Claims
- 1. A proning apparatus comprising:
a base including a head portion, a leg portion, and a body portion positioned intermediate said head portion and said leg portion, said base further including an opposing pair of longitudinally extending side edges and a patient support surface extending between said side edges; a face-receiving aperture formed within said head portion and adapted to receive a face of a patient therein; an abdomen-receiving aperture formed within said body portion in longitudinally spaced relation to said face-receiving aperture, said abdomen-receiving aperture adapted to expose said abdomen of the patient when the face is in said face-receiving aperture; a groin-receiving aperture formed within said leg portion in longitudinally spaced relation to said abdomen-receiving aperture, said groin-receiving aperture adapted to expose a groin of the patient when the face is in said face-receiving aperture; a plurality of supports coupled to said patient support surface of said base; and a plurality of line management devices supported by said base adjacent said side edges, said line management devices configured to releasably secure hoses and lines adjacent said base.
- 2. The proning apparatus of claim 1, wherein each of said plurality of line management devices comprises a clip including spaced apart top and bottom arms.
- 3. The proning apparatus of claim 2, wherein said top and bottom arms are biased toward each other.
- 4. The proning apparatus of claim 1, wherein said plurality of supports include at least one hip support cushion positioned intermediate said abdomen-receiving aperture and said groin-receiving aperture.
- 5. The proning apparatus of claim 4, wherein said plurality of supports further include at least one head support cushion coupled to said head portion of said base, at least one shoulder support cushion coupled to said body portion of said base, and at least one leg support cushion coupled to said leg portion of said base.
- 6. The proning apparatus of claim 1, further comprising a plurality of fasteners for releasably securing said plurality of supports to said base.
- 7. The proning apparatus of claim 1, further comprising a plurality of straps, each said strap including a center portion intermediate a pair of ends, one of said ends coupled to said base adjacent one of said side edges, and each said center portion including a padded section adapted for engaging the patient.
- 8. The proning apparatus of claim 7, wherein said plurality of straps include a head strap coupled to said head portion of said base, a leg strap coupled to said leg portion of said base, and a shoulder strap coupled to said body portion of said base.
- 9. The proning apparatus of claim 8, wherein said plurality of straps further includes a hip strap coupled to said body portion of said base intermediate said shoulder strap and said leg strap.
- 10. The proning apparatus of claim 7, further comprising a plurality of couplers secured to a side edge of said base opposite said plurality of straps, said plurality of couplers releasably securable with said plurality of straps.
- 11. A proning apparatus comprising:
a base including a head portion, a leg portion, and a body portion positioned intermediate said head portion and said leg portion, said base further including an opposing pair of longitudinally extending side edges and a patient surface extending between said side edges; a face-receiving aperture formed within said head portion, said face-receiving aperture adapted to receive a face of a patient therein; an abdomen-receiving aperture formed within said body portion in longitudinally spaced relation to said face-receiving aperture, said abdomen-receiving aperture adapted to expose the abdomen of the patient when the face is in said face-receiving aperture; a groin-receiving aperture formed within said leg portion in longitudinally spaced relation to said abdomen-receiving aperture, said groin-receiving aperture adapted to expose the groin of the patient when the face is in said face-receiving aperture; at least one head support cushion coupled to said head portion of said base proximate said face-receiving aperture; and at least one hip support cushion positioned intermediate said abdomen-receiving aperture and said groin-receiving aperture.
- 12. The proning apparatus of claim 11, further comprising at least one shoulder support cushion coupled to said body portion of said base intermediate said face-receiving aperture and said abdomen-receiving aperture.
- 13. The proning apparatus of claim 11, further comprising at least one leg support cushion coupled to said leg portion of said base proximate said groin-receiving aperture.
- 14. The proning apparatus of claim 11, further comprising a plurality of fasteners for releasably securing said plurality of support cushions to said base.
- 15. The proning apparatus of claim 11, further comprising a plurality of straps, each said strap including a center portion intermediate a pair of ends, one of said ends coupled to said base adjacent one of said side edges, and each said center portion including a padded section adapted for engaging the patient.
- 16. The proning apparatus of claim 15, wherein said plurality of straps include a head strap coupled to said head portion of said base, a leg strap coupled to said leg portion of said base, and a shoulder strap coupled to said body portion of said base.
- 17. The proning apparatus of claim 16, wherein said plurality of straps further includes a hip strap coupled to said body portion of said base intermediate said shoulder strap and said leg strap.
- 18. The proning apparatus of claim 15, further comprising a plurality of couplers secured to a side edge of said base opposite said plurality of straps, said plurality of couplers releasably securable with said plurality of straps.
- 19. The proning apparatus of claim 11, further comprising a plurality of line management devices supported by said base adjacent said side edges, said securing devices configured to releasably secure hoses and lines adjacent said base.
- 20. A proning therapy sleeve comprising:
a bottom support portion including a head end and a foot end, said bottom support portion configured to be located on a mattress of a bed; a pair of opposing side portions extending outwardly from said bottom support portion; a head support bladder supported in each of said side portions; at least one chest support bladder supported in each of said side portions in spaced relation to said head support bladder; a thigh engaging bladder supported in each of said side portions in spaced relation to said at least one inflatable chest support bladder; and a calf engaging bladder supported in each of said side portions in spaced relation to said thigh engaging bladder.
- 21. The proning therapy sleeve of claim 20 further comprising at least one line management apparatus supported proximate one of said head end and said foot end of said bottom support portion, said at least one line management apparatus configured to releasably secure hoses and lines extending to the patient.
- 22. The proning sleeve of claim 21, wherein said at least one line management apparatus comprises a head end line management apparatus supported proximate said head end of said bottom supporting portion and a foot end line management apparatus supported proximate said foot end of said bottom supporting portion.
- 23. The proning sleeve of claim 20, further comprising an aperture formed in each of said pair of opposing side portions, said apertures configured to receive the arms of a patient.
- 24. The proning sleeve of claim 23, further comprising an opening formed in each of said pair of opposing side portions, said openings configured to receive the feet of the patient.
- 25. The proning sleeve of claim 21, wherein said at least one line management apparatus comprises a body section supported by said bottom supporting portion, and a plurality of openings formed within said body section.
- 26. The proning sleeve of claim 20, further comprising a plurality of fasteners supported by at least one of said side portions for securing said side portions around the front of the patient.
- 27. The proning sleeve of claim 26, wherein each of said plurality of fasteners comprises a first member supported by one of said side portions and a second member supported by the other of said side portions.
- 28. The proning sleeve of claim 20, further comprising a plurality of gripping handles supported by said side portions to facilitate rotation of the patient.
- 29. The proning sleeve of claim 20, further comprising a controller for controlling air flow to said chest bladder from an external air supply.
- 30. The proning sleeve of claim 20, wherein said bottom supporting portion includes an air chamber adapted to couple to an external air supply.
- 31. The proning sleeve of claim 30, wherein said bottom supporting portion includes an outer surface and a plurality of apertures formed within said outer surface and in fluid communication with said air chamber, said plurality of apertures configured to provide an air bearing adjacent said outer surface.
- 32. The proning sleeve of claim 31, wherein said side portions each include an outer chamber, an outer surface, and a plurality of apertures formed in said outer surface and in fluid communication with said air chamber, said plurality of apertures configured to provide an air bearing adjacent said outer surface.
- 33. A proning therapy sleeve comprising:
a bottom support portion including a head end and a foot end, said bottom support portion configured to be located on a mattress of a bed; a pair of opposing side portions extending outwardly from said bottom support portion; a plurality of chest support bladders supported in each of said side portions in spaced relation to said head support bladder; an air supply line in fluid communication with said plurality of chest support bladders; and a controller operably connected to said air supply line for controlling air flow to said plurality of chest support bladders.
- 34. The proning sleeve of claim 33, wherein each of said plurality of chest support bladders are independently inflatable by said air supply line, said controller inflating selected ones of said chest support bladders.
- 35. The proning sleeve of claim 33, further comprising:
a head support bladder supported in each of said side portions; a thigh engaging bladder supported in each of said side portions in spaced relation to said plurality of chest support bladders; and a calf engaging bladder supported in each of said side portions in spaced relation to said thigh engaging bladder.
- 36. The proning sleeve of claim 33, further comprising a plurality of fasteners supported by at least one of said side portions for securing said side portions around the front of the patient.
- 37. The proning sleeve of claim 36, wherein each of said plurality of fasteners comprises a first member supported by one of said side portions and a second member supported by the other of said side portions.
- 38. A proning apparatus comprising:
a bottom support bladder including opposing first and second sides, an outer surface, an air chamber, and a plurality of apertures formed within said outer surface and in fluid communication with said air chamber; a plurality of side flaps including first and second ends, said side flaps extending outwardly from proximate said first side of said bottom support bladder; and a plurality of fasteners supported by said second ends of said side flaps and configured to releasably couple to said second side of said bottom support bladder.
- 39. The proning apparatus of claim 38, wherein said first ends of said side flaps are releasably secured proximate said first side of said bottom support bladder
- 40. The proning apparatus of claim 38, wherein said plurality of side flaps include a leg support flap, and a hip support flap positioned in spaced relation to said leg support flap.
- 41. The proning apparatus of claim 38, wherein said plurality of side flaps include a first head flap coupled to said bottom support bladder proximate said first side, and a second head flap coupled to said bottom support bladder proximate said second side.
- 42. The proning apparatus of claim 41, further comprising a head bladder connected to each of said first and second head flaps.
- 43. The proning apparatus of claim 38, wherein said side flaps include a chest support flap, and at least one chest support bladder supported by said chest support flap.
- 44. The proning apparatus of claim 38, further comprising a bottom prone bladder positioned to alternatively support said bottom support bladder and said plurality of side flaps.
- 45. The proning apparatus of claim 44, wherein said bottom prone bladder is configured to be inflated with air when supporting said plurality of side flaps.
- 46. A patient support comprising:
a base; an inner frame supported by said base; a plurality of rollers rotatably supported by said inner frame; a moveable outer frame defining a longitudinal axis and a transverse axis, said outer frame supported by said inner frame for longitudinal movement relative thereto; a patient support surface supported by said outer frame; and a drive mechanism operably connected to said moveable outer frame for driving said outer frame in motion.
- 47. The patient support of claim 46, further comprising a coupling intermediate said base and said inner frame for facilitating rotation of said outer frame about said longitudinal axis and said transverse axis.
- 48. The patient support of claim 46, further comprising a massage mechanism supported adjacent said patient support surface.
- 49. The patient support of claim 48, wherein said message mechanism comprises a plurality of rollers configured to move vertically relative to said patient support surface.
- 50. A pulmonary therapy system for use with a ventilator for supplying air to the lungs of the patient, said system comprising:
a chest binding apparel apparatus including a plurality of air bladders, said chest binding apparel apparatus configured to be supported proximate the chest of a patient; an air supply in fluid communication with said plurality of air bladders; a controller operably connected to said air supply; a ventilator pressure sensor coupled to said ventilator for sensing a pressure of air supplied to the patient and generating a ventilator pressure signal indicative thereof, said ventilator pressure sensor in communication with said controller for supplying said ventilator pressure signal thereto; and wherein said controller controls air flow to said plurality of air bladders in response to said ventilator pressure signal.
- 51. The pulmonary therapy system of claim 50, further comprising an apparel pressure sensor coupled to said binding apparel apparatus for sensing a pressure applied by said binding apparel apparatus to the chest of the patient and generating an apparel pressure signal indicative thereof, said apparel pressure sensor in communication with said controller for supplying said apparel pressure signal thereto.
- 52. The pulmonary therapy system of claim 51, wherein said apparel pressure sensor comprises a pressure sensing fabric.
- 53. The pulmonary therapy system of claim 50, further comprising a display in communication with said controller.
- 54. The pulmonary therapy system of claim 50, further comprising a switching valve coupled to said air supply for alternating between a first mode of operation wherein air is supplied to said air bladders and a second mode of operation wherein air is evacuated from said air bladders.
- 55. The pulmonary therapy system of claim 54, further comprising an exhaust line coupled to said switching valve for exhausting evacuated air from said air bladders to atmosphere, and a bladder supply line for supplying air from said air supply to said air bladders, said switching valve alternatively connecting said air supply to said exhaust line and said bladder supply line.
- 56. The pulmonary therapy system of claim 50, wherein said chest binding apparel comprises a vest including a front portion, a rear portion, and a head receiving aperture intermediate said front portion and said rear portion, said plurality of air bladders including at least one front bladder supported by said front portion and at least one rear bladder supported by said rear portion.
- 57. The pulmonary therapy system of claim 56, wherein each of said at least one front and rear bladders include a plurality of independently inflatable zones.
- 58. A chest binding apparel apparatus comprising:
a vest including a front portion, a rear portion, and a head receiving aperture intermediate said front portion and said rear portion; at least one front air bladder supported by said front portion; at least one rear air bladder supported by said rear portion; an air supply line coupled to said at least one front air bladder and said at least one rear air bladder; and at least one fastener coupled to at least one of said front portion and said rear portion for securing said vest to a patient.
- 59. The chest binding apparel apparatus of claim 58, wherein said at least one front air bladder includes a left front air bladder and a right front air bladder
- 60. The chest binding apparel apparatus of claim 58, wherein said at least one rear air bladder includes a left rear air bladder and a right rear air bladder, and a controller alternates inflation of said left rear air bladder and said right rear air bladder to provide lateral oscillatory motion to the patient.
- 61. The chest binding apparatus of claim 58, further comprising an apparel pressure sensor coupled to said vest for sensing a pressure applied to the chest of the patient.
- 62. The chest binding apparatus of claim 61, wherein said apparel pressure sensor comprises a pressure sensing fabric.
- 63. The chest binding apparatus of claim 58, wherein said at least one fastener comprises a plurality of first and second fasteners securing said front portion to said rear portion.
- 64. The chest binding apparatus of claim 58, wherein said front portion and said rear portion include a substantially rigid shell.
- 65. The chest binding apparatus of claim 64, wherein said at least one front air bladder and said at least on rear air bladder are supported by an inner surface of said shell intermediate said shell and the patient.
- 66. The chest binding apparatus of claim 64, wherein said at least one front air bladder and said at least one rear air bladder are supported by an outer surface of said shell.
- 67. A longitudinal rotation therapy method comprising the steps of:
supporting a patient on a patient support surface including a back section, a seat section, and a leg section, said patient support surface further including a longitudinal axis and a transverse axis; positioning said back section upwardly relative to said seat section wherein the chest of a patient is located above the thighs of the patient; positioning said leg section downwardly relative to said seat section wherein the feet of the patient are located below the thighs of the patient; rotating said patient support surface about said transverse axis in a first direction; stopping rotation of said patient support surface upon reaching a first limit; rotating said patient support surface about said transverse axis in a second direction opposite said first direction; stopping rotation of said patient support surface upon reaching a second limit; and repeating said rotating and stopping steps thereby providing oscillating rotational movement to said patient support surface.
- 68. The method of claim 67, wherein said positioning steps comprise the steps of placing the patient in a weightless neutral body position.
- 69. The method of claim 68, wherein said weightless neutral body position is defined when said head section is angled relative to said back section by an angle substantially equal to 25 degrees, said back section is angled relative to said seat section by an angle substantially equal to 128 degrees, and said seat section is angled relative to said leg section by an angle substantially equal to 133 degrees.
- 70. The method of claim 68, wherein said first limit is defined when said patient support surface is in a Trendelenburg position.
- 71. The method of claim 70, wherein said second limit is defined when said patient support surface is in a chair egress position.
- 72. The method of claim 68, further comprising the step of providing first and second body retention and locating bladders, said first bladder supported by said back section and said second bladder supported by said seat section.
- 73. A proning apparatus comprising:
a frame; a patient support supported by said frame and including a head end and a foot end, said patient support defining a longitudinal axis; a first upright extending substantially vertical and positioned proximate said head end; a second upright extending substantially vertical and positioned proximate said foot end; a moveable support member rotatably supported by said first and second uprights; a sleeve supported for movement by said moveable support member, said sleeve including first and second longitudinally extending side edges defining an access opening therebetween configured to receive a patient in a setup mode of operation and to close said access opening in a turning mode of operation; and a drive mechanism coupled to said moveable support member for rotating said moveable support member and said sleeve.
- 74. The proning apparatus of claim 73, wherein said sleeve comprises a mattress including a plurality of longitudinally fluid-filled bladders.
- 75. The proning apparatus of claim 74, further comprising a plurality of straps extending around an outer surface of said mattress, said straps engaging an outer surface of said movable support member.
- 76. The proning apparatus of claim 73, wherein said sleeve comprises a sheet extending around an outer surface of said moveable support member.
- 77. The proning apparatus of claim 76, further comprising a plurality of fasteners for releasably securing said first side edge to said second side edge, thereby closing said opening.
- 78. The proning apparatus of claim 73, wherein said sleeve includes an inner surface for contacting the patient and an outer surface for contacting said patient support surface, said inner surface having a first coefficient of friction and said outer surface having a second coefficient of friction, said first coefficient of friction greater than said second coefficient of friction.
- 79. The proning apparatus of claim 73, wherein said drive mechanism comprises a manually operated crank.
- 80. The proning apparatus of claim 73, wherein said drive mechanism comprises an electric motor.
- 81. The proning apparatus of claim 73, further comprising a plurality of hooks pivotably supported by said first and second uprights.
- 82. The proning apparatus of claim 73, further comprising a longitudinally extending accessory support coupled to said first and second uprights.
- 83. The proning apparatus of claim 82, further comprising an illumination source supported by said accessory support.
- 84. The proning apparatus of claim 82, further comprising a camera supported by said accessory support.
- 85. The proning apparatus of claim 73, further comprising an enclosure supported for movement relative to said first and second uprights.
- 86. The proning apparatus of claim 73, further comprising an adjustment mechanism supported by the frame for driving said patient support surface in vertical movement.
- 87. A proning apparatus comprising:
a patient support surface extending between opposing first and second side edges, said patient support surface including a head end and a foot end and defining a longitudinal axis; a first drive support member positioned proximate said head end; a second drive support member positioned proximate said foot end; a drive mechanism supported by said first and second drive support members; a sleeve support member coupled to said drive mechanism for lateral movement above said patient support surface; and a sleeve supported by said support member, said sleeve including an inner surface configured to contain a patient and an outer surface configured for engaging said patient support surface.
- 88. The proning apparatus of claim 87, wherein said outer surface of said sleeve is configured for rolling contact with said patient support surface.
- 89. The proning apparatus of claim 87, further comprising a guide member for guiding movement of said support member upwardly from proximate said first side edge, transversely above said patient support surface, and downwardly to proximate said second side edge.
- 90. The proning apparatus of claim 87, wherein said drive mechanism includes first and second chains coupled to said first and second drive support members, said first and second chains coupled to said support member.
- 91. The proning apparatus of claim 90, wherein said drive mechanism further includes an electric motor coupled to said first and second chains.
- 92. The proning apparatus of claim 90, wherein said drive mechanism further includes a manual crank coupled to said first and second chains.
- 93. The proning apparatus of claim 87, wherein said drive mechanism comprises first and second arms telescopingly received within said first and second drive support members, said first and second arms supporting said support member.
- 94. The proning apparatus of claim 87, wherein said sleeve includes first and second longitudinally extending side edges, and a plurality of fasteners releasably secure said first side edge to said second side edge.
- 95. The proning apparatus of claim 87, further comprising a first upright positioned proximate said head end, a second upright proximate said foot end, and an accessory support member extending between said first and second uprights.
- 96. The proning apparatus of claim 87, further comprising first and second brace members supported proximate said first and second sides of said patient support surface to prevent transverse movement thereof.
- 97. A proning apparatus comprising:
a frame; a patient support supported by said frame and extending between first and second sides, said patient support including a head end and a foot end and defining a longitudinal axis; a first upright positioned proximate said head end; a second upright positioned proximate said foot end; a support member coupled to said first and second uprights and positioned above said patient support surface; a sheet secured to said support member; a pulling device supported by said first and second uprights for moving said support member and drawing said sheet in a direction upwardly and from said first side to said second side of said patient support surface.
- 98. The proning apparatus of claim 97, wherein said pulling device comprises a drive mechanism for rotating said support member.
- 99. The proning apparatus of claim 97, wherein said first and second uprights comprise a first portion and a second portion telescopingly received within said first portion for vertical movement relative to said first portion, and said pulling device comprises said second portion.
- 100. The proning apparatus of claim 97, further comprising a plurality of castors supporting said first and second uprights for movement relative to said frame.
- 101. A proning apparatus comprising:
a frame; a patient support surface supported by said frame and extending between opposing first and second side edges, said patient support surface including a head end and a foot end and defining a longitudinal axis; an adjustment mechanism supported by the frame for driving said patient support surface in vertical movement; a first upright positioned proximate said head end; a second upright positioned proximate said foot end; a support member coupled to said first and second uprights, said support member positioned vertically above said patient support surface and positioned horizontally proximate one of said first and second side edges; a sleeve including first and second ends and a center portion intermediate the first and second ends, said first end supported by said support member; and at least one fastener securing said second end of said sleeve to said center portion thereof.
- 102. A method of turning a patient from a supine position to a prone position, said method comprising the steps of:
providing a patient support surface extending between opposing first and second side edges, said patient support surface including a head end and a foot end and defining a longitudinal axis; providing a sleeve including an outer surface, first and second ends and a center portion intermediate the first and second ends; supporting said first end of said sleeve vertically above said patient support surface and horizontally off-center from said longitudinal axis; positioning said sleeve around the patient, wherein a portion of said outer surface engages said patient support surface; fastening said second end of said sleeve to said center portion thereof; lowering said patient support surface relative to said sleeve wherein said outer surface of said sleeve is in spaced relation to said patient support surface; raising said patient support surface into contact with a portion of said outer surface of said sleeve, thereby defining a pivot point on said sleeve; and rolling said sleeve about said pivot point thereby placing the patient in a prone position on said patient support surface.
- 103. A proning device comprising:
a patient support surface extending between opposing first and second longitudinal side edges; a first drive roller supported adjacent said first side edge; an idler roller supported above said patient support surface; a sheet supported by said patient support surface and including a first sleeve portion configured to be placed adjacent a chest of a patient, a second sleeve portion configured to be placed adjacent a back of a patient, and a connecting portion extending between said first sleeve portion and said first drive roller; and at least one fastener releasably securing said second sleeve portion to said first sleeve portion, thereby defining a sleeve configured for receiving the patient.
- 104. The proning device of claim 103, further comprising a second drive roller supported adjacent said second side edge of said patient support surface.
- 105. The proning device of claim 103, further comprising a second idler roller supported above said patient support surface intermediate said second drive roller and said second sleeve portion of said sheet.
CROSS REFERENCE TO RELATED APPLICATION
[0001] This application claims the benefit of U.S. Provisional Application Serial No. 60/218,923, filed Jul. 14, 2000, which is expressly incorporated herein by reference.
Provisional Applications (1)
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Number |
Date |
Country |
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60218923 |
Jul 2000 |
US |