Thermotherapy device
11147728 · 2021-10-19
Assignee
Inventors
- Julia Börner (Lübeck, DE)
- Eduard Engelsman (Lübeck, DE)
- Torsten Hindersin (Kamp-Lintfort, DE)
- Fabian Bergner (Essen, DE)
Cpc classification
A61G11/005
HUMAN NECESSITIES
A61G7/005
HUMAN NECESSITIES
International classification
Abstract
A patient bed assembly unit as well as to a thermotherapy device for newborns includes a bed frame and a drawer. The bed frame has a drawer guide configured to make possible a drawer movement from a central pushed-in position in the bed frame along a first pull-out direction and in a second pull-out direction, which direction is opposite the first pull-out direction, into a pulled-out position of the drawer. A drawer-centering device acts on the drawer to move it into the central pushed-in position. The drawer can be removed from the guide. A drawer anti-tilt device is provided, which transmits a torque acting on the drawer directly to a bed frame and prevents the downward tilting of the drawer relative to the bed frame about an axis extending at right angles to the pull-out directions.
Claims
1. A thermotherapy device for newborns, the thermotherapy device comprising: a patient bed assembly unit; and a positioning device for the patient bed assembly unit, wherein: the positioning device has a first horizontal rail in an area of a first end face of the thermotherapy device and a second horizontal rail in the area of a second end face of the thermotherapy device; the patient bed assembly unit comprises a bed frame, which has a first guide and a second guide for the horizontal rails; the guides are configured to make possible a movement of the bed frame from a central position in the thermotherapy device along a first pull-out direction of the horizontal rails into a pulled-out position of the bed frame, and to make possible a movement of the bed frame from the central position in the thermotherapy device along a second pull-out direction of the horizontal rails, which is opposite the first pull-out direction, into a pulled-out position of the bed frame; and an anti-tilt device, which prevents tilting of the bed frame about an axis extending at right angles to the horizontal rails in the central position and in a pulled-out position.
2. A thermotherapy device in accordance with claim 1, wherein the positioning device and the bed frame are configured to make it possible to remove the bed frame from the positioning device in a vertical direction.
3. A thermotherapy device for newborns the thermotherapy device comprising: a patient bed assembly unit; and a positioning device for the patient bed assembly unit, wherein the patient bed assembly unit comprises a bed frame, wherein the bed frame and the positioning device are configured to make possible a movement of the bed frame from a desired position relative to the positioning device along at least one pull-out direction into a pulled-out position of the bed frame and to make it possible to remove the bed frame from the positioning device in a vertical direction; and an anti-tilt device, which prevents tilting of the bed frame about an axis extending at right angles to the horizontal rails in the desired position and in the pulled-out position.
4. A thermotherapy device in accordance with claim 3, wherein: the positioning device comprises a first horizontal rail in an area of a first end face of the thermotherapy device and a second horizontal rail in an area of a second end face of the thermotherapy device; and the bed frame has a first guide and a second guide for the horizontal rails, wherein the guides are configured to make possible the movement of the bed frame from a central position in the thermotherapy device along a first pull-out direction of the horizontal rails into a pulled-out position of the bed frame, and the guides are configured to make possible the movement of the bed frame from the central position in the thermotherapy device along a second pull-out direction of the horizontal rails, which direction is opposite the first pull-out direction, into a pulled-out position of the bed frame.
5. A thermotherapy device in accordance with claim 4, wherein the anti-tilt device at at least one of the guides of the bed frame has a first undercut section and a second undercut section, which are located at spaced locations from one another in the pull-out direction and wherein both undercut sections at least partially enclose in the central position the associated horizontal rail in the vertical direction.
6. A thermotherapy device in accordance with claim 4, wherein the horizontal rails have an expansion device, which can be moved from a first position into a second position, wherein a length of the horizontal rails in the pull-out direction is greater in the second position of the expansion device than the length of the horizontal rails in the pull-out direction in the first position of the expansion device.
7. A thermotherapy device in accordance with claim 3, wherein a height adjustment device is provided, which is configured to set the height of the first and second horizontal rails individually.
8. A thermotherapy device in accordance with claim 3, wherein the horizontal rails are configured as T-shaped carriers, which enclose a horizontal rail element and a central vertical support element.
9. A thermotherapy device in accordance with claim 3, further comprising a centering device acting on the bed frame to move the bed frame into a central position.
10. A thermotherapy device in accordance with claim 9, wherein the centering device comprises a first mechanical centering element in the guide and a second mechanical centering element in the rail, which mesh with one another in a positive-locking manner in the central position of the bed frame.
11. A thermotherapy device in accordance with claim 10, wherein at least one of the first or second mechanical centering element is acted on by an elastic element against the respective other mechanical centering element.
12. A thermotherapy device in accordance with claim 10, wherein at least one of the mechanical centering elements forms a gradient, along which the patient bed assembly unit is transported by a patient bed assembly unit weight into the central position of the bed frame.
13. A thermotherapy device in accordance with claim 9, wherein the centering device comprises a first magnetic centering element in the guide and a second magnetic centering element in the rail, wherein the magnetic forces between the first and second magnetic centering elements act on the bed frame to move the bed frame into the central position.
14. A thermotherapy device in accordance with claim 3, wherein the patient bed assembly unit comprises a drawer, which can be pulled out of a pushed-in position in the bed frame in at least one of the pull-out directions.
15. A thermotherapy device in accordance with claim 14, wherein the bed frame comprises a guide for the drawer and the guide is configured to make possible a movement of the drawer from a central pushed-in position in the bed frame along a first pull-out direction of the guide into a pulled-out position of the drawer, and to make possible a movement of the drawer from the central pushed-in position in the bed frame along a second pull-out direction of the guide, which direction is opposite the first pull-out direction, into a pulled-out position of the drawer.
16. A thermotherapy device in accordance with claim 15, wherein a drawer-centering device is provided, which acts on the drawer to move the drawer into the central pushed-in position.
17. A thermotherapy device in accordance with claim 16, wherein the drawer-centering device has a first magnetic drawer-centering element in the guide and a second magnetic drawer-centering element in the drawer, wherein the magnetic forces between the first and second magnetic drawer-centering elements act on the drawer to move it into the central pushed-in position.
18. A thermotherapy device in accordance with claim 16, wherein the drawer-centering device has a first mechanical drawer-centering element in the guide and a second mechanical drawer-centering element in the drawer, which have a positive-locking mesh with one another in the central pushed-in position of the drawer.
19. A thermotherapy device in accordance with claim 14, wherein the drawer can be removed from the guide, and a drawer anti-tilt device is provided, which transmits a torque acting on the drawer directly to the bed frame and prevents the downward tilting of the drawer relative to the bed frame about an axis extending at right angles to the pull-out directions.
20. A thermotherapy device in accordance with claim 14, wherein the drawer and the bed frame have end position elements each, which define a fully pulled-out position in the respective pull-out directions and block a further pulling out of the drawer in the fully pulled-out position and act on the drawer to move the drawer into the fully pulled-out position.
21. A thermotherapy device in accordance with claim 20, wherein the end position elements are configured as magnetic stop elements, wherein magnetic forces between the magnetic stop elements act on the drawer to move the drawer into the fully pulled-out position.
22. A thermotherapy device in accordance with claim 20, wherein the end position elements are configured as mechanical stop elements and are in a positive-locking contact with one another in the fully pulled-out position.
23. A thermotherapy device in accordance with claim 22, further comprising a drawer-removing device, which makes possible the separation of the positive-locking connection of the stop elements and removal of the drawer from the bed frame.
24. A thermotherapy device in accordance with claim 14, wherein the drawer has a first positioning mark, which is configured such that the drawer coincides with a second positioning mark on the bed frame and/or on a component of a thermotherapy device, which component belongs to the patient bed assembly unit, in the central pushed-in position of the drawer.
25. A thermotherapy device in accordance with claim 14, further comprising a locking device, which locks the horizontal rail in an at least partially pulled-out position of the drawer in order to prevent tilting of the bed frame, and unlocks the horizontal rail in a pushed-in position of the drawer in order to make possible the removal of the bed frame from the positioning device.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the drawings:
(2)
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DESCRIPTION OF PREFERRED EMBODIMENTS
(25) Referring to the drawings,
(26) The incubator 10 comprises an incubator chamber 12, a patient bed assembly unit 14 within the incubator chamber 12 and a positioning device 16 for the patient bed assembly unit 14.
(27) The incubator chamber 12 has side walls 18 with access openings 20, which can be opened in order to reach into the incubator chamber 12. A hood 22 closes the incubator chamber 12 upwardly. The hood 22 may be opened for open care. A heating lamp 24 is provided in order to warm the newborn in open care. A thermotherapy device according to the present invention may, however, also have a different configuration, for example, a configuration as a closed incubator without a hood that would be opened.
(28) The positioning device 16 comprises a height adjustment advice 26, in the embodiment shown in the form of two telescoping lifting devices, and a first horizontal rail 28 in the area of a first end face of the incubator chamber 12 as well as a second horizontal rail 30 in the area of a second end face of the incubator chamber 12. The height adjustment device 26 is configured to set the height of the first and second horizontal rails 28, 30 individually relative to the incubator chamber 12 and relative to the housing of the incubator 10. A different configuration may be provided as well.
(29) The patient bed assembly unit 14 comprises a bed frame 32, which has a first guide 34 and a second guide 36 for the horizontal rails, the horizontal rails 28, 30 being mounted in the guides 34, 36.
(30) The patient bed assembly unit 14 further comprises a drawer 38, which is arranged under a reclining surface of the patient bed assembly unit 14. The drawer is used especially to receive an X-ray cassette or an X-ray detector and thus make it possible to take X-ray pictures of the newborn within the incubator chamber 12.
(31) The patient bed assembly unit 14 further has a reclining surface element (not shown in
(32)
(33)
(34) The bed frame 32 may be built from one part or from a plurality of parts.
(35) The two guides 34, 36 form a type of fast and loose mount for the two horizontal rails 28, 30 in order to make possible the tilting of the bed frame 32, as is shown in
(36) The second guide 36 for the second horizontal rail 30 forms a loose mount, wherein the second guide 36 makes it possible to mount the second rail 28 in a variable range of distances relative to the first guide 34. The different distance of the horizontal rails 28, 30 in the horizontal position of the bed frame 32 (
(37) The guides 34, 36 are thus configured such as to make possible a movement of the bed frame 32 from a central position in the incubator chamber 12 along a first pull-out direction of the horizontal rails 28, 30 into a pulled-out position of the bed frame 32 and a movement of the bed frame 32 from the central position in the incubator chamber 12 along a second pull-out direction of the horizontal rails 28, 30, which direction is opposite the first pull-out direction, into a pulled-out position of the bed frame 32.
(38) Due to the configuration of the first and second horizontal rails 28, 30 as T-shaped carriers, the bed frame 32 can thus be pulled out in a simple manner up to the position of the (central vertical) support element. The central vertical support element thus forms a stop and thus defines a maximally pulled-out position of the bed frame 32 in both pull-out directions.
(39) In the embodiment shown in
(40) With the two respective holes in the side walls of the bed frame 32 of the two guides 34, 36, the anti-tilt device 40 forms a first undercut section 42 and a second undercut section 44, which are located at spaced locations from one another in the pull-out direction, and wherein both undercut sections 42, 44 extend in the central position at least partially around the associated horizontal rail in the vertical direction. The holes in the side walls are reinforced for this in the embodiment shown in
(41) The possibility of pulling the bed frame 32 out of the central position makes possible a flexible and comfortable care of the newborn. The incubator 10 can be used in a flexible manner due to the pull-out directions available on both sides.
(42) In section (a),
(43) Section (b) of
(44) Section (c) of
(45) The incubator 10 is configured to make it possible to remove the bed frame 32 from the incubator chamber 12 in a vertical direction. The incubator can, for example, be removed and cleaned in a simple manner.
(46) The removal of the bed frame 32 is shown in the process steps shown in
(47) In the embodiment shown, the rails 28, 30 and the bed frame 32 are configured such that the bed frame can also be mounted rotated by 180°, so that the guide 36 lies on the rail 28 and the guide 34 lies on the rail 30. Mounting is simplified in this manner, because it is consequently unnecessary to pay attention to the orientation of the bed frame 32.
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(50) In a first step in the removal process, the bed frame 32 is brought into a horizontal position. The bed frame 32 is raised in the second step on the side of the first guide 34 until the first rail 28 has moved out of the guide 34. The bed frame is moved in the third step to the side of the first guide 34, so that the second horizontal rail 30 in the second guide 36 comes into the outer-side area of the guide 36, as a result of which the second rail 30 is released from the undercut sections 42, 44. The bed frame 32 can subsequently also be raised in the fourth step on the side of the second guide 36 and removed from the incubator chamber 12. The mounting of the bed frame 32 is carried out analogously in the reverse order.
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(53) In the first, pulled-in position of the expansion devices 46, the side walls of the bed frame 32 form no undercut sections 42 and 44 in the central position, and removal or mounting of the bed frame are possible in the vertical position.
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(55) In the embodiment shown in
(56) With the drawer 38 pushed in completely, the second ends of the levers are positioned by the cam of the drawer 38 such that the levers rotate such that the respective first ends of the levers release the horizontal rails 28, 30 and the locking device 48 is unlocked (section (b)).
(57) If the drawer 38 is pulled out of the bed frame 32 in one direction or the other, the two ends of the levers are either free or are moved by the cam of the drawer 38 such that the levers rotate about a respective central axis of rotation and the first ends of the levers mesh with the horizontal rails 28, 30, and the locking device 48 is locked (sections (a) and (c)).
(58)
(59) Four blocking elements may also be arranged at the two respective ends of the guides 34, 36 analogously to the four undercut sections of the preceding embodiments.
(60) Section (a) shows the locking device 48 with the drawer 38 pulled out completely or partially, and the drawer 38 acts on the blocking element in the direction of the arrow and the first end of the blocking element thus encloses the horizontal rail 28, 30. The drawer 38 is configured analogously to the embodiment according to
(61) The drawer 38 is pushed in section (b) and the cam of the drawer moves the blocking element in the direction of the arrow, so that the first end of the blocking element releases the horizontal rail 28, 30.
(62) The features of the different embodiments of the anti-tilt device 40 may, in particular, also be combined with one another.
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(64) In the embodiments according to
(65) In
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(69) The different features of the embodiments of the centering device 50 shown in
(70) The patient bed assembly unit 14 with the bed frame 32 and with the drawer 38 will be described below on the basis of
(71) A drawer-centering device 62 is provided, which acts on the drawer 38 to move the drawer 38 into the central pushed-in position.
(72) The drawer-centering device 62 in the embodiment shown in
(73) The magnetic drawer-centering elements 66 and 64 are inserted in the embodiment shown into recesses of plastic components of the bed frame 32 and of the drawer 38, and the recesses are closed with a cover and welded by ultrasonic welding. As an alternative, the magnetic drawer-centering elements 66 and 64 may be cast in or bonded in.
(74) At least one first magnetic drawer-centering element 64 and one second magnetic drawer-centering element 66, which may be arranged, for example, in the center of the drawer 38, are sufficient, in principle.
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(76) In the embodiment shown, the drawer-centering elements 64, 66 are arranged each, moreover, such that they form end position elements 68, which define a fully pulled-out position in the respective pull-out directions and act on the drawer to move it into the fully pulled-out position, as a result of which the user receives during the pulling out a haptic feedback that the drawer is in the fully pulled-out position and that the drawer 38 would be removed from the bed frame 32 during a further pulling out. In the embodiment shown, the magnetic drawer-centering elements 64, 66 of the respective opposite ends of the drawer 38 and of the guide 60 are located opposite each other and they mutually attract each other.
(77) It is also possible to combine the drawer-centering elements 64, 66 of the two embodiments shown in
(78)
(79) In the embodiment shown in
(80) As an alternative, the second mechanical drawer-centering element 72 may be made in one piece with the body of the drawer as an elastic plastic element, which meshes, analogously to the metal spring according to
(81)
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(84) To make it possible to take X-ray pictures with the lowest radiation dose possible, a hole is provided in the bed frame 32 above the interior of the drawer 38 for the X-ray cassette and for the X-ray detector. Thus, only the mattress with the reclining surface as well as a possibly present support element for the mattress are arranged between the patient and the X-ray cassette, on the one hand, and the X-ray detector, on the other hand. The support element may be made, in particular, from a material different from the material of the rest of the bed frame 32, and this other material is preferably more transparent for X-rays, and it is, e.g., carbon.
(85) To prevent the drawer 38 from tilting, especially under a load in a pulled-out state, and hence under a pressure against the mattress or the support element of the mattress, the drawer anti-tilt device 74 is provided at the guide 60 in the upper area in the form of sections of projections, which are arranged above the side walls of the drawer 38, and thus they absorb a torque exerted on the drawer 38, as a result of which the torque is transmitted to the bed frame 32.
(86) The torque is transmitted from the bed frame 32 via the anti-tilt device 40 according to the preceding figures to the horizontal rails 28, 30 and to the housing of the incubator 10.
(87)
(88) The end position elements 68 are configured each as mechanical stop elements 76 and are in contact with one another in a positive-locking manner in the fully pulled-out position shown in
(89) A drawer-removing device 78, which makes it possible to abolish the positive-locking connection of the stop elements 76 and the removal of the drawer 38 from the bed frame 32, is provided in the embodiment shown. This makes possible a simple mounting and removal of the drawer 38 in the bed frame 32.
(90) In the embodiment shown, the drawer-removing device 78 is formed by an indentation 80 in the side wall of the drawer 38 as well as by a rounding 82 of the drawer bottom together with the arrangement of the stop elements 76. This makes it possible to raise the drawer 38 selectively in the fully pulled-out position by rotating the drawer. The upper side wall of the bed frame 32 is received now in the indentation 80 of the drawer. The stop element 76 of the drawer is raised now to the extent that it becomes disengaged from the stop element 76 of the bed frame 32 and the drawer can thus be removed from the bed frame 32.
(91) The insertion of the drawer 38 back into the bed frame 32 can be carried out in the reverse order, on the one hand, and, on the other hand, this is also possible in another tilted position based on the sawtooth shape of the stop elements 76 without problems.
(92) As an alternative, an end position element 68 may be configured as an elastic element, for example, at the axial end of the side wall of the drawer and come into contact with the upper side wall of the bed frame 32. The end position element 68 advantageously forms a mechanical stop element 76, on the one hand, and, on the other hand, a drawer-removing device 78 by the end position element 68 having such a flexible configuration that it makes it possible to remove the drawer in case of the application of a strong force and thus it also gives the user a haptic feedback for the fully pulled-out position. Another advantage of the elastic element 68 is that noise is minimized during the meshing of the end stop.
(93) To make it possible to position an X-ray cassette or an X-ray detector optimally in relation to the newborn lying on the reclining surface and to avoid faulty pictures, the drawer 38 has, as is shown in
(94) While specific embodiments of the invention have been shown and described in detail to illustrate the application of the principles of the invention, it will be understood that the invention may be embodied otherwise without departing from such principles.