Patent Grant
8984685
The present invention relates to patient support apparatuses, and more particularly to systems and methods for controlling one or more functions of the patient support apparatuses.
Patient support apparatuses are used in a variety of different settings within health care environments. Such patient support apparatuses may include beds, stretchers, cots, operating tables, support tables, patient recliners, and other structures used to support a patient. Patient support apparatuses include a number of different aspects that may be controlled by either the patient or a caregiver. Such aspects include controlling the physical movement of one or more components of the apparatus, controlling the electronics on the support apparatus, controlling one or more settings on the support apparatus, and/or controlling the communication of the support apparatus with other devices.
Typically, the controls for controlling the physical movement of one or more aspects of the patient support apparatus are located on one or more control panels positioned on the patient support apparatus. One example of this can be seen in commonly assigned, U.S. patent publication 2007/0163045 filed by Becker et al. and entitled PATIENT HANDLING DEVICE INCLUDING LOCAL STATUS INDICATION, ONE-TOUCH FOWLER ANGLE ADJUSTMENT, AND POWER-ON ALARM CONFIGURATION. In many cases, a control panel is positioned on one or more siderails of the patient support apparatus so that both a caregiver and a patient may access the controls to thereby move the support apparatus to the desired orientation and/or position. A control panel is commonly also located at the foot end of the patient support apparatus where a caregiver can control various aspects of the patient support apparatus. The foot end controls are typically not easily accessible by a patient, and may include controls that are not intended to be accessed by the patient. In still other situations, a pendant or pedestal may be supplied on the patient support apparatus that includes buttons or the like for controlling various aspects of the patient support apparatus.
The present invention generally relates to improving the ease of use of one or more controls on the patient support apparatus, and/or configuring such controls in a manner that provides better infection containment. In some embodiments, the ease of using the controls may be provided by having the patient support apparatus controlled through gestures or motions that correspond to the specific aspect being controlled. In some embodiments, the containment and/or control of infection may be improved by having the control be achieved without requiring contact with the patient support apparatus, and/or by reducing the amount of contact that might otherwise be necessary. The reduction or elimination of such contact reduces the chances of infectious agents being transmitted to or from the patient support apparatus.
In still other embodiments, the location of one or more controls is moved such that, instead of being exclusively located on a dedicated control panel, the one or more controls are positioned on the patient support apparatus in locations that more naturally correspond to the movement or functionality that is to be controlled. In some embodiments, this changed location allows the functionality or movement to be controlled by moving or pressing a component in the direction in which motion is desired. In general, the control of the patient support apparatus may be based upon the intent of the person controlling the support apparatus, as determined by one or more of the following: the force the person is applying, the location the force is being applied; and/or the movement of the person in control.
According to one embodiment of the present invention, a patient support system is provided that includes a frame, a patient support surface supported thereon, at least one control, and a controller. The patient support surface is adapted to support a patient. The control is adapted to generate a control signal based upon movement of a portion of a person's body wherein the movement does not make any contact with any portion of the patient support apparatus. The controller communicates with the control and is adapted to control an aspect of the patient support apparatus based upon the control signal.
According to other aspects, the controller may be positioned on the patient support apparatus while the control is adapted to be carried by a caregiver. The control and the controller may communicate with each other wirelessly. In some embodiment, the control may be worn by a caregiver. A switch may be included for the control that enables a caregiver to select between controlling the elevation adjustment mechanism and said actuator, or between controlling other aspects of the patient support apparatus. The control may include one or more accelerometers that sense movement of the portion of the person's body.
In some embodiments, the control may be positioned on the patient support apparatus, such as, for example, on either the frame or the head section, such that the control moves with the frame or the head section when they move. In one embodiment, the control is positioned on the head section and pressing upward on the control causes the head section to pivot upward, while pressing downward on the control causes the head section to pivot downward. In another embodiment, the control is positioned on the frame and pressing the control upward causes the frame to move upward while pressing the control downward causes the frame to move downward.
The portion of the person's body that moves in a particular direction may be the persons' finger and the control may be adapted to detect a force exerted by the person's finger against the control in the particular direction. The control may also control a speed of the component that is being moved as a result of the movement of the portion of the person's body. Such speed control may be based upon the speed of the movement of the portion of the person's body.
In some embodiments, the control may be positioned off of the patient support apparatus and further adapted to control an additional feature of the patient support apparatus. Such additional features may include any one or more of the following: zeroing a scale on the patient support apparatus, arming or disarming a bed exit detection system, moving a knee section of the patient support surface, turning on or off a monitoring system on the patient support apparatus, moving a siderail on the patient support apparatus up or down, locking out motion of a movable component of the patient support apparatus, locking out another control on the patient support apparatus, and controlling a motor adapted to move the patient support apparatus across a floor.
The control may additionally or alternatively be used to control a non-patient support apparatus feature. Such non-patient support apparatus features may include any one or more of the following: controlling a television, controlling a light, controlling a thermostat, or controlling a window covering.
The control may also be incorporated into any one or more of a watch, a personal digital assistant (PDA), a pendant or pedestal that is attachable and detachable to the patient support apparatus, a smart phone, or a fixed station positioned within the same room as the patient support apparatus.
The control may also include a camera that visually detects movement of the portion of the patient's body.
According to another embodiment, a patient support apparatus is provided that includes a base, a frame position above the base, a patient support surface, a control, and a controller. The patient support surface is supported on the frame and is moveable with respect to the base. The control is adapted to generate a first signal based upon a first force applied to the control in a first direction, and to generate a second signal based upon a second force applied to the control in a second direction opposite the first direction. The controller communicates with the control causes movement of the patient support surface in the first direction in response to the first signal and movement of the patient support surface in the second direction in response to the second signal.
According to other aspects, the control may include one or more load cells which, in some embodiments, are positioned on the siderail or head section of the patient support surface. The control may control upward and downward movement or pivoting of the entire patient support surface, or it may control upward and downward movement or pivoting of an individual section of the patient support surface.
According to another embodiment of the present invention, a patient support apparatus is provided that includes a base, a frame, an elevation adjustment mechanism, a patient support surface, an actuator, a control, and a controller. The frame is positioned above the base and the elevation adjustment mechanism is adapted to change an elevation of the frame with respect to the base. The patient support surface supports a patient and includes a head section that is pivotable about a generally horizontal pivot axis. The actuator is adapted to pivot the head section about the generally horizontal pivot axis. The control generates a control signal based upon movement of a portion of a person's body in one or more particular directions. The controller communicates with the control and is adapted to control at least one of the elevation mechanism and the actuator such that at least one of the head section and the frame moves in the same direction as the movement of the person's body part.
In other aspects, the patient support may further include a base having a plurality of wheels that allow the patient support apparatus to roll on a floor, and an elevation mechanism coupled to the base and the frame that allows a height of the frame with respect to the base to be adjusted. The patient support may also include a brake adapted to selectively lock and unlock at least one of the wheels; a bed exit system adapted to detect when a patient may exit the patient support apparatus; and a control panel adapted to allow a user to turn the bed exit system on and off. The patient support surface may include a head section that is pivotable about a generally horizontal pivot axis.
The aspect of the patient support apparatus that is controlled by the controller may be movement of a component of the patient support apparatus. The movement may be one or more of a height of the frame, a pivoting of the orientation of the frame, and/or a pivoting of a portion of the patient support surface.
The control may include an accelerometer and the control may adapted to be worn by a person, such as on a person's wrist, or in other locations.
The controller may be set to a first state in which it controls the patient support based upon the control signal, and a second state in which it effectively ignores the control signal. A switch may be included that switches the controller between the first and second states. Such switching may be based at least partially upon a detected proximity of a person to the patient support apparatus. The proximity may be determined by an RF ID tag worn by the person, or by other means. In other embodiments, the switching between the first and second states may be based on a physical switch that may be activated by a caregiver, or it may be based upon a voice-activated switch that is controlled by aural instructions. Regardless of the actual manifestation of the switch, a security structure may be included that is adapted to prevent unauthorized individuals from switching the controller between the first and second states.
In other aspects, a communications gateway may be included on the patient support apparatus that is adapted to transmit electronic signals from the patient support apparatus to another device. The aspect of the patient support apparatus that is controlled by the controller may be the transmission of an electronic signal from the communications gateway to the other device. The other device may be a room light controller, a thermostat, a television, a window covering controller, and/or a nurses' station.
The controller may move a component of the patient support apparatus in a common direction with the movement of the portion of the person's body. The person may be a patient or a caregiver.
The aspect of the patient support apparatus that is controlled by the controller based on the control signal may include any one or more of the following: a scale system integrated into the patient support apparatus; a bed exit alarm system integrated into the patient support apparatus; and a patient support apparatus monitoring system that issues an alert if a monitored condition changes to an undesired state. The controller may communicate informational updates to a personal device carried by a caregiver, wherein the informational updates include information related to the aspect of the patient support apparatus that is controlled by the controller. The personal device may be a smart phone, a pager, or a computer tablet.
According to yet another embodiment of the present invention, a patient support apparatus is provided that includes a base, a frame, a patient support surface, a plurality of load cells, an actuator, and a controller. The patient support apparatus is supported on the frame and adapted to support a patient. The load cells detect forces exerted by a patient positioned on the patient support surface. The actuator is adapted to physically move at least one component of the patient support apparatus when actuated. The controller communicates with the plurality of load cells and the actuator, and it is adapted to actuate the actuator in response to the forces detected by the plurality of load cells.
In other aspects, the patient support apparatus may include a pivotable head section that is pivotable by the actuator wherein the controller pivots the head section based upon forces detected by the plurality of load cells. Alternatively, or additionally, an actuator may be provided that raises or lowers a height of the frame relative to the base, and the controller may be adapted to change the height of the frame relative to the base based upon the forces detected by the plurality of load cells. The load cells may also be used to determine a patient's weight while positioned on the patient support surface.
The controller may follow suitable algorithms to analyze the forces detected by the plurality of load cells and distinguish between forces applied by a patient and forces applied by a caregiver, wherein the controller ignores those forces applied by the patient that are indicative of normal patient movement. In one possible algorithm, the forces sensed on a first side of the patient support are compared to the forces sensed on a second side of the patient support. If the forces on one side exceed those on the other side by more than a first threshold, the controller actuates the actuator. The controller may also be configured to measure the amount of time that the forces on one side exceed the forces on the other side and not activate the actuator if the amount of time does not exceed a predetermined threshold.
In some embodiments, the controller analyzes the forces detected by the plurality of load cells and actuates the actuator if the controller determines that a patient positioned on the patient support surface may be about to exit the bed. In such embodiments, the controller can also cause the actuator to lower the height of the frame if it determines that a patient positioned on the patient support surface may be about to exit the bed.
In other embodiments, an additional load cell or other type of force or contact sensor is positioned on the support apparatus and adapted to change a height of the frame relative to the base when sufficient force is applied to the additional load cell. In addition, or alternatively, the controller changes an orientation of at least one section of the patient support surface when sufficient force is applied to the additional load cell. Still further, the additional load cell may be used to control a gatch section of the patient support apparatus, or to control one or more side rails on the support apparatus, or to control a powered wheel on the support apparatus, or to control one or more lockouts on the patient support apparatus that selectively prevent the patient from controlling one or more features of the patient support apparatus.
In any of the embodiments described herein, the patient support apparatus may be a bed, a stretcher, a cot, a recliner, a chair, an operating table, or an examination table.
In yet another embodiment, a patient support apparatus is provided that includes a base, a frame, a patient support surface, an elevation adjustment mechanism, an actuator, a sensor, and a controller. The frame is positioned above the base. The elevation adjustment mechanism changes an elevation of the frame with respect to the base. The patient support surface is supported on the frame and provides support for a patient. The patient support surface includes a head section that is pivotable about a generally horizontal pivot axis. The actuator pivots the head section about the generally horizontal pivot axis. The sensor generates a control signal based upon a force applied to the sensor in a particular direction. The controller communicates with the sensor and controls at least one of the elevation mechanism and the actuator such that at least one of the head section and the frame moves in the particular direction when the force is applied to the sensor.
In some embodiments, the sensor is a load cell, and the load cell is positioned on a siderail or on the head section. In some embodiments, multiple load cells are used. And in still other embodiments, multiple load cells are used on both the siderails and the head section. Other locations of the patient support apparatus may also include load cells.
In still another embodiment, a patient support apparatus is provided that includes a base, a frame, a patient support surface, an actuator, a scale system, and a controller. The frame is positioned above the base, and the patient support surface is supported on the frame. The patient support surface is adapted to support a patient. The actuator physically moves a component of the patient support apparatus when actuated. The scale system includes a plurality of force sensors, and it is adapted to discriminate between first force components exerted on the plurality of force sensors that are indicative of a patient's weight and second force components exerted on the plurality of force sensors that are indicative of a desired movement of the component. The controller is in communication with the scale system and is adapted to actuate the actuator in response to the second force components detected by the plurality of force sensors.
The component may be a head section of the patient support apparatus wherein the actuator is adapted to pivot the head section about a generally horizontal pivot axis, or the component may be the frame wherein the actuator is adapted to change a height of the frame with respect to the base, or the component may be another movable part of the patient support apparatus.
Before the embodiments of the invention are explained in greater detail, it is to be understood that the invention is not limited to the details of operation or to the details of construction and the arrangement of the components set forth in the following description or illustrated in the drawings. The invention may be implemented in various other embodiments and is capable of being practiced or being carried out in alternative ways not expressly disclosed herein. Also, it is to be understood that the phraseology and terminology used herein are for the purpose of description and should not be regarded as limiting. The use of “including” and “comprising” and variations thereof is meant to encompass the items listed thereafter and equivalents thereof as well as additional items and equivalents thereof. Further, enumeration may be used in the description of various embodiments. Unless otherwise expressly stated, the use of enumeration should not be construed as limiting the invention to any specific order or number of components. Nor should the use of enumeration be construed as excluding from the scope of the invention any additional steps or components that might be combined with or into the enumerated steps or components.
A patient support apparatus 20 according to one aspect of the present invention is shown in
As shown in
Frame 26 provides a structure for supporting patient support deck 28, headboard 30, and footboard 32. Patient support deck 28 is adapted to provide a surface on which a mattress 36 (
A plurality of siderails 62 are also be coupled to frame 26. In the embodiment of
The construction of any of base 22, elevation adjustment mechanisms 24, frame 26, patient support deck 28, headboard 30, footboard 32, and/or siderails 62 may be the same as disclosed in commonly assigned, U.S. Pat. No. 7,690,059 issued to Lemire et al., and entitled HOSPITAL BED, the complete disclosure of which is incorporated herein by reference; or as disclosed in commonly assigned U.S. Pat. publication No. 2007/0163045 filed by Becker et al. and entitled PATIENT HANDLING DEVICE INCLUDING LOCAL STATUS INDICATION, ONE-TOUCH FOWLER ANGLE ADJUSTMENT, AND POWER-ON ALARM CONFIGURATION, the complete disclosure of which is also hereby incorporated herein by reference. The construction of any of base 22, elevation adjustment mechanisms 24, frame 26, patient support deck 28, headboard 30, footboard 32 and/or siderails 62 may also take on forms different from what is disclosed in the aforementioned patent and patent publication.
In one embodiment, patient support apparatus 20 includes a bed exit detection system 46 (
In some embodiments, the load cells 48 are used to detect whether a patient has exited patient support apparatus 20, or is about to exit patient support 20. One manner in which the load cells may be used to determine patient exit, or potential patient exit, is disclosed in commonly assigned, U.S. Pat. No. 5,276,432 issued to Travis and entitled PATIENT EXIT DETECTION MECHANISM FOR HOSPITAL BED, the complete disclosure of which is also hereby incorporated herein by reference. Other methods for using the load cells to determine patient bed exit may also be used. In the method disclosed in the U.S. Pat. No. 5,276,432 patent, the force sensed by each load cell is determined and used, in combination with the location of each load cell, to determine the center of gravity of the forces exerted on the load cells. If the center of gravity of the forces is within a predefined region, no patient exit is presumed. If the center of gravity moves outside of a predefined region, a patient exit may be assumed, and an alarm may issue on patient support apparatus 20, and/or at a remote location in communication with patient support apparatus 20, such as a nurses' station. In some embodiments, there may be multiple predefined regions, and a caregiver may be able to select which region will cause a patient exit alert to issue.
In addition to determining whether a patient has exited the patient support apparatus 20, or may be about to exit the patient support apparatus 20, the load cells 48 are used to determine a weight of a patient positioned on patient support apparatus 20. Such weight measurements are based upon a summation of the total forces sensed by the load cells 48, minus the weight of the non-patient objects that exert a force on the load cells.
According to one embodiment of the present invention, one or more force sensors, such as load cells 48, are used for controlling the movement of one or more aspects of patient support apparatus 20. Such use of the load cells may be in addition to using the load cells for determining patient weight and/or bed exit alerts, or such use may, in some embodiments, be exclusively for controlling movement of one or more components of patient support apparatus 20. Still further, in some embodiments, existing patient support apparatuses having load cells incorporated therein may be retrofitted in accordance with the teachings of the present invention to allow the load cells to be used for controlling patient support apparatus movement. In other words, an existing prior art patient support apparatus having a scale system for determining a patient weight (which may include a plurality of load cells) may be retrofitted to include different software and/or different controllers that process the outputs of the scale system to distinguish between forces due to patient weight and forces due to a caregiver wishing to change a position or orientation of a component on the patient support apparatus.
Control algorithm 50 therefore gives a caregiver greater freedom and ease for making adjustments to the height of the bed, or other type of patient support apparatus 20. If the caregiver is positioned near the head end 58 of the patient support apparatus 20, a siderail control panel 64 may not be easily reachable by the caregiver, due to the siderail being moved to its lowered position, or due to the caregiver being in a location that makes it difficult to reach the siderail control panel. Therefore, instead of having to press the appropriate button on the siderail control panel 64 to lower the patient support apparatus 20, for example, he or she can simply push down on any portion of the siderail, or on the edge of the mattress 36 nearest him or her. In either case, this downward force will be sensed by the load cells, and algorithm 50 will cause the height of the patient support apparatus to automatically be lowered. The details of one version of height control algorithm 50 are described below.
Height control algorithm 50 is carried out by a force sensor controller 66 that is positioned on patient support apparatus 20 (
At a subsequent step 54, controller 66 determines whether forces are being applied to one of first side 56a or second side 56b. In some embodiments, controller 66 may also or alternatively determine at step 54 whether force is being applied to one or both of head end 58 and/or foot end 60 as well. While step 54 is illustrated in
If the forces detected at step 54 exceed the threshold (whether zero or non-zero), then controller 66 proceeds to a wait step 68. (If the forces do not exceed the threshold, control returns to step 52). At step 68, controller 66 waits for a predetermined threshold amount of time before proceeding to step 70. While the predetermined threshold time that is shown in
Once the time period of step 68 has passed, controller 66 moves onto step 70 where fresh readings from the load cells 48 are again taken by controller 66. These readings are taken with the same zeroing adjustments that may have been applied prior to step 52. That is, no further zeroing adjustments are made between the time of step 52 and step 70. If the readings taken at step 70 are zero, then control returns back to initial step 52. If the readings taken at step 70 are non-zero, then control passes onto a comparison step 72. At comparison step 72, controller 66 determines whether the forces detected on one side of apparatus 20 exceed a threshold ratio with respect to the forces detected on the opposite side of apparatus 20. In the embodiment illustrated, the threshold ratio is two, although it will be understood that other ratios may be used.
The purpose of step 72 is to eliminate, or reduce occurrences, where patient support apparatus 20 changes the height of frame 26 based upon longer-lasting forces that are not intended to cause a change in the height of frame 26. Such longer-lasting forces could be due to an object being placed on patient support deck 28, or for other reasons. Generally speaking, an object placed on patient support deck 28 will have its weight positively distributed in some fashion amongst the plurality of load cells 48. This is because the object will typically be placed somewhere between the load cells, rather than at the very edge, or outside of the edge, of the perimeter defined by the load cells. In contrast, if a caregiver pushes on siderails 62, or on an edge of mattress 36 or frame 26, such forces will be centered outside of the perimeter defined by load cells 48. As a result, any upward or downward forces exerted on siderails 62 will tend to have a positive impact on the load cells 48 on one of sides 56a and b, and a negative impact on the load cells 48 on the other of sides 56a and b. This can be seen more clearly using an example referencing
Suppose, for example, that a downward force is applied to right head siderail 62a by a caregiver who wishes to lower the height of frame 26 with respect to base 22. This downward force will be sensed primarily by load cell L3, which is positioned closest to siderail 62a. Load cell L0, which is also on right side 56a of apparatus 20 will also likely experience a positive force, although its magnitude will be diminished in comparison to the positive force exerted on load cell L3 due to its greater distance away from siderail 62a. Load cells L2 and L1, in contrast, will likely experience a negative force (i.e. an upward force). This is because the structure of the load frame and the intermediate frame create a fulcrum such that a downward (positive) force applied to one side of the patient support apparatus cause at least some lifting (negative) force to be sensed by the load cells on the opposite side. A downward force applied to head siderail 62a may therefore increase the force sensed by load cell L3 by, say, four pounds, while decreasing the force sensed by load cell L2 by potentially several pounds. Comparison step 72 therefore checks for load imbalances meeting a defined ratio to detect whether loads are being applied to the edge regions of patient support apparatus 20, which are indicative of an intent to change the height of frame 26.
If the force ratio threshold of step 72 is met, controller 66 proceeds to step 74 where it determines if the force detected by load cells 48 is being applied in a designated area or active zone. Step 74 is an optional step that may be implemented if it is desired to only allow forces to be applied in certain areas on patient support apparatus 20. For example, in one embodiment, height control algorithm 50 is configured so that only force applied to support apparatus 20 in the area of the head end siderails 62a and 62c will cause the frame height to change. Alternatively, in another embodiment, height control algorithm 50 is configured so that only force applied to support apparatus 20 in the area of the foot end siderails 62b and 62d will cause the frame height to change. Or, as still another alternative, height control algorithm 50 could be configured so that only force applied to support apparatus 20 in the area of either or both of the footboard 32 or the headboard 30 will cause the frame height to change. Any combination and/or permutation of these areas, or other areas, could also be defined as active zones.
Controller 66 determines if the applied forces are being applied in the active zone by analyzing the force components detected by the four load cells 48. This may be done in a variety of different ways. In one manner, controller 66 analyzes the forces detected at step 70 and determining a center of gravity of the forces, such as in the manner disclosed in the above-referenced U.S. Pat. No. 5,276,432 patent, which is incorporated herein by reference. If the center of gravity falls within an active zone, the controller 66 proceeds to step 76. If it does not, then controller 66 returns to step 52. In other embodiments, controller 66 need not determine the center of gravity in both X (side-to-side) and Y (head end to foot end) dimensions. Depending upon how the active zones are defined, the center of gravity in only a single dimension X or Y could be determined. In still other embodiments, a center of gravity need not be determined at all. Instead, controller 66 could determine if a force was applied in an active zone by determining whether certain predefined force amounts and/or ratios were met.
At step 76, controller 66 determines the direction of the forces sensed in the active zone. If the forces are positive, then this indicates an intent to lower the height of frame 26. If the forces are negative, then this indicates an intent to raise the height of frame 26. Once the direction of the force is determined at step 76, control proceeds to step 92, where controller 66 either moves frame 26 in the appropriate direction, or it issues a command to another component to move the frame in the desired direction. In an electronic control system, such as electronic control system 86 of
It will be understood by those skilled in the art that variations can be made to height control algorithm. As one potential variation, the command to raise or lower the frame 26 could be structured to individually control the two elevation adjustment mechanisms in different manners, creating the possibility of pivoting the frame 26 with respect to base 22. That is, one of the elevation adjustment mechanisms 24 could move upward or downward a different amount, or at a different rate, than the other elevation adjustment mechanism 24, resulting in a change in the orientation of frame 26. The individual control of the elevation adjustment mechanisms 24 could be based upon the distribution amongst the four load cells 48 of the force applied, or it could be based upon a caregiver-accessible switch that enables the caregiver to select between pivoting and non-pivoting movement of frame 26, or it could be based upon other factors.
It will also be understood that another modification to height control algorithm 50 could be to analyze the forces applied at or near an end of patient support apparatus 20, rather than, or in addition to, the forces exerted at or near the sides. For example, step 72 could be modified to compare the forces exerted on the load cells 48 adjacent head end 58 (L2 and L3) with those load cells adjacent foot end 60 (L0 and L1). If the ratio of this comparison exceeded a predetermined threshold, then controller 66 could proceed to step 74 in the same manner discussed above. This modification would make is easier for a caregiver to control the height of the frame 26 by simply pressing upward or downward on either of footboard 32 or headboard 30. Such forces would be detected by load cells 48, and processed by controller 66 in a manner that caused it to issue a raise or lower command to controller 80.
In any of the embodiments discussed herein, height control algorithm 50 may be configured such that it can be turned on or off. When turned off, forces exerted onto the load cells 48 of patient support apparatus 20 are not processed by controller 66 in the manner described above, but instead are ignored (at least with respect to controlling the movement of some portion of the patient support apparatus 20—such forces may still affect weight calculations and/or bed exit detection algorithms). When turned on, then the steps of algorithm 50 are followed by controller 66.
In some embodiments, the switch to turn on and off height control algorithm 50 is positioned at one or more locations on patient support apparatus 20, such as, but no limited to, at one or both of a pair of siderail control panels 64a and/or b, a footboard control panel 84, at a non-control panel location on patient support apparatus 20, or at a location remote from patient support apparatus wherein the switch status was communicated to patient support apparatus 20. In one embodiment, caregivers wear RF ID tags, or other devices, that wirelessly communicate with structures so that the location of the caregiver can be determined, and the RF ID tags, or other devices, are used to automatically activate height control algorithm 50 when a caregiver is positioned within a vicinity of patient support apparatus 20. Thus, in one embodiment, patient support apparatus 20 includes wireless circuitry built into it that communicates with the RF ID tags, or other tags, worn by the caregivers. Such communication enables patient support apparatus 20 to know when a caregiver is positioned within the vicinity of patient support apparatus 20. When so positioned, patient support apparatus 20 is configured to automatically turn on height control algorithm 50. Further, when the caregiver leaves the vicinity of patient support apparatus 20—as detected by the RF ID tag communication circuitry—patient support apparatus 20 is configured to automatically shut off height control algorithm 50.
Alternatively, the RF ID tags could communicate with a centralized server or other component of a healthcare computer network, which then forwards the current location of the caregiver to patient support apparatus 20. In such cases, the patient support apparatus 20 may include wireless or wired circuitry that couples patient support apparatus 20 to the healthcare facility computer network, or other structures that process the data received from the RF ID tags.
In one embodiment, the enablement and disablement of height control algorithm 50 is based upon the detection by patient support apparatus 20 of a near field communication device worn by the caregiver. The design of patient support apparatuses and wearable devices that communicate with each other via near field communications is disclosed in commonly assigned U.S. patent application Ser. No. 61/701,943 filed Sep. 27, 2012, by Applicants Michael Hayes et al. and entitled COMMUNICATION SYSTEMS FOR PATIENT SUPPORT APPARATUSES, the complete disclosure of which is hereby incorporated herein by reference. Because near field communication has only a short communication range, the fact that patient support apparatus 20 is able to communicate with a device worn by a user—such as a near field tag—is interpreted by patient support apparatus 20 to mean that the person is near patient support apparatus 20, and patient support apparatus 20 therefore automatically enables height control algorithm 50. When near field communication is no longer established, patient support apparatus 20 automatically disables height control algorithm 50. In this embodiment, therefore, the ability to control the movement of patient support apparatus 20 via height control algorithm 50 is limited to authorized personnel (wearing the appropriate tag, or other device) who are within the vicinity of patient support apparatus 20.
Having an automated turning on and turning off of height control algorithm 50 allows a caregiver to adjust the height of the patient support apparatus 20 by simply pushing or pulling on patient support apparatus without having to first manually manipulate any switches, buttons, dials, or other user controls. Further, after the caregiver leaves the vicinity of a patient support apparatus, the height of the patient support apparatus can no longer be adjusted based upon forces applied to frame 26. (Instead, the height can only be adjusted by using the conventional siderail or footboard control panels). This eliminates the possibility of inadvertent height adjustments being made based on visitors leaning on the patient support apparatus 20, or other situations in which a force was exerted on patient support apparatus 20 by a non-caregiver that was not intended to change the height of frame 26.
In still other embodiments, caregivers are equipped with remote controls that are built into electronic structures that are carried by the caregivers, such as cell phones, wristband mounted electronics, pagers, personal digital assistants, or other structures. Such controls include switches, buttons, or the like that enable a caregiver to turn on or off height control algorithm 50, or such controls automatically communicate wirelessly with patient support apparatus 20 while in the vicinity thereof to turn on height control algorithm 50.
In addition to switching height control algorithm 50 completely on or completely off, patient support apparatus 20 is configured, in at least one embodiment, so that different types of control algorithms, or different versions of control algorithm 50, can be chosen by one or more switches accessible to the caregiver. Thus, for example, instead of merely just turning control algorithm 50 on or off, a caregiver uses a switch—or other similar type of structure—to choose which of multiple different types of algorithms will be turned on or off. In one embodiment, the multiple algorithms include a first algorithm that raises or lowers elevation adjustment mechanisms 24 in a uniform manner based upon applied forces, and a second algorithm that raises or lowers elevation adjustment mechanisms 24 in a non-uniform manner based upon applied forces (thereby causing frame 26 to change orientation).
In another embodiment, such a switch is used to select between controlling the height of frame 26 and controlling the pivoting of one or more of the sections of patient support deck 28. That is, patient support apparatus 20 is configured such that, in one mode, exerting extraneous forces on frame 26 causes the height of frame 26 to change, and in another mode, exerting extraneous forces on frame 26 causes one or more of deck sections 38, 40, 42, or 44 to pivot. Such pivoting of these deck sections is controlled in a manner similar to height control algorithm 50. That is, force controller 66 examines the forces detected on load cells 48 and, depending upon the distribution of the forces amongst the load cells 48, as well as the magnitude, issues a command to actuator controller 80 that causes actuator controller 80 to activate one or more support deck pivot actuators 88. Support deck pivot actuators 88 may conventional linear actuators, motors, threaded drives, or any other structures capable of moving one or more of the sections of deck 28. Consequently, in one mode, a caregiver pushing down on a head end region of patient support apparatus 20 will, for example, cause the Fowler or head section 38 to pivot downward, while pulling up in the same region will cause the head section 38 to pivot upward. Such forces may be exerted on the siderails 62a or c, on the frame 26, or on the deck 28 itself. Similar situations may be configured for controlling the pivoting of the seat, thigh, or foot sections 40, 42, and 42, respectively, either individually or in combination.
While not visible in the embodiment shown in
It will further be understood that force sensors 90 can be positioned in other locations on patient support apparatus 20. For example, a force sensor 90 may be positioned on any of the other pivotable sections of the patient support deck 28 so that forces exerted by a caregiver thereon cause the respective deck section to pivot upwardly or downwardly (depending on the direction of the exerted force). Still further, force sensors 90 can be positioned at non-deck locations on patient support apparatus such that forces exerted thereon cause other components of the patient support apparatus to move. As one example, force sensors 90 can be positioned at locations where pushing or pulling on them caused the entire frame 26 to move up or down. Such locations include positions on one or more of the siderails 62, or on sides of frame 26, at footboard 32, or at headboard 30.
The number and location of force sensors 90 can vary on any given patient support apparatus 20. Thus, in the example shown in
The size and shape of force sensors 90 can vary from that shown in
In operation, each force sensor 90 detects forces that are exerted against it and outputs a signal corresponding to the detected force to sensor controller 94 (
In the example shown in
Regardless of whether or not force sensors 90 detect a specific magnitude of the applied force and/or a direction, the output of the force sensor 90 is forwarded to sensor controller 94 for processing. Sensor controller 94, as with any of the controllers discussed herein, includes one or more microprocessors, microcontrollers, discrete electronic circuitry, software, firmware, and/or hardware that is capable of performing the algorithms discussed herein, as would be known to one of ordinary skill in the art. Sensor controller 94 determines which component of patient support apparatus 20 is controlled by the readings it receives from a particular force sensor 90 and then issues a command to communication network 78 instructing actuator controller 80 to move the corresponding component of patient support apparatus 20 in the desired direction.
One example of the type of movement controlled by a sensor 90 is shown in
As was noted above, the patient support apparatus embodiments that include control system 186 may or may not also include load cells 48. In those embodiments that do include load cells 48, some embodiments also have the load cells control movement of the patient support apparatus, while some other embodiments do not use the load cells 48 for movement control. In those embodiments that do use load cells 48 for movement control, the patient support apparatus has multiple different ways of controlling movement of the components of the support apparatus. For example, in one embodiment, in addition to controlling movement via any of the siderail control panels 64 or footboard control panel 84, movement of components of the patient support apparatus is achievable both by pushing on force sensor 90, as well as pushing on a component of support apparatus 20 that causes an imbalanced load to be detected by load cells 48. Still further, as will be explained below, some embodiments of patient support apparatus 20 allow some components to be controlled by gestures and/or wireless control signals.
Wireless receiver and controller 100 adds another way of controlling movement of components of patient support apparatus 20. In summary, wireless receiver and controller 100 receives signals from either or both of a gesture sensor 102 or a non-gesture remote control 106. Gesture sensor 102 detects one or more gestures of a caregiver, or other authorized individual, while non-gesture remote control 106 includes controls that enable a caregiver to remotely control one or more functions of patient support apparatus 20. Depending upon the specific gesture that is detected gesture sensor 102, wireless receiver and controller 100 outputs a command to actuator controller 80 (such as via communication network 78, or by other means) to cause movement of one or more components of patient support 20 in the corresponding manner. Thus, for example, the gesture of a caregiver raising or lowering his or her arm or hand could be correlated to raising or lowering, respectively, head section 38 of patient support apparatus 20. Alternatively, raising or lowering the hand or arm of a caregiver could be correlated to raising or lowering, respectively, frame 26 with respect to base 22. Still other types of gestures could be used for controlling any components of patient support apparatus 20.
In still other embodiments, one or more gestures are used for controlling aspects of patient support apparatus 20 that do not involve movement, such as arming or disarming an alert system, locking or unlocking a brake, turning on or off a motion control lockout, or still other functions. The arming or disarming of the alert system could be a bed exit alert system, or it could be an alert system based upon a set of one or more bed parameters, such as the alert system disclosed in commonly assigned U.S. Pat. publication 2007/0163045 filed by Becker et al. and entitled PATIENT HANDLING DEVICE INCLUDING LOCAL STATUS INDICATION, ONE-TOUCH FOWLER ANGLE ADJUSTMENT, AND POWER-ON ALARM CONFIGURATION, the complete disclosure of which is incorporated herein by reference.
Gesture sensor 102 may take on a variety of different forms. In one embodiment, gesture sensor 102 is a camera, or a plurality of cameras, that visually detect the movement and/or gestures of a caregiver or other authorized individual. In another embodiment, gesture sensor 102 includes any one or more of the sensors disclosed in commonly assigned, copending U.S. patent application Ser. No. 13/242,022 filed Sep. 23, 2011 by applicants Derenne et al. and entitled VIDEO MONITORING SYSTEM, the complete disclosure of which is hereby incorporated herein by reference.
In the embodiment shown in
For example, the raising of the user's hand to which wristband 104 is attached, such as is shown in
In addition to accelerometers, or other motion detectors, wristband 104 may also include one or more buttons, switches, or other user-actuatable controls for controlling additional aspects of patient support apparatus 20. That is, wristband 104, in one embodiment, combines the functions of both gesture sensor 102 and remote non-gesture remote control 106 into a single unit. The remote controls that may be incorporated into either wristband 104 or remote control 106 could, for example, be used to control any one or more of the following aspects of patient support apparatus 20: turning on/off a brake; turning on/off an alert system; turning on/off a patient control lock-out; controlling any aspects of a scale system built into patient support apparatus 20; setting or otherwise controlling patient protocol reminders; or remotely controlling any of the functions associated with any of the controls on footboard control panel 84 and/or siderail control panels 64. Wristband 104 and/or remote control 106 would therefore allow a caregiver to remotely control patient support apparatus 20 without having to touch any portion of patient support apparatus 20, which could be advantageous in helping to control the risk of infection. It will of course be understood by those skilled in the art that such controls for remotely controlling patient support apparatus 20 could be incorporated into other types of sensors or structures besides wristband 104, such as, but not limited to, laptops, computer tablets, keypads, cell phones having Bluetooth or other wireless technology (and including an appropriate bed control app.), and/or any other structures capable of housing the appropriate electronic circuitry for remotely controlling patient support apparatus 20.
Although
Regardless of the physical form of gesture sensor 102 and/or remote control 106 (i.e. whether it is a wristband, a computer tablet, or something else), both gesture sensor 102 and remote control 106 are configured to be able to control multiple patient support apparatuses, rather than only a single patient support apparatus. Thus, a caregiver who enters a first room of a healthcare facility and then later moves to a second room of a healthcare facility is able to control the patient support apparatuses in both rooms with the same gesture sensor 102 and/or remote control 106. This frees the caregiver from having to carry multiple different gesture sensors and/or remote controls while moving from patient to patient. In those situations where multiple patient support apparatuses 20 were positioned in the same room, a selection mechanism is included on gesture sensor 102 or remote control 106, and/or on the support apparatuses themselves, enabling the desired one of the multiple support apparatuses to be remotely controlled.
In any of the various embodiments, gesture sensor 102 and remote control 106 communicate wirelessly with control system 286 of patient support apparatus 20. Such wireless communication takes place through a plurality of antennas 110, one of which is coupled to controller 100 and the other two of which are coupled, respectively, to gesture sensor 102 and remote control 106. The wireless communication takes place using any suitable electromagnetic frequency, and any suitable communication protocol. For example, in one embodiment, such communication takes place via infrared signals. In another embodiment, short wavelength radio transmissions such as found in Bluetooth devices, are used. In other embodiments, any communications based on, or using, the IEEE 802 standard, such as ZigBee, is used for such communications. In still other embodiments, other types of communication are used.
Gesture sensor 102 and/or remote control 106 include a suitable form of an on-off switch that enables or disables the ability of the sensor 102 or control 106 to control a patient support apparatus. Such a switch may be positioned on the sensor 102 or control 106, and/or it could be on the patient support apparatus. Such a switch may be configured to be manually changed from one state to the other, and/or it may be configured to be automatically changed based upon predefined conditions. The presence of such a switch helps prevent functions and/or movement of the patient support apparatus from being inadvertently controlled based upon normal gestures that are not intended for control purposes, and/or inadvertent manipulation of remote control 106.
At a next step 116 (
At a next step 122, circuitry within gesture sensor 102 determines whether any of the accelerometers have moved along a certain axis and, if so, whether the movement is greater than a threshold amount. The threshold amount is chosen to eliminate small movements that may naturally be generated by the caregiver wearing gesture sensor 102 and which are not intended to change anything on patient support apparatus 20 (e.g. the bed in this example). If movement exceeding the threshold is detected, then gesture sensor 102 sends a message to controller 100 at a step 124 indicating that movement of the bed should occur. Such a message takes on any suitable form, and such a message may be in a format that matches the format used for communication network 78. In the example of
In carrying out algorithm 112, or any other gesture control algorithm, the movement of the gesture sensor 102 may be subjected to further processing and/or speed limits that facilitate the control of patient support apparatus 20. For example, movement that exceeds a speed threshold are ignored. Such speed thresholds are useful in situations where a caregiver's hands or arms have been moved to the end of that particular person's reach, yet the component of patient support apparatus 20 has not moved to its end position. In such cases—which are somewhat analogous to a computer user moving his or her computer mouse to the edge of the mouse pad but not having the cursor moved to the edge of the screen—the caregiver can quickly move his or her arm back to a less extreme position without causing the component of patient support apparatus to also move backward. Once moved back, the caregiver's hand or arm can continue to be moved in the desired direction at a slower speed to thereby cause the component to patient support apparatus 20 to move further in the desired direction. Thus, by moving his or her hand quickly, the caregiver can resolve situations where he or she has reached the end of their gesturing ability but wish to move a component of patient support apparatus 20 still further. Such speed limits thus are analogous to a computer user picking up the computer mouse and repositioning it so that further movement of the cursor in the desired direction can be performed.
It will be understood by those skilled in the art that, although
It will also be understood by those skilled in the art that further modifications to the embodiments described herein may be made. As but one example, any of the control systems (86, 186, and/or 286) can be modified to include a mattress controller for controlling one or more features of mattress 36. By adding such a mattress controller to communications network 78, any of the force sensor controller 66, sensor controller 94, and/or wireless receiver and controller 100 are able to send commands over the network 78 that control one or more features of mattress 36. One or more features of mattress 36 can therefore be controlled by exerting forces on any portion of patient support (including, but not limited to, a force sensor 90 positioned on the mattress 36 itself), or by gestures detected by gesture sensor 102, or remotely by remote control 106. The connection between the mattress 36 and network 78 may be a wired connection, or it could be a wireless connection, such as disclosed in commonly assigned, copending U.S. patent application Ser. No. 13/296,656 filed Nov. 15, 2011, by applicants Lemire et al., and entitled PATIENT SUPPORT WITH WIRELESS DATA AND/OR ENERGY TRANSFER, the complete disclosure of which is hereby incorporated herein by reference. Further, patient support apparatus 20 could receive power wirelessly, as disclosed in this application (Ser. No. 13/296,656).
Any of electronic control systems 86, 186, and/or 286 may also be modified to include a gateway module, or similar type of module, that allows for communications with a healthcare computer system or network, such as a hospital Ethernet, or other facility computer network. Such communication could be wired or wireless. The gateway controller could be electrically coupled to electronic communication network 78 so that is could send and receive information from any of the electronic controllers, modules, or other devices that communicate over network 78. Information related to, or generated by, any of load cells 48, force sensors 90, gesture sensors 102, and/or remote control 106 can therefore be transmitted off of patient support apparatus 20 to a healthcare network. Any one or more software applications in communication with the network can then use this information in any desired manner, such as, for example, forwarding relevant information to an electronic medical record, or issuing an alert, or in other manners. Further, because the healthcare facility's network may be connected to the Internet, this information could be forwarded over the Internet to any desired location and/or computer system.
The gateway module may also be used to forward control signals to other entities besides the computer network of a healthcare facility. For example, the gateway module may act as an interface for controlling one or more aspects of the hospital room, or other room, in which the patient support apparatus 20 is located. Such other aspects include the lights in the room, a thermostat, a television, the opening or closing of window coverings, and other aspects. The gateway module can therefore provide electrical control signals to one or more electronic controllers located off of patient support apparatus 20 that automatically control these aspects.
Any of electronic control systems 86, 186, and/or 286 can further be modified to include a voice recognition controller that recognizes voice commands issued from a caregiver. Such a voice recognition controller could be electrically coupled to communication network 78 so that, after converting voice commands into command messages, such messages can be transmitted on network 78 to the appropriate controller (e.g. actuator controller 80, although other controllers could be the recipient of the voice information).
Still additional alterations and changes can be made without departing from the spirit and broader aspects of the invention as defined in the appended claims, which are to be interpreted in accordance with the principles of patent law including the doctrine of equivalents. This disclosure is presented for illustrative purposes and should not be interpreted as an exhaustive description of all embodiments of the invention or to limit the scope of the claims to the specific elements illustrated or described in connection with these embodiments. For example, and without limitation, any individual element(s) of the described invention may be replaced by alternative elements that provide substantially similar functionality or otherwise provide adequate operation. This includes, for example, presently known alternative elements, such as those that might be currently known to one skilled in the art, and alternative elements that may be developed in the future, such as those that one skilled in the art might, upon development, recognize as an alternative. Further, the disclosed embodiments include a plurality of features that are described in concert and that might cooperatively provide a collection of benefits. The present invention is not limited to only those embodiments that include all of these features or that provide all of the stated benefits, except to the extent otherwise expressly set forth in the issued claims. Any reference to claim elements in the singular, for example, using the articles “a,” “an,” “the” or “said,” is not to be construed as limiting the element to the singular.
This application claims priority to U.S. provisional patent application Ser. No. 61/599,099 filed Feb. 15, 2012 by applicants Donna-Marie Robertson et al. and entitled PATIENT SUPPORT APPARATUS AND CONTROLS THEREFOR, the complete disclosure of which is hereby incorporated herein by reference.
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