Next Patent: Adjustable profiling beds
Next Patent: Adjustable profiling beds
[0001] N/A
[0002] 1. Field of the Invention
[0003] The invention relates to patient safety and controllers, and, more specifically, to a patient lifting apparatus and a controller that permits operation of a patient lifting mechanism within a specified safe range of operation.
[0004] 2. Description of the Background
[0005] It is well known that persons confined to a bed due to illness, age, accident, or injury and so forth possess such limited mobility that movement or transfer is extremely difficult. Improper transfer can result in serious complications to the individual and the caregiver. For instance, the need to move a patient immediately after an operation may be necessary, yet is a dangerous proposition, as any movement of the body may undo a surgeon's most careful work. Just as important is the need to transfer a bed ridden person for bathing or exercise so as to facilitate recovery.
[0006] In a hospital setting, a transfer is typically performed by a number of hospital workers, in order to comfortably lift a patient from one position to another. If the transfer is made only by hand, the hospital personnel risk back injury. If the transfer utilizes too few personnel, or requires reaching in an awkward position, the personnel may risk body strain. Further, despite the number of personnel employed to assist in the transfer, the patient is susceptible to injury from anyone who touches or lifts incorrectly.
[0007] For these reasons, a number of devices have been developed for lifting and lowering of incapacitated persons from a position in a bed, chair, bath or the like, such as a patient lift device having a base frame having vertically oriented guideposts, wherein a carriage assembly moves along the guideposts in response to an operator applied control signal. An arm assembly projects over the person placed into a sling for lifting. Such a device may require sufficient size to accomplish the intended service, namely, lifting. In particular, the device may employ elongated legs and a boom that is necessary to lift a patient. This may prevent the device from being easily transferred or stored. The length of the components are necessary so that the apparatus can fit beneath a bed or chair, yet provide sufficient support during the lifting process.
[0008] Another example of a patient lift and transfer apparatus includes a unitary frame having a caster wheel equipped U-shaped horizontal disposed frame. Again, the legs of this apparatus are capable of being placed beneath a patient's bed providing sufficient support for the lifting device as well as the patient. However, no provision is made for storage or transportation of the apparatus.
[0009] Another apparatus is based upon electrical motors to provide assistance in patient movement, wherein the arm members telescope and then retract. This apparatus does not include the retraction of the arms for purposes of storage or transportation.
[0010] A lifting device having leg support structures in the form of telescoping leg assemblies capable of extension and divergence is stable and may provide a safe and effective means of lifting patients. An example of such a lifting device is provided in U.S. Pat. No. 6,026,523, incorporated herein by reference in its entirety. The lifting device of this patent meets the particular problems commonly found in hospitals and convalescent homes, wherein short term lifting capabilities are necessary. Unique to this lifting device is the ability to lift up to six hundred pounds, yet retract in size for purposes of transporting and storage. In operation, the support legs provide about a seventy eight inch stance when fully extended. In a retracted position, the support legs telescope together, leaving a frame footprint of approximately fifty two inches. The lifting device includes a miniature crane having a rotatable column with a lifting arm that can be raised and lowered at the upper end. The column is rotatably coupled to the portable base frame, and is operably attached to an electric motor driven linear actuator that enables independent and reversible rotation of the column, in order to facilitate placement of the end of the lifting arm above the patient's bed, in order to permit eventual transport of the patient away from the bed, such as by, for example, a chair, gurney, or wheelchair. An additional electric motor driven linear actuator may make raising and lowering of the lifting arm effortless.
[0011] The support legs may be further extended outwardly from the frame once the apparatus is positioned at the bedside. This feature allows for ease of movement to various sites, but allows for greater stability during use. Additionally, the support legs, which are normally parallel with respect to each other, are pivotally attached to the base frame and operatively associated with an additional electrically driven linear actuator. Operation of this actuator enables angular displacement of the leg assemblies, so as to cause divergence or convergence thereof. This feature provides a safe and efficient means to ensure the stability of the entire apparatus during a lifting procedure. Additionally, since the extension and divergence of the support legs is carried out beneath the bed, access to the bed and the patient is not hampered in any way.
[0012] Once the apparatus is in position, the unit can be easily secured by locking the frame mounted wheels. In an embodiment, the apparatus uses four wheels, two of which are lockable caster wheels similar to those found on stretchers, positioned at the rear of the support base. Two additional casters are affixed to the lower portion of the support legs at their outermost or distal end.
[0013] With the support legs in an extended and divergent position, an operator can maneuver the lifting arm over a patient's bed, wherein a hook device is available for attaching to a patient sling. The sling is placed beneath the patient so as to facilitate support during transfer. The combination of actuator and lifting arm is capable of lifting up to six hundred pounds through an angular range of motion of about 50-90 degrees along the vertical axis. The column is further able to rotate about its axis on the order of about +/−30 degrees from a starting position, e.g. perpendicular to the rear edge of the support base, in either a clockwise or counterclockwise direction. Angular rotation of the column is performed by use of an electric motor coupled to a linear actuator.
[0014] An operator of the lifting device controls operation by sending control signals to the controller that, in turn, forwards control signals to actuators to generate the movement of the lifting device in accordance with the control signal. However, the methodology used to provide the control signal from the operator, such as a hand-held control pad, having thereon a plurality of control buttons, such as extend, lift, right, left, up, down, and the like, may be, intentionally or unintentionally, misused by the operator. In such an instance, the lifting device may not operate properly or safely. For example, if a safe footprint of the lifting device is not set before attempting a lift and transfer of the patient, such as by a failure to extend the base, or a failure to sufficiently open the legs, the base may allow for tipping over of the lifting device, thereby possibly harming the patient or the operator. When the legs are completely open angularly, and when the legs are completely extended linearly, a safe footprint is set, thereby allowing for lift and transfer with no tipping.
[0015] Recommendations to the operator, such as in the form of extensive in-service training emphasizing proper setup, and/or instructions included with signage placed on the lifting device, can assist in insuring proper setup of the lifting device. However, such training or informational methodologies nonetheless allow for human error. Thus, an automated device and method is needed to completely insure proper setup of the lifting device.
[0016] A computerized controller that limits the movement of a patient lifting device, wherein the controller is operated in a normal mode to sense the lateral rotation of a lifting arm that lifts patients and the linear displacement of extendable support legs for said lifting device and the angular diversion of said support legs, is disclosed. The controller inhibits movement of said lateral rotation of a lifting arm in response to the linear displacement and the angular diversion of the support legs to prevent tipping the lifting device.
[0017] A computerized controller that limits the movement of a patient lifting device, in a normal mode of operation, whereby tipping of the lifting device is prevented, is also disclosed. The controller is operated in a bypass mode to override the normal mode wherein the patient lifting device may be operated during a setup and breakdown operation to permit construction and disassembly of the patient lifting device.
[0018] Understanding of the present invention will be facilitated by consideration of the following detailed description of a preferred embodiment of the present invention, taken in conjunction with the accompanying drawings, in which like numerals refer to like parts and in which:
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[0025] It is to be understood that the figures and descriptions of the present invention have been simplified to illustrate elements that are relevant for a clear understanding of the present invention, while eliminating, for purposes of clarity, many other elements found in a typical patient-safety or lifting device. Those of ordinary skill in the art will recognize that other elements are desirable and/or required in order to implement the present invention. However, because such elements are well known in the art, and because they do not facilitate a better understanding of the present invention, a discussion of such elements is not provided herein. The disclosure hereinbelow is directed to all such variations and modifications to lifting and/or control devices for motor positioning as known, and as will be apparent, to those skilled in the art.
[0026] Referring now to
[0027] Referring now to
[0028] Referring now to
[0029] Once in position at the patient's bedside, the legs may then be extended and diverged so as to define a longer and wider footprint, thereby providing enhanced stability during the patient lifting process. Column mount
[0030] Referring now to
[0031] Referring now to
[0032] Using actuator
[0033] Safety considerations may be imposed, such that the rotation of lift arm assembly
[0034] In an exemplary embodiment, the rotation of lift arm assembly
[0035] In this exemplary embodiment, angle F may be controlled by an actuator having a stroke of 3.94″, and this stroke may be limited to 1.91″ for proper operation. Thus, full retraction of the actuator may cause an angle F of −30 degrees from center axis, and a full stroke of actuator to 1.91″ may cause an angle F of +30 degrees from center axis. However, in accordance with the status of length L2, and/or the openness of the angle C, the controller
[0036] For example, in this exemplary embodiment, the actuator that opens and closes the leg angle C may be, for example, an actuator having a total stroke of 5.91″, and an install length of 12.21″. Such an actuator may be fully extended when the legs are closed, and fully retracted when angle C approaches, for example, 70 degrees. Thus, the legs may be 95% open when the stroke is down from 12.21″ to 0.295″. The actuators that extend the legs outwardly may have a stroke of, for example, 20.67″, and may be at full stroke upon full leg extension. Thus, at 19.36″ stroke, the controller
[0037] An additional restriction on operation to maintain operation of lift device within safe parameters may include inhibition of the retraction of the extendable legs, and/or inhibition of the closing of the angular divergence of the extendable legs, while performing a lift of a patient. Specifically, one embodiment may include the operational restriction, by the controller
[0038] The handheld controller
[0039] In one embodiment of the present invention, the handheld controller
[0040] In one embodiment, a digital position indicator may be used for the leg angular divergence, extension, and lifting arm rotation position. For example, a digital encoder may be used to indicate the actual position of the legs or lift arm assembly and make the information available to the digital controller.
[0041] In one embodiment, rotary digital encoders may be used on all rotary type actuators. In this embodiment, the digital encoders indicate the number of revolutions, for example, in degrees or binary number count, to indicate the position of screw-type rotary actuators in order to limit the overall operation of the lifting device to be within the hereinabove safety limits. In this embodiment, the controller
[0042] In an additional embodiment of the present invention, the handheld controller
[0043] A bypass mode of operation may be implemented in the controller
[0044] In one embodiment, a physical lockout key may be used to temporarily place the unit in bypass mode. Once again, upon placement into bypass mode, an audible alarm may be sounded to alert or remind the operator that the unit is in bypass mode to be used only for breakdown and setup of the lifting device. Exit from the bypass mode may be obtained by removal or reset of the physical key or key position. Those of skill in the art will realize that any form of safety interlock mechanism may be used. For example, a physical key and key position, physical or magnetic, a digital key code, or a key switch of limited access on the controller device are exemplary of such mechanisms.
[0045] In operation, it is recommended that a patient be placed upon a support sling. The lift arm is positioned above the patient and a lifting bar is properly positioned over the support sling. This configuration minimizes any swinging tendency as the support sling and patient is pulled upward. A hook for attachment to the support sling may be attached to the end of the lift arm assembly
[0046] It will be apparent to those skilled in the art that various modifications and variations may be made in the apparatus and process of the present invention without departing from the spirit or scope of the invention. Thus, it is intended that the present invention cover the modification and variations of this invention provided they come within the scope of the appended claims and the equivalents thereof.