I. Field of Use
The present application relates to the field of recuperative therapeutic devices and more specifically to a body support device for comfortably positioning a person during sleep.
II. Description of the Related Art
The most comfortable position for relaxation and ease of breathing is Fowler's-Supine with torso slightly elevated and legs slightly bent at the knees. Today this position is frequently referred to as “zero-gravity” and utilized in adjustable beds and recliners. At the same time, the research shows that an average person spends 54% of his or her total sleeping time on the side (Lateral Decubitus position), which is known to put stress on the shoulders, spine, and the rest of the musculoskeletal system. The importance of side sleeping is well recognized but until recently it was explained almost exclusively from the position of reduced risk of apnea, improved digestion or blood and lymph flow.
Recent scientific discoveries provide a more meaningful explanation for the tendency to sleep on one's side. A new organ in the brain that works in a way similar to body's lymphatic system and removes neurometabolic waste produced by the brain's activities was described in 2012 (Iliff et al, A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid β. Sci Transl Med. 2012 Aug. 15; 4(147): 147ra111). The new organ is called the glymphatic system (“g” is for glial cells of the brain). The glymphatic system was later shown to be active only during sleep (Xie et al, Sleep Drives Metabolite Clearance from the Adult Brain. Science. 2013 Oct. 18; 342(6156); 373-377). Most recent experimental data demonstrated that the glymphatic system is most efficient at removal of the metabolic waste during the sleep in the lateral decubitus position (Lee at al, The Effect of Body Posture on Brain Glymphatic Transport. J Neurosci. 2015 Aug. 5; 35(31):11034-44).
Another important consideration for sleep improvement is postural changes during sleep. The general public and even most practicing physicians (who don't specialize in sleep medicine) believe that people have a favorite sleeping position which is voluntarily maintained during the night and normal sleep is static, while tossing and turning is a sign of insomnia or a bad mattress. Tossing and turning (scientific terms are “nocturnal body movements”, “rollovers”, or “postural changes”) have been well studied and it is well established that regular rollovers are a normal and necessary part of healthy sleep.
A large 2017 study (Skarpsno et al, Sleep positions and nocturnal body movements based on free-living accelerometer recordings: association with demographics, lifestyle, and insomnia symptoms. Nat Sci Sleep. 2017 Nov. 1; 9:267-275) demonstrated that on average, an adult rolls over completely from one side to the other about 13 times a night (1.6 rollovers per hour, or every 37 minutes (Skarpsno et al, Sleep positions and nocturnal body movements based on free-living accelerometer recordings: association with demographics, lifestyle, and insomnia symptoms. Nat Sci Sleep. 2017 Nov. 1; 9:267-275). An earlier publication similarly reported rollover frequencies of 4.4 to 2.1 rollovers per hour (every 14-29 minutes) (De Koninck et al, Sleep positions and position shifts in five age groups: an ontogenetic picture. Sleep. 1992 April; 15(2):143-9).
Rollovers are critical for release of pressure and blood flow through the compressed tissues. Immobile patients or those who are bed ridden for long time have to be rolled over every 2 hours to prevent formation of bed sores. Accumulation of fluid in the lungs and subsequent lung infections is another complication of static sleep. Prolonged pressure on intervertebral disks and other joints is also an important reason to engage in postural changes.
Skarpsno et al (2017) reported that time in the side position increased with age, accompanied by a proportional decrease in time in the back position. In the age-group 20-34 years, time spent on the side was 47.7%, whereas in the age group 55-65 years, time spent on the side was 58.3%. An earlier study on 65-75-year-old subjects showed that 77% of sleeping time was spent on a side (Lorrain et al, Sleep positions and postural shifts in elderly persons. Percept Mot Skills. 1986 October; 63(2 Pt 1):352-4). A continuous shift in preference toward the side position is also supported by a study that included age-groups from 3-5 years to 65-85 years (De Koninck et al, 1992). A study conducted on 600 women of different age demonstrated the same trend (Sahlin et al, Sleep in women: Normal values for sleep stages and position and the effect of age, obesity, sleep apnea, smoking, alcohol and hypertension. Sleep Med. 2009 October; 10(9): 1025-30).
It has been proposed that the preference for lateral position in older individuals may be due to loss of spine flexibility or decreased efficiency of respiratory or cardio-vascular functions (De Koninck et al, 1992).
Fewer body movements during sleep may mimic the overall decrease in motor activity seen in old people during wakefulness (Renfrew et al, Motor activity and sleep duration as a function of age in healthy men. Physiol Behav. 1987; 41(6):627-34). Another possibility may be that the brain becomes with age less able to produce body movements during sleep (Giganti et al, Body movements during night sleep and their relationship with sleep stages are further modified in very old subjects. Brain Res Bull. 2008 Jan. 31; 75(1):66-9). Yet another possible explanation is that skin nociceptors, become less able to detect pressure (or ischemia) and produce signals that lead to postural changes.
The older individuals who already have back and shoulder problems are particularly vulnerable. It was suggested that it is not sleeping in the decubitus position per se that puts the patient at risk but postural immobility in the decubitus position. The groups that had high occurrence of shoulder pain (the elderly, those with neurodegenerative diseases or spinal cord injury, suffering from rheumatoid arthritis, patients that are given sedatives) are known to experience greater postural immobility during sleep (Zenian J, Sleep position and shoulder pain. Med Hypotheses. 2010 April; 74(4):639-43). The longer the person remains in the same decubitus position, the greater the amount of strain imposed on the shoulder by the weight of the upper body. Experimental studies have shown that the harmful effects of pressure (ischemia, and cellular damage and inflammation) increase the longer the body stays in the same position.
Optimization of sleep routine by (1) improved comfort and postural alignment in lateral decubitus position, (2) ease of transitioning between the positions, and (3) predetermined amount of time in specified positions can provide better sleep and brain recovery, and likely prevent and treat neurodegenerative diseases and cognitive decline.
A body support device has been described in U.S. Pat. No. 8,713,729, comprising a frame having side walls to support a user in a lateral decubitus position as the frame is rotated. The system described by U.S. Pat. No. 8,713,729 has side walls permanently fixed and lacking structure, which in some cases made the system less suitable for all-night, long-term use.
Specifically, each side wall was formed by a pair of supporting rods and fabric suspended between the supporting rods. The hammock-like structure of the suspended fabric does not have a shape of its own and under the weight of user's thorax will assume a concave (i.e., D-shaped) form. While perfectly acceptable for a user with minimal muscle definition and average adiposity in the thoracic area (pectoral muscle-armpit-latissimus dorsi) it may not be suitable for both athletic and skinny individuals, because it may squeeze the large muscles of chest and back (pectorals and latissimus dorsi) together (filling the void under armpit) and causing discomfort.
Moreover, the right side wall is only required when a user is in the right lateral decubitus position. Likewise, the left side wall is only required when a user is in the left lateral decubitus position. Stationary positioning of the side walls (and upper arm support extending therefrom) unnecessarily restricts movements in the supine position and reduces access to different body parts (i.e., can't reach the ear or chest for a trivial scratch). Furthermore, taking a deep breath may be difficult due to the requirement that the stationary side walls fit snuggly so that the user's torso does not sag when in a lateral decubitus position.
Further still, when a user of the prior art body supporting device is in the left lateral decubitus position, the user's right arm is above the body. The left side wall performs the function of supporting the user while the right side wall in this position at that moment performs no useful function. Due to the stationary nature, the right side wall remains between the user's body and upper arm. The inner side of the user's upper arm resides on the side wall. Even though the side wall is relatively thin and soft (about 2 cm when not compressed) it is a foreign object pressing against a sensitive inner area of the arm just a few centimeters below the armpit. The inner side of upper arm contains brachial plexus nerves (musculocutaneous, radial, median, axillary, ulnar) and blood vessels running from the body down the arm. These nerves and blood vessels reside in the thin layer of tissues between the skin and bone and are protected only by a thin layer of adipose and muscle tissue, making the upper arm's inner surface sensitive and irritable. Extended pressure on upper arm's inner side may cause discomfort, numbing, tingling feeling in the fingers, etc. While the stationary side walls described in prior art are acceptable for users with significant adiposity, thin users run a risk of pressure and irritation on the nerves of the inner upper arm.
It would be desirable to alleviate the problems caused by the stationary sidewalls in a device that allows a sleeper to maintain proper spinal alignment, distribute body weight evenly, and eliminate shoulder pain and discomfort from sleeping on one's side.
A body support system, method and apparatus is described, for preventing and treating a disease or injury by optimization of sleep posture and assisted rollovers. In one embodiment, a body support device is described, comprising a back rest comprising left and right vertical openings spaced apart from each other by approximately a width of a human torso, an electric motor for rotating the body support device around a longitudinal axis of the body support device and holding the body support device in a plurality of angles from a horizontal reference position, a right torso-support assembly, located behind the back rest and aligned with the right vertical opening, the right torso-support assembly comprising a right torso support wall for supporting a right side of the human torso when the body support device is rotated to a first angle with respect to the horizontal reference position, and a left torso-support assembly, located behind the back rest and aligned with the left vertical opening, the left torso-support assembly comprising a left torso support wall for supporting a left side of the human torso when the body support device is rotated to a second angle with respect to the horizontal reference position.
The features, advantages, and objects of the present invention will become more apparent from the detailed description as set forth below, when taken in conjunction with the drawings in which like referenced characters identify correspondingly throughout, and wherein:
The ideas presented herein relate to various embodiments of a body support device used to promote therapeutic sleep.
As cradle 102 is rotated from the horizontal reference position, i.e., at about 5-15 degrees from the horizontal reference position, towards the user's left, a left torso support wall 104 is deployed/extended from behind cradle 102, through a left vertical slip (not shown) that is formed through the cradle in an area between the user's torso and the user's left arm. Left torso support wall 104 supports the user's torso as cradle 102 is rotated into a left position, as shown in
Generally, only one of the torso support walls is deployed at any given time, although when cradle 102 is within about 15 degrees of the horizontal reference position, neither side wall is deployed.
Cradle 102 also comprises two head supports 108 extending from a head support area of cradle 102, spaced apart approximately the width of an average human head. Leg support 110 extends from a lower portion of cradle 102, supporting each leg as cradle 102 is rotated, with the user's left leg resting on leg support 110 when cradle 102 is rotated towards the user's right, and with the user's right leg resting on leg support 110 when cradle 102 is rotated towards the user's left.
The side walls may comprise rigid or semi-rigid material, such as fiberglass, carbon fiber, plastic, polyurethane, or some other material strong enough to support the user's torso when cradle 102 is rotated, 0-100 degrees from the horizontal reference position. In some embodiments, the side walls may be customized to a particular user by casting a mold, by electronic scanning, or some other known method, of the user's torso and forming the side walls from the mold. Customization helps fill a void between the user's pectoralis and latissimus dorsi muscles when a side wall is deployed. In some embodiments, the side walls may comprise two rods with fabric stretched therebetween, or a combination of a rigid portion with fabric or some other soft material in other portions to accommodate for certain conditions and body types, or to facilitate deployment and retraction. The arm supports, if used, allow a user's arm to be in very close proximity with the body (or in some embodiments in direct contact) during rotation of cradle 102, yet remain comfortably supported, especially when the user's elbow is bent as shown in
Each of the arm supports is part of an electro-mechanical arm support assembly located behind cradle 102 in proximity to the torso support assemblies described with respect to
During operation, while a user is laying in cradle 102, with the user's back against back rest 520, cradle 102 is rotated along an imaginary axis running along the length of cradle 102, to the user's right and left. It may also be positioned vertically in order for a user to easily move in and out of cradle 102. For example,
Right torso-support assembly 508 is shown mechanically coupled to the frame that also supports the cradle 502 in an area behind opening 518 near where a user's left torso would lie in cradle 102, extending perpendicularly thereto, while left torso-support assembly 510 is also shown mechanically coupled to the frame that supports the cradle 502 in an area behind opening 516 near where a user's right torso would lie in cradle 102, extending perpendicularly thereto. Each of the torso-support assemblies comprises a motor, a linkage and a torso support wall. The torso support wall of each assembly is extended/retracted through cradle 102 as the motor drives the linkage. Each torso-support assembly moves its respective side wall in a complex manner that causes each side wall to move around the user's torso while being deployed or extracted, as will be explained in greater detail later herein. Opening 518 is sized and shaped to allow a right torso support wall to extend and retract in a complex motion where the right torso support wall moves both horizontally (with respect to a user's torso) and also in and out from the surface of cradle 500. The same applies to opening 516. Each of the openings may be partially filled with a custom back support (described later herein), leaving enough space for each respective wall to retract and extend in a complex way.
Proximate to each of the openings is a respective back support, fixed to cradle 500, referenced as right back support 522 and left back support 524. Each of the back supports may be customized to match a portion of a user's back, for providing maximum comfort to a user.
Also shown in
Each torso-support assembly comprises two, parallel plates 816 and 818, in this embodiment spaced apart about 16 cm from each other, coupled together by six standoffs 820, 822, 824, 826, 828 and 830. Each of the plates comprise three guide grooves 832, 834 and 836, with matching guide grooves not shown on plate 816, due to the viewing angle of
Left torso-support assembly 508 is shown fully extended, i.e., with left torso support wall 800 aligned with back support 524 such that the two form a continuous back and side support for a user's right torso when cradle 502 is rotated into a right angle with respect to the horizontal reference position. In this position, left torso support wall 800 is extended through a left vertical opening formed in cradle 502 in proximity to an area between the user's left torso and the user's left arm while positioned in cradle 502. Each of left torso support wall 800 and back support 524 is shown as curved pieces formed from a mold of a typical user's torso or a mold from a particular user's torso.
Left torso support wall 800 is mechanically coupled to top end cap 804, which forms part of linkage 806. Linkage 806 comprises top end cap 804 and bottom end cap 808, joined together by two connecting rods 810. The connecting rods are slidably coupled to electric motor 844 via two through holes formed through a carriage 814 (with linear ball bearings). The rods are generally made from a strong, rigid material, such as metal, e.g. forged steel, as the rods support the weight of a user when cradle 501 is rotated. Linkage 806 further comprises rack 812, which comprises an elongated, toothed member that is also coupled to top end cap 804 and bottom end cap 808. Rack 812 engages with a pinion gear of an electric motor 844, which causes linkage 806 to extend and retract as dictated by the guide grooves when electric motor 844 is energized in forward and reverse directions, respectively.
In the position shown in
Finally, again referring to
In
Right electric motor 1404 is mechanically coupled to frame member 1416, which in turn is mechanically coupled to the other frame members to form a mechanical frame for supporting the electric motors, the guides and the head support walls. Right head support wall 610 is slidably attached to top guide 1408 and bottom guide 1410 (similar guides for left head support wall 1402 are shown as left top guide 1420 and right bottom guide 1422). The guides define a direction that each head support wall follow during extension/retraction, in this case, essentially perpendicularly with openings 512 and 514. The guides also bear weight of user's head placed on the deployed support wall 610 when cradle is rotated. Each guide, in this embodiment, comprises a movable portion that is mechanically coupled to each head support wall, respectively, and a fixed portion for receiving the movable portion, similar to standard drawer slides.
It should be understood that in other embodiments, head support assembly 1400 could comprise a number of other components, or types of components, arranged differently than is shown in
In the embodiment shown in
Each of the walls is extendable/retractable through cradle 1501, where each wall is part of an electro-mechanical assembly that causes each wall to extend or retract based on a rotational position of cradle 1501. Each electro-mechanical assembly is not shown, however each assembly may resemble torso or head support assemblies 508, 510 or 1400. In some embodiments, the complex movement provided by torso support assemblies 508 and 510 is not required for some of the support walls, such as head support walls 1502 and 1504, arm support walls, or leg support walls 1510 and 1512. In these embodiments, the guide grooves of these assemblies could be formed vertically (referencing
Each of the support walls shown in
In the position shown in
In addition to providing mechanical support and rotation of cradle 1501, gimbal 1518 may also be configured to position upper section 1600 and lower section 1604 using a combination of additional motors, gears, pulleys, cams and/or other suitable mechanical components.
4 is a perspective view of body support device 1500, shown without user 1700, in a right-rotated position, i.e., towards a user's right side if user 1700 were occupying cradle 1501. As shown, cradle 1501 has been rotated approximately 50 degrees to the right from the horizontal reference position by gimbal 1518. As cradle 1501 is moving to the right from the horizontal reference position, at about between 0 and 15 degrees from the horizontal reference position (herein the “right deployment/retraction angle”), a number of walls are extended through cradle 1501 to support the user while cradle 1501 continues rotating past the right deployment/retraction angle. In the embodiment of
Also shown in
In one embodiment, one or more sensors may comprise a heartbeat sensor, a respiratory rate sensor, a temperature sensor, or some other sensor used to capture human vital signs. In this embodiment, the sensor(s) provide vital sign information to control unit 1524 for historical record-keeping purposes and/or for control unit 1524 to adjust the rotational angle of cradle 1501 in response to receiving certain vital signs. For example, control unit 1524 may cause cradle 1501 to rotate back to the horizontal reference position if the user's heartbeat exceeds a predetermined threshold, such as 99 beats per minute or if electroencephalography sensor detects a switch in sleep phase.
Generally, cradle 1501 is rotated from the horizontal reference position, to either a user's left or the right, then rotated back through the horizontal reference position and to the user's other side. This rotation may occur several times over the course of sleep and may include rotations from one side to the horizontal reference position, and then back to the same side. As cradle 1501 is being rotated from the left towards the horizontal reference position, any wall that is deployed is retracted through cradle 1501 when cradle 1501 reaches the left deployment/retraction angle. In one embodiment, all of the walls remain retracted until either cradle 1501 is rotated past the right deployment/retraction angle, at which time the walls shown in
Processor 2200 is configured to provide general operation of control unit 1524 by executing processor-executable instructions stored in memory 2402, for example, executable code. Processor 2200 comprises one or more general or special-purpose microprocessors, microcontrollers and/or ASICs, such as any one of a number of Core i-series class microprocessors manufactured by Intel Corporation of Santa Clara, Calif., chosen based on implementation requirements such as power, speed, size and cost.
Memory 2202 comprises one or more information storage devices, such as RAM, ROM, EEPROM, flash memory, SD memory, XD memory, or virtually any other type of information storage device. Memory 2202 is used to store the processor-executable instructions for operation of control unit 1524 as well as any information used by processor 2200 to perform such operations. Such information may comprise a schedule of times and rotational angles for a sleep session for one or more particular users. In some embodiments, memory 2202 is incorporated into processor 2200, such as the case in embodiments where processor 2200 comprises a microcontroller or custom ASIC.
Network interface 2204 is coupled comprises circuitry necessary for control unit to communicate over one or more local and/or wide-area digital networks, such as a home Wi-Fi network and/or the Internet. In one embodiment, network interface 2204 receives wireless signals from a user's mobile device, such as a smartphone or wearable device. In this embodiment, the user provides instructions to processor 2200 via an app running on the mobile device, and the mobile device transmits signals for cradle 1501 to rotate into various angles. The signal is received by network interface 2204 and provided to processor 2200, where the instructions are performed, causing electric motor 604 and electric motors 844 to rotate cradle 1501 and to extend/retract the support walls, respectively. Such circuitry is well known in the art.
Optional user interface 2206 is coupled to processor 2200, allowing users to enter information into control unit 1524 as well, in some embodiments, to view information provided by control unit 1524. For example, a user may manually enter one or more time periods and rotational angles into control unit 1524, causing cradle 1501 to rotate to the desired angles and held in each angle for the time period specified by the user. Settings may be reviewed by users via a display screen. User interface 2206 may comprise one or more pushbuttons, joysticks, switches, sensors, touchscreens, keypads, keyboards, ports, and/or microphones that generate signals for use by processor 2200. User interface 2206 may additionally comprise one or more seven-segment displays, cathode ray tubes (CRT), liquid crystal displays (LCD), or any other type of visual display for display of information to users. Of course, the aforementioned items could be used alone or in combination with each other and other devices may be alternatively, or additionally, used.
Power amplifier 2208 is coupled to processor 2200, for amplifying control signals from processor 2200 and providing the amplified signals to electric motor 604 (the motor responsible for rotating cradle 1501) and electric motors 844 (responsible for extending/retracting at least the torso support walls). Electric motor 604 is, in some embodiments, incorporated into gimbal 1518. Electric motors 844 represent one motor for each extendable/retractable wall of cradle 1501. For example, in the embodiment shown in
Block 1818 is labeled as “Sensor(s)”, which includes any of sensors 1818, 1820, 1822 and/or 1824, and/or other sensor(s), coupled to processor 2200 and comprising one or more sensors, as described previously. The sensors may be used to control rotation of cradle 1501 or to collect human vital information from a user while the user is using cradle 1501, such as heartbeat, temperature, respiratory rate, electroencephalography, etc. In one embodiment, one or more sensors may be located away from body support device 1500, such as a motion sensor, temperature sensor, humidity sensor, noise level sensor, or an incontinence sensor, which can turn an HVAC system on or off, or call a caretaker. Sensor 1818 may further comprise a vibration sensor to detect snoring. In this case, processor 2200 may initiate rotation of cradle 1501 upon detection of snoring via the vibration sensor and continue rotation until snoring stops.
The motor(s) and/or drive assemblies are activated when a tilt sensor as part of the support device determines that the support device has been rotated a predetermined rotation angle from the supine position, for example, once the support device has been rotated 5 degrees from the supine position, i.e. at 0 degrees and prior to initiation of rotation of the cradle. In another embodiment, the side walls and/or arm supports are extended/retracted once a user provides an instruction to the support device to rotate the device to a user-defined angle from the supine position. For example, the support device may comprise a hardware controller that is coupled to a control unit, where the controller allows a user to enter commands that are received by the control unit to cause rotation of the support device. When the user enters a command to rotate to an angle greater than a predetermined angle (such as 5 degrees), the control unit causes the side walls/arm supports to extend or retract as described above. In another embodiment, a hardware controller is not used.
At block 2300, processor 2200 receives processor-executable instructions for controlling the rotation of cradle 1501 via network interface 2204. In other embodiments, the processor-executable instructions could be received in other ways that are well-known in the art. The processor-executable instructions comprise a series of hold times and associated cradle rotation positions, i.e., angles of rotation and orientation (i.e., left or right rotation, and in embodiments employing vertical rotation, up or down rotation). The processor-executable instructions are stored in memory 2202.
In another embodiment, rotational angles and hold times are provided to processor 2200 via user interface 2206. In this embodiment, user interface 2206 may provide audio or visual cues to a user to enter one or more rotational angles and associated hold times. For example, a user could program body support device 1500 to first rotate to the left at an angle of 45 degrees and hold that position for 30 minutes, then rotate to the supine position (i.e., the horizontal reference position) for 5 minutes, rotate to the right at an angle of 45 degrees and hold that position for 30 minutes, then return to the supine position. Any number of rotational angle/hold time entries could be permitted.
A user may get into cradle 1501 using user interface 2206, or an app on the user's personal electronic device, such as a mobile phone, to raise cradle 1501 into a more upright position through activation of linear actuator 700, as shown in
At block 2302, processor 2200 begins executing the processor-executable instructions that cause cradle 1501 to rotate in accordance with the rotational angles and associated hold times provided at block 2300. Typically, a user is lying on cradle 1501 while cradle 1501 is in the supine position, and most or all of the walls are retracted behind cradle 1501. Then, the user provides an activation signal to processor 2200 to begin executing the instructions, such as via user interface 2206, for example.
At block 2304, in one embodiment, before processor 2200 causes any rotation of cradle 1501, processor 2200 causes at least left torso support wall 1508 to deploy through cradle 1501 for supporting the user's torso when cradle 1501 is rotated to the left. In other embodiments, one or more other walls may also be deployed, such as one or more of left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004.
At block 2306 processor 2200 causes cradle 1501 to begin rotating to the user's left side, in accordance with the processor-executable instructions, by energizing electric motor 844 to rotate in a first direction.
At block 2308, in an embodiment where all of the walls of body support device 1500 are still retracted behind cradle 1501 after cradle 1501 begins rotating, processor 2200 causes at least left torso support wall 1508 to deploy through cradle 1501 when processor 2200 determines that cradle 1501 has been rotated to, or past, a left deployment/retraction angle. Processor 2200 determines that cradle has been rotated to, or past, the left deployment/retraction angle by receiving one or more signals from one or more sensors 1818 (such as a tilt sensor), from an encoder that counts motor/gear rotations, or some other well-known rotational determination device(s). In another embodiment, processor 2200 determines the amount of rotation simply be knowing the angular rotational speed delivered to cradle 1501 by electric motor 604, and tracking the elapsed time from when electric motor 604 was energized or by a stepper motor that delivers a predetermined amount of steps. When cradle 1501 has been rotated to, or past, a left deployment/retraction angle, one or more other walls may also be deployed, such as one or more of left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004.
At block 2310, processor 2200 causes cradle 1501 to stop rotating to the left when cradle 1501 has been rotated to a first programmed angle, in this example, 40 degrees to the left. Processor 2200 determines the rotational angle of cradle 1501 using techniques discussed above.
At block 2312, processor 2200 holds cradle 1501 at 40 degrees for a hold time associated with the rotational angle of 40 degrees, as provided by the processor-executable instructions. In this example, the hold time is 1 hour. Thus, the user is held at a rotational angle of 40 degrees from the supine position, to the user's left, with one or more side walls supporting the user's torso, head, legs and/or right arm. This position is held for 1 hour. In one embodiment, a hold time can be defined as a very short duration, such as 0-2 seconds, where cradle 1501 is rotated to one position and quickly then rotated to another position. In one embodiment, cradle 1501 could be rotated to two angles, for example, a right rotational angle of 20 degrees and a left rotational angle of 20 degrees, each with a hold time of zero seconds, resulting in cradle 1501 “rocking” back and forth between the two angles, reversing course instantly as cradle 1501 reaches each rotational angle.
At block 2314, processor 2200 determines that the hold time has expired.
At block 2316, processor 2200 begins rotating cradle 1501 to a second rotational angle as directed by the processor-executable instructions. In this example, the second rotational angle is 65 degrees to the user's left, even further from the supine position.
At block 2318, processor 2200 stops the rotation when cradle 1501 has reached 65 degrees. In one embodiment, any wall(s) that was/were deployed through cradle 1501 generally remains that way. In another embodiment, a second left deployment/retraction angle may be defined that causes one or more additional walls to be deployed once cradle 1501 reaches an “extreme” rotational angle, to better support the user in these extreme rotational angles. For example, when cradle 1501 is rotated to the left past 5 degrees past from the supine position to the left (the first left deployment/retraction angle), processor 200 may cause left torso support wall 1508 and left head support wall 1504 to deploy, and no others. As cradle 1501 continues to rotate to the left, past, say, 25 degrees (the second left deployment/retraction angle), processor 2200 may cause left leg support wall 1512 and middle leg support wall 1514 to deploy, thus supporting the user's legs. Other deployment/retraction angles may be defined as well, causing particular walls, e.g. 2004 and 1816, to deploy and retract.
At block 2320, processor 2200 stops rotating cradle 1501 once cradle 1501 has been rotated to 65 degrees.
At block 2322, processor 2200 holds cradle 1501 at 65 degrees for a hold time associated with this angle, in this example, for 30 minutes. It should be understood that at some other time during this method, cradle 1501 could be rotated back to the 65 degree position and be held for a different amount of time other than 30 minutes.
At block 2324, after expiration of the 30 minute hold time, processor 2200 causes cradle 1501 to begin rotating towards the supine position, and past the supine position to a third rotational angle, in this case a right rotational angle of 40 degrees, in accordance with the processor-executable instructions, by energizing electric motor 604 to rotate in a second direction.
At block 2326, in one embodiment, as cradle 1501 is rotated to, or past, the second left deployment/retraction angle, processor 2200 may retract one or more walls that had previously been deployed at the second left deployment/retraction angle. Continuing the example from above, when cradle 1501 reaches the 25 degree rotational position, being rotated towards the supine position, processor 2200 causes left leg support wall 1512 and middle leg support wall 1514 to retract behind cradle 1501.
At block 2326, when cradle 1501 reaches the first left deployment/retraction angle, or a predefined retraction angle different from the first left deployment/retraction angle (in this case, both a left deployment and a left retraction angle are defined), processor 2200 may retract one or more walls that had previously been deployed at the first left deployment/retraction angle. For example, a first left deployment angle may have been predefined as 5 degrees and a retraction angle may be defined as 3 degrees of a left rotation from the supine position, or even the supine position itself (i.e., zero degrees). Continuing the example from above, when cradle 1501 reaches the 5 degree rotational angle left of the supine position, being rotated towards the supine position, processor 2200 causes left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004 to retract behind cradle 1501.
At block 2328, in one embodiment, when cradle 1501 reaches the supine position on its way to the third rotational angle, processor 2200 causes at least right torso support wall 1506 to deploy through cradle 1501. In another embodiment, at least right torso support wall 1506 is deployed as cradle 1501 reaches a first right deployment/retraction angle, such as between zero and about 10 degrees. When cradle 1501 has been rotated to, or past, the supine position or a left deployment/retraction angle, one or more other walls may also be deployed, such as one or more of left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004.
At block 2330, processor 2200 stops rotating cradle 1501 once cradle 1501 has reached the third rotational angle of, for example, 40 degrees to the user's right, in accordance with the processor-executable instructions.
At block 2332, processor 2200 holds cradle 1501 at 40 degrees for a hold time associated with this angle, in this example, for 50 minutes. It should be understood that at some other time during this method, cradle 1501 could be rotated back to the 40 degree position and be held for a different amount of time other than 50 minutes.
At block 2334, after expiration of the 50 minute hold time, processor 2200 causes cradle 1501 to begin rotating towards the supine position, the last of the four rotational angles defined by the processor-executable instructions in this example. As mentioned previously, the processor-executable instructions could define fewer, or a greater number of rotational angles during a sleep session.
At block 2336, when cradle 1501 reaches the first right deployment/retraction angle, or a predefined retraction angle different from the first right deployment/retraction angle (in this case, both a deployment and a retraction angle are defined), processor 2200 may retract one or more walls that had previously been deployed at the first right deployment/retraction angle (or the supine position while cradle 1501 was being rotated toward the third rotational angle). For example, a first right deployment angle may have been predefined as 5 degrees and a retraction angle may be defined as 3 degrees of a right rotation from the left of the supine position, or even the supine position itself (i.e., zero degrees). Continuing the example from above, when cradle 1501 reaches 3 degrees from the supine position as cradle 1501 is being rotated towards the supine position, processor 2200 causes right torso support wall 1506 and right head support wall 1502 to retract behind cradle 1501.
At block 2338, when cradle 1501 reaches the supine position, processor 2200 stops further rotation of cradle 1501, and the sleep session is terminated.
At block 2400, cradle 1501 is in the supine position, and a user lays down on cradle 1501. In another embodiment, the user may get into cradle 1501 using user interface 2206, or an app on the user's personal electronic device, such as a mobile phone, to raise cradle 1501 into a more upright position, as shown in
At block 2402, processor 2200 may receive an indication from the user that the user is laying on cradle 1501. The indication may be provided manually via user interface 2206, via a user's personal communication device, such as mobile phone, wearable device, etc., or automatically via a sensor embedded into cradle 1501. The indication may be used by processor 2200 to begin a timer to track the time that the user is laying in cradle 1501.
At block 2404, processor 2200 may receive a signal from left torso sensor 1824, indicating that the user has shifted his body to influence left torso sensor 1824. For example, if left torso sensor 1824 is a pressure sensor, left torso sensor 1824 will send a signal to processor 2200 when it detects an increased pressure against it due to the user positioning his or her body against left torso sensor 1824, for example, when the user begins to roll to his or her left. In another embodiment, left torso sensor 1824 provides a continuous signal to processor 2200, such as presenting a resistance, voltage, current or some other measurable parameter that changes in response to pressure applied to left torso sensor 1824.
At block 2406, as the user begins to roll to the left, any pressure detected by right torso sensor 1822 may decrease, as the user's body is in less/no contact with right torso 1822 sensor. In this case, right torso sensor 1822 may report a decreased pressure to processor 2200. The combination of increased pressure from left torso sensor 1824 and a decreased pressure from right torso sensor 1822 may confirm to processor 2200 that the user wishes to lay on his or her left side, or wants cradle 1501 to rotate to the user's left side. User's movements resulting in weight shift and sensor activation could be either intentional (when a user is awake) or unconscious (when a user is asleep).
At block 2408, in one embodiment, in response to the signal(s) received from left torso sensor 1824 and, in some embodiments, right torso sensor 1822, indicating that the user wishes to lay on his or her left side, and before processor 2200 causes any rotation of cradle 1501, processor 2200 causes at least left torso support wall 1508 to deploy through cradle 1501. In other embodiments, one or more other walls may also be deployed, such as one or more of left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004.
At block 2410 processor 2200 causes cradle 1501 to begin rotating to the user's left side by energizing electric motor 604 to rotate in a first direction.
At block 2412, in an embodiment where all of the walls of body support device 1500 are still retracted behind cradle 1501 after cradle 1501 begins rotating, processor 2200 causes at least left torso support wall 1508 to deploy through cradle 1501 when processor 2200 determines that cradle 1501 has been rotated to, or past, a left deployment/retraction angle. Processor 2200 determines that cradle has been rotated to, or past, the left deployment/retraction angle as described earlier herein. When cradle 1501 has been rotated to, or past, a left deployment/retraction angle, one or more other walls may also be deployed, such as one or more of left head support wall 1504, left leg support wall 1512, middle leg support wall 1514, outer left arm support wall 1522 and right arm support wall 2004.
At block 2414, processor 2200 causes cradle 1501 to stop rotating to the left when cradle 1501 has been rotated to a first programmed angle, in this example, 25 degrees to the left.
At block 2416, processor 2200 begins a timer to determine how long the user is held in this position. The time is used in connection with a number of rotational positions and respective hold times, sometimes referred to herein as “target values”, as follows.
A variety of target values are pre-defined and stored in memory 2202 for use with the processor-executable instructions. The target values may comprise a number of associated rotational angles and desired times that the user should be held is each position. Other target values may comprise a desired total sleep time, i.e., a desired total time that the user should spend in cradle 1501 each day or night and a desired total time spent at any particular rotational angle and in some embodiments, an inclination angle.
For example, the following target values could be pre-defined and stored in memory 2200:
Total Target Sleep Time—The desired total time that the user should spend in cradle 1501 during each sleep/rest/therapy session.
Total Target Left Rotation Time—The total time during a session that the user should spend rotated to the left. In some embodiments, a number of such times are defined, each one defining a particular angle and a desired time to hold the user in a particular angle. For example, two Total Target Left Rotation Times could be defined: 25 degrees for 2 hours and 65 degrees for 3 hours.
Total Target Right Rotation Time—The total time during a session that the user should spend rotated to the right.
Total Target Supine Time—The total time during a session that the user should spend in supine position.
Minimum/Maximum Lap Times—The minimum and/or maximum time that a user should spend at a particular rotational angle.
As an example, the Total Target Sleep Time could be set to 8 hours, the Total Target Left Rotation Time could be set to 2 hours, the Total Target Right Rotation Time could be set to 4 hours, and the Total Target Supine Time could be set to 2 hours. A Minimum Lap Time could be defined as 10 minutes and a Maximum Lap Time could be defined as 30 minutes. The remaining discussion will assume that only three rotational angles will be defined (one left rotational angle of 25 degrees, one right rotational angle of 45 degrees, and the supine position, i.e., zero degrees), and each rotational angle will have the same Minimum and Maximum Lap Times. In other embodiments, a greater number of rotational angles may be defined, each having its own Minimum and Maximum Lap Times that may be different from each other. The parameters may be selected based on specific conditions of a user. E.g. for certain conditions of digestive tract sleeping on the left side may be maximized, whereas for cardio-vascular conditions the right side sleep may be maximized to achieve therapeutic effect.
Returning to the method, at block 2418, processor holds cradle 1501 at 25 degrees left rotation while the timer tracks the elapsed time spent at this angle.
At block 2420, the user may attempt to roll over on cradle 1501 to the right, in an effort to sleep on the user's right side. Sensor 1824 and/or sensor 1822 provide an indication(s) to processor 2200 of such user movement.
At block 2422, in response to receiving the indications(s) from the sensor(s), processor 2200 determines whether or not to rotate cradle 1501, or to ignore the signal(s) by determining whether one or more desired target values have been achieved before rotating cradle 1501 to the right. For example, if cradle 1501 has been held at the 25 degree angle for at least 10 minutes, processor 2200 may cause cradle 1501 to rotate either back to the supine position, or to a left-rotated angle of 65 degrees. If cradle 1501 has not been held at the 25 degree angle for at least 10 minutes, processor 2200 may ignore the signal(s) from the sensor(s) and keep cradle 1501 at the same left-rotational angle of 25 degrees. In one embodiment, processor 2200 notifies the user when processor 2200 ignores the signal(s), such as providing an audible or visual indication to the user via user interface 2206.
In another embodiment, processor 2200 performs two or more comparisons of the elapsed time spent in any rotational angle to two or more target values in order to determine whether to allow rotation of cradle 1501 or not, in order to achieve one or more of the target values. For example, after the user has been using body support device 1500 for 5 hours of an 8 hour Total Target Sleep Time, cradle 1501 may have spent 2 hours in the left rotational angle, 1 hour in the right rotational angle, and 2 hours in the supine position. For illustrative purposes, it will be assumed that cradle 1501 is in the left rotational angle and that cradle 1501 has been in this position for 29 minutes. If the Total Target Left Rotation Time is 3 hours, the Total Target Right Rotation Time is 2 hours, and the Total Target Supine Time is 3 hours, processor 2200 may check not only whether the Minimum Left Lap Time has been met, but also whether the Total Target Right Rotation Time has been met. In this case, when the user rolls to his or her right in a desire to lay on his or her right side, processor 2200 determines that the Minimum Left Lap Time has been met, but that the Total Target Right Rotation Time has also been met. As a result, processor 2200 ignores the signal(s) from the sensor(s) to rotate cradle 1501 to the right. In one embodiment, processor 2200 does rotate cradle 1501 to the right, even when the Total Target Right Rotation Time has been met, but rotates cradle 1501 only to the supine position, provided that the Total Target Supine Time has not been reached.
At block 2424, processor 2200 either rotates cradle 1501 to the right, or ignores the signal(s) from the sensor(s), based on the determination performed at block 2322. If cradle 1501 is rotated to the right, one or more walls are retracted and/or deployed, as described elsewhere herein.
At block 2426, if processor 2200 rotates cradle 1501 to the right, processor 2200 adds the elapsed time that the user was at the 25 degree rotational angle to a Total Actual Sleep Time register stored in memory 2202 and to a Total Actual Left Rotation Time register, also stored in memory 2202. As cradle 1501 is moved into the three rotational angles, in this example, processor 2200 updates these registers, as well as a Total Actual Right Rotation Time, to track the amount of time that the user spends in each of the three rotational angles during a sleep/rest/therapy session.
At block 2428, if no signal(s) is/are received from the sensor(s), processor 2200 determines that cradle 1501 has been in the left rotational angle for a Maximum Left Lap Time of, in this example, 30 minutes.
At block 2430, processor 2200 determines which of the two remaining rotational angles, either supine or left, to rotate cradle 501. Processor 2200 makes this determination, in one embodiment, based on the Total Actual Right Rotation Time and the Total Actual Supine Time stored in respective registers in memory 2202 vs Total Target times for these positions. In this embodiment, processor 2200 rotates cradle 1501 to the rotational angle that is most in need of meeting a respective Total Target Rotation Time. For example, if the Total Actual Right Rotation Time is 2 hours, the Total Actual Supine Time is 2 hours, the Total Target Right Rotation Time is 3 hours, and the Target Supine Time is 2½ hours, processor 2200 rotates cradle 1501 to the right rotational angle, because the time needed to achieve the Target Right Rotation Time is 1 hour, while the time needed to achieve the Target Supine Time is ½ an hour. Thus, more time is needed in the right rotational angle to achieve the Total Target Right Rotation Time than is needed to achieve the Total Target Supine Time.
In another embodiment, processor 2200 determines which of the two remaining rotational angles, either supine or left, to rotate cradle 501, based not only on the Total Actual Right Rotation Time and the Total Actual Supine Time, but based on a pre-determined Partial Target Time defined for each of the right, left and supine positions for the most recent 2 hours. This achieves a more balanced positioning and may be particularly desirable for treatment of bed sores or for managing burn victims. For example, a Left Partial Target Time could be defined as 40-50 minutes in the past 2 hours, and a Supine Partial Target Time could be defined as 15-25 minutes in the past 2 hours, and Right Partial Target Time 45-55 minutes in the past 2 hours, each of these times decreased by processor 2200 as cradle 1501 is positioned into the right and supine positions, respectively. Processor 2200 determines where to rotate cradle 1501 by comparing time accrued in each position in the past 2 hours.
At block 2432, processor 2200 rotates cradle 1501 into either the supine position or a right rotational angle.
At block 2434, processor 2200 continues to process signal(s) from the sensor(s), and to reposition cradle 1501 when any Maximum Lap Time has been exceeded.
At block 2436, processor 2200 determines that the Total Target Sleep Time has been achieved, indicating that the current sleep/rest/therapy session is complete.
At block 2438, in response to determining that the Total Target Sleep Time has been achieved, processor 2200 returns cradle 1501 to the supine position, retracting some or all of any deployed walls, so that the user may easily get up from body support device 1500.
Although specific advantages have been enumerated above, various embodiments may include some, none, or all of the enumerated advantages.
Other technical advantages may become readily apparent to one of ordinary skill in the art after review of the following figures and description.
It should be understood at the outset that, although exemplary embodiments are illustrated in the figures and described below, the principles of the present disclosure may be implemented using any number of techniques, whether currently known or not. The present disclosure should in no way be limited to the exemplary implementations and techniques illustrated in the drawings and described below.
Unless otherwise specifically noted, articles depicted in the drawings are not necessarily drawn to scale.
Modifications, additions, or omissions may be made to the systems, apparatuses, and methods described herein without departing from the scope of the disclosure. For example, the components of the systems and apparatuses may be integrated or separated. Moreover, the operations of the systems and apparatuses disclosed herein may be performed by more, fewer, or other components and the methods described may include more, fewer, or other steps. Additionally, steps may be performed in any suitable order. As used in this document, “each” refers to each member of a set or each member of a subset of a set.
To aid the Patent Office and any readers of any patent issued on this application in interpreting the claims appended hereto, applicants wish to note that they do not intend any of the appended claims or claim elements to invoke 35 U.S.C. § 112(f) unless the words “means for” or “step for” are explicitly used in the particular claim.
This application claims the benefit of U.S. provisional patent application Ser. No. 62/845,659, filed on May 9, 2019 and U.S. provisional patent application Ser. No. 62/858,886, filed on Jun. 7, 2019.
Number | Name | Date | Kind |
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4920589 | LaVelle | May 1990 | A |
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Number | Date | Country | |
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20220008268 A1 | Jan 2022 | US |
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62858886 | Jun 2019 | US | |
62845659 | May 2019 | US |