The present invention relates generally to patient handling systems and, more particularly, to patient handling systems with a mobile cantilever transfer device.
The field of patient handling is gaining increased attention as a result of nursing shortages, caregiver injuries, and the rising incidence of obesity in western societies. At the same time, existing approaches to patient handling have several limitations. Manual patient handling systems, for example, generally rely on various lifting and sliding techniques to move a patient. Such systems can lead to discomfort and injury to both patient and caregiver and, in many cases, require the presence of more than one caregiver.
Traditional mechanical solutions, such as floor-based hoists, ceiling lifts, and lateral transfer systems, have been shown to decrease the incidence of caregiver musculoskeletal injury but still present significant safety risks to patients. For instance, traditional mechanical solutions typically involve placing a patient on a temporary support surface, such as a sling or sheet, lifting the support surface that contains the patient into the air, moving the support surface and patient over the floor to the desired transfer location, and carefully lowering the support surface and patient onto the desired transfer destination. Such lifting, moving, and lowering sequences have resulted in numerous reported instances of patient injury, including instances involving the serious injury or death of patients as a result of patients falling from several feet above the floor.
Other mechanical transfer systems in the prior art have attempted to eliminate such patient lifting, moving, and lowering by laterally transferring patients. A lateral patient transfer may involve raising a support surface to the same level as the patient's bed so the patient can roll or slide from the patient's bed onto the support surface. Some attempts have also been made to cantilever a support surface from a lift cart so that the support surface can be raised and placed on top of a patient's bed. An overlap between the support surface and the patient's bed reduces the distance that a patient must be moved to reach the support surface and reduces the risk of the patient falling during the transfer. The effectiveness of existing systems that cantilever a support surface from a lift cart has been severely limited, however, by their inability to allow the support surface to reach different points on a patient's bed, including the middle of a patient's bed, regardless of the width of the patient's bed and without moving the lift cart. In addition, at least some existing systems that cantilever a support surface from a lift cart have proven to be not well suited for environments that restrict the direction from which a patient may be transferred, such as environments that restrict a transfer to a specific side of a bed.
The effectiveness of existing systems that cantilever a support surface from a lift cart has also been severely limited by their inability to transfer patients in a supine, semi-reclined or upright position. For example, some patients have trouble lying in a supine position and lying in a supine position increases the risk of patient aspiration. At the same time, other patients have trouble sitting upright.
Therefore, it can be appreciated that there is a significant need for a mobile cantilever transfer device that will reach different points on a patient's bed, including the middle of a patient's bed, regardless of the width of the patient's bed and without moving the lift cart of the mobile cantilever transfer device. It can further be appreciated that there is a significant need for a mobile cantilever transfer device that can transfer a patient from more than one direction. It can further be appreciated that there is a significant need for a mobile cantilever transfer device that can transfer a patient in a supine, semi-reclined or upright position. The present invention provides these and other advantages, as will be apparent from the following detailed description and accompanying figures.
A preferred embodiment of the present invention comprises a mobile cantilever transfer device for transferring mobility-impaired patients. In one embodiment, the mobile cantilever transfer device includes a support surface that is cantilevered from a lift cart so that the support surface may be positioned directly adjacent to or over the origination or destination location for the transfer, such as a patient's bed. In another embodiment, the mobile cantilever transfer device is height-adjustable to allow a caregiver to raise or lower the support surface relative to the height of the transfer location. In yet another embodiment, the cantilevered support surface may be laterally extended or retracted from the lift cart. This feature allows the support surface to be positioned at different points over a transfer location without requiring the lift cart to be moved. This feature also allows the support surface to reach desired positions over a transfer location regardless of the width of the desired transfer location and regardless of whether the lift cart can be positioned directly adjacent to the transfer location. In yet another embodiment, multiple sides of the support surface may be connected to the lift cart so that a transfer can be accomplished from multiple directions, such as on either side of a patient's bed. In yet another embodiment, the mobile cantilever transfer device can be used in connection with a floor or ceiling lift. In yet another embodiment, the support surface can be fully reclined, semi-reclined or upright. In yet another embodiment, the mobile cantilever transfer device can transfer a patient in a fully reclined, semi-reclined or upright position. In yet another embodiment, bathing and toileting accessories can be mounted to the support surface or lift cart. In yet another embodiment, the legs of the lift cart can be laterally extended. In yet another embodiment, the support surface has retractable arm rests that may be moved or detached so as to not interfere with patient transfers. In yet another embodiment, the support surface can be removed from the lift cart, placed underneath a patient, and then reconnected to the lift cart once the patient is safely positioned onto the support surface. In yet another embodiment, the support surface can rotate or pivot about its vertical axis.
A preferred embodiment of the present invention comprises a mobile cantilever transfer device for transferring mobility-impaired patients. In one embodiment, the mobile cantilever transfer device includes a support surface that is cantilevered from a lift cart so that the support surface may be positioned directly adjacent to or over the origination or destination location for the transfer. For example, the support surface may be positioned over a patient's bed to allow the patient to be placed on the support surface prior to being moved away from the bed. In this manner, the mobile cantilever transfer device allows transfers with minimal safety risk to patient and caregiver. The mobile cantilever transfer device can be used in a hospital, long-term care facility, rehabilitation facility, in a patient's home or other locations and can be used alone or in conjunction with other patient lifting devices such as a ceiling lift, a floor-based hoist, low-friction sliding transfer sheets or a sliding roller board.
Reference is now made to
The support surface 102 is shown in an essentially upright position such that the back support 105 is just slightly reclined from a vertical position and is approximately perpendicular to the seat support 107. The seat support 107 is shown dipping slightly downward from the horizontal seat frame 112 in the direction towards the back support 105 and in the direction away from the leg support 108. The leg support 108 is shown extending down from the seat frame 112 in a direction that is approximately perpendicular to the position of the seat support 107. The foot rests 109 are shown in an upright position that is approximately parallel to the slope of the leg support 108.
Reference is now made to
Reference is now made to
A caregiver may elect to mount the support surface 102 to the lift cart 103 by first sliding the proximal ends of the female connection conduits 307b and 308b onto the lift-forks 309 or, alternatively, the support surface 102 may be mounted to the lift cart 103 by first sliding the distal ends of the female connection conduits 307a and 308a onto the lift-forks 309 of the lift cart 103. With this option, the caregiver can choose the direction that the support surface 102 faces with respect to the lift cart 103. If a patient can only be transferred from one side of a patient bed, for example, the caregiver can attach the support surface 102 to the lift cart 103 in the direction that allows the transfer to be performed with the back support 105 supporting the patient's backside rather than the patient's legs. It can be appreciated that inserting the lift-forks 309 into the female connection conduits 307 and 308 also allows the support surface 102 to be mounted to the lift cart 103.
A caregiver may also elect to extend or retract the cantilevered support surface 102 along the lift-forks 309 so that the support surface 102 is positioned a desired distance from the lift cart 103. This lateral movement of the support surface 102 may be accomplished by different means, such as by an electronic actuator, hydraulic pump, manually, or mechanically, without departing from the spirit and scope of the invention. In this embodiment, a caregiver may mechanically extend the support surface 102 away from the lift cart 103 by depressing the extension hand lever 317 located on the lift cart 103 and a caregiver may mechanically retract the support surface 102 towards the lift cart 103 by raising the extension hand lever 317. Rollers 318 partially embedded in the lift-forks 309 may also be used to assist the lateral sliding movement of the support surface 102 on the lift-forks 309. The extension hand lever 317 may also include a locking device 322 to prevent errant movement of the extension hand lever 317 and support surface 102. The lateral movement of the support surface 102 allows the support surface 102 to be positioned at different points over a transfer location without requiring the lift cart 103 to be moved. This feature also allows the support surface 102 to reach desired positions over a transfer location regardless of the width of the desired transfer location and regardless of whether the lift cart 103 can be positioned directly adjacent to the transfer location.
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The mobile cantilever transfer device 101 may be stored at the bedside of a patient 501 for the immediate accessibility of a caregiver 504. Additionally, a removable tabletop can also be attached to the lift-forks 309 of the lift cart 103 so that the lift cart 103 may be used as a height-adjustable table. In other embodiments, the support surface 102 may include various bathing and toileting accessories. Bathing and toileting accessories may be mounted to a portion of the support surface 102, such as the seat frame 112, or mounted directly to the lift-forks 309. In yet another embodiment, the support surface 102 may rotate, or yaw, about its vertical body axis while the support surface 102 is connected to the lift cart 103.
It will be appreciated by persons skilled in the art that the present invention is not limited by what has been particularly shown and described hereinabove and other embodiments may fall within the spirit and scope of the invention, as defined by the following claims.
This non-provisional application claims priority based upon prior U.S. Provisional Patent Application Ser. No. 61/013157 filed Dec. 12, 2007 in the name of William E. Burak, Jr. and Frederic Palay, entitled “Bed Side Cantilever Transfer Chair,” the disclosure of which is incorporated herein by reference.
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