The present disclosure relates to a patient support apparatus for supporting a patient, and, more particularly, to a system and method for dynamically braking a patient support apparatus.
Patient support apparatus comprise complex mechanical and electronic components for movement, functionality and convenience. Often, the operator directs movement of the patient support apparatus from the head-end by pushing on the head-end or push handles located at the head-end.
Many patient support apparatuses include a fifth wheel which is raised and lowered by an attendant by directly manually manipulating the wheel support frame oriented beneath the patient supporting portion of the patient support apparatus. The fifth wheel is positioned at substantially the center of the patient support apparatus such that usually the rear castered wheels and the fifth wheel engage the floor surface and support the patient support apparatus while the front castered wheels are raised when the fifth wheel is deployed. A drive mechanism may be coupled to the fifth wheel to assist in the moving and steering of the patient support apparatus.
Braking systems may be used to safely maneuver and park the hospital patient support apparatus during patient transport. It would be advantageous to provide a braking system that allows for greater control of the movement and positioning of the patient support apparatus while creating supplemental charging options for the hospital patient support apparatus's batteries and electrical storage units. Therefore, there is a need to provide a patient support apparatus which overcomes the limitations of the prior art.
In one embodiment, a patient support apparatus for supporting a patient includes a base having a length and, further, a plurality of caster wheels enabling movement of the patient support apparatus across a floor surface. A support structure may be secured to the base and configured to rotatably support at least one non-castered auxiliary wheel about an axis transverse to the length of the base for engagement with the floor surface. The patient support further includes a braking system to apply a braking force to the at least one auxiliary wheel.
In one aspect, the braking system includes at least one brake member that is configured to apply a braking force to the at least one auxiliary wheel.
Further, the at least one brake member is movable between a first position wherein the at least one brake member is disengaged from the auxiliary wheel and a deployed position wherein the at least one brake member is frictionally engaged with the auxiliary wheel to restrict rotation of the auxiliary wheel.
For example, the brake member may comprise a caliper operable to frictionally engaged a disc provided with the at least one auxiliary wheel to thereby brake the at least one auxiliary wheel.
In another aspect, the auxiliary wheel comprises a first auxiliary wheel and a second auxiliary wheel spaced apart from the first auxiliary wheel. A shaft extends between and rotatably connects the first and second auxiliary wheels.
In a further aspect, the braking system selectively limits rotation of the auxiliary wheel by frictionally engaging the shaft extending between and connecting the first and second auxiliary wheels.
In another embodiment, the braking system includes a clutch to selectively couple or decouple the shafts of the first and second auxiliary wheel together.
In yet another embodiment, the auxiliary wheels are each mounted about a shaft and the braking system includes a differential rotatable joining the shafts, and the braking system selectively applying a torque to the differential to apply a braking force to the auxiliary wheels.
The braking system of the patient support apparatus may further be adapted to synchronize the braking forces applied to the first and second auxiliary wheels.
In one embodiment, a drive mechanism may include a motor configured to drive the auxiliary wheel. The braking system limits rotation of the auxiliary wheel by frictionally engaging the drive mechanism to brake the auxiliary wheel.
In one embodiment, the auxiliary wheel is mounted to the base independently of each of the caster wheels. The plurality of caster wheels comprises four caster wheels spaced from one another on the base that engage the floor surface. The plurality of caster wheels include a head end caster wheel and a foot end caster wheel, each caster wheel having a caster wheel axis of rotation and a swivel axis, and the auxiliary wheel being located between the axes of rotation of the head end caster wheel and the foot end caster wheel.
In another embodiment, the brake system comprises a hydraulic brake system.
In yet another embodiment, the braking system includes a clutch, including a mechanically driven clutch, an electrically driven clutch, or a hydraulically driven clutch, to synchronize the braking forces applied to the auxiliary wheels.
In still another embodiment, the braking system includes a caliper to brake one of the auxiliary wheels, and the clutch selectively applying the braking force from the one of the auxiliary wheels to the other of the auxiliary wheels.
A control system for controlling the braking system may be configured to modulate the braking force to the auxiliary wheel or wheels. The braking system may include an on or off state.
In another embodiment, the braking system includes a brake-on state and is actuated to release the braking force or forces or has a normally unbraked state and is actuated to apply the braking force or forces.
In one aspect, at least one sensor is in electrical communication with the control system and detects the condition of the at least one brake member. The controller selectively actuates the braking system based on input from the sensor.
In another embodiment, the at least one sensor detects the presence of a person, and the control system actuates the braking system when the sensor detects the presence of the person.
The patient support apparatus may further include a manually operable control, such as a handle or a pedal, mounted on the patient support apparatus. The braking system may be coupled to the manually operable control, for example, by a link or cable, for manual activation of the braking system.
In another embodiment, the braking system includes a motor for driving the auxiliary wheel and a controller, the controller configured to use back EMF from the motor to brake the auxiliary wheel. It is contemplated that the braking system is actuated by a mechanical control, an electrical control or a hydraulic control.
In another embodiment, a patient support apparatus comprises a base having a length and including a plurality of caster wheels enabling movement of the patient support apparatus across a floor surface. An auxiliary wheel includes a first auxiliary wheel, a second auxiliary wheel spaced apart from the first auxiliary wheel, and a shaft extending between and rotatably connecting the first and second auxiliary wheels, which is rotatably supported by a support structure secured to the base. A drive mechanism including a motor may be configured to drive at least one of the auxiliary wheels. The apparatus further includes a braking system to apply a braking force to decelerate the auxiliary wheels. In addition, the braking system is adapted to synchronize the braking forces applied to the first and second auxiliary wheels.
In one aspect, the braking system includes at least one brake member configured to apply a braking force to the auxiliary wheel. The at least one brake member is movable between a first position wherein the at least one brake member is disengaged from the auxiliary wheel and a deployed position wherein the at least one brake member is frictionally engaged with the auxiliary wheel to restrict rotation of the auxiliary wheel.
In one aspect, the brake system comprises a hydraulic brake system.
In yet another aspect, the braking system includes a clutch, including a mechanically driven clutch, an electrically driven clutch, or a hydraulically driven clutch, to synchronize the braking forces applied to the auxiliary wheels. The braking system may include a caliper to brake one of the auxiliary wheels, and the clutch selectively applying the braking force from the one of the auxiliary wheels to the other of the auxiliary wheels.
A control system controlling the braking system modulates the braking force to the auxiliary wheels and selectively actuating the braking system based on input from at least one sensor. For example, the sensor may detect the presence of a person, and the control system actuates the braking system when the sensor detects the presence of the person.
In another embodiment, the braking system includes a motor for driving the auxiliary wheels and a controller, the controller configured to use back EMF from the motor to brake the auxiliary wheels.
In yet another embodiment, the braking system includes a differential rotatable joining the shafts, and the braking system selectively applies a torque to the differential to apply a braking force to the auxiliary wheels.
In another embodiment, a method of controlling the braking of a patient support apparatus includes providing a base, a support structure secured to the base configured to rotatably support an auxiliary wheel, and a braking system having at least one brake member configured to apply a braking force to decelerate the auxiliary wheel. A controller may be operatively connected to the at least one brake member may be configured to modulate the braking force applied to the auxiliary wheel.
The controller selectively actuates the at least one brake member based on input from at least one sensor in electrical communication with the controller. It is understood that the controller may actuate the at least one brake member in response to input from sensors at the handles of the patient support apparatus or control commands electrically communicated to the controller from the control apparatus provided on the patient support apparatus.
In another aspect, the controller monitors input from the at least one sensor and synchronizes the braking force applied to first and second auxiliary wheels. The at least one sensor monitors when the at least one brake member is frictionally engaged with at least one of the auxiliary wheels to restrict rotation of the auxiliary wheels to provide the input to controller.
In one embodiment, the step of selectively actuating the at least one brake member further comprises detecting presence of a person with the at least one sensor to actuate the at least one brake of braking system when the sensor detects the presence of the person.
In another embodiment, the step of selectively actuating the at least one brake member further comprises the step of moving the at least one brake member between a first position wherein the at least one brake member is disengaged from the auxiliary wheel and a deployed position wherein the at least one brake member is frictionally engaged with the auxiliary wheel to restrict rotation of the auxiliary wheel.
In yet another embodiment, the step of selectively braking rotation of the auxiliary wheel includes frictionally engaging at least one shaft extending between and rotatably connecting first and second auxiliary wheels.
In another embodiment, the step of selectively braking includes coupling or decoupling the shafts of the first and second auxiliary wheels together with the at least one brake member.
In yet another embodiment, the step of selectively braking includes applying a torque to a differential rotatably joined to the shaft to apply the braking force to the auxiliary wheel.
With references to the Figures, a more detailed description of embodiments of a patient support apparatus will be described. For ease of illustration and to facilitate understanding, throughout the following description similar reference numerals have been used to denote similar elements, parts, items or features in the drawings, where applicable.
Certain terminology will be used in the following description for convenience in reference only and will not be limiting. The words “up”, “down”, “right” and “left” will designate directions in the drawings to which reference is made. The words “in” and “out” will refer to directions toward and away from, respectively, the geometric center of the patient support apparatus and designated parts thereof. Such terminology will include derivatives and words of similar importance.
Referring to
In one embodiment, the patient elevation system includes a pair of actuators, such as hydraulically operated jacks 16 and 18 interposed between the base 12 and the underside of the patient support 14. Examples of suitable jacks are disclosed in U.S. Pat. No. 6,752,224, which is commonly owned by Stryker Corporation of Kalamazoo and which is incorporated by reference in its entirety herein.
For the purpose of this description, patient support apparatus 10 includes a head end 11 and an opposing foot end 13 defining the ends of the patient support apparatus 10, and right and left sides joining these ends. The hydraulic jacks 16 and 18 are mounted to wheeled base 12 and provide height adjustable support for the patient support 14.
As shown additionally in
Further, apparatus 10 includes one or more non-castered auxiliary wheels 32, 34 that may be powered or non-powered wheels, to facilitate movement of the patient support apparatus. The at least one auxiliary wheel may be located between the axes of rotation of the head end caster wheels and the foot end caster wheels of the patient support apparatus. In one embodiment, the powered version of the auxiliary wheels may be controlled by the ZOOM drive system, sold by Stryker Corporation and which is described in U.S. Pat. Nos. 6,772,850 and 7,007,765, which are commonly owned by Stryker Corporation of Kalamazoo and which are incorporated by reference in their entireties herein.
Further, the caster swivel axes defining a foot print. The at least one auxiliary wheel may be located inside or outside the foot print. For example, the at least one auxiliary wheel may be located beyond the swivel axes of the foot end or head end caster wheels.
Base 12 may include a pair of elongate base support beams 48, 50 that are supported by frame members 44 and provide a mount for wheels 24, 26, 28, and 30. For an example of a suitable construction reference is made to U.S. Pat. Nos. 6,240,579; 6,752,224; 6,792,630; and 6,951,034, which are commonly owned by Stryker Corporation of Kalamazoo and which are incorporated by reference in their entireties herein.
Auxiliary wheels 32, 34 are also supported by frame members 44, as will be more fully described below. Alternately, as shown in the illustrated embodiment, two of the castered wheels may be supported on one beam, either the foot end beam 48 or head end beam 50, and the other two caster wheels are commonly mounted with auxiliary wheel 32, 34 to base frame members 44. It should be understood that a single castered wheel may be commonly mounted to the auxiliary wheel or wheels where patient support apparatus 10 includes only a single castered wheel on either the foot end or head end of the apparatus.
Referring to
In one embodiment, braking is achieved by braking the auxiliary wheel or wheels, which will be more fully described below in reference to
Auxiliary wheels 32, 34 may be longitudinally spaced from the center of gravity along the length of the patient support apparatus 10, and each wheel 32, 34 laterally spaced from the central longitudinal axis of the patient support apparatus 10. As shown in
Referring to
In one embodiment, a dynamic braking system 200, illustrated in
In the illustrated embodiment, wheels 32 and 34 are commonly mounted to a drive axle 108 (
As best seen in
Handles 38a, 38b may be operably connected to the brake actuator and brake pads 292, for example, by way of manually operable force transmitting devices, such as cables, including Boden cables. It is understood that the handles 38a, 38b may be operatively connected to a brake member, such as brake pads 292, through a variety of mechanical or electromechanical devices. For example, handles 38a, 38b may have mechanical controls 46, such as lever arms, that are linked to the force transmitting devices so that application of force to the controls 46 will cause the brake pads 292 to apply a force to the disc 110 on drive axle 108 to thereby brake auxiliary wheels 32, 34.
Therefore, it should be understood that the at least one auxiliary wheel may include a disc and a braking member operable to frictionally engage the disc to thereby brake the at least one auxiliary wheel.
In yet another embodiment, the braking system includes a clutch, including a mechanically driven clutch, an electrically driven clutch, or a hydraulically driven clutch, to synchronize the braking forces applied to the auxiliary wheels.
As shown in
In another embodiment, the braking system may include a caliper to brake one of the auxiliary wheels such that the clutch selectively applies the braking force from the one of the auxiliary wheels to the other of the auxiliary wheels. The caliper squeezes, for example, a brake pad or pads against a disc or other rotary member, which is mounted on the wheel and rotate with the wheel, for example, mounted about the wheel axle that supports the wheel. In this manner, when the caliper is actuated to apply a braking force, the brake pads squeeze and frictionally engage the disc or rotary member mounted about the wheel axle to thereby brake the wheel.
In another embodiment illustrated in
The one or more brake members may be electrical, hydraulic or mechanical in construction. For example, a set of calipers with brake pads may be configured to be positioned and engage corresponding discs 110 mounted to the respective shafts.
In another embodiment shown in
Referring to
A manually operable control apparatus, such as a handle or a pedal, as described above, may be mounted to the patient support apparatus and coupled to the braking system, for example, by a link or cable, to manually activate the braking system. For example, a manually operable control apparatus for controlling one or more of the mechanically actuated brakes may include manually engaged members, such as foot pedals 54, 56, illustrated in
Alternatively, in another embodiment, the braking system includes a control system 800, illustrated in
Sensor 812 may provide a variety of functions. It should be understood that multiple sensors may be used to provide two or more or each of the functions noted below. In one embodiment, sensor 812 detects the presence of an object or person, and the control system actuates the braking system when the sensor detects the presence of the object or person, for example, to avoid a collision with the object or a person. For example, the sensor may comprise an ultrasonic sensor or an RFID reader, which reads a RFID tag worn by the person, such as a caregiver. For example, a suitable control system may include the control system disclosed in U.S. patent application Ser. No. 13/795,193, filed Mar. 12, 2013 entitled POWERED PATIENT SUPPORT APPARATUS, which is commonly owned by Stryker Corporation of Kalamazoo and which is incorporated by reference in its entirety herein.
In another embodiment, the sensor or sensors are mounted in the handles so that when a person releases one or both handles, the control system applies the brakes to slow or stop the apparatus.
In yet another embodiment, the sensor detects wheel speed so that the control system can selectively actuate the braking system based on input from the sensor such that the wheel braking may be synchronized to allow the apparatus to slow down or brake in a straight line, or may be modulated so that the operator can effectuate steering. In the latter case, additional input from the handles by way of other sensors provides input to the controller. The handle sensors generate signals based on a pressure or force applied to the handles. For example, if an operator wishes the apparatus to move to the right, the operator would typically apply a greater force to the left handle. If they wished to turn left, they would typically apply a greater force to the right handle. The controller may be configured to read the sensors signals to determine which way the operator wishes to turn and them modulate the braking accordingly to slow one wheel while allowing the other wheel to continue at the same speed, or to simply slow one wheel to a greater rate.
In another embodiment, the sensor comprises a switch on a pedal, which is monitored, to report to the control system whether the braking system 200 is currently in override mode. A sensor may also be provided to report a brake status to the control system, which is conveyed to the operator via one or more visual user interfaces, as described further below. In general, the brake status indicator(s) may help to avoid having the user inadvertently leave the patient support apparatus without the brakes being set.
As noted above, the control system cooperates with and controls the braking system to modulate the braking force applied by the braking system to the at least one auxiliary wheel of the patient support apparatus. In one embodiment, the braking system may include an on or off state, wherein the braking system has a normally brake-on state and is actuated to release the braking force or forces or has a normally unbraked state and is actuated to apply the braking force or forces.
It should be understood that patient support apparatus 10 may further comprise a supplemental braking system to selectively immobilize the patient support apparatus braking the caster wheels as well. One example of a suitable supplemental braking system is disclosed in detail in U.S. Pat. No. 7,690,059 issued Apr. 10, 2010 and titled HOSPITAL BED, the disclosure of which is hereby incorporated by reference herein in its entirety.
Referring to
The method includes monitoring (by the controller) input from at least one input device (1102). Based on the input, the method further includes selectively actuating and synchronizing the braking force applied to the auxiliary wheels by the at least one brake member (1104).
It is understood that the method may include actuating the at least one brake member in response to input from a variety of input devices, such as sensors (1106), including sensors connected to the handles of the patient support apparatus, or a display (1110), or based on control commands (1108) electrically communicated to the controller provided on the patient support apparatus.
It is understood that the method described above may include one or more additional steps.
In one embodiment, the step of selectively actuating the at least one brake member further comprises detecting presence of a person and actuating the at least one brake of the braking system when the sensor detects the presence of the person (1112).
In another embodiment, the step of selectively actuating the at least one brake member further comprises the step of moving the at least one brake member between a first position wherein the at least one brake member is disengaged from the auxiliary wheels and a deployed position wherein the at least one brake member is frictionally engaged with one of the auxiliary wheels to restrict rotation of the auxiliary wheels (1114).
In yet another embodiment, wherein the step of selectively braking includes frictionally engaging a shaft extending between and rotatably connecting two auxiliary wheels (first and second auxiliary wheels) (1116).
In another embodiment, wherein the step of selectively braking includes coupling the shafts of two auxiliary wheels (first and second auxiliary wheels) together with the at least one brake member (1118).
In yet another embodiment, wherein the step of selectively braking includes selectively applying a torque to a differential rotatably joined to a shaft of at least one of the auxiliary wheels to apply the braking force to the auxiliary wheels (1120).
This application is a continuation application of U.S. Ser. No. 15/201,689, filed Jul. 5, 2016, entitled SYSTEM AND METHOD OF BRAKING FOR A PATIENT SUPPORT APPARATUS, which claims the benefit of U.S. Prov. App. No. 62/196,396 filed Jul. 24, 2015, entitled SYSTEM AND METHOD OF BRAKING FOR A PATIENT SUPPORT APPARATUS, which are incorporated by reference herein in their entireties.
Number | Name | Date | Kind |
---|---|---|---|
3380546 | Rabjohn | Apr 1968 | A |
4811988 | Immel | Mar 1989 | A |
5083625 | Bleicher | Jan 1992 | A |
6173799 | Miyazaki et al. | Jan 2001 | B1 |
6230343 | Buiskool et al. | May 2001 | B1 |
6240579 | Hanson et al. | Jun 2001 | B1 |
6256812 | Bartow et al. | Jul 2001 | B1 |
6264006 | Hanson et al. | Jul 2001 | B1 |
6330926 | Heimbrock et al. | Dec 2001 | B1 |
6505359 | Heimbrock et al. | Jan 2003 | B2 |
6725956 | Lemire | Apr 2004 | B1 |
6729421 | Gluck et al. | May 2004 | B1 |
6745859 | Simons et al. | Jun 2004 | B2 |
6752224 | Hopper et al. | Jun 2004 | B2 |
6772850 | Waters et al. | Aug 2004 | B1 |
6792630 | Palmatier et al. | Sep 2004 | B1 |
6951034 | Shiery et al. | Oct 2005 | B2 |
7007765 | Waters et al. | Mar 2006 | B2 |
7062805 | Hopper et al. | Jun 2006 | B2 |
7090041 | Vogel et al. | Aug 2006 | B2 |
7124456 | Palmatier et al. | Oct 2006 | B2 |
7273115 | Kummer et al. | Sep 2007 | B2 |
7346942 | Reinke et al. | Mar 2008 | B2 |
7395564 | McDaniel et al. | Jul 2008 | B2 |
7530412 | Heimbrock et al. | May 2009 | B2 |
7562883 | Livengood et al. | Jul 2009 | B2 |
7690057 | Malassigne et al. | Apr 2010 | B2 |
7793744 | Hardie | Sep 2010 | B1 |
7828092 | Vogel et al. | Nov 2010 | B2 |
7882582 | Kappeler et al. | Feb 2011 | B2 |
7886377 | Hamberg et al. | Feb 2011 | B2 |
7905304 | Adachi | Mar 2011 | B2 |
7953537 | Bhai | May 2011 | B2 |
8096005 | Carletti et al. | Jan 2012 | B2 |
8196237 | Herbst et al. | Jun 2012 | B2 |
8442738 | Patmore | May 2013 | B2 |
8613455 | Berrett et al. | Dec 2013 | B2 |
8701229 | Lemire et al. | Apr 2014 | B2 |
8720616 | Kofoed et al. | May 2014 | B2 |
8781677 | Roberts et al. | Jul 2014 | B2 |
8950522 | Lenkman | Feb 2015 | B1 |
9707143 | Thodupunuri et al. | Jul 2017 | B2 |
9833366 | DeLuca et al. | Dec 2017 | B2 |
9986731 | Mitchell et al. | Jun 2018 | B2 |
10912685 | Childs | Feb 2021 | B2 |
20030159861 | Hopper | Aug 2003 | A1 |
20040084864 | Casey et al. | May 2004 | A1 |
20050057010 | Hopper | Mar 2005 | A1 |
20070170673 | Figel | Jul 2007 | A1 |
20080301875 | Malassigne et al. | Dec 2008 | A1 |
20090001740 | Kofoed et al. | Jan 2009 | A1 |
20100283314 | Lubbers | Nov 2010 | A1 |
20110225733 | Figel | Sep 2011 | A1 |
20120000718 | Berrett et al. | Jan 2012 | A1 |
20120298459 | Lubbers et al. | Nov 2012 | A1 |
20170020752 | Childs | Jan 2017 | A1 |
20180168897 | Jönsson | Jun 2018 | A1 |
20180250178 | Paul | Sep 2018 | A1 |
20190201255 | Paul | Jul 2019 | A1 |
20190201256 | Derenne | Jul 2019 | A1 |
20190298590 | Patmore | Oct 2019 | A1 |
20210154061 | Phan | May 2021 | A1 |
20210154062 | Childs | May 2021 | A1 |
Number | Date | Country |
---|---|---|
2010543 | Sep 1990 | CA |
4319516 | Dec 1994 | DE |
4319525 | Dec 1994 | DE |
48-44792-01 | Sep 1971 | JP |
48-44793-01 | Sep 1971 | JP |
48-54494-01 | Oct 1971 | JP |
48-54495-01 | Oct 1971 | JP |
60-122561 | Jul 1985 | JP |
Number | Date | Country | |
---|---|---|---|
20210154062 A1 | May 2021 | US |
Number | Date | Country | |
---|---|---|---|
62196396 | Jul 2015 | US |
Number | Date | Country | |
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Parent | 15201689 | Jul 2016 | US |
Child | 17165210 | US |