This invention relates to an isolation unit for patient care, and in particular a portable isolation unit for use in a hospital environment for isolating patients with infectious diseases.
Frontline healthcare workers in the treatment and care of patients suffering from highly infectious airborne diseases, such as the COVID-19 global pandemic, are particularly at risk of becoming infected themselves. Problems are exacerbated when hospitals and healthcare facilities are stretched beyond their capacities, resulting in a shortage of specialist hospital rooms and equipment ordinarily prepared to accommodate patients with infectious diseases. Inadequate physical protection for healthcare workers against infectious diseases has dire consequences for a community's ability to treat the sick and stem the spread of the disease, and therefore there is a strong need for an adequate solution to protect healthcare workers when patients are treated outside specialist hospital containment rooms, such a negative pressure rooms, or in circumstances where such negative pressure rooms are not effective in preventing the spread of a disease.
For example, healthcare workers treating a patient infected with the SARS-CoV-2 virus could be highly exposed to the virus either directly by a patient coughing/sneezing or indirectly by touching contaminated instruments, bedding or equipment, as the virus appears to be transmitted through droplets originating from the respiratory tract expelled from a patient through coughing, sneezing or breathing. A challenge with containing viral droplets expelled by humans is that the many droplets are large (>10 micron), at least initially prior to evaporation, and cannot be effectively evacuated from the vicinity of a patient by mechanical means such as ventilation, and typical negative pressure rooms do not have the airflow speed to carry such large droplets. Furthermore, studies suggest that only a very small percentage of droplets expelled by a patient, which may potentially carry live virus, could be captured through a carefully designed ventilation system. Additionally, the common “whole of room” approach to negative pressure room ventilation carries significant risk of spreading a viral disease around the room in an unknown fashion, particularly in emergency situations where containment may be constantly disrupted by necessary adjustments in the number of hospital beds and equipment, or having many healthcare workers rushing around the room in an emergency.
Therefore, there exists a need for a solution that protects healthcare workers from viral droplets expelled by patients while minimising any interference or disruption to the workers' ability provide adequate treatment and care for the affected patients. The solution should also be able to meet strict hospital-grade hygiene and cleaning standards and, ideally, not be exorbitantly expensive to produce.
The applicant has determined that it would be advantageous to provide an isolation unit that is portable and which, in its preferred embodiments, seeks to at least in part alleviate the above-identified problems or to offer the public with a useful choice.
According to an aspect of the present invention, there is provided a portable isolation unit for use with a bed or chair, comprising an enclosure portion configurable between a stowed state and a deployed state, in which the enclosure portion substantially shields over an end of the bed or chair; a ventilation unit configured for applying air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state; and a portable frame to which the enclosure portion and ventilation unit are mounted.
Preferably, the enclosure portion substantially shields over an end of the bed or chair so as to be positioned over at least a head portion of a user during use.
Preferably, the enclosure portion comprises a sheet cover held in place by one or more support members.
Preferably, the sheet cover is made from a transparent plastic material.
Preferably, the or each support member is a resilient rod configured in the form of an arch for supporting the sheet cover, and the rod extends substantially across a width of the enclosure portion.
Preferably, the enclosure portion comprises a plurality of complementary arched resilient rods spaced along the sheet cover, and wherein respective ends of the arched rods are conjoined or located proximate each other so as to create a foldable hood.
Preferably, fastening means are provided along the or each support member for coupling with the sheet cover.
Alternatively, the or each support member directly engages with the sheet cover.
Preferably, the sheet cover comprises a skirt portion, which is dimensioned to extend below a support member towards a surface of the bed or chair during use. Preferably, the skirt portion does not form an air-tight seal between the enclosure portion and the bed during use so that the air within the enclosure portion is breathable without activation of the ventilator unit.
Preferably, the portable frame is an upright frame having a portable base.
Preferably, the portable base comprises a set of caster wheels.
Alternatively, the portable frame is configured to be attachable to the bed or chair.
Preferably, the portable frame comprises an upright mounting frame for coupling with the enclosure portion.
Preferably, the mounting frame is configured so that its height is adjustable.
Preferably, a wall member is sealably coupled to the mounting frame so as to create a substantially sealed backing member for mounting the enclosure portion.
Preferably, the mounting frame and/or the wall member is provided with an opening for sealably receiving a conduit portion which is coupled to the ventilation unit during use.
Preferably, the opening is located at or proximate a part of the mounting frame and/or the wall member that is furthest from a head portion of a user during use.
Alternatively, the portable frame comprises a backing member for supporting the enclosure portion in the deployed state.
Preferably, the isolation unit further comprises clamping means mountable to the backing member for coupling the portable frame to the bed or chair.
Preferably, the clamping means comprises a bracket having one or more hooks configured to be slideably receivable by a frame of the bed or chair so as to secure the clamping means in position by friction fit.
Preferably, the bracket is configured to accommodate the width and thickness of a support mattress or cushion of the bed or chair when the mattress or cushion is inserted therethrough.
Preferably, the backing member is provided with an opening to which the ventilation unit or a conduit portion of which is mounted thereto.
Preferably, the opening is located at or proximate a part of the backing member that is furthest from a head portion of a user during use
Preferably, the ventilator comprises a fan unit and a filter unit, wherein the filter unit is configured to filter airflow entering or exiting the fan unit.
Preferably, the filter unit is a HEPA filter.
Preferably, the ventilation unit is configured to provide negative air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state.
Alternatively, the ventilation unit is configured to provide positive air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state.
Preferably, the ventilation unit is provided with a portable power source, which is mountable to the portable frame.
According to another aspect of the present invention, there is provided a portable isolation unit kit comprising an enclosure portion, a ventilation unit and a portable frame as described previously.
According to a further aspect of the present invention, there is provided a method of deploying a portable pressurised chamber over a head portion of a user on a bed or chair, the method involves the steps of: providing a portable isolation unit according to any one of the preceding claims; locating the portable frame to or proximate a head end of the bed; adjusting the enclosure portion to the deployed state so that the enclosure portion substantially shields over the head portion of the user during use; and activating the ventilation unit to apply negative or positive air pressure to an area under the deployed enclosure portion.
Further aspects of the present invention and further embodiments of the aspects described in the preceding paragraphs will become apparent from the following description.
While components of the portable isolation unit will be described below for use in combination with each other in the preferred embodiments of the present invention, it is to be understood by a skilled person that some aspects of the present invention are equally suitable to be used interchangeably between one or more embodiments of the present invention and/or suitable for use as standalone inventions that can be individually incorporated into other isolation unit and systems not described herein.
The invention will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which:
In the preferred embodiment, the enclosure portion 200 is in the form of a foldable hood that can be folded between a stowed position to minimise storage area and a deployed position, in which the hood can be fully or partially opened into a shell or pod shape to create a semi-enclosed area under the hood. In use, the enclosure portion 200 is deployed over an end of a bed or chair to substantially create a shield above and/or adjacent a user's head. The enclosure portion 200 comprises a sheet cover 210 and one or more support members 220 for holding the sheet cover 210 in place in the deployed state. In one embodiment, fastening means 225, such as clips or hook and loop strips, are provided along the one or more support members 220 for coupling with the sheet cover 210, while in other configurations, the one or more support members 220 directly engage with the sheet cover 210 to secure the cover 210 in place by, for example, stretching the cover 210 across the support member 220. The sheet cover 210 is preferably of a clear, transparent material so as to allow full visibility between the user and healthcare workers in use which reduces any communication impediments created by the isolation unit 100. The sheet cover 210 can be manufactured from any suitable material such as plastic, but glass may be used in other configurations.
In the foldable hood embodiment, the sheet cover 210 is supported by the support members 220 in the form of resilient rods 220 configured as support arches that stretch outwardly across a width of the sheet cover 210 so as to hold the cover 210 and the resilient rods 220 in place. The support arches are spaced relative to each other along the folding direction of sheet cover 210 to create a cascading or concertinaed hood. In the preferred embodiment, the respective ends of the resilient rods, which create the support arches, are conjoined or located proximate each other. It is to be understood that while the enclosure portion 200 has been described as a foldable hood in the preferred embodiment, other configurations are possible without departing from the spirit of the invention. For example, in some configurations, the foldable hood may be provided with only a single resilient rod member 220 to support the sheet cover 210 and the respective ends of the resilient rod 220 could be secured instead in a staggered fashion. Additionally, in one example, the enclosure portion 200 could comprise a preformed sheet cover 210 supported by elongate struts positioned at both sides of the cover 210.
In the preferred embodiment, with reference to
Turning now to the portable frame 400, which provides means for accommodating the enclosure portion 200 and the ventilator system 300. In the preferred embodiment, the portable frame 400 is in the form of an upright frame having a portable base 410, a height adjustable upright frame members 420, a mounting frame 430 and backing wall 440 for mounting the enclosure portion 200 and brackets 450 for supporting the resilient rods 220 when the sheet cover 210 is in the deployed state. The portable base 410 is configured with a set of caster wheels; however, other suitable transportations means may also be used. The height adjustable upright frame members 420 are configured with mounting holes for easy adjustment of the height of the isolation unit 100 relative to a bed, though other adjustability means such as nested telescopic members, whether powered or manually adjusted, could also be used. The mounting frame 430 could be configured with a shape that is complementary to that of the sheet cover 210, such as a semi-circular arched shape, for mounting the sheet cover 210; however, any other suitable shapes can also be used. The backing wall 440 is sealingly installed to the mounting frame 430 to provide a substantially sealed backing area to encase a back side of the enclosure portion 200 in the deployed state. In the preferred embodiment, the support brackets 450 are configured for coupling with respective ends of the resilient rods 220 and to retain the foldable hood in an open position in the deployed state. In one embodiment, the portable frame 400 is configured to be mountable attachable directly to the bed or chair with or without the use of the frame members 420.
The portable frame is also provided with an opening or port 460 for sealably interfacing with a conduit portion 310 of the ventilator system 300. In the preferred embodiment, the port 460 is defined by the mounting frame 430, though in other configurations, the port 460 could also be defined by the backing wall 440. In one configuration, the port 460 is located at an upper part of the portable frame so that, when in use, the port 460 is located furthest from a head portion of user to minimise interference of airflow and to improve the ability of the ventilation system 300 to draw air from the enclosed area.
The ventilation system 300 comprises a fan unit 320, a filter unit 330, which is configured to filter airflow entering or exiting the fan unit 320, with the conduit portion 310 sealingly connecting the fan unit 320 and the port 460. In one configuration, the fan unit 320 is an exhaust fan configured to extract air from the area under the enclosure portion 200 via the port 460; effectively creating a negative airflow pressure in the area to reduce any outward spread of particles containing viral droplets expelled by the user. The fan unit 320 and the filter unit 330 are preferably mounted to the portable frame 400 by coupling to a backing board 470. In one configuration, the filter unit 330 associated with the fan unit 320 is a high-efficiency particulate air (HEPA) filter unit. In other configurations, airflow of the fan unit 320 is either reversible or configured so that the fan unit 320 generates airflow into the enclosure portion 200 from external surroundings, thereby providing a positive filtered air pressure environment beneath the enclosure portion 200. In one embodiment, the ventilation system 300 is provided with a portable power source 560 in the form of a battery unit for powering the ventilation system 300 when the isolation unit 100 is moved away from mains power.
Another embodiment of the invention is illustrated in
The portable isolation unit 100 as described herein may also be provided as a kit of parts.
In use, a portable pressurised chamber can be deployed over a head portion of a user on, for example, a hospital bed or a wheelchair by using the following method steps: providing a portable isolation unit 100 as described above; locating the portable frame 400 to or proximate a head end of the bed or chair; opening the enclosure portion 200 to the deployed state so that the enclosure portion substantially shields over the head portion of the user during use; and activating the fan unit 320 of the ventilation system 300 to apply negative or positive air pressure to an area under the deployed enclosure portion.
Embodiments of the portable isolation unit 100 as described herein advantageous mitigate the risk of exposure by healthcare workers to contaminated particles expelled by an infected patient by providing the following benefits:
Returning now to the half-dome shape design of the enclosure portion 200 of the preferred embodiment with reference to
In one embodiment, the clamping means 600 comprises an angle bracket 610, to which one end of the one or more support members 210 of the enclosure portion 200 is secured, a frame bracket 620 dimensioned for receiving a support mattress or cushion of the bed or chair therethrough, and one or more hooks 630 configured to be slideably received by a frame portion 640 of the bed or chair so as to secure the clamping means 600 in position by friction fit. Using the clamping means 600 as described, the portable frame 500 may be mounted to the bed or chair in a number of configurations, depending on the orientation of a head frame portion of the bed or chair. The head frame portion 640 being the frame portion suitable for mounting that is located closest to a user's head. For example, the portable frame 500 may be mounted to a bed or chair with its head frame portion 640 orientated in a substantially upright position by inserting the frame bracket 620 over any mattress or cushion and sliding the hooks 630 over a frame portion 640 of the bed or chair until clamping means 600 is secured to the frame portion 640 by friction fit. The frame portion 640 of the bed or chair may be subsequently adjusted to alter an angle of the bed or chair to cater for user comfort. In such cases, orientation of the enclosure portion 200 of the isolation unit 100 mounted to the bed or chair would also move to accommodate the new position. Referring to
While a friction-fit example has been provided for mounting the portable frame 500 to a frame portion 640 of a bed or chair, other mounting mechanisms such as a jaw-type clamp may also be suitable without departing from the spirit of the invention.
In the preferred embodiment, the backing member 510 is a transparent plate made from a plastic material, though other materials may also be suitable. The backing member 510 is provided with a port 520 for mounting a ventilation unit 530. The ventilation unit 530 is substantially similar to the unit described earlier and capable of providing negative and/or positive air pressure to the area beneath the enclosed portion 200, though in one embodiment a fan unit 540 and a filter unit 550 are mounted directly to the port 520 without the use of a separate conduit or air duct. In other embodiments,
In the description and drawings of this embodiment, same reference numerals are used as have been used in respect of the first embodiment, to denote and refer to corresponding features.
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not by way of limitation. It will be apparent to a person skilled in the relevant art that various changes in form and detail can be made therein without departing from the spirit and scope of the invention. Thus, the present invention should not be limited by any of the above described exemplary embodiments.
Throughout this specification and the claims which follow, unless the context requires otherwise, the word “comprise”, and variations such as “comprises” and “comprising”, will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.
Number | Date | Country | Kind |
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2020901125 | Apr 2020 | AU | national |
2020903666 | Oct 2020 | AU | national |
Filing Document | Filing Date | Country | Kind |
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PCT/AU2021/050316 | 4/6/2021 | WO |