This patent application is related to the following cases, the contents of which are incorporated by reference herein: U.S. Pat. No. 9,394,702 issued Jul. 19, 2016; U.S. Pat. No. 9,528,280 issued Dec. 27, 2016; U.S. application Ser. No. 15/388,304 filed Dec. 22, 2016, now U.S. Pat. No. 10,369,739 issued Aug. 6, 2019; U.S. application Ser. No. 15/333,291 filed Oct. 25, 2016, now U.S. Pat. No. 10,200,736 issued Mar. 5, 2019; and U.S. patent application Ser. No. 15/682,956 filed Aug. 22, 2017, now U.S. Pat. No. 10,788,091 issued Sep. 29, 2020.
Several aspects of this disclosure relate to a load distribution and absorption underlayment system, primarily for comfort underfoot and injury mitigation in such environments of use as an elder care or senior living facility.
Fall-related injuries among the ever-growing North American elderly population are a major health concern. In the United States, nearly 340,000 hip fractures occur per year, more than 90% of which are associated with falls. It is estimated that this number may double or triple by the middle of the century. The repercussions of hip fracture among the elderly add to the concern surrounding the issue. Over 25% of hip fracture patients over 65 years of age die within 1 year of the injury, and more than 50% suffer major declines in mobility and functional independence.
Traumatic brain injuries (TBI) also make up a significant portion of fall-related injuries; seniors are hospitalized twice as often as the general population for fall-related TBI. The incidence of fall-induced TBI and associated deaths has been rising at alarming rates, increasing by over 25% between 1989 and 1998. The risk for fall-related TBI increases substantially with age; persons over the age of 85 are hospitalized for fall-related TBI over twice as often as those aged 75-84, and over 6 times as often as those aged 65-74.
The financial burden associated with fall-related health care is significant. It is estimated the economic burden of fall-related injuries in Canada approximately $2 billion in annual treatment costs and is expected to rise to about $4.4 billion by 2031.
The costs to treat fall-related injuries in the United States are even higher. The average hospital cost for a fall injury in the US is over $30,000, and in 2015, costs for falls to Medicare alone totaled over $31 billion.
It would therefore be desirable to implement a surface, such as a flooring, underlayment system that will reduce impact forces and therefore reduce the potential risk of injury associated with fall-related impacts on the surface. Relatedly, it would be advantageous to have a low cost, low profile, durable safety flooring underlayment system that is compatible with sheet vinyl and carpet. Potential benefits include reducing injury risk due to falls on the flooring surface, minimizing system cost, maintaining system durability, facilitating installation, abating noise while offering surface quality and comfort for both patients and caregivers.
Flooring system manufacturers offer a variety of products to the commercial and residential market. These products include ceramic tile, solid wood, wood composites, carpet in rolls, carpet tiles, sheet vinyl, flexible vinyl tiles, rigid vinyl tiles, rubber sheet, rubber tiles, and the like.
Commercial flooring systems are typically installed directly over subfloors comprised of either rigid plywood or concrete. These systems are engineered to either be adhered/affixed directly to the subfloor or to float over the subfloor without being affixed to the subfloor. Products commonly affixed to the subfloor include ceramic tiles, vinyl tiles, sheet vinyl, carpet tiles, rubber tiles, wood flooring, and rubber sheet goods. Products that commonly float over the subflooring system are typically rigid and include luxury vinyl tile, rigid wood composites and plastic flooring tiles.
Further, some flooring constructions add a second layer or underlayment between the subfloor and the flooring system to either increase force distribution, enhance comfort under foot, abate noise within the room and through the flooring, or provide some additional insulation. This second layer can either be affixed to subfloor or float depending upon the recommendation of the system manufacturer.
While such underlayment layers provide some added benefit, they also increase system cost, installation complexity, and often reduce the durability of the top flooring material. To date, no commercially cost effective and durable underlayment system has been developed that provides a substantial injury risk reduction due to falls on the variety of flooring products. Several attempts have been made and are summarized below, but such approaches often fail to meet certain performance and cost effectiveness objectives.
Ecore® is a product manufactured from reconstituted tire rubber particles bound together into roll or sheet goods by a thermosetting polyurethane binder. Similar products are also offered by Cal Rubber and other manufacturers. The crumb rubber is bound using the polyurethane binder and extruded/calendared into sheet or roll stock of a given thickness. The thickness typically ranges from 5-10 mm. The Ecore rubber layer is adhered to thermally bonded to vinyl sheet flooring product to the rubber. The composite of rubber and vinyl is then bound to the subfloor using a cushioning and comfort under foot, they make sub-optimal contributions to the goals of cushioning a blow that accompanies a fall. The risk and severity of injury due to falls remain.
Smart Cells® is another product that is said to offer fall protection. Such technology was originally developed by Penn State University. The technology involves cylindrical columns of molded thermoset rubber consolidated into a sheet with interconnected ribbing between adjacent columns in a square array. The product is offered in heights of approximately 12 and 25 mm. The raw material is compression or injection molded under pressure until the structure crosslinks, to make a stable molded structure.
Installation of this material is labor intensive. Individual squares or rectangles of these molded structures are positioned adjacent to one another during installation. The material is not adhered to the floor. However, a binder adhesive is troweled onto the seams and allowed to cure prior to the application of a pressure sensitive of other bonding adhesive to adhere the final flooring surface to the SmartCells system. Once installed, the seams are prone to separation and read through to the A-surface. Finally, the system is expensive and at a premium that most facilities cannot afford.
Foams of various types have been considered for use in senior living facilities. However, these products are often so soft under foot that they promote instability. This reaction may be significant to someone whose balance may be impaired. Additionally, such structures are prone to compression set due to their cellular nature and do not return to their original shape after sustaining a point static loading for long periods. Such loading may be imposed by a bed, chair, or other heavy object. The entire flooring system is expected to withstand the rigors of daily traffic over these surfaces.
Injection molded tiles that snap into one another are often used for temporary or permanent flooring installations such as stage or dance floors, volleyball, basketball, garages, or other indoor flooring for sport surfaces. While the surfaces maybe acceptable from an appearance standpoint, they offer little force distribution or comfort characteristics. Furthermore, they often contain the moisture on or below the flooring surface. A water-tight system is unacceptable from a healthcare standpoint because there is a tendency for standing water to promote mold propagation, etc.
Against this background, it would be desirable to develop a load distribution and absorption system that would underlay a superstructure material such as flooring system to mitigate injuries and soften footfalls, while reducing noise and vibration where possible.
Ideally, such a system would be of relatively low cost and present a low profile to minimize tripping, yet be durable. In several embodiments, an underlayment infrastructure would be compatible with a superstructure material such as sheet vinyl and carpet.
Among the goals are injury risk reduction due to falls on the flooring surface, minimizing system cost, maintaining system durability, facilitating installation, abating noise, yet retaining surface quality and comfort (in the case of elder care facilities) for patients and caregivers.
Accordingly, several embodiments of this disclosure include a load distributing and absorbing system that lies below a superstructure material which is exposed to continual or intermittent percussive forces. Often, such forces may cause a high localized pressure, such as when forces from a wheelchair are exerted via narrow wheels. The load distributing and absorbing system includes an underlayment infrastructure that is interposed between an underside of the superstructure material and a foundation below. In the underlayment infrastructure, load distribution is mainly provided by a barrier layer and load absorption is mainly provided by groups of absorbing members that are provided in tiles thereof (described below).
Most of the absorbing members have a ceiling which is positioned below the barrier layer. A continuous curvilinear wall extends from the ceiling. At the lower portion of the wall is a floor that lies above the foundation.
Tiles are united by inter-engagement of overlapping barrier layers that overlie the ceilings of adjacent tiles.
As required, detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely exemplary of the invention that may be embodied in various and alternative forms. The figures are not necessarily to scale; some features may be exaggerated or minimized to show details of particular components. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a representative basis for teaching one skilled in the art to variously employ alternative embodiments of this disclosure.
Consider
Edge B1 of the barrier layer 18 overhangs edge A1 of the sub-assembly of absorbing members 22 and edge B2 overhangs edge A2. Thus, edges A3 and A4 of the sub-assembly of absorbing members 22 extend beyond overlying edges B3 and B4 of the barrier layer 18. This arrangement creates an overhanging L-shaped platform 25 (
One consequence of this arrangement is that adjacent tiles engage each other in such a way as to inhibit relative lateral movement therebetween.
Interlocking engagement of adjacent tiles in a group is provided by mating registration features 50, 52 (
As used herein the term “hat-shaped” includes frusto-conical. Such hat-shaped members 22 may have a lower portion 28 that has a footprint which is circular, oval, elliptical, a cloverleaf, a race track, or some other rounded shape with a curved perimeter. Similarly, for an upper portion 36 of an absorbing member 22. As used herein the term “hat-shaped” includes shapes that resemble those embodied in at least these hat styles: a boater/skimmer hat, a bowler/Derby hat, a bucket hat, a cloche hat, a fedora, a fez, a gambler hat, a homburg hat, a kettle brim or up-brim hat, an outback or Aussie hat, a panama hat, a pith helmet, a porkpie hat, a top hat, a steam punk hat, a safari hat or a trilby hat. See, e.g., https://www.hatsunlimited.com/hat-styles-guide, which is incorporated by reference.
As used herein the terms “hat-shaped” and “frusto-conical” exclude structures that include a ridge line or crease in a continuous curvilinear wall 26 associated with an absorbing member 22, because such features tend to promote stress concentration and lead to probable failure over time when exposed to percussive blows. They tend to concentrate, rather than distribute or absorb incident forces.
Connecting the ceiling 24 and the floor 30 of an absorbing member 22 is a curvilinear wall 26. When viewed laterally, a curvilinear wall 26 appears substantially linear or straight before being subjected to an impact force that may reign on a barrier layer 18. When viewed from above or below, the footprint of the lower portion 28 or upper portion 36 may appear circular, elliptical, oval, a clover leaf, a race-track or some other rounded shape with a curved perimeter.
The floor 30 or ceiling 24 of an absorbing member 22 may be flat or crenelated.
The absorbing members 22 may be manufactured from a resilient thermoplastic and be formed into frusto-conical or hat-shaped members 22 that protrude from a sheet which before exposure to a forming process is substantially flat.
In one preferred embodiment, the barrier layer 18 is made from a strong thin layer of a polycarbonate (PC), the absorbing member 22 is made from a resilient thermoplastic polyurethane (TPU), and the means for securing 55 is provided by a pressure sensitive adhesive (PSA) which bonds well to both the PC and TPU.
Thus, an underlayment infrastructure 20 is created by the juxtaposition of a barrier layer 18 and a sub-assembly of absorbing members 22.
An assembly of absorbing members 22 and overlying barrier layer 18 forms a tile 17, 19, 21, 23 (
If desired, an adhesive 55 (
While a pressure sensitive adhesive is a preferred embodiment of means for securing 55 a barrier layer 18 to the ceilings 24 of a tile, alternatives for attaching overlapped tiles together through their associated barrier layers 18 include mechanical means for attaching such as Velcro®, tape, rivets, etc.
The overlap of the barrier layers 18 and proximity of the absorbing members 22 on adjacent tiles distributes a load applied to the barrier layer 18 over a broad area. Loads are evenly distributed when applied either on a seam between adjacent tiles or within a tile. Loads are at least partially absorbed by flexure and possible rebound of the walls in the absorbing members.
It will be appreciated that in some applications, a given sub-assembly 54 absorbing members 22 may have more than one overlying barrier layer 18.
A preferred embodiment of the finished tiles is a 5 ft×2.5 ft rectangular tile. Tiles of this size can be delivered to the job site on densely packed pallets. They fit through any doorway. Alternatively, any number of polygonal arrangements of tiles including hexagons and the like could form a load distribution and absorbing system 10. However, the four-sided structures are preferred to conform with rectangular rooms.
Flooring systems are rarely uniformly dimensioned or shaped throughout a facility. Flooring transitions from one product to another often require a transition feature 58 (
In alternative embodiments, mating registration features 50, 52 may resemble jigsaw puzzle pieces or rectangles. Overlap of a barrier layer over an adjacent tile of absorbing members is facilitated by a tight gap between adjacent tiles. This feature helps avoid soft spots or read through defects in form and appearance.
The absorbing members 22 may be made from various materials. In a preferred example, they may be thermoformed from a resilient thermoplastic polyurethane from a 0.5 mm to 2.0 mm base stock. Such units may have a curvilinear wall 26 with 5 to 45 degrees of draft and be 5-30 mm in height. Such constructions are primarily suitable for commercial applications.
Other environments of deployment, such as residential, may require less durability and resiliency since they experience relatively little wear. In such cases, the absorbing members 22 or the barrier layer 18 could be produced from other less resilient and less expensive thermoplastics such polyethylene, polypropylene, acrylonitrile butadiene styrene, polycarbonate and the like. Residential applications may require less durability and resiliency since they experience only a fraction of the force distribution. Additionally, a casting or injection molding process could also be deployed to produce a similar product or structure.
For commercial applications, barrier layer materials 18 are preferably made of polycarbonate between 0.5 mm and 2.0 mm in thickness with a surface texture.
Alternative approaches to affixing the superstructure material 12 to the barrier layer 18 or the barrier layer to the ceiling 24 of an absorbing member 22 through means for securing 34 will now be described. Styrene butadiene rubber and polypropylene-based pressure sensitive adhesive, like HB Fuller 2081, is preferred over other adhesive types based on its affinity for both PC and TPU layers. Pressure sensitive adhesive is preferred over other types of adhesive systems as it allows for adjacent tiles to be adhered to one another with a pre-applied adhesive that requires only pressure to activate. Unlike rigid thermosetting adhesive systems, the PSA remains pliable over the life of the system. However, other adhesives could be utilized to permanently or temporarily bond the layers together. The HB Fuller adhesive preferred is specific to the materials of construction and an alternative might be better suited to a different build of materials.
Other applications for the disclosed load distributing and absorbing system 10 exist. It will be appreciated that this disclosure is mainly focused on fall protection for older adults or infirm patients in areas where slips and falls are prone to occur. However, it is conceivable that the system could be used in other applications or environments of use beyond fall protection. As non-limiting examples, these include work mats, blast mats, boat matting, work platforms, anti-fatigue mats, enhanced comfort mats, wall protection, playgrounds, day care floors, residences, sports surfaces, and other surfaces where those in contact with the surface might benefit from the technology.
The system 10 can be enhanced by further layers that provide an added function. The barrier layer 18 may include an additional layer of PSA film for the attachment of a superstructure material 12 such as a flooring surface or an additional sound abatement layer such as rubber, cork, vinyl barrier, and insulators. The absorbing members 22 may also have additional layers for sound abatement or adhesive.
In some cases, the load distributing and absorbing system 10 may benefit from the addition of a barrier layer 18 where no adjacent tile exists, and the PSA is exposed on a tile edge as in
Advantages of the disclosed load distributing and absorbing system include:
Military grade impact protection for seniors;
Reduction in the risk of hip and other fractures due to falls;
Reduction in the risk of traumatic brain injury due to falls;
Reduction in fatigue with enhanced comfort under foot;
Stability under foot when and where desired;
Conformance of engineered transitions meet ADA accessibility requirements;
Enhanced sound absorption;
Enhanced vibration dampening;
Low profile for renovation or new construction;
Ease of installation;
Compatibility with conventional flooring adhesives;
Light weight;
Affordable;
Durable and capable of withstanding hundreds of impacts;
Can be installed over green concrete;
Provides additional thermal insulation;
Incorporates post-industrial content;
Acts as a vapor barrier.
Testing has demonstrated that use of various embodiments of the disclosed system may lead to a:
20-fold reduction in risk of critical head injury
60% reduction in the probability of moderate head injury
3-fold reduction in GMAX
2.5-fold reduction femoral neck force during falls for average older females
3-fold increase in force reduction
2.5-fold reduction in energy restitution
firm and stable and stable surface that supports mobility
substantially more comfort under foot for caregivers and older adults.
Test data indicate that the proposed load distributing and absorbing systems have the potential to substantially reduce the risk of injury and improve the quality of life for both older adults and caregivers.
While exemplary embodiments are described above, it is not intended that these embodiments describe all possible forms of the invention. Rather, the words used in the specification are words of description rather than limitation, and it is understood that various changes may be made without departing from the spirit and scope of the invention. Additionally, the features of various implementing embodiments may be combined to form further embodiments of the invention.
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