The present disclosure generally relates to human transport devices, and more particularly to human transport devices constructed to facilitate decontamination of non-ambulatory patients, such as may occur when hazardous substances are present at an accident site.
When an accident, spill or emergency situation occurs with harmful and dangerous materials, the people involved can become contaminated. In order to treat these people, they must first be removed from the accident environment and decontaminated without contaminating others, such as first responders. Typically, decontamination involves moving the patient into a decontamination shower, were the patient is doused with water or other suitable decontaminating solution to wash away the contaminant. In situations where the patient is injured and or otherwise not ambulatory, it is necessary to provide a conveyance to move the patient and support the patient while decontamination occurs.
In one aspect of the present invention, a transport device for use throughout a process of decontaminating a person exposed to contaminates generally comprises a flexible sheet of material sized and shaped to underlie and support the person in a lying down position on the flexible sheet. The flexible sheet includes a base section and opposite side wall sections. The base section defines the bottom of the flexible sheet and supports the person on the base section. The opposite side wall sections extending along opposite sides of the base section are configured to resiliently deflect upward along opposite sides of the person. Strapping connected to the flexible sheet includes at least one securing strap connected to the opposite side wall sections and configured to extend across the person and deflect the opposite side wall sections to secure the person on the flexible sheet in the lying down position. A drain in the base section is configured to permit liquid used in the process of decontamination to pass through and out of the flexible sheet, the drain including a plurality of drain openings spaced apart from each other and distributed over the base section.
In another aspect, a method of decontaminating a person on a transport device generally comprises laying the person down on the transport device which has a main body comprising a flexible sheet of material sized and shaped to underlie and support a person lying down on the flexible sheet. The flexible sheet includes a base section defining the bottom of the flexible sheet and supporting the person thereon. The person on the transport device is decontaminated with a decontamination liquid. The decontamination liquid drains from the transport device through a plurality of drain openings in the base section. The person on the transport device is then carried from an area where decontamination has occurred into a treatment area.
Corresponding reference characters indicate corresponding parts throughout the drawings.
As shown in
The transport device generally includes a main body 12 and strapping 14 for use in securing a human to the main body and/or moving the transport device. In the illustrated embodiment, the main body 12 comprises a sheet of flexible plastic, such as high density polyethylene, or another suitable material. In some embodiments, the material is selected to permit the transport device 10 to slide easily along the ground in all different types of terrain. The transport device 10 is configurable in a stowed configuration, such as shown in
When the transport device 10 is to be used, the main body 12 is unrolled, as shown in
The wall sections 22, 24 include opposite side wall sections 22 and a foot wall section 24. The wall sections 22, 24 are resiliently bendable upward at the perimeter of the base section 20 for extending upwardly at the respective left and right sides and feet of a person lying on the base section. The arrangement is such that the person can be cocooned by the main body 12, rendering the flexible main body into a substantially rigid support on which the person can be dragged and/or carried.
The main body 12 is shown in
Referring again to
The transport device 10 includes a plurality of drain openings 32 for permitting liquid to pass through the transport device. In particular, a plurality of drain openings 32 (collectively, a “drain”) are provided in the base section 20 of the main body 12. The drain openings 32 are spaced from one another and provided at the head portion 20A, foot portion 20B, and an torso portion 20C extending between the head and foot portions. In
A process of using the transport device 10 to decontaminate a human will be described with respect to three “zones” hereafter referred to hot, warm, and cold zones. The hot zone refers to a location of an accident. People must be extracted from this environment without contaminating others, including first responders. The transport device 10 can be used to move non-ambulatory people away from the location of the accident. For example, the transport device 10 can be used as a sled (e.g., by pulling one of the tow members 44, 46) and/or the transport device can be carried using one or more of the handles 48. In some cases, first responders will initiate some form of decontamination process by removing clothes and dousing the patient with water. The drain openings 32 of the transport device allow the contaminated water to flow through the transport device. The transport device can then be used as a stretcher to lift onto a gurney or waiting ambulance for transport.
The warm zone is typically a location for complete decontamination. Such locations are usually hospitals. National hospital protocols prohibit contaminated patients from entering the emergency room treatment area until they have had a decontamination shower. For ambulatory patients, most hospitals have built-in decontamination showers near emergency rooms or portable decontamination showers (e.g., in a parking lot). For non-ambulatory patients, roller-type beds are used, such as disclosed in U.S. Pat. No. 5,568,817. Such patients are showered and/or doused with water on the beds to wash away the contamination. The water is captured in one or more tanks below the roller beds. The transport device 10 can be used to allow the staff to move the patients from the ambulance to the washing roller beds by use of the handles 48. The drain openings 32 in the transport device 10 allow the water to rinse the patient and drain through the transport device, through the bed and then into the retention tanks. The patient can be rolled back and forth on the transport device 10 and showered to clean their entire body. The base section 20 of the transport device 10 provides a wide surface to log roll the patient during the process. After washing the person is complete, the transport device 10 acts as a stretcher to move the person to a waiting gurney. It will be understood that other ways of supporting the patient on the transport device 10 for showering may be used within the scope of the present invention.
The cold zone is where the patient is considered free of contamination and ready for further care. In the context of the hospital, the cold zone is usually the emergency room. After the washing process, the person is safe to move into the emergency treatment areas without fear of contaminating other patients, staff, or the facility itself.
Current procedures involve strapping patients onto back/spine boards and moving them though the decontamination shower process. Spine boards are rigid 7 foot poly/plastic boards with solid surfaces. The contaminated water and substances can pool on the boards. Common spine boards are only 16 to 18 inches wide and use woven fabric straps and buckles to hold patients to them. Hand holes around the perimeter of the boards create pinch zones for fingers and hands against a flat surface. These areas commonly tear decontamination gloves and suits. They are readily available but due to their limited width (16 to 18 inches) are extremely difficult and dangerous to log roll a patient on during decontamination of the patient's back areas. The boards have crevices, woven straps, grommets, etc. that retain water and contamination.
The transport device 10 desirably does not hold or trap contaminated water or the chemicals themselves. The main body 12 can be made of high density polyethylene, or another suitable material that is non-absorbent and can be cleaned with common decontamination wipes. Moreover, the strapping 14 of the transport device 10 can be formed of 100% non-absorbent coated webbing that is welded and sealed to prevent trapping or absorbing liquids. A coated metal tri glide can be used to hold the webbing to the main body 12 and can be removed or adjusted for complete cleaning. The straps 14 are attached to the sled body in a way that they do not create osmosis or water retention. Common decontamination wipes can be used for cleaning the straps. The handles 48 in the disclosed configuration allow for moving the patient on the transport device like a stretcher when the transport device is cocooned around the patient. In such a configuration, the transport device 10 provides a relatively rigid support for the patient. The straps 14 not only permit moving the patient from the contamination site, to pulling the stretcher from the ambulance, to moving the patient through the decontamination shower. The wide base section 20 (e.g., 36 inches) and the handle placement make for safer log rolling to wash all sides of the patient. The drain openings 32 of the transport device 10 permit quick shedding of contaminated water during the decontamination process. The several drain openings 32 spaced about the base section 20 of the transport device allows the water to drain quickly away from the patient, speeding the decontamination rinse process as well as reducing the amount of water needed to decontaminate the patient. The draining function allows for immediate reuse of the transport device 10 for another patient. The transport device 10 must be free of contaminants and contaminated water before the device can be reused for the next patient. Because the disclosed transport device 10 drains rapidly, provides a safer platform to log roll and rinse non-ambulatory patients, is extremely easy to clean, and is easy to store when not in use, the transport device provides an improved solution for the human decontamination process.
The transport device 10 may be carried by fire fighters and other first responders who will potentially need to rescue individuals from contamination sites. The transport device 10 enables the first responders to drag, carry, and pre-rinse a contaminated person near the point of contamination prior to transport to the nearest hospital. The transport device 10 may also be stored at hospitals for use in the decontamination washing process described above.
Although the transport device 10 is described herein as used for transporting humans and in a decontamination process, it will be understood that the transport device could be used in other scenarios. For example, the transport device 10 could be used in circumstances where it is desired to move non-human objects, or to move humans in conditions where rain, water from fire sprinklers, or other sources of water may make the transport device too heavy to move if the water is not quickly drained from the transport device. Persons having ordinary skill in the art will recognize the transport device could be used in many types of scenarios.
The transport device could have other constructions without departing from the scope of the present disclosure. For example, drain openings could be provided in additional or other locations, such as on the wall portions 22, 24.
In one alternative example, the main body may be formed of generally rigid material. The main body could include the base section formed of generally rigid material and have the drain openings as shown and described herein but lack the upstanding wall sections. The base section could have a width as described above permitting patients to be easily log rolled on the base section. The drain openings would permit liquid and contaminants to pass through the main body in washing procedures, and the generally rigid base section could serve as a back board for moving the patient. Handles such as straps shown herein could be provided around the periphery of the base section for lifting the transport device.
Having described aspects of the invention in detail, it will be apparent that modifications and variations are possible without departing from the scope of aspects of the invention as defined in the appended claims. As various changes could be made in the above constructions, products, and methods without departing from the scope of aspects of the invention, it is intended that all matter contained in the above description and shown in the accompanying drawings shall be interpreted as illustrative and not in a limiting sense.
When introducing elements of the present invention or the preferred embodiment(s) thereof, the articles “a”, “an”, “the” and “said” are intended to mean that there are one or more of the elements. The terms “comprising”, “including” and “having” are intended to be inclusive and mean that there may be additional elements other than the listed elements.
This application claims priority to U.S. Provisional Patent Application Ser. No. 62/474,338, which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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62474338 | Mar 2017 | US |