It is common to transport hospital patients in wheelchairs. In such situations, the patient normally sits in the wheelchair and an operator, often referred to as the escort, pushes the wheelchair to move the patient to the desired location. To accomplish this, the escort often must maneuver the chair and patient in and out of elevators, through hallways, up and down ramps, into and out of rooms, etc. In addition, the escort often must assist the patient out of the chair or into the chair. Unfortunately, conventional wheelchairs are not very effective in such circumstances because they are designed for self-mobility, not patient transport.
One drawback of conventional wheelchairs is that escorts must bend over to reach the handles of the wheelchair to push it. The handles normally extend straight back toward the escort in an orientation that is unnatural for the escort and the handles are typically not adjustable. In addition, wheelchairs do not provide enough room for the escort's feet when walking, especially when longer strides are taken as when the escort is tall or when the escort is moving quickly. Furthermore, wheelchairs do not provide adequate storage for items such as the patient's belongings or medical documents and equipment. Typically, the only storage that is provided is a rear pocket that is integrated into the flexible seatback of the wheelchair. When items are placed in the pocket, the items tend to poke the patient in the back thereby making for an uncomfortable ride. Moreover, the upright sitting position and absence of head support can be uncomfortable for the patient over longer periods of time, even when items are not placed in the rear pocket.
In addition to the those drawbacks, it can be difficult for the escort to assist patients into or out of conventional wheelchairs. In either situation, the escort must bend over while supporting at least part of the patient's weight. Such an action can cause escort back injuries. Even when such injuries are not sustained, the act of assisting the patient into or out of the chair can require significant strength, which may not be possessed by the escort. It can also be physically straining for patients to get into and out of conventional wheelchairs, particularly if these patients are in a physically weakened condition due to age, illness, or injury.
A further drawback of conventional wheelchairs is that they take up a large amount of space when not in use and tend to be left in disarray in hospital hallways such that they impede personnel and hospital equipment. Furthermore, the footrests of conventional wheelchairs are detachable and tend to get lost. Moreover, conventional wheelchairs are easily stolen.
A further drawback of conventional wheelchairs is that they cannot recline. Sitting upright for long periods of time can be fatiguing to patients with weakened core muscles, spinal injuries, and the like. Conventional wheelchairs might be adequate for relatively robust patients who are unable to walk over long periods of time, but in practice wheelchairs are used to transport patients with more serious disabilities. As a matter of practical usage wheelchairs are not merely used to transport a patient from one place to another, but often the patient must wait for long periods of time in the wheelchair waiting for medical attention, such as when a patient is taken from the hospital room to a busy radiology center.
In view of the above-described drawbacks, it can be appreciated that it would be desirable to have alternative means for transporting individuals, such as hospital patients, from place to place.
The disclosed transport chair embodiments can be better understood with reference to the following figures. It is noted that the components illustrated in the figures are not necessarily drawn to scale.
As described above, conventional wheelchairs have several drawbacks when used to transport individuals, such as hospital patients, from place to place. Disclosed herein are transport chairs that are specifically designed for transporting such individuals with the maximum comfort while simultaneously reducing the effort required by the individuals and the chair operators (e.g., hospital escorts) and thereby reducing the opportunity for injury. In some embodiments, the transport chairs comprise a seat assembly that is supported by a base frame and that can pivot relative to the base frame about a pivot axis located near the front edge of the chair's seat. Such pivoting capability not only makes moving patients into and out of the chair much easier (particularly for patients with weakened legs or balance problems) but also facilitates chair nesting that significantly reduces the amount of space required for storage of the chairs.
In this disclosure, particular embodiments are described and illustrated. It is noted those embodiments are mere examples and that many other variations are possible. The present disclosure is intended to include all such variations.
Extending between the side tubes 18 is a support element 28 that supports the user (patient) when being transported in the chair 10. In some embodiments, the support element 28 comprises a flexible material that both conforms to the patient's body and facilitates air circulation so as to increase patient comfort. By way of example, the support element 28 comprises a hospital-grade vinyl fabric or mesh. Irrespective of the particular nature of the support element 28, the side tubes 8 can be continuous so as to form both a lower portion or seat 30 of the chair 10 and an upper portion or backrest 32 of the chair. In some embodiments, the backrest 32 forms a fixed angle with the seat 30 that is greater than 105 degrees. Such an angle is known as an “open hip angle” and not only increases patient comfort by enabling proper positioning of the spine but further facilitates entry into and exit from the transport chair 10. In some embodiments, the side tubes 18 form a seat profile based on the Grandjean curve, which is specifically designed to provide maximum comfort for all body sizes. Although the seat 30 and backrest 32 have been described and shown as being formed by the continuous side tubes 18, and therefore define a fixed angle between them, separate tubes or other members could be provided for the seat and backrest to enable adjustment of the angle between the backrest and the seat.
As is further illustrated in the figures, the lower and upper portions of the side tubes 18, which pertain to the seat 30 and the backrest 32, respectively, are individually curved. Specifically, the lower portions of the side tubes 18 curve downward at the front of the seat 30 to accommodate the bend of the patient's knees and curve upward at the rear of the seat to accommodate the bend of the patient's hips and to transition into the backrest 32. The upper portions of the side tubes 18 curve slightly forward near the lower-middle portion of the backrest 32, curve slightly rearward near the upper-middle portion of the backrest, and curve slightly forward again near the top of the backrest accommodate the natural curvature of the spine and to provide support to the shoulders (and head for smaller patients). In addition, the top ends of the side tubes 18 extend rearward from the support element 28 toward the chair operator.
With particular reference to
The handle 34 is pivotally connected to the side tubes 18 and can be angularly adjusted to suit the height of the operator and/or to account for the recline angle of the seat assembly 12. In the illustrated embodiment, the adjustability is enabled by pivot joints 36 that are in a normally locked orientation but which can be adjusted when release buttons 38 on the sides of the pivot joints are depressed and held. By way of example, the laterally-extending portion 37 of the handle 34 can be articulated from a 60 degree declination angle to a 60 degree inclination angle, thereby providing approximately eight inches of vertical adjustment. As is shown best in
Also mounted to the side tubes 18 are opposed armrests 40. In the illustrated embodiment, the armrests 40 are mounted to the side tubes 18 with mounting brackets 42 that are fixedly secured to the rear sides of the side tubes. In some embodiments, the armrests 40 are pivotally mounted to the mounting brackets 42 so that they can be articulated from a bottom, generally horizontal position at which they are generally parallel to the seat 30 to a top, generally vertical position at which they are generally parallel with the backrest 32 and therefore out of the way of the patient. In some embodiments, the mounting brackets 42 each comprise an attachment element 44, for example a hook, that is configured to receive and secure a bottom rack of the transport chair 10, which is described below. As is also described below, such receipt and securing facilitates nesting of the transport chair 10.
As is shown best in
As described above, the seat assembly bottom tray 24 extends between the two side tubes 18. More specifically, the bottom tray 24 extends below the seat 30 between the lower portions of the side tubes 18. The bottom tray 24, like the cross tubes 20, 22, provides structural integrity to the seat assembly 12. In addition, the bottom tray 24 facilitates pivoting of the seat assembly 12 about a front pivot axis 56 of the transport chair 10 located near the front edge of the seat 30. In particular, the bottom tray 24 supports at least one horizontal seat assembly tube section 26 that is fixedly mounted on and concentric with a horizontal pivot shaft 58 that is concentric with the pivot axis 56 and therefore has a central longitudinal axis that is coincident with and defines the pivot axis. In some embodiments, the shaft 58 comprises a hollow metal (e.g., steel) tube. In the illustrated embodiment, there are two seat assembly tube sections 26. Because the tube sections 26 are fixedly connected to the bottom tray 24, which supports the seat assembly 12, the seat assembly can rotate or pivot about the pivot axis 56 with the pivot shaft 58. As described below with reference to
The bottom tray 24 also facilitates pivoting of the seat assembly 12 because the bottom tray serves as the attachment point for a lifting mechanism 62 that assists the operator with pivoting the seat assembly about the pivot axis 56. An embodiment for the lifting mechanism 62 and its operation are described below.
The base frame 14, like the seat frame 16, comprises multiple frame members, which can be configured as hollow metal (e.g., steel or aluminum) tubes. For the purposes of this discussion, the base frame members will also be referred to as tubes. As indicated most clearly in
Connected to the bottom ends of the front tubes 64 are front wheel assemblies 68. As is shown in the drawings, the front wheel assemblies 68 are each configured as a caster wheel that includes a wheel 70 that can rotate about a horizontal axis and a bracket 72 that can rotate about a vertical axis. By way of example, the wheel 70 comprises a resilient outer surface made of rubber or a polymer with similar properties.
Extending between the front tubes 64 is a generally horizontal front cross tube 74. The front cross tube 74 provides structural support to the front tubes 64 and further supports the lifting mechanism 62 with downward extending mounting flanges 76 to which the lifting mechanism 62 is pivotally mounted. Although capable of alternative construction, the lifting mechanism 62 can comprise an internal electric motor (not visible) contained within an outer housing 78 that linearly drives a shaft 80 that is pivotally connected to the bottom tray 24 of the seat assembly 12. When the motor is driven to extend the shaft 80 from the housing 78, the bottom tray 24 is moved upward and the seat assembly 12 pivots forward about the pivot axis 56. In contrast, when the motor is driven to retract the shaft 80 into the housing 78, the bottom tray 24 is moved downward and the seat assembly 12 pivots backward about the pivot axis 56.
Extending rearward from the front tubes 64 are two opposed, generally horizontal side tubes 82. In embodiments in which the transport chair 10 can nest with like chairs, the side tubes 82 extend outwardly at an angle from the front tubes 64 as shown in
Extending beneath the seat assembly 12 is a bottom storage component in the form of a bottom rack 100. The front end of the rack 100 is pivotally mounted to the side tubes 82 near the point at which the side tubes connect to the front tubes 64 (see
Extending down from and between the side tubes 82 is a U-shaped central cross tube 102. The central cross tube 102 provides structural support to the side tubes 82 and further supports a stop member 104 that is pivotally mounted thereto. As is described below, the stop member 104 is used to prevent footrests of another transport chair from damaging the lifting mechanism 62 when an operator improperly attempts to nest the chair without first folding up the footrests of the rear chair. In the retracted or undeployed position shown in
In addition to the seat assembly 12, the pivot shaft 58 of the base frame 14 also supports at least one footrest assembly 108. Although a single footrest assembly 108 can be provided to support both of the patient's feet, the illustrated embodiment includes two footrest assemblies, one for each foot. Each footrest assembly 108 includes a horizontal footrest assembly tube section 110 that is mounted on and concentric with the pivot shaft 58. Unlike the seat assembly tube sections 26, however, the tube sections 110 are free to rotate about the pivot shaft 58. Extending from each footrest assembly tube section 110 is a leg 112 that is similar in length to a human lower leg. Pivotally mounted to the bottom end of each leg 112 with a pivot joint 114 is footrest 116. In some embodiments, the footrests 116 each comprise a generally planar metal plate 118. Attached to the bottom surface of each plate 118 is a layer of resilient slip-resistant material 120 that, as described below, acts as a further brake for the transport chair 10 when a patient enters or exits the chair.
In some embodiments, the footrest assemblies 108 pivot in unison with the seat assembly 12 until they contact the floor or ground, at which point the patient can stand on the footrests and get into or out of the chair 10. In the illustrated embodiment, such functionality is provided by key and slot apparatuses defined by the seat assembly tube sections 26 and the footrest assembly tube sections 110. Example key and slot apparatuses are illustrated in
As is shown in
In some embodiments, the footrest assemblies 108 can be independently locked in predetermined orientations relative to the seat assembly 12 to elevate one or both of the patient's feet. An example of such locking is illustrated in
The construction of an example transport chair 10 having been described above, operation of the chair will now be discussed. As described above, the seat assembly 12 is infinitely adjustable between a fully reclined orientation in which a patient can sit in the chair 10 to a fully inclined or tilted forward orientation in which the patient can either get into or out of the chair.
When the lifting mechanism 62 is activated to extend the shaft 80, the seat assembly 12 will pivot forward about the pivot axis 56 and the recline angle of the seat assembly will be reduced.
If the lifting mechanism 62 continues to operate, forward pivoting of the seat assembly 12 continues, as indicated in
It is much easier for patients to get out of the transport chair 10 when the seat assembly 12 has been tilted forward as shown in
The forward tilt of the seat assembly 12 also makes it easier for patients to get into the chair 10. Specifically, because the seat 30 is tilted forward and upward in the orientation shown in
The pivoting of the seat assembly 12 not only facilitates patient entry into and exit from the transport chair 10 but also facilitates storing the chair by nesting.
When the bottom rack 100 is pivoted upward, the magnetic coupling that connects the footrest stop member 104 to the rack is, broken and the stop member drops down to the floor or ground into its deployed position, as shown in
Such upward folding is illustrated in
To place the chairs 10a, 10b in the orientation shown in
The operator can perform the reverse operation to unnest the rear chair 10b from the front chair 10a. For example, the operator can pivot the seat assembly 12 of the rear chair 0b back and detach the bottom rack 100 so it can be placed in its horizontal orientation (supported by the rear flanges 84 of the side tubes 82). Once the seat 12 assembly has been reclined, the operator can release the brakes of the rear chair 10b and withdraw the rear chair from the front chair 10a. Before the rear chair 10b can be used by a patient, the operator must unfold the footrests 16. If deemed necessary, the seat assembly 12 can again be titled forward after the footrests 116 have been unfolded to facilitate easier entry into the chair 10 by the patient. Because the forward tilting of the chair causes the footrests 116 to engage the floor or ground, the operator must recline the chair 10 before it can be used to transport the patient. Notably, such reclining would still be necessary even if the footrests 116 did not engage the floor or ground because the forward tilt angles of the seat 30 and backrest 32 are such that the patient could slip and fall forward out of the chair 10 if transport were attempted before reclining the seat assembly 12.
An alternative general embodiment of the wheelchair 300, shown in
For example, one or more features may be present to raise the patient's legs while the patient reclines. One such feature is a leg rest assembly 302 that is separate from the footrest assembly 108. Although the footrest could be designed to elevate when the patient reclines, such an approach has a number of problems. The footrest would be angled too high for the patient's feet to rest stably, and they would have a tendency to slip off (absent some complex mechanism for reorienting the footrest). The footrest would protrude in front of the patient, potentially striking objects in front of the chair while in forward motion or turning. In a reclining position the feet are not well positioned to support the rest of a patient's leg. An independently articulating leg rest has none of these problems.
Consequently, embodiments of the wheelchair 300 may comprise a leg rest assembly 302 configured to pivot to elevate independent of the footrest assembly 108, and configured to pivot to ascend in unison with the seat assembly 12 as said seat assembly 12 pivots to recline. When the wheelchair 300 is in its upright position, the leg rest assembly 302 is retracted, in a non-elevated position (see
When the leg rest assembly 302 elevates in unison with the seat assembly 12 as it reclines, the degree of elevation of the leg rest assembly 302 may be a function of the degree of reclination of the seat assembly 12. Such configurations have the advantage of allowing the patient's back to recline without leaving the legs in a potentially uncomfortable seated position. The leg rest assembly 302 may also have the ability to elevate independent of the reclination of the seat assembly 12, for example to support an injured leg while the patient sits upright.
In the embodiment illustrated in the drawings, the leg rest assembly 302 pivots about an axis 306 at the front edge of the seat, just in front of the seat assembly's pivot shaft 58. The axis 306 in the illustrated embodiment is proximate to the axis 56 about which the footrest assembly 108 and seat assembly 12 pivot. In further embodiments, the leg rest assembly 302, the footrest assembly 108, and the seat assembly 12 pivot about a common axis (not shown). The leg rest pivot axis 306, as shown, intersects a left and a right leg pad support member 308, which is jointed. In other possible embodiments, the leg rest assembly 302 could potentially share the pivot shaft 58 with the seat assembly 12.
Another possible feature of the reclining chair 300 is a pair of articulating armrests 310. When the patient reclines, the patient's shoulders translate downward, causing the arms to be reoriented. This can cause the arms to be pulled into a position in which the elbows are not in contact with a static armrest. Not only can this be uncomfortable, but if the patient has in IV line in, this position could potentially put unwanted tension on the IV line or cause the hypodermic needle to damage the surrounding tissue. In the illustrated embodiment of the wheelchair 300, the armrest 310 pivots about a pivot axis 312 located near the back of the armrest 310 and translates toward the rear wheels 86 when the seat assembly 12 reclines. Thus the patient's arms remain supported by the armrests 310. Superior ergonomic positioning can be achieved by pivoting the armrests 310 such that they remain parallel to the footrest assembly 108 as the armrests 310 pivot and translate. In a further embodiment of the wheelchair 300, the armrests 310 translate toward the rear wheels 86 until contact is made between the armrest 310 and the rear wheels 86 (shown in
Another possible feature of the reclining chair 300 shown in
In the foregoing disclosure, various embodiments have been discussed. It is noted those embodiments are mere examples and that many other variations are possible. In one such variation, a motor can be added to the chairs to drive the rear wheels. In such an embodiment, the patient could drive himself or herself. In another example, the lifting mechanism can comprise a compressor that pneumatically raises and lowers the seat assembly. In a further example, the chair can be a stationary chair that does not include wheels. In such a case, the chair can be used in other situations in which sitting or standing assistance is needed. For example, the chair could be used in a doctor's or dentist's office. Many other modifications are possible, and all such modifications are intended to fall within the scope of this disclosure.
This application is a continuation-in-part application of U.S. patent application Ser. No. 15/173,259, filed 3 Jun. 2016 (pending). U.S. patent application Ser. No. 15/173,259 is a continuing application of U.S. patent application Ser. No. 13/574,267, filed 2 Jul. 2012 (now U.S. Pat. No. 9,358,166). U.S. Pat. No. 9,358,166 is a national stage entry of International Pat. App. No. PCT/US11/21834, filed 20 Jan. 2011 (abandoned). International Pat. App. No. PCT/US11/21834 cites the priority of provisional U.S. Pat. App. Nos. 61/304,638 filed 15 Feb. 2010 (expired); 61/304,699 filed 15 Feb. 2010 (expired); and 61/296,724, filed 20 Jan. 2010 (expired). The contents of all of the foregoing patent applications are incorporated by reference in their entireties herein.
Number | Date | Country | |
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61296724 | Jan 2010 | US | |
61304638 | Feb 2010 | US | |
61304699 | Feb 2010 | US |
Number | Date | Country | |
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Parent | 13574267 | Jul 2012 | US |
Child | 15173259 | US |
Number | Date | Country | |
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Parent | 15173259 | Jun 2016 | US |
Child | 15452454 | US |