The invention relates to a patient support apparatus with a removable foot section. In one of its aspects, the invention relates to a removable foot section provided with a positive locking mechanism provided with a convenient handle for use in attachment and removal of the removable foot section by an operator.
A patient support apparatus with a removable foot section, also known in the field as a birthing bed, provides full support for a patient, namely an expectant mother in labor, until she is ready to give birth. Rather than move the mother to another bed that gives the doctor better access, the birthing bed is provided with a removable foot section. This removable foot section must be capable of ready detachment, but just as importantly must be positively secured to the main bed and incapable of inadvertent detachment. It would further be advantageous to provide a removable foot section with an operating mechanism that does not extend beyond the normal profile of the bed, and is intuitive to the operator in its method of operation.
A patient support apparatus includes a patient support having a first patient support deck, a removable section having a second patient support deck, the removable section being configured for movement to a first position wherein the removable section is coupled to the patient support, a second position wherein the removable section is adjacent to but spaced from the first position and a third position spaced apart from the patient support. A handle support mechanism is mounted on one of the patient support and the removable section. A handle is movably mounted on the handle support mechanism and is supported thereby for movement between a first handle position and a second handle position. The handle support mechanism is configured to facilitate movement of the handle from the first handle position toward the second handle position only when the removable section is oriented at and between the first and second positions.
In a further embodiment of the invention, a patient support apparatus comprises a patient support including a first patient support deck, a removable section having a second patient support deck, the removable section being configured for movement to a first position wherein the removable section is coupled to the patient support, a second position wherein the removable section is adjacent to but spaced from the first position and a third position spaced apart from the patient support. A sensing mechanism is configured for sensing a presence of the removable section at and between the first and second positions thereof. A latch recess mechanism is mounted on the patient support and configured to be engaged by the sensing mechanism in response to the removable section being moved from the third position toward the first position, the latch recess mechanism including at least one recess. A latch mechanism is mounted on the removable section and includes a latch member configured to move into the at least one recess only in response to the sensing mechanism sensing the presence of the removable section at the first position.
The purposes of the invention will be apparent to persons acquainted with apparatus of this general type upon reading the following specification and inspecting the accompanying drawings, in which:
Certain terminology will be used in the following description for convenience in reference only and will not be limiting. The words “up”, “down”, “right” and left” will designate directions in the drawings to which reference is made. The words “in” and “out” will refer to directions toward and away from, respectively, the geometric center of the device and designated parts thereof. The words “proximal” and “distal” will refer to the orientation of an element with respect to the patient support apparatus. Such terminology will include derivatives and words of similar import.
Referring to
The main bed 110 includes a support base 115 to which is mounted a main bed patient support deck 116. The support deck 116 supports a main bed pad or mattress 112 having an upper surface 113. The main bed 110 further includes an anterior or perineal edge face 114 adapted for receiving the removable foot section 150.
A pair of mounting brackets 118 (
Each latch mount 120 has a generally upwardly opening “C” shape and includes a distal or nose portion 128 incorporating an upwardly and inwardly directed catch 122, a flattened central portion 126 and a raised proximal portion including an inwardly directed recess 124. Referring further to
Referring to
The removable foot section 150 further includes a brace 166 attached to and depending from the proximal cross rail 160 and the foot section patient support deck 154. The brace 166 is configured to support the removable foot section 150 in a vertical orientation on a floor surface when the foot section 150 is removed from the main bed 110. The removable foot section 150 is configured to stand, in the vertical orientation, on the brace 166 and the proximal end 157 of the side rails 156.
At the proximal ends 157 of the side rails 156, each side rail 156 includes a mount-receiving slot 168 with a chamfered mouth 170. A sleeve 224 is secured within the side rail 156 over the mount-receiving slot 168 by a fastener 225. The mount-receiving slots 168 are adapted for receiving the latch mounts 120 in such a manner that the neck 129 of each latch mount 120, formed by the side channels 130, aligns with the respective mount-receiving slot 168 of the side rails 156. The sleeve 224 is positioned within the side rail 156 for alignment with the recess 124 of the latch mount 120 as the latch mount 120 enters the side rail 156. The chamfered mouth 170 of each mount-receiving slot 168 aids the operator in guiding the latch mounts 120 into the mount-receiving slots 168.
The removable foot section 150 further includes a locking mechanism 180 for releasably locking the removable foot section 150 to the main bed 110. As seen in
Referring briefly to
Referring now to
The locking mechanism 180 within the tubular side rail 156 includes a locking cam 230, a carriage assembly 210 connected to the locking cam 230 by an elongate locking mechanism linkage 200, and an elongate sensing link 190.
The locking cam 230 is eccentrically mounted on the double-D-shaped cam pin 232 and is rotatably connected to the cam housing 188. The locking cam 230 includes a lever arm 231 and a distally extending flat portion 234.
The locking mechanism linkage 200 is pivotally connected at its distal end to the lever arm 231 of the locking cam 230 by a pivot pin 202, and is pivotally connected at its proximal end to the carriage assembly 210 by a pivot pin 204.
The carriage 210 is slidably received within the tubular side rail 156. The carriage 210 carries a U-shaped pivotal locking arm 212, the bight portion of the “U” forming a locking hook 214. The legs 212A (see
The elongate sensing link 190 is slidably carried within the tubular side rail 156 and includes a proximal end 192 and a distal end 194. The sensing link 190 is spring-biased in a proximal direction by a spring 195 connecting the sensing link 190 to the carriage assembly 210, forcing the proximal end 192 of the sensing link 190 toward the proximal end 157 of the side rail 156. As shown in
As shown in
Referring to
To releasably attach the removable foot section 150 to the main bed 110, the removable foot section 150 must begin at a position removed from the anterior face 114, with the upper surface 153 of the foot section pad 152 substantially co-planar with the upper surface 113 of the main bed pad 112. This will align the bottom face of the side rails 156 and therefore the mount receiving slots 168 with the side channels 130 of the latch mounts 120. The side rails 156 must also be aligned laterally with the latch mounts 120.
As the removable foot section 150 is moved toward the main bed 110, the nose end 128 of each latch mount 120 will enter a respective side rail 156 such that the side channels 130 will be received in the mount receiving slots 168. Since the nose section 128 of the latch mount 120 is lower than the raised proximal portion of each latch mount 120, the nose section 128 will clear the sleeve 224 mounted within each side rail 156 (see
Further movement of the foot section 150 toward the main bed 110 will cause the nose section 128 to force the sensing link 190 against the bias of the spring 195. As the sensing link 190 is displaced against the bias of spring 195, the distal portion 194 of the sensing link 190 is forced clear of the flat portion 234 of the cam 230. With the distal portion 194 of the sensing link 190 displaced, as shown in
Before the handle 182 can be rotated, however, the secondary locking mechanism comprising the lug 240 within the notch 242 must be disengaged. In a natural and intuitive operation, aided by color-coding or instructional wording on the release lever 184, the operator will squeeze together the release lever 184 and the main handle 182. The release lever 184 is thereby rotated about the pivot pins 244, causing the distal portion 246 of the release lever 184 to shift the plate 239 against the urging of spring 241 and extract the locking lug 240 from the notch 242 (see
With particular reference to
The cam housing 188 includes a stop 236 positioned such that the flat portion 234 of the cam 230 reaches the stop 236 as the sleeve 224 is fully received in the recess 124 of the latch mount 120. This coincides with the main handle 182 having rotated approximately 90 degrees so that it is substantially co-planar with the side rails 156, and no longer interferes with the use of the bed. Upon release of the main handle 182 and the release lever 184 by the operator, the spring 241 acting on the plate 239 will urge the locking lug 240 inwardly to engage the notch 243 in the cam housing 188. The notch 243 is positioned on the cam housing 188 to correspond to the main handle 182 being in the horizontal position.
The removable foot section 150 is thereby positively mounted to the main bed 110 until an operator proactively grasps the main handle 182 and the release lever 184 and moves the release lever 184 toward the main handle 182, thence causing the locking lug 240 to be extracted from the notch 243. The operator then rotates the main handle 182 in a clockwise rotation, reversing the above-described sequence to disengage the locking mechanism 180. When main handle 182 reaches the upright position and the release lever 184 is released by the operator, the locking lugs 240 will enter the notches 242 under the urging of the springs 241 to lock the handle 182 in the upright position. The removable foot section 150 can thereafter be lifted away from the main bed 110. The concave distal end 164 of the removable foot section 150 is configured for resting against the operator's midsection while the operator lifts the removable foot section 150 by the main handle 182. With the concave distal end 164 resting against the operator's midsection, the center of mass of the removable foot section 150 is advantageously drawn closer to the operator, rendering the removable foot section 150 easier to lift and transport.
Referring now to
The removable foot section includes a rail 320 that is substantially rectangular in cross-section. A cross pin 322 is fixedly mounted near the proximal end of the rail 320. A locking arm 330 is pivotally mounted to the rail 320 by a spring/locking arm pivot 332. The locking arm 330 is pivotally linked to a spring arm 334 also pivoting about the spring/locking arm pivot 332 and biased in a counter clockwise direction (as shown in
The locking arm 330 includes a locking arm face 335 and is prevented from rotating through the contact of the locking arm face 335 with a sensing link nose 344. The sensing link nose 344 is part of a sensing link 340 slidably mounted within the rail 320. The sensing link 340 includes a longitudinal slot 352 for facilitating a relative movement to the spring/locking arm pivot 332 of the locking arm 330. The sensing link 340 further incorporates a proximal slot/recess 342 for clearing the cross pin 322 of the cross rail 320.
Referring sequentially to
As the sensing link nose 344 contacts and is displaced distally by the latch mount 310 as shown in
Referring to
The removable foot section 450 includes a foot section patient support deck 454 supported by a pair of longitudinal side rails 456 and cross rails 458, 460, and a pad 452 supported by the support deck 454. The side rails 456 each include a proximal slot 468 having a mouth 470 for receiving each of the latch mounts 420, as in the first embodiment.
The removable foot section 450 further includes an attachment and locking mechanism 480. The locking mechanism 480 includes a handle 482 in the form of an inverted “U”. Each of the legs of the handle 482 are connected to a cam bracket 530. Each cam bracket 530 is pivotally mounted to one of the side rails 456 by a pivot pin 532. The cam bracket 530 includes an internal cam plate 534 pivotally connecting the cam bracket 530 to a connecting link 500 by a pivot pin 502, an external mounting plate 536 for mounting the handle 482 and a back plate 538 serving as a rotation stop of the cam bracket 530 with respect to the side rail 456. Each connecting link 500 is further pivotally connected to a carriage 510 and sensing link 490. The connecting link 500 is connected to the carriage 510 by a pin 504 passing through a slot (not shown) in the side rail 456. The slot enables proximal-distal movement of the pin 504 and the carriage 510 within the side rail 456. The sensing link 490 pivots about the pin 504.
Referring specifically to
Referring to
As the latch mount 420 is positioned to displace the sensing link 490, it further aligns the recess 424 with the sleeve 224, and aligns the locking hook 514 of the locking arm 512 with the catch 422 of the latch mount 420.
In much the same fashion as the first embodiment described above, when the handle 482 is rotated counter-clockwise, the link 500 will be pulled distally. As shown in
As the handle 482 is rotated distally, the back plate 536 of the cam bracket 530 contacts the bottom of the side rail 456 as the handle 482 reaches a horizontal position. The arrangement is configured such that when the handle 482 is in the horizontal position, the locking mechanism 480 is fully engaged with the sleeve 224 fully seated in the recess 424 and the removable foot section 450 closely drawn against the patient support.
Referring now to
In
In
In
In
Although a particular preferred embodiment of the invention has been disclosed in detail for illustrative purposes, it will be recognized the variations or modifications of the disclosed apparatus, including the rearrangement of parts, lie within the scope of the present invention.
This application is a divisional application of U.S. patent application Ser. No. 11/004,703, filed Dec. 3, 2004, entitled PATIENT SUPPORT APPARATUS WITH REMOVABLE FOOT SECTION, by Applicants Richard A. Derenne and Christopher Gentile, which is now U.S. Pat. No. 7,412,739, issuing Aug. 19, 2008.
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Number | Date | Country | |
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20080307579 A1 | Dec 2008 | US |
Number | Date | Country | |
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Parent | 11004703 | Dec 2004 | US |
Child | 12193421 | US |