The present invention relates to mattresses used in patient care settings for pressure management and wound care, and in particular to an improved mattress/sheet combination.
The importance of mattress construction in preventing or treating pressure ulcers for patients who are mostly or completely bedridden or who are recovering from medical procedures is well recognized.
Often it is desired to provide for raised perimeter sections (bolsters) on the mattress to improve both safety and comfort by guiding the patient away from mattress edges. A standard flat or fitted/bottom sheet or deep-pocketed sheet may be used with such mattresses by laying it over the raised perimeter portions and tucking it in loosely around the mattress to prevent undue compression of the raised perimeter portions or a “spanning” of the sheet between the raised perimeter portions.
The present inventors have determined that standard sheeting when used with raised perimeter mattresses can create sheet wrinkles that produce uncomfortable pressure points for the patient. The present invention addresses this problem by means of a fitted sheet having corresponding pockets for receiving the raised perimeter portions. In one embodiment, the raised peripheral portions extend only part way along the length of the mattress leaving a center section without raised portions. The sheet across this center section and at mattress ends serves to stabilize the sheet of the pockets further helping to eliminate wrinkles that might be expected caused by the pocket's interference with drawing of the sheet tightly across the top of the bed. A seam may be positioned along the inside edge of the pockets, stiffening this edge further against pulling inward to the center of the bed, permitting wrinkles. The ability to produce a fitted sheet for this mattress type further greatly improves retention of the sheet on the mattress when the resident is repositioned, moved into and out of the bed or the bed is articulated.
Specifically, the present invention provides a fitted sheet for a mattress of a type having a substantially planar upper surface adapted to support a patient's body as flanked by left and right side bolsters rising from the upper surface, the bolsters extending along at least a portion of the length of the mattress. The fitted sheet includes a skirt having a lower elastic edge, the skirt sized to extend around the periphery of the mattress with the lower edge position positioned proximate to a lower surface of the mattress to elastically grip the same. A top portion of the sheet is sized to cover and lie substantially flat against the upper surface of the mattress while joining with an upper edge of the skirt at a foot and head of the top portion corresponding to a foot and head of the mattress when the fitted sheet is installed on the mattress. Bolster pockets join on outer edges with the skirt and on inner edges with the top portion, the bolster pockets including textile end elements attached, by stitching, to bolster pockets to define pocket corners and ends of the bolsters so that the bolster pockets substantially conform to the bolsters when the fitted sheet is installed on the mattress.
It is thus a feature of at least one embodiment of the invention to provide tailored pockets that may grip the bolsters to reduce wrinkling of the sheet.
Each bolster of the mattress may have a reduced height portion dividing the bolster into upper and lower full height portions and the top portion may join with an upper edge of the skirt at a left and right of the top portion after the top portion passes through the reduced height portion of the left and right side bolsters when the fitted sheet is installed on the mattress. The bolster pockets for the upper and lower full height portions may include additional textile end elements attached by stitching to the bolster pockets to define pocket corners at opposed ends of the upper and lower full height portions so that the bolster pockets substantially conform to the upper and lower full height portions of the bolsters when the fitted sheet is installed on the mattress.
It is thus a feature of at least one embodiment of the invention to provide multiple pockets of shorter length which provide improved stabilization along the length of the pocket and direct attachment of the top portion to the skirt providing conventional stabilization.
At least the top portion may be constructed of a breathable textile passing air through pores between textile fibers, for example a woven fabric such as a blend of cotton and polyester.
It is thus a feature of at least one embodiment of the invention to provide the advantages of the present invention in a material that may directly contact the patient.
The fitted sheet elements of the top sheet, bolster pockets, and skirt are constructed of a textile having a weight less than 8 ounces per square yard.
It is thus a feature of at least one embodiment of the invention to provide stabilization for relatively lightweight fabrics that cannot rely on inherent fabric stiffness to resist wrinkles.
The textile end elements may have trapezoidal areas attached to other elements of the fitted sheet by stitching along at least two edges of the trapezoidal area.
It is thus a feature of at least one embodiment of the invention to provide bolster pockets that are closely tailored to the bolsters for improved stabilization of the sheet.
When the sheet is fitted to the mattress, each bolster pocket may include: an upper horizontal part extending along at least a portion of the length of the sheet, an inwardly facing sloped part extending along the portion of the length of the sheet and attached at an upper edge to the upper horizontal part; an outwardly facing vertical part extending along the portion of the length of the sheet and attached at an upper edge to the upper horizontal part; and opposed head and foot panels attached to at least one of the upper planar part, inwardly facing sloped part, and outwardly facing vertical part by stitching; and the inwardly facing sloped part may attach to the top portion of the fitted sheet by stitching.
It is thus a feature of at least one embodiment of the invention to provide a reinforcing seam along an inner edge of the bolster to resist wrinkling.
The stitching may join at least three layers of textile in areas where the stitching is exposed to the patient.
It is thus a feature of at least one embodiment of the invention to provide a build up of textile thickness under the stitching such as reduces the perceived roughness of the stitching to the patient.
The stitching may be a contrasting color from the textile of the sheet.
It is thus a feature of at least one embodiment of the invention to provide a clear visual indication of the fitted nature of the sheet when the sheet is stored between washings.
The top sheet may have an orientation providing a greatest stretch of the textile across the width of the mattress.
It is thus a feature of at least one embodiment of the invention to orient the fabric to further reduce wrinkling and remain on the mattress during resident repositioning, bed entry or exit, and bed articulation.
These particular objects and advantages may apply to only some embodiments falling within the claims, and thus do not define the scope of the invention.
Referring now to
A skirt 40 extends around the periphery of the mattress covering the height of the mattress and is formed of side panels 28 at the left and right sides of the mattress, and end panels 30 at the head and foot ends of the mattress. Edges 20 and 18 of left and right arms 19 and 21 are attached directly to upper edges of side panels 28 by stitching.
At the corners of the plane defined by the upper surface 12, fitting between the pairs of arms 9 and 19, 9 and 21, 13 and 21, and 13 and 19 of the upper surface 12 to complete a rectangular boundary of the upper surface of the mattress, are upwardly extending bolster pockets 22a-d receiving corresponding raised peripheral portions of the underlying mattress. In one embodiment, the bolster pockets extend upward by about three inches.
The downwardly open bolster pockets 22 each include an inward sloping surface 24 extending parallel to a length of the sheet 10 and facing the patient, and an upper plateau 26 joined at one edge to an upper edge the inward sloping surface 24 and being generally parallel to the upper surface 12 while elevated therefrom. An outer vertical surface of each pocket 22 is provided by the side panel 28 connecting to a corresponding outer edge of the plateau 26. In one embodiment, the side panel 28, upper plateau 26, and inward sloping surface 24 are a single continuous panel of textile without stitched seams. In one embodiment, the joining of the inward sloping surface 24 to the edges of the arms 13 and 9 is by means of stitched seams 29 that stiffen these edges to prevent wrinkling.
End panels 30 at the head and foot of the sheet extend vertically in trapezoidal tabs 33 to provide end portions of the bolster pockets 22 at the head and foot respectively of the mattress. Finally, panels 32 provide trapezoidal textile elements filling the space between the upper surface 12, the side panels 28, the plateaus 26, and the inward sloping surface 24, at the inner opposed ends of the bolster pockets 22 flanking the arms 19 or 21. The trapezoidal tabs 33 and the panels 32 attached to the side panels 28, plateaus 26, and inward sloping surfaces 24, to form corners, being a joining of three fabric elements along pairwise edges that conceptually intersect at a single corner point as moderated by the realities of flexible fabric.
Referring momentarily to
The cross shape of the upper surface 12 and its tension, applied through the arms 19 and 21, and 9 and 13, may stabilize the sheet 10 and eliminate wrinkles of the type that could be formed with a single planar sheet fitted to this mattress type. The arms 19 and 21 in tension resist further movement of the upper surface 12 drawn by the tension of the skirt 40 that might lift the upper surface 12 of the sheet 10 into a spanning configuration between the bolsters, while the arms 9 and 13 in tension draw wrinkles out from the intersection between inward sloping surfaces 24 and the upper surface 12. The seam 29 running along the inside of the bolster pockets 22 and anchored in tension at the ends of the bolster pockets 22 also provides resistance to wrinkling by better retaining the edges of the arms 9 and 13 outward against the bolsters.
Referring momentarily to
Referring to
Referring again to
It should be understood that the invention is not limited in its application to the details of construction and arrangements of the components set forth herein. The invention is capable of other embodiments and of being practiced or carried out in various ways. Variations and modifications of the foregoing are within the scope of the present invention. It also being understood that the invention disclosed and defined herein extends to all alternative combinations of two or more of the individual features mentioned or evident from the text and/or drawings. All of these different combinations constitute various alternative aspects of the present invention. The embodiments described herein explain the best modes known for practicing the invention and will enable others skilled in the art to utilize the invention.
This application claims the benefit of U.S. provisional application 61/138,789 filed Dec. 18, 2008 and hereby incorporated by reference.
Number | Name | Date | Kind |
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2644173 | Wallace | Jul 1953 | A |
4607402 | Pollard | Aug 1986 | A |
4754509 | Pollard | Jul 1988 | A |
4872228 | Bishop | Oct 1989 | A |
4873734 | Pollard | Oct 1989 | A |
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20080256706 | Larsen | Oct 2008 | A1 |
Number | Date | Country | |
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20100154127 A1 | Jun 2010 | US |
Number | Date | Country | |
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61138789 | Dec 2008 | US |