Patients or older adults often suffer from medical or mobility issues, which can make it difficult for them to roll or turn while lying down or to lift themselves out of bed after lying down. In many cases, they risk falling out of bed while trying to roll over, turn around, or get in/out of bed. Bed rails or side rails are designed to prevent a patient or an older adult from rolling out of bed. Such bed rails are typically bolted to a bed frame or attached to a bed carriage to help prevent falling or rolling out of bed. These rails are typically made of metal, wood, plastic, or other hard/rigid material.
While beneficial, such bed rails have limitations. In some cases, patients or older adults may become trapped against hard bed railings due to medical or mobility issues. Data compiled by the consumer agency from death certificate and hospital emergency room visits from 2003 through May 2012 show that 150 (mostly older) adults died after they became trapped by bed railings. Over nearly the same time period, 36,000 mostly older adults—about 4,000 a year—were treated in emergency rooms with bed rail-related injuries. Officials at the FDA and the commission have concluded that the data probably understated the problem since bed rails are not always listed as a cause of death by nursing homes and coroners or as a cause of injury by emergency room doctors.
Due to such safety concerns, some care facilities have banned traditional bed rails and/or place mattresses of their clients on the floor to avoid the use of bed rails altogether. However, many of those who are in the facility will have great difficulty getting into and out of bed when the bed is positioned so low to the ground.
Disclosed herein is a mattress or mattress cover having one or more inflatable guards/bumpers configured to prevent a patient or older adult from rolling out of bed, and also to prevent the patient or older adult from being trapped in and injured by conventional bed rails. In some embodiments, the one or more inflatable guards include one or more inflatable bumpers and an air pump system which inflates or deflates the one or more bumpers. At least one of the bumpers is optimally disposed so as to allow for effective user mobility, access, and/or positioning without sacrificing or eliminating effective safety functions.
In some embodiments, a guard system is configured for use with a mattress and comprises (1) a fitted sheet having a top edge, a bottom edge, and opposing side edges, wherein the top edge is positionable at a head of a matress, the bottom edge is positionable at the foot of the matress, and the side edges are positionable along respective sides of the matress; and (2) one or more inflatable bumpers each positioned along a side edge, wherein at least one inflatable bumper has a length that is less than a full length of the corresponding side edge, and wherein the inflatable bumper is placed in a midsection of the side edge to form a top opening between a topmost extension of the inflatable bumper and the top edge of the fitted sheet and/or to form a bottom opening between a bottommost extension of the inflatable bumper and the bottom edge of the fitted sheet.
In some embodiments, a guard system comprises: (1) a cover having opposing side edges; (2) one or more inflatable bumpers each positioned along a side edge; and (3) a pump system operatively coupled to the one or more inflatable bumpers to enable adjustment of inflation levels of the one or more inflatable bumpers. the pump system can include: (a) a primary pump having relatively greater flow capacity and being configured for relatively rapid inflating and deflating of the one or more inflatable bumpers; and (b) a secondary pump having relatively lower flow capacity and being configured for substantially maintaining an inflation level of the one or more inflatable bumpers.
In some embodiments, a safety mattress comprises a top edge, a bottom edge, and opposing side edges and one or more inflatable bumpers integrally formed within the mattress and each positioned along a side edge, wherein at least one inflatable bumper has a length that is less than a full length of the corresponding side edge, and wherein the inflatable bumper is placed in a midsection of the side edge to form a top opening between a topmost extension of the inflatable bumper and the top edge of the fitted sheet and/or to form a bottom opening between a bottommost extension of the inflatable bumper and the bottom edge of the fitted sheet.
In some embodiments, a pump system configured for attachment to an inflatable object comprises: (1) a primary pump having relatively greater flow capacity and being configured for relatively rapid inflating and deflating of the one or more inflatable bumpers; and (2) a secondary pump having relatively lower flow capacity and being configured for substantially maintaining an inflation level of the one or more inflatable bumpers.
In order to describe the manner in which the above-recited and other advantages and features can be obtained, a more particular description of various embodiments will be rendered by reference to the appended drawings. Understanding that these drawings depict only sample embodiments and are not, therefore, to be considered to be limiting of the scope of the invention, the embodiments will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
At least some embodiments described herein relate to a mattress or mattress cover having one or more inflatable guards/bumpers to prevent patients or older adults from rolling out of bed, and also to prevent the patients or older adults from being trapped in and injured by bed rails. In some embodiments, the one or more inflatable guards include one or more inflatable bumpers and an air pump system which inflates or deflates the one or more bumpers. At least one of the bumpers is optimally disposed so as to allow for effective user mobility, access, and/or positioning without sacrificing or eliminating effective safety functions.
Although many of the examples described herein relate to embodiments for protecting patients or older adults from falling or being trapped, it will be understood that the same principles and concepts may be applied to other applications, such as applications involving children, special needs individuals, injury recovery, home use, or persons having intellectual and/or developmental disabilities, for example.
In one embodiment, at least one inflatable guard is shorter than the full length of a mattress upon which the mattress cover is sized and shaped to be positioned. For example, the at least one shorter bumper is placed in a middle section along the length of the mattress, leaving openings or passageways at both top and bottom portions along the side of the mattress. The top opening allows the user to access objects near the bed (e.g., reach a nightstand, alarm clock, telephone, help button, bed adjustment control, etc.) without needing to deflate the bumper. In addition, the bottom opening allows the user to pivot his/her legs around to sit up on the bed and/or to get off the bed. These and other actions may be performed without deflating the bumper. The bumper therefore remains in place along the midsection of the edge of the mattress cover in an inflated condition, providing protection from accidental rollovers and falls while also providing a soft and safe padding arrangement that reduces the risk of a user getting stuck or trapped against it (as can occur with conventional rigid bed rails).
Some embodiments described herein include an electric pump system, which includes a control that can control each of the one or more bumpers independently. In one embodiment, the control further includes a sensor for at least one of the bumpers. The sensor senses the air pressure of the bumper. Based on the detected air pressure, the electric pump may be activated or deactivated to inflate or deflate the bumper as required to maintain a desired pressure. In one embodiment, changes in air pressure detected by the sensor may be used to determine whether the user is in contact with one or more bumpers.
At least some embodiments described herein also include a sheet upon which the one or more bumpers are disposed. The sheet may be configured to be positioned upon a mattress as a fitted sheet. For example, the fitted sheet may include one or more fastening mechanisms, which may be selected from a group comprising buckles across one or more corners, elastic straps across one or more corners, hook and loop fasteners across one or more corners, and drawstrings across one or more corners. In an alternative embodiment, the fitted sheet is a mattress cover with a zipper along a side of the mattress that encloses the mattress completely.
In an example embodiment, a mattress cover having inflatable bumpers may be utilized in conjunction with an alternating pressure mattress. Although the illustrated embodiment includes bed bumpers that are coupled with a cover or sheet-like structure, other embodiments may include bumpers that are coupled directly to a mattress or pad-like structure. For example, some embodiments may include an alternating pressure mattress having one or more integrally attached inflatable bumpers. Many users who could benefit from the bumpers (e.g., for safety reasons and/or prevention of falls) are also at risk of developing bedsores, and would therefore additionally benefit from the functionality of an alternating pressure mattress.
In the illustrated embodiment, each side edge may include a bumper. Each bumper 111 and 121 extends along a midsection of the corresponding side edge, but does not extend to the head of the bed, thereby defining a top opening 141 at the head of the bed between the top edge of the bed and the topmost extent of the corresponding bumper. In this embodiment, each bumper 111 and 121 also extends along the side edge of the bed toward the foot of the bed, but does not extend completely to the foot of the bed, thereby defining a bottom opening 142 at the foot of the bed between the bottom edge of the bed and the bottommost extension of the corresponding inflatable bumper.
Various combinations of bumper arrangements are possible. For example, some embodiments may include a first bumper disposed along a first side edge that extends across substantially all of the side edge, and a second bumper disposed along a portion of a second side edge so as to leave a top and/or a bottom opening, such as those described above. In other embodiments, both a first bumper and a second bumper are configured to define a top opening and/or a bottom opening. In preferred embodiments, at least one bumper is configured and disposed so as to provide both a top opening and a bottom opening. One bumper may optionally extend along substantially the entire length of the mattress.
The top opening 141 beneficially enables a user lying on the bed to access items beyond the bed. For example, a user can reach out across the opening 141 to an item on a nightstand, bed table, or the like (e.g., to access an alarm clock, food, beverage, adjustable bed control, other control, telephone, intercom button, etc.). Beneficially, the user is able to reach and access across the opening 141 without needing to deflate any of the inflatable bumpers 111 or 121. The user is therefore able to maintain accessibility of items nearby the top opening 141 without the need for continuous inflating and deflating of the bumpers. The access provided by the beneficial arrangement thereby avoids unnecessary wear and tear on the bumpers, air pump, and other components of the mattress cover 100 caused by a greater number of inflation/deflation repetitions.
In addition, a user is able to immediately reach and gain access to items across the opening 141 without having to wait for an obstructing rail to be deflated or otherwise removed. Further, the illustrated bumper arrangement provides access across the opening 141 without requiring deflation of the bumpers, which avoids a scenario where the user is unprotected from accidental rollovers off of the bed and falls from the bed. In many circumstances, such rollovers and falls occur because the user is reaching out across the bed. Typical bed rail systems obstruct desired access areas and make it difficult to reach and gain access to items near the upper portion of the side of the bed, often causing a user to remove or adjust the rails at the very moment protection is most needed. For example, a user may lower rails or deflate a bumper to make it easier to reach across and access a desired item. However, the act of reaching itself can cause the user to move to the side of the bed where the risk of fall is enhanced. Thus, at the very moment a rail or bumper is needed to prevent the fall, the rail or bumper has been made ineffective.
In contrast, where a user of the presently disclosed embodiment reaches across opening 141, the corresponding bumper stays inflated and maintains ability to prevent the user from falling off of the bed. Preferably, one or both of the bumpers 111 and 121 are positioned so that the upper opening 141 has a size sufficient to allow a patient to easily reach an arm out across the opening 141. For example, the bumper 121 may extend toward the head of the bed to a position below shoulder height of a patient lying on the bed. The bumper 121 then extends across the midsection of the side edge at a length roughly corresponding to the torso, hips, and thighs of the user, thereby protecting the bulk of the weight of the user from rollovers and falls while simultaneously providing sufficient accessibility through top opening 141.
The bottom opening 142 beneficially allows a user lying on the bed to pivot his/her legs around and off of the bed so that the user can sit up off of the bed. For example, a user may wish to sit up from a lying position and/or may wish to get up from the bed completely. The typical motion for getting out of a bed involves the user swinging his/her feet to one side of the bed and planting the feet on the ground near the foot of the bed as the user sits up. In a typical bed rail/bumper arrangement, the rails or bumpers extend to near the foot of the bed. When a user wishes to sit up, the user may be required to lower the rails or deflate the bumpers to make it easier to swing his/her legs across the edge of the bed. However, doing so removes the rail or bumper's ability to protect the user from falls in the very moment where the likelihood of such risks is enhanced. For example, a user wishing to sit up or get out of bed may lower rails or deflate bumpers at the very moment they are attempting to sit up and move toward the edge of the bed.
In preferred embodiments, the bumpers 111 and 121 are sized to extend to about the lower thigh area or knees of a user lying upon the bed. In this manner, the bumpers 111 and 121 are able to beneficially keep the bulk of the weight of the user from rolling over the edge of the bed while simultaneously allowing for opening 142 to allow the user to properly swing his/her legs out across the edge of the bed. The opening 142 therefore ensures that a user has his/her legs properly positioned feet first across the edge of the bed while sitting up, while simultaneously preventing the center of the body (upper thighs, hips, torso) from also sliding over the edge, causing a fall. Advantageously, the user is able to use the opening 142 to sit up and/or get out of bed without the necessity of deflating either of the bumpers 111 and 121.
Although the illustrated bumpers 111 and 121 have lengths that are shorter than the full length of the bed upon which they are positioned, it has been surprisingly found that such a configuration promotes safety to a greater degree than rails or bumpers positioned across a greater length of the side edges. Although it may appear that greater coverage from the rails or bumpers corresponds to greater protection, in practical application user needs require adjustment and movement of the rails and/or bumpers in a manner that actually makes overextended rails or bumpers less safe. It has been found that optimally positioning the bumpers 111 and 121 provides continuous rollover and fall protection, even with lower overall bumper lengths, without requiring frequent deflation and associated loss of user protection at times when it is likely needed most (such as when a user is reaching over or attempting to sit up).
Typically, the length of a mattress is about 74 to 80 inches. The preferred top opening 141 is sized within a range of about 6 to 30 inches, or about 12 to 24 inches. The typical bottom opening 142 is sized within a range of about 12 to 36 inches, or about 18 to 30 inches. The preferred length of the bumpers 111 and 121 is within a range of about 30 to 62 inches, or about 36 to 54 inches.
In the illustrated embodiment, inflation and deflation of the bumpers 111 and 121 are controlled by the pump system 104. The pump system 104 is operatively coupled to a control 105, which may be a user-operated control providing one or more buttons, dials, switches, touch-screen interfaces, and/or other controls for selecting and controlling the inflation and/or deflation of the bumpers 111 and 121.
The illustrated embodiment also includes a set of sleep position sensors 144 and 146 respectively disposed near the inflatable bumpers 111 and 121. The sleep position sensors 144 and 146 are positioned to determine whether a user is getting too close to the edge of the bed. The sensors 144 and 146 are operatively coupled to the pump system 104 to enable induced activation and/or deactivation of the corresponding bumper. For example, the bumpers may be configured to be in a deflated or partially inflated state by default, and to a greater degree upon a positive reading by the corresponding sensor indicating that the user has moved sufficiently close to a particular bumper to warrant greater inflation. In some embodiments, one or more of the bumpers 111 and 121 are configured to act as ramps such that when inflated, they function to encourage the user away from the edge and toward the center of the bed. For example, one or more of the bumpers 111, 121 may be shaped as a scalene triangle with a longer horizontal component than vertical component to create an effective but comfortable ramp structure when inflated.
In some embodiments, the control 105 also includes a communication control providing a user with the ability to communicate remotely with others. For example, the control 105 may include a “help” button or other selectable object to enable a patient to signal for help, to send a voice request, to notify caretakers that he/she would like to get out of bed, and the like. Two-way communication can also be enabled. For example, someone can remotely communicate with the patient (e.g., to respond to a previous communication from the patient or to initiate a conversation with the patient). As explained in more detail below, one or more components of the mattress cover device may be associated with a computer-implemented application that enables remote control over mattress cover functionality (see description of
In one embodiment, when the air pressure of one or more of the bumpers is lower than a first threshold pressure, the primary pump 203 is activated. In response to the air pressure reaching a second threshold pressure, the primary pump 203 is deactivated. The second threshold pressure is a higher pressure than the first threshold pressure. The electric pump may further include a third threshold pressure. When a patient is in touch with one or more of the bumpers, the pressure of the bumper may increase. When the air pressure is higher than a third threshold pressure, the primary pump 203 may be activated to deflate the one or more bumpers, until the pressure of the one or more bumpers is lower to the second threshold pressure. The third threshold pressure is higher than the second threshold pressure.
In some embodiments, the pump system 200 is configured to beneficially maintain and/or increase pressure within the connected bumpers. In the illustrated embodiment, the pump system 200 includes a pressure-maintening secondary pump 207 that may operate and/or be operated independent of the primary pump. For example, the smaller secondary pump 207 can be configured to be smaller and/or quieter that the primary pump 203. Secondary pump 207 can be utilized to run more frequently than the primary pump 203 in order to generally maintain pressure within the bumper(s), while the larger primary pump 203 may be utilized during inflating and/or deflating operations to more effectively inflate and/or deflate the bumper(s).
This dual pumping system beneficially provides better control over inflation and deflation of one or more of the inflatable bumpers while also effectively providing a consistent and maintained level of inflation when one or more of the bumpers are in the inflated state. For example, relatively rapid inflation and deflation is beneficial in circumstances where a quick transition between one state or the other is desired, such as in circumstances where bumper inflation is actuated in response to a sensor detection in order to prevent a user from falling off of a bed. In another example, relatively rapid deflation may enable easier and faster separation of the bumpers and cover (e.g., for cleaning) and/or repositioning of the cover.
When a bumper is in the inflated state, the relatively quieter secondary pump 207 can be utilized to maintain sufficient inflation of the bumper. For example, rather than utilizing several intermittent on/off cycles of the primary pump 203, the pressure-maintaining secondary pump 207 can be activated as needed to maintain and/or increase pressure in the bumper. This arrangement more efficiently utilizes the separate pumps 203 and 207, which can save on energy costs, provide a less disruptive environment with less cycling of the primary pump 203 (which is particularly important in a sleep-associated setting in which the device is likely to be used), and reduce wear to the primary pump 203. In addition, the secondary pump 207 may extend the usable life of the associated bumpers by allowing effective use even as small air leaks appear over time. Further, because the inflation level of the bumpers is more consistently maintained at desired and intended levels, the associated safety effects provided by the bumpers is enhanced.
Although the foregoing example shows two separate pumps as the primary pump and the pressure-maintaining pump, it will be understood that other embodiments may include a single pump configured to provide the same functionality. For example, a single pump may be configured with bimodal capabilities that enable both lower pressure-maintaining activities and relatively rapid inflating/deflating activities. In other embodiments, more than two pumps may be utilized. For example, two pumps can be utilized for deliberate inflation/deflation actions, with the third pump acting as a pressure-maintaining pump. Alternatively, a first pump can function as the primary pump 203 to provide very fast inflation or deflation, a second pump can function as a relatively less forceful pressure-maintaining pump 207, and a third pump can function as an intermediate pump 205 to provide additional inflation/deflation capacity and/or pressure-maintaining ability as needed.
Although the illustrated pump system 200 is described in conjunction with inflation and deflation of the one or more inflatable bumpers, it will be understood that such a pump system can also be utilized for beneficial inflation/deflation and pressure maintenance of other inflatable structures, such as inflatable mattresses, inflatable play sets, and the like.
In another embodiment, the control may include a touch screen that allows the user to interface with the various selectable objects of the control. In another embodiment, the control may also be a remote control. In another embodiment, the control may be a computer-implemented application. The computer may be a personal computer, a computer server, or a mobile device. A caretaker (e.g., relative, nursing home, or a hospital) may control the inflatable bumpers through the control.
In some embodiments, the functionality of the control may be provided by an application on a mobile device or other computing device. In such embodiments, the computer device on which the control is implemented may be communicatively linked to the pump system (such as pump system 200) so that manipulation and selection of control functions can be accomplished remotely. In some embodiments, the pump system is communicatively coupled to the control 300 via a wireless connection (e.g., Wi-Fi, Bluetooth, etc.). In some embodiments, the application is configured to provide remote alerts based on readings by one or more pressure sensors of the inflatable bed bumpers. For example, the application may be configured to enable the display of a current pressure reading in one or both of the inflatable bumpers (e.g., a simple “inflated” or “deflated” display, a high/medium/low display, and/or a more granular display showing actual units of pressure). In another example, the application may be configured to deliver an alert whenever an inflatable bumper is manually deflated (potentially indicating that a patient is trying to get out of bed and may need assistance or supervision), whenever an inflatable bumper becomes unexpectedly deflated (potentially indicating a malfunction, rupture, or mechanical issue), and/or whenever pressure becomes suddenly higher in one inflatable bumper or becomes higher relative to the opposite bumper (potentially indicating that the patient is positioned on or stuck against the higher pressure bumper).
As described above, the pump system may also be controlled remotely via the control 300. For example, where the control 300 is remotely linked to the pump system, a person can utilize the control to remotely inflate one or more of the inflatable bumpers and/or to perform other functions.
In some embodiments, the control includes a timer function. For example, a timer can be set so that one or more of the inflatable bumpers will remain deflated (or less inflated) for a period of time and will inflate at a predetermined time or after a predetermined amount of time has passed. In one example, children may want to play with or jump on the inflated bumpers, and so a timer may be set so that the guards do not inflate until a later time when the children are likely to be asleep.
In some embodiments, the pressure control method can also include a third threshold determination (e.g., used to prevent overly inflated or overly stiff bumpers, and/or used to prevent damage to bumpers from overly high pressures). When the air pressure is higher than threshold 3 (determination 403), the air pump starts to deflate the bumper (act 410). While deflating, the sensor continues to sense the air pressure (act 412). When the air pressure reaches threshold 2 (act 413), the pump can either stop deflating (act 415) and go back to the static sensing stage 401 or, if the sensor senses the air pressure (act 412) and detects that the pressure is not lower than threshold 2 (act 413) then the sensor can signal the pump to keep deflating (act 414). When the air pressure is not lower than threshold 1 (determination 405), the pump does not inflate the bumper. When the air pressure is not higher than threshold 3, the pump does not deflate the bumper. Therefore, during the sensing stage 401, the pump will not be activated to inflate or deflate, as long as the sensed air pressure is between threshold 1 and threshold 3. The air pressure of threshold 3 is higher than threshold 1, and the air pressure of threshold 2 is higher than threshold 1.
In one embodiment, the air pressure sensor could also be used to determine whether the user is in contact with the bumpers. When a user moves from one side of the bed to the other side of the bed, and in contact with one or more bumpers, the pressure of the one or more bumpers changes. The change of the air pressure could indicate that the user is in contact with the one or more bumpers. This information can be passed to caretakers, family members, or others. For example, if a processer communicatively coupled to the pump system and/or control is informed by the sensor(s) that a pressure change has occurred for a threshold amount of time (indicating contact with a bumper for an extended amount of time), a signal or notification can be sent to caretakers or other interested parties.
Bumpers utilized in mattress cover embodiments described herein may be formed in a variety of different shapes.
The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. Any feature or component of a described embodiment may be combined with or substituted for any other feature or component of another described embodiment.
This application claims the benefit of U.S. Provisional Application No. 62/451,970, filed Jan. 30, 2017, and U.S. Provisional Application No. 62/412,498, filed Oct. 25, 2017, the disclosures of which are incorporated herein in their entirety.
Number | Name | Date | Kind |
---|---|---|---|
4286344 | Ikeda | Sep 1981 | A |
4872228 | Bishop | Oct 1989 | A |
5421044 | Steensen | Jun 1995 | A |
6859961 | Barr | Mar 2005 | B1 |
6971132 | Feinsod | Dec 2005 | B2 |
7107635 | Henry | Sep 2006 | B2 |
7155766 | Gilchrest, Jr. et al. | Jan 2007 | B1 |
7380302 | Gilchrest, Jr | Jun 2008 | B2 |
D612655 | Holmstedt | Mar 2010 | S |
7735171 | Kan | Jun 2010 | B2 |
7904977 | Singh | Mar 2011 | B1 |
7954186 | Flick | Jun 2011 | B2 |
9101224 | Chiang | Aug 2015 | B2 |
D851425 | Clute | Jun 2019 | S |
20120011651 | Moss | Jan 2012 | A1 |
20140115862 | Sommer | May 2014 | A1 |
20140173825 | Chiang et al. | Jun 2014 | A1 |
20140208520 | Totton et al. | Jul 2014 | A1 |
20150182033 | Brosnan | Jul 2015 | A1 |
20150245717 | Edmonson | Sep 2015 | A1 |
20160000229 | Edmondson | Jan 2016 | A1 |
20160007774 | Kakabeeke | Jan 2016 | A1 |
20160242562 | Karschnik | Aug 2016 | A1 |
20170007036 | Scarleski | Jan 2017 | A1 |
20170130728 | Liu | May 2017 | A1 |
20170290440 | Haynes | Oct 2017 | A1 |
Number | Date | Country |
---|---|---|
868320 | May 1961 | GB |
Number | Date | Country | |
---|---|---|---|
20180110342 A1 | Apr 2018 | US |
Number | Date | Country | |
---|---|---|---|
62451970 | Jan 2017 | US | |
62412498 | Oct 2016 | US |