CN1305363A - Therapeutic bed - Google Patents

Therapeutic bed Download PDF

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Publication number
CN1305363A
CN1305363A CN99806914.0A CN99806914A CN1305363A CN 1305363 A CN1305363 A CN 1305363A CN 99806914 A CN99806914 A CN 99806914A CN 1305363 A CN1305363 A CN 1305363A
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China
Prior art keywords
patient support
patient
therapeutic bed
support
underframe
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Granted
Application number
CN99806914.0A
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Chinese (zh)
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CN1198558C (en
Inventor
P·J·康诺利
C·维贾因德兰
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KCI Licensing Inc
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Alliance Investments Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/001Beds specially adapted for nursing; Devices for lifting patients or disabled persons with means for turning-over the patient

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)

Abstract

A therapeutic bed (1) comprises a patient support platform (7) rotatably mounted on a base frame (4) for rotation about a longitudinal pivot axis between a supine support position and a prone support position. The base frame (4) is in turn mounted on a wheeled chassis (2) by pivot linkages (5) which allow tilting and raising and lowering of the base frame (4) on the chassis (2). Drive interlocks prevent rotation of the patient support platform (7) unless side rails (25) are locked on the patient support platform (7) and patient support flaps (40, 41) extending between the side rails (25) are locked together to secure a patient on the patient support platform (7). Guides (51) are provided at each end of the patient support platform (7) at the longitudinal rotational axis to guide patient care lines between a patient on the patient support platform (7) and associated devices externally of the patient support platform (7). This prevents entanglement of patient care lines as the patient support platform (7) rotates.

Description

A kind of therapeutic bed
The present invention relates to a kind of therapeutic bed, especially relate to the positioned prone bed.
Patient location is used as a kind of patient comfort that is used for as a kind of Therapeutic Method for some time, prevents skin breakdown, improves drainage and helps breathing.A purpose of patient location is to allow oxygen supply reach maximum to improve the Oxygenation of system.Various researchs have shown localized beneficial effect of health and the facilitation that the oxygen that is weakened is transmitted.Patient supports the stretching, extension and the oxygen supply at the back can help improving lung with the ventricumbent position.
The invention particularly relates to such therapeutic bed: comprise a underframe, one is installed in rotation on this underframe the patient support that rotates with the vertical turning cylinder around patient support, and the driving device that is used to allow patient support on the underframe rotate.
Our publication number be WO 97 in 22323 the patent application of formerly submitting to, we have described the therapeutic bed of the type, are used for supporting patient for use in exercise therapy with a kind of dorsal position or ventricumbent position.
The therapeutic bed of the type is particularly useful for treating the patient who breathes defect.This bed helps allowing patient rotate on patient support, and where necessary, helps this patient support and turn to prostrate support level, and this support level is especially desirable for treatment has the patient of serious breathing problem.
In such treatment, patient may be inserted many pipes lentamente, these pipes in bed patient and be installed in relevant device on the pallet or one of the bed between the other similar devices of bed side on extend, be used for to patient infusion or from patient body drain.Equally, also has the lead on the various monitors that many pick offs from the patient extend to this bedside.These oxygen supplys and catheter, drug delivery pipe, monitoring cable etc. are the unified patient care pipeline that is known as in whole patent specification.Used term " patient care pipeline " is used to refer to specially and acts as what pipe, pipeline, conduit cable and similar pipeline in this patent specification, these pipelines be used to patient infusion or from patient body tapping, be used to monitor that patient status and general dialogue are used to handle the patient on this patient support.There is a problem in these patient care pipelines, and especially when rotating in this patient support between ventricumbent position and the dorsal position, in that position, their are understood easy tied up in knots and might unexpectedly be pulled away from one's body from patient.Take place for fear of this situation, nurse or other assistant nurse have to handle and adjust these patient care pipelines where necessary carefully when this therapeutic bed rotates.This work is very difficult to carry out.When patient support is in or near the prostrate support level time, is very difficult near patient and patient care pipeline.
Another problem that occurs is to guarantee that before level that patient support is left is lain on the back support level patient correctly is fixed on this patient support.The nurse has to check once more that all tighten patient's belt, guide rail and supporting member was fixed before patient support turns to the ventricumbent position.So just very consuming time.And just easily check out not necessarily whether belt or other fixture correctly and safely engage.
For patient support is rotated between support level and the attached support level for sleeping in lying on the back, need many nursing stafves usually to rotate this patient support and processing pipeline and lead tangle or take off and close preventing simultaneously.Therefore possibly many nursing stafves are left under order one period considerable time from other post.As a result, the business efficiency spending that is subjected to negative effect and hospital has increased.
Address these problems with the present invention is directed to.
The invention is characterized in, be provided for the guider of patient care pipeline in the one or both ends of patient support, be used between the relevant device of patient on the patient support and patient support outside these patient care pipelines of guiding, described guider is installed near vertical turning cylinder place of patient support or its.
The invention provides a kind of sick bed that combines a patient care pipeline management system, be used for the optimization process of patient care pipeline, especially should the bed lying on the back rotate between bearing position and the attached bearing position for sleeping in.Because these pipelines are directed to device and are supporting safely during patient support rotates, so the patient care pipeline tangles or the danger that is shifted will reduce to minimum.
Second aspect, the invention is characterized in, a kind of device of tightening that is used for releasably patient being fixed on the patient support is provided, and this is tightened device and operationally is connected with the driving device that is used to allow patient support rotate and regulates the rotation of patient support with the correct combination of tightening device according to this.This structure helps preventing the rotation of patient support, unless patient is tied safely or is strapped on the patient support.Whether correctly be fixed on the patient support for patient, this device can be given the nursing staff a simple and indication rapidly.
The third aspect, the invention is characterized in, be provided with and operationally be used for the driving device that allows patient support on underframe, rotate, be used to survey the device in the orientation of the patient support on the underframe, and be used for coming the device of the operation of accessory drive according to the position of the patient support that is detected on underframe.Like this, just can easily control patient support in a simple manner rotates between the orientation of many requirements on the underframe.Equally, can also control this bottom support platform and between different azimuth, move, thereby allow a nurse freely attend to the patient when implementing this control where necessary.
In one embodiment, be provided for the patient care pipeline is fixed on device on the guider.
In another embodiment, this guider comprises that is used to a tubulose guide that allows patient care pipeline or pipeline therefrom pass through.
In also having an embodiment, this tubulose guide has one and is used to the hole that allows the patient care pipeline therefrom pass through, and in this hole, engage a hole plug-in unit is arranged, this hole plug-in unit has many grooves with spaced apart at the periphery of this plug-in unit, each groove is used for holding a patient care pipeline, and each groove is by a sidewall closure in this hole when this plug-in unit is installed in the hole.
In another embodiment, this guider comprises that has a plurality of guide waies that are used to hold the patient care pipeline pockets of patient care pipeline.
In also having an embodiment, this guider has one to have a plurality of guide waies that are used to hold the peripheral groove that separates with set a distance of patient care pipeline.
Each groove preferably has a lateral openings, thereby and closing device engage releasably with can crossing this lateral openings pipeline remained in this groove.
In another embodiment, this locking device is a spring-loaded finger, it crosses usually, and lateral openings ground is biased to advance a groove make position, and can overcome the effect withdrawal of spring bias voltage so that insert a pipeline in this groove or therefrom take a pipeline away.
This closing device preferably one can cross the speed that lateral openings engages and open band.
In also having an embodiment, this guide way is installed on the patient support movably to be used for vertical move of this guide way on patient support.
This guide way preferably is slidably mounted on the patient support.
In another embodiment of the invention, be provided with the device of tightening that is used for releasably patient being fixed on the patient support,
Describedly tighten device and adjust driving device that patient support rotates and operationally be connected and regulate the rotation of patient support with the correct joint of tightening device according to this.
In also having an embodiment, this is tightened device and comprises: many to the cephalic par that is installed in patient support and the support component between the foot portion,
The every pair of support component comprises the relevant support component that is installed on the patient support opposition side, and has a securing member and so that support component is fixed together patient is remained on the patient support,
The correct sniffer that engage that be used for survey securing member relevant with each securing member,
Described sniffer links to each other with a controller, is used for the operation of accessory drive.
In another embodiment, it is one complementary to securing member that each securing member has, i.e. one first securing member and one second securing member,
A securing member is installed on every pair of support component,
First securing member is subjected to bias voltage usually and does not engage with second securing member,
First securing member when being in bonding station and the detector cooperation be engaged to indicate this securing member.
In also having an embodiment, detector has a magnetic operator switch, and an actuating magnet is installed to operate this switch on first securing member.
In another embodiment, support component is installed on the side guide of each side edge that is erected in patient support.
Each side guide preferably is removably mounted on the patient support, and this side guide has: be used for the device that releasably engages with patient support,
Be used for guide rail is fixed on locking device on the patient support,
Be used for surveying the guide rail sniffer that guide rail engages with the interlocking of patient support,
Described guide rail sniffer operationally links to each other with the controller of driving device, and driving device only correctly with under the situation that patient support engages just can operate at guide rail like this.
In another embodiment, be provided with the device that is used for when patient support is in the position of a conversion each guide rail is locked on the patient support.
In also having an embodiment, in patient support, be provided with one or more articulated slabs and be used for when patient support is in the position of a conversion, providing passage near patient,
Every articulated slab has the plate locking device this plate being fixed in the make position on the patient support,
Be provided with the plate sniffer of the locked engagement that is used for surveying this plate and patient support,
Described plate sniffer operationally links to each other with the controller of driving device, and driving device only just can be worked under this plate is locked in situation in the make position on the patient support like this.
In another embodiment, be provided with the device that is used to survey this orientation of patient support platform on underframe, and the device that is provided with the running that is used for ' according to the position of patient support platform on underframe of surveying ' accessory drive.
In another embodiment, this sniffer comprises: one be installed on the patient support and with the ring of the coaxial of this patient support;
This ring has one first group and centers on this ring slit of 1 ° at interval,
This ring has the location slit that many covers separate with set a distance around this ring, and every cover location slit provides the indication of a patient support with respect to the particular orientation of underframe;
And aided location sensing device relevant with disk, this position read out device is installed on the underframe and to have the auxiliary light-emitting device and a receiving system of the opposite sides that are supported on disk right, be used for disk in the slit cooperation determine the orientation of patient support on underframe.
In another embodiment, this ring has many slits that stop that being positioned at around this ring, thereby define many stop positions that are used for patient support on the underframe, can be bonded between patient support and the underframe so that patient support is locked on this underframe at this rest position one lock plunger.
Will more be expressly understood the present invention by the explanation of the more following embodiment that just provides with by way of example and with reference to accompanying drawing, wherein:
Fig. 1 is the perspective view according to therapeutic bed of the present invention;
Fig. 2 is another perspective view of this therapeutic bed, demonstrates to be in the Another application position;
Fig. 3 is another perspective view of this bed, and this patient support demonstration is on prostrate patient's support level of a conversion;
Fig. 4 is this a end elevation view;
Fig. 5 is the perspective view of the framework of this therapeutic bed;
Fig. 6 is the perspective view of the bottom of this bedstead, has wherein removed the patient support of this bed;
Fig. 7 is the front view of this framework;
Fig. 8 is the plane graph at the bedstead shown in Fig. 7;
Fig. 9 is the plane graph that is similar to Fig. 8, demonstrates the articulated slab that is positioned at the patient support on the bedstead appropriate location;
Figure 10 is the perspective view of this therapeutic bed in use, and is supporting a dorsal position patient;
Figure 11 is the perspective view of bed in use, and is supporting a prone patient;
Figure 12 is the decomposition section detail drawing of this side guide retaining mechanism;
Figure 13 is at this detailed decomposition profile diagram of side guide retaining mechanism shown in another position of using;
Figure 14 is the sectional elevation of the plate retaining mechanism on patient support;
Figure 15 is the detailed sectional drawing of the amplification of the part retaining mechanism among Figure 14;
Figure 16 is a view that is similar to Figure 15, demonstrates the retaining mechanism in the another location of using;
Figure 17 a is the detailed perspective view that this patient tightens band;
Figure 17 b is the circuit diagram that is combined in the rotation interlocking in the described band;
Figure 17 c is that the patient that is used for fixing this band tightens belt and the detailed perspective view of bracelet;
Figure 18 is a front view, demonstrates a pipe guide that is positioned at this place, end;
Figure 19 is the detail elevation of rotary encoder ring of a part of rotation controling mechanism that is formed for this patient support;
Figure 20 is for forming the partly detailed front view in side of the rotary encoder of bed;
Figure 21 is a detail drawing, demonstrates part rotary encoder ring.
With reference to these figure, the therapeutic bed of totally being represented by label 1 is described according to the present invention.This therapeutic bed 1 comprises a chassis 2 that is installed in the ground connection on the wheel 3.One underframe 4 is fixed on the chassis 2 by pivoting connector 5.The push rod 6 that is contained in the underframe 4 is handled pivoting connector 5 so that underframe 4 rises or descends on chassis 2.Push rod 6 can be handled to such an extent that make underframe 4 maintenance levels, even it moves or can be handled to such an extent that be used for making rising on the end of underframe 4 or descending and this underframe 4 tilted so that when will be bearing in treatment position of patient support 7 shift-ins on this underframe 4 with the axis of pitch around underframe 4.Patient support 7 is installed in rotation on the underframe 4 so that lying on the back that the vertical turning cylinder around patient support rotates between the prostrate support level shown in support level and Fig. 3 shown in Fig. 1.
Patient support 7 has the end ring 8,9 of pair of upstanding, and each end ring is sat to put and also is being engaged in rotationally on a pair of relevant roller of locating in each end of underframe 4 10 (Fig. 6) with spaced apart.Lateral bolster strut 12,13 extends between end ring 8,9.The cross bar 14 of one central authorities extends between lateral bolster strut 12,13.Articulated slab 16,17 (Fig. 9) and cross bar 14 are hinged, and can be opened when therapeutic bed 1 is in as shown in Figure 3 ventricumbent position so that patient's back near therapeutic bed 1.It is to be noted that this structure can provide the good condition and minimum obstruction near patient.
Be used for and securely articulated slab 16,17 pinned during support bar 12,13 engages with the position in closure in that an overlap joint close mechanism 20 is installed on the every articulated slab 16,17.Spring loads locking pin 22 and is slidably mounted in the microscler tube-like envelope 23 so that be bonded in the support bar 12,13 mobile between the extended position (Figure 16) among the corresponding pockets 23a at a withdrawal deposit position (Figure 15) and a locking pin 22.The correct situation of detectable each the locking pin 22 relative pockets 23a locked engagement of detector (not shown), and a signal sent to a pivoting controller that is used for patient support 7, unless this controller prevents that two articulated slabs of rotation 16,17 of this patient support 7 all are locked on the patient support 7 securely.One gravity pin 21 is slidably in the relevant pipe 21a on shell 23 sidewalls under the effect of gravity, thereby engage with auxiliary cannelure 24 in the locking pin 22 when patient support 7 is in dorsal position to prevent that articulated slab 16,17 from opening, gravity pin 21 skids off not engage with groove 24 so that articulated slab 16,17 can be opened when patient support is in prone position.Place, the inner at locking pin 22 is provided with handle 98, is used for manually unclamping locking pin 22 and is retracted in the shell 23 with the effect that can overcome spring 99.Therefore, articulated slab 16,17 with regard to released so that open.In the position of withdrawal, the groove 101 that Figure 14,15, is installed in the sidewall of spring-loaded latch 100 and shell 23 on the locking pin 22 engages so that locking pin 22 is remained in the retracted position.This latch 100 can be pressed at the bias effect that overcomes spring 105 in the shell 23 to unclamp locking pin 22, and this locking pin 22 outwards is biased on as shown in Figure 16 the bonding station that extends outwardly by spring 99 so that lock articulated slab 16,17 on the patient support 7 again then.
Be provided with the side guide 25 of setting at each side place of patient support 7.The complementary jack 27 (referring to Figure 13) that every side guide 25 has in one of the pillar that extends downwards at each place, end 26 itself and patient support 7 support bar 12,13 engages.Under pillar 26 and situation that jack 27 engages, be contained in the opening 24 that spring-loaded locking pin 28 in the bar 12,13 can pass in the sidewall of jack 27 and engage with locking groove 29 in the pillar 26.One handle 30 that is arranged in end place within the locking pin 28 can be operated to such an extent that be used for making locking pin 28 to slide so that unclamp pillar 26 in the associated enclosure 31 that is located at bar 12,13 inside.One spring 31a in shell 31 releases locking pin 28 outside the shells 31 and enters a pillar bonding station.It is to be noted, the relevant steady pin 32 of one operated by weight is in the tubular sleeve 33 that is slidably mounted on the shell 31, like this when patient support 7 is in conversion prone, pin 32 under the effect of gravity (along the direction of the arrow A of Figure 13) degeneration downwards in case shotpin 28 withdrawals and guide rail 25 lockings are on the throne.Thereby a detector 35 can be sold 28 with each and engage to indicate its (28) to engage with pillar 26 or take off the state that whether closes in the position of determining this pin 28.All detectors 35 in series link to each other and link to each other with the pivoting controller of the motor that patient support 7 is rotated, motor can not worked and all be indicated pin 28 with till pillar correctly engages up to all detectors 35 like this, thereby guide rail 25 just is securely connected also locking positioning on patient support 7.
For patient being remained on the patient support 7, patient's bracing strip 40,41 (Fig. 1) of corresponding pairs is pivotally mounted on the guide rail 25 of opposite opposite side, and can be fixed together securely a patient being remained on the patient support 7 by locking belt 43, as described in our publication number is the patent application formerly of WO 97/22323 (content of this application is referred to herein as a reference).Every belt 43 comprises a bellyband 44, at the free end of bellyband 44 bracelet 45 (Figure 17) or relevant clip 46 is arranged, and bracelet 45 and clip 46 form a kind of fastening structure of opening soon.When unclamping, bellyband 44 buckle ins 45 are shortened by an elastic webbing 47, this elastic webbing is being sewn on the position of a tension on the side of bellyband 44, so that bracelet 45 is regained bracelet 45 from magnetic operator switch 48 tops on the band 41 that is installed in relevant its bracelet 45 is installed.This magnetic switch 48 is installed in the inside of every band 41, and is located immediately at the magnet below of tightening in the bracelet 45.The series circuit of magnetic switch 48 and resistance 49 terminates among the adapter 49a, and this adapter 49a is come-at-able in the outside of band 41.By selecting the resistance of a monodrome and measure this resistance, thereby just can confirm the correct closure of each bracelet 45 for every band 45.Therefore, when the bracelet 45 that has a small magnet was in bonding station, the switch 48 of magnetic operator just can be operated with on confirming bracelet 45 and clip 46 correctly being connected, and patient just correctly is fixed on the patient support 7 like this.Before patient support 7 can be rotated, each securing member must correctly be engaged.
One hand-held controller 85 (Fig. 4) be installed in this therapeutic bed 1 foot the bag 86 in.This controller 85 has one and is used for the contact that engages with adapter 49a, to allow numerical value that controller 85 checks whether bracelet 45 correctly engage (switch 48 is closed) and determine resistance 48 to differentiate checked band 40,41.Each band begins 40,41 foots from this therapeutic bed 1 and is checked successively towards the head end direction of this therapeutic bed.Unless band locking was identified with correct order and this is completely in proper order, this patient support 7 can not be released and be used for rotating.This has just guaranteed that all bands are examined together at synchronization.
Suppose that all interlockings have removed, hand-held controller 85 just can be used for sending an operation signal to this rotation motor controller at a distance so that patient support 7 rotates.When patient support 7 rotated, the nurse can move around this therapeutic bed, controlled rotation to guarantee that during turning patient or patient care pipeline are without any problem with controller 85.
On this therapeutic bed, be provided with and be used for for example management devices of pipe and detector cables of patient care pipeline.At the foot place of this therapeutic bed, this management devices comprises a central opening 50 (Fig. 5) at the longitudinal axis place near patient support 7, is used for supporting and allowing the patient care pipeline pass.Nursing pipeline clamping device 57 (Fig. 4) can be bonded in the opening 50 with dismantling and have many peripheral groove 58 with spaced apart, and each groove is used for holding a patient care pipeline.Each groove 58 is sealed by the sidewall of opening 50.
Head end place at therapeutic bed, this patient care pipeline management device comprise near the longitudinal axis that is installed in patient support 7 and on corresponding guide rail 52 guide way 51 (Fig. 1 and 18) slidably, like this this therapeutic bed be in lie on the back or prone the time this guide way can drop on patient head below.This guide way 51 has many grooves 54 that are used to hold the patient care pipeline.Multiple size shown in groove 54 can have is to hold different pipelines.When the patient care pipeline engaged with groove 54, a spring-loaded maintenance finger 55 of crossing the inlet installation of each groove 54 was fixed on the patient care pipeline in the groove 54.This guide way 51 is installed on the bar 56, and this bar is installed in rotation on the slide block 59 that can be slidably engaged with guide rail 52.Therefore, this guide way 51 can leave described path where necessary so that better near patient's head.Be understandable that, this by the place, each end of therapeutic bed with the patient care pipeline axially the patient care pipeline management mode of carrying out of guiding outwards be very beneficial for when make patient support lying on the back and prostrate support level between handle the patient care pipeline when moving.Simultaneously, this patient care pipeline is clamped firmly to prevent that the pipeline accident is pulled away from from patient on one's body.
The driving device of this patient support can be the sort of type (content of this patent application is cited as a reference) described in our WO97/22323 of patent formerly, consists essentially of one at the belt drive unit of the foot place of therapeutic bed 1 between patient support on the underframe 47 and corresponding motor.Yet the operation of motor is controlled by the light sensation encoder of a rotation in this case, and this encoder comprises that a coding disk 60 has three concentric grooves tracks 61,62,63 referring to Figure 19-21 an and aided location sensing device 64.One exterior angle graduation mark 61 comprises the slit of 1 ° of space.Graduation mark 62 has the slit that is used to provide calibration identification in the middle of one, and the calibrated dial line 63 of an inside has and retaining ring stop position slit point-blank.Coding disk 60 is connected on the patient support 7, and corresponding position read out device 64 is installed on the underframe 4.Position read out device 64 has a passage 64a and is used to admit an outer part of this dish 60 and allow it pass through.Luminous organ 65 is installed in the side place of passage 64a and the opposition side that auxiliary optical receiver 66 is installed in passage 64a.Respective slit 61,62,63 collaborative works in luminous organ 65 and receptor 66 and the coding disk 60 are with the orientation of indication patient support 7 on underframe 4.7 infrared light emission device/detectors are used in this positional information of decoding in this optical system to 65,66.Outside graduation mark 61 comprises 360 groups of slits 70 and interval 71.It is desirable to, a slit 70 occupies 0.5 degree of circumference, and a groove 70 occupies 1 degree together with interval 71.This internal calibration line 63 is made of many slits 74, and each slit is corresponding to a locked position, and a corresponding locking pin 75 (Fig. 7) can be bonded between underframe 4 and the patient support 7 in this position.Locking pin 75 is slidably mounted on the underframe 4 so that engage with corresponding hub body on the ring 9 of patient support 7 and therefrom take off and close.Locking pin 75 is used for mechanically patient support 7 being anchored on the underframe 4, and handles an on/off switch that is used for rotation motor, to prevent that motor is in locking pin 75 and work when patient support 7 engages.Each slit 74 should be accurately with patient support 7 on the center of a corresponding locking hole 75a in alignment, the narrow degree of slit 74 has determined the precision of locking positioning.Middle graduation mark 62 is used for distributing the binary code of a monodrome into each locked position 1.Each locked position has one group of hole 76 (quantity can 76 variations in from 1 to 4 hole).Figure in the monodrome in the hole 76 at each locked position place should be given controller so that the rotation of control patient support 7 with locking angle information conveyance.In following table, demonstrate these holes binary system figure battle array.
The locking pin position Hole 76 (Figure 21)
??D ??C ??B ??A
?????1 ??0 ??0 ??0 ??1
?????2 ??0 ??0 ??1 ??0
?????3 ??0 ??0 ??1 ??1
?????4 ??0 ??1 ??0 ??0
?????5 ??0 ??1 ??0 ??1
?????6 ??0 ??1 ??1 ??0
?????7 ??0 ??1 ??1 ??1
?????8 ??1 ??0 ??0 ??0
?????9 ??1 ??0 ??0 ??1
?????10 ??1 ??0 ??1 ??0
The binary weighting in four holes is A=1, B=2, C=4, D=8.In table, porose usefulness 1 represents there is not Kong Zeyong 0 expression.
In this optical system, adopt seven infrared illuminator detectors to come decoded positions information to 65,66.These luminous organ/detectors are positioned in A, B, C, D, I, X and Y place to 65,66 as shown in figure 21.
When detector 66 was seen a luminous organ 65 by slit in the coding disk 60 or hole, it was the output of " 1 " that this detector produces one.Otherwise it is the output of " 0 " that this detector produces one.The angle and direction information that increases is read by X and Y.When each groove 70 passed through on detector X, angle just increased or reduces 1 degree.Be provided with the detector X and the Y of two spacings for outside graduation mark 61, and detector X and Y see that the order of luminous organ has determined direction.Four luminous organ/detectors with spaced apart are arranged to A, B, C, D with middle graduation mark 62 is corresponding, and these luminous organ/detectors offer controller to calculate the locking angle information to scheming battle array information.Be provided with the one luminous organ/detector that is associated with this internal calibration line 63 and provide locked position information I and its.When patient support 7 rotated, the interval between the slit had just been blocked infrared light beam and has been passed through between luminous organ 65 on the supporting member 67 of underframe 4 and receptor 66.Handled to provide the angle of patient support 7 by an optical treatment controller from the information in the Infrared Detectors, this angle is presented on the display screen 80 (Fig. 4) at the foot place that is positioned at therapeutic bed 1.
As in Fig. 7 as can be seen, pivoting connector 5 has the turning arm 90,91 of band inner end, this inner end engages with underframe 4 pivotally by pivot pin 92,93.Place, an end at therapeutic bed 1, an outer end of each turning arm 90 engages with chassis 2 pivotally by a pivot pin 94, simultaneously at another place, end of this therapeutic bed 1, but the outer end of each turning arm 91 is by also being that the pivot pin 95 of longitudinal sliding motion engages pivotally with chassis 2 in the elongate recesses on chassis 2 96.Push rod 6 operably is used for making pivot pin 92,93 to rotate on underframe 4 so that allow 5 runnings of pivoting connector.
In the use, the detector that is relevant to side guide 25 and articulated slab 16,17 on patient support 7 links to each other with the driving governor of patient support 7, unless patient support just can not rotate all locking mechanisms and all correctly engaged like this.The belt detector that is used for patient's fastening straps 40,41 in addition also must indicate before patient support 7 can rotate and engage correctly.Also be understandable that, this make the patient care pipeline for example pipe and other cable and conduit in each end of patient support outwards vertically, just be very beneficial for patient support lying on the back and prone position between move during this patient care pipeline of management.
It is to be noted, when patient support when the Support Position of lying on the back turns to prostrate Support Position, this brace table will turn over 200 °, rotate back into 180 ° or zero degree prone position then.This function can be placed in patient the central authorities of therapeutic bed 1.
It being understood that this patient support can vibrate on a plurality of fixed orientation that maybe can be locked on the underframe on the underframe.
It being understood that and the invention provides a kind of patient care pipeline guidance system of sick bed that is used for dexterously patient care pipeline each end from therapeutic bed is directed away.
The invention is not restricted to described hereinbefore embodiment, these embodiments can change on structure and content in the scope of claims.

Claims (22)

1. therapeutic bed comprises:
One underframe,
One patient support is installed in rotation on the underframe so that rotate around vertical pivot center of patient support, and
Driving device is used to make patient support to rotate on underframe,
It is characterized in that, be provided with at place, the one or both ends of patient support be used for the patient care pipeline guider with these patient care pipelines of guiding between the relevant device of the patient on the patient support and this patient support outside, described guider is installed near vertical pivot center place of patient support or its.
2. therapeutic bed as claimed in claim 1 is characterized in that, is provided with to be used for the patient care pipeline is fixed on device on the guider.
3. therapeutic bed as claimed in claim 1 or 2 is characterized in that, described guider comprises that is used for the tubulose guide that patient care pipeline or pipeline pass through.
4. therapeutic bed as claimed in claim 3, it is characterized in that, described tubulose guide has a hole that allows the patient care pipeline pass, and be provided with a hole plug-in unit that is used for being bonded in this hole, this hole plug-in unit has many grooves with spaced apart around the periphery of this plug-in unit, each groove is used to hold a patient care pipeline, and each groove is by a sidewall closure in this hole in the time of in this plug-in unit is installed in described hole.
5. therapeutic bed as claimed in claim 1 or 2 is characterized in that, this guider comprises that has many guide waies that are used to hold the patient care pipeline pockets of patient care pipeline.
6. therapeutic bed as claimed in claim 5 is characterized in that, this guider has a guide way of peripheral groove that is used to hold the patient care pipeline that has many with spaced apart.
7. therapeutic bed as claimed in claim 6 is characterized in that, each groove has a lateral openings, and closing device engages releasedly a pipeline is remained in this groove with can crossing this lateral openings.
8. therapeutic bed as claimed in claim 7, it is characterized in that, described closing device is a kind of spring-loaded finger, and it is crossed described lateral openings ground bias voltage usually and advances in the groove make position and can overcome the bias effect of spring and withdraw to insert a pipeline in the groove or to get rid of from groove.
9. therapeutic bed as claimed in claim 7 is characterized in that, described closing device is a kind of quick-release band that this lateral openings engages that crosses.
10. as the arbitrary described therapeutic bed of claim 7 to 9, it is characterized in that described guide way is installed on the patient support movably to be used for vertical move of this guide way on patient support.
11. therapeutic bed as claimed in claim 10 is characterized in that, described guide way is slidably mounted on the patient support.
12., it is characterized in that as the arbitrary described therapeutic bed of front claim, be provided with and be used for patient releasably is fixed on the device of tightening on the patient support,
The described device of tightening operably is connected on the driving device to regulate the rotation of patient support according to the correct joint of tightening device.
13. therapeutic bed as claimed in claim 10 is characterized in that, described tighten device comprise many to the head end that is installed in patient support and the support component between the foot,
The every pair of support component comprises the relevant support component on the opposition side that is installed in patient support, and has a securing member and be used for support component is fixed together so that patient is remained on the patient support,
Be used for surveying the correct joint of securing member corresponding to the sniffer of each securing member, described sniffer is connected on the controller running with accessory drive.
14. therapeutic bed as claimed in claim 13 is characterized in that, each securing member has a pair of auxiliary securing member, i.e. first securing member and second securing member,
A securing member is installed on every pair of support component,
First securing member generally is subjected to bias voltage and does not engage with second securing member,
First securing member when being in a bonding station and the detector cooperation represent that securing member has been engaged.
15. therapeutic bed as claimed in claim 14 is characterized in that, detector has a magnetic operator switch, and an actuating magnet is installed to operate this switch on first securing member.
16., it is characterized in that described support component is installed on the side guide of each side edge that is erected in patient support as the arbitrary described therapeutic bed of claim 13 to 15.
17. therapeutic bed as claimed in claim 16 is characterized in that, every side guide is removably mounted on the patient support, and has and be used for the device that engages with patient support,
Be used for guide rail is fixed on locking device on the patient support,
Be used for surveying the guide rail sniffer that guide rail engages with the patient support interlocking,
Described guide rail sniffer is operatively coupled on the controller that is used for driving device, and this driving device only just can operate under guide rail and situation that patient support correctly engages like this.
18. as claim 16 or 17 described therapeutic bed, it is characterized in that, be provided with the device that is used for when patient support is in the position of a conversion every guide rail is locked on the patient support.
19., it is characterized in that as the arbitrary described therapeutic bed of front claim, in patient support, be provided with one or more articulated slabs passage near patient is provided when being in the position of a conversion at patient support,
Every articulated slab has the articulated slab locking device that is used for this plate is fixed on a make position on the patient support,
Setting is used for surveying the articulated slab sniffer of the locked engagement of this plate and patient support,
Described articulated slab sniffer is operatively coupled on the controller of driving device, and this driving device only just can operate under articulated slab is locked in situation in the make position on the patient support like this.
20. as the arbitrary described therapeutic bed of front claim, it is characterized in that, be provided with the device that is used to survey the orientation of patient support on underframe, and be used for coming the device of the work of accessory drive according to the orientation of the patient support that is detected on underframe.
21. therapeutic bed as claimed in claim 20 is characterized in that, described sniffer comprise one be installed on the patient support and with the ring of the pivot center coaxial line of patient support,
This ring has first group and centers on this ring slit of 1 ° at interval,
This ring has many groups around the location slit of this ring with spaced apart, and every group of location slit can provide the indication of patient support with respect to a particular orientation of underframe,
And an aided location sensing device corresponding to this disk, this position read out device be installed on the underframe and have the auxiliary light emission device of the opposite sides that are supported on this disk and receptor to be used for this disk in the slit cooperation to determine the orientation of patient support on underframe.
22. as claim 20 or 21 described therapeutic bed, it is characterized in that, described ring is provided with many slits that stop that defining the stop position of many patient supports on underframe at its periphery place, can be bonded between patient support and the underframe so that this patient support is locked on the underframe at a lock plunger on these positions.
CN99806914.0A 1998-06-03 1999-06-03 Therapeutic bed Expired - Lifetime CN1198558C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IE980415 1998-06-03
IES980415 1998-06-03

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CN1305363A true CN1305363A (en) 2001-07-25
CN1198558C CN1198558C (en) 2005-04-27

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EP (1) EP1083857B1 (en)
JP (1) JP4487063B2 (en)
CN (1) CN1198558C (en)
AT (1) ATE260629T1 (en)
AU (1) AU741477B2 (en)
CA (1) CA2331555C (en)
DE (1) DE69915284T2 (en)
NZ (1) NZ508673A (en)
WO (1) WO1999062454A1 (en)

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WO2007071136A1 (en) * 2005-12-19 2007-06-28 Chongqing Haifu (Hifu) Technology Co., Ltd. Therapeutic bed capable of changing physically position and high-intensity focused ultrasonic therapeutic system including the therapeutic bed
CN105167936A (en) * 2015-07-29 2015-12-23 胡炳坤 Roll-over bed with bed body capable of integrally rolling over or swinging
CN106344306A (en) * 2016-10-12 2017-01-25 辛志明 Medical care bed for large-area burn patients
CN107485518A (en) * 2017-08-29 2017-12-19 右江民族医学院附属医院 A kind of hypospadias surgery protection device
CN109846625A (en) * 2019-03-28 2019-06-07 章巾英 A kind of hospital bed
CN112022541A (en) * 2020-09-24 2020-12-04 宁波市第一医院 Turnover mechanism and turnover bed for patient prone position turnover

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Publication number Priority date Publication date Assignee Title
WO2007071136A1 (en) * 2005-12-19 2007-06-28 Chongqing Haifu (Hifu) Technology Co., Ltd. Therapeutic bed capable of changing physically position and high-intensity focused ultrasonic therapeutic system including the therapeutic bed
CN105167936A (en) * 2015-07-29 2015-12-23 胡炳坤 Roll-over bed with bed body capable of integrally rolling over or swinging
CN106344306A (en) * 2016-10-12 2017-01-25 辛志明 Medical care bed for large-area burn patients
CN107485518A (en) * 2017-08-29 2017-12-19 右江民族医学院附属医院 A kind of hypospadias surgery protection device
CN107485518B (en) * 2017-08-29 2019-10-11 右江民族医学院附属医院 A kind of hypospadias surgery protective device
CN109846625A (en) * 2019-03-28 2019-06-07 章巾英 A kind of hospital bed
CN109846625B (en) * 2019-03-28 2020-08-18 章巾英 Hospital bed
CN112022541A (en) * 2020-09-24 2020-12-04 宁波市第一医院 Turnover mechanism and turnover bed for patient prone position turnover
CN112022541B (en) * 2020-09-24 2022-02-08 宁波市第一医院 Turnover mechanism and turnover bed for patient prone position turnover

Also Published As

Publication number Publication date
CN1198558C (en) 2005-04-27
CA2331555A1 (en) 1999-12-09
EP1083857A1 (en) 2001-03-21
EP1083857B1 (en) 2004-03-03
NZ508673A (en) 2002-10-25
AU4286299A (en) 1999-12-20
CA2331555C (en) 2007-12-04
DE69915284T2 (en) 2005-06-23
AU741477B2 (en) 2001-11-29
HK1036210A1 (en) 2001-12-28
DE69915284D1 (en) 2004-04-08
WO1999062454A1 (en) 1999-12-09
JP4487063B2 (en) 2010-06-23
JP2002516719A (en) 2002-06-11
ATE260629T1 (en) 2004-03-15

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