Integrated barrier and fluid supply for a hospital bed

Information

  • Patent Grant
  • 6829796
  • Patent Number
    6,829,796
  • Date Filed
    Tuesday, October 1, 2002
    22 years ago
  • Date Issued
    Tuesday, December 14, 2004
    20 years ago
Abstract
A patient support apparatus including a barrier coupled to a frame. The barrier includes an interior region containing a fluid supply. A related method is provided for converting a patient support apparatus to include a fluid filled patient support surface.
Description




BACKGROUND AND SUMMARY OF THE INVENTION




The present invention relates to a patient support apparatus and a related method for converting a patient support apparatus. More particularly, the present invention relates to a patient support apparatus which includes a fluid filled patient support surface, such as an air mattress, and a fluid supply located in a barrier, such as a footboard, coupled to the patient support surface. Further, the present invention relates to a method of converting a patient support apparatus to include a fluid filled patient support surface.




In an illustrated embodiment of the present invention, a patient support apparatus comprises a base, a frame coupled to the base, and a fluid filled mattress supported by the frame. The mattress has a top surface configured to support a person thereon. The patient support apparatus also includes a barrier coupled to the frame and having a portion which extends above the top surface of the mattress, and a fluid supply located in an interior region of the barrier. The fluid supply is configured to supply fluid to the mattress.




Illustratively according to the embodiment, the fluid supply includes at least one valve located within the interior region of the barrier.




Further illustratively according to the embodiment, a controller is coupled to the fluid supply and is located within the interior region of the barrier. A second controller is illustratively coupled to one of the base and the frame, wherein the second controller is electrically coupled to the controller in the interior region of the barrier.




Illustratively according to the embodiment, the barrier is removable from the frame. A first connector is located on the barrier and a second connector is located on the frame, the first connector being configured to mate with the second connector to provide an electrical connection to the barrier when the barrier is installed on the frame.




Further illustratively according to the embodiment, the fluid supply is one of a blower and a compressor.




Illustratively according to the embodiment, the fluid supply is a water pump.




Further illustratively according to the embodiment, the barrier includes a receptacle formed in the interior region and configured to receive an accessory item therein.




Illustratively according to the embodiment, the barrier includes a fluid intake to supply fluid to the fluid supply through the barrier.




Further illustratively according to the embodiment, the barrier is one of a footboard, a headboard, and a siderail.




In another illustrated embodiment of the present invention, a method is provided for converting a bed to include a fluid filled mattress. The method includes the steps of providing a bed having a frame for supporting a mattress and providing a first footboard coupled to the frame. The method further comprises the steps of supporting a fluid filled mattress by the frame, replacing the first footboard with a second footboard having a fluid supply located within an interior region of the second footboard, and connecting the fluid supply located in the interior region of the second footboard to the fluid filled mattress.




Illustratively according to the embodiment, the bed includes an articulating deck and the first footboard includes controls for moving the articulating deck. The second footboard includes controls for moving the articulating deck and controls for the mattress.




Further illustratively according to the embodiment, the fluid supply includes at least one valve located within the interior region of the second footboard, the valve being configured to direct fluid to the mattress.




Illustratively according to the embodiment, a controller is coupled to the fluid supply and is located within the interior region of the second footboard.




Further illustratively according to the embodiment, the fluid supply is one of a blower and a compressor.




In yet another illustrated embodiment of the present invention, a barrier apparatus is configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon. The barrier apparatus includes a housing configured to define an interior region, a fluid supply located in the interior region of the housing, and a coupler configured to secure the housing to the patient support so that the housing is located adjacent the mattress with a portion of the housing extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress. The fluid supply is coupled to a fluid filled device.




Illustratively according to the embodiment, the housing is formed by one of a footboard, a headboard, and a siderail.




Further illustratively according to the embodiment, at least one valve is located within the interior region of the housing. The at least one valve is configured to direct fluid to the fluid filled device.




Illustratively according to the embodiment, a controller is coupled to the fluid supply and is located within the interior region of the housing. A second controller is illustratively coupled to the patient support and is electrically coupled to the controller in the interior region of the housing.




Further illustratively according to the embodiment, the housing is removable from the patient support. A first connector is located on the housing and a second connector is located on the patient support, the first connector being configured to mate with the second connector to provide an electrical connection to the housing when the housing is installed on the patient support.




Illustratively according to the embodiment, the fluid supply is one of a blower, a compressor, and a water pump.




Illustratively according to the embodiment, the housing includes a receptacle formed in the interior region and configured to receive an accessory item therein.




Further illustratively according to the embodiment, the housing includes a fluid intake to supply fluid to the fluid supply through the housing.




Illustratively according to the embodiment, a therapy control module is coupled to the housing to provide therapy on the person. The therapy control module is illustratively located in the interior region of the housing.




Illustratively according to the embodiment, the fluid filled device is an air mattress or a therapy device.




In a further illustrated embodiment of the present invention, a barrier apparatus is configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon. The barrier apparatus includes a housing having a front wall, a rear wall, and a cavity formed intermediate the front wall and the rear wall. The barrier apparatus further includes a bumper extending outwardly from the front wall, the bumper including a support located in the cavity and extending toward the front wall of the housing, and a coupler configured to secure the housing to the patient support so that the housing is located adjacent the mattress with a portion of the housing extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.




According to the illustrated embodiment, the bumper includes a resilient engagement member aligned with the support and extending outwardly from the front wall of the housing.




Illustratively according to the embodiment, the support of the bumper includes a body portion coupled to a pair of support posts.




Further illustratively according to the embodiment, a mounting bracket is supported within the cavity intermediate the front wall and the rear wall of the housing, wherein the support of the bumper is coupled to the mounting bracket.




Illustratively according to the embodiment, a fluid supply is located in the cavity of the housing and is coupled to a fluid filled device. At least one valve is illustratively located within the interior region of the housing and is configured to direct fluid to the fluid filled device.




Further illustratively according to the embodiment, the housing is formed by one of a footboard, a headboard, and a siderail.




Illustratively according to the embodiment, the housing is removable from the patient support. A first connector is located on the housing and a second connector is located on the patient support, the first connector being configured to mate with the second connector to provide an electrical connection to the housing when the housing is installed on the patient support.




In yet another illustrated embodiment of the present invention, a footboard is configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon. The footboard comprises a body including an outer surface, a fluid outlet formed within the outer surface of the body, and a coupler configured to secure the body to the patient support so that the body is located adjacent the mattress with a portion of the body extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.




Illustratively according to the embodiment, a fluid inlet is formed within the outer surface of the body, the fluid inlet being in fluid communication with the fluid outlet.




Further illustratively according to the embodiment, the fluid outlet includes tubular member extending outwardly from the outer surface of the body, wherein the tubular member comprises a flexible hose including a plurality of fluid lines.




Illustratively according to the embodiment, a relief member is supported by the outer surface of the body, the tubular member passing through the relief member.




Further illustratively according to the embodiment, a fluid supply is supported by the body of the footboard and is coupled to a fluid filled device by the fluid outlet. The fluid outlet includes a first set of fluid connectors configured to couple with a second set of fluid connectors supported by the fluid filled device. The fluid outlet further comprises an alignment member so that the first and second sets of fluid connectors can be coupled together in a single orientation.




Illustratively according to the embodiment, at least one valve is supported by the body of the footboard and is configured to direct fluid to the fluid filled device.




Further illustratively according to the embodiment, the outer surface of the body includes a front surface and a rear surface. A bumper is supported by the front surface and the fluid outlet is supported by the rear surface.




Further illustratively according to the embodiment, the footboard is removable from the patient support.




Illustratively according to the embodiment, a first electrical connector is located on the body of the footboard and a second electrical connector is located on the patient support. The first electrical connector is configured to mate with the second electrical connector to provide an electrical connection to the footboard when the body is installed on the patient support.




In a further illustrated embodiment of the present invention, a barrier apparatus is configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon. The barrier apparatus comprises a body, and an instruction receptacle coupled to the body, the instruction receptacle including a pair of side walls defining an interior region, an open upper end in communication with the interior region, and an opposing lower end including a fluid passage in communication with the interior region. The barrier apparatus illustratively further comprises a coupler configured to secure the body to the patient support so that the body is located adjacent the mattress with a portion of the body extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.




Illustratively according to the embodiment, a guide member is coupled to the instruction receptacle, and a plurality of cards are coupled to the guide member for movement from within the interior region through the open upper end of the instruction receptacle.




Illustratively according to the embodiment, the guide member includes a pin supported within the interior region of the instruction receptacle, each of the plurality of cards including a slot configured to slidably receive the pin.




Further illustratively according to the embodiment, the body of the barrier apparatus is formed by one of a footboard, a headboard, and a siderail.




Illustratively according to the embodiment, the pair of sidewalls of the instruction receptacle each include an arcuate lower portion configured to direct fluid downwardly toward the fluid passage in the lower end of the instruction receptacle.




Further illustratively according to the embodiment, a fluid supply is supported by the body of the barrier apparatus and is coupled to a fluid filled device. At least one valve is supported by the body and is configured to direct fluid to the fluid filled device.




Illustratively according to the embodiment, the barrier is removable from the patient support.




Additional features of the invention will become apparent to those skilled in the art upon consideration of the following detailed description when taken in conjunction with the accompanying drawings.











BRIEF DESCRIPTION OF THE DRAWINGS




The detailed description of the drawings particularly refers to the accompanying figures in which:





FIG. 1

is a perspective view of a hospital bed including a removable footboard of the present invention configured to include both bed frame and mattress controls, and a fluid supply, such as a blower or compressor, for supplying fluid to a fluid filled mattress on the bed;





FIG. 2

is a partial perspective view illustrating the footboard of

FIG. 1

coupled to a fluid filled mattress by a supply hose;





FIG. 3

is an exploded perspective view in partial schematic illustrating the various mattress zones of the fluid filled mattress of

FIG. 1

;





FIG. 4

is a front elevational view, with partial cut-aways, illustrating the removable footboard of

FIG. 1

;





FIG. 5

is a front perspective view of the removable footboard of

FIG. 1

illustrating further details thereof;





FIG. 6

is a front perspective view of the footboard similar to

FIG. 5

, with the front cover removed;





FIG. 7

is a rear perspective view of the removable footboard of

FIG. 1

raised above the bed frame, with the support posts and the bed frame partially broken away for clarity;





FIG. 8

is an exploded perspective view of the removable footboard of

FIG. 1

;





FIG. 9

is a bottom plan view of the removable footboard of

FIG. 1

;





FIG. 10

is a perspective view illustrating the interface coupling of the air hose assembly and the mattress interface connection assembly of

FIG. 2

;





FIG. 11

is a detailed perspective view of the footboard interface connection assembly and the relief member of the removable footboard of

FIG. 1

; and





FIG. 12

is a block diagram illustrating the interconnection of the various control and fluid handling components of the removable footboard of FIG.


1


.











DETAILED DESCRIPTION OF THE DRAWINGS




Referring now to the drawings,

FIG. 1

illustrates a hospital bed


10


of the present invention. The bed


10


includes a base frame


12


having a plurality of casters


14


, and a brake/steer control mechanism having pedals


16


mounted adjacent each of the casters


14


. Details of the structure and operation of the brake/steer control mechanism are disclosed in U.S. Pat. No. 6,321,878, which is assigned to the assignee of the present invention and the disclosure of which is expressly incorporated by reference herein.




The bed


10


further includes an elevating frame


20


coupled to the base frame


12


, and an articulating deck


22


coupled to the elevating frame


20


. The elevating frame


20


may include a retracting frame as illustrated in U.S. Pat. No. 6,208,250, which is assigned to the assignee of the present invention and the disclosure of which is expressly incorporated by reference herein. Furthermore, a weigh frame (not shown) of the type disclosed in U.S. Pat. No. 6,208,250 may be coupled to the base frame


12


. The articulating deck


22


illustratively includes a head deck section


23


, a seat deck section


24


, a thigh deck section


25


, and a leg deck section


26


. The deck sections


23


,


24


,


25


, and


26


are movable to various positions in a conventional manner.




A headboard


28


is mounted to the elevating frame


20


adjacent a head end


29


of bed


10


, and a footboard


30


is mounted to the elevating frame


20


adjacent a foot end


31


of bed


10


. In the illustrated embodiment and as described in greater detail below, the footboard


30


is removable from the frame


20


. Additional details of the supporting structure facilitating removal of the footboard


30


from the frame


20


are illustrated in U.S. Pat. No. 6,208,250.




The bed


10


further includes a pair of head end siderails


32


and a pair of foot end siderails


34


coupled to the articulating deck


22


on opposite sides of the bed


10


. The siderails


32


and


34


are coupled to the articulating deck


22


in a conventional manner using connector mechanisms


35


, such as those described in detail in U.S. Pat. No. 6,208,250. The siderails


32


and


34


are each movable between a lowered position and an elevated position located above a top surface or patent support surface


36


, as shown in FIG.


1


.




Referring now to

FIGS. 1-3

, the top surface


36


is defined by a mattress


38


located on the articulating deck


22


and is configured to support a patient thereon. Illustratively, the mattress


38


is an air mattress including upper and lower cushion levels or layers


40


and


42


. The upper cushion level


40


provides a support surface for the patient and illustratively includes five separate groups or zones


44


,


46


,


48


,


50


, and


52


extending from the head end


29


to the foot end


31


of the bed


10


(FIGS.


1


and


3


). The zones include a head zone


44


, a chest zone


46


, a seat zone


48


, a thigh zone


50


, and a foot zone


52


. Each upper level zone


44


,


46


,


48


,


50


, and


52


may be formed by a single cushion


54


including a plurality of generally rectangularly-shaped air bag segments or bladders


56


which are in fluid communication with each other within a single cushion


54


.




With further reference to

FIG. 3

, the lower cushion layer


42


illustratively includes a closed cell air bag or substrate


58


extending across the entire length and width of the elevating frame


20


. A plurality of bolsters


60


may be formed on the lower substrate


58


along its side edges. The bolsters


60


are illustratively integrally formed with the lower substrate


58


so that the interiors of the bolsters


60


are in fluid communication with the remainder of the substrate


58


.




When the upper and lower cushioning layers


40


and


42


are positioned in an overlaying relationship, the bolsters


60


nest within a space below the end portions of the bladders


56


. Releasable securing devices, such as snaps


62


, are used to join the ends and sides of the cushioning layers


40


and


42


to side panels


64


placed around the sides of the mattress


38


. Thus, the side panels


64


tend to hold the bolsters


60


in place. The bolsters


60


tend to keep the upper cushioning layer


40


from shifting with respect to the lower cushioning layer


42


. In addition to the side panels


64


, a coverlet


66


also may be placed about the upper and lower cushioning layers


40


and


42


to help secure them together as a single unit.




The lower cushioning layer


42


may also include a plurality of side release members, such as tie downs


68


, about its perimeter. The tie downs


68


are used to secure the mattress


38


to the articulating deck


22


.




The mattress


38


is illustratively a low air loss mattress, although any type of air or fluid filled mattress may be used in accordance with the present invention. The low air loss mattress


38


provides controlled air leakage to allow a limited amount of air to escape from the upper and lower cushioning layers


40


and


42


of the mattress


38


. Illustratively, the mattress


38


may be of the type disclosed in U.S. Pat. No. 5,647,079, which is assigned to the assignee of the present invention and which is expressly incorporated by reference herein.




With reference to

FIGS. 1

,


4


and


5


, the footboard


30


includes a plurality of controls


70


, such as buttons, knobs, or switches for controlling various functions of the bed


10


and of devices associated with the bed


10


. The controls


70


are supported on a top inclined panel


72


, a central inclined panel


74


and a lower inclined panel


76


. A cover


78


is pivotably coupled to the footboard


30


by a pivot connection


80


(

FIG. 7

) so that the cover


78


can be pivoted downwardly to conceal at least those of the controls


70


located on the top inclined panel


72


.




With reference to

FIG. 5

, the controls


70


supported by the top inclined panel


72


include a plurality of environment or accessory controls


82


, a plurality of lock out controls


84


, a plurality of bed position controls


86


, and a plurality of surface controls


88


. The accessory controls


82


may include conventional push buttons


83


configured to activate and deactivate an entertainment device, such as a television or a radio, a night light, or a back light.




The lock out controls


84


may include conventional push buttons


85


configured to permit a caregiver to lock out selected functions normally controlled by a patient using patient controls (not shown) that are typically located on the head end side rails


32


. For example, the lock out buttons


85


may deactivate controls for head or knee articulation of the articulating deck


22


, and for a conventional high-low mechanism (not shown). Additionally, the lock out buttons


85


may deactivate controls for entertainment devices or lights of the type discussed above. A master lock out button


85


may be provided to lock out all of the motors for controlling head and knee articulation and the high-low mechanism.




The bed position controls


86


may include conventional push buttons


87


configured to permit a caregiver to select preset configurations for the articulating deck


22


, and to raise or lower the elevating frame


20


. The bed position controls


86


may further include buttons


87


to place the elevating frame


20


in either Trendelenburg or Reverse Trendelenburg positions. The surface controls


88


may comprise conventional push buttons


89


configured to activate and deactivate the air mattress


38


, or to provide an automatic firm pressure setting of the air mattress


38


.




The central inclined panel


74


includes a plurality of indicators


90


, and in-bed scale controls


92


. The indicators


90


illustratively include a Trendelenburg angle indicator


94


including an indicator member (not shown) supported for relative movement as the angular orientation of the bed frame


20


changes. Also included are a plurality of indicator lights


96


, illustratively light emitting diodes (LEDs), which may provide an indication of a plurality of different conditions, such as motor power off, ground loss, brake not set, bed not down, service required, and surface power off. The in-bed scale controls


92


may include a plurality of conventional push buttons


98


configured to, for example, activate and deactivate a scale coupled to the weigh frame, reset the scale, and convert the units of measure. An indicator


100


, illustratively a liquid crystal display, is positioned adjacent the buttons


98


and is configured to display information associated with the in-bed scale.




The lower inclined panel


76


supports a plurality of air mattress controls


102


which are configured to allow a caregiver to control operation of the air mattress


38


. For example, the air mattress controls


102


may adjust pressure in the various zones


44


,


46


,


48


,


50


, and


52


of the mattress


38


or provide therapy to the patient supported on the air mattress


38


. The air mattress controls


102


include a plurality of programming control buttons


104


associated with a display


106


for entering or adjusting a patient's height and weight. A controller


107


(

FIG. 12

) is illustratively provided to automatically set the air zone pressures at base line pressures based upon the patient's height and weight.




The air mattress controls


102


further includes a zone pressure indicator


108


for providing an indication of the pressure supplied to each respective air zone


44


,


46


,


48


,


50


, and


52


of the air mattress


38


. Illustratively, the indicator


108


may comprise a plurality of light emitting diodes (not shown) which are illuminated to provide a representation of pressure relative to base line pressures. A zone select button


110


is provided below the indicator


108


and permits the caregiver to select a particular air zone


44


,


46


,


48


,


50


, or


52


for pressure adjustment. Pressure adjust buttons


112


and


114


are positioned adjacent to the indicator


108


and are configured to permit the caregiver to manually increase or decrease, respectively, the pressure in the zone selected by the zone selection button


110


. A max inflate button


116


is likewise provided adjacent to the indicator


108


and may be depressed to cause maximum inflation of all air zones


44


,


46


,


48


,


50


, and


52


of the air mattress


38


, thereby providing a firmer support surface for the patient. A seat deflate button


118


is provided immediately below the max inflate button


116


and may be depressed by a caregiver to deflate the seat zone


48


and the thigh zone


50


of the air mattress


38


. Deflation of the seat zone


48


and the thigh zone


50


may be utilized, for example, when moving a patient to or from the bed


10


.




The air mattress controls


102


further include an alarm silence button


120


. Should the controller


107


detect an operational problem, an audible alarm


121


(FIG.


12


), such as a bell or buzzer, is illustratively activated. Depressing the alarm silence button


120


causes the audible alarm


121


to be temporarily silenced. A highly visible CPR button


122


is supported on the lower inclined panel


76


. Depression of the CPR button


122


results in a rapid deflation of all air zones


44


,


46


,


48


,


50


,


52


and


58


as described in greater detail below. The CPR button


122


is illustratively larger than the other controls


70


and may be identified by a color, such as red, distinct from the other controls


70


.




As best shown in

FIGS. 4-6

and


8


, the footboard


30


includes a housing or body


124


supporting a removable cover


126


which encloses an interior region or chamber


128


(FIG.


6


). The removable cover


126


includes a releasable securing device, illustratively a plurality of L-shaped locking tabs


130


disposed adjacent opposing side edges of the cover


126


, for releasably securing the cover


126


to the body portion


124


. Moreover, the locking tabs


130


are receivable within a plurality of receiving slots


132


formed within an outer surface


134


of the body portion


124


(FIG.


6


). The removable cover


126


supports the lower inclined panel


76


and includes an air inlet or intake


135


. The air intake


135


is illustratively formed as a grille in a lower portion of the removable cover


126


and provides fluid communication between atmosphere and the interior region


128


of the footboard


30


(FIG.


9


).




Referring further to

FIGS. 4

,


6


, and


8


, an internal frame


136


includes a mounting member or bracket


138


extending between a pair of spaced apart support posts


140


and


142


within the interior region


128


. The left support post


140


comprises a tubular member having a substantially rectangular cross-section, while the right support post


142


comprises a tubular member having a substantially circular cross-section. As detailed below, the different cross-sectional shapes of the support posts


140


and


142


facilitate proper orientation of the footboard


30


on the bed frame


20


. The mounting member


138


is configured to support internal pneumatic and electrical components, including a blower


144


and first and second air control valves


146


and


148


which are coupled to the blower


144


within the interior region


128


of the footboard


30


.




The mounting member


138


is secured to the left and right support posts


140


and


142


through left and right collars


150


and


152


, respectively. The left and right collars


150


and


152


, in turn, are fixed to an arcuate support


154


extending outwardly away from the body portion


124


of the footboard


30


. A downwardly extending shroud


156


is connected to the arcuate support


154


through a mounting platform


158


. A pair of L-shaped securing brackets


160


are fixed adjacent a lower end of the shroud


156


and threadably receive a pair of bolts


162


for securing the removable cover


126


to the body portion


124


of the footboard


30


.




In the illustrated embodiment, the blower


144


is used to supply air to the low air loss mattress


38


. If the mattress


38


does not require a blower


144


to supply air, a compressor or other air supply may be located within interior region


128


of footboard


30


instead of the blower


144


. In addition, another type of fluid supply, such as a water recirculation unit or a water pump, may be located within the footboard


30


, if desired, when a water-filled mattress is used. As such, it should be appreciated that the footboard


30


of the present invention may be utilized with any fluid filled device associated with a patent support apparatus.




Referring further to

FIGS. 6 and 8

, an inlet filter


166


is coupled to the intake


168


of the blower


144


and filters particulate from the air passing therethrough. The inlet filter


166


is of conventional design and may include a housing


170


fixed to an inner surface


172


of the interior region


128


of the footboard


30


, thereby at least partially supporting the blower


144


. A manifold


174


is supported within the interior region


128


intermediate the blower


144


and the control valves


146


and


148


. As described in greater detail below, the manifold


174


includes a single intake


176


and first and second outlets


178


and


180


. The intake


176


receives air from the outlet


181


of the blower


144


which is then divided into two separate air paths passing through the first and second outlets


178


and


180


. Conventional flexible tubing


182


and


184


(

FIG. 6

) interconnects the first and second outlets


178


and


180


with the first and second control valves


146


and


148


, respectively.




The controller


107


is illustratively formed as a circuit board and is located within the interior region


128


of the footboard


30


. A power supply module


188


is supported within the interior region


128


and is in electrical communication with the controller


107


. The power supply module


188


illustratively comprises a conventional alternating current to direct current (AC to DC) converter provided in electrical communication with an external alternating current power source


190


(FIG.


12


). A power switch


192


is provided intermediate the external power source


190


and the AC to DC converter


188


. The power switch


192


comprises a conventional rocker switch supported by the removable cover


126


. A pilot light (not shown) may be provided to indicate that AC input voltage is available to the footboard


30


.




The external power source


190


illustratively may be from 95V AC to 240V AC at 50 to 60 Hz. The AC to DC converter


188


produces a 24V DC output that is supplied to the controller


107


, which internally generates 5V DC and 12V DC. The 5V DC source is used internally by the controller


107


for logic signals, and externally for a speed control signal for the blower


144


and for set signals for the control valves


146


and


148


. The 12V DC may be used as a driver voltage for driving the control valves


146


and


148


and a CPR dump valve


316


(FIG.


12


).




A front bumper


194


extends outwardly from the front wall


195


of the removable cover


126


. The front bumper


194


includes a resilient contact or engagement member


196


fixed to the front wall


195


and a support


198


positioned within the interior region


128


of the footboard


30


. The support


198


includes a body portion


200


coupled to a pair of spaced apart posts


202


and


204


. The posts


202


and


204


are secured to the shroud


156


of the mounting member


138


by conventional bolts


206


. The resilient engagement member


196


is aligned with the body portion


200


of the support


198


in order to protect the front wall


195


of the removable cover


126


from impact.




The footboard


30


also includes side bumpers


208


and


210


and apertures


212


and


214


. The apertures


212


and


214


provide handles to facilitate movement of the bed


10


. Illustratively, both the headboard


28


and the footboard


30


are made from a plastic material using a blow molding process. It should be understood, however, that the headboard


28


and footboard


30


may be made from other materials and from other processes, if desired.




Referring now to

FIGS. 4

,


7


, and


9


, the controls


70


on the footboard


30


are illustratively coupled through a connector assembly


215


to a bed, or second, controller


217


(

FIG. 12

) supported by the bed


10


. As such, the controller


107


of the footboard


30


is electrically coupled to the controller


217


of the bed


10


. The bed controller


217


and other bed electronics are illustratively mounted on the frame


20


of the bed


10


as illustrated in U.S. Pat. No. 6,208,250. The connector assembly


215


may also supply power to the power supply module


188


. Alternatively, a conventional power cord (not shown) may be wired to the power supply module


188


and plugged into an outlet receptacle (not shown) on the bed


10


.




A first connector alignment apparatus


216


is coupled to the footboard


30


and a second connector alignment apparatus


218


is coupled to the frame


20


of the bed


10


. The support posts


140


and


142


of the footboard


30


are formed to include apertures


220


and


222


which slide over upwardly extending mounting posts


224


and


226


on the frame


20


during installation of the footboard


30


onto the frame


20


in the direction of arrow


228


in FIG.


4


. The apertures


220


and


222


defined by the support posts


140


and


142


are configured to mate with the respective mounting posts


224


and


226


such that the footboard


30


may be mounted to the frame


20


in a single orientation. More particularly, the mounting post


224


has a substantially rectangular cross-section to mate with the substantially rectangular cross-section of the aperture


220


of the support post


140


. Likewise, the mounting post


226


has a substantially circular cross-section to mate with the substantially circular cross-section of the aperture


222


of the support post


142


. The posts


224


and


226


and the apertures


220


and


222


provide initial alignment between the footboard


30


and the frame


20


. The first and second connector alignment apparatuses


216


and


218


provide further alignment for male and female electrical connectors


230


and


232


, respectively.




The first connector alignment apparatus


216


is configured to support a pair of male electrical connectors


230


, while the second connector alignment apparatus


218


is configured to support a pair of female electrical connectors


232


. The first connector alignment apparatus


216


further includes a base plate


234


having outwardly extending alignment posts


236


and


238


located at opposite ends. The posts


236


and


238


each include tapered head portions


240


and


242


, respectively (FIGS.


4


and


7


). The second connector alignment apparatus


218


includes a body portion


244


formed to include apertures


246


and


248


at opposite ends. The apertures


246


and


248


are configured to receive the posts


236


and


238


of the first connector alignment apparatus


216


. Lead-in ramp surfaces


250


and


252


are formed around the apertures


246


and


248


(FIG.


4


).




During installation of the footboard


30


on to the frame


20


, initial alignment is provided by posts


224


and


226


on the frame


20


extending into the apertures


220


and


222


formed in the footboard


30


. As the footboard


30


moves downwardly over the posts


224


and


226


, the posts


236


and


238


on the first connector alignment apparatus


216


enter the apertures


246


and


248


in the second connector alignment apparatus


218


. The tapered surfaces


240


and


242


on the posts


236


and


238


and the ramp portions


250


and


252


of the apertures


246


and


248


facilitate insertion of the posts


236


and


238


into the apertures


246


and


248


. As such, the alignment apparatuses provide an electrical connection to the footboard


30


automatically when the footboard


30


is installed on the frame


20


. Additional details of the first and second connector alignment apparatuses are disclosed in U.S. Pat. No. 6,208,250.




With reference to

FIGS. 2

,


3


,


7


, and


9


-


12


, air is supplied to the mattress


38


from the interior region


128


of the footboard


30


through an air hose assembly


254


. The air hose assembly


254


provides fluid communication between a footboard interface connection assembly


256


located on a rear wall


257


of the footboard


30


, and a mattress interface connection assembly


258


, located on the left foot end of the mattress


38


. The air hose assembly


254


comprises a plurality of independent air stream supply tubes


260




a-g


bundled together and nested within an outer tube


262


(FIG.


10


). Both ends of the air hose assembly


254


may include an interface coupling


264


so that the air hose assembly


254


may be connected to deliver air from the blower


144


to the mattress


38


. Illustratively, the interface couplings


264


on each end of the air hose assembly


254


are identical so that either end of the air hose assembly


254


may be attached to either the footboard interface connection assembly


256


or the mattress interface connection assembly


258


.




Referring further to

FIGS. 2

,


10


and


11


, the footboard interface connection assembly


256


and the mattress interface connection assembly


258


are illustratively substantially identical and each include a plurality of male connection members


265




a-g


. The male connection members


265




a-g


of the footboard interface connection assembly


256


are coupled to independent air stream supply tubes


266




a-g


, respectively which in turn are connected to the blower


144


through the first and second control valves


146


and


148


(FIG.


11


). The male connection members


265




a-g


of the mattress interface connection assembly


258


is likewise coupled to independent air stream supply tubes


267




a-g


, respectively, which in turn are connected to the air mattress


38


. The interface couplings


264


of the air hose assembly


254


illustratively include a plurality of female connection members


268




a-g


coupled to the supply tubes


260




a-g


of the air hose assembly


254


, respectively. The footboard interface connection assembly


256


and the mattress interface connection assembly


258


sealingly mate with the interface couplings


264


of the air hose assembly


254


. More particularly, the male connection members


265




a-g


are sealingly received within the female connection members


268




a-g


, thereby providing fluid communication between the interface connection assemblies


256


and


258


and their respective interface couplings


264


.




An alignment mechanism


269


ensures proper orientation of the connection assemblies


256


and


258


relative to their respective interface couplings


264


. The alignment mechanism


269


includes a slot


270


formed within a coupling ring


271


of each interface connection assembly


256


and


258


, and a pin


272


coupled to each of the interface couplings


264


. As may be appreciated, the slot


270


slidingly receives the pin


272


only when the connection assembly


256


and


258


is in a single, proper orientation relative to the respective interface coupling


264


.




Additional details of the air hose assembly


254


, including the interface connection assemblies


256


,


258


and the interface couplings


264


, are provided in U.S. Pat. No. 5,647,079.




Referring further to

FIGS. 7

,


8


, and


11


, the footboard interface connection assembly


256


is received within a relief member


273


supported by the rear wall


257


of the footboard


30


. The relief member


273


includes a housing


274


extending inwardly from the rear wall


257


toward the interior region


128


of the footboard


30


. The housing


274


includes first and second inclined sidewalls


275


and


276


connected to upper and lower walls


277


and


278


, thereby defining a relief or recess


279


. A mounting flange


280


is connected to the rear wall


257


through conventional fasteners, such as bolts


281


. The footboard interface connection assembly


256


is supported by an aperture


282


formed within the first inclined wall


275


.




Referring now to

FIGS. 2

,


7


, and


8


, the footboard


30


further includes an instruction receptacle


284


supported by the rear wall


257


of the footboard


30


. The instruction receptacle


284


includes a pair of side walls


286


and


288


coupled to an outer wall


289


and defining an interior region


290


. An upper end


291


of the instruction receptacle


284


is open to provide access to the interior region


290


. Each of the side walls


286


and


288


includes an arcuate lower portion


292


and


294


which defines a fluid passage


296


. The arcuate lower portions


292


and


294


are configured to direct fluids downwardly toward the lower end


298


of the instruction receptacle


284


and out through the fluid passage


296


.




A plurality of cards


300


are illustratively received within the interior region


290


of the instruction receptacle


284


. The cards


300


may comprise instruction sheets for use by a caregiver positioned adjacent to the footboard


30


. A guide member


302


is associated with the cards


300


and is configured to guide the cards


300


in movement from within the interior region


290


through the open upper end


291


. The guide member


302


illustratively includes a pair of pins


304


and


306


slidably received within a pair of slots


308


and


310


formed within each of the plurality of cards


300


(FIG.


8


).




Operation of the air supply components of the footboard


30


is represented schematically in FIG.


12


. Upon activation of the power switch


192


, AC power is supplied by the external power source


190


to the AC to DC converter


188


. Desired settings for the air mattress


38


may be entered through controls


70


on the lower inclined control panel


76


, which is in communication with the controller


107


. The controller


107


activates the blower


144


and the control valves


146


and


148


as required to maintain desired pressures within the zones


44


,


46


,


48


,


50


,


52


, and


58


of the air mattress


38


.




A conventional blower control


312


provides an interface between the blower


144


and the controller


107


. More particularly, the AC to DC converter


188


provides 24V DC to the blower control


312


, which is used to generates the necessary stepper signals to run the blower


144


. A 0V DC to 5V DC blower speed signal is supplied to the blower control


312


by the controller


107


. When operating in a standard condition, the blower speed signal is approximately 4 V DC.




The blower


144


draws air from the atmosphere through the intake


135


formed in the removable cover


126


. The air passes through the inlet filter


166


and into the blower


144


through the intake


168


. Air is forced out of the blower


144


through the outlet


181


and then into the manifold


174


.




The manifold


174


supplies the pressurized air stream to control valves


146


and


148


. More particularly, the air stream enters the manifold


174


through the intake


176


and is then separated to pass through the first outlet


178


and the second outlet


180


. Tubing


182


and


184


directs the separated air streams to the first and second control valves


146


and


148


. Each control valve


146


and


148


illustratively comprises three zone proportional valves


314


. As the separated air streams pass through the control valves


146


and


148


, they are further divided into a total of six independent air streams. The number of proportional valves


314


equals the number of independent air streams to be directed to the mattress


38


. As may be appreciated, the number of proportional valves


314


may be varied depending upon the number of separately inflatable air bladders or bags included within the mattress


38


.




The pressure of each independent air stream, and therefore air mattress zone


44


,


46


,


48


,


50


,


52


and


58


, is regulated by the opening and closing of its respective proportional valve


314


. Illustratively, the proportional valves


314


automatically adjust in response to a signal received from the controller


107


, so that their actual output pressures substantially match desired output pressures. The comparison between actual output pressures and desired output pressures is carried out for each valve by a conventional microprocessor (not shown) within the controller


107


. Actual output pressures are measured using pressure transducers (not shown) located at the proportional valves


314


. The desired output pressures are calculated by the microprocessor based upon the inputs received from the controls


70


on the footboard


30


. The desired output pressure may be generated by the controller


107


based upon a patient's height and weight.




In addition to monitoring the controls


70


on the footboard


30


and controlling the operation of the proportional valves


314


, the controller


107


controls the speed of the blower


144


. When the microprocessor of the controller


107


detects that the actual output pressure at a valve


314


is less than the desired output pressure, the controller


107


signals one of the valves


314


to open so that the actual pressure increases. If the pressure in the manifold


174


is insufficient to increase the actual output pressure after the opening of the valve


314


, the controller


107


signals the blower control


312


to increase the speed of the blower


144


. Then, as the actual output pressure increases, and the desired output pressure is exceeded, the controller


107


decreases the flow of valve


314


and reduces the speed of the blower


144


.




When a zone proportional valve


314


is unable to match the desired pressure with the correct amount of air pressure, the controller


186


will send an alarm signal to the alarm


121


. The alarm


121


will provide an audible signal which may be temporarily silenced by depressing the alarm silence button


120


.




The temperature of air supplied by the blower


144


is monitored by a thermometer, illustratively a thermistor


318


. The thermistor


318


is continually monitored by the controller


107


for continuity to ensure that it has not been opened. As the temperature of the air supplied by the blower


144


rises, the resistance of the thermistor


318


decreases, allowing a voltage signal back to the controller


107


to increase. An alarm condition is activated if the thermistor opens, or if the measured air temperature rises above a predetermined temperature. Illustratively, the predetermined temperature is approximately 150° F. (66° C.), which is based on providing an air temperature to the mattress


38


below approximately 105° F. (41° C.). During the alarm condition, the controller


107


disables the blower


144


, illuminates a “service required” indicator light


96


on the central inclined panel


74


, and activate the audible alarm


121


.




The independent air streams pass from the proportional valves


314


through a CPR dump valve


316


, and then into the air supply tubes


260




a-g


of the air hose assembly


254


. The CPR dump valve


316


is an electronically controlled valve actuable to vent all of the independent air streams to the atmosphere simultaneously while air flow from the manifold


174


is stopped. To engage the CPR feature, a caregiver enters a command on the control panel or activates the CPR button


122


located on the housing


124


. This sends a signal to the controller


107


to open the CPR valve


316


and to stop the flow of air from the manifold


174


. The present invention also provides that a manual CPR condition may be accomplished by disconnecting the hose assembly


254


from either the footboard


30


, thereby allowing air to escape from the mattress


38


. The net result of either manner of operation is the rapid deflation under the weight of the patient of all of the zones


44


,


46


,


48


,


50


,


52


and


58


of the mattress


38


.




In the illustrated embodiment, the footboard


30


and the blower


144


, or other fluid supply, are formed integrally as a single unit. Therefore, it is not required to couple a separate blower housing to the footboard


30


or other part of the bed


10


in order to supply air to the mattress


38


. In the present invention, the bed


10


illustrated in U.S. Pat. No. 6,208,250 is used with a conventional foam, inner spring or static air mattress. When it is desired to switch the conventional mattress to a dynamic air mattress, the footboard shown in U.S. Pat. No. 6,208,250 is removed and replaced with the footboard


30


shown in the present application. This provides an integral blower


144


, or other fluid supply, for the mattress


38


supported within the footboard


30


on the bed


10


.




Although the blower


144


is illustratively located within the footboard


30


, it is understood that the blower


144


, or other fluid supply, may be located in an interior region of the headboard


28


or in an interior region of one of the siderails


32


and


34


. The headboard


28


, the footboard


30


, and the siderails


32


and


34


illustratively provide barriers which extend above the top surface


36


of mattress


38


and which are coupled to the frame


20


or articulating deck


22


of the bed


10


. Therefore, the present invention provides a fluid supply, such as blower


144


, located within an interior region of a barrier coupled to a hospital bed


10


.




In an illustrative embodiment of the present invention, the footboard


30


includes access panels or doors


320


configured to cover internal chambers


322


. More particularly, the access doors


320


are pivotally coupled to the front wall


195


of the removable cover


126


utilizing conventional mechanisms, such as hinges (not shown). Alternatively, the access doors


320


may be supported for sliding movement relative to the front wall


195


for providing access to the internal chambers


322


. The interior region


128


of the footboard


30


is configured to provide space for the internal chambers


322


to extend therein.




The chambers


322


are illustratively configured to receive control modules


324


. The control modules


324


include electrical connectors and valves (not shown) for providing various types of therapy to a patient supported on the bed


10


. For example, different control modules


324


can be provided for rotation therapy, percussion/vibration therapy, sequential compression therapy, or other type of therapy. Details of the control modules


324


are included in U.S. Pat. Nos. 5,715,548 and 6,047,424, and in U.S. patent application Ser. No. 09/532,592, all of which are assigned to the assignee of the present invention and are expressly incorporated by reference herein. In addition, the doors


320


can provide access to storage chambers


322


for storing other items, such as medical supplies, within the interior region


128


of the footboard


30


.




In another illustrative embodiment of the present invention, a compression boot or other compression device (not shown) is stored within interior region


128


of the footboard


30


and is accessible through the door


320


on the footboard


30


. If necessary, a separate compressor (not shown) for the compression device may also be stored in interior region


128


of footboard


30


. The compression device is removable from the interior region


128


to provide therapy to the patient supported on the mattress


38


.




Although the invention has been described in detail with reference to certain illustrated embodiments, variations and modifications exist within the scope and spirit of the invention as described and as defined in the following claims.



Claims
  • 1. A barrier apparatus configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon, the barrier apparatus comprising:a housing configured to define an interior region; a fluid supply located in the interior region of the housing, the fluid supply being coupled to a fluid filled device; and a coupler configured to secure the housing to the patient support so that the housing is located adjacent the mattress with a portion of the housing extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.
  • 2. The apparatus of claim 1, wherein the housing is formed by one of a footboard, a headboard, and a siderail.
  • 3. The apparatus of claim 1, further comprising at least one valve located within the interior region of the housing, the valve being configured to direct fluid to the fluid filled device.
  • 4. The apparatus of claim 1, further comprising a controller coupled to the fluid supply, the controller being located within the interior region of the housing.
  • 5. The apparatus of claim 4, further comprising a second controller coupled to patient support, the second controller being electrically coupled to the controller in the interior region of the housing.
  • 6. The apparatus of claim 1, wherein the housing is removable from the patient support.
  • 7. The apparatus of claim 6, further comprising a first connector located on the housing and a second connector located on the patient support, the first connector being configured to mate with the second connector to provide an electrical connection to the housing when the housing is installed on the patient support.
  • 8. The apparatus of claim 1, wherein the fluid supply is one of a blower and a compressor.
  • 9. The apparatus of claim 1, wherein the fluid supply is a water pump.
  • 10. The apparatus of claim 1, wherein the housing includes a receptacle formed in the interior region and configured to receive an accessory item therein.
  • 11. The apparatus of claim 1, wherein the housing includes a fluid intake aperture to supply fluid to the fluid supply through the housing.
  • 12. The apparatus of claim 1, further comprising a therapy control module coupled to the housing to provide a therapy to the person.
  • 13. The apparatus of claim 12, wherein the therapy control module is located in the interior region of the housing.
  • 14. The apparatus of claim 1, wherein the fluid filled device is an air mattress.
  • 15. The apparatus of claim 1, wherein the fluid filled device is a therapy device.
  • 16. A barrier apparatus configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon, the barrier apparatus comprising:a housing including a front wall, a rear wall, and a cavity formed intermediate the front wall and the rear wall; a bumper extending outwardly from the front wall, the bumper including a support located in the cavity and extending toward the front wall of the housing; and a coupler configured to secure the housing to the patient support so that the housing is located adjacent the mattress with a portion of the housing extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.
  • 17. The apparatus of claim 16, wherein the bumper further includes a resilient engagement member aligned with the support and extending outwardly from the front wall.
  • 18. The apparatus of claim 16, wherein the support includes a body portion coupled to a pair of support posts.
  • 19. The apparatus of claim 16, wherein the front wall concaves outwardly away from the rear wall.
  • 20. The apparatus of claim 16, further comprising a mounting bracket supported within the cavity intermediate the front wall and the rear wall of the housing.
  • 21. The apparatus of claim 20, wherein the support of the bumper is coupled to the mounting bracket.
  • 22. The apparatus of claim 16, further comprising a fluid supply located in the cavity of the housing, the fluid supply being coupled to a fluid filled device.
  • 23. The apparatus of claim 22, further comprising at least one valve located within the interior region of the housing, the valve being configured to direct fluid to the fluid filled device.
  • 24. The apparatus of claim 16, wherein the housing is formed by one of a footboard, a headboard, and a siderail.
  • 25. The apparatus of claim 16, wherein the housing is removable from the patient support.
  • 26. The apparatus of claim 25, further comprising a first connector located on the housing and a second connector located on the patient support, the first connector being configured to mate with the second connector to provide an electrical connection to the housing when the housing is installed on the patient support.
  • 27. A footboard configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon, the footboard comprising:a body including an outer surface; a fluid outlet formed within the outer surface of the body; and a coupler configured to secure the body to the patient support so that the body is located adjacent the mattress with a portion of the body extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.
  • 28. The footboard of claim 27, further comprising a fluid inlet formed within the outer surface of the body, the fluid inlet being in fluid communication with the fluid outlet.
  • 29. The footboard of claim 27, wherein the fluid outlet includes a tubular member extending outwardly from the outer surface of the body.
  • 30. The footboard of claim 29, wherein the tubular member comprises a flexible hose including a plurality of fluid lines.
  • 31. The footboard of claim 29, further comprising a relief member supported by the outer surface of the body, the tubular member passing through the relief member.
  • 32. The footboard of claim 27, further comprising a fluid supply supported by the body, the fluid supply being coupled to a fluid filled device by the fluid outlet.
  • 33. The footboard of claim 32, wherein the fluid outlet includes a first set of fluid connectors configured to couple with a second set of fluid connectors supported by the fluid filled device.
  • 34. The footboard of claim 33, wherein the fluid outlet further comprises an alignment member so that the first and second sets of connectors can be coupled together in a single orientation.
  • 35. The footboard of claim 32, further comprising at least one valve supported by the body, the valve being configured to direct fluid to the fluid filled device.
  • 36. The footboard of claim 27, wherein the outer surface of the body includes a front surface and a rear surface, a bumper being supported by the front surface, and the fluid outlet being supported by the rear surface.
  • 37. The footboard of claim 27, wherein the footboard is removable from the patient support.
  • 38. The footboard of claim 27, further comprising a first electrical connector located on the body and a second electrical connector located on the patient support, the first electrical connector being configured to mate with the second electrical connector to provide an electrical connection to the body when the body is installed on the patient support.
  • 39. A barrier apparatus configured to be coupled to a patient support including a mattress having a top surface configured to support a person thereon, the barrier apparatus comprising:a body; an instruction receptacle coupled to the body, the instruction receptacle including a pair of side walls defining an interior region, an open upper end in communication with the interior region, and an opposing lower end including a fluid passage in communication with the interior region; and a coupler configured to secure the body to the patient support so that the body is located adjacent the mattress with a portion of the body extending above the top surface of the mattress to provide a barrier for the person on the top surface of the mattress.
  • 40. The apparatus of claim 39, further comprising a guide member, and a plurality of cards being coupled to the guide member for movement from within the interior region through the open upper end of the instruction receptacle.
  • 41. The apparatus of claim 40, wherein the guide member includes a pin supported within the interior region of the instruction receptacle, each of the plurality of cards including a slot configured to slidably receive the pin.
  • 42. The apparatus of claim 39, wherein the body is formed by one of a footboard, a headboard, and a siderail.
  • 43. The apparatus of claim 39, wherein the pair of side walls each include an arcuate lower portion configured to direct fluid downwardly toward the fluid passage in the lower end of the instruction receptacle.
  • 44. The apparatus of claim 39, further comprising a fluid supply supported by the body, the fluid supply being coupled to a fluid filled device.
  • 45. The apparatus of claim 44, further comprising at least one valve supported by the body, the valve being configured to direct fluid to the fluid filled device.
  • 46. The apparatus of claim 39, wherein the barrier is removable from the patient support.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional Patent Application Ser. No. 60/375,874, filed Apr. 26, 2002, and U.S. Provisional Patent Application Ser. No. 60/326,500, filed Oct. 2, 2001, the disclosures of which are expressly incorporated by reference herein.

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