RU2483701C2 - Sanitary-hygienic complex for bed-patient care (versions) - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: sanitary-hygienic complex can be used for nursing critically ill bed-patients. Complex is connected with source of water supply and sewage system and/or is used in autonomous way. It contains system of warm air supply. Movable side barriers, backs and bed form a box, covered with padding from waterproof material with hermetic adaptors. There is a unit with supply and exhaust ventilation. Portable mixer of hot and cold water is provided with universal fixer and injector-siphon on flexible hose, as well as portable regulator of water pressure on injector. Complex contains device, installed above bed, provided with hole and pipe for supply and outflow of air from device. Additionally it contains drainage hole in foot part of bed and drainage hole in pelvic segment.

EFFECT: claimed is sanitary-hygienic complex for bed-patient care.

62 cl, 23 dwg

Description

The invention is intended for use in medicine for placement and sanitary care of bedridden patients. The complex provides an opportunity for the patient to take a shower, steam bath, hygienic and therapeutic baths, healing inhalations, mud procedures in the bed itself. Use hygiene and medical products. After bathing the patient, the module and the complex are dried with a stream of warm air. The ability to select the characteristics of the air environment inside the module that are adequate to the state and desire of the user. A portable hot and cold water mixer is removed, transferred and installed in such places of the complex in order to make full use of the patient’s remaining capabilities, as well as outside the complex. The patient can comfortably carry out physiological functions in bed, remaining clean even in the absence of self-control during urination and defecation. Treatment with medicinal solutions, washing and disinfection of the perineum of the patient are carried out, followed by drying with a stream of warm air.

According to the first invention of the group, the complex is connected to a source of water supply, sewage. It contains backs, a bed, movable side rails, stiffeners, support legs, wide, height-adjustable tips, a transverse shelf, hermetic adapters for draining dirty water and to prevent overflow, additional substrates, a substrate, plugs, flexible hoses, a universal clamp, an nozzle siphon, portable hot and cold water mixer, calibration rollers, module, fixing roller, damper, safety locks, safety device, squeezing locks, runners, through hole, cover, supply and exhaust ventilation, air ionizer, air conditioner, bactericidal unit, heater, oxygen supply device, generator for creating salt finely dispersed aerosol, generator of medicinal aerosols, a source of temperature, humidity and air pressure regulated.

As a result, the patient is given the opportunity to take a shower, steam bath, hygienic and therapeutic baths, mud procedures in the bed itself. After bathing, the patient’s body, the inner surface of the module and the complex are dried by a stream of warm air. Water overflow and splashing are excluded when bathing the patient outside the complex. Humidification of the room where water procedures are carried out is reduced. Reliability, convenience and safety level when using the complex are increased. Protection against depressurization of the complex and a massive spill of water is provided, as well as protection of the patient from the possibility of drowning when swimming. The volume of water required to fill the complex when bathing the patient is regulated. A universal fixator allows you to remove, transfer and install a portable hot and cold water mixer in such places of the complex in order to make full use of the patient’s remaining capabilities. Significantly reduced the proportion of manual labor associated with the care of bedridden patients. The module allows you to adapt the air to the needs of an individual user. It provides a comfortable living environment for a patient lying in bed and increases the effectiveness of comprehensive treatment and preventive measures. The module can be used on beds and sunbeds of any type.

According to the second invention of the group, the complex is connected to a source of water supply, sewage, a source of temperature and pressure controlled air, a system supplying disinfectants, drugs, hygiene and other liquids for treating the perineum. Contains tilt-adjustable bed sections. The bed, mattress, bedding, hygiene items, softeners, lining with a sleeve and an anti-decubitus mattress have a through hole between the user and the receiving device for collecting and disposing of sewage. Pneumatic chambers regulating the size of the through hole, cover, sliding plates, filler, receiving device, dry closet, container, remote switch for flushing the stool and switch for regulating air supply, movable platform, self-orientating wheels for the platform, traction, hinge, latches, nozzles, universal retainer, siphon nozzle, portable hot and cold water mixer, sink, anti-decubitus system adapted to the through hole, flushing tank, lining with sleeve, support legs shoes, wide height-adjustable tips, panels, bed sections, calibration rollers, rack, container for solutions.

As a result, it is possible directly in bed to comfortably carry out physiological departures, remaining clean even in the complete absence of self-control during urination and defecation. Washing, disinfection and treatment with medicinal solutions of the perineum of the patient are carried out, followed by drying with a stream of warm air. Contaminated air is actively disposed of. The patient has the ability to take a position that contributes to the comfortable fulfillment of their physiological needs. The patient’s body is projected over the through hole using calibration rollers. Dirty water and feces of the patient are drained into the sewer. It is possible to use the complex autonomously without connecting to the sewer. As a receiving device for the collection and disposal of sewage, a toilet, a dry closet or another container can be used. An anti-decubitus mattress with a through hole provides prevention of the formation and treatment of existing pressure sores.

DESCRIPTION OF THE INVENTION

The group of inventions relates to medicine and can be used for placement and sanitary-hygienic care for bedridden patients. The invention can be used both for beds with mechanisms for regulating the position of the bed, and those without such mechanisms. The complex can be used both when connected to the sewerage and water supply system, and autonomously without connection to the sewerage and water supply system. Designed for placement in medical institutions, sanatoriums, nursing homes, boarding houses, rehabilitation centers and at home.

Known devices and appliances intended for the care and washing of patients and disabled people. So, it is known a device, which is a mobile service node, which is an accessory of the bathroom and made in the form of a flexible mat. The edges of the mat are raised on all sides with the formation of a waterproof bath. The unit is equipped with a drain and is connected to the mains of hot water and cold water, to which a hose with a hand shower is connected. However, the device requires a lifting device to move the patient and additional space for placement.

Known bathing chair for the disabled RU No. 2063736 C1, A61G 3/00, A61G 7/00, publ. 1996.07.20. To wash a disabled person, he is seated in a chair, which is taken to the bathroom, where the disabled person is washed in the shower. The disadvantage is the need to transfer the patient and the need for additional space for placement.

Known functional bed, RU 2268698 C2, IPC A61G 7/00, publ. 2006.01.27, containing the base, bed, including the back, hip, intermediate and foot sections and side rails in the form of side enclosing elements.

It is impossible to fully bathe the patient, due to the lack of the ability to create the necessary frame, sealing system, connection to the sewage system and water supply system.

Known bathroom lift for seriously ill by bus. St. SU 163720 A, 09/10/1964, comprising a rack with catching plank beds. The disadvantage is the need for additional space to accommodate and the complexity of the design, requiring expensive maintenance.

The prototype for the first invention of the sanitary-hygienic complex group is the first invention of the sanitary-hygienic complex group for bedridden patients (options) RU 2342112, A61G 7/00, registered on December 27, 2008. It is a bed with side rails that are fixed in the upper position and creating a rigid frame lined with a sealed substrate.

The main disadvantages of this design.

You can not take a shower and a steam room in bed. High risk of massive water spill. Patient protection from accident is not provided. In the room where water procedures are carried out, high humidity. When swimming, water is sprayed outside the complex. Too much water is needed to fill the complex when bathing the patient and, as a consequence, the large weight of the complex and increased floor load. The complexity and unreliability of the design. The possibility of skewing the structure in the horizontal plane and subsequent jamming of the moving parts of the complex. The inability to evenly redistribute the weight of the complex on the floor. Sliding the substrate into the gaps between the movable side rails and the bed frame. The possibility of disposal of water used after bathing remaining in the pelvic segment of the complex is not provided. The hot and cold water mixer is fixed in a specific, even convenient place. The possibility of removal, transfer and reinstallation of the hot and cold water mixer is not provided. The functional use of the hot and cold water mixer is limited.

The task to which the first invention of the claimed group is directed is to expand the capabilities of the complex during water procedures due to the original design and create the ability to fully bathe the patient in the bed itself. Adaptation of inhaled air to the needs of an individual user. Providing a comfortable living environment for the patient lying in bed. Reducing the proportion of manual labor associated with the care of bedridden patients. Improving the reliability and security of the complex. The most complete use of the patient’s remaining capabilities and increase his independence.

The specified technical result is achieved due to the fact that the complex is connected to the sewerage, water supply, air source, and the air is regulated by composition, humidity, temperature and pressure, as well as cleaned and sterilized. Various components are added to the air entering the module, for example, essential oils, volatile medicinal plants, saline aerosol, and medications. The air is saturated with ozone and light negative aerons. When installed in the upper position, the movable side rails are fixed by squeezing locks and safety locks, eliminating the involuntary lowering of the movable side rails during the bathing of the patient. The bed is brought into a position when the back section is raised so that the patient’s head is above the water level. A safety device, such as a traction with a carabiner, fixes the back section of the bed in an elevated position and eliminates the involuntary lowering of the back section of the bed down and the patient's choking. To prevent bending, the movable side rails in the upper position are fixed with hooks located on the lower edge, in one or more places to the complex. Stiffening ribs are located across the movable side rails, providing lateral resistance to bending of the movable side rails. The upper part of the movable side rails is fixed to each other by a transverse shelf providing resistance to bending of the upper part of the movable side rails. The transverse shelf, in addition to preventing the bending of the movable side rails, is used to place detergents, as well as for eating. Due to the backs, movable side rails raised to the upper position, and a box forms a rectangular box. To ensure the resistance of the frame to sagging, under the weight of the patient and water, one or more support posts with wide height-adjustable tips are used. By adjusting the height of the tips, alignment of the complex in the horizontal plane is achieved. In this case, a uniform redistribution of the weight of the complex to all tips of the complex occurs. The through hole in the bed at the time of bathing is blocked by pneumatic chambers and or a chamber, a removable lid, a sliding plate and / or plates, a filler. By turning the patient from side to side and / or using technical means, a substrate of flexible, moisture-proof material, for example, polyethylene, is introduced under the patient to waterproof the inner surface of the complex while bathing the patient. The panels of the backs, sections of the bed and movable side rails are made of durable, lightweight material, such as alloys of metal and / or plastic, and / or perforated metal. Due to this, the total weight of the complex decreases, and when filled with water, the substrate is pressed into the holes made in the perforated metal, which prevents the substrate from sliding. The edges of the substrate hanging from the outside of the complex are fixed to the backs and movable side rails using clothespins and / or hooks and / or magnets, and / or are stretched using a suspended load. Hermetically sealed adapters are tightly fixed in the substrate to drain used water into the sewer and maintain the required water level. A sealed adapter in the hip portion of the substrate facilitates the disposal of water remaining after draining. The sealed adapter in the foot part of the substrate is more easily matched with the system for draining used water into the sewer. Plugs block the drain, pressing water pressure to the hole of the sealed adapters. To reduce the risk of a massive water spill, an additional substrate and / or additional substrates of a moisture-proof material are used, which are hermetically connected to the hermetic adapters of the substrate. A module made of moisture-proof material is located on the frame and / or without the frame. In the upper part of the module there is an opening and a ventilation pipe for the disposal of moist air from the module into the environment. The damper controls the flow rate of moist air or completely blocks the air outlet from the module through the ventilation pipe. The inner edge of the lower part of the module is lowered into the complex below the level of the upper edge of the backs and movable side rails located in the upper position. The outer edge of the lower part of the module is fixed outside the complex and / or stretched with a suspended load, ensuring the location of the lower part of the module around the perimeter of the complex, which eliminates the ingress of water when bathing the patient outside the complex. From the device that generates hot, moist air through the duct, through the air flow control damper, hot, moist air enters the module, creating the effect of a steam bath inside. A moisture-proof and / or vapor-vapor-permeable and / or heat-insulating material can be used for the module. The module has the ability to supply and control the concentration of finely dispersed salt aerosols and / or negatively charged air ions, and / or volatile medicinal plants, and / or essential oils, and / or medicinal aerosols, and / or oxygen. The user can be inside the module in full and / or partially. It is possible to change the temperature, or humidity, or the composition of the air entering the module. It is possible to use filters to clean and / or using ultraviolet radiation to sterilize the air entering the module. It is possible to create a closed air circulation between a device that changes the characteristics of air and the module. To provide dynamic monitoring of the patient's condition, the module has a window made of transparent material. The window has the ability to close with a curtain. The module can be used on beds and sunbeds of any type. Drying the patient’s body, complex and module after bathing is carried out by a stream of warm air through the duct from a device that provides dry warm air along the patient’s body. A portable hot and cold water mixer controls the pressure and temperature of the water supplied to the complex. With the help of a universal clamp and the availability of flexible hoses connected to a water supply source, a portable hot and cold water mixer is removed, transferred and installed without using a tool and additional adjustment in such places of the complex in order to make full use of the patient’s remaining capabilities, increasing his independence, and provide additional opportunities for staff. A portable hot and cold water mixer can be installed outside the complex. A universal lock with a portable mixer is installed on the complex on the principle of a key with a lock.

A portable hot and cold water mixer can be installed both by the gander inside the complex when bathing the patient, and by the gander outside the complex above the sink and can be used to adjust the temperature of the water before it is supplied to the patient’s body, as well as by maintenance personnel to observe personal hygiene. Drainage from the sink is carried out in the sewerage or in capacity. The flexible siphon nozzle is connected to a portable hot and cold water mixer. During showering, the siphon nozzle is mounted above the patient in the upper part of the module. A flexible hose allows the use of a siphon nozzle when bathing a patient, as well as for sanitizing the complex, a through hole and a receiving device for collecting and disposing of sewage. When installed in the through hole, the siphon nozzle is projected to be washed onto the patient's crotch. When the user bathes, the fixing roller placed under the substrate rests on the hip part of the user and prevents the user from sliding down from the raised back section of the bed. As the fixing roller, a pneumatic chamber can be used.

A known method of sanitary-hygienic care for a bed patient, and.with. RU No. 1785677, A61G 7/00, 1993, including the rotation of the patient and the processing of the drug, removal of the litter after physiological administration, its subsequent cleaning and disinfection. The disadvantages of this method are the long-term use of great physical strength to turn the patient in order to prevent pressure sores and change the litter, low efficiency in the absence of self-control in the patient for physiological departures.

Known hospital complex for seriously ill and disabled people in the form of a bed, providing the patient with a rotation from back to stomach and back, in which it is possible to replace bedding (US Patent 3827089, CL. A61G 7/10, 1986). The disadvantages of the known design are the low comfort of turning the patient, especially on the side, low efficiency in the absence of self-control in the patient for physiological departures.

A conventional medical vessel used in hospitals to collect urine and / or feces of a patient is known. Disadvantages - low efficiency in the absence of patient self-control over physiological administration. It is not possible to use the vessel without assistance.

Known hospital complex, the application of Germany 3614572, cl. A61G 7/10, 1986. The disadvantages of the known complex are insufficient comfort and considerable laboriousness of the process of transferring the patient to all objects of the hospital complex, the need for additional space for placement.

A known method of sanitary-hygienic care for a bed patient, RU No. 2257877, A61G 7/00 C2, publ. 2005.08.10, including cleaning, disinfection and removal of litter after physiological administration. Additional area is required, the presence of an active hood, high energy consumption and fire hazard, when calcining sand up to 750 degrees.

The prototype for the second invention of the sanitary-hygienic complex group is the second invention of the sanitary-hygienic complex group for bedridden patients (options) RU 2342112, A61G 7/00, registered December 27, 2008. There is an oval hole in the box of the complex where a universal vessel is mounted for collecting sewage, connected to a source of water supply and sewage. The mechanism governing access to a universal ship is complex and unreliable. Fixation of a universal vessel in a bed is not adapted to the patient's body, elasticity and thickness of the mattress.

The problem, the solution of which the second invention of the claimed group is directed, is to provide the possibility of comfortable execution of physiological departures to patients in bed. To provide the possibility of sanitary-hygienic processing of the receiving device and the contaminated area in the area of the slit-like opening, reducing the height of the bed and increasing the thickness of the mattress. Create the necessary conditions for quality care staff for bedridden patients, prevent sharp bends and displacements of the mattress relative to the bed.

The specified technical result is achieved due to the fact that between the user and the receiving device for collecting and disposing of sewage there is a through hole passing through the bed, a mattress, bedding, softeners, hygiene items, an anti-decubitus mattress, a lining with a sleeve made of waterproof material . A through hole is projected above the receiving device for the collection and disposal of sewage, located under a bed on a moving platform with wheels. A receiving device for collecting and disposing of sewage can be used independently and / or connected to a water supply source and / or provides a drain of used water and / or feces of the patient into the sewer directly or through a fecal pump. As a receiving device for the collection and disposal of sewage, a toilet, a dry closet or another container can be used. The mattress is made of soft elastic material, during compression of which the bulging to the sides is insignificant, for example foam rubber. Along the side walls of the through hole are located pneumatic chambers suspended on flexible clips fixed to the complex. The pelvic segment of the mattress is lined with a lining with a sleeve of waterproof material. The outer edges of the lining with the sleeve are attached to the complex. The sleeve lines the pneumatic chambers and the walls of the through hole and hangs with its lower edge into the receiving device for collecting and disposing of sewage. The tensioner provides a tensioned condition of the sleeve along the walls of the through hole. As a tensioning device, you can use the chain located in the channel along the lower edge of the sleeve. The dimensions of the through hole are up to 80 cm in width and up to 190 cm in length.

The optimal dimensions of the through hole, obtained experimentally, are up to 20 cm in width and up to 50 cm in length. When pumping, the pneumatic chambers increase in size, displace the sleeve inward and block the through hole. In the deflated state, the pneumatic chambers lose volume and hang along the side walls of the through hole, opening up access to the receiving device for collecting and disposing of sewage. When the patient performs physiological departures, urine and feces through a through hole enter a receiving device for collecting and disposing of sewage, located on a moving platform. For more accurate projection of the patient’s crotch over the through hole, calibration rollers are used that are located along the patient’s body and have a size inversely proportional to the patient’s body thickness. The calibration rollers are made of soft, resilient material, such as foam rubber and / or are inflatable. The movable platform on self-orientating wheels is attached to the hinge through the link, which allows the receiver to be pulled out to collect and dispose of sewage along a predetermined path. In the final positions of the movement, the receiving device for collecting and utilizing sewage is fixed by latches, for example magnetic. The duct system provides the supply of warm air to the perineum of the patient and the active utilization of air from the through hole and the receiving device for collecting and disposing of sewage. To reduce draft in the area of the through hole, an elastic roller coated with a moisture-proof material is located on the upper perimeter of the receiving device for collecting and utilizing sewage. The elastic roller, tightly pressing from the bottom to the panel or panels of the sections of the bed prevents air from entering the through hole from below into the perineal region of the patient. As an elastic roller covering the gap between the receiving device for collecting and disposing of sewage and the panels of the sections of the bed, a pneumatic chamber can be used. Using traction, the patient may include draining water from the flushing tank to flush stools in a receiving device for collecting and disposing of sewage after an act of defecation. Using the pump, air is supplied to the pneumatic chambers and the compressed air supply to the pneumatic chambers is regulated through a receiver with a valve to maintain a given pressure in them. The portable switch adjusts the position of the sections of the bed and is located in an accessible place for the patient.

A siphon nozzle on a flexible hose is connected to a portable hot and cold water mixer and is fixed in a through hole for washing the patient's perineum, sanitizing the complex, a through hole and a receiving device for collecting and disposing of sewage. The bed surface adjacent to the through hole has a recess with rounded edges, anatomically close to the pelvic part of the user, which allows you to evenly redistribute the pressure of the bed on the patient’s body and reduce the risk of bedsores. Anatomical depressions on the surface of the bed are also provided in places of increased risk of pressure sores: the back of the head, shoulder blades, elbows and heels. A hygienic, disinfectant or therapeutic fluid for treating the perineum is poured into a container suspended on a rack. From the tank through a flexible tube with an adjustable clamp, the fluid flows to the perineum. The pressure in the system is generated due to the high level of location of the tank and / or the pressure supplied through the valve from the receiver. Panels line sections of the bed from below and / or above. To reduce the height of the bed and increase the thickness of the mattress, the bed is located on the same level with the frame of the complex and / or on top. Handles protruding above the frame and curved upward along the movable side rails are attached to the bed sections. The handles, protruding beyond the sections of the bed, fix and support the edges of the mattress. Handles are used to tie bedding and adjust the position of the sections of the bed. In order to reduce sharp bends and displacements of the mattress relative to the bed, the connection points of the sections of the bed are at different levels in proportion to the thickness of the mattress.

The invention is illustrated by drawings,

where figure 1 shows the complex;

figure 2 - portable mixer hot and cold water assembly;

figure 3 - universal lock;

figure 4 - position of the universal latch - 1;

figure 5 - position of the universal latch - 2;

figure 6 - position of the universal latch - 3;

figure 7 - position of the universal latch - 4;

on Fig - movable side rails;

figure 9 is a bed at the same level with the frame;

figure 10 - position of the hook - 1;

figure 11 - position of the hook - 2;

on Fig - position of the hook - 3;

in Fig.13 - the position of the hook - 4;

on Fig - transverse shelf;

on Fig - substrate of a flexible waterproof material;

on Fig - module with a steam generator;

on Fig - shower;

on Fig - open through hole;

on Fig - lining with a sleeve;

in Fig.20 - closed through hole;

on Fig - calibration rollers, a mid section;

in Fig.22 - nozzle - siphon in the through hole;

in Fig.23 - rack with capacity.

The sanitary-hygienic complex 1 (Fig. 1) contains backs 2 on which the frame 3, the bed 4, the movable side rails 5 are attached. When bathing, the back section 6 of the bed 4 is raised so that the patient’s head is above the water level. The back section 6 is locked in the raised position by the safety device 7. The connection point 8 of the back section 6 and the hip section 9 is proportional to the thickness of the mattress 10. The movable platform 11 on the wheels 12 with a receiving device for collecting and disposing of sewage 13 through the rod 14 attached to the hinge 15. In the final positions of the trajectory of movement of the movable platform 11 is fixed by latches. A receiving device for collecting and disposing of sewage 13 is connected to a water supply source and provides a drain of used water and stool of the patient into the sewer or operates autonomously. Elastic rollers 16 are located around the top of the receiving device for collecting and disposing of sewage 13 and are tightly pressed to the bottom surface of the panels 17 around the through hole 18. The frame 3 has at least one support post 19. At the ends of the support posts 19 or backs 2 In contact with the floor, there are wide height-adjustable tips 20 and / or wheels. A portable hot and cold water mixer 21 is installed on the complex 1 with a gander 22 above the sink 23. A flushing tank 24 provides a flush of sewage in a receiving device for collecting and disposing of sewage 13. A portable hot and cold water mixer 21 (Fig. 2) is installed using a universal lock 25 (FIG. 3) according to the principle of a key with a lock (FIGS. 4, 5, 6, 7). The movable side rails 5 move along the runners 26 (Fig. 8) and are fixed by squeezing locks 27 in various positions of height. When installed in the upper position, the movable side rails 5 are fixed by squeezing locks 27 and blocked by safety locks 28. Rigidity ribs 29 are located across the movable side rails 5. Handles 30 are fixed to the sections of the bed 4 (Fig. 9). Bed 4 is located inside the frame 3. Panels 17 line sections of the bed 4 from below and / or above. In the lower part of the movable side rails there is a static part of the hook 31, and on the frame and / or sections of the bed there is a mobile part of the hook 32. When lifting the foot end of the bed 4, the mobile part of the hook 32 is shifted from the vertical line relative to the static part of the hook 31 (Fig. 10) and when installing the movable side fence 5 from top to bottom, the static part of the hook 31 passes by the moving part of the hook 32 (Fig. 11). When lowering the foot end of the bed 4, the static part of the hook 31 and the movable part of the hook 32 are located on the same vertical line (Fig). When the movable side rails 5 are raised to the upper position, the static part of the hook 31 is connected to the movable part of the hook 32, forming a docking unit 33, which provides lateral fixation of the lower part of the movable side rails 5 with complex 1 (Fig. 13), thereby preventing the lower part of the movable side rails 5 under water pressure. The upper part of the movable side rails 5 is fixed to each other by the transverse shelf 34 (Fig.14). In this case, a rigidly fixed box is formed. The inner surface, formed by the bed 4, the backs 2 and the movable side rails 5 fixed in the upper position, is lined for the period of bathing the patient with a substrate 35 made of a flexible, waterproof material. The edges of the substrate 35 are fixed to the complex 1, for example, by means of magnets 36. An additional substrate or additional substrates of waterproof material are hermetically connected to the sealed adapters of the substrate. A portable hot and cold water mixer 21, when bathing a patient, is attached to the complex 1 with a gander 22 inside the complex 1 and connected to the water supply unit with flexible hoses 37. The siphon nozzle 38 on the flexible hose is connected to the portable hot and cold water mixer 21. In the substrate 35 (Fig. 15) a hermetically sealed adapter 39 or sealed adapters for draining used water and a sealed adapter 40 to prevent overflow. Sealed adapters 39, 40 are sealed against the drain system. Sealed adapter 39 is closed with a plug if necessary.

Module 41 (Fig. 16) is made of waterproof material. In the upper part of the module 41 there is an opening and a ventilation pipe 42 for the disposal of used air. The damper 43 controls the air flow rate. The device 44 generates hot, moist air entering the module 41 through the air duct, creating the effect of a steam bath inside the module. The inner edge 45 of the lower part of the module 41 is lowered into the complex 1 below the level of the upper edge of the backs 2 and the movable side rails 5 located in the upper position. The outer edge 46 of the lower part of the module 41 is located outside the complex 1, providing the location of the lower part of the module 41 along the perimeter of the complex 1. For showering, the siphon nozzle 38 (Fig. 17) is mounted above the patient in the upper part of the module 41. Module 41 can be used on any varieties of beds and sunbeds. The fixing roller 47 prevents the user from sliding down from the raised back section 6. Calibration rollers 48 are located along the movable side rails 5 or backs 2. There is a through hole 18 between the user and the receiving device for collecting and utilizing sewage 13 (Fig. 18), including in bed 4, mattress 10, bedding 49, softeners 50, hygiene items 51, lining with sleeve 52 made of waterproof material and in an anti-decubitus mattress. The pneumatic chambers 53 located under the lining with the sleeve 52 in a deflated state hang down along the walls of the through hole 18. The tensioning device 54 provides a tensioned state of the lining with the sleeve 52 along the walls of the through hole 18 (Fig. 19). The through hole 18 (FIG. 20) is optionally blocked by a lid 55 and / or pneumatic chambers 53 and / or extension plates 56 and / or a filler. The anatomical recess 57 with rounded edges (Fig.21) reduces the risk of bedsores. For a more accurate projection of the patient’s crotch over the through hole 18, calibration rollers 48 are used. At the edge of the through hole 18, the siphon nozzle 38 is fixed and projected onto the patient’s crotch (Fig. 22). Drying the perineum of the patient is carried out by warm air entering through the duct 58 from the air heater. In a container 60 suspended on a rack 59, a disinfectant, hygienic or therapeutic liquid is poured to treat the patient's perineum (Fig. 23). From the tank 60 through a flexible tube 61 with an adjustable clamp 62, the fluid enters the perineum. The pressure in the system is generated due to the high level of arrangement of the container 60 and / or by supplying compressed air to the hermetically sealed container 60 through an adjustable valve from the receiver 63.

The claimed technical solution allows for the comfortable execution of the act of defecation and urination in bed even to uncontrolled patients, the prevention and treatment of pressure sores, as well as washing, disinfection, treatment with medicinal solutions and drying of the patient's perineum with warm air. Automatic opening and closing access to the receiving device for the collection and disposal of sewage. Drain contaminated water and stool of the patient into the sewer. It makes it easier for the patient with a minimum of assistance. Receive therapeutic baths, showers, steam baths, healing inhalations. Significantly reduces the proportion of physical labor when caring for a bed patient. As a result, there is no smell of urine and fecal secretions. The patient is clean and tidy. He is not a burden to others and the patient feels it. The likelihood of a favorable treatment outcome increases.

Claims (62)

1. Sanitary-hygienic complex for the care of bedridden patients, containing backs, a frame, a bed and side rails, connected to the sewer and a water supply and contains a warm air supply system, a substrate of flexible sealed material having sealed adapters and openings matching the hole draining the water and with an opening to maintain the required water level, the hot and cold water mixer is connected to the water supply connection by flexible hoses and has the possibility of fixing, at the ends, a contact additional supporting posts and backs in contact with the floor, there are wide lugs, the inner surface of the complex with raised movable side rails is lined with a flexible, waterproof material substrate, at least one hermetic water discharge adapter is sealed in the substrate, made with the possibility of hermetic docking with a water drainage system, the hot and cold water mixer is portable with the ability to be removed, transported and installed on the complex, the hot and cold water is connected to the water supply source with flexible hoses, characterized in that the portable hot and cold water mixer is equipped with a universal lock for installing and fixing it on the complex and a siphon nozzle on a flexible hose, the complex contains a device configured to be installed over the bed of the complex, equipped with a hole and a ventilation pipe providing air flow into the device and air outflow from the device, the complex is additionally equipped with a drain hole in the foot of the bed, a drain in the pelvic segment, a portable regulator of the water pressure on the nozzle, handles protruding beyond the bed and supporting the edges of the mattress, magnets that fix the film to the complex, safety devices of the side rails and a toilet on the cart with wheels. 2. The complex according to claim 1, characterized in that it has at least one back with wide height-adjustable tips. 3. The complex according to claim 1, characterized in that it has at least one back with wheels. 4. The complex according to claim 1, characterized in that it has at least one support stand with a wide height-adjustable tip. 5. The complex according to claim 1, characterized in that there is a sink. 6. The complex according to claim 1, characterized in that the portable hot and cold water mixer has the ability to be installed with a gander above the sink. 7. The complex according to claim 1, characterized in that it is possible to drain water from the sink into the water discharge system. 8. The complex according to claim 1, characterized in that there is at least one calibration roller. 9. The complex according to claim 1, characterized in that there is at least one fixing roller. 10. The complex according to claim 1, characterized in that it is equipped with a safety device that provides the ability to block the back section of the bed in a raised position so that when bathing the user's head had the opportunity to be above the water. 11. The complex according to claim 1, characterized in that it is equipped with safety locks, which provide the ability to block the movable side rails in the upper position. 12. The complex according to claim 1, characterized in that at least one sealed adapter for maintaining the water level, sealed with a water drainage system, is hermetically fixed in the substrate. 13. The complex according to claim 1, characterized in that it has at least one additional substrate of a waterproof material. 14. The complex according to claim 1, characterized in that the substrate has the ability to be fixed to the complex. 15. The complex according to claim 1, characterized in that at least one additional substrate has the ability to be fixed to the complex. 16. The complex according to claim 1, characterized in that the movable side rails in the upper position have the opportunity to be fixed with their lower part to the complex. 17. The complex according to claim 1, characterized in that the portable hot and cold water mixer and the water discharge system are configured to disconnect from the complex and connect to the complex. 18. The complex according to claim 1, characterized in that the module is made of waterproof material. 19. The complex according to claim 1, characterized in that the module is made of vapor-permeable material. 20. The complex according to claim 1, characterized in that the module is made of heat-insulating material. 21. The complex according to claim 1, characterized in that it is possible to provide finely dispersed salt aerosols to the module. 22. The complex according to claim 1, characterized in that it is possible to provide negatively charged air ions to the module. 23. The complex according to claim 1, characterized in that it is possible to provide the supply of volatile and essential oils to the module. 24. The complex according to claim 1, characterized in that it is possible to provide the supply of medicinal aerosols to the module. 25. The complex according to claim 1, characterized in that it is possible to provide oxygen to the module. 26. The complex according to claim 1, characterized in that it is possible to change the temperature of the air entering the module. 27. The complex according to claim 1, characterized in that it is possible to change the humidity of the air entering the module. 28. The complex according to claim 1, characterized in that it is possible to change the composition of the air entering the module. 29. The complex according to claim 1, characterized in that it is possible to clean the air entering the module. 30. The complex according to claim 1, characterized in that it is possible to sterilize the air entering the module. 31. The complex according to claim 1, characterized in that the user is completely inside the module. 32. The complex according to claim 1, characterized in that the user is partially inside the module. 33. The complex according to claim 1, characterized in that there is a closed air circulation between the device that changes the characteristics of the air, and the module. 34. The complex according to claim 1, characterized in that the inner edge of the lower part of the module is lowered into the complex below the level of the upper edge of the backs and movable side rails located in the upper position. 35. The complex according to claim 1, characterized in that the module has a ventilation system with an adjustable damper. 36. The complex according to claim 1, characterized in that the module has at least one window made of transparent material. 37. The complex according to claim 1, characterized in that in the module, at least one window made of transparent material has a shutter. 38. Sanitary-hygienic complex for the care of bedridden patients, comprising backs, a bed and a device for collecting stools of the patient, while the inner surface of the complex with raised movable side rails is lined with a flexible waterproof material substrate, at least one of which is hermetically fixed sealed adapter for draining water, made with the possibility of a tight connection with the water drain system, the hot and cold water mixer is portable with the ability to be removed, moved settle and install on the complex, the hot and cold water mixer is connected to the water supply by flexible hoses, a universal retainer and a siphon nozzle are located on the flexible hose, characterized in that the walls of the through hole are able to be lined with a sleeve made of waterproof material. 39. The complex according to § 38, wherein the hygiene items have a through hole. 40. The complex according to § 38, characterized in that the softening accessories have a through hole. 41. The complex of claim 38, wherein the anti-decubitus mattress has a through hole. 42. The complex according to claim 38, characterized in that the surface of the bed adjacent to the through hole has a recess with curves that are anatomically close to the pelvic part of the user. 43. The complex according to claim 38, characterized in that the siphon nozzle has the ability to be installed on the edge of the through hole and projected onto the perineum of the user. 44. The complex according to § 38, characterized in that it is possible to close the gap between the receiving device for collecting and disposing of sewage and the bed. 45. The complex according to § 38, characterized in that it is possible to use a receiving device for collecting and disposing of sewage connected to the sewer. 46. The complex according to § 38, characterized in that it is possible to use a receiving device for the collection and disposal of sewage autonomously. 47. The complex according to § 38, characterized in that as a receiving device for the collection and disposal of sewage, it is possible to use the toilet. 48. The complex according to § 38, characterized in that as a receiving device for the collection and disposal of sewage, it is possible to use a dry closet. 49. The complex according to § 38, characterized in that as a receiving device for the collection and disposal of sewage, it is possible to use the tank. 50. The complex according to § 38, characterized in that as a receiving device for the collection and disposal of sewage, it is possible to use the tray to drain the stool and waste water. 51. The complex of claim 38, wherein the through hole is open. 52. The complex according to § 38, characterized in that the through hole has the ability to overlap. 53. The complex of claim 38, wherein the through hole has the ability to overlap at least one pneumatic chamber. 54. The complex according to claim 38, wherein the pneumatic chambers are suspended on flexible clips fixed to the complex. 55. The complex of claim 38, wherein the through hole has the ability to overlap with at least one lid. 56. The complex according to § 38, wherein the through hole has the ability to overlap at least one retractable plate. 57. The complex according to § 38, wherein the through hole has the ability to overlap the filler. 58. The complex according to § 38, characterized in that there is at least one calibration roller. 59. The complex of claim 38, wherein the panels line the bottom sections of the bed. 60. The complex of claim 38, wherein the panels line sections of the bed from above. 61. The complex according to § 38, characterized in that the bed is located inside the frame. 62. The complex of claim 38, wherein the connection points of the bed sections are at different levels in proportion to the thickness of the mattress.

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