1. Field of the Invention
Apparatuses consistent with this invention relate generally to a mobile chair assembly for use by wheelchair dependent or disabled individuals.
2. Background of the Invention
Since nursing homes, assisted living facilities, and other long term care institutions have been in existence, there has been an ongoing challenge to improve the residents seating and positioning needs during the many hours spent out of their beds. This population spends an average of 6-10 hours per day in their chairs and is dependent on their chairs for all of their seating and mobility needs.
Standard, sling back wheelchairs have always been the primary chairs used in these environments due to their availability and low cost. However, they were never designed for prolonged sitting and have many adverse effects when used for extended hours. The sling back wheelchairs offer no comfort, no postural support, no ease of mobility, no ability to change positions, and no ease of transfers in and out of the chair.
Many new products are on the market to modify these uncomfortable chairs, for example, with various wheelchair cushions, contoured back supports, padded leg supports, and padded arm supports. However, they are very costly and frequently misused or misplaced in care facilities. The result is the use of uncomfortable, antiquated, poorly conditioned and pieced together wheelchairs for the elderly and disabled to spend their waking hours.
Prolonged sitting in a standard wheelchair results in many issues that directly affect the health, comfort, function, well-being, and dignity of the user. For example, users often fall out of their wheelchairs after multiple attempts to reposition themselves for comfort or after exhaustion from trying to stay in an upright position. Users begin to develop pressure sores from prolonged sitting. Pressure sores can form after only 1-2 hours in one position and can take up to 6 months to a year to heal. Users may also develop swallowing and respiratory problems due to poorly flexed postures. Users may become overly exhausted and are unable to participate in simple activities such as feeding, grooming, recreational activities, and social events. Users may develop contractures, limited range of motion and overall debility. Users may become unable to effectively propel their wheelchairs due to poor posture and fatigue and become dependent for all of their mobility. Legs can fall through leg rests causing skin tears or pressure sores. Individuals often have pain and discomfort from having to spend the majority of their day in uncomfortable chairs, which often results in behavior problems.
Currently, there remains a need for a manual mobility chair that has the features needed to accommodate or correct the above problems.
One exemplary aspect provides a mobile chair assembly including a frame; a pair of wheels rotatably supported by the frame; a seat assembly mounted to the frame, including a cushion; and a transfer board assembly attached to the seat assembly and movable between a first position and a second position. The transfer board assembly includes a rigid transfer board and an attachment assembly. In the first position, the rigid transfer board and the attachment assembly are disposed under the seat cushion, and in the second position, the rigid transfer board extends laterally from the seat cushion.
Another exemplary aspect provides a mobile chair assembly including a frame; a pair of wheels rotatably supported by the frame; a seat support rotatable relative to the frame; and a back support rotatably attached to a back of the seat support. The seat support and back support are movable between a folded position in which the seat support and back support form an acute angle to one another and the seat support is inclined relative to the frame and a seating position in which the seat support is substantially perpendicular to the back support.
Mobile chair assemblies of the exemplary embodiments have multiple features which, when combined, promote optimal seating and positioning function, health, safety, comfort and style for the wheelchair dependent individual using their chair for extended hours throughout the day. Exemplary embodiments improve the quality of life for any user using a wheelchair for extended periods of time by offering comfort, function, safety, postural support, portability, and improved health. The chair moves with less effort than the standard wheelchair wheel rim technique in a slow but functional pace. The combination of the walker and chair prevents falls for users who are able to walk, but have a high risk of falling.
These and other exemplary aspects and advantages will become more readily appreciated by reference to the following detailed descriptions of exemplary embodiments and accompanying drawings, which should not be used to limit the invention in any way, in which:
As shown in
The seat assembly 20 includes a seat support 25 attached to the frame 10 and back support 26 pivotably attached to the seat support 25. The seat support 25 includes a seat frame 21 and a seat cushion 22. The back support includes a back cushion 27. The seat cushion 22 and the back cushion 27 include padding to relieve pressure. The back cushion 27 may include inflatable lateral supports 28 (see
The back support 26 is pivotable relative to the seat support 25, such that the back support 26 can be tilted down onto the seat support 26 to be substantially flush with the seat support 26, as shown in
A head support 5 may extend upwardly from the top of the back support 26, as shown for example in
As shown in
As shown in
As shown in
The arm supports 58 are pivotably attached to the back support 24, as shown in
In the folded position, the back support 26, arm supports 58, and seat support 25 are folded onto one another, as shown in
A tilt mechanism is configured to tilt, or rotate, the seat assembly 20 relative to the frame 10. As shown in
The rod 62 of the tilt mechanism further includes a piston (not shown). A control unit (not shown) may be operatively connected to the piston to control rising and lowering of the piston. The second end of the rod 62 is slidable relative to the seat support 25 in a forward and backward direction.
The seat support 25 and back support 26 are configured to tilt relative to the frame 10. The seat support 25 and back support 26 may be tiltable together up to about 40-45 degrees for adequate pressure relief and to place the user in a resting position. The seat support 25 and back support 26 may tilt together as one unit. The seat support 25 and back support 26 may tilt back and forth up to 45 degrees in increments while maintaining a fixed seat to back angle. The leg support 56 and/or the arm supports 58, and head support 5, if included, may also tilt together with the seat support 25 and back support 26
To recline from an upright position, the user may press an actuating button on the control unit (not shown), which may be located on the seat assembly 20 or on a remote, and shifts his weight in a backward direction. The tilt mechanism will tilt the user until the button is released or until the seat assembly 20 reaches a fully reclined position. To return to the upright position, the user presses the button and shifts the user's weight in a forward direction. Once the seat assembly 20 has reached the desired position, the user releases the button. Thus, the user can tilt the seat support 25 and back support 26 by shifting the center of gravity beyond the point of rotation about the rod 62.
The tilt mechanism provides the ability to change positions for pressure relief and for comfort while maintaining a safe functional posture and decreasing fall risk. This tilt feature aids in maintaining healthy skin integrity and preventing pressure sores that plague wheelchair users. The tilt mechanism also assists in folding the chair.
To fold the chair from the seating position shown in
The transfer board assembly 45 is movable between a first, stowed position, as shown, for example, in
As shown in
When the transfer board assembly is in the first, stowed position, as shown in
From the first, stowed position, the transfer board 40 may be laterally slidable from between the seat cushion 22 and the seat frame 21 into the second, transfer position. The transfer board assembly 45 may be slid out either the right-hand or left-hand side of the seat assembly 20.
The attachment assembly may include a stopping mechanism to prevent the attachment assembly from being completely detached from the chair, as would be understood by one of skill in the art.
As shown in
The pivotable intermediate element 41 disposed between the transfer board 40 and the lower plate 42, compensates for height variations in the point of transfer and in the seat cushion 22 thickness which may vary due to the weight of the user.
The transfer board assembly 45 may include a knob or handle 49 to allow a user to easily pull the transfer board out from the first position. The transfer board 40 may include a portion 52 that is rougher to prevent the transfer board 40 from slipping off of the secondary surface.
A movable drive handle 64, as shown in
A push handle 68 may be disposed on the back support 26 whereby a caregiver may push the chair instead of the user propelling the chair manually. Exemplary aspects of the chair may include manual brakes, in a position to be operable either by the user or by a caregiver pushing the chair for safe transfers in and out of the chair.
As shown in
To enable forward motion of the chair, the actuator 76 is placed in the first setting, as shown in
To enable reverse motion of the chair, the actuator 76 is placed in the second setting, which engages clutch plates 106, 108. In
To disengage the propulsion mechanism 66, the actuator 76 is placed in the third position, i.e., the neutral position, between the first and second position. In the third position, the forward drive clutch plates 84, 86 are disengaged from another and the reverse drive clutch plates 106, 108 are disengaged from one another. Without either pair of clutch plates engaged, the input shaft 90 rotates independently of the output shaft 80.
The combination of the input arm 72 and the rod 65 is long so that the user generates a substantial mount of torque with a minimal amount of force. The length of the input arm 72 and the rod 65 is great enough to provide more than sufficient torque to move the chair with an occupant seating therein. The gear train 78 uses the access torque to generate more speed and therefore a greater distance is traveled by the chair with every push of the input arm 72. The length of the input arm 72 and the rod 65 can be modified to meet the needs of the user.
Both handles 64 shown in
A walker 110, as shown in
A detachable seat cover may be disposed on the seat cushion 22 to assist a caregiver with repositioning the user in the chair or to assist with transfers without harming the users or themselves. The seat cover may include a fastener, such as a hook and loop fastener that attaches to the sides of the seat. The seat cover may be used as a repositioning device or a transfer assist device so that caregivers do not have to pull on the user's body parts during these maneuvers.
The exemplary embodiments may also provide a comfortable, contoured solid seat cushion 22, back cushion 27, and one-piece leg support 56 made with pressure relieving memory foam that can conform to individual's body structures and help prevent pressure ulcers on the boney prominences. Exemplary embodiments of the chair may be designed ergonomically to accommodate normal spinal curves and pelvic stability. Exemplary embodiments of the chair may be light weight and foldable for transport out into the community. Exemplary embodiments may accommodate individuals with knee flexion contractures such that their legs do not extend to a 90 degree position but must bend further underneath the seat cushion 22. Exemplary embodiments may prevent the user from falling out of the chair and prevents pressure areas behind the legs or ankles. The leg support 56 may also extend forward to accommodate extensor contractures or for edema management of the lower extremities. Exemplary embodiments may be particularly helpful for those individuals with limited mobility, compromised cardiac, respiratory, or swallowing function, fragile skin integrity, potential for contractures, and overall generalized weakness and low activity tolerance.
Although the above exemplary embodiments have been described, they are not limiting, and it will be understood by those skilled in the art that the present invention should not be limited to the described exemplary aspects and embodiments, but that various changes and modifications can be made within the spirit and scope of the present invention.
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Number | Date | Country | |
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20100140898 A1 | Jun 2010 | US |
Number | Date | Country | |
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61121026 | Dec 2008 | US |