This invention pertains to wheelchair user support systems. More particularly, this invention relates to a pneumatic support system for use with a wheelchair.
In the U.S. alone, there are approximately 1.4 million individuals who use wheelchairs full time. These individuals have functional impairments for various reasons and are affected at various levels. Depending on the type and level of impairments, the wheelchair seating requirements can be complex. Among those who use wheelchairs regularly, individuals with spinal cord injured (SCI) at the cervical level have altered neuromuscular control, requiring sophisticated seating devices that provide postural stability while permitting functional independence. Independence from the seated position is a primary concern. Additionally, as these individuals use wheelchairs full time, prevention of progressive spinal deterioration and deformity from prolonged sitting is of paramount importance.
Current strategies for wheelchair prescription include devices that provide stability, comfort, and functional independence/mobility, but also that assist in the prevention of the negative biomechanical spinal alterations that occur from prolonged sitting. However, these goals are often in conflict with each other and current devices rarely achieve all of these goals simultaneously. Accordingly, there is a need to successfully maximize all of these factors in one comprehensive seating device.
Pelvic support can be influenced at four regions: inferior, lateral, anterior, and posterior. The base of support (inferior support) for the pelvis is usually provided by the seat cushion. Lateral pelvic support is achieved through separate blocks or wedges that are either a component of the seating system or attached to the wheelchair. Anterior support is currently achieved through hip or lap belts. However, these devices are known to restrict movement of the user and impose high loads on the abdominal cavity. Posterior support is determined by the shape of the back support and the lumbar pad. Because these supportive devices are, in general, rigidly attached to the seating system, and are designed to be adjusted or removed by the caregiver, they tend to restrict the user to a fixed position.
Thoracic level support is generally achieved through lateral thoracic supports. Although these devices are available in various sizes and materials, they are typically mounted to the back support or backposts of the wheelchair, further restricting the user to a fixed position. To be effective, these devices must make intimate contact with the trunk. However, as trunk mobility is necessary to perform functional activities, these devices often need to be released. Although current lateral thoracic supports have “swing-away” or removable features, adjustment of these supports usually requires the assistance of the caregiver. Furthermore, these rigid, fixed devices may cause respiratory difficulty and soft-tissue irritation.
Thus, current seating designs often result in a compromise between user stability and functional independence. In wheelchair seating assessments and fittings, a compromise is made to find a posture that is the most tolerable and functional for the user—one which allows the user mobility necessary to accomplish activities of daily living (ADL), yet still provides enough stability to accommodate weak or paralyzed muscles. Unfortunately, as a result of the interference of these supportive devices on user function, many wheelchair users opt not to use these supportive devices, thereby exposing themselves to the negative effects of unsupported sitting.
Thus, a sacral/pelvic stabilizing device that provides pelvic support while allowing simple user adjustment to allow movement, independent of a caregiver, and prevents pressure overload of the abdomen would be a significant improvement. Similarly, a thoracic support device which provides thoracic support while allowing simple user adjustment to allow movement, independent of a caregiver, and which does not cause respiratory difficulty or soft-tissue irritation also would be a significant improvement.
As stated previously, SCI individuals who use wheelchairs full time, are susceptible to the negative consequences of prolonged sitting, which not only includes PU formation, but spinal degeneration from prolonged spinal loading. Additionally, studies demonstrate that wheelchair users are exposed to unacceptable levels of whole body vibration (WBV) when propelling over uneven surfaces. As current seating systems do not permit movement of the back support relative to the seat cushion as the wheelchair propels over uneven or rugged terrain, the user's body is subject to elevated levels of WBV. Thus, it can be seen that improved design of the seat and back support may reduce WBV.
In accordance with the foregoing, a wheelchair with a pneumatic support system is provided. In one embodiment, the wheelchair includes a support unit that supports a portion of the body of a user, a control unit that permits the user to control whether the support unit gets inflated or deflated, and a compressor that provides pressurized air to the support unit to inflate the support unit. In a more specific embodiment, the wheelchair has a valve, wherein when the user indicates that the support unit is to be inflated, the control unit sends a signal to the valve to move the valve to a first position, thereby permitted the pressurized air to reach the support unit. The support unit may be implemented in a variety of ways, and may be one of many support units. In one embodiment, the support unit supports a thoracic portion of the user's body. In another embodiment, the wheelchair has one or more thoracic support units, which may be disposed on opposite sides of the thoracic portion of the user's body, and one or more pelvic support units, which may be disposed on opposite sides of the user's pelvis. The thoracic support units and or the pelvic support units may be pivotally attached to the back support of the wheelchair.
In one embodiment, the control unit has a first control that permits the user to inflate and deflate the thoracic supports and a second control that permits the user to inflate and deflate the pelvic supports. In another embodiment, the support unit is one of a group of support units, the group being one of a plurality of groups of support units on the wheelchair, each of the groups being pneumatically linked to the compressor, wherein the control unit comprises a control associated with each of the plurality of groups of support units, wherein the control sends a signal to permit inflation or deflation of the group of support units with which the control is associated. In yet another embodiment, the wheelchair includes a pressure sensor disposed on the support unit, the pressure sensor transmitting pressure data, wherein when the data indicates that the pressure of the support unit has exceeded a predetermined limit, the compressor stops inflating the support unit.
A support system for a wheelchair is also described herein. According to an embodiment of the invention, the support system includes a first support and a second support disposed on opposing sides of a user of the wheelchair. Each of the supports has an air bladder, and each provides support to the user. The system further includes a pneumonic pathway, an air compressor connected to the air bladder via the pneumonic pathway, a valve disposed along the pneumonic pathway, the valve having at least a first position, in which it permits pressurized air to travel from the compressor to the air bladder, and a second position in which it permits air to escape from the air bladder. The system further includes a control unit that, in response to first input by the user, sends a first signal to the valve to move it to the first position to inflate the bladder and, in response to a second input by the user, sends a second signal to the valve to move it to the second position to deflate the bladder.
In one embodiment of the invention, the bladder is one of a plurality of bladders, the valve is one of a plurality of valves, and each valve of the plurality is associated with a bladder of the plurality of bladders. In this embodiment, the control unit includes a plurality of controls, each of which is associated with a bladder of the plurality of bladders. Each control is configured to send a signal to the valve that serves with the bladder with which the control is associated.
In another embodiment of the invention, the control unit includes a logic circuit and a means for receiving the first and second inputs (such as a button or a switch). The logic circuit is configured such that when a user makes the first input to the receiving means, the logic circuit generates an inflation signal, and when the user makes the second input to the receiving means, the logic circuit generates a deflation signal. The logic circuit may include a counter that receives signals representing the first and second inputs, a pair of AND gates that receive outputs from the counter, and a pair of relays that receive outputs from the counter and generate either the inflation or deflation signals in response thereto.
In yet another embodiment of the invention, support system includes an inflation lamp that illuminates when the inflation signal is generated and a deflation lamp that illuminates when the deflation signal is generated.
A method for supporting a wheelchair user is also described herein. According to an embodiment of the invention, the method involves receiving an input from the user, the input corresponding to a support unit on a wheelchair, and, based on the input, transmitting a signal to a valve to place the valve into a first position. The method also involves sending compressed air through a pneumonic pathway from a compressor to the support unit via the valve and inflating the support unit to provide support to a portion of the user's body.
In an embodiment of the invention, the input is a first input, the signal is a first signal, and the method further includes the steps of receiving a second input from the user; based on the second input, transmitting a second signal to the valve to place the valve into a second position; and permitting air to escape from the support through the valve via the pneumonic pathway.
In a further embodiment, the valve is a first valve, and the method further includes the steps of receiving a second input from the user, and, based on the second input, transmitting a second signal to a second valve to place the second valve into a first position, sending compressed air through a pneumonic pathway from a compressor to the second support unit via the second valve. In this embodiment, the method also includes inflating the second support unit to provide support to a second portion of the user's body. In other embodiments, the method includes illuminating an inflation lamp to indicate to the user that the support unit is being inflated. In still other embodiments, the method includes detecting that the pressure in the support unit has exceeded a predetermined amount and, in response thereto, moving the valve into another position so as to permit air to escape from the support unit.
The invention is generally directed to a wheelchair with a pneumatic support system. In various embodiments of the invention, the system is a comprehensive supporting system for wheelchair seating. Significantly, users of the system are able to both achieve postural stability and maintain functional independence. An embodiment of the invention includes bilateral postero-lateral pelvic support units, a lumbo-sacral support unit, and bilateral lateral thoracic support units. The postero-lateral pelvic support units establish a stable, midline orientation of the pelvis, maximizing upper extremity function. The lumbo-sacral support unit allows correction of pelvic tilt in the anterior/posterior plane. The lateral thoracic support units provide maximal trunk stability without compromising upper extremity functional tasks. Unlike conventional support systems, the support system described herein is user-adjustable through a simple control device, which not only allows individual customization based on user needs, but maximizes independence for mobility and transfers.
An embodiment of the invention includes a suspension system designed to minimize WBV, thereby preventing early degeneration of the spine.
According to an embodiment of the invention, the user can adjust the support units by inflating/deflating air bladders within the support units. The air bladders are contained within pre-contoured cases. To permit easy adjustment of the air bladder supports in an embodiment of the invention, an electro-pneumatic control device, which includes both pneumatic and electronic sub-systems, is provided. The pneumatic subsystem includes an air compressor to enable the inflation/deflation of the air bladders and an air valve system to direct the air flow. The pneumatic subsystem allows adjustment of each support unit. It is controlled by the user through the electronic subsystem to choose to inflate/deflate both lateral pelvic pads simultaneously, both lateral thoracic pads simultaneously and/or lumbar support by itself. The electronic subsystem includes a pressure sensor, contact sensors, control logic circuit, and an alarming device.
According to an embodiment of the invention, the air flow to and from the air bladder is guided using a two-way solenoid electromechanical valve, which is actuated by a 12 V electrical signal. Three such valves are used for the pelvic supports (both sides simultaneously), lumbo-sacral support, and the lateral thoracic supports (both sides simultaneously). While all 3 valves are connected to the same air compressor, each of them is controlled individually from the electronic subsystem by a signal corresponding to each individual valve. Depending on the signal it receives from the electronic subsystem, a valve will unblock one of two paths so as to (a) allow air to flow from the pump to the bladder, or (b) allow air to flow from the bladder to the pump. The valve may also block the flow of air through both paths entirely. For safety concerns, a manual valve may be mounted parallel to the two-way valve, which allows immediate bladder deflation when necessary. As the user controls the inflation/deflation of the bladders through switches or buttons, various degrees of lateral pelvic, lumbar and lateral thoracic support can be achieved.
In an embodiment of the invention, a single-pole-double-throw (SPDT) electronic switch is used to control each two-way valve. Each of the two throw positions of the switch causes the two-way valve to permit air to flow in one of two directions, thereby adjusting the air pressure of the associated support unit (or units) by inflation/deflation, while the neutral position of the switch will stop the air flow through the valve to maintain the desired air pressure. In another embodiment of the invention, a logic circuit with relays will be used in lieu of a SPDT switch. Such a logic circuit can be controlled by a user with a single button. This single-button operation is particularly advantageous for individuals with motor function impairment, as an SPDT switch may be difficult to activate/deactivate for these individuals, and may be susceptible to inadvertent activation.
In a related embodiment of the invention, the pressure of the air bladders is controlled with a single button for each support unit. Thus, there are three buttons in total—one for the thoracic support units, one for the pelvic support units, and one for the lumbo-sacral support unit. While the button for a support unit or pair of support units is initially pressed, the air compressor inflates the bladder. When the button is pressed again, inflation stops, and the pressure of the air bladder is maintained at a steady level. When the button is pressed again, the bladder deflates until the button is pressed again. In one embodiment, the support system has a small control panel with three buttons of half inch diameter each. For easy identification, each button is a different color. Two arrows, one with an UP shape (representing inflation), the other with a DOWN shape (representing deflation), lit by a corresponding LED lamp, serve to inform the user whether pressing the button for a support unit (or pair of support units) will cause inflation or deflation.
In one embodiment, the support system has a pair of LED lamps for each bladder (or pair of bladders). One of these lamps is an inflation lamp, and the other is a deflation lamp. When the bladder (or pair of bladders) is being inflated, the inflation lamp blinks, indicating that inflation is occurring. When inflation is complete, the inflation lamp stays on, indicating that the bladder (or pair of bladders) is inflated. During inflation and when the bladder is inflated, the deflation lamp remains off. When the bladder (or pair of bladders) is being deflated, the inflation lamp turns off, and the deflation lamp blinks to indicate that deflation is occurring. When deflation is complete, the deflation lamp stays on, indicating that the bladder (or pair of bladders) is deflated. During deflation and when the bladder is deflated, the inflation lamp remains off.
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According to an embodiment of the invention, the first and second thoracic support units 26 and 28 use the same design as that of the pelvic support units 20 and 22, shown in
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Each of the pelvic supports 20 and 22 and the thoracic supports 26 and 28 has a generally L-shaped piece 40 coupled thereto (e.g., as shown in
An optional chest belt made from a 2 inch-wide webbing with Velcro may be attached to the mounting tracks 44 and 46. The chest belt may be used to wrap around the thoracic supports 26 and 28, and can be fastened anteriorly. A thumb loop on the chest belt helps facilitate some users with impaired finger function to grab onto the end. The chest belt helps to secure the user's upper body in the desired posture.
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This various embodiments of the suspension system described herein can be used on different types of wheelchair seating configurations, two of which are illustrated in
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Similarly, the valve 126 of the pelvic bladders is pneumatically linked to the pelvic bladders, such that when it is opened in a first position, air from the compressor 102 is forced into the first and second pelvic bladders 116 and 118, and when it is opened in a second position, air from the first and second pelvic bladders 116 and 118 is permitted to escape.
Finally, the valve 130 of the lumbo-sacral bladder is pneumatically linked to the lumbo-sacral bladder 120, such that when it is opened in a first position, air from the compressor 102 is forced into the lumbo-sacral bladder 120, and when it is opened in a second position, air from the lumbo-sacral bladder 120 is permitted to escape.
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In one embodiment of the invention, the support system includes a pressure sensor system. The pressure sensor system prevents over inflation of the air bladders and prevents excessive contact between the supporting units and the user's body. Referring to
It can thus be seen that a new and useful pneumatic support system for a wheelchair has been described. It should be noted that the use of articles such as “a” and “an” and “the” in the context of describing the invention (especially in the context of the following claims) are to be construed to cover both the singular and the plural, unless otherwise indicated herein. All methods described herein can be performed in any suitable order unless otherwise indicated. The use of any and all examples, or exemplary language (e.g., “such as”) provided herein, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention unless otherwise claimed. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.
Preferred embodiments of this invention are described herein, including the best mode known to the inventors for carrying out the invention. It should be understood that the illustrated embodiments are examples only, and should not be taken as limiting the scope of the invention.
This patent application claims the benefit of U.S. Provisional Patent Application No. 60/657,328, filed Feb. 28, 2005.
Number | Date | Country | |
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60657328 | Feb 2005 | US |