1. Technical Field
The present invention relates to an apparatus for assisting a caregiver when transferring, rotating, or otherwise repositioning a bedridden person. More particularly, the present invention relates to a unit which may be collapsible and is configured for repositioning a bedridden patient by utilizing existing lift technology on a hospital bed to create suspension or patient movement.
2. Background Information
Immobility of a patient contributes greatly to the deterioration of patient health. Immobile patients are prone to bedsores and pneumonia. A bed sore can take months or years to heal depending on the severity and location of the sore. Pneumonia occurs in immobile patients because secretions pool in the lungs, fostering bacterial growth. Generally side-to-side turns of such patients, approximately every two hours can prevent many occurrences of bedsores and pneumonia. Additionally, side-to-side turns are necessary to accomplish examinations of the patient. However, turns of this nature are generally the responsibility of hospital nurses, orderlies, or other staff in similar types of facilities.
Additionally, patients require the head of the bed to be raised to facilitate breathing and increase comfort. As a result of this incline, patients tend to slide toward the foot of the bed, impeding a patient's normal breathing and digestive functions and resulting in patient discomfort.
When a patient is obese or larger than the staff member, the force required to properly reposition the patient is considerable. Consequently, multiple staff members are required to reposition the patient manually. Moreover, if additional staff members are unavailable, the lone staff member is susceptible to injuries while attempting to transfer or reposition the patient without either mechanical assistance or additional staff labor.
Back injury is a common work injury of nurses and hospital staff generally as a result of moving overweight patients or patients who are significantly larger than the staff member. The act of turning a patient from side to side precludes proper body mechanics for lifting. In addition, obesity in the United States is increasing in marked amounts. Patient weight increases will only exacerbate the rate of back injuries among nurses, and increase the number of workers compensation claims filed as a result of such injuries as well as reduce the number of able body hospital staff. Consequently, assistance is necessarily required to accomplish necessary patient movement as well as to protect hospital staff members against injury proximately resulting from patient repositioning, turning and transference.
Moreover, the task of patient repositioning is labor intensive and time consuming. Generally, patient movement requires at least two staff members. Generally, nurses are female and significantly smaller in stature and weight than the patients they are assigned to care for. Furthermore, hospitals and skilled nursing facilities are homes to patients weighing in excess of 250 pounds. Consequently, at least three staff members are sometimes required to reposition a patient of this size. With the increase of nursing and staffing short-ages, it is frequently impossible to gather enough staff members to move a large or oversized patient. Thus, either patient care suffers or the risk of injury to staff members is greatly increased.
Another problem is money. Devices that incorporate machines, motors, and other complicated machinations to effectuate lift and other movement cost much more money than those that don't as well as incur more potential for civil liability should one of those machinations fail. Further, existing devices do not have a simple and effective means of gripping fabric, draw sheets, or standard hospital bed linens on which a patient is lying. Typically, devices such as that found in U.S. Pat. No. 5,890,238 to Votel are meant for patient transfer only and because of the gripping design are not easy for a caregiver to attach to linens.
Therefore a need exists for a functional, yet simple to operate, patient repositioning apparatus. Such an apparatus should be operational by one staff member without compromising patient safety and staff member safety; easy to install and operate as well as not consume scarce space in hospital or skilled nursing facility; must not compromise patient safety when effectuating the tasks of patient repositioning; can be used by a single caregiver to reposition a patient; is capable of easy attachment to linens for suspension of a person; and does not require expensive internal machinations to accomplish patient lift but uses existing lift technology on beds to accomplish suspension or movement of a patient.
Accordingly, one object of the present invention is to provide an apparatus capable of being operated by one person to reposition a patient longitudinally in a bed, reposition a patient laterally within the bed, turning a patient on their side, or lifting a patient.
A second object of the invention is an apparatus that easily integrates with standard hospital beds during usage.
A third object of the invention is to provide an apparatus which repositions a patient without injuring either the patient or staff member.
A fourth object of the invention is to provide an apparatus that does not consume precious space in skilled care facilities, hospitals or patient homes, and is easily stored when not in service.
A fifth object of the invention is to provide an apparatus which is inexpensive to produce and thus easily purchased by medical care facilities and family members faced with caring for immobile loved-ones in their home.
A sixth object of the invention is to reposition a patient to facilitate normal respiratory and digestive function.
A seventh object of the invention is to reduce patient feelings of patient isolation because the apparatus is less obtrusive than the prior art.
An eighth object of the present invention is to provide a repositioning apparatus that is able to use the lift of a hospital bed to reposition a patient Through suspension when the bed is lowered.
A ninth object of the present invention is to provide a simple attachment device that will easily secure to linens.
a is an elevated perspective view of a baseless patient positioning apparatus secured to a wall.
a shows a detailed view of the hook and rod arrangement fastened to the support sheet.
a is an elevated front perspective view of a fabric gripper in a closed and unlocked position with wedges visible.
Similar numbers refer to similar parts throughout the drawings.
A complete understanding of this invention can be gained through reference to the drawings in conjunction with a thorough review of the disclosure herein. To facilitate this understanding, a table of commonly used reference numerals is provided.
An exemplary embodiment of a base portion incorporates one or more legs 3 capable of extending in opposite directions from either the anterior or posterior of the apparatus. Preferably, legs 3 telescope, as in
The support column 13 of the preferred embodiment is constructed of powder-coated steel and is about 4 inches square which has been proven to withstand the weight of a person 26—even those of substantial weight-suspended by arms 17. In an alternate exemplary embodiment, (not shown) an outer column of the support column can swivel around an inner column with apertures. The outer column support, also having apertures, is capable of aligning with those of the inner column by inserting the outer column over the inner column. In this way, the swivel can be locked by inserting a locking pin through each of the inner and outer column support apertures. Other known means for creating a swiveling column will be immediately recognized by those skilled in the art.
Most hospital beds are of a standard height. Because of the uniform height of beds, a fixed height support column 13 will prove to be an effective embodiment of the present invention. However, because some beds will vary in height and will vary in the levels of vertical movement, it is sometimes preferable to have an embodiment of the present invention that can also accommodate vertical movement.
To effectuate vertical movement for the present invention to account for the differences in bed sizes, a crank assembly or an hydraulic assembly described in related U.S. patent application Ser. No. 11/170,605 entitled “Patient Mobility Apparatus” of White disclosed above may be incorporated into the present invention.
The repositioning structure atop the support column 13 is used for repositioning patient 26 in a standard hospital bed 25. The position of the repositioning structure and its associated structures such as its arms 17 relative to the hospital bed 25 and the motor incorporated into the hospital bed 25 is used as the means for repositioning a patient 26. Standard hospital beds typically come with an electric motor or other adjustable beds used to raise, lower, or otherwise place the bed 25 in various positions. Taking advantage of this standard lifting technology relative to the present invention allows for one caregiver to easily reposition a patient 26 using the various embodiments of the present invention.
For example,
To change patients' bed linens, a bottom support sheet 33 is placed underneath the bed linens. Bed 25 is then raised enough to allow for the insertion of buckle inserts 24 into receiving buckles 29 onto one side of support sheet 33. The bed linens are then loosened onto one side of the bed 25. By then lowering the bed 25, the person will roll to one side of the bed 25. The bed 25 is then raised and buckle inserts 24 are removed from receiving buckles 29 and support sheet 33 is spread back onto the bed mattress. Once the dirty bed linens are rolled next to the patient 26 the clean linen is spread on one side of the mattress and the other half is rolled or otherwise bunched up next to the patient 26. On the other side of bed 25, the dirty linen is loosened and buckle inserts 24 are attached within receiving buckles 29 on that side of the support sheet 33. The bed 25 is then lowered whereby the patient 26 rolls onto the clean linen. The bed is then raised and the buckle inserts are removed from the support sheet 33. Therefore, the dirty linen may be removed and the clean linen can be pulled out from underneath the patient 26 and spread uniformly over the mattress.
In their simplest form, the arms 17 of the present invention used for lifting and repositioning remain fixed and extend outward of the support column 13, thereby allowing them to be positioned over a patient 26 in a bed 25. This will allow the utility of the present invention to be realized since it can easily be moved around to any position over a bed 25. This is especially so if there is a base that incorporates locking wheels 7 with telescoping or otherwise adjustable legs.
In a preferred embodiment, shown in
Although the above-described embodiment is the preferred method for extending and retracting arms, there are other exemplary assemblies known in the art that can also provide movement acceptable for purposes of achieving the objects of the present invention.
Once an arm 17 is positioned over a patient 26, it is secured to a support sheet 33 through the preferred use of a buckle assembly and capable of supporting a patient 26. Because patients can oftentimes be overweight, retractable straps with buckles using heavy duty nylon or canvas or other similar materials can be used to account for extra weight. Acceptable retractable devices can be found in standard off-the-shelf seat belt units incorporating heavy duty nylon webbing capable of supporting a person suspended by the arms 17. McMaster-Carr retractable assemblies have been found to meet acceptable standards of load to lift ratios. Seat belts of this type with release buttons on the buckle inserts similar to those used in automobiles and which can withstand inertial unlatching are common. (See, for example, U.S. Pat. No. 6,725,509 to Lee and its related references) Further, the receiving mechanism for the buckles can be attached to the support sheet, a gripper or other mechanism secured to the support sheet or in other embodiments those skilled in the art will immediately appreciate.
A preferred embodiment for securing to a support sheet is to use a detachable fabric gripper as is shown in
Bottom bar 113 has a clamp support 117, which attaches to the lower bar 113, and then extends towards the top bar 111, where it provides support for a receiving buckle 29 and a clamp handle 119. The handle 119 pivots on a pivot pin 125 that pivotally mounts it to the clamp support 117 and the receiving buckle 29. When the gripper is closed and locked (
Receiving buckles 29 are mounted on the pivot pins 125 which support the handles 119 on clamp supports 117. Buckles 29 are similar to seat belt latches as described above, to receive buckle inserts 24 at the end of the retractable straps 23 on a patient mobility apparatus 1. In use, a caregiver would fold a draw sheet of a hospital bed to a desired position. A fabric gripper would be placed open on a bed next to the fold of the draw sheet. The fold of fabric is then tucked into the gripper, which is then closed. The handles 119 are then moved to the engaging or closed position against the wedge 121 to firmly grip the fabric in place.
A handle 119 and wedge 121 arrangement is a simple, cost-effective gripping assembly although other arrangements can be used (e.g., spring biased mechanisms, manually locking mechanisms, toggle clamps, and etc.). For example, using the same bar arrangement as described above, toggle clamps can be used to allow for hinging, opening, closing, and locking the bars securely shut after a fabric sheet is placed between the two bars.
As an alternative embodiment, straps of any durable material can be fixed, permanent or removable, to either the retractable belts 21 or the receiving buckles 29 that incorporate a traditional belt and buckle arrangement. Using this arrangement, straps 23 can be cinched to a desired length and tension. When not in use, they can be placed to the side of the bed. Furthermore, attachments to the patient support sheet need not be flexible straps but may also be of a more rigid construction.
Support sheets 33 are preferred for the present invention to provide a stable, lifting, flexible platform on which to lift patients. Exemplary support sheets 33 proven to be acceptable for supporting patients of varying weights can be made of known vinyl, nylon, canvas or other comparable materials. Further, harnesses, or other known suspension supports have also been shown to be effective when used in accordance with the designs of the present invention. In addition, normal weight hospital sheets have been shown to work without problems. Support sheets 33 can also incorporate buckles fastened to them using known means such as sewing heavy duty buckle ends to reinforced material and stitching onto the fabric 46. Other means for fastening buckles and other attachments to the fabric 46 will be immediately identifiable to those skilled in the art.
There are various ways in which the present invention can be mounted that will not sacrifice its utility or overall design. For example,
Another embodiment of the repositioning apparatus of the present invention is shown generally at 200 in
Apparatus 200 further includes a rigid generally rectangular frame 218 which includes a pair of spaced parallel support beams 220a and 220b which run perpendicular to rails 206. Frame 218 further includes a pair of spaced parallel crossbars 220A and B which are parallel to rails 206 and perpendicular to beams 220. Crossbars 222 extend between and are rigidly connected to beams 220. Apparatus 200 further includes four roller assemblies 224, two of which are secured to and extend upwardly from crossbar 220a adjacent its opposed ends, and two of which likewise are connected and extend upwardly from crossbar 220b adjacent its opposed ends. Each roller assembly 224 includes a mounting member in the form of a mounting plate 226 which is rigidly secured to one of crossbars 222 via nut and bolt fasteners 228 or the like. A pair of axles 230 is secured to each plate 226 and extends outwardly in opposite direction therefrom for rotatably mounting thereon the pair of rollers 232 on either side of plate 226. Rollers 232 are received within passage 214 along with axles 238 and an upper portion of plate 226 so that rollers 232 rollingly engage the upper surfaces of tracks 208 to roll there along back and forth. In the exemplary embodiment, the rolling movement of frame 218 via roller assemblies 224 is done manually and thus preferably without the use of motors to minimize costs. As in the earlier embodiments, belt retraction assemblies 21 are provided, three of which are secured to each beam 220 with a pair of assemblies 21 adjacent opposed ends of beam 220 and one centrally located therebetween. Strap 23 with inserting buckles 24 on their lower ends are also provided as discussed in the previous embodiments so that straps 23 may be retracted within or extended from the housing of each assembly 21 via a process of coiling and uncoiling or rolling and unrolling of strap 23 on the retraction mechanism.
One aspect of the operation of apparatus 200 is described shortly hereafter with reference to
As shown in
Another operation of the present invention is shown with references to
In the foregoing description, certain terms have been used for brevity, clearness, and understanding. No unnecessary limitations are to be implied therefrom beyond the requirement of the prior art because such terms are used for descriptive purposes and are intended to be broadly construed.
Moreover, the description and illustration of the invention is an example and the invention is not limited to the exact details shown or described.
This application is a continuation in part of application Ser. No. 11/403,112, filed on Apr. 12, 2006; which is a continuation in part of application Ser. No. 11/170,605, filed Jun. 29, 2005, the disclosures of which are incorporated herein by reference.
Number | Date | Country | |
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Parent | 11403112 | Apr 2006 | US |
Child | 12075000 | US | |
Parent | 11170605 | Jun 2005 | US |
Child | 11403112 | US |