device 90 may be dedicated to controlling the strap feeding devices 38 and 40, such as a remote. In some embodiments, the user input device 90 may be a personal computing device, such as a smart phone or tablet that includes software that can be used to control operation of the strap feeding devices. Further, the user input device 90 and controller 84 may be connected to the internet for remotely controlling operation of the strap feeding devices 38 and 40.
During operation of the person lifting apparatus 10, the strap feeding devices 38 and 40 may be operated such that an imbalance condition is created. An imbalance condition may be due to, for example, paying out and/or retracting one of the lifting straps 18 and 20 an amount that causes a patient to tilt toward or away from one of the lifting straps 18 and 20 more than another beyond a predetermined amount. In these instances, one of the lift actuators 38 and 40 may experience a greater load than the other of the lift actuators 38 and 40.
Assuming the mapping from current to weight is linear, weight can be quantified based on current measurements. Comparing the ratio of currents pulled by the lift actuators 38 and 40 during operation to a predetermined value can be used to determine an imbalance condition. This predetermined value can be selected through clinical evaluations and assessments of patient loading using the two lifting straps 18 and 20, in order to accommodate different patient morphologies. Any non-linearity in the current-to-weight function may be addressed in logic using, for example, a look-up table and interpolation.
In the illustrated example, the controller 84 may include circuitry that reads the current being pulled by the lift actuators 38 and 40 from a power source. In some embodiments, a current measuring device, also represented by element 84, may measure the current from the power source and provide an output to the controller 84. As an example, the predetermined value may be provided as a ratio of 1.5 that is saved in memory of the controller 84. The current measuring device may be part of the controller 84 and/or may be separate from the controller 84. Referring to the Table below, the first example illustrates a balance condition with a current ratio of 1.25, below the 1.5 predetermined value. The second example illustrates an imbalance condition with a current ratio of 1.75, above the predetermined value.
The controller 84, upon determining an imbalance condition exists, may take any one of a number of actions, such as to no longer allow tilting in a direction which increases the ratio. As another example, the controller 84 may tilt the person lifting apparatus 10 automatically in a direction that reduces the ratio. In some embodiments, there may be a scale of predetermined values and the action performed by the controller 84 may depend on the magnitude of the imbalance. Since the controller 84 can continually monitor the current ratio, a ratio of 1.75 may be unlikely. However, such a condition may be present, for example, when a support is suddenly removed. While the predetermined value described above is greater than 1, the predetermined value may below 1, such as 0.5 or below, depending on how the calculation is made. The controller 84 may further provide an indication to a user that an imbalance condition is present (e.g., visual and/or audible).
Referring to
The sling bar device 30 includes an elongated bar 106 and two hooks 108 coupled to the distal ends of the elongated bar 106. In other embodiments, the sling bar device 30 may be an X-shaped sling bar that includes two curved frame members coupled by a middle frame member and including four support apparatus coupling mechanisms. In still other embodiments, the sling bar may include a U-shaped frame including two support apparatus coupling mechanisms and a U-shaped handle extending from the frame to provide stability to a subject being lifted. Other sling bar configurations are contemplated. Various sling bar configurations are described in greater detail in U.S. Pat. No. 9,757,297, entitled “Person Lift System.”
The hooks 108 include a coupling base 110 with a recessed space 112 therein and a latch 114 configured to selectively enclose the recessed space 112. The latch 114 is pivotally coupled to the coupling base 110 and is configured to extend across the recessed space 112 in a closed position and rotate towards the recessed space 112 in an open position. In operation, when a user couples the sling 102 to the hook 108, the user lifts the latch 114 (i.e., rotates the latch 114 away from the recessed space 112), to allow the strap(s) or other portion of the sling 102 to be inserted into the recessed space 112. When a user removes the sling 102 from the hook 108, the user lifts the latch 114 to rotate the latch 114 toward an open position (i.e., rotates the latch 114 away from the recessed space 112) such as with a sling strap to allow the sling 102 to be removed from the recessed space 112.
Suitable sling bars include, by way of example and not limitation, those commercially available under the trade name SlingGuard from Liko, HILL-ROM®, or Hill-Rom Services, Inc. (Batesville, Ind.). Additionally, it is contemplated that some embodiments may not include a sling bar.
Current load being pulled by an actuator, whether a single actuator or multiple actuators as described above, can be used to determine a type of lifting event (e.g., transfer, reposition, etc.) that is occurring in real time, or has occurred in the past using changes in load data.
Upon activation of the actuator, the current load on the actuator increases in section 208 before any lifting of the patient. This rise in current load is due merely to activation of the actuator. In section 210, the actuator remains unloaded for a period of time as slack is let out of the lifting strap connected to the actuator. Other actions can result in this section 210 having a relatively flat current load, such as inactivity or delay in use of the actuator since time passes with no increase in current load. The current load on the actuator increases in section 212 as the patient begins being lifted from the chair and an increasing amount of weight of the patient is transferred from the chair to the actuator. Because the chair may be relatively hard compared to a bed, for example, the slope of the increase in section 212 may be expected to be steeper than a slope seen for other softer objects such as a bed, which will be described below. At section 214, the actuator is fully loaded as the patient is removed from/unsupported by the chair and lifted to a desired height.
Once at the desired height, the actuator may be deactivated and the lifting strap locked at the desired height for repositioning the patient at section 216. The repositioning step may be accomplished using the person lifting apparatus to move the patient from the chair to a bed. With the patient in the desired position, the actuator may again be activated, which causes a jump in current load at section 218. Because the patient is being lowered in the lowering portion 206, the current draw by the actuator is generally less in the lowering portion 206 than in the raising portion 202. At section 220, the patient is held unsupported by the bed. At section 222, the current load increases as the patient is lowered onto the bed. Section 224 shows the actuator load being relatively constant for a period of time until the actuator is deactivated.
A computing device (such as in communication with controller 84) may include memory having logic that, when executed by a processor, identifies the raising portion 202, repositioning portion 204 and lowering portion 206, the sections 210, 212, 214, 216, 218, 220, 222, 224 and/or certain points of interest therein. For example, one identification point 226 may be the beginning of section 212 when the current load rises above the current load in unloaded section 210. Another identification point 228 may be the end of section 212 when the current load begins to plateau indicating the patient being fully supported. A slope of a line passing through the identification points 226 and 228 may provide information regarding a type of object (e.g., hard or soft) the patient is being lifted from, as mentioned above. For example, without wishing to be bound by theory, one might expect steeper slopes for harder objects (e.g., chairs) than softer objects (e.g., beds). Other identification points 230 and 232 may be the beginning and end of section 216, which can provide information regarding how long a repositioning event took place. Unusually long or short repositioning events may indicate a need to look more closely into those events. Other identification points 234 and 236 may include the beginning and end of section 222. There may be other points of interest depending, for example, on the type of lifting event. For example, identification points may be determined based on the characteristics of a specific lifting event. Of course, how a patient is handled and supported by an operator of the patient lifting apparatus during a lifting process may affect the current versus time plot characteristics.
Referring to
Once at the desired height, the actuator may be deactivated and the lifting strap locked at the desired height for repositioning the patient at section 252. The repositioning step may be accomplished using the person lifting apparatus to move the patient from the chair to a bed. With the patient in the desired position, the actuator may again be activated, which causes a jump in current load at section 254 and the lowering process begins (not shown).
Unlike the plot of
Again, once at the desired height, the actuator may be deactivated and the lifting strap locked at the desired height for repositioning the patient at section 274 The repositioning step may be accomplished using the person lifting apparatus to move the patient from one bed to another bed. Because the patient is being moved between beds, the transfer/repositioning time may be expected to be less than from a bed to a chair or chair to a bed. With the patient in the desired position, the actuator may again be activated, which causes a jump in current load at section 276 and the lowering process begins (not shown).
Like
Again, once at the desired height, the actuator may be deactivated and the lifting strap locked at the desired height for repositioning the patient at section 294. The repositioning step may be accomplished using the person lifting apparatus to move the patient from one location in the bed to another location in the same bed. Because the patient is being moved on the same bed, the transfer/repositioning time may be expected to be less than, for example, from a bed to a chair or chair to a bed. With the patient in the desired position, the actuator may again be activated, which causes a jump in current load at section 296 and the lowering process begins (not shown).
At section 310, the actuator is fully loaded as the patient is removed from/unsupported by the floor and lifted to a desired height. Because the patient is being lifted from the floor, one would expect section 310 to be relatively long in duration compared to lifting from a chair or a bed. This length of time of section 310 can be used to identify a possible floor rescue.
While current load on the actuator is described primarily above, other sensors can be used to identify a lifting event. Referring to
Referring to
Referring to
The processor 404, 410 may include any device capable of executing machine-readable instructions stored on a non-transitory computer-readable medium. The processor 404, 410 may include one or more processors. Accordingly, each processor 404, 410 may include a controller, an integrated circuit, a microchip, a computer, and/or any other computing device. The person lifting system 400 may further include network interface hardware 408. The communication path 402 can provide data interconnectivity between the various modules that may send and receive data. The communication path 402 may be wired and/or wireless.
The person lifting system 400 may further include the network interface hardware 408 for communicatively coupling the person lifting system 400 with a network 413. The network interface hardware 408 can be communicatively coupled to the communication path 402 and can be any device capable to transmitting and receiving data via the network 413. The network interface hardware 408 may include antenna, modem, LAN port, Wi-Fi, mobile communications hardware, etc. The network interface hardware 408 may include a Bluetooth® module for sending and receiving Bluetooth communications to and from a mobile device 414.
Referring now to
Upon lowering of the lifting strap, a length of the lifting strap increases in section 448, as detected by the position sensor. In some embodiments, for example, the lifting strap may be lowered from an initial, stowed position at t=0. At section 450, the length of the lifting strap may remain constant for a period of time due to connecting the lifting strap to another device, such as a sling or repositioning sheet. After connecting the lifting strap, the lifting strap may begin to be raised at point 452. At section 454 the lifting strap is raised until fully loaded at point 454. At point 456, the length of the lifting strap remains constant as the patient is transferred from the bed to the chair. Once the patient is positioned over the chair, the lifting strap is again lowered at point 458. At section 460, the lifting strap is lowered until the patient is at least partially supported by the chair at point 462. At point 464, the length of the lifting strap remains constant in section 466 as the lifting strap is disconnected from the device. At section 468, the lifting strap is again raised unloaded to its initial, stowed position.
As may be appreciated, the raising portion 442 indicated a maximum strap length that is less than that of the lowering portion 446. This disparity in length between the raising portion 442 and the lowering portion 446 can indicate that the patient began on a relatively raised, initial surface (e.g., a bed) than the final surface (e.g., a chair) to which the patient was repositioned. Compare plot 470 of
Referring to
LUPstart, LUPend: Lowest unloaded position (strap connection and disconnection positions. LUP is influenced by height of the transfer surface. A longer extension could indicate a lower surface (e.g., a chair), while a higher surface could mean a bed or stretcher, as examples.
ΔLUP: Difference between the lowest unloaded positions (LUPstart−LUPend). ΔLUP is influenced be different heights between surfaces. A low ΔLUP may indicate a reposition in a bed or transfer from a bed to a stretcher. A higher ΔLUP suggests bed to chair transfer or similar transfer.
LLPlifting, LLPlowering: Lowest position at full load (just after patient is fully lifted or just before patient begins offloading). LLP may be higher if there is a need for increased patient elevation, for example, to clear a side rail or arm rest, which may indicate an increased likelihood of a bed to chair transfer.
ΔLLP: Difference between the lowest loaded positions (LLPlifting−LLPlowering). Note that LUP and LLP could be defined relative to stow height or transfer height. Like ΔLUP, ΔLLP is influenced by different heights between two surfaces and also barriers between the surfaces.
ΔSlacklifting, ΔSlacklowering: Difference between the lowest unloaded position and lowest position at full load (LUPstart−LLPlifting) or (LUPend−LLPlowering). ΔSlack is influenced by the type of sling used. For example, a repositioning sheet appears to require more slack to connect loops (and therefore more travel during loading) than a seated sling.
ΔTuatlowering, ΔTuatlifting: Difference between the lowest loaded position (LLP) and the transfer height. ΔTaut is similar to ΔLLP.
tprepare: Time to connect lifting straps and prepare patient. tprepare can be highly patient dependent. Extra time may be needed to prepare to lift some patients and longer tprepare may indicate that a sling is being used (e.g., a repositioning sheet may take longer to connect than other devices).
ttransfer: Time of highest static position while fully loaded (i.e., transfer time). ttransfer is influenced by the type of movement. For example, a repositioning in bed may require less time than a seated transfer.
As mentioned above, weight information from a weight sensor can also be used to determine characteristics of a repositioning event.
Additional sensors may be used to increase accuracy of type of lifting event that is occurring or has occurred. For example, sensors that measure lateral displacement of the person lifting apparatus can improve accuracy in determining details of a lifting operation. For example, a sensor providing lateral displacement information can be used to determine a transfer operation as a function of distance rather than as a function of time alone. For example, a caregiver could transfer a patient laterally while lifting/lowering the patient. In this example, using the sensor that provides lateral displacement information may increase chances for accuracy in identifying the transfer event. Lateral displacement may be measured in a number of ways, such as using a Hall-effect sensor, a non-contact ultrasonic sensor and/or a non-contact linear/rotary variable differential transformer (LDVT or RVDT).
The above-described person lifting systems utilize person lifting apparatuses and can detect whether a lifting event has occurred. In some embodiments, the person lifting systems can use identification points to determine a type of lifting event that has occurred. The information can be monitored locally or remotely using computing devices.
It will be apparent to those skilled in the art that various modifications and variations can be made to the embodiments described herein without departing from the spirit and scope of the claimed subject matter. Thus it is intended that the specification cover the modifications and variations of the various embodiments described herein provided such modification and variations come within the scope of the appended claims and their equivalents.
This application claims the benefit of and priority to U.S. Application No. 62/733,354, titled Person Lifting Apparatuses Including Lifting Straps and Methods of Operation Based on Current Draw, filed Sep. 19, 2018 and also to U.S. Application No. 62/878,508, titled Determining Lifting Events Using Sensors for Person Lifting Apparatuses, filed Jul. 25, 2019, the details of both of which are hereby incorporated by reference.
Number | Date | Country | |
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62733354 | Sep 2018 | US | |
62878508 | Jul 2019 | US |