The present invention generally relates to patient transfer devices and, more particularly to a patient transfer apparatus which employs an air bearing to facilitate the transfer.
Patient handling mattresses are known in the art which include at least two flexible material sheets that together define a plenum chamber, with at least one sheet being perforated with small pinholes over at least a central surface area, and which open up directly to the interior of the plenum chamber. Such prior art mattresses are used by arranging the perforated sheet so that it faces an underlying fixed, generally planar support surface such as a floor or table. When the mattress is charged with pressurized air the escape of air under pressure through the pinholes acts initially to jack a load placed upon the mattress above the perforated flexible sheet, and thereby creates an air bearing of relatively small height between the underlying fixed, generally planar support surface and the perforated flexible sheet.
For example, in U.S. Pat. No. 4,517,690, issued to Wegener, an air pallet is disclosed that is formed from upper and lower thin flexible film sheets sealed at their edges to form a plenum chamber. Wegener's air pallet functions to move a load with minimal friction over an underlying generally planar fixed support surface. The bottom thin flexible material sheet is perforated by small diameter perforations such as pin holes at the load imprint area.
In U.S. Pat. No. 5,561,873, issued to Weedling, provides an inflatable flexible pallet within which an array of structurally interrelated inflatable chambers are formed to support a load when inflated. The flexible pallet is configured to resist lateral and longitudinal shrinkage of the load support surface, as well as ballooning and hot dogging. Rotational instability is also reduced by providing a greater load surface support area.
In U.S. Pat. No. 6,073,291, issued to Davis, an inflatable medical patient transfer apparatus is disclosed that has a combination of transverse partition members and a raised perimeter section to reduce deleterious ballooning and uneven inflation as well as quick emergency deflation. Additional differentially inflatable patient rolling chambers are disclosed on the top of the transfer apparatus to provide assistance to medical personnel in beginning to roll patients reclining or lying upon the transfer apparatus, particularly in a deflated condition on a hospital bed.
In U.S. Pat. No. 7,107,641, issued to Davis, a double chambered transfer mattress is provided capable of partial deflation that includes a top inflatable mattress and a bottom inflatable mattress that are separated by a common wall from one another. A selectable inlet/outlet valve is arranged for airflow communication between an interior chamber of the bottom inflatable mattress and a source of pressurized air. A one-way valve is positioned through the common wall so as to provide selective air flow communication between the top inflatable mattress and the bottom inflatable mattress so that when the inlet/outlet valve is opened, so as to deflate the bottom inflatable mattress, the one-way valve is actuated so as to prevent deflation of the top inflatable mattress.
All of the foregoing devices have suffered from an inability to be used on a patient transfer vehicle, e.g., a typical wheeled hospital bed or gurney, when fully or even partially inflated. Such patient transfer vehicles often include a frame, a patient pallet supported by the frame, and a pair of side rails that are movably coupled to the frame for movement between a raised position and a lowered position relative to the patient pallet's surface. When an inflated prior art transfer mattress is placed upon the patient pallet's surface, and an attempt is made to lift the side rails into their raised position, they collide with the margins of the inflated transfer mattress. This has required the complete deflation of such transfer mattresses while resident upon a patient transfer vehicle, resulting in discomfort for the patient.
The present invention provides a mattress having three adjacent longitudinally oriented plenums at least two separate inlet/outlet valves, one of which is arranged in airflow communication with a respective two of the three adjacent plenums. In one embodiment, two of the plenums are spaced apart from one another but arranged in airflow communication with one another, while a third of the plenums is located between the spaced apart plenums. The third plenum is arranged in airflow isolation from the communicating plenums so that the communicating plenums may be inflatable or deflatable independently of the third plenum.
In an alternative embodiment, a transfer mattress is provided that includes an upper mattress that defines a first longitudinally oriented plenum having a first inlet/outlet valve arranged in airflow communication with the first plenum, a central longitudinally oriented plenum having a central inlet/outlet valve arranged in airflow communication with the central plenum, and a second longitudinally oriented plenum having a second, optional inlet/outlet valve arranged in airflow communication with the second plenum. The first and second plenums are arranged in airflow communication with one another while the central plenum is arranged in airflow isolation from the first plenum and the second plenum. In this way, the first and second plenums may be inflated and deflated independently of the central plenum so as to allow for the positioning of the mattress on support surfaces of varying width. A lower inflatable mattress is separated by a common wall from the upper mattress. A lower inlet/outlet valve is arranged in airflow communication with a lower plenum defined by the lower inflatable mattress. A bottom wall defines a plurality of perforations so that when the lower plenum is charged with pressurized air through the lower inlet/outlet valve, the escape of the air under pressure through the perforations creates an air bearing.
In a further embodiment, a transfer mattress is provided that includes an upper mattress that defines a first longitudinally oriented plenum having a first inlet/outlet valve arranged in airflow communication with the first plenum, a central longitudinally oriented plenum having a central inlet/outlet valve arranged in airflow communication with the central plenum, and a second longitudinally oriented plenum. The first and second plenums are arranged in airflow communication with one another while the central plenum is arranged in airflow isolation from the first plenum and the second plenum. In this way, the first and second plenums may be inflated and deflated independently of the central plenum so as to allow for the positioning of the mattress on support surfaces of varying width. A lower inflatable mattress is also provided that is separated by a common wall from the upper mattress. A lower inlet/outlet valve is arranged in airflow communication with a lower plenum defined by the lower inflatable mattress. A bottom wall of the lower mattress defines a plurality of perforations so that when the lower plenum is charged with pressurized air through the lower inlet/outlet valve, the escape of that air under pressure through the perforations creates an air bearing.
A method for transporting a patient in comfort is also provided wherein a patient is positioned upon a transfer mattress formed in accordance with anyone of the foregoing embodiments comprising three adjacent longitudinally oriented plenums wherein at least one of the plenums is pressurizable independently of the other two plenums. The transfer mattress is then moved from a first location to a mobile transport device, e.g., a patient gurney, of the type that often have adjustable side railings. Two out of the three plenums are then deflated so that the patient is supported only upon the at least one of the plenums that is independently pressurizable. The patient is then transported upon the mobile transport, often with the adjustable railing arranged in position on either side of the patient without interference or obstruction by the deflated portions of the transfer mattress.
These and other features and advantages of the present invention will be more fully disclosed in, or rendered obvious by, the following detailed description of the preferred embodiments of the invention, which are to be considered together with the accompanying drawings wherein like numbers refer to like parts and further wherein:
This description of preferred embodiments is intended to be read in connection with the accompanying drawings, which are to be considered part of the entire written description of this invention. The drawing figures are not necessarily to scale and certain features of the invention may be shown exaggerated in scale or in somewhat schematic form in the interest of clarity and conciseness. In the description, relative terms such as “horizontal,” “vertical,” “up,” “down,” “top” and “bottom” as well as derivatives thereof (e.g., “horizontally,” “downwardly,” “upwardly,” etc.) should be construed to refer to the orientation as then described or as shown in the drawing figure under discussion. These relative terms are for convenience of description and normally are not intended to require a particular orientation. Terms including “inwardly” versus “outwardly,” “longitudinal” versus “lateral” and the like are to be interpreted relative to one another or relative to an axis of elongation, or an axis or center of rotation, as appropriate. Terms concerning attachments, coupling and the like, such as “connected” and “interconnected,” refer to a relationship wherein structures are secured or attached to one another either directly or indirectly through intervening structures, as well as both movable or rigid attachments or relationships, unless expressly described otherwise. The term “operatively connected” is such an attachment, coupling or connection that allows the pertinent structures to operate as intended by virtue of that relationship. In the claims, means-plus-function clauses, if used, are intended to cover the structures described, suggested, or rendered obvious by the written description or drawings for performing the recited function, including not only structural equivalents but also equivalent structures.
Referring to
Longitudinal baffle-panels 10 each comprise substantially rectangular sheets, and include a top edge 38, a bottom edge 40, and in some embodiments a through-hole 42. Each Longitudinal baffle-panel 10 preferably has substantially the same length as top panel 4 and barrier panel 6 and, in embodiments that do not feature a single perimeter seal (
Top perimeter band 14 and a bottom perimeter band 16 often take the form of elongate, rectangular strips of material. Top perimeter band 14 is sealingly fastened between peripheral edge 22 of top panel 4 and peripheral edge 29 of barrier panel 6, e.g., by heat sealing, gluing or sewing, so as to complete the formation of first plenum 46, central plenum 48, and second plenum 50. Bottom perimeter band 16 is sealingly fastened between peripheral edge 29 of barrier panel 6 and peripheral edge 30 of bottom panel 8, so as to complete the formation of lower plenum 60.
At least one inlet/outlet opening 65 is formed in bottom perimeter band 16 that sealingly accepts an air supply hose 34. Inlet opening 65 is sized and shaped so that air supply hose 34 may be inserted, with the inlet being thereafter snapped shut or otherwise closed to hold air supply hose 34 in place while lower plenum 60 is charged with pressurized air. Inlet opening 65 may also include a valve (not shown) that is biased to be normally closed to prevent air from exiting through the inlet, and opened when air supply hose 34 is inserted into inlet opening 65. Other arrangements known to those skilled in the art may be used to inflate lower plenum 60. Top perimeter band 14 includes at least two and often three inlet/outlet openings 70a, 70b, 70c, that also sealingly accept air supply hose 34. Inlet/outlet opening 70a is arranged in flow communication with first plenum 46, inlet/outlet opening 70b is arranged in flow communication with central plenum 48, and inlet/outlet opening 70c is arranged in flow communication with second plenum 50. Of course, as a result of conduit 51 being arranged in flow communication with each of through-holes 42 so that first plenum 46 and second plenum 50 are in airflow communication with one another, and in airflow isolation from central plenum 50, only one of 70a, 70c need be provided in order to initiate inflation or deflation of first plenum 46 and second plenum 50.
It should be understood that some or all of top panel 4, barrier panel 6, bottom panel 8, longitudinal baffle-panels 10, transverse baffle-panels 12, top perimeter band 14, and bottom perimeter band 16, are most often, but not always formed from a sheet of fabric, e.g., nylon scrim or the like, and may be coated on at least their outer surfaces with a water proof coating. The water proof coating may be any of the well known polymeric or elastomeric compounds that are known to be impervious to semi-solids and liquids, such as, blood, urine, feces, hospital strength disinfecting compounds, alcohol, or the like. For example, a nylon twill fabric that is coated on one side with a heat sealable, polyurethane coating (e.g., an inner side) and the outer side coated with a durable water repellant (patient side). A practical benefit associated with the use of the foregoing materials is that partially deflatable, multichambered transfer mattress 2 retains a better appearance for longer periods of time during use.
Alternatively, in those instances where a single use, single patient mattress is provided, i.e., where patient use lasting less than twenty four hours is desired, some or all of top panel 4, barrier panel 6, bottom panel 8, longitudinal baffle-panels 10, transverse baffle-panels 12, top perimeter band 14, and bottom perimeter band 16 may be made of materials, such as, acetate, acrylic, anidex, aramid, azlon, cotton, elastoester, fluorocarbon, fur, glass, lyocell, melamine, metallic, modacrylic, modal, mosacrylic, novoloid, nylon, nytril, olefin, PAN, PBI, PEEK, Pelco, PEN, PLA, PTT, polyester, polyester-polyarylate, rayon, saran, spandex, sulfar, triacetate, vinal, vinyon, and wool, and including blends and partially blends of these materials together or with other compatible materials. A common characteristic of the foregoing and like materials is their propensity to stain or discolor as a result of contact with blood, urine, feces, hospital strength disinfecting compounds, alcohol, or the like. Additionally, a variety of films may be used to form a single patient, single use partially deflatable, multichambered transfer mattress 2, for example, copolyester, copolyether, ethylene vinyl acetate, fluorocarbon, polyamide, olefins, polybutylene, polycarbonate, polyester, polystyrene, polyurethane, polyvinyl, alcohol, polyvinyl chloride, polyvinyl fluoride, polyvinylidene chloride and including blends and partially blends of these materials together or with other compatible materials. A practical benefit associated with the use of the foregoing preferred materials is that partially deflatable, multichambered transfer mattress 2 retains a stained and discolored appearance for longer periods of time after use thereby alerting hospital staff or other care givers that a particular partially deflatable, multichambered transfer mattress 2 has completed its useful life, and must be discarded.
In one embodiment, some or all of top panel 4, barrier panel 6, bottom panel 8, longitudinal baffle-panels 10, transverse baffle-panels 12, top perimeter band 14, and bottom perimeter band 16 may comprise a cold water soluble partially hydrolyzed polyvinyl alcohol, cold water insoluble hot water disintegrable aliphatic polyester, and minor proportions of processing and performance aids. The aliphatic polyester has a melt temperature above the normal body temperature of a human (37 degrees C.; 98.6 degrees F.) and is present in the resin blend at a concentration sufficient to constitute the continuous phase of the blend, with the polyvinyl alcohol constituting a discontinuous phase of the blend. The aliphatic polyester renders the resin blend, and the partially hydrolyzed polyvinyl alcohol in the blend is, cold water insoluble and determines the temperature at which articles formed from the blend will be subject to dissolution in an aqueous bath and subsequent disposal. A practical benefit associated with the use of the foregoing material is that partially deflatable, multichambered transfer mattress 2 not only retains a stained and discolored appearance for longer periods of time after use, thereby alerting hospital staff or other care givers that a particular partially deflatable, multichambered transfer mattress 2 has completed its useful life, and must be discarded, but also if an attempt is made to launder the mattress after a single use it disintegrates during the washing process.
A partially deflatable, multichambered transfer mattress 2 is assembled according to the present invention in the following manner. Bottom panel 8 is laid out on a suitable support surface so that baffle-panels 12 may be transversely arranged in the center section of the inner surface of bottom panel 8. Once in this position, bottom edge 56 of each transverse baffle-panel 12 is fixedly fastened, e.g., via heat sealing, ultrasonic welding, or adhesive, to the inner surface of bottom panel 8. In this way, a re-solidified interface structure is formed so as to improve the bond and its resistance to rupture under normal loading. Once transverse baffle-panels 12 are fastened to the inner surface of bottom panel 8, barrier panel 6 is arranged in overlying confronting relation with bottom panel 8 so that each top edge 54 of each transverse baffle-panel 12 may be fixedly fastened to bottom inner surface 26 of barrier panel 6, e.g., via heat sealing, ultrasonic welding, or adhesive.
At this stage of the construction, longitudinal baffle-panels 10 may be arranged in spaced-apart, substantially parallel relation to one another on top inner surface 24 of barrier panel 6. Once in this position, bottom edge 40 of each longitudinal baffle-panel 10 is fixedly fastened to top inner surface 24 of barrier panel 6. Longitudinal baffle-panels 10 are heat sealed along the interface between bottom edge 40 and top inner surface 24 of barrier panel 6. This heat sealing may be done with the application of heat or ultra sonic energy at the edge interface. In this way, a re-solidified interface structure is formed so as to improve the bond and its resistance to rupture under normal loading. Also, conduit 51 may be arranged in flow communication with each of through-holes 42 and similarly fastened to each of longitudinal baffle-panels 10.
Once each longitudinal baffle-panel 10 is fastened to top inner surface 24 of barrier panel 6, top panel 4 is arranged in overlying confronting relation with barrier panel 6. In this position, each top edge 38 of each longitudinal baffle-panel 10 is fixedly fastened to the inner surface of top panel 4. The edges of top perimeter band 14 are then sealingly fastened to peripheral edge 22 of top panel 4 and peripheral edge 29 of barrier panel 6, respectively, and the edges of bottom perimeter band 16 are then sealingly fastened to peripheral edge 29 of barrier panel 6 and peripheral edge 30 of bottom panel 8 so as to complete assembly of partially deflatable, multichambered transfer mattress 2.
Advantageously, first plenum 46 and second plenum 50 are in air flow communication with one another via conduit 51, isolated from central plenum 48, and each of first plenum 46, central plenum 48, and second plenum 50 are isolated from lower plenum 60. In this way, first plenum 46, central plenum 48, and second plenum 50 may be fully inflated, i.e., pressurized above ambient pressure, while lower plenum 60 is deflated, i.e., at or below ambient pressure (
Patient 75 may be moved from a bed 76 or the like by first being positioned upon top surface 20 of multichambered transfer mattress 2. Pressurized air is then pumped into first plenum 46, central plenum 48, second plenum 50, via inlet/outlet openings 70a, 70b, 70c using air supply hose 34. It will be understood that inlet/outlet openings 70a, 70b, 70c are closable so as to prevent deflation to occur unintentionally. Also, the sequence of inflation or deflation may be altered as needed or desired by the user. Once in this position, pressurized air is then pumped into lower plenum 60, via inlet opening 65 using air supply hose 34, so as to pressurize lower plenum 60 with pressurized air. When the pressurized air escapes through perforations 32 it creates an air bearing under multichambered transfer mattress 2 (
It is to be understood that the present invention is by no means limited only to the particular constructions herein disclosed and shown in the drawings, but also comprises any modifications or equivalents within the scope of the claims.
Number | Name | Date | Kind |
---|---|---|---|
1235669 | Eggers | Aug 1917 | A |
2542781 | Sawyer | Feb 1951 | A |
4225989 | Corbett et al. | Oct 1980 | A |
4279044 | Douglas | Jul 1981 | A |
4517690 | Wegener | May 1985 | A |
4528704 | Wegener et al. | Jul 1985 | A |
4541135 | Karpov | Sep 1985 | A |
4686719 | Johnson et al. | Aug 1987 | A |
4744112 | Keesling, Jr. | May 1988 | A |
4964183 | LaForce, Jr. | Oct 1990 | A |
5067189 | Weedling et al. | Nov 1991 | A |
5423094 | Arsenault et al. | Jun 1995 | A |
5425147 | Supplee et al. | Jun 1995 | A |
5483709 | Foster et al. | Jan 1996 | A |
RE35299 | Weedling et al. | Jul 1996 | E |
5535463 | Chiu | Jul 1996 | A |
5561873 | Weedling | Oct 1996 | A |
5598593 | Wolfe | Feb 1997 | A |
5860174 | Failor | Jan 1999 | A |
6073291 | Davis | Jun 2000 | A |
6463610 | Shulte et al. | Oct 2002 | B1 |
6467106 | Heimbrock | Oct 2002 | B1 |
6618884 | Wu | Sep 2003 | B1 |
6671910 | Hsu et al. | Jan 2004 | B2 |
6701559 | Boso et al. | Mar 2004 | B2 |
6898809 | Davis | May 2005 | B2 |
6996867 | Boso et al. | Feb 2006 | B2 |
7107641 | Davis | Sep 2006 | B2 |
7373680 | Davis | May 2008 | B2 |
7376995 | Davis | May 2008 | B2 |
7565709 | Davis | Jul 2009 | B2 |
7591029 | Weedling et al. | Sep 2009 | B2 |
20040226101 | Lin et al. | Nov 2004 | A1 |
20050034242 | Davis | Feb 2005 | A1 |
20050091751 | Davis | May 2005 | A1 |
20050132490 | Davis | Jun 2005 | A1 |
20060021133 | Davis | Feb 2006 | A1 |
20060101581 | Blanchard | May 2006 | A1 |
20060162086 | Davis | Jul 2006 | A1 |
20070000048 | Davis | Jan 2007 | A1 |
20070006385 | Davis | Jan 2007 | A1 |
20080011989 | Davis | Jan 2008 | A1 |
20080104762 | Davis | May 2008 | A1 |
20080189866 | Davis | Aug 2008 | A1 |
20080289102 | Davis | Nov 2008 | A1 |
Number | Date | Country | |
---|---|---|---|
20080289102 A1 | Nov 2008 | US |