Patent Grant
7559101
1. Field of the Invention
The present invention relates to side rail systems utilized on patient support platforms and beds. The present invention relates more specifically to a system of movable pads positioned on and operable in conjunction with the side rails of patient support platforms, hospital beds, and the like.
2. Description of the Related Art
The basic patient support system utilized in most hospitals and extended care facilities provides a number of essential elements intended to accommodate a variety of patient conditions and situations. The basic support system incorporates a mattress positioned on a platform or other frame, most commonly connected with an underlying base frame mounted on casters for mobility. There is typically a head board and a foot board to enclose the upper and lower end of the mattress platform. There are also typically a number of side rails that may be raised or lowered to alternately enclose the mattress or allow the patient access to or exit from the bed. In addition, most such patient support systems incorporate articulating frames and mattresses that allow an upper (head) section to be raised at an angle with respect to a middle or torso section, and likewise for a lower (foot) section to be lowered at an angle below the middle or torso section. Such articulations facilitate both the comfort of the patient and the ease with which the patient may enter and exit the bed.
The combination of side rails and articulating frames on patient support surfaces has resulted in the development of very specific design features that are incorporated into the side rails to allow their movement into either raised or lowered positions both while the bed is horizontally planar and while the bed is articulated into angled configurations. In most instances, the requirements for bed articulation dictate that each side rail be divided into two parts, an upper side rail associated with the head section of the bed and a lower side rail covering the balance of the side of the bed enclosure. Mirror images of these side rails are positioned on an opposite side of the bed, and operate in conjunction with the head board and foot board to fully enclose the patient within the bed or mattress area. The various components of the basic patient support system that serve to enclose the patient within the platform area give rise to new problems associated with the safety and comfort of the patient. Because it is necessary for these various enclosing panels to move and articulate themselves as the bed frame moves and articulates, there are necessarily gaps, openings, and passages between the various panel components, and between the panel components and the mattress itself. Efforts have been made in the past to appropriately fill the gaps and spaces between the various components that make up the patient support system. For the most part these efforts have focused on the addition of loose cushions to block the openings between the various enclosing panels and side rails. Such systems clearly suffer from the inability to maintain a fixed association between the cushions and the patient support platform and to accommodate the articulation of the bed frame.
As discussed in more detail below, various governmental agencies and standards organizations have identified spatial zones of concern that relate to the safety and comfort of the patient positioned on the typical hospital bed utilizing side rails. For those hospital beds and patient support platforms that have an articulating structure, these elements take on added dimensions depending upon the various orientations of the support platform components. The typical articulating patient support platform that utilizes side rails will incorporate split side rails on each side of the bed. A first set of side rails are associated with the upper or head portion of the support platform, and move in conjunction with it as it is raised and lowered. A second set of side rails are typically associated with the lower and/or middle portion of the patient support platform and move in conjunction therewith. A number of existing bed designs include mechanisms that allow the knee area of the platform to articulate. Although the angle that is achieved is generally less than that between the upper (head) section and the middle (torso) section, the rails that are connected to the lower (foot) section do move in conjunction with the lower (foot) section as it is raised and lowered with respect to the middle (torso) section. Each of the side rails also move (typically through an arc of rotation to the side and down) into a lowered and stored position away from the side of the mattress as is known in the art. Because of the relative movement between the two side rail components that occurs with the above articulations, it is necessary to structure and design the components to both accommodate the articulating motion, the ability to rotate the side rails out of the way, and the continued purpose of having side rails, namely the appropriate enclosure of the patient support area.
While efforts have been made in the past to improve safety and comfort for the patient, such efforts often fail to allow the continued versatility associated with existing articulating bed frames. Such safety and comfort panels and pads very often must be removed before a bed platform can be articulated into an elevated or lowered position. It would be desirable to have a system of side rail pad components that continued to allow full movement of the bed frame components at the same time it provided for improved safety and comfort to the patient. It would further be desirable that such components could be moved from elevated positions adjacent or in contact with the sides of the patient support mattress to lowered positions separated from the patient support mattress, such movement occurring automatically in conjunction with the same or similar movement of the side rails themselves.
It is therefore an object of the present invention to provide a side rail pad system for use in conjunction with a patient support apparatus, which serves to improve the safety and comfort of the patient, especially in a support platform that incorporates articulating elements. The present invention is directed towards a system that improves the safety and comfort of the patient without sacrificing versatility and articulation movement in the patient support platform. The addition of the side rail pad system of the present invention provides overall improvement to the hospital bed or patient support platform. The goal is to achieve these improvements without significantly altering the structural characteristics of existing patient support devices by allowing the retrofit of existing devices with the components and elements of the present invention.
Efforts are currently underway by governmental agencies and standard setting organizations to define and clarify requirements for patient support systems including the requirements that are directed towards the safety and comfort of the patient with regard to the enclosures that surround the mattress or patient support platform. These efforts have identified a variety of spatial zones within the typical patient support platform or hospital bed that may be of concern from a safety and comfort standpoint. The present invention is directed towards addressing these zones of concern by providing appropriate closures or barriers that are generally identified and agreed upon as helpful for the safety and comfort of the patient.
In fulfillment of these and other objectives, in various embodiments of the present invention a set of additional side rail system components are provided that are operable in association with hospital beds and other patient support systems that are designed to articulate so as to elevate an upper or head portion of the bed, with respect to a middle or torso portion of the bed, and so as to lower a lower or a foot portion of the bed with respect to the middle portion of the bed. In conjunction with such patient support systems, in various embodiments, a system of side rail pad/panels are provided that are positioned on, and movably secured to, the existing side rails. The pad/panels can move into position and out of position with the corresponding movement of the side rails. Likewise, the pad/panels maintain their functional positioning even while the patient support system articulates from an initially planar configuration to a multi-planar configuration.
In various embodiments, the pad/panel system provides a parallel, planar, “follower” panel that generally is positioned between each of the movable side rails and the mattress or patient support surface of the bed. An arrangement of offset rotational axes allow the use of the existing side rail bracket arms to both re-attach to the existing side rails and at the same time support and position the added pad/panels.
The pad/panels associated with each of the side rails are configured to at least partially occlude various spaces and openings between the side rails themselves, between the side rails and the head board of the bed, and between the side rails and the side of the mattress system placed on the bed.
The pad/panels are sized, shaped, and structured to maintain the necessary access to levers and latches associated with the positioning and release of the existing side rails on the bed. Additionally, the pad/panels are structured to maintain other access apertures on the existing side rails, unless the side rail (and the associated pad/panel) is directed out of the way into a lowered and/or stowed position.
The pad/panels and the associated mechanics are designed to facilitate the retrofitting of an existing side rail system without the need for significant, if any, modification of the existing side rail structures. The pad/panels may be installed in place by the simple removal of the side rails from their existing side rail bracket arms (two per side rail typically), the placement of the pad/panel, and the re-attachment of the combined systems to the side rail bracket arms. An alternate embodiment utilizes a removable edge cap that allows the attachment of the pad/panel without the removal of the side rail from the bracket arms.
References herein below to parts of a patient support system, such as a hospital bed, will refer to: the “lower” portion of the bed as meaning that part of the bed associated with the foot and lower body of the patient when the patient is lying in the bed; the “upper” portion of the bed as meaning that part of the bed associated with the head and upper body of the patient when the patient is lying in the bed; the “right” side of the bed as meaning the side of the bed to the patient's right when the patient is lying on his or her back in the bed; and the “left” side of the bed as meaning the side of the bed to the patient's left when the patient is lying on his or her back in the bed.
The structure of the patient support platform discussed herein is intended to be typical of the type of hospital bed that would benefit from the structures and functions of the system of the present invention. Other bed frames and patient support systems could equally be suited for an application of the concepts of the present invention with only minor modifications to the structures described herein.
The following descriptions involve the details of the attachment and operation of each of the pad/panels of the present invention with one of four (typically) side rails associated with the hospital bed or the like. In most every case where a left or right side component is being described, the corresponding opposite side of the bed would utilize a mirror image of the described component. Much of the following description, therefore, involves only one side of the complete system and it is understood that an identical description could be made of the corresponding opposite side components.
In the case of the lower side rail pad/panels it is to be noted that a single configuration is all that is required as the mirror image appropriate for the opposite side of the bed is in fact simply the same component turned over (rotated within the same plane 180°). In the case of the upper side rail pad/panel the mirror image is not, in the preferred embodiment, the same exact component. The reasons for this distinction become clear from the following description of the drawing figures.
Reference is made first to
Moveable side rail pad/panel assembly 101 that is ultimately attached to the existing structure includes pad body panel 103, rotatable cover disk 105 (shown in dashed line detail in this view) and the associated hardware for the pivoting attachment of these components. Pad body panel 103 is a specifically configured panel that comprises extensions 119 and indentations 121 and 127 sized and positioned to serve the objectives mentioned above of occluding spaces and openings in the existing side rail system. In addition, as mentioned above, the indentations 127 are positioned and placed to continue to allow access to the necessary control levers and the like which are associated with the operation of the bed frame and of the side rails themselves.
Side rail bracket arms 13 in this view are seen to have a minor modification to facilitate both the attachment of the pad/panel 103 and the proper movement of the pad/panel in tandem with the corresponding movement of the side rail. In this case, it is necessary for the pad/panel to not only lower and “collapse” down with the side rail, it is also necessary that it shift laterally in the process. This requirement for the lower side rail panels is due in part to the function the extension 119 plays in partially occluding the gap between the existing side rails of the bed frame as the frame moves through its various articulating configurations. The short extension shown positioned at right angles to the existing bracket in each case is either integral to a new “replacement” bracket that is included with the installation of the system or is an attachable component (such as with bolts and screws or the like) as part of the installation process.
In any case, a second pivot axis is established offset from the pivot axis already present at the existing side rail pivot bearing 15. This second pivot axis is maintained by pad pivot bolt 111 which serves to hold the panel 103 and the cover disk 105 to the bracket arm 13. As the attached components rotate about this new pivot point, the side rail itself continues to rotate about the side rail pivot bearing 15 which is now centered in and travels in follower slot 113. This semi-circular (plus) slot allows the panel to rotate with respect to the bracket arms about a different axis of rotation from the side rail itself and to “follow” the side rail in a generally parallel but displaced motion through both the aforementioned half-way point and through to the fully lowered and stowed position.
In
Side rail bracket arms 12 in this view are seen not to require the modification discussed above with the lower side rail structures, in order for the pad/panel 102 and the proper movement of the pad/panel in tandem with the corresponding movement of the side rail. In this case, it is only necessary for the pad/panel to lower (through a sideways arc) and “collapse” down with the side rail. Extension 118 in this case serves to partially occlude the gap between the existing upper side rail and the headboard of the bed frame. The extension 118 includes two bends along axes 120 and 122 to further “wrap” the corner opening between the upper side rail and the headboard of the bed frame. These angled sections are discussed in more detail below with respect to
In this case, a second pivot axis is established offset only in the vertical from the pivot axis already present at the existing side rail pivot bearing 14. This second pivot axis is maintained by pad pivot bolt 110 which serves to hold the panel 102 and the cover disk 104 to the bracket arm 12. As the attached components rotate about this new pivot point, the side rail itself continues to rotate about the side rail pivot bearing 14 which is now centered in and travels in follower slot 112. This semi-circular slot allows the panel to rotate with respect to the bracket arms about a different axis of rotation from the side rail itself and to “follow” the side rail in a generally parallel but displaced motion through both the aforementioned half-way point and through to the fully lowered and stowed position.
Reference is now made to
Reference is now made to
Likewise,
Although the present invention has been described in terms of the foregoing preferred embodiments, this description has been provided by way of explanation only, and is not intended to be construed as a limitation of the invention. Those skilled in the art will recognize modifications of the present invention that might accommodate specific existing patient support structures or hospital bed configurations. Such modifications as to size, and even configuration, where such modifications are merely coincidental to existing structures of the bed, do not depart from the spirit and scope of the invention.
This application claims the benefit under 35 U.S.C. § 119 (e), of U.S. Provisional Application No. 60/653,714, filed Feb. 16, 2005.
| Number | Name | Date | Kind |
|---|---|---|---|
| 6564404 | Nanahara | May 2003 | B1 |
| 20020047296 | Houston et al. | Apr 2002 | A1 |
| Number | Date | Country | |
|---|---|---|---|
| 20060179569 A1 | Aug 2006 | US |
| Number | Date | Country | |
|---|---|---|---|
| 60653714 | Feb 2005 | US |
