The present disclosure relates, generally, to a patient assist handle for aiding a patient from moving to a resting/sitting position to a standing position and vice versa and, in particular, to a two-plane folding patient assist handle for a hospital bed.
With a growing shortage of nursing resources and personnel in many long term care markets, encouraging self-mobility for patients, especially elderly patients, is a trending notion in long term care facilities. Many providers offer bed exiting aids in the form of a quarter length side rail and fixed handle loop to cope with this self-mobility demand. These solutions, however, all share a fundamental usability and ergonomic problem when users are egressing from a bed or mattress. In particular, the hand grip placement and mounting location of these mobility aids are not ideally positioned in relation to the user, which leads to the users not being able to exert their maximum strength comfortably to help themselves out of the bed. Since maximum strength cannot be exerted by the user, this leads to greater risks of falls, strains, and increased numbers of nurse calls for the patient. Further, current mobility aids are not designed to provide additional support for wheelchair users during the transfer of the patient from the bed to a wheelchair and vice versa.
Currently, there are two types of mobility aids in the market. A quarter length side rail is a mobility aid designed to provide users with multiple grab points near the head end of a patient bed. The side rail allows the user to maneuver around the patient bed more easily while the patient is lying down, but does not assist in patient egress/ingress from/to the patient bed. Further, if the patient exits the patient bed with the backrest in a flat position, the side rail is too far to reach, forcing the patient to sit higher up on the bed. If the patient raises the backrest to a higher position, the hand grab points of the side rail become too high to reach, especially for patients with a smaller stature. The side rail design also does not provide support for wheelchair users.
Another type of mobility aid is a handle loop that provides the user with a means to sit up and stand from a patient bed. This handle loop, however, does not provide additional leverage and support for wheelchair users. Further, the user cannot reach for the handle loop while lying down on the patient bed to ease maneuvering in the patient bed. Another drawback with the handle loop is that the patient bed frame will not allow a quarter length side rail to be mounted. The caregiver and/or patient must decide which mobility aid is most needed and remove the unwanted mobility aid.
Therefore, there is a current need for a mobility aid that provides an ergonomically designed supporting aid that allows a patient to apply maximum strength themselves to comfortably egress out of the bed. A further need exists for a mobility aid that includes a two-plane folding design, which provides additional leverage and support for both wheelchair and non-wheelchair patients during bed egress and ingress.
In view of the foregoing, the present disclosure includes a two-plane, folding patient assist handle designed to improve a patient's mobility when egressing and ingressing a bed. In one example of the present disclosure, a patient assist handle includes an outer frame member, an inner frame member positioned within the outer frame member, a support post connected to the outer frame member, the support post having a first end and an opposing second end, a rotation actuator provided on the first end of the support post, the rotation actuator allowing rotation of the patient assist handle about a first rotation axis, and a release mechanism provided on the second end of the support post, the release mechanism allowing rotation of the patient assist handle about a second rotation axis.
In another example of the present disclosure, the first rotation axis may extend substantially perpendicular to the second rotation axis. The first rotation axis may extend in a vertical plane and the second rotation axis may extend in a horizontal plane. The rotation actuator may be positioned within the outer frame member. The rotation actuator may be a depressible button. Upon applying pressure to the depressible button, rotation of the patient assist handle about the second rotation axis may be permitted. The rotation actuator may be positioned outside of the outer frame member. A mounting bracket may be connected to the release mechanism. The mounting bracket may be configured to attach the patient assist handle to a patient bed. The release mechanism may include a spring-biased pull pin, and a positioning plate defining at least one aperture to receive the pull pin. The release mechanism may include a plunger, a plate defining a slot therein, a locking pin releasably engaged with the plunger, and a slot pin movable within the slot defined in the plate. The plunger may be configured to move the locking pin into an unlocked position to permit the slot pin to move within the slot, thereby permitting rotation of the patient assist handle about the second rotation axis. The locking pin may be spring-loaded so that, upon release of pressure on the plunger, the locking pin moves into a locked position to prevent rotation of the patient assist handle about the second rotation axis.
In another example of the present disclosure, a patient bed may include an underframe, and a patient assist handle mounted on the underframe. The patient assist handle may include an outer frame member, an inner frame member positioned within the outer frame member, a support post connected to the outer frame member, the support post having a first end and an opposing second end, a rotation actuator provided on the first end of the support post, the rotation actuator allowing rotation of the patient assist handle about a first rotation axis, and a release mechanism provided on the second end of the support post, the release mechanism allowing rotation of the patient assist handle about a second rotation axis.
In another example of the present disclosure, the first rotation axis may extend substantially perpendicular to the second rotation axis. The first rotation axis may extend in a vertical plane and the second rotation axis extends in a horizontal plane. The rotation actuator may be positioned within the outer frame member. The rotation actuator may be a depressible button. Upon applying pressure to the depressible button, rotation of the patient assist handle about the second rotation axis may be permitted. The rotation actuator may be positioned outside of the outer frame member. A mounting bracket may be connected to the release mechanism. The mounting bracket may be configured to attach the patient assist handle to a patient bed. The release mechanism may include a spring-biased pull pin, and a positioning plate defining at least one aperture to receive the pull pin. The release mechanism may include a plunger, a plate defining a slot therein, a locking pin releasably engaged with the plunger, and a slot pin movable within the slot defined in the plate. The plunger may be configured to move the locking pin into an unlocked position to permit the slot pin to move within the slot, thereby permitting rotation of the patient assist handle about the second rotation axis. The locking pin may be spring-loaded so that, upon release of pressure on the plunger, the locking pin moves into a locked position to prevent rotation of the patient assist handle about the second rotation axis.
Further aspects will now be described in the following numbered clauses.
Clause 1: A patient assist handle, comprising: an outer frame member; an inner frame member positioned within the outer frame member; a support post connected to the outer frame member, the support post having a first end and an opposing second end; a rotation actuator provided on the first end of the support post, the rotation actuator allowing rotation of the patient assist handle about a first rotation axis; and a release mechanism provided on the second end of the support post, the release mechanism allowing rotation of the patient assist handle about a second rotation axis.
Clause 2: The patient assist handle as claimed in Clause 1, wherein the first rotation axis extends substantially perpendicular to the second rotation axis.
Clause 3: The patient assist handle as claimed in either Clause 1 or Clause 2, wherein the first rotation axis extends in a vertical plane and the second rotation axis extends in a horizontal plane.
Clause 4: The patient assist handle as claimed in any of Clauses 1-3, wherein the rotation actuator is positioned within the outer frame member.
Clause 5: The patient assist handle as claimed in any of Clauses 1-4, wherein the rotation actuator is a depressible button, and wherein, upon applying pressure to the depressible button, rotation of the patient assist handle about the second rotation axis is permitted.
Clause 6: The patient assist handle as claimed in any of Clauses 1-5, wherein the rotation actuator is positioned outside of the outer frame member.
Clause 7: The patient assist handle as claimed in any of Clauses 1-6, further comprising a mounting bracket connected to the release mechanism, wherein the mounting bracket is configured to attach the patient assist handle to a patient bed.
Clause 8: The patient assist handle as claimed in any of Clauses 1-7, wherein the release mechanism comprises a spring-biased pull pin; and a positioning plate defining at least one aperture to receive the pull pin.
Clause 9: The patient assist handle as claimed in Clauses 1-8, wherein the release mechanism comprises: a plunger; a plate defining a slot therein; a locking pin releasably engaged with the plunger; and a slot pin movable within the slot defined in the plate, wherein the plunger is configured to move the locking pin into an unlocked position to permit the slot pin to move within the slot, thereby permitting rotation of the patient assist handle about the second rotation axis.
Clause 10: The patient assist handle as claimed in Clause 9, wherein the locking pin is spring-loaded so that, upon release of pressure on the plunger, the locking pin moves into a locked position to prevent rotation of the patient assist handle about the second rotation axis.
Clause 11: A patient bed, comprising: an underframe; and a patient assist handle mounted on the underframe, comprising: an outer frame member; an inner frame member positioned within the outer frame member; a support post connected to the outer frame member, the support post having a first end and an opposing second end; a rotation actuator provided on the first end of the support post, the rotation actuator allowing rotation of the patient assist handle about a first rotation axis; and a release mechanism provided on the second end of the support post, the release mechanism allowing rotation of the patient assist handle about a second rotation axis.
Clause 12: The patient assist handle as claimed in Clause 11, wherein the first rotation axis extends substantially perpendicular to the second rotation axis.
Clause 13: The patient assist handle as claimed in either Clause 11 or Clause 12, wherein the first rotation axis extends in a vertical plane and the second rotation axis extends in a horizontal plane.
Clause 14: The patient assist handle as claimed in any of Clauses 11-13, wherein the rotation actuator is positioned within the outer frame member.
Clause 15: The patient assist handle as claimed in any of Clauses 11-14, wherein the rotation actuator is a depressible button, and wherein, upon applying pressure to the depressible button, rotation of the patient assist handle about the second rotation axis is permitted.
Clause 16: The patient assist handle as claimed in any of Clauses 11-15, wherein the rotation actuator is positioned outside of the outer frame member.
Clause 17: The patient assist handle as claimed in any of Clauses 11-16, further comprising a mounting bracket connected to the release mechanism, wherein the mounting bracket is configured to attach the patient assist handle to a patient bed.
Clause 18: The patient assist handle as claimed in any of Clauses 11-17, wherein the release mechanism comprises a spring-biased pull pin; and a positioning plate defining at least one aperture to receive the pull pin.
Clause 19: The patient assist handle as claimed in any of Clauses 11-18, wherein the release mechanism comprises: a plunger; a plate defining a slot therein; a locking pin releasably engaged with the plunger; and a slot pin movable within the slot defined in the plate, wherein the plunger is configured to move the locking pin into an unlocked position to permit the slot pin to move within the slot, thereby permitting rotation of the patient assist handle about the second rotation axis.
Clause 20: The patient assist handle as claimed in Clause 19, wherein the locking pin is spring-loaded so that, upon release of pressure on the plunger, the locking pin moves into a locked position to prevent rotation of the patient assist handle about the second rotation axis.
These and other features and characteristics of the patient assist handle, as well as the methods of operation and functions of the related elements of the system, will become more apparent upon consideration of the following description and the appended claims with reference to the accompanying drawings, all of which form a part of this specification, wherein like reference numerals designate corresponding parts in the various figures. It is to be expressly understood, however, that the drawings are for the purpose of illustration and description only, and are not intended as a definition of the limits of the disclosure. As used in the specification and claims, the singular form of “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise.
For purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof, shall relate to the invention as it is oriented in the figures. However, it is to be understood that the invention may assume alternative variations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific systems and processes illustrated in the attached drawings, and described in the following specification, are simply exemplary examples of the invention. Hence, specific dimensions and other physical characteristics related to the examples disclosed herein are not to be considered as limiting.
Referring to the drawings in which like reference numerals refer to like parts throughout the several views thereof, the present disclosure is generally directed to a patient assist handle for a patient bed and, more particularly, to a two-plane, folding patient assist handle for a patient bed to assist a patient egress and ingress from/to the patient bed. The patient assist handle can be used with long term care patient beds, acute care patient beds, and any other beds from which patients need to egress and ingress. The patient assist handle is intended to replace current quarter length side rails that are used in patient beds.
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The patient assist handle 2 described above provides many advantages to a patient and caregiver. The handle 2 has multiple uses, including as a wheelchair “bridge” support and as a quarter length side rail for the patient when laying in the patient bed 32. Many of the current mobility aids only provide one of these uses. The handle 2 also provides several ergonomic advantages. As described above, the handle 2 is strategically mounted to the patient bed 32, is purposefully designed and sized for the intended type of patient, and the second extended position of the handle 2 mimics a conventional arm rest during bed egress and ingress. Further, with the handle 2 provided in the second extended position, the patient can keep his or her hands as leverage in front of or directly above his or her hips and feet. The handle 2 also allows for greater stability and maneuvering while the patient is standing or walking around the patient bed 32.
When provided in the stowed position, the handle 2 provides an unobstructed access to the patient during patient transfer from or to the patient bed 32. Further, the handle 2 permits easier access to a mattress on the patient bed 32 for changing linens and bedding. The handle 2 also allows for easier access to a bed deck of the patient bed 32 for cleaning. In addition, the stowed position provides a more open and inviting atmosphere to the patient's family members and healthcare professionals. When provided in the first extended position, the assist handle provides convenient grab points for a patient lying down on the patient bed 32 near the patient's shoulder, thereby allowing the patient to reach for additional support and a bio-mechanical advantage to maneuver on the patient bed 32 in a more dignified manner, such as rolling over, switching sleeping positions, accessing a patient's back from a caregiver's perspective, etc. The handle 2 in the first extended position also allows the patient to grasp onto the handle 2 for support and a bio-mechanical advantage when moving to a seated position from a laying-down position. The handle 2 also gives the patient stability support and a bio-mechanical advantage when egressing from the seated position to a standing position. When provided in the second extended position, the handle 2 provides stability support and a bio-mechanical advantage to the patient when egressing from the seated position to the standing position. Further, similar to an office armchair or disability toilet support in public restrooms, the handle 2 gives a patient the confidence, comfort, and additional reach when transferring from a seating position to a walking aid, or vice versa, such as to or from a wheelchair, walking frame, floor lift, or other similar device. The multiple rung design of the handle 2 also provides multiple grab point locations to allow a fallen patient to climb back up, if immediate help is not available.
Alternative examples of the handle 2 are also considered. For example, the handle 2 could rotate to tuck underneath the underframe 36 of the patient bed 32 when not in use. Further, the rotation actuator 26 could be a push-down knob that is used by pushing down a large button or by grabbing around the knob and pulling the knob downwardly. The handle 2 could also be designed to mount and dismount from the patient bed 32 without the use of tools.
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Operation of the release mechanism 62 is described in reference to
After the handle 40 has been positioned in the desired vertical position using the release mechanism 62, a button of the rotation actuator 60 may be depressed to permit rotation of the handle 40 about the rotation axis C. Once the handle 40 has been positioned in the desired rotational position relative to the patient's bed, the button can be released to re-engage the rotation actuator 60 to prevent further rotation of the handle 40.
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The spring 142 is configured to bias the button 140 towards an extended position. In the event the button 140 is depressed by a patient or physician, the spring 142 is compressed. The spring 142 rests on the lower locking jaw 148. The locking jaws 146, 148 are configured to move between two different positions. In the first position, in which the handle 100 is prevented from rotating about the rotation axis E, the teeth of the locking jaws 146, 148 are engaged with one another so that the locking jaws 146, 148 are unable to rotate relative to one another. In the second position, in which the handle 100 is permitted to rotate about the rotation axis E, the teeth of the locking jaws 146, 148 are disengaged from one another to permit the locking jaws 146, 148 to rotate relative to one another. As the button 140 is depressed, the spring 142 presses against the lower locking jaw 148 to move the lower locking jaw 148 away from the upper locking jaw 146. As the lower locking jaw 148 is moved away from the upper locking jaw 146, the teeth of the locking jaws 146, 148 disengage from one another, thereby permitting the upper locking jaw 146 and, thereby, the handle 100, to rotate. Once pressure on the button 140 is released, the spring 142 moves the lower locking jaw 148 upwardly to engage with the upper locking jaw 146 once again to lock the rotation of the handle 100. In one example, when the locking jaws 146, 148 are disengaged from one another, the handle 100 is permitted to any number of positions in a 360° perimeter. In another example, when the locking jaws 146, 148 are disengaged from one another, the handle 100 is permitted to only move within a 90° radius. In this example, a slot (not shown) defined in the handle 100 may receive a locating pin 154 that extends through the handle 100 and connected to the retainer 150. Therefore, as the handle 100 is rotated about rotation axis E, the locating pin 154 moves within the slot, which acts as a stop at both ends thereof to prevent rotation of more than 90°. It is also contemplated that, in place of the button 140, a pull-up latch (not shown) may be used to engage and disengage the locking jaws 146, 148.
In a first stowed position, in which the handle 100 is rotated to the side of the bed when not in use, a longitudinal axis of the handle 100 may extend parallel with a longitudinal axis of the housing 124 of the release mechanism 122. During operation of the handle 100 and the release mechanism 122, the physician may grasp the handle 100 and pull upwardly on the handle 100 to rotate the handle 100 into a first position about a rotation axis F. As the handle 100 is pulled upwardly, the plate 127 is rotated about the rotation shaft 129 and rotation axis F. Eventually, the handle 100 is pulled into the first position, such that the pull pin 126 snaps into a first aperture 132 defined in the positioning plate 128. Once the pull pin 126 snaps into the aperture 132, the handle 100 is prevent from rotating about the rotation shaft 129. The physician may pull the handle 134 of the pull pin 126 to pull the pin 136 from the aperture 132 to allow the handle 100 to either rotate downwardly to the stowed position or upwardly into a second position, such that the pull pin 126 is received within a second aperture 132.
After the handle 100 has been positioned in the desired vertical position using the release mechanism 122, the button 140 of the rotation actuator 120 may be depressed to permit rotation of the handle 100 about the rotation axis E. Once the handle 100 has been positioned in the desired rotational position relative to the patient's bed, the button 140 can be released to re-engage the rotation actuator 120 to prevent further rotation of the handle 100.
While several examples of the handle 2, 40, 100 are shown in the accompanying figures and described in detail hereinabove, other examples will be apparent to, and readily made by, those skilled in the art without departing from the scope and spirit of the disclosure. Accordingly, the foregoing description is intended to be illustrative rather than restrictive. The invention described hereinabove is defined by the appended claims and all changes to the invention that fall within the meaning and range of equivalency of the claims are to be embraced within their scope.
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