The present invention relates generally to an apparatus for transferring bed patients, and more particularly to a disposable inflatable mattress for moving a patient on a cushion of air, and to a system including an inflatable mattress connected to an air supply by a quick release connector.
Non-ambulatory patients who must be supported and moved in a patient facility such as a hospital or a nursing home present substantial challenges when a course of treatment for such patients calls for movement from one location to another. A patient, for example, may need to be moved from a hospital bed, which must remain in the patient's room, to a stretcher and then from the stretcher to a treatment location such as a surgical table in an operating room. Following treatment the reverse patient handling sequence must occur; i.e., the patient must be moved from the surgical table, which remains in the operating room, to a stretcher which travels to the patient's hospital room, and then from the stretcher back onto the bed in the hospital room. In a very large percentage of such occurrences the patient must be handled in a fashion which requires only a minimum of movement of the patient with respect to a supporting surface. In the case of a patient being returned to a hospital room following surgery, for example, the patient's body may not be able to withstand the stresses and strains of being lifted from a stretcher to the bed when one or even several hospital personnel combine their efforts to make such a transfer.
The same challenge of moving a patient with minimum handling exists in non-surgical settings as well. The bariatric patient is a prime and very common example. When such a patient is morbidly obese, transferring presents difficulties for both the patient and the care facility staff. While no exact definition of morbid obesity is universally recognized, many hospitals and other treatment facilities consider a person who weighs about 350 pounds or more to fall within that definition. Movement of a morbidly obese person often requires the hospital staff to physically lift and/or slide the patient from an at rest position on a hospital bed to an at rest position on a stretcher a total of four times to complete a single treatment cycle, such as surgery. The staff must perform the task of lifting and/or sliding such a patient because in nearly all instances the patient, due to the physical condition of obesity and/or illness, simply cannot personally do the task. The manipulation of such a person requires a plurality of hospital staff since such manipulation is impossible to perform by a single person such as a floor nurse assigned to the patient's room. As a consequence, such transfers must be planned in advance for a specific time and a number of hospital staff must be notified and arrange their schedules so that all staff will be available at the same time. As is well known, many hospital staff are females and many of these persons are rather slight of stature. As a result, a half dozen or more such persons may need to be assembled. Instances have been known in which a morbidly obese patient has required twelve persons to effect the transfer. Gathering together such a large number of people four times at often uncertain intervals to provide but a single cycle of treatment raises obvious logistical problems and, in addition, erodes the quality of care the facility can render by reason of the application of such a large number of personnel to deal with but a single patient treatment episode. A further drawback to such a patient handling system, as described above, is that, even with the best intentioned and caring of staff, the patient very often suffers substantial discomfort. The simple act of sliding a patient over a flat surface can be very painful to a patient who has had surgical incisions which are far from healed, for example.
An attempt has been made to overcome the above described problems by the use of an air mattress onto which the patient is placed while in his bed and which is then placed onto a wheeler. A problem common to all such devices is that invariably the air mattress has the general characteristic of a balloon, in the sense that when one area is indented another remote area will bulge, thus creating an unstable condition. If for example a stretcher carrying an obese person makes a sharp turn during a trip to or from a treatment location, such an obese person will tend to roll toward the outside of the turn due to the instability of such a conventional mattress. The more the patient rolls, the more the mattress portion toward which the rolling movement occurs will depress, and the greater will be the expansion of the mattress on the other side of the patient. In effect, the conventional mattress reinforces the undesirable rolling movement and is unstable. Since much of the time the patient is incapable of stopping the rolling action by himself, the patient may roll off the stretcher onto the floor with disastrous consequences. Indeed, even in the instance of a patient who is capable of moving himself to some degree about his longitudinal body axis the same disastrous result may occur because the displacement of air from one edge portion of the mattress to the opposite edge portion creates in effect a tipping cradle. Only if the patient lies perfectly flat and perfectly still on the stretcher, and no roadway depressions or blocking objects, such as excess hospital beds stored in a hallway, are encountered can the probabilities of an accident be lessened.
Another problem with prior art methods of moving patients using an air cushion is the complexity of the procedure. The air mattress must first be positioned under the patient. Then an air pump must be transported to the bed area and connected to the mattress. The mattress is then inflated and the patient moved. The same process is repeated each time the patient needs to be transferred from one bed/stretcher/table to another.
A still further problem with prior art apparatus is control of contamination. Often, a tedious cleaning protocol follows after such use to avoid cross-contamination. Cleaning is particularly difficult because contaminant particles can penetrate into the mattress material, and when the mattress is inflated, contaminant particles may be expelled into the air. The high cost of many prior art air cushions requires their re-use.
Another problem with prior art systems is the process of forcing air out of the small holes in the bottom surface of the air mattress may result in an enlargement of the holes over time, rendering them less effective in levitating the mattress and its load. The consequence of poor levitation is an increase in resistance for lateral transfer and repositioning of the mattress and its load.
A still further problem with prior art systems is the difficulty of connecting and disconnecting an air supply from the air mattress. For example, some prior art air mattresses require inserting an air supply hose into a fabric sleeve in the air mattress in order to inflate the mattress. This requires finding the sleeve in the uninflated mattress, separating the fabric to open up the sleeve and then inserting the hose far enough into the sleeve for the connection to be effective. There is a need for a quicker and easier way of connecting an air hose to the mattress.
A disposable patient transfer mattress is described herein. The disposable mattress comprises: a rectangular top sheet; a rectangular bottom sheet; internal baffles; and a receptacle configured to receive a connector for supplying air to inflate the mattress. The bottom sheet corresponds to the top sheet, dud the periphery of the bottom sheet is joined to the periphery of the top sheet. The internal baffles extend between the top sheet and the bottom sheet. Each baffle is a rectangular sheet with first and second parallel edges, and each baffle is joined to the top sheet along the first edge and to the bottom sheet along the second edge. The baffles are configured to divide the internal volume of the mattress into a plurality of connected chambers and impart structural integrity and rigidity to the mattress. The bottom sheet has a plurality of holes configured to provide a continuous cushion of air under the mattress when the mattress is inflated. The receptacle is integrated into the top sheet. The top sheet, bottom sheet, and internal baffles are made of fabric backed with a thermally weldable material, where the thermally weldable material faces the interior of the mattress for facilitating thermal welding of the baffles to the top surface and the bottom surface. The thermal welding process is preferably ultrasonic welding. An example of the fabric and backing is 70 dernier nylon fabric backed with polyvinylchloride (PVC), where the nylon fabric provides strength and the PVC allows for air tight joining by thermal welding. The receptacle may be made of rubberized nylon and can be thermally welded to the top sheet. Due to the low cost of materials and manufacturing, the air mattress of the invention is viable as a single use—disposable—air mattress.
Some embodiments of the disposable air mattress described herein are made of biodegradable materials. For example, the thermally weldable material used in the top and bottom sheets and the baffles may be made of aliphatic aromatic copolyesters.
A patient transfer system is described herein. The system comprises: an inflatable mattress having a bottom surface with a plurality of holes configured to provide a continuous cushion of air under the mattress when the mattress is inflated; a receptacle integrated into the mattress; an air supply cart for inflating the mattress; and a connector attached to the air supply cart by a flexible hose, where the connector and receptacle are configured for ease of connecting and disconnecting the air supply from the air mattress. The receptacle is made of a rubber-like material, and comprises: a disc with a centrally positioned opening through which air can be pumped into the mattress; a U-shaped groove on the upper surface of the disc, centered on the opening; and a slot positioned on the perimeter of the disc at the center of the open part of the U in the U-shaped groove. The connector is made of a rigid material, and comprises: a tube; a rim at one end of the tube, where the rim extends radially out from the end of the tube; and a key on the periphery of the rim. The connector is mated to the receptacle by sliding the rim into the groove until the key is in the slot. The key and the slot are configured so that when the key is in the slot the upper surface of the receptacle and the rim of the connector are kept in contact while air is pumped into the mattress.
An embodiment of the present invention is illustrated generally in
As illustrated in
The air mattress 11 is comprised of corresponding continuous rectangular top and bottom sheets, joined at their edges. The air mattress 11 is made in a variety of sizes, to suit the needs of hospitals, care providers, etc. Some examples of typical air mattress dimensions (when properly inflated) are: 203 cm long×89 cm wide×19 cm deep; 203 cm long×99 cm wide×19 cm deep; 203 cm long×122 cm wide×19 cm deep.
In
In
Referring to both
Referring again to
A substantial portion of the air mattress 11 is preferably constructed of polyvinylchloride (PVC), nylon, polyester and other inexpensive polymer materials. Typical embodiments have top and bottom sheets and internal baffles made of nylon fabric backed with PVC, where the nylon fabric is preferably 70 denier. The 70 denier nylon backed with PVC is approx. 0.2 mm thick, with the PVC surface facing the inside of the mattress. It is the PVC material surfaces that are welded together to form the welding seams 41 and 42. Other materials may be used for the top and bottom sheets and the baffles. For example, materials that have the following characteristics: (1) low cost; (2) form air tight seals using low cost thermal welding techniques; and (3) sufficient strength to accommodate the forces applied to the mattress during use. Furthermore, other suitable materials for the top and bottom sheets may be combinations of materials, where a first material is used for its strength, a second material is used for its ability to form air tight joins using a thermal welding technique, and the two materials are bonded together to form the sheet.
Polyester webbing may be used to reinforce the welding seam 41 around the periphery of the mattress. (See
Due to the low cost of materials and manufacturing, the air mattress of the invention is viable as a single use—disposable—air mattress. The low cost, disposable air mattress of the present invention is a major improvement in sanitation for an inflatable air mattress, since contaminant particles can become embedded in the air mattress material which makes cleaning difficult. This is a particular problem for inflatable air mattresses because when an air mattress is inflated the gas pressure forces contaminants from the material, making them air borne. Furthermore, for a single-use, disposable, mattress cleaning is not a concern. Consequently, the mattress of the invention may take advantage of inexpensive materials for which a cleaning protocol does not exist, such as PVC.
In yet further embodiments of the disposable mattress of the invention, biodegradable materials are used for the upper and lower sheets and the baffles. For example, a biodegradable material can be used which comprises aliphatic aromatic copolyesters (available from BASF under the tradename Ecoflex®.) Such materials are suitable for thermal welding. However, in order to achieve the strength required for the mattress fabric, aliphatic aromatic copolyesters should be bonded to a biodegradable fabric with the requisite strength.
Referring to
The mated receptacle 80 and connector 70 are shown in
As seen in
The connector 70 is made of a rigid, shatter-proof material with a nonporous surface, such as acrylonitrile butadiene styrene (ABS). Other suitable materials may include polycarbonates, such as Lexan® polycarbonates available from GE. The non-porous surface allows for easy cleaning of the attachment in order to maintain the sanitary conditions required in a hospital environment. The receptacle 80 is made of rubberized nylon. The flange 81 of the receptacle 80 is thermally welded to the PVC layer of the top sheet 40 of the mattress 11. The welding process is preferably an ultrasonic welding process. Other materials may be used for the receptacle. For example, materials that have the following characteristics: (1) low cost; (2) soft, flexible and strong; (3) moldable; (4) thermally weldable to the fabric of the top sheet of the mattress.
The above embodiments of the present invention have been given as examples, illustrative of the principles of the present invention. Variations of the apparatus and method will be apparent to those skilled in the art upon reading the present disclosure. These variations are to be included in the spirit of the present invention.
This application is a continuation-in-part of U.S. patent application Ser. No. 11/538,211 filed Oct. 3, 2006, which in turn is a continuation-in-part of U.S. patent application Ser. No. 11/036,413 filed Jan. 14, 2005, which issued as U.S. Pat. No. 7,114,204 on Oct. 3, 2006.
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Number | Date | Country | |
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Parent | 11538211 | Oct 2006 | US |
Child | 11999738 | US | |
Parent | 11036413 | Jan 2005 | US |
Child | 11538211 | US |