The present disclosure relates to patient support apparatuses, such as beds, cots, stretchers, recliners, or the like. More specifically, the present disclosure relates to patient support apparatuses that include one or more lock out features for preventing a patient from using certain functions of the patient support apparatus.
Existing hospital beds often include a patient control panel that includes a plurality of buttons or other types of controls. The patient control panel typically includes controls that allow the patient to move one or more components of the patient support apparatus, such as pivoting the Fowler section, changing the angle of a knee section, and/or changing the overall height of the support surface on which the patient is positioned. In some situations, it is desirable for the caregiver to disable (i.e. lock out) one or more of these controls in order to prevent the patient from moving one or more components of the patient support apparatus. The caregiver may desire to lock out these controls in order to reduce the risk of injury that might otherwise occur if the controls were not locked out, and/or because the caregiver has configured the patient support apparatus in a desired physical configuration and doesn't want the patient to change that configuration.
According to various embodiments, the present disclosure provides a patient support apparatus with one or more improved lock out features. These features include, but are not limited to, the automatic locking out of certain patient controls when a triggering event is detected, the automatic cessation of the lock outs when the triggering event terminates, the inclusion of manual lock out controls that work in conjunction with the automatic lock outs, the customization of the automatic lock outs, and the notification to the user of which type of lock out (manual, automatic, or both) is currently active. These and other aspects of the present disclosure will be apparent to a person skilled in the art in light of the accompanying drawings and the following written description.
According to a first aspect of the present disclosure, a patient support apparatus is provided that includes a base, a plurality of lifts, a frame, a support surface, a patient control panel, a caregiver control panel, and a controller. The frame is supported on the lifts and the lifts are adapted to change a height of the frame. The support surface is supported on the frame. The caregiver control panel includes a lockout control adapted to be activated by a caregiver, and the patient control panel includes a first control adapted to be activated by the patient. The controller is adapted to move a first component of the patient support apparatus when the first control is activated and the lockout control is not activated, to lock out operation of the first control in response to the lockout control being manually activated, and to automatically lock out operation of the first control when the controller detects a triggering event regardless of whether the lockout control is manually activated or not.
According to another aspect of the present disclosure, a patient support apparatus is provided that includes a base, a plurality of lifts, a frame, a support surface, a patient control panel, a caregiver control panel, and a controller. The frame is supported on the lifts and the lifts are adapted to change a height of the frame. The support surface is supported on the frame. The caregiver control panel includes a lockout control adapted to be activated by a caregiver, and the patient control panel includes a first control adapted to be activated by the patient. The controller is adapted to automatically lock out operation of the first control in response to a triggering event, to display a first lockout indication for the first control when the lockout control is manually activated by the caregiver, to display a second lockout indication for the first control when the lockout is automatically locked out in response to the triggering event, and to display neither the first nor second lockout indication when the lockout control is not manually activated by the caregiver and the triggering event is absent.
According to still another aspect of the present disclosure, a patient support apparatus is provided that includes a base, a plurality of lifts, a frame, a support surface, a display, a patient control panel, and a controller. The frame is supported on the lifts and the lifts are adapted to change a height of the frame. The support surface is supported on the frame. The patient control panel includes a set of controls adapted to be activated by the patient. The controller is adapted to display an automatic lockout control screen on the display that is adapted to allow the caregiver to select a subset of the set of controls. The controller is further adapted to automatically lock out the selected controls in response to a triggering event.
According to yet another aspect of the present disclosure, a patient support apparatus is provided that includes a base, a plurality of lifts, a frame, a support surface, a caregiver control panel, a patient control panel, and a controller. The frame is supported on the lifts and the lifts are adapted to change a height of the frame. The support surface is supported on the frame. The patient control panel includes a plurality of patient controls adapted to be activated by a patient. The caregiver control panel includes a plurality of caregiver controls adapted to be activated by a caregiver. The controller is adapted to automatically lock out operation of a first set of controls when the controller detects a first triggering event and to automatically lock out operation of a second set of controls different than the first set of controls when the controller detects a second triggering event different from the first triggering event.
According to other aspects of the present disclosure, the first set of controls may include at least one control from the plurality of patient controls.
In some aspects, the second set of controls may include at least one control from the plurality of caregiver controls.
The caregiver control panel, in some aspects, is adapted to allow a caregiver to override the automatic lock out of both the first set of controls and the second set of controls.
According to still other aspects of the present disclosure, the first control is a height control adapted to raise a height of the frame when the height control is activated and the lockout control is not activated.
In some aspects of the present disclosure, the caregiver control panel is adapted to enter a sleep mode after a predetermined time period elapses without the caregiver using the caregiver control panel, and the triggering event is the caregiver control panel entering the sleep mode.
The controller, in some aspects, is further adapted to receive a fall risk score of the patient, and to use the receipt of the fall risk score as the triggering event if the fall risk score exceeds a threshold level.
The patient support apparatus, in some aspects, further includes a network transceiver adapted to communicate with a local area network of a healthcare facility. In such aspects, the controller may further be adapted to receive the fall risk score from an electronic medical records server accessible through the local area network.
Alternatively, or additionally, the controller may be adapted to allow a caregiver to communicate the patient's fall risk score to the controller using the caregiver control panel.
In some aspects, the patient support apparatus includes an exit detection system adapted to be armed and disarmed and to operate with a plurality of different sensitivity levels when armed. The exit detection system is adapted to issue an alert when the exit detection system is armed and a patient exits from the patient support apparatus. The triggering event may be the arming of the exit detection system at a first one of the plurality of sensitivity levels but not at a second one of the plurality of sensitivity levels.
In some aspects, the patient support apparatus further includes a plurality of wheels coupled to the base, a brake adapted to selectively brake and unbrake at least one of the plurality of wheels, a plurality of siderails adapted to be moved between raised and lowered positions, and a monitoring system adapted to be armed and disarmed. When armed, the monitoring system is adapted to monitor a first state of the brake and a second state of the siderails and to issue an alert if any one of the first or second states changes to an undesired state. The triggering event may be the arming of the monitoring system.
The monitoring system, in some aspects, may also be adapted to monitor, when armed, a height of the frame.
In some aspects, the monitoring system may also be adapted to monitor whether the exit detection system is armed or disarmed.
The patient support apparatus, in some aspects, further includes a scale system and a scale control. The scale system is adapted to detect a weight of the patient and the scale control is positioned on the caregiver control panel. The controller is adapted to record the weight of the patient in response to activation of the scale control and the triggering event is the activation of the scale control.
In some aspects, the caregiver control panel includes a scale zeroing control and the controller is adapted to tare the scale system in response to activation of the scale zeroing control. The triggering event may be the activation of the scale zeroing control.
The controller, in some aspects, is adapted to automatically and repetitively take weight readings from the scale system to determine if the patient is occupying the patient support apparatus or not. The triggering event may be the absence of the patient from the patient support apparatus.
In some aspects, the lifts are adapted to tilt the frame and the support surface includes a section adapted to pivot. The caregiver control panel may include a configuration control that, when activated, causes the controller to tilt the frame and pivot the section to a particular configuration when the configuration control is activated. The triggering event may be the activation of the configuration control.
The configuration control, in some aspects, is adapted to tilt the frame and pivot the section to one of the following configurations: (a) a Trendelenburg configuration, (b) a reverse Trendelenburg configuration, (c) an examination configuration, or (d) a vascular configuration.
In some aspects, the triggering event is a current height of the litter frame exceeding a threshold height.
In some aspects, the triggering event is a passage of a predetermined amount of time after movement of a component of the patient support apparatus ceases.
In some aspects, the triggering event is the arming of the exit detection system.
In some aspects, the triggering event is the detection of the patient, and/or the patient's center of gravity, at a perimeter location on the litter frame of the patient support apparatus.
In some aspects, the controller is adapted to automatically lock out a control adapted to deactivate a brake in response to the detection of the triggering event.
The caregiver control panel, in some aspects, includes a second height control adapted to be activated by a caregiver, and the controller is adapted to raise a height of the frame when the second height control is activated and the lockout control is not activated. The controller is further adapted to not automatically lock out operation of the second height control when the controller detects the triggering event.
In some aspects, the patient control panel further includes a motion control, and the controller is adapted to move a component of the patient support apparatus in response to activation of the motion control when the motion control is not locked out. The controller is also adapted to automatically lock out operation of the motion control when the controller detects the triggering event.
The patient control panel, in some aspects, includes a second control, and the caregiver control panel is adapted to allow a caregiver to select or deselect an auto-locking function for the second control. The controller is adapted to automatically lock out operation of the second control when the triggering event is detected and the auto-locking function is selected, and to not automatically lock out operation of the second control when the triggering event is detected and the auto-locking function is deselected.
In some aspects, the second control is adapted to raise a pivotable section of the support surface.
The patient support apparatus, in some aspects, further includes a plurality of siderails positioned alongside the support surface. Each of the siderails includes an outer surface facing away from the support surface and an inner surface facing toward the support surface. The patient control panel may be positioned on one of the inner surfaces of the siderails and the caregiver control panel may be positioned on one of the outer surfaces of the siderails.
The patient support apparatus, in some aspects, further includes a second patient control panel that includes a second height control adapted to be activated by the patient. The controller is further adapted to raise the height of the frame when the second height control is activated and the lockout control is not activated, and to automatically lock out operation of the second height control when the controller detects the triggering event regardless of whether the lockout control is manually activated or not.
The patient control panel, in some aspects, is adapted to display a first lockout indication when the lockout control is manually activated by the caregiver and to display a second lockout indication when the controller automatically locks out operation of the height control. The first indication is different from the second indication.
In some aspects, the first control includes a first icon and the first indication includes illuminating the first icon in a first manner and the second indication includes illuminating the first icon in a second manner different from the first manner.
In some aspects, the second manner includes adding a letter “A” to the first icon.
The controller, in some aspects, is adapted to automatically cancel the automatic lock out in response to an absence of the triggering event.
In some aspects, the subset of controls includes a first control and a second control and the first control and second control are each adapted to perform one of the following: (1) change an orientation of a pivotable head section of support surface; (2) change an orientation of a pivotable knee section of the support surface; or (3) change a height of the frame.
In some aspects, the subset of controls includes a height control adapted to raise a height of the frame when the height control is activated and the controller has not automatically locked out the height control.
Before the disclosure is explained in detail, it is to be understood that the claims are not to be 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 embodiments described herein are 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 claims to any specific order or number of components. Nor should the use of enumeration be construed as excluding from the scope of the claims any additional steps or components that might be combined with or into the enumerated steps or components.
An illustrative patient support apparatus 20 according to an aspect of the present disclosure are shown in
In general, patient support apparatus 20 includes a base 22 having a plurality of wheels 24, a pair of lifts 26 supported on the base 22, a litter frame 28 supported on the lifts 26, and a support deck 30 supported on the litter frame 28. Patient support apparatus 20 further includes a headboard 32, a footboard 34 and a plurality of siderails 36. Siderails 36 are all shown in a raised position in
Lifts 26 are adapted to raise and lower litter frame 28 with respect to base 22. Lifts 26 may be hydraulic actuators, electric actuators, or any other suitable device for raising and lowering litter frame 28 with respect to base 22. In the illustrated embodiment, lifts 26 are operable independently so that the tilting of litter frame 28 with respect to base 22 can also be adjusted, to place the litter frame 28 in a flat or horizontal orientation, a Trendelenburg orientation, or a reverse Trendelenburg orientation. That is, litter frame 28 includes a head end 38 and a foot end 40, each of whose height can be independently adjusted by the nearest lift 26. Patient support apparatus 20 is designed so that when an occupant lies thereon, his or her head will be positioned adjacent head end 38 and his or her feet will be positioned adjacent foot end 40.
Litter frame 28 provides a structure for supporting support deck 30, the headboard 32, footboard 34, and siderails 36. Support deck 30 provides a support surface for a mattress 42, or other soft cushion, so that a person may lie and/or sit thereon. In some embodiments, the mattress 42 includes one or more inflatable bladders that are controllable via a blower, or other source of pressurized air. In at least one embodiment, the inflation of the bladders of the mattress 42 is controllable via electronics built into patient support apparatus 20. In one such embodiments, mattress 42 may take on any of the functions and/or structures of any of the mattresses disclosed in commonly assigned U.S. Pat. No. 9,468,307 issued Oct. 18, 2016, to inventors Patrick Lafleche et al., the complete disclosure of which is incorporated herein by reference. Still other types of mattresses may be used.
Support deck 30 is made of a plurality of sections, some of which are pivotable about generally horizontal pivot axes. In the embodiment shown in
In some embodiments, patient support apparatus 20 may be modified from what is shown to include one or more components adapted to allow the user to extend the width of patient support deck 30, thereby allowing patient support apparatus 20 to accommodate patients of varying sizes. When so modified, the width of deck 30 may be adjusted sideways in any increments, for example between a first or minimum width, a second or intermediate width, and a third or expanded/maximum width.
It will be understood by those skilled in the art that patient support apparatus 20 can be designed with other types of mechanical constructions that are different from what is shown in the attached drawings, such as, but not limited to, the construction described in commonly assigned, U.S. Pat. No. 10,130,536 to Roussy et al., entitled PATIENT SUPPORT USABLE WITH BARIATRIC PATIENTS, the complete disclosure of which is incorporated herein by reference. In another embodiment, the mechanical construction of patient support apparatus 20 may include the same, or nearly the same, structures as the Model 3002 S3 bed manufactured and sold by Stryker Corporation of Kalamazoo, Michigan. This construction is described in greater detail in the Stryker Maintenance Manual for the MedSurg Bed, Model 3002 S3, published in 2010 by Stryker Corporation of Kalamazoo, Michigan, the complete disclosure of which is incorporated herein by reference. In still another embodiment, the mechanical construction of patient support apparatus 20 may include the same, or nearly the same, structure as the Model 3009 Procuity MedSurg bed manufactured and sold by Stryker Corporation of Kalamazoo, Michigan. This construction is described in greater detail in the Stryker Maintenance Manual for the 3009 Procuity MedSurg bed (publication 3009-009-002, Rev. A.0), published in 2020 by Stryker Corporation of Kalamazoo, Michigan.
It will be understood by those skilled in the art that patient support apparatus 20 can be designed with still other types of mechanical constructions, such as, but not limited to, those described in commonly assigned, U.S. Pat. No. 7,690,59 issued Apr. 6, 2010, to Lemire et al., and entitled HOSPITAL BED; and/or 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 disclosures of both of which are also hereby incorporated herein by reference. The overall mechanical construction of patient support apparatus 20 may also take on still other forms different from what is disclosed in the aforementioned references provided the patient support apparatus includes one or more of the functions, features, and/or structures discussed in greater detail below.
Patient support apparatus 20 further includes a plurality of control panels 44 that enable a user of patient support apparatus 20, such as a patient and/or an associated caregiver, to control one or more aspects of patient support apparatus 20. In the embodiment shown in
Among other functions, controls 50 of control panel 44a allow a user to control one or more of the following: change a height of support deck 30, raise or lower the Fowler section, activate and deactivate a brake for wheels 24, change the configuration of litter frame 28 and support deck 30, take patient weight readings using an onboard scale system, arm and disarm an exit detection system 48 (
Caregiver control panel 44a includes a display 52 (
When a user presses navigation control 50b (
When a user presses navigation control 50c, control panel 44a displays a scale control screen on display 52 that includes a plurality of control icons that, when touched, control a scale system 56 of patient support apparatus 20. One example of a scale control screen is shown herein in
When a user presses navigation control 50d, control panel 44 displays a motion control screen on display 52 that includes a plurality of control icons that, when touched, control the movement of various components of patient support apparatus 20, such as, but not limited to, the height of litter frame 28 and the pivoting of the Fowler section. In some embodiments, the motion control screen displayed on display 52 in response to pressing control 50d may be the same as, or similar to, the position control screen 216 disclosed in commonly assigned U.S. patent application Ser. No. 62/885,953 filed Aug. 13, 2019, by inventors Kurosh Nahavandi et al. and entitled PATIENT SUPPORT APPARATUS WITH TOUCHSCREEN, the complete disclosure of which is incorporated herein by reference. Other types of motion control screens may be included on patient support apparatus 20.
When a user presses navigation control 50e, control panel 44a displays a motion lock control screen that includes a plurality of control icons that, when touched, control one or more manually-activated motion lockout functions of patient support apparatus 20. Such motion lockout functions typically include the ability for a caregiver to use control panel 44a to manually lock out one or more of the motion controls 50 of the patient control panels 44c such that the patient is not able to use those controls 50 on control panels 44c to control the movement of one or more components of patient support apparatus 20. Two examples of a motion lockout screen are shown herein in
When a user presses on navigation control 50f, control panel 44a displays a menu screen that includes a plurality of menu icons that, when touched, bring up one or more additional screens for controlling and/or viewing one or more other aspects of patient support apparatus 20. Such other aspects include, but are not limited to, diagnostic and/or service information for patient support apparatus 20, mattress control and/or status information, configuration settings, location information, automatic lockout settings, and other settings and/or information. One example of a menu screen is shown herein in
In at least one embodiment, utilization of navigation control 50f allows a user to navigate to a screen that enables a user to see which medical devices, if any, are currently associated with patient support apparatus 20. In some embodiments, patient support apparatus 20 is configured to automatically associate one or more devices with itself when those devices meet certain association conditions, such as being located within a predefined volume of space that encompasses and surrounds patient support apparatus 20. In such embodiments, patient support apparatus 20 includes an onboard locating system that is adapted to automatically determine the relative position of one or more devices with respect to patient support apparatus 20 and, in some instances, automatically associate those devices with patient support apparatus 20 (and/or the patient assigned to patient support apparatus 20) depending upon the proximity of the medical device to patient support apparatus 20 and/or other criteria. Further details of such a locating system and association process are disclosed in commonly assigned U.S. patent application Ser. No. 63/314,221 filed Feb. 25, 2022, by inventors Jerald Trepanier et al. and entitled COMMUNICATION SYSTEM FOR PATIENT SUPPORT APPARATUSES AND TEMPERATURE MANAGEMENT DEVICES, the complete disclosure of which is incorporated herein by reference.
For all of the navigation controls 50a-f (
Controller 60 may take on a variety of different forms. In the illustrated embodiment, controller 60 is implemented as a conventional microcontroller. However, controller 60 may be modified to use a variety of other types of circuits-either alone or in combination with one or more microcontrollers-such as, but not limited to, any one or more microprocessors, field programmable gate arrays, systems on a chip, volatile or nonvolatile memory, discrete circuitry, and/or other hardware, software, or firmware that is capable of carrying out the functions described herein, as would be known to one of ordinary skill in the art. Such components can be physically configured in any suitable manner, such as by mounting them to one or more circuit boards, or arranging them in other manners, whether combined into a single unit or distributed across multiple units. The instructions followed by controller 60 when carrying out the functions described herein, as well as the data necessary for carrying out these functions, are stored in a memory (not shown) that is accessible to controller 60.
Network transceiver 62 is, in at least some embodiments, a WiFi transceiver (e.g. IEEE 802.11) that wirelessly communicates with one or more conventional wireless access points 74 of local area network 58. In other embodiments, network transceiver 62 may be a wireless transceiver that uses conventional 5G technology to communicate with network 58, one or more servers hosted thereon, and/or other devices. In some embodiments, network transceiver 62 may include any of the structures and/or functionality of the communication modules 56 disclosed in commonly assigned U.S. Pat. No. 10,500,401 issued to Michael Hayes and entitled NETWORK COMMUNICATION FOR PATIENT SUPPORT APPARATUSES, the complete disclosure of which is incorporated herein by reference. Still other types of wireless network transceivers may be utilized.
In some embodiments, network transceiver 62 is a wired transceiver that is adapted to allow patient support apparatus 20 to communicate with network 58 via a wired connection, such as an Ethernet cable that plugs into an Ethernet port (e.g. an RJ-45 style port, an 8P8C port, etc.) built into patient support apparatus 20. In still other embodiments, patient support apparatus 20 includes both a wired transceiver 62 for communicating with network 58 via a wired connection and a wireless transceiver 62 for wirelessly communicating with network 58.
Patient support apparatus 20 is configured to use network transceiver 62 to communicate with one or more servers on the local area network 58 of a healthcare facility. One such server is a patient support apparatus server 76. Patient support apparatus server 76 is adapted, in at least one embodiment, to receive status information from patient support apparatuses 20 positioned within the healthcare facility and distribute this status information to caregivers, other servers, and/or other software applications. In some embodiments, patient support apparatus server 76 is configured to communicate at least some of the status data received from patient support apparatuses 20 to a remote server that is positioned geographically remotely from the healthcare facility. Such communication may take place via a network appliance, such as, but not limited to, a conventional router and/or a gateway, that is coupled to the Internet. The remote server, in turn, is also coupled to the Internet, and patient support apparatus server 76 may be provided with the URL and/or other information necessary to communicate with the remote server via the Internet connection between network 58 and the remove server.
Network 58 also includes an EMR server 80 (
It will be understood that the architecture and content of local area network 58 will vary from healthcare facility to healthcare facility, and that the example shown in
Local area network 58 (
In at least one embodiment, patient support apparatus server 76 is configured to communicate with one or more electronic devices in order to allow such devices to display the status of one or more aspects of patient support apparatus 20. In some embodiments, controller 60 is adapted to forward the status of one or more of the manual and/or automatic lockouts of patient support apparatus 20 to server 76 which, in turn, forwards this status information to one or more of these electronic devices, thereby enabling caregiver to see the status of patient support apparatus 20 on their smart phones and/or other devices.
Fowler actuator 64 (
Brake 68 is adapted to brake and unbrake one or more of the wheels 24. When brake 68 is activated, patient support apparatus 20 is substantially prevented from moving (other than through skidding of the braked wheels 24). When brake 68 is deactivated, all wheels 24 are free to roll, thereby facilitating movement of patient support apparatus 20 to different locations. Although not shown in
Turning to
Each caregiver control panel 44b is in electrical communication with controller 60. When a caregiver presses on examination control 50h, controller 60 is configured to automatically control the movement of lifts 26 and actuators 64 and 66 to bring frame 28 and support deck 30 to a predefined examination position. Although the predefined positions of the litter frame 28 and support deck 30 may vary for a given examination position, in at least one embodiment, controller 60 is configured to move the support deck 30 and litter frame 28 to flat orientations, and to raise the height of the litter frame 28 to its maximum extent (or to a different height that makes it easy for a caregiver to exam the patient while he/she is positioned on patient support apparatus 20).
When a caregiver presses on Trendelenburg control 50i, controller 60 is configured to automatically control the movement of lifts 26 so as to bring litter frame 28 to a conventional Trendelenburg position. In the Trendelenburg position, the litter frame 28 is tilted so that head end 38 is positioned lower than foot end 40. The Fowler section and/or knee section of support deck 30 may be flat or raised while in the Trendelenburg position. When a caregiver presses on reverse Trendelenburg control 50j, controller 60 is configured to automatically control the movement of lifts 26 so as to bring litter frame 28 to a conventional reverse Trendelenburg position. In the reverse Trendelenburg position, the litter frame 28 is tilted so that foot end 40 is positioned lower than head end 38. The Fowler section and/or knee section of support deck 30 may be flat or raised while in the reverse Trendelenburg position. When a caregiver presses on vascular control 50k, controller 60 is configured to automatically control the movement of lifts 26 and actuators 64, 66 so as to bring litter frame 28 and deck 30 to a vascular position. In the vascular position, the Fowler section and knee section of patient support deck 30 are lowered to a flat orientation (zero degree angle with the main plane of the support deck 30) and lifts 26 are controlled so as to lower head end 38 lower than foot end 40. The vascular position is similar to the Trendelenburg position except that it also flattens the Fowler section and knee sections. Also, the angle of litter frame 28 when in the vascular position may be the same as, or different from, the angle of litter frame 28 when it is in the Trendelenburg position.
When a caregiver presses on knee up control 50l or knee down control 50m, controller 60 is configured to raise or lower, respectively, the knee section of support deck 30 by activating knee actuator 66. When a caregiver presses on Fowler up control 50n or Fowler down control 50o, controller 60 is configured to raise or lower, respectively, the Fowler section or support deck 30 by activating Fowler actuator 64. When a caregiver presses on height up control 50p or height down control 50q, controller 60 is configured to raise or lower, respectively, the height of litter frame 28 by activating lifts 26.
Lockout indicators 72a-c (
Fowler lockout indicator 72b (
Height lockout indicator 72c (
It will be understood that the locking out of a control serves to disable that control on the patient's control panel 44c. The locking out of a control does not disable the corresponding control on caregiver control panel 44a or 44b, in at least some embodiments. In other embodiments, controller 60 may be configured to lock out a control 50 both on the patient control panels 44c and the two siderail caregiver control panels 44b, but not lock out the corresponding control on footboard control panel 44a. Other arrangements of what controls are locked out on what control panels may also, or alternatively, be implemented.
Turning to
When a patient presses on exit control 50u, controller 60 is configured to control the operation of lifts 26, Fowler actuator 64, and knee actuator 66 to move litter frame 28 and support deck 30 to an overall configuration that makes is easier for a patient to get in or out of patient support apparatus 20. In general, this exit configuration has the Fowler section raised, the knee section flat, and the overall height of litter frame 28 at a height that is conducive for the patient to exit or enter patient support apparatus 20. When a patient presses on combined controls 50v or 50w, controller 60 is configured to raise, or lower, both the knee section and the Fowler section together. That is, if the patient presses on up control 50v, controller 60 is configured to activate both Fowler actuator 64 and knee actuator 66 such that both the Fowler section and the knee section are raised. If the patient presses on down control 50w, controller 60 is configured to activate both Fowler actuator 64 and knee actuator 66 such that both the Fowler section and the knee section are lowered.
Controls 50x, 50y, 50z, 50aa, 50bb, and 50cc of patient control panel 44c (
When a patient presses on chair control 50dd, controller 60 is configured to control lifts 26, Fowler actuator 64, and knee actuator 66 such that the overall configuration of support deck 30 and litter frame 28 is moved to positions and orientations that resemble a chair. In general, this involves pivoting the Fowler section to a raised orientation, lowering a foot section of support deck 30 to a lowered position and, in some embodiments, tilting litter frame 28 so that head end 38 is positioned higher than foot end 40.
The lockout controls 50r, 50s, and 50t of the caregiver control panels 44b (and 44a), are manual lockouts that must be manually activated by a caregiver in order to be effective. As was mentioned previously, controller 60 is configured to automatically lock out one or more of the controls 50 on the patient control panels 44c in response to one or more triggering events. This automatic locking out occurs without the caregiver having to press any buttons on caregiver control panels 44b or 44a. In some embodiments, this automatic locking out also automatically ceases once the triggered event ceases or is otherwise absent. Thus, controller 60 is configured to automatically lock and automatically unlock certain patient controls 50 on patient control panels 44c in response to one or more triggering events.
The automatic locking of controls by controller 60 overrides the manually implemented state of the lockout controls, to the extent the manual and automatic lockouts differ. For example, if a lock out control 50r, 50s, and/or 50t is not activated, controller 60 will automatically lock out the corresponding controls 50 on patient control panel 44c in response to a triggering event. If a lock out control 50r, 50s, and/or 50t is activated when a triggering event is detected, controller 60 takes no action (except, in some embodiments, to display an automatic lockout indication) in response to a triggering event. Thus, in response to a triggering event being detected, controller 60 will automatically lock out any of the controls 50 on patient control panel 44c that it is programmed to automatically lock out, to the extent those controls 50 have not already been manually locked out.
The automatic unlocking of controls by controller 60, in contrast to the automatic locking of controls by controller 60, does not override the manually implemented state of the lockout controls, to the extent those states differ. In other words, when a triggering event ceases, controller 60 is configured to leave any manually activated lock outs in their locked states and to only automatically unlock those controls 50 that were previously (prior to the triggering event ceasing) in an unlocked state. Thus, for example, if none of lock out control 50r, 50s, and/or 50t were manually activated at the time a triggering event ceased, controller 60 is configured to automatically unlock the controls on patient control panel 44c that correspond to the functions of controls 50r, 50s, and/or 50t. However, if, for example, all of controls 50r, 50s, and 50t were manually activated prior to the triggering event ceasing, controller 60 is configured, in response to the triggering event ceasing, configured to leave the controls 50 on patient control panel 44c corresponding to lockout controls 50r-t in their locked out state.
The particular control(s) 50 on patient control panel 44c that are automatically locked out by controller 60 may vary and, in some embodiments, are customizable by a caregiver, as will be discussed in further detail below. In addition, the triggering event(s) that cause controller 60 to automatically lock and unlock the corresponding controls 50 on patient control panels 44c may also vary and, in some embodiments, be customizable by the caregiver. In general, such triggering events includes, but are not limited to, any one or more of the following: the activation of the exit detection system 48, the selection of a particular sensitivity of exit detection system 48, the activation of monitoring system 54, the taking of a patient weight reading using scale system 56, the zeroing of scale system 56, the activation of brake 68, the receipt of a patient's fall risk score that is above a threshold, the entry of one or more of the caregiver control panels 44a and/or 44b into a sleep state, the expiration of a timer, the absence of the patient from the patient support apparatus 20, the movement of the support deck 30 and/or litter frame 28 to a particular configuration, the height of the litter frame 28 exceeding a threshold, and/or other events.
In some embodiments, controller 60 is configured to automatically lock out the height controls 50bb and 50cc on the patient control panels 44c in response to the occurrence of a triggering event. In other embodiments, controller 60 is configured to automatically lock out only the height raising control 50bb in response to the triggering event and to leave the height lowering control 50cc operable. In these latter embodiments, controller 60 reacts to the triggering event by preventing the patient from raising the height of litter frame 28 (via control 50bb), but allows the patient to lower the height of litter frame 28 (via control 50cc). In still other embodiments, controller 60 may be configured to automatically lock out height raising control 50bb in response to a triggering event only if the current height of the litter frame 28 exceeds a particular threshold. In such embodiments, controller 60 only locks out the height control 50bb if, or when, the height of the litter frame 28 exceeds the threshold height. This allows the patient to use height raising control 50bb until the threshold height is reached, but stops movement of the litter frame 28 at that threshold height and prevents the patient from raising the height any further.
As will be discussed in greater detail below, controller 60 may also, or alternatively, be configured to lock out any one or more of the other controls 50v-50aa and/or 50dd on patient control panel 44c in response to triggering event, either in combination with, or separately from, the locking of height control(s) 50bb and/or 50cc. For example, in some embodiments, controller 60 is configured to automatically lock out a brake control (not shown) that may be present on caregiver control panels 44b and/or 44c in response to a triggering event. If the brake control is a toggle control, controller 60 may be configured to automatically lock out the brake control after the brake is triggered, thereby preventing the brake from being turned off when the triggering event is detected. If there is a separate control for activating and deactivating the brake, then controller 60 may be configured to automatically lock out the deactivating control. In such embodiments, for example, controller 60 may be configured to automatically lock out the brake control (whether it is a toggle control or includes separate controls for activation/deactivation) such that the brake cannot be deactivated whenever controller 60 detects that the exit detection system 48 is armed, and/or whenever the monitoring system is 54 is armed, and/or whenever the patient is positioned at a location on the perimeter of the litter frame, and/or in response to yet another triggering event. Still other controls, whether on patient control panels 44c and/or caregiver control panels 44a and/or 44b may also, or alternatively, be automatically locked out by controller 60 in response to one or more triggering events.
When the caregiver presses home control 9 (
In some embodiments, the sensitivity levels 92a-92c are implemented by changing the boundaries of a zone in which the patient's center of gravity must remain in order to prevent an exit alert from occurring. In such embodiments, low sensitivity level 92a corresponds to a zone having the greatest area, high sensitivity level 92c corresponds to a zone having the smallest area, and medium sensitivity level corresponds to a zone having an area in between the two. Further details regarding several manners in which exit detection system 48 may be configured to implement such sensitivity levels, as well as other aspects that may be incorporated into exit detection system 48, are found in commonly assigned U.S. patent application Ser. No. 63/255,211 filed Oct. 13, 2021, by inventors Sujay Sukumaran et al. and entitled PATIENT SUPPORT APPARATUS WITH AUTOMATIC SCALE FUNCTIONALITY, and commonly assigned U.S. patent application Ser. No. 16/917,004 filed Jun. 30, 2020, by inventors Sujay Sukumaran et al. and entitled PERSON SUPPORT APPARATUS WITH ADJUSTABLE EXIT DETECTION ZONES, the complete disclosure of both of which are incorporated herein by reference.
As was mentioned, in at least one embodiment, controller 60 is configured to automatically lock out at least one control on patient control panels 44c in response to a caregiver activating exit detection system 48. In this embodiment, controller 60 automatically locks out the one or more controls regardless of which sensitivity level 92a-c the caregiver selects. In another embodiment, controller 60 automatically locks out the one or more controls 50 on the patient control panels 44c if the caregiver arms the exit detection system 48 with the medium or high sensitivity levels 92b or 92c. In still other embodiments, the automatic locking out of one or more controls 50 on the patient control panels 44c may occur in response to different selections of the sensitivity levels 92a-92c. Regardless of which sensitivity level(s) trigger the automatic lock outs, controller 60 is configured to terminate the automatic lock outs in response to the caregiver disarming the exit detection system 48 (i.e. in response to the user pressing on turn off control 96).
When a caregiver presses scale history control 102, controller 60 is configured to display a history of previous patient weight readings. In some embodiments, the patient weight readings may be graphed with the times of the previous weight readings shown on an X-axis and the value of the patient weight readings shown on a Y-axis. Alternatively, or additionally, the previous patient weight readings may be displayed in a list format.
Patient weight indicator 104 indicates the patient's currently sensed weight. Gain/loss indicator 106 indicates the amount of weight that the patient gained or lost since the previously saved patient weight reading. Save weight control 108, when pressed, causes controller 60 to record the current weight reading (shown by weight indicator 104) in a memory onboard patient support apparatus 20, and to add the weight reading to the weight history that is accessible in response to pressing on scale history control 102. In some embodiments, controller 60 is configured to automatically lock out one or more of the controls on patient control panels 44c in response to the caregiver pressing on save weight control 108. In other words, in some embodiments, the pressing of control 108 is an auto-lock triggering event.
In such embodiments, controller 60 continues to keep such controls on patient control panels 44c locked out until the weight saving function of control 108 is completed. In some embodiments, it may take several seconds for a stable patient weight reading to be detected and recorded in response to activating save weight control 108. During that time period, controller 60 may automatically lock out one or more of the controls on patient control panels 44c that cause movement of one or more components of patient support apparatus 20. By locking out these controls during the weight recording process, movement by the patient of the support deck 30 and/or litter frame 28 is prohibited, thereby helping to ensure that a stable weight reading can be detected by scale system 56 during this process. In other words, the automatic lockout that controller 60 activates in response to the caregiver pressing the save weight control 108 reduces the ability of the patient to disrupt the weight recording process.
Scale zero control 110 (
In some embodiments, controller 60 is configured to not only automatically lock out the motion controls on patient control panels 44c in response to the pressing of save weight control 108 and/or zeroing control 110 (
Equipment log control 112 (
In some embodiments of patient support apparatus 20, the addition or removal of a piece of equipment from the equipment weight log is carried out manually by the caregiver pressing on a control for adding or removing equipment from the weight log. In such embodiments, controller 60 may be configured to automatically lock out one or more controls 50 on patient control panels 44c when the control for changing the equipment weight log is activated. In this manner, movement of the patient support apparatus 20 due to a patient activating a motion control on one of patient control panels 44c is prevented during the process of changing the equipment weight log. This helps prevent weight disturbances from interfering with the changes made to the equipment weight log. Once the weight log has been updated, controller 60 may be configured to automatically return the patient controls to their previous state.
Information control 114 (
As shown in
The fall risk of a particular patient may be determined in different manners. In some situations, the fall risk is determined using a conventional fall risk assessment, such as the Morse fall risk scale or the Conley fall risk scale. In such situations, the particular healthcare facility in which patient support apparatus 20 is positioned may have guidelines for converting the assessment score into a low, medium, or high fall risk category. Patient support apparatus 20 may be configured to allow the caregiver to manually enter the fall risk by pressing on one of the selectors 124a-c, and/or it may be configured to automatically retrieve the patient's fall risk score from EMR server 80. When configured to retrieve the patient's fall risk score from EMR server 80, patient support apparatus 20 utilizes network transceiver 62 and, in some embodiments, patient support apparatus server 76. In such embodiments, patient support apparatus 20 may be configured to communicate with a short range locator unit that sends it location information. Patient support apparatus 20 forwards this location information to patient support apparatus server 76 which uses the location information to determine the room and/or bay in which patient support apparatus 20 is located. From its communications with EMR server 80 and/or a separate ADT server, patient support apparatus server 76 is able to use the room and/or bay of patient support apparatus 20 to determine the particular patient assigned to patient support apparatus 20. Once the particular patient assigned to patient support apparatus 20 is determined, that patient's fall risk record in EMR server 80 is retrieved and forwarded to patient support apparatus 20 via network transceiver 62. Further details of the manner in which patient support apparatus 20 and/or patient support apparatus server 76 determine the patient assigned to that patient support apparatus 20 are found in commonly assigned U.S. patent application Ser. No. 17/622,593 filed Dec. 23, 2021, by inventors Thomas Durlach et al. and entitled CAREGIVER ASSISTANCE SYSTEM, and commonly assigned U.S. patent 11,62,585 issued Jul. 13, 2021, to inventors Thomas Durlach et al. and entitled PATIENT CARE SYSTEM, the complete disclosures of both of which are incorporated herein by reference.
Regardless of whether patient support apparatus 20 is informed of the patient's fall risk score through the caregiver manually entering it via screen 120 (
When controller 60 automatically locks out one or more controls 50 on patient control panels 44c in response to the patient's fall risk score, controller 60 maintains those controls in the locked out state until the patient's fall risk is re-assessed and reduced to a level below the fall risk threshold (or until a new patient is assigned to the patient support apparatus 20). If the patient's fall risk does not change to a level below the threshold, controller 60 may keep the locked out controls in a locked out state for the patient's entire visit to the healthcare facility.
Cancel control 126 of new patient control screen 120 (
Controller 60 may also, or alternatively, be configured automatically lock out one or more of the controls 50 on patient control panels 44c in response to other triggering events besides those associated with the screens of
In some embodiments, when a person activates monitoring system 54, controller 60 is configured to automatically lock out one or more of the controls 50 on patient control panels 44c. As was noted, monitoring system 54 is adapted to monitor a plurality of conditions of patient support apparatus 20 and issue an alert is any one or more of the plurality of conditions are in an undesired state. For example, in some embodiments, monitoring system 54 monitors the current state of each of the siderails 36, brake 68, the height of litter frame 28, and the state of exit detection system 48. If more than a desired number of siderails 36 are in their lowered positions, or if the brake is not activated, or if the height of the litter frame is above a threshold, or if exit detection system 48 is not armed, monitoring system 54 is adapted to issue an alert. In some embodiments, monitoring system 54 may automatically be armed unless a caregiver disarms it. However, regardless of whether armed automatically by a caregiver or by controller 60, controller 60 is configured in some embodiments to automatically lock out one or more patient controls 50 on control panels 44c in response to the arming of monitoring system 54.
In some embodiments, controller 60 is configured to automatically lock out one or more controls 50 on patient control panels 44c in response to the brake 68 being in a particular state. For example, in some such embodiments, controller 60 automatically locks out the one or more patient controls when brake 68 is not activated. In other embodiments, controller 60 may automatically lock out the one or more patient controls in response to brake 68 being activated.
In some embodiments, controller 60 is configured to automatically lock out one or more controls 50 on patient control panels 44c in response to one or more of the controls panels 44 entering a sleep state. That is, in some embodiments, one or more of the control panels 44 are configured to enter a sleep state when they are not used for a predetermined amount of time (which may vary from embodiment to embodiment, but may generally be in the range of half a minute or so to around two minutes). For example, in some embodiments, controller 60 is configured to automatically place display 52 and caregiver control panel 44a in a sleep state after a predetermined time period of disuse. When this sleep state is entered, the caregiver has to perform a wake up action before he or she is able to utilize control panel 44a. The particular wake up action may vary from embodiment to embodiment. In some embodiments, the wake up action is the entering of a passcode or taking some other action that is generally not known to the patient and/or visitors of the patient. In other embodiments, the wake up action may simply require the caregiver to slide an icon across the screen, perform a swiping action on the touchscreen display 52, and/or take another action. In some embodiments, the wake up action may take on the form of any of the actions for unlocking the lock screen disclosed in commonly assigned U.S. patent application Ser. No. 63/255,240 filed Oct. 13, 2021, by inventors Sujay Sukumaran et al. and entitled PATIENT SUPPORT APPARATUS WITH LOCKING FEATURES, the complete disclosure of which is incorporated herein by reference. Regardless of the specific wake up action that is required to end the sleep state of the one or more control panels 44, controller 60 is configured to automatically return the patient controls to their previous state when the control panel is woken up. This previous state may refer to a manually locked state (if the caregiver had previously manually locked the one or more controls), or it may refer to an unlocked state (if the caregiver had not previously manually locked the one or more controls).
In at least one embodiment, controller 60 is configured to automatically lock out not only one or more patient controls 50 on patient control panels 44c in response to caregiver control panel 44a going to sleep, but also one or more caregiver controls 50 on caregiver control panels 44b. In this embodiment, when control panel 44a goes to sleep, both caregiver control panels 44b and patient control panels 44c have one or more of their controls locked out. This prevents any person from using these particular controls unless they possess the knowledge required to wake up caregiver control panel 44a. This type of automatic lock outs may be useful in situations where the caregiver doesn't want the patient to be able to reach over a siderail 36 and use the caregiver controls of caregiver control panels 44b when the caregiver is absent from the room.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to one of the caregiver control panels 44a and/or 44b being put into a locked state. The locked state may be manually activated by a caregiver or, in some embodiments, automatically implemented by controller 60. The locked state is similar to the sleep state mentioned above except that it cannot be unlocked without taking an action that is known only to a caregiver. In other words, unlike the sleep state, which may be awoken from in some embodiments through a simple swiping or press-and-hold action, the unlocking of a caregiver control panel from the locked state requires a password, a passcode, a caregiver ID, or some other information to be input into the patient support apparatus 20 that is not likely to be known by the patient, but instead is known by the caregiver. In some embodiments, when any one of the caregiver controls panels 44a and/or 44b are put into a locked state, controller 60 is configured to automatically put the other caregiver control panels 44a and/or 44b into the locked state. Further, when the caregiver unlocks one of the control panels 44a and/or 44b, controller 60 may be configured to automatically unlock the other caregiver control panels 44a and/or 44b. In this manner, all of the caregiver control panels 44a and 44b are locked and unlocked in unison with each other.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to the movement of support deck 30 and/or litter frame 28 to one or more predetermined positions. For example, in some embodiments, controller 60 is configured to automatically lock out one or more of the controls 50 on patient control panels 44c in response to the caregiver moving patient support apparatus 20 to a Trendelenburg position (using, for example, control 50i), or in response to the caregiver moving patient support apparatus 20 to a reverse-Trendelenburg position (using, for example, control 50j), or to still another configuration (e.g. the vascular position of control 50k, the examination position of control 50h, the flat position of control 50g, a low height configuration, and/or another configuration). Alternatively, or additionally, controller 60 may be configured to automatically lock out one or more controls 50 on patient control panels 44c when support deck 30 and/or litter frame 28 are moved to a jackknife position, a kidney position, a prone position, a lithotomy position, a Sim's position, a lateral position, a supine position, a Fowler's position, and/or a high Fowler's position.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to the raising of litter frame 28 above a threshold height. In some such embodiments, controller 60 is configured to automatically lock out the height raising control 50bb (
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to the patient being absent from patient support apparatus 20. In such embodiments, scale system 56 may be configured to take automatic and repeated measurements of the weight onboard patient support apparatus 20 and use those readings to determine if a patient is present on patient support apparatus 20 or not. When not patient is onboard, scale system 56 informs controller 60 of this fact and controller 60 automatically locks out one or more of the controls 50 on patient control panels 44c.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to the caregiver being absent from the vicinity of patient support apparatus 20. In such embodiments, patient support apparatus 20 is configured to automatically detect the presence of a caregiver within the vicinity of patient support apparatus 20. In some such embodiments, each caregiver wears an RF ID tag, or other items, whose location can be detected by one or more sensors positioned onboard patient support apparatus 20. Alternatively, or additionally, the location of the RF ID tag worn by the caregiver may be detected by an independent real time location system (RTLS) that includes a server hosted on local area network 58. In such embodiments, the RTLS server shares the location of the caregivers with patient support apparatus server 76, which in turn reports these locations to the patient support apparatuses 20 using network transceiver 62. In these embodiments, the patient support apparatus 20 does not need to include any sensors for detecting the presence/absence of the caregiver, but instead is informed of the caregiver's presence through messages received from patient support apparatus server 76.
In some embodiments, patient support apparatus 20 may include a plurality of ultra-wideband transceiver that are adapted to use ultra-wideband (UWB) RF communications with a UWB tag worn by, or coupled to, the caregivers. In such systems, patient support apparatus 20 uses the UWB communications to determine if the caregiver's tag is positioned within a predefined volume of space surrounding the patient support apparatus 20. If the caregiver is not positioned within that vicinity, controller 60 is configured to automatically lock out one or more of the controls on patient control panel 44c. Further details regarding the manner in which patient support apparatus 20 may be constructed to determine the location of UWB tags worn by caregivers, and thus their absence or presence within the vicinity of patient support apparatus 20, are disclosed in commonly assigned U.S. patent application Ser. No. 63/306,279 filed Feb. 3, 2022, by inventors Madhu Thota et al. and entitled COMMUNICATION SYSTEM FOR PATIENT SUPPORT APPARATUSES, the complete disclosure of which is incorporated herein by reference.
In some embodiments, patient support apparatus 20 may be further configured to detect the relative position of one or more medical devices using UWB communications and, if the medical device is positioned within a predefined proximity to patient support apparatus 20, to automatically lock out one or more of the controls on patient control panels 44c. For example, in some embodiments, controller 60 may be configured to automatically lock out all of the movement controls on patient control panels 44c when a ventilator is being used with the patient. The detection of the use of the ventilator with the patient may be based on UWB communications in any of the manners disclosed in the aforementioned '279 patent application. Alternatively, controller 60 may be configured to lock out the patient controls on patient control panel 44c (e.g. control 50aa) that would otherwise allow the patient to lower the Fowler angle to an angular orientation of less than thirty-degrees (or some other angle). Still other types of automatic lock outs may be implemented by controller 60 in response to detecting other types of medical devices that are associated with patient support apparatus 20 and/or with the patient, as detected through UWB communications or through another location technology.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to an onboard propulsion system (not shown) being activated. Such an onboard propulsion system is adapted to provide power to one or more of the wheels 24 (or to another wheel not shown in
In those embodiments with an onboard propulsion system, controller 60 may be configured to automatically lock out one or more of the controls 50 on patient control panels 44c in response to the activation of the propulsion system and/or in response to movement of the patient support apparatus 20 by the propulsion system. In other words, the triggering event may be the mere act of turning on or otherwise activating the propulsion system, or it may be the act of actually driving the patient support apparatus 20. In either situation, controller 60 is configured to return the one or more patient controls to their previous state in response to the propulsion system being turned off or in response to driving movement of the patient support apparatus 20 terminating.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to a successful pairing between patient support apparatus 20 and one or more devices, and/or in response to an absence of pairing between patient support apparatus 20 and one or more devices. For example, in some embodiments, patient support apparatus 20 may be configured to include a Bluetooth transceiver, or other type of transceiver, that can be paired with another device when the device is positioned within proximity to patient support apparatus 20. In such embodiments, controller 60 may be configured to automatically lock out one or more controls on patient control panels 44c in response to the other device successfully pairing with patient support apparatus 20, or in response to the other device not being paired with the patient support apparatus 20. In some such embodiments, caregivers may wear a wristband, or other Bluetooth-enabled device, that automatically pairs with the patient support apparatus 20 when they are positioned nearby to patient support apparatus 20. In such embodiments, controller 60 may automatically lock out one or more of the controls on patient control panels 44c when the pairing with a caregiver-worn Bluetooth device is absent. Still other types of devices may pair with patient support apparatus 20 and the presence, or absence, of that pairing may be interpreted by controller 60 as a triggering event for locking one or more of the controls on patient control panels 44c.
In some embodiments, controller 60 is configured to automatically lock out one or more patient controls 50 on patient control panels 44c in response to movement of the patient to one or more predefined positions on patient support apparatus 20. For example, in some embodiments, controller 60 is configured to automatically lock one or more of the controls on patient control panels 44c in response to the patient moving to an outer perimeter of the patient support apparatus 20 (e.g. at or near the outer perimeter of the support deck 30). In such embodiments, scale system 56 and/or exit detection system 48 may be adapted to repetitively and automatically compute the location of the patient based upon outputs from a plurality of force sensors, such as load cells, that are built into the patient support apparatus 20. The location may comprise the center of gravity of the patient, or it may comprise other parameters. Regardless of how it is quantified, controller 60 may be configured to automatically lock out the one or more controls in response to the patient moving to the outer perimeter of support deck 30.
Such automatic locking out of these one or more controls may be beneficial in helping to prevent patient falls since movement of the patient support apparatus 20 is prohibited (through the locked out controls) while the patient is near the edge of patient support apparatus 20. This automatic locking out of one or more patient controls in response to changes in the position of the patient may be carried out independently of the alarms issued by exit detection system 48. That is, whether exit detection system is armed or not, controller 60 may be configured to automatically lock out one or more controls based on the patient's position, and the patient's positions that trigger this automatic locking out may be different from the positions that trigger an exit detection alert.
Although the automatic locking out of certain controls has so far been described as primarily applying to patient control panels 44c, it will be understood that controller 60 may be modified in some embodiments of patient support apparatus 20 to automatically lock out patient controls that are not built into patient support apparatus 20. For example, in some embodiments, patient support apparatus 20 is adapted to communicatively couple to a patient pendant that includes a control panel on it. In such embodiments, the patient pendant communicates with patient support apparatus 20, either via a cable or a wireless connection. Controller 60 may be configured to automatically lock out controls on the patient pendant, either in addition to, or in lieu of, the controls on one or more patient control panels 44c that are built into patient support apparatus 20.
In some embodiments of patient support apparatus 20, controller 60 is configured to allow a user to customize one or more aspects of the auto-locking function described herein. For example, in some embodiments, controller 60 is configured to allow a user to specify which controls on patient control panel 44c are to be locked out in response to a triggering event. Additionally, or alternatively, controller 60 may be configured to allow a user to customize what events controller 60 will treat as a triggering event for purposes of automatically applying one or more lockouts. Still further, controller 60 may be configured to allow a user to combine specific controls that are automatically locked out with specific triggering events such that, for example, a first control on patient control panels 44c is locked out in response to first and second triggering events, while a second control on patient control panels 44c is locked out in response to a third triggering event that is different from the first and second triggering events. In yet another embodiment, controller 60 may be configured to allow a caregiver to customize which control panels 44 have one or more controls automatically locked out, and the selection of these control panels 44 by the caregiver may be different for different controls 50 and/or for different triggering events. Still other combinations of customized triggering events, auto-locked controls 50, and/or control panels 44 may also be implemented.
As shown in the example of
Controller 60, in some embodiments, is configured to display a settings screen 160 (
Settings screen 160 includes a hospital settings selector 162, a language selector 164, and a motion lock settings selector 165. Controller 60 is configured to display settings related to the particular healthcare facility, or unit of the healthcare facility, in response to the caregiver selecting hospital settings selector 162. Controller 60 is configured to display language settings—which may allow the user to change the language of the information displayed on display 52—in response to the caregiver selecting language selector 164. Controller 60 is configured to display an auto-motion lock control screen in response to the caregiver selecting motion lock selector 166.
One example of an auto-motion lock control screen that may be displayed by controller 60 on display 52 in response to a user selecting motion lock selector 166 (
Controller 60 is further configured to automatically lock out the knee controls (e.g. controls 50x and 50y) on patient control panels 44c in response to a triggering event if the caregiver has selected knee lockout selector 176 (
It will be understood by those skilled in the art that, although
It will also be understood that, although
In some embodiments, all of selectors 192, 194, 196, and 198 are toggle selectors such that, when repeatedly pressed, they alternate between turning on the corresponding manual lock outs and turning off the manual lock outs. Thus, for example, when the caregiver presses control 192 a first time, controller 60 manually locks out the knee controls on patient control panels 44c, and when the caregiver presses control 192 a second time, controller 60 manually unlocks the knee controls on patient control panels 44c. It will be understood that the manual lock outs differ from the automatic lockouts previously discussed in that the manual lock outs do not include a triggering event. That is, the manual lock outs take place immediately following caregiver turning them on, such as via selectors 192-198. Similarly, they are immediately unlocked upon the caregiver manually turning them off, such as via selectors 192-198.
Controller 60, in some embodiments, is adapted to display selectors 192-196 in a different manner when they are in the locked out state and when they are in the unlocked state. In the example shown in
In addition to changing the color of the circle and lock symbols to indicate that a particular lock out has been manually activated, controller 60 may be configured to change the color of one or more aspects of the icon that appears above the circles of selectors 192-196. Thus, in some embodiments, controller 60 is adapted to change the color of height control icon 200 when the height control lockout has been manually activated. Height control icon 200 includes an arrow icon 202 and a bed icon. In some embodiments, controller 60 changes the color of the arrow icon 202 (such as to an amber color) when the height control lockout is manually activated. This color change may be the same color change that controller 60 makes to the circle and lock symbol of selector 196.
In some embodiments, controller 60 is configured to provide a different indication for when an automatic lock out is activated, as opposed to a manual lock out.
In some embodiments, controller 60 is configured to display a timer prior to automatically putting one or more of the controls on patient control panels 44c into a locked state. One example of such a timer is shown in
In some embodiments, controller 60 is configured to display a timer prior to automatically implementing a particular lock out for only certain triggering events and/or for only certain controls that are locked out. That is, in some embodiments, controller 60 displays a timer only for certain controls on patient control panels 44c that are automatically locked out and/or in response to only certain triggering events. The selection of which controls to display the timer for, and/or the selection of which triggering events to display the timer for, may be customized by the caregiver in some embodiments of patient support apparatus 20.
It will be understood that, although the foregoing discussion has described a plurality of controls that are automatically locked out on one or more control panels and a plurality of different triggering conditions for the lock outs of these controls, patient support apparatus 20 may be configured in different embodiments to implement only some of these automatic lock outs and/or triggering events. That is, different embodiments of patient support apparatus 20 may be implemented that use fewer (or only a single) triggering event, and/or that only automatically lock out a single control on patient control panels 44c (e.g. only height raising control 50bb). It will also be understood that, although patient support apparatus 20 has been described herein as having both manual and automatic lock outs, it may be modified in some embodiments to include only automatic lock outs and not include any manual lock outs.
In some embodiments, patient support apparatus server 76 may be configured to share the lock out status of patient support apparatus 20 with one more electronic devices (e.g. smart phones, tablet computers, laptop computers, and/or other devices). Such sharing of lock out information may be accomplished, in some embodiments, by including this information in a caregiver assistance software application that is executed on these electronic devices. One example of such a caregiver assistance software application into which the lock out status information may be incorporated is the caregiver assistance application 124 disclosed in commonly assigned U.S. patent application Ser. No. 62/868,947 filed Jun. 30, 2019, by inventors Thomas Durlach et al. and entitled CAREGIVER ASSISTANCE SYSTEM, the complete disclosure of which is incorporated herein by reference.
In some embodiments, controller 60 may be configured to automatically implement different motion limits for movement of one or more components of patient support apparatus 20 depending upon whether the motion was initiated by one of the caregiver control panels 44a, b or by one of the patient control panels 44c. That is, in some embodiments, controller 60 limits how far one or more actuators 26, 64, and/or 66 are able to move a component in a particular direction to a first limit if the actuator was activated by a control from one of the caregiver control panels 44a and/or 44b, and limits how far that same actuator may be driven in the same particular direction to a second and different limit if the actuator was activated by a control from one of the patient control panels 44c. In this manner, the patient is restricted from moving one or more components of patient support apparatus 20 with the same degree of freedom as the caregiver.
For example, in some embodiments, when a patient activates the height up control 50bb on patient control panel 44c, controller 60 is configured to automatically stop upward movement of the litter frame 28 (via lifts 26) when the litter frame 28 reaches a first height that is less than the maximum height to which litter frame 28 can be lifted by lifts 26. In such embodiments, when a caregiver activates the height up control 50p on caregiver control panel 44b (or a similar height up control on caregiver control panel 44a), controller 60 is configured to automatically stop upward movement of the litter frame 28 (via lifts 26) when the litter frame 28 reaches a second height that is higher than the first height (and which may or may not be less than the maximum height to which litter frame 28 can be lifted by lifts 26). As a result, a patient is only able to raise the height of litter frame 28 to a height that is less than the height to which the caregiver is able to raise the height of litter frame 28. Or, stated alternatively, a caregiver using height up control 50p is able to raise litter frame 28 to a higher height than a patient using height up control 50bb.
In some embodiments, patient support apparatus 20 is configurable by a user to allow the user to select what motion controls on patient control panels 44c will have different limits than the corresponding controls on caregiver control panels 44a, b. For example, if a caregiver or other authorized healthcare administrator wants to be able to lower litter frame 28 to a very low height, but to prevent the patient from lowering litter frame 28 to that same low height, the user can utilize control panel 44a to navigate to a screen that enables the user to set a first height limit for the height down controls 50q on caregiver control panels 44b (and any similar height down controls of control panel 44a) and set a second and different height limit for the down controls 50cc on patient control panels 44c. Patient support apparatus 20 may be configured to allow the user to use the same screen, or a similar screen, to set a first limit for any one or more of the motion controls on patient control panel 44c that is different from a corresponding limit for the motion controls on caregiver control panel 44b and/or 44a. These motion controls include any motion controls that are common to the patient control panels 44a and the caregiver control panels 44a, b. As a result, patient support apparatus 20 is, in some embodiments, configurable by a user to set motion limits for any one or more of motion controls 50x through 50cc that are different than the corresponding motion limits for motion controls 50l through 50cc.
Additionally, in some embodiments, patient control panels 44c may be modified from what is shown in
In some embodiments, the patient support apparatus 20 is further configurable by a user to determine which control panels 44a-c will have different motion limits than other ones of the control panels 44a-c. Thus, for example, in some embodiments, patient support apparatus 20 may be configured by a user to have different motion limits for footboard caregiver control 44a than the motion limits for the siderail control panels 44b and 44c. This may be useful in preventing the patient from moving patient support apparatus 20 to an undesired configuration by preventing the patient from simply reaching over one of the siderails 36 to access one of the siderail caregiver control panels 44b. In other words, in some embodiments, instead of setting motion limits for patient control panels 44c that are different from caregiver control panels 44a and/or b, patient support apparatus 20 is configurable to allow the user to set motion limits for siderail control panels 44b and 44c that are different from the motion limits for footboard control panel 44a. Still other variations are possible.
In some embodiments, in order to prevent a patient from using footboard control panel 44a, controller 60 is configured to lock out access to footboard control panel 44a unless an authorized user enters a passcode into control panel 44a. In some of such embodiments, controller 60 is configured to automatically disable footboard control panel 44a after a certain amount of time passes without usage. In such embodiments, controller 60 may be configured to continue to disable control panel 44a until a caregiver enters a passcode into footboard control panel 44a. Once the correct code is entered, controller 60 may be configured to enable control panel 44a. The enablement may continue for as long as the control panel 44 is used with sufficient frequency and/or for a predetermined amount of time without usage. Alternatively, or additionally, controller 60 may include a control that, when activated by the caregiver, disables the control panel 44a until the passcode is re-entered.
Regardless of whether manually or automatically disabled, controller 60 is configured in some embodiments to require the caregiver to enter a passcode before controller 60 enables the use of control panel 44a.
In order to help prevent a patient from deducing the correct passcode by watching the movement patterns of the caregiver's hand and/or fingers while he or she enters the correct passcode (and/or to help prevent the patient from guessing the passcode through a fingerprint smudge analysis), controller 60 is configured to scramble the numbers assigned to keys 250a-j each time it displays a passcode screen 240. By doing this, each time a caregiver enters the correct passcode, he or she will utilize a different hand movement pattern (and press different areas on touchscreen display 52), thereby making it more difficult for a patient who is watching the caregiver (but doesn't see screen 240) to determine what the correct passcode is. It can therefore be seen that screens 240a and 240b of
This scrambling is evident from a comparison of
Controller 60 is configured, in some embodiments, to use a random number generator and/or a pseudo-random number generator to determine which key 250a-j corresponds to which of numbers 0 through 9 for a particular instance of passcode screen 240. That is, each time controller 60 displays a passcode screen 240, it is configured to randomly assign the numbers 0 through 9 to each of the keys 250a-j. In this manner, each time a caregiver is presented with a passcode screen 240, the particular assignment of keys 250a-j to particular numbers 0 through 9 will change. The passcode screens 240a and 240b of
As a consequence of the changing assignment of numbers to keys 250a-j, when the caregiver uses the keys 250a-j to enter the correct passcode, the locations on display 52 that the caregiver touches when entering the passcode will change, thereby making it more difficult for a patient who is watching the caregiver's hands while entering the passcode to guess the correct passcode. This helps prevent the patient from controlling patient support apparatus 20 in a manner that might not be desired by the healthcare facility.
It will be understood that, in those embodiments of patient support apparatus 20 that include the aforementioned keypad scrambling function, such embodiments may be configured to allow authorized personnel to turn on and turn off this scrambling function. The ability to turn on/off this function may be accomplished by navigating to a settings screen, or the like, using footboard control panel 44a, wherein one of the settings includes a user selection of having keypad 242 scrambled or not scrambled. In some embodiments, the settings screen may also allow the user to shut off completely the keypad function 242, thereby allowing all users to have access to all of the control panels 44a-c without first requiring that a passcode is entered.
It will be understood that a number of variations may be made to the passcode screens 240a and 240b. For example, in addition to, or in lieu of, changing the numbers assigned to each key 250a-j, controller 60 may be configured to change the overall location of keypad 242 on display 52 so that each time a passcode screen 240 is displayed, the location of keypad 242 changes. Alternatively, or additionally, controller 60 may be configured to change the location of passcode entry field 244, cancel control 246, and/or enter control 248 each time it displays a passcode screen 240. Still other variations are possible.
In some embodiments, controller 60 is configured to lock out the functioning of not only footboard control panel 44a until the correct passcode is entered, but to also lock out one or more (or all) of the other control panels 44b and 44c until the user enters the correct passcode, and/or to lock out selected controls on one or more (or all) of the other control panels 44b and 44c. That is, in some embodiments, for example, controller 60 is configured to disable the functionality of all of the motion controls on control panels 44a, 44b, and 44c after a predetermined time period elapses without usage (or a caregiver manually disables these controls). In such embodiments, controller 60 continues to disable the motion controls on all of the control panels 44a, 44b, and 44c until a caregiver enters the correct passcode into passcode field 244. This lockout of the motion controls on all of the control panels 44a, 44b, and 44c may be especially useful when patient support apparatus 20 is used with a patient who may be suffering from a behavioral health issue. By locking out the motion controls on all of the control panels 44a, 44b, and 44c, controller 60 helps prevent a patient from using patient support apparatus 20 to harm themselves. Further, by randomly scrambling the numbers of keypad 242 on screens 240, controller 60 is configured to help prevent the patient from determining the correct passcode, and thereby helps prevent the patient from moving any of the components of patient support apparatus 20 when the caregiver is not present. In such embodiments, controller 60 may be configured to allow the patient to utilize other controls on patient control panels 44c while the motion controls are locked out, such as a nurse call control (not shown), a television control, or any other controls that are unrelated to movement of patient support apparatus and/or patient safety.
Various additional alterations and changes beyond those already mentioned herein can be made to the above-described embodiments. This disclosure is presented for illustrative purposes and should not be interpreted as an exhaustive description of all embodiments 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 embodiments 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. 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.
Filing Document | Filing Date | Country | Kind |
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PCT/US2023/022817 | 5/19/2023 | WO |
Number | Date | Country | |
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63343818 | May 2022 | US | |
63417516 | Oct 2022 | US |