The present invention relates to patient support apparatuses such as hospital beds. In particular, the invention relates to patient support apparatuses with movable siderails.
Hospital beds are beds which are usually provided with specialized features to assist medical personnel in providing care for patients. A hospital bed typically comprises a patient support surface on which a patient can lie down and a plurality of barriers or siderails disposed around the patient support surface. Usually, the siderails can be lowered to allow the patient to be easily placed on the patient support surface, and then raised to prevent the patient from falling from the patient support surface or from getting out of the bed.
Unfortunately, the width of the bed is often increased when the siderails are lowered in existing beds. This may cause difficulties when displacing the bed through a room door frame or when entering/exiting an elevator with the bed.
Furthermore, the siderails, when lowered, may also create obstacles around the bed, making it harder for medical personnel to adequately interact with the patient lying on the bed or to perform maintenance of the bed. This may further make it harder for patients to enter and exit the bed.
Most siderails also include unreliable locking system for siderails and typically do not provide any indication that they are properly locked in place when raised. Siderails could therefore be inadvertently left unsecured and fall unexpectedly, which may possibly lead to injuries and/or damage to the bed or cause loud noises which is indesirable in hospitals and most care facilities.
Existing siderails displacement systems may also include grooves and crevices which may make it difficult to properly clean and disinfect the bed.
Example prior art hospital beds are described in U.S. Patent Application Publication Nos. 20120005832, 20040237195, and in U.S. Pat. Nos. 5,187,824, 6,253,397, 6,360,385, 7,073,220, 7,076,818, 7,107,637, 7,028,352, 7,784,125, 6,779,209, 8,104,118, 6,938,289, 8,387,179, 7,712,167, 6,640,360, 7,472,439.
According to one aspect, there is provided a siderail assembly for a bed, the bed having a patient support assembly, the siderail assembly comprising: a siderail disposed in a siderail plane; a mounting member for mounting to the patient support assembly; at least two parallel connecting arms, each connecting arm having a first end pivotably connected to the mounting member and a second end pivotably connected to the siderail, each connecting arm being adapted to pivot relative to the siderail about a first pivot axis and to pivot relative to the mounting member about a second pivot axis to allow the siderail to pivot along an arcuate path relative to the mounting member, the first and second pivot axes being parallel to each other and angled relative to the siderail plane to allow the siderail to move in a direction perpendicular to the siderail plane when pivoting.
In one embodiment, the first and second pivot axes are angled downwardly relative to a horizontal plane to allow the siderail to pivot between a raised position in which the siderail is in a first siderail plane and a lowered position in which the siderail is in a second siderail plane parallel to the first siderail plane and spaced therefrom.
In one embodiment, each connecting arm is disposed in an arm plane, the arm plane being angled relative to the siderail plane.
In one embodiment, the siderail plane is vertical.
In one embodiment, the siderail motion assembly includes a damper connecting the mounting member to at least one of the at least two connecting arms for damping the pivoting of the siderail.
In one embodiment, the siderail assembly further comprises a locking assembly movable between a locked position preventing the pivoting of the siderail and an unlocked position allowing the pivoting of the siderail.
In one embodiment, the siderail assembly further comprises an indicator for providing an indication of whether the locking assembly is in the locked position or the unlocked position.
In one embodiment, the siderail assembly further comprises a nudging assembly for preventing the siderail from remaining at an intermediate position in which a centerline of the connecting arms is at an angle of 90 degrees relative to the horizontal
Having thus generally described the nature of the invention, reference will now be made to the accompanying drawings, showing by way of illustration example embodiments thereof and in which:
Referring first to
Some of the structural components of the bed 100 will be designated hereinafter as “right”, “left”, “head” and “foot” from the reference point of an individual lying on the individual's back on the support surface of the mattress provided on the bed 100 with the individual's head oriented toward the head end 102 of the bed 100 and the individual's feet oriented toward the opposing foot end 104 of the bed 100. Similarly, the term “headward” refers to an element located towards the head end 102 of the bed 100 and the term “footward” refers to an element located towards the foot end 104 of the bed 100. Furthermore “interior” and “exterior” views are also designated from the reference point of the individual lying in the bed. Therefore, an interior view shows an element as seen by the patient looking toward the environment outside of the bed and an exterior view shows an element as seen by medical staff outside of the bed. Generally, an exterior view shows the exterior surfaces of the bed and the interior view shows the interior surfaces of the bed. The terms “inner” and “outer” will similarly be used to describe the position of elements relative to the bed.
The bed 100 includes a base 106, a patient support assembly 108 and an elevation system 110 operatively coupling the patient support assembly 108 to the base 106. In the illustrated embodiment, the base 106 is provided with a displacement assembly 112 which includes casters 114 connected to the base 106 by pivots (not shown) hidden from view by covers 116. This displacement assembly 112 allows the bed 100 to be moved and maneuvered along a floor.
The elevation system 110 is configured to raise and lower the patient support assembly 108 relative to the base 106 between a minimum or fully lowered position and a maximum or fully raised position. In one embodiment, the elevation system 110 is further configured to allow the patient support assembly 108 to be set at any intermediate position between the fully lowered and fully raised positions. The elevation system 110 may further be configured to tilt the patient support assembly 108 in various orientations, as will be further explained below.
Still referring to
Now referring to
Referring specifically to
In the illustrated embodiment, the frame 200 further comprises a plurality of siderail mounting members for mounting the siderail assemblies to the bed 100. Specifically, the frame 200 comprises footward and headward left foot siderail mounting members 508, 510 which extend outwardly from the left longitudinal frame member 502 near the foot end 104 of the bed 100. The left foot siderail mounting members 508, 510 are adapted for receiving the left foot siderail assembly 130, as will become apparent below. More specifically, the left foot siderail mounting members 508, 510 are disposed perpendicular to the left longitudinal frame members 402 and parallel to each other. Similarly, the frame 200 also comprises front and rear right foot siderail mounting members 512, 514 which extend outwardly from the right longitudinal frame member 504 near the foot end 104 of the bed 100 for receiving the right foot siderail assembly 132, as will also become apparent below.
Alternatively, the foot siderail assemblies 130, 132 could instead be mounted directly to the longitudinal frame members 502, 504, to the underside of the patient support surface 250 or to any other mounting structure provided on the bed 100.
In the illustrated embodiment, the head siderail assemblies 126, 128 are directly mounted to the patient support surface 250. More specifically, the patient support surface 250 comprises a backrest 252, two core support panels 254, 256 and a lower body support panel 258, and the head siderail assemblies 126, 128 are mounted to the underside of the backrest 252. In the illustrated embodiment, the backrest 252 is adapted to be pivoted relative to the core support panels 254, 256 and the lower body support panel 258. The head siderail assemblies 126, 128 will therefore move along with the backrest 252 when the backrest 252 is pivoted.
Now turning to
The right foot siderail assembly 132 comprises a siderail 600, a motion control assembly 602 secured to the patient support assembly 108 and footward and headward parallel connecting arms 604, 606 pivotably connecting the siderail 600 to the motion control assembly 602 to allow the siderail 600 to be rotated relative to the patient support assembly 106 between a lowered position and a raised position.
As best shown in
The siderail panel 608 is generally planar and extends along a siderail plane P (best shown in
In the illustrated embodiment, the siderail panel 608 further includes a first opening 622 located adjacent the top edge 620, near the headward end 618, and a second opening 624 also located adjacent the top edge 620, near the footward edge 616. Both the first and second openings 622, 624 extend all the way through the siderail panel 608 between the inner face 610 and the outer face 612. It will be appreciated that these openings 622, 624 allow the top edge to be easily grabbed for displacing the bed 100 on the floor. The openings 322, 324 can also facilitate the manipulation of the siderail 600 when the siderail 600 is pivoted, as will become apparent below.
Still in the illustrated embodiment, each connecting arm 604, 606 comprises an upper end 626 pivotably connected to the siderail 600 and a lower end 628 pivotably connected to the motion control assembly 602. Each connecting arm 604, 606 is generally elongated and is symmetrical about a longitudinal centerline ACL. Each connecting arm 604, 606 is also generally flat and extends generally in an arm plane A (best shown in
Furthermore, each connecting arm 604, 606 includes a generally planar inner face 627 and a generally outer face 629 which are both parallel to the arm plane A. The inner face 627 abuts and extends parallel to the bottom portion 619 of the inner face 610 of the siderail panel 608. This configuration allows the connecting arm 604, 606 to be guided along the bottom portion 619 of the inner face 610 of the siderail panel 608 as the siderail 600 is pivoted, and also allows the angle between the arm plane A and the siderail plane P as the siderail 600 is pivoted.
Referring specifically to
The central arm member 630 is generally straight and flat, and has an inner face 636 adapted to be oriented towards the patient support assembly 108 and an outer face 638 adapted to be oriented towards the inner face 610 of the siderail 600. The central arm member 630 includes an upper shaft 640 located at the upper end 626 of the connecting arm 604 and a lower shaft 642 located at the lower end 628 of the connecting arm 604. Specifically, the upper shaft 640 extends away from the outer face 638 of the central arm member 630 and the lower shaft 642 extends away from the inner face 636 of the central arm member 630. The upper shaft 640 defines an upper pivot axis AU and the lower shaft 642 defines a lower pivot axis AL, both pivot axes AU and AL being parallel to each other and extending in a direction normal to the arm plane A (best shown in
The siderail 600 is configured to pivot relative to the connecting arms 604, 606 about the upper pivot axis Au, and the connecting arms 604, 606 are configured to pivot relative to the motion control assembly 602 about the lower pivot axis AL. It will be appreciated that the footward and headward connecting arms 604, 606, the siderail 600 and the motion control assembly 602 define together a parallelogram linkage configuration. This configuration prevents the siderail 600 from pivoting about a single one of the upper pivot axes AU. Instead, the siderail 600 stays in the same orientation and simply moves along an arcuate path when pivoted. It will be understood that the connecting arms 604, 606 are sufficiently spaced from each other such that they do not interfere with each other when the siderail 600 is rotated.
Referring specifically to
In the illustrated embodiment, the motion control assembly 602 comprises an elongated mounting member or plate 636 which has a generally flat central portion 638 and raised footward and headward end brackets 640, 642. A pair of mounting holes 644 extend through both the footward and headward end brackets 640, 642 to receive fasteners for fastening the right foot siderail assembly 132 to the footward and headward right foot mounting members 508, 510 of the frame 200. More specifically, the mounting members 508, 510 are spaced apart such that the footward end bracket 640 of the mounting plate 636 is located below the front right foot mounting member 508 and the headward end bracket 642 is located below the rear right foot mounting member 510. Fasteners 550 are inserted through the mounting holes 644 and through the mounting members 508, 510 to secure the mounting plate 636 to the frame 200.
Referring now to
The mounting plate 636 further includes first and second spaced-apart bracket members 710, 910 (best shown in
The motion control assembly 602 further includes a pivoting plate 650 pivotably connected to the mounting plate 636. In the illustrated embodiment, the pivoting plate 650 is generally flat and has a generally L-shaped profile. Specifically, the pivoting plate 650 includes a generally rectangular lower pivoting plate portion 652 and a generally rectangular upper pivoting plate portion 654 which extends generally perpendicular to the lower pivoting plate portion 652. The pivoting plate 650 is connected to the first bracket member 710 via a pivot pin 712 which extends through the lower pivoting plate portion 652 and through the first bracket member 710. In the illustrated embodiment, the pivot pin 712 is generally off-centered relative to the lower pivoting plate portion 652. Specifically, the pivot pin extends through the pivoting plate 650 near an upper headward corner 912 of the lower pivoting plate portion 652, near the upper pivoting plate portion 654 (as best shown in
As best shown in
The pivoting plate 650 further includes a mounting hole 914 which is also off-centered relative to the lower pivoting plate portion 652. More specifically, the mounting hole 914 is located towards the second bracket member 910 and near the upper pivoting plate portion 654. A helical tension spring 920 further extends between the second bracket member 910 and the pivoting plate 650. Specifically, the tension spring 920 has a first end 922 hooked on the mounting hole 914 of the pivoting plate 650 and a second end 924 hooked on a mounting hole 926 of the second bracket member 910. In
The motion control assembly 602 further comprises a damper 720 (best shown in
It will be appreciated that in the configuration described above, the pivoting plate 650 acts as a lever between the pivot pin 712 and the spring 920 and between the pivot pin 712 and the damper 720, which allows linear movement of the tension spring 920 to cause pivoting of the pivoting plate 650 about the pivot pin 712 and which also allows pivoting of the pivoting plate 650 to cause linear movement of the damper 720. Alternatively, instead of a pivoting plate 650, lever arms could be provided between the pivot pin 712 and the tension spring 920 and between the pivot pin 712 and the damper 720 to accomplish this function.
The motion control assembly 602 further includes footward and headward pillow blocks 660, 662 adapted to receive the lower shaft 642 of the footward and rearward connecting arms 604, 606, respectively. In the illustrated embodiment, each pillow block 660, 662 is generally rectangular and comprises generally planar top and bottom surfaces 664, 666 which extend parallel to each other. In the illustrated embodiment, the bottom surface 666 of the pillow block is adapted to mate with a top surface 668 of the mounting plate 636 such that the pillow block 660, 662 is received on the mounting plate 636 and is attached thereto using fasteners 670.
Still in the illustrated embodiment, each pillow block 660, 662 is made of two distinct portions which are attached together, as best shown in
The top and bottom recesses 676, 678 together define a bore 1000 (best shown in
It will be understood that providing the pillow blocks 660, 662 in two clamp portions simplifies the mounting of the lower shaft 642 within the bore 1000 of the pillow blocks 660, 662. Alternatively, the pillow blocks 660, 662 could each be made as a single, unitary structure.
In the illustrated embodiment, the lower shaft 642 includes a first end 680 connected to the lower end 628 of the connecting arm 604, 606 and a second end 682 located away from the connecting arm 604, 606. As shown in
Referring specifically to
Still referring to
Referring now to
In the illustrated embodiment, the abutment member 688 comprises a footward end 820 pivotably connected to the crank 684 of the footward connecting arm 604 and a headward end 822 pivotably connected to the crank 684 of the headward connecting arm 606. As best shown in
The upper edge 692 of the abutment member 688 further comprises a raised portion 826 located between the front and rear semicircular indents 824. In the illustrated embodiment, the raised portion 826 is located towards the footward connecting arm 604. The raised portion 826 is configured to cooperate with the pivoting plate 650 to dampen the pivoting of the siderail 600 from the raised position to the lowered position as it gets near to the lowered position. Specifically, the upper pivoting plate portion 654 extends away from the mounting plate 636 and above the abutment member 688, and a bumper 830 is secured to the underside of the upper pivoting plate portion 654. In the illustrated embodiment, the bumper 830 is generally circular and is secured through a bumper mounting hole 832 defined in the upper pivoting plate portion 654. Alternatively, the bumper 830 could have any other shape, and could be simply glued to the underside of the upper pivoting plate portion 654 or secured using any other technique known to the skilled addressee.
When the siderail 600 is pivoted towards the lowered position and slightly before the siderail 600 reaches the lowered position, the raised portion of the abutment member 688 abuts the bumper 830 and causes the pivoting plate 650 to pivot upwardly about the pivot pin 712. As explained above, the pivoting of the pivoting plate 650 causes linear movement of the damper 720, which dampens the pivoting of the pivoting plate 650, thereby also dampening the movement of the abutment member 688 and therefore of the siderail 600 as well. This configuration prevents the siderail 600 from coming to an abrupt stop when it reaches the lowered position, which may damage the siderail assembly as well as cause discomfort to the patient lying on the bed 100.
In one embodiment, the bumper 830 is made of elastomeric material such as rubber. Alternatively, the bumper 830 could be made of any other material deemed by the skilled addressee to be suitable.
Now referring to
The central portion 716 of the pawl member 710 includes a rectangular opening 718 which has an inner sidewall 720. The locking assembly 700 further comprises a helical compression spring 722 which biases the pawl member 710 downwardly. More specifically, the housing 702 comprises a projection 724 which extends through the rectangular opening 718 of the pawl member 710, and the compression spring 722 extends between the inner sidewall 720 of the rectangular opening 718 and the projection 724. The locking assembly 700 further comprises a handle 726 which is secured to the underside of the central portion 716 of the pawl member 710. The housing 702 and the cover 704 both include corresponding downwardly-facing rectangular indents 728 which provide access to the handle 726. When the handle 726 is pushed upwardly by a user, the pawl member 710 is pivoted upwardly about the upper shaft 640. Simultaneously, the compression spring 722 is compressed between the inner sidewall 720 of the pawl member 710 and the projection 724 of the housing 720. When the handle 726 is released, the pawl member 710 is pivoted back down to its initial position by the compression spring 722.
The locking assembly 700 further comprises a wheel member 730 mounted to the upper shaft 640 of the headward connecting arm 606. The wheel member 730 is locked in rotation with the upper shaft 640 such that rotation of the upper shaft 640 causes the wheel member 730 to rotate as well. The wheel member 730 comprises a tooth 732 which projects outwardly from the wheel member 730. The wheel member 730 is configured such that the locking assembly 700 is in a locked position when the siderail 600 is in the raised position, in which the tooth 732 abuts the free end 714 of the pawl member 710 to prevent pivoting of the upper shaft 640 of the headward connecting arm 606 relative to the siderail 600, which prevents the entire siderail 600 from pivoting.
The locking assembly 700 is unlocked by pushing the handle 726 upwardly. Specifically, the pawl member 700 is pivoted upwardly such that its free end 714 is raised above the tooth 732, which allows the upper shaft 640 of the headward connecting arm 606 to pivot relative to the siderail 600 and therefore allows the siderail 600 to pivot from the raised position towards the lowered position.
In the illustrated embodiment, the locking assembly 700 further comprises a indicator which provides an indication of whether the locking assembly 700 is in the locked position or the unlocked position. Specifically, the cover 704 comprises a window 734 located above the indent 728 of the cover 704 to allow visual access inside the housing 702. Through the window 734, the user can see the handle 726 which provides a visual indication that the locking assembly 700 is locked or unlocked. In one embodiment, the handle 726 could comprise a lower portion which is in a predetermined color and which is masked by the cover 704 between the indent 728 and the window 704 when the locking assembly 700 is in the locked position. When the handle 726 is pushed up, the lower portion of the handle 726 becomes aligned with the window 734 and the color becomes visible to the user or to anyone looking at the window 734. Instead of a predetermined color, the indicator could include a reflective element or a light source. Alternatively, the pawl member 710 itself could be directly visible through the window 734. In this case, the user could simply see the position and/or angle of the pawl member through the window and thereby determine if the locking assembly 700 is in a locked or unlocked position.
Alternatively, another type of visual indication could be provided to the user, for example a marker having a predetermined color associated with the locked position which is only visible when the handle 726 is not raised. In another embodiment, instead of a color, a symbol could be shown corresponding to the current status of the locking assembly 700. In yet another embodiment, the indicator could produce a sound or any other type of indication instead of a visual indication. In yet another embodiment, the handle 726 and/or the pawl member 710 could be operatively coupled to a sensor, which could be operatively connected to the control interface and could thereby provide an indication of whether the locking assembly 700 is in the locked position or the unlocked position through the control interface.
Operation of the right foot siderail assembly 132 will now be described in accordance with one embodiment, with reference to
In the illustrated embodiment, the siderail 600 of the right foot siderail assembly 132 is initially in the raised position. As best seen in
To move the siderail 600 from the raised position to the lowered position, the user first pushes the handle 726 of the locking assembly 700 upwardly. It will be appreciated that in the illustrated embodiment, the handle 726 is located towards the outer face 612 of the siderail 600, and is therefore easily accessible to a user standing next to the bed 100 but would be more difficult to reach for a patient lying on the bed 100. This may help to prevent certain patients from lowering the siderail 600 and exiting the bed without proper supervision.
It will be appreciated that once the siderail 600 is pivoted such that the tooth 732 of the wheel member 730 has moved beyond the free end 714 of the pawl member 710, the user may release the handle 726 and the locking assembly 700 will remain in the unlocked position.
Once the locking assembly 700 is unlocked, the siderail 600 may be pivoted towards the lowered position. Specifically, the user may manually push the siderail 600 laterally in the siderail plane P to pivot the siderail 600 at least until the centerline ACL of the connecting arms 604, 606 defines an angle of 90 degrees relative to the horizontal plane H. The user may then keep pushing the siderail 600, or may let go of the siderail 600 which will continue to pivot towards the lowered position under its own weight.
Since the lower pivot axis AL of the lower shafts 642 is angled relative to the mounting plate 636, the siderail 600 is also moved inwardly towards the patient support assembly 108 as the siderail 600 is pivoted, as best shown in
This configuration allows the patient lying on the patient support surface 250 to enjoy increased space widthwise between the siderails 600 while still allowing medical personnel to stand close to the bed 100 when the siderails 600 are in the lowered position to have access to the patient support assembly 108 and/or to the patient lying on the patient support assembly 108.
Furthermore, slightly before the siderail 600 reaches the lowered position, the raised portion 826 of the abutment member 688 abuts the bumper 830 of the pivot plate 650. The pivot plate 650 thereby pivots slightly upwardly. As explained above, this moves the damper 720 linearly and extends the tension spring 920. The pivoting of the siderail 600 is therefore damped as it comes to a stop at the lowered position to prevent damage to the bed 100 and to prevent the siderail 600 from producing undesirable loud noise and/or vibrations as explained above.
In the illustrated embodiment, the siderail 600 may pivot until the lower shaft 642 of the headward connecting arm 606 is received in the corresponding semi-circular indent 824 of the abutment member 688. In this position, the abutment member 688 abuts the lower shaft 642, thereby preventing further pivoting of the siderail 600, and the abutment member 688 is maintained in abutment against the lower shaft 642 by the weight of the siderail 600. Alternatively, instead of being limited by the abutment member 688, the pivoting of the siderail 600 may be limited by a stop member located elsewhere on the right foot siderail assembly 132, on the frame 200 or on the patient support assembly 108.
To pivot the siderail 600 from the lowered position towards the raised position, the user simply pulls the siderail 600 up in the opposite direction along its travel path until the connecting arms 604, 606 pivots beyond an intermediate position in which their centerline ACL are at an angle of 90 degrees relative to the horizontal. The user can then continue to push the siderail 600 towards the raised position or can let go of the siderail 600, which will pivot towards the raised position under its own weight.
It will be appreciated that during this movement, the abutment member 688 moves away from the upper pivoting plate portion 654 of the pivoting plate 650. When the abutment member 688 no longer abuts the pivoting plate 650, the tension spring 920 urges the pivoting of the pivoting plate 650 back towards its original orientation. As the pivoting plate 650 is pivoted back to its original orientation, the damper 720 is also moved back into its original, non-extended position.
When the siderail 600 reaches the raised position, the locking assembly 700 is moved back into the locked position. More specifically, the wheel member 730 is rotated until the free end 714 of the pawl member 710 is urged back into engagement with the tooth 732 of the wheel member 730. The siderail 600 is thereby prevented from pivoting back towards the lowered position until the locking assembly 700 is unlocked again.
In one embodiment, as the siderail 600 is pivoted near the raised position, the abutment member 688 is again brought in abutment against the bumper 830 to dampen the pivoting of the siderail 600 as it comes to a stop at the raised position. Alternatively, dampening of this movement may not be required or desired, especially if the siderail 600 only travels a relatively small vertical distance between a position in which the centerlines ACL of the connecting arms 604, 606 are at an angle of 90 degrees relative to the horizontal and the raised position.
Now turning to
Similarly to the right foot siderail assembly 132, the left head siderail assembly 126 comprises a motion control assembly 1400 configured to be mounted to the patient support assembly 108, footward and headward connecting arms 1402, 1404 pivotably connected to the motion control assembly 1400 and a siderail 1406 pivotably connected to the connecting arms 1402, 1404.
The siderail 1406 includes a siderail panel 1408 and a locking assembly 1600 (shown in
The siderail panel 1408 of the left head siderail assembly 126 is substantially longer than the siderail panel 608 of the right foot siderail assembly 132. Furthermore, the siderail panel 1408 has a top edge 1410 which curves down towards the foot end 104 of the bed 100 rather than towards the head end 102 of the bed 100, as is the case with the siderail panel 608 of the right foot siderail assembly 132. Alternatively, the siderail panel 1408 of the left head siderail assembly 126 could be similar to the siderail panel 1408 of the right foot siderail assembly 132, or have any other shape deemed by the skilled addressee to be suitable.
In the illustrated embodiment, the motion control assembly 1400 comprises an elongated mounting plate 1412 which is generally dumbbell-shaped. Specifically, the mounting plate 1412 includes generally rectangular footward and headward end portions 1414, 1416 and a narrower central portion 1418 extending between the footward and headward end portions 1414, 1416. The motion control assembly 1400 further comprise footward and headward pillow blocks 1420, 1422 secured to the underside of the mounting plate 1412 under the footward and rearward end portions 1414, 1416, respectively. The pillow blocks 1420, 1422 are substantially similar to the pillow blocks 660, 662 described above in connection with the embodiment of the left foot siderail assembly 132. The pillow blocks 660, 662 are adapted to receive lower shafts 1424 of the connecting arms 1402, 1404 which extend through the pillow blocks. Cranks 1426, similar to the cranks 684 of the right foot siderail assembly 132, are secured to the lower shafts 1424 and an abutment member 1428 extends between and is connected to the cranks 1426. The abutment member 1428 includes top and bottom edges 1430, 1432 which are both generally straight and extend parallel to each other. The top edge 1430 of the abutment member 1428 abuts one of the lower shafts 1424 when the siderail 1406 is in the lowered position to prevent further pivoting of the siderail 1406.
In the illustrated embodiment, the motion control assembly 1400 does not comprise a pivoting plate such as the pivoting plate 650 of the right foot siderail assembly 132. Instead, the motion control assembly 200 comprises a damper 1450 which extends between and is connected to the mounting plate 1412 and the abutment member 1428. In this configuration, the entire pivoting motion of the siderail 1406 between the raised position and the lowered position is damped by the damper 1450.
When the siderail 1406 of the left head siderail assembly 126 is in the raised position, the connecting arms 1402, 1404 are angled such that, to pivot from the raised position to the lowered position, the siderail 1406 does not pass by an intermediate position in which the centerline of the connecting arms are at an angle of 90 degrees relative to the horizontal. In this configuration, when a user unlocks the locking assembly 1600, the siderail 1406 immediately starts to pivot towards the lowered position under its own weight and stops when the abutment member 1428 abuts the lower shaft 1424. Alternatively, the connecting arms 1402, 1404 of the left head siderail assembly 126 could be configured to pivot similarly to the left and right foot siderail assemblies 130, 132. Specifically, the connecting arms 1402, 1404 of the left head siderail assembly 126 could be oriented towards the left foot siderail assembly 130 and configured to pass through an intermediate position in which the centerline of the connecting arms are at an angle of 90 degrees relative to the horizontal before coming to rest at a lowered position away from the left foot siderail assembly 130.
In the illustrated embodiment, the left head siderail assembly 126 further comprises a membrane 1460 secured to the siderail panel 1408 and disposed over the locking assembly 1600. Specifically, the siderail panel 1408 has an inner face 1462 located towards the motion control assembly 1400 and an outer face 1464 located away from the motion control assembly 1400. The outer face 1464 includes a recess 1461 which is sized and shaped for receiving the membrane 1460. In the illustrated embodiment, the membrane 1460 includes a central portion 1466 and a peripheral portion 1468 which is thinner than the central portion 1466, as shown in
In one embodiment, the membrane 1460 is opaque, but alternatively, the membrane 1460 could be translucent or transparent. In one embodiment, the central portion 1466 has a thickness of about 1.5 to 2 mm, and the peripheral portion 1468 has a thickness of about 0.25 mm. Alternatively, the central and peripheral portions 1466, 1468 of the membrane 1460 could have different thicknesses.
In the illustrated embodiment, the locking assembly 1600 comprises a first window 1470 and the membrane 1460 comprises an second window 1472 which is aligned with the first window 1470. In one embodiment, the second window 1472 is transparent and is located in the central portion 1466 of the membrane 1460 which is opaque. Alternatively, the second window 1472 could also comprise an opening defined in the membrane 1460. The second window 1472 is adapted to allow a user to see through the first window of the locking assembly 1600 an indication of whether the locking assembly is locked or unlocked.
It will be appreciated that a similar membrane could be provided on some or all of the other siderail assemblies 128, 130, 132.
Referring now to
It will also be appreciated that in the configuration illustrated in
Now turning to
It will be appreciated that this situation would not be desirable, because the siderail 600 would thereby be stuck in an unstable equilibrium and could suddenly and unexpectedly move towards one of the raised and lowered positions, for example if the bed 100 is moved.
In the embodiment illustrated in
The first nudging subassembly 1904 comprises a first leaf spring 1906 secured to the abutment member 688 and a first cam member 1908 secured to the underside of the mounting plate 636. The first leaf spring 1906 is located towards the first cam member 1908 and comprises a base portion 1910 fastened to the abutment member 688 and a free end portion 1912 resiliently connected to the base portion 1910. A first roller 1914 is further rotatably mounted to the free end portion 1912 of the first leaf spring 1906.
In the illustrated embodiment, the first cam member 1908 comprises a base 1916 fastened to the mounting plate 636 and a pointed screw 1918 which extends through the base 1916 and points towards the abutment member 688. Alternatively, the first cam member 1908 could instead be made of a single, unitary piece of material or could have any other configuration deemed by the skilled addressee to be suitable.
The first cam member 1908 and the first leaf spring 1906 are disposed relative to each other such that the pointed screw 1918 contacts the first roller 1914 and biases away the free end portion 1912 of the first leaf spring 1906 when the siderail 600 is in the intermediate position in which the centerlines CL of the connecting arms 604, 606 define an angle of 90 degrees relative to the horizontal, as shown in
The second nudging subassembly 1906 comprises a second leaf spring 1920 secured to the underside of the mounting plate 636 and a second cam member 1922 extending radially and outwardly from the first end 680 of one of the lower shafts 642. The second leaf spring 1920 comprises a base portion 1924 and a free end portion 1926 resiliently connected to the base portion 1924. A second roller 1928 is further rotatably mounted to the free end portion 1926 of the second leaf spring 1920, similarly to the first leaf spring 1906.
In the illustrated embodiment, the second cam member 1922 is integrally formed with the lower shaft 642. Alternatively, the second cam member 1922 could be distinct from the lower shaft 642 and secured to the lower shaft 642.
The second nudging subassembly 1906 works substantially the same way as the first nudging subassembly 1904. Specifically, the second cam member 1922 and the second leaf spring 1920 are disposed relative to each other such that the second cam member 1922 contacts the second roller 1928 and biases away the free end 1926 of the second leaf spring 1920 when the siderail 600 is in the intermediate position. The second roller 1928 therefore pushes against the second cam member 1922 until the second roller 1928 rolls on the second cam member 1922 and forces the lower shaft 642 to pivot, thereby forcing movement of the abutment member 688 which nudges the siderail 600 towards one of the raised position and the lowered position.
Alternatively, the nudging assembly 1902 could further comprise a third nudging subassembly similar to the second nudging subassembly 1906 and configured for cooperating with the lower shaft 642 of the other one of the connecting members 604, 606. In yet another embodiment, the nudging assembly 1902 could only comprise one of the first and second nudging subassemblies 1904, 1906.
Now turning to
The motion control assembly 2002 comprises a mounting plate 2010 and footward and headward pillow blocks 2012, 2014 slidably connected to the mounting plate 2010. The pillow blocks 2012, 2014 are adapted to receive a lower shaft 2015 of the connecting arms 2004, 2006. The pillow blocks 2012, 2014 depend from the mounting plate 2010 and are further attached together by a rigid member 2016 (best shown in
Each pillow block 2012, 2014 comprises a pair of elongated sliders 2026 which are configured for engaging a respective one of the first and second pair of slots 2022, 2024. The elongated sliders 2026 are shorter than the slots 2022, 2024 to allow the sliders 2026 to slide within the slots 2022, 2024. The motion control assembly 2002 further comprises footward and headward cranks 2028, 2030 secured to the lower shafts 2015 of the footward and headward connecting arms 2004, 2006, respectively. Each crank 2028, 2030 comprises a first end 2032 secured to the lower shaft 2015 and a second end 2034 located away from the first end 2032. The motion control assembly 2002 further includes an abutment member 2035 extending between the second ends 2034 of the cranks 2028, 2030 to connect the cranks 2028, 2030 together.
The motion control assembly 2002 further includes a connecting rod or holding arm 2036 extending between the mounting plate 2010 and the footward crank 2028. Specifically, the holding arm 2036 has a first end 2038 connected to an arm bracket 2039 extending downwardly from the mounting plate 2010 and a second end 2040 pivotably connected to the footward crank 2028 between the first and second ends 2032, 2034 of the footward crank 2028. When the siderail 2008 is pivoted, the footward crank 2028 pivots about the second end 2040 of the holding arm 2036. Since the second end 2040 of the holding arm 2036 is generally maintained at the same horizontal position by the holding arm 2036, the first end 2032 of the footward crank 2028, by rotating, will move in the same direction as the direction in which the siderail 2008 is pivoted. For example, if the siderail 2008 is pivoted towards the foot end 104 of the bed 100, the first end 2032 of the footward crank 2028, and thereby the lower shaft 2015 of the footward connecting arm 2004, will also move towards the foot end 104 of the bed 100. This will cause the footward pillow block 2012 to also move towards the foot end 104 of the bed 100 while being guided by the sliders 2026 in the slots 2022, 2024, as shown in
It will be appreciated that the pivoting of the footward crank 2028 may cause a slight downward pivoting of the holding arm 2036 about its first end 2038. The first end 2038 of the holding arm 2036 may therefore be pivotably connected to the arm bracket 2039.
It will further be appreciated that the mounting plate 2010 could instead comprise a single slot associated with each one of the pillow blocks 2012, 2014.
Now turning to
It will also be appreciated that in the configuration illustrated in
Referring now to
Unlike the connecting arms 604, 606 described above in connection with
The shaft member 2606 has a first end 2624 inserted in the bottom opening 2616 and an opposite second end 2626. In the illustrated embodiment, the shaft member 2606 further comprises a crank 2628 located at its second end 2626 and which is integrally formed with the shaft member 2606. Still in the illustrated embodiment, the first end 2624 of the shaft member 2606 includes a key 2630 which is adapted to engage a keyway portion (not shown) located in the main body member 2602 when the shaft member 2606 is inserted in the bottom opening 2616 to lock the shaft member 2606 and the crank 2628 in rotation with the main body member 2602.
The shaft member 2606 is also hollow and defines a conduit 2632 which is in communication with the channel 2620 and the top opening 2618 of the main body member 2602. In one embodiment, a control interface is provided in the siderail pivotably connected to the connecting arm 2600. In this configuration, wires can be passed through the top opening 2618, through the channel 2620 and through the conduit 2632 to be connected to a control module or electrical or electronic device located elsewhere on the bed 100.
The cover member 2604 can be secured over the outer face of the main body member 2602 for masking the wires and preventing dirt and pathogens from entering the main body member 2602. The cover member 2604 also provides a smooth surface which may facilitate cleaning.
Alternatively, instead of comprising three distinct parts, the connecting arm 2006 may comprise a single part or any number of parts which may facilitate the manufacturing or assembly of the connecting arm 2600. In one embodiment, the parts are molded, but alternatively the parts of the connecting arm 2600 could be made using any other suitable technique known to the skilled addressee.
In the embodiments illustrated in
Still in the embodiments illustrated in
It will be understood that although the present description refers to a hospital bed, other patient support devices, such as stretchers, adjustable chairs, home-care beds, etc., are also suitable for use with the described systems. Moreover, the term “patient” is not intended to be limiting, and can be taken to apply to any user of the support device, such as an individual undergoing short-term, medium-term or long-term care, a hospital patient, a nursing home resident, etc.
The embodiments described above are intended to be exemplary only. The scope of the invention is therefore intended to be limited solely by the appended claims.
Number | Date | Country | |
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62043010 | Aug 2014 | US |