The present disclosure relates to adaptable clinical environments, and particularly to a modular system for constructing walls in a clinical environment.
Conventional methods for constructing walls in a healthcare facility utilize timber, steel and dry wall which are more or less permanently secured to the floor and/or the ceiling of the healthcare facility. Such traditional methods of construction involve long and unreliable construction times due to the difficulties in scheduling the various craftsmen such as carpenters, painters, plumbers, electricians and the like to complete the construction work. The rooms and spaces constructed using such traditional methods are not readily reconfigurable. Any such reconfiguration requires tearing down the existing walls. Such reconfiguration is not only costly, time consuming and disruptive, but produces a lot of dirt, dust and noise. The material that is removed is generally not reusable, and has to be disposed of.
Modular wall systems for dividing open spaces into cubicles and rooms are well known. Examples of such systems are disclosed in U.S. Patent Publication No. US 2002/0104271 and U.S. Pat. No. 6,405,491, both of which are entitled “Modular Patient Room.”
The present invention comprises a system that has one or more of the following features or combinations thereof, which alone or in any combination may comprise patentable subject matter.
A system for constructing walls may include a plurality of frame units having connection points and a plurality of patient care modules coupled to the frame units at the connection points to form a wall. The frame units may form a grid of vertically and laterally spaced apart connection points having a predetermined vertical spacing and a predetermined lateral spacing. At least some of the plurality of patient care modules may have a width substantially equal to a multiple, including one, of the predetermined lateral spacing and a height substantially equal to a multiple, including one, of the predetermined vertical spacing.
Some examples of the patient care modules are a, vital signs module, a service delivery module, a bed locator module, a monitor module, a viewbox module, a sharps disposal module, a computer/keyboard module, a tube drop module, a waste management module, a light module, and a clock module. It will be understood that this list is only illustrative, and not intended to be exhaustive.
Additional features, which alone or in combination with any other feature(s), such as those listed above and those listed in the appended claims, may comprise patentable subject matter and will become apparent to those skilled in the art upon consideration of the following detailed description of illustrative embodiments exemplifying the best mode of carrying out the embodiments as presently perceived.
The detailed description particularly refers to the accompanying figures in which:
As shown in
Referring to
It should be understood that although the illustrative wall 26 shown in
As shown in
The vertical members 110 of each frame unit 100 have a first plurality of connection points 120 facing the front side 116 of the frame unit 100 and a second plurality of connection points 120 facing the back side 118 of the frame unit 100. In the illustrated embodiment, the first plurality of connection points 120 is a first plurality of hanger-receiving openings 120 extending along the depth dimension and facing the front side 116 of the frame unit 100. Likewise, the second plurality of connection points 120 is a second plurality of hanger-receiving openings 120 extending along the depth dimension and facing the back side 118 of the frame unit 100. The hanger-receiving openings 120 are sized and shaped to receive the hangers 102. When inserted, the hangers 102 fit into in the hanger-receiving openings 120 in the frame units 100 so that they firmly lock in place. Illustratively, both the hangers 102 and the hanger-receiving openings 120 are generally rectangular in cross section. The hangers 102 extend generally horizontally away from the frame units 100 in a cantilevered fashion. As explained below, the lengths of the hangers 102 generally match the depth of the respective modules 24 supported by such hangers 102.
The center-to-center lateral spacing 130 between the hanger-receiving openings 120 in the vertical members 110 of each frame unit 100 along the width dimension or the x-axis is fixed. Illustratively, the center-to-center lateral spacing 130 between the hanger-receiving openings 120 is about 2 feet (about 60 centimeters). The center-to-center vertical 132 spacing between the hanger-receiving openings 120 in the vertical members 110 of each frame unit 100 along the height dimension or the z-axis is also fixed. Illustratively, the center-to-center spacing 132 between the hanger-receiving openings 120 along the height dimension is about 2 feet (about 60 centimeters).
Thus, the first and second plurality of hanger-receiving openings 120 are spaced apart from each other by a predetermined width 130 and a predetermined height 132 to form 2 feet-by-2 feet (about 60 centimeters by-60 centimeters) grids on the opposite sides 116, 118 of the frame units 100. Each module 24 has a width substantially equal to a discrete multiple, including one, of the predetermined width (2 feet or about 0.60 meter in the illustrated example) and a height substantially equal to a discrete multiple, including one, of the predetermined height (2 feet or about 0.60 meter in the illustrated example).
In the embodiment illustrated in
The lower horizontal member 112 of each frame unit 100 has a pair of vertically extending through openings 150 for securing the frame unit 100 to the floor 152 of the healthcare facility. Likewise, the upper horizontal member 112 of each frame unit 100 has a pair of vertically extending through openings 150 for securing the frame unit 100 to the ceiling 154 of the healthcare facility where the frame unit 100 extends from the floor 152 to the ceiling 154. Any suitable fasteners 156, such as studs, pins, screws or nuts and bolts, may be used for securing the frame units 100 to the floor 152 and to the ceiling 154. In the illustrated embodiment, the frame units 100 are secured to a base board 158, instead of the floor 152, so that the modules 24 can be protected, for example, from mops, floor cleaning equipment etc. The base board 158 is, in turn, secured to the floor 152. Illustratively, the base board 158 is about 4 inches (10.16 centimeters) high.
In the illustrative embodiment, each frame unit 100 is coupled to the adjoining frame units 100 on either side thereof. In addition, the frame unit 100 closest to an existing conventional wall 160 of the healthcare facility is secured thereto. To this end, the vertical members 110 of each frame unit 100 have a plurality of laterally extending through openings 162. Any suitable fasteners 164, such as studs, pins, screws or nuts and bolts, may be used for securing each frame unit 100 to the adjoining frame units 100 on the opposite sides thereof and to the adjoining existing wall 160.
Utility lines 172 may be routed from the mechanical room of the healthcare facility into the patient room 28. These utility lines 172 may typically be routed through one of the floor 152, the ceiling 154 or the wall 26 of the patient room 28. The horizontal members 112 have vertically extending through slots or cutouts 170 through which utility lines 172 enter the open space or the cavity 114 defined by the frame members 110, 112. The utility lines 172 are then routed from the open space 114 to the associated modules 24. Illustratively, the utility lines 172 include data lines, gas lines, vacuum lines, AC/DC power lines, hot and cold water lines and plumbing lines.
In addition, laterally extending through openings (not shown) may be formed in the vertical members 110 of the frame units 100 for passing the utility lines 172 from an open space 114 in one frame unit 100 to an open space 114 in the next adjacent frame unit 100 on either side thereof. From the open spaces 114 in the next adjacent frame units 100, the utility lines 172 are then routed to the associated modules 24. The open space 114 in the frame units 100 may be filled with sound and/or thermal insulation material.
The patient care modules 24 have a width substantially equal to a discrete multiple, including one, of the predetermined lateral spacing 130 between the hanger-receiving openings 120. Illustratively, the predetermined lateral spacing 130 between the hanger-receiving openings 120 is about 2 feet (about 60 centimeters). Thus, the width of the patient care modules 24 may be about 2 feet (about 60 centimeters), 4 feet (about 120 centimeters), 6 feet (about 180 centimeters), etc. The patient care modules 24 have a height substantially equal to a discrete multiple, including one, of the predetermined vertical spacing 132 between the hanger-receiving openings 120. Illustratively, the predetermined vertical spacing 132 between the hanger-receiving openings 120 is also about 2 feet (about 60 centimeters). Thus, the height of the patient care modules 24 may be about 2 feet (about 60 centimeters), 4 feet (about 120 centimeters), 6 feet (about 180 centimeters), 8 feet (about 240 centimeters), etc.
While the width and the height of the modules 24 are a discrete multiple, including one, of the predetermined lateral spacing 130 and the predetermined vertical spacing 132 between the openings 120, the depth of the modules 24 may, however, vary depending on their functionality. For example, the decorative panel modules 222 are about one inch (2.54 centimeters) deep. As previously indicated, the lengths of the hangers 102 generally match the depth of the associated modules 24 supported by said hangers 102. Thus, the length of the hangers 102 used for supporting a 1 inch (2.54 centimeters) deep decorative panel modules 228 would also be about 1 inch (2.54 centimeters). Such modular wall system 20 is disclosed in PCT/US2005/______, entitled “Modular System for Constructing Hospital Walls” (attorney docket no. 7175-78000) which is assigned to the same assignee as this application and which is hereby incorporated by reference herein.
As shown in
As used in the specification and claims, the term “vital sign measuring device” means a device for measuring any physiological condition or attribute of a patient including signs of life of a person such as the blood pressure, the body temperature, the blood oxygenation, the pulse or heart rate, the respiratory rate, etc. Also, the term “cardiac monitor” is used interchangeably with like terms such as an EKG monitor and a heart monitor. In
The housing 250 is generally box-shaped, and comprises a front wall 270, a back wall 272, a pair of side walls 274, 276, a top wall 278, and a bottom wall 280. The display panel 252 is coupled to the front wall 270. The controller 254 (best shown in
The non-invasive blood pressure measuring device 256 includes a cuff 300. The cuff 300, when not in use, is stored in a cavity or a slot 302 formed in the front wall 270. An extension cord 304 couples the blood pressure cuff 300 to a terminal 306 provided on a mounting plate 308 coupled to the front wall 270 of the housing 250. The mounting plate 308 is generally flush with the front wall 270 of the housing 250 in the illustrative example. The terminal 306 is coupled to electrical components associated with the blood pressure measuring device 256. The mounting plate 308 may form a portion of an enclosure housing electrical components of the blood pressure measuring device 256. The electrical components of the blood pressure measuring device 256 are coupled to the controller 254 as shown, for example, in
In some embodiments, the vital signs module 200 includes an invasive blood pressure measuring device (not shown). The invasive blood pressure measuring device includes a catheter coupled to a transducer. The catheter is inserted into a patient's artery and the transducer is coupled to the controller 254. The display panel 252, coupled to the controller 254, displays an analog waveform based on the output of the transducer.
The thermometer 258 includes a probe 320. A holder 322 coupled to the front wall 270 releasably supports the probe 320 when the thermometer 258 is not in use. An extension cord 324 couples the probe 320 to a terminal 326 provided on a mounting plate 328 coupled to the front wall 270 of the housing 250. The mounting plate 328 is generally flush with the front wall 270 of the housing 250 in the illustrative example. The terminal 326 is coupled to electrical components associated with the thermometer 258. The mounting plate 328 may form a portion of an enclosure housing electrical components of the thermometer 258. The electrical components of the thermometer 258 are coupled to the controller 254 as shown, for example, in
The pulse oximeter 260 includes a mounting plate 340 coupled to the front wall 270 and a finger clip 342 coupled to a terminal 346 on the mounting plate 348 by an extension cord 344. The mounting plate 348 is generally flush with the front wall 270 of the housing 250 in the illustrated example. The terminal 346 is coupled to electrical components associated with the pulse oximeter 260. The mounting plate 348 may form a portion of an enclosure housing electrical components of the pulse oximeter 260. The electrical components of the pulse oximeter 260 are coupled to the controller 254 as shown, for example, in
The cardiac monitor 262 includes a mounting plate 360 coupled to the front wall 270 and a plurality of electrodes 362 coupled to associated terminals 364 on the mounting plate 360 by respective leads 366. The mounting plate 360 is generally flush with the front wall 270 of the housing 250 in the illustrated example. The terminals 364 are coupled to electrical components associated with the cardiac monitor 262. The mounting plate 360 may form a portion of an enclosure housing electrical components of the cardiac monitor 262. The electrical components of the cardiac monitor 262 are coupled to the controller 254 as shown, for example, in
In the illustrated embodiment, the cardiac monitor 262 measures a patient's respiratory rate and monitors for any signs of apnea in addition to measuring the pulse rate and the cardiac rhythm. However, when the vital signs module 200 is installed in a Med/Surge area of a healthcare facility, the vital signs module 200 may include a separate apnea monitor. In some embodiments, the cardiac monitor 262 only measures the pulse rate. In such instances, the vital signs module 200 may include a separate respiratory rate measuring device.
The accessory mounting track 268 is coupled to the front wall 270 of the housing 250 such that the accessory mounting track 268 extends generally vertically relative to a floor of the healthcare facility. In some embodiments, the accessory mounting track 268 extends in a generally horizontal direction. The accessory mounting track 268 is configured to support one or more accessories, such as an accessory basket 282, and bottles (not shown).
Each vital sign measuring device includes at least one vital sign measuring sensor which is configured to be coupled to a patient whose vital signs are to be monitored. Thus, the blood pressure measuring device 256 includes a cuff 300; the thermometer 258 includes a probe 320; the pulse oximeter 260 includes a finger clip 342; and the cardiac monitor includes 262 includes a plurality of electrodes 362. In the illustrated embodiment, the sensors 300, 320, 342 and 362 of the respective vital sign measuring devices, such as the blood pressure measuring device 256, the thermometer 258, the pulse oximeter 260 and the cardiac monitor 262, are coupled to the controller 254 via associated extension cords 304, 324, 344 and leads 366.
In some embodiments, one or more of the vital sign measuring devices 256, 258, 260 and 262 may be coupled to the controller 254 by associated wireless communication links. A wireless communication link may comprise a wireless transmitter coupled to a sensor 300, 320, 342 and 362 and a wireless receiver coupled to the controller 254. The wireless transmitter and receiver may each comprise an antenna for transmitting the wireless signals and for receiving the wireless signals respectively. In some other embodiments, a wireless communication link may comprise a first wireless transceiver coupled to a sensor 300, 320, 342 and 362 and a second wireless transceiver coupled to the controller 254. The vital sign measuring devices 256, 258, 260 and 262 equipped with wireless communication links are configured to be used in proximity to the controller 254 to permit wireless communication therebetween. The vital signs module 200 may include an alarm which may be triggered in the event the patient carrying the at least one sensor 300, 320, 342 and 362 moves outside the wireless communications range of the associated wireless communication link.
As shown in
An output of the vital sign measuring device 420 is coupled to a signal conditioning circuit 430 on a line 432. An output of the signal conditioning circuit 430 is coupled to the microcontroller 384 on a line 436. As indicated above, the vital sign measuring device 420 represents a vital sign measuring device for measuring a vital sign different than the blood pressure, the body temperature, the blood oxygenation, and the pulse rate. Each signal conditioning circuit 380, 390, 400, 410 and 430 converts the output of the associated vital sign measuring device 256, 258, 260, 262 and 420 to a form suitable for application to the microcontroller 384. The signal conditioning circuits 380, 390, 400, 410 and 430 may comprise any type of electrical circuitry including one or more of the following: an A/D converter, an amplifier, a filtering circuit, and a smoothing circuit.
An output of the microcontroller 384 is coupled to a driver circuit 440 on a line 442. An output of the driver circuit 440 is coupled to the display panel 252 on a line 446. The driver circuit 440 converts the output of the microcontroller 384 to a form suitable for application to the display panel 252. The driver circuit 440 may comprise any type of electrical circuitry including one or more of the following: a D/A converter, an amplifier, and a filtering circuit. Data (for example, the blood pressure, body temperature, blood oxygenation, pulse rate, and respiratory rate) representing the outputs of the vital sign measuring devices 256, 258, 260 and 262 is displayed on the display panel 252. In some embodiments, the display panel 252 may be additionally configured to display the operational status of the vital sign measuring devices 256, 258, 260 and 262 including information concerning one or more of the following: the device alarm status and the device settings.
In some embodiments, the display panel 252 may comprise a touchscreen display panel (not shown). In a first mode, the touchscreen display panel may be operable to display patient vital signs data. In a second mode, the touchscreen display panel may be operable to display a plurality of icons that are touchable to provide inputs to the vital sign measuring devices 256, 258, 260 and 262. The touchscreen display panel is operable to display patient vital signs data and the icons at the same time. The touchscreen display panel is also operable to display patient vital signs data and operable to display the icons at different times.
In some embodiments, the vital signs module 20 includes a user interface device such as an alphanumeric keyboard (not shown) configured to provide inputs to the vital sign measuring devices 256, 258, 260 and 262 and/or an electronic data entry device, such as a bar code scanner, a retinal scanner, etc. The vital signs module 200 may also include a data port (not shown) coupled to the controller 254, if desired. Data may be uploaded to and/or download from the controller 254 through the data port. In some embodiments, the vital signs module 200 may include an aural or visual alarm.
Each service delivery module 202, 204 includes a plurality of service connectors 504. In the illustrated embodiment, the service connectors 504 include electrical power outlets 506 to provide electrical power, medical gas outlets 508 to provide medical gas, such as, for example, any one or more of oxygen, nitrogen, air and the like, and negative pressure outlets 510 coupled to a negative pressure source (not shown) to provide negative pressure. The negative pressure source may, for example, be a central negative pressure source of the healthcare facility or a vacuum pump located in the patient room, or at some other suitable location. In the illustrated embodiment, a slide 512 supports the negative pressure outlets 510, a bottle 514 for bodily fluids and an accessory basket 516 (best shown in
A plurality of service delivery lines and conduits 518 extend from equipment located remotely from the patient room to the service connectors 504. The service delivery lines 518 may be routed through one of the ceiling, or the floor or the walls of the patient room. Each service delivery module 202, 204 includes one or more task lights 520 that turn on when the doors 502 are opened. The service connectors 504 may include data ports (not shown) to transmit data, such as, for example, any one or more of audio data, video data, and informational data, to the patient room. The service delivery modules 202, 204 may include communication equipment (not shown) such as, for example, a phone, a nurse call button, code buttons, and the like.
Referring to
The monitor module 208 shown in
Referring to
Referring to
As shown in
As shown in
In some embodiments, a plurality of conveyor tubes 640, 642, 644 and 646 are coupled to the associated trash bin 630, sharps-disposal bin 632, biohazard-disposal bin 634 and soiled linen bin 636. The conveyor tubes 640, 642, 644 and 646 are configured to transport the accumulated trash, sharps, biohazard material and soiled linen from the respective bins 630, 632, 634 and 636 to a pick-up module (not shown) located in the hospital corridor, where trash, sharps, biohazard material and soiled linen are collected by house-keeping for later disposal. The trash, sharps and biohazard material may be compacted or ground prior to their transfer to the pick-up module. To this end, the trash bin 630, the sharps-disposal bin 632 and the biohazard-disposal bin 634 may include a compacter (not shown) or a grinder (not shown) as the case may be.
The waste management module 222 includes a cabinet 650 having a plurality of bin-receiving cavities or spaces for housing the trash bin 630, the sharps-disposal bin 632, the biohazard-disposal bin 634 and the soiled linen bin 636 respectively. The cabinet 650 has a door 652 to provide access to the trash bin 630, and a control button 654 to open and close the door 652. The cabinet 650 has a door 656 to provide access to the sharps-disposal bin 632, and a control button 658 to open and close the door 656. The cabinet 650 has a door 660 to provide access to the biohazard-disposal bin 634, and a control button 662 to open and close the door 660. The cabinet 650 has a door 664 to provide access to the soiled linen bin 636, and a control button 666 to open and close the door 664.
As shown in
Tracks coupled to a floor 746 or a ceiling 748 of a hospital room 744 may be provided for guiding the movement of the sections 728, 730 between the first positions in front of the headwall 726 and the second positions alongside the headwall 726. The sections 728, 730 may include track-engaging wheels, casters, rollers, or the like, to facilitate the movement of the sections 728, 730. In some embodiments, a linkage system (not shown) coupled to the sections 728, 730 is provided. Such linkage system guides the movement of the sections 728, 730 between the first and second positions. The linkage system may be supported by the floor 746 or the ceiling 748 of the room 744 or by a support structure extending upwardly from the floor 746 of the room 744. Other linkage systems may simply interconnect the headwall 726 and the sections 728, 730 without support from other structures. In some embodiments having such linkage systems, the sections 728, 730 have wheels, casters, rollers, or the like, which roll upon the floor 746 of the room 744. In other embodiments, the linkage system suspends the sections 728, 730 off the floor 46.
Electric motors (not shown), such as linear actuators, for example, may be provided to move the sections 728, 730 between the first and second positions. It will be appreciated that hydraulic actuators, gas springs, and the like may be used in lieu of the electric motors to assist the caregiver in moving the sections 728, 730. In some embodiments, retainers or latches (not shown) may be provided to releasably hold the sections 728, 730 in the first and second positions.
As shown in
It is contemplated by this disclosure that the service connectors 754 may provide various types of services or utilities associated with patient care. Thus, some of the service connectors 754 may be electrical power outlets to supply electrical power. Some of the service connectors 754 may be medical gas outlets to provide medical gases, such as, for example, any one or more of oxygen, nitrogen, and air. Some of the service connectors 754 may be negative pressure outlets to supply vacuum. Some of the service connectors 754 may be data communication ports to receive and transmit data, such as, for example, any one or more of audio data, video data, and informational data. A plurality of service delivery lines and conduits extend from equipment located remotely from the patient room 744 to the associated service connectors 754. The service lines may be routed through one or more of the walls 704, the floor 746 or the ceiling 748 of the patient room 744.
Illustratively, as shown in
Illustratively, the dimensions of the apparatus 700 are as follows: 1) each armoire sections 728, 730 is about 2 feet (about 60 centimeters) wide, 7 feet (about 210 centimeters) high and 2 feet (about 60 centimeters) deep, 2) the first portion 750 of the headwall 726 is about 1 foot (about 30 centimeters) wide, 7 feet (about 210 centimeters) high and 1 foot (about 30 centimeters) deep, and 3) the second portion 752 of the headwall 726 is about 3 feet (about 90 centimeters) wide and 7 feet (about 210 centimeters) high. The depth of the curved side walls 762 varies from a maximum depth of 1 foot (about 30 centimeters) at its outer ends to a minimum depth of 6 inches (about 15 centimeters) in the middle.
It is contemplated by this disclosure that the one or more sections comprising the armoire and the headwall may be configured in any number of ways as desired. Accordingly, the illustrative example is not in any way intended to be limiting. For example, while the illustrative headwall 726 is a tall unit extending upwardly from the floor 746, shorter headwalls coupled to the room wall 704 and spaced from the floor 746 (such as those shown in U.S. Pat. Nos. 4,646,211; 4,821,470 and 5,966,760) are within the scope of this disclosure.
The outer appearance of the armoire 702 is similar to that of hotel or family room type furniture. The armoire 702 is normally positioned in front of the headwall 726 which has various types of service connectors 754 discussed above. The armoire 702 may be made of wood or have a faux-wood finish or veneer. The armoire 702 may be adorned with trim, artwork, etc. Thus, when the apparatus 20 is incorporated into a patient room, the overall appearance of the room is relaxing, friendly and welcoming for the patient, family members and visitors who may be spending significant amounts of time in the room.
While the disclosure is susceptible to various modifications and alternative forms, specific exemplary embodiments thereof have been shown by way of example in the drawings and have herein been described in detail. It should be understood, however, that there is no intent to limit the disclosure to the particular forms disclosed, but on the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure as defined by the appended claims.
There is a plurality of advantages of the present invention arising from the various features of the embodiments described herein. It will be noted that alternative embodiments of the present invention may not include all of the features described yet still benefit from at least some of the advantages of such features. Those of ordinary skill in the art may readily devise their own implementations of a device that incorporates one or more of the features of the present invention and fall within the spirit and scope of the present invention as defined by the appended claims.
This application claims the benefit, under 35 U.S.C. § 119(e), of U.S. Provisional Patent Applications Ser. Nos. 60/576,666 filed Jun. 3, 2004; 60/576,868 filed Jun. 3, 2004; 60/624,260 filed Nov. 2, 2004; and 60/645,410 filed Jan. 20, 2005, each of which is hereby incorporated by reference herein.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US05/18825 | 5/31/2005 | WO | 11/28/2006 |
Number | Date | Country | |
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60576666 | Jun 2004 | US | |
60576868 | Jun 2004 | US | |
60624260 | Nov 2004 | US | |
60645410 | Jan 2005 | US |