Patient support apparatus
10869792 ยท 2020-12-22
Assignee
Inventors
Cpc classification
A61G7/015
HUMAN NECESSITIES
A61H2201/0161
HUMAN NECESSITIES
A61H3/04
HUMAN NECESSITIES
A61G7/053
HUMAN NECESSITIES
A61G7/005
HUMAN NECESSITIES
International classification
A61G5/00
HUMAN NECESSITIES
A61H3/04
HUMAN NECESSITIES
A61G7/053
HUMAN NECESSITIES
A61G7/005
HUMAN NECESSITIES
Abstract
A modular patient support system for use in ambulating a patient across a floor, comprising a primary module and a secondary module. The primary module has a primary base and a primary deck arranged for movement relative to the primary base, and the primary deck defines a first patient support area. The secondary module has a secondary base adapted for movement along the floor relative to the primary base and a secondary deck arranged for movement relative to the secondary base. The modular patient support system is operable between a docked configuration where the secondary deck cooperates with the primary deck to define a second patient support area larger than the first patient support area, and an undocked configuration where the secondary module is spaced apart from the primary module to facilitate ambulation concurrent with the secondary module across the floor away from the primary module.
Claims
1. A modular patient support system for use in ambulating a patient across a floor, said modular patient support system comprising: a primary patient support module comprising a primary base and a primary support deck arranged for movement relative to said primary base, said primary support deck defining a contiguous first patient support area; and a secondary patient support module comprising a secondary base adapted for movement along the floor relative to said primary base and a secondary support deck arranged for movement relative to said secondary base; where said modular patient support system is operable between: a docked configuration where said secondary support deck cooperates with said primary support deck to define a contiguous second patient support area larger than said contiguous first patient support area, said primary support deck and said secondary support deck being movable relative to each other to support the patient in a plurality of different bed configurations including a knee brake configuration defined with said secondary support deck arranged at a reflex angle relative to an adjacent section of said primary support deck, and an undocked configuration where said secondary patient support module is spaced apart from said primary patient support module to facilitate patient egress from said primary patient support module and ambulation concurrent with said secondary patient support module across the floor away from said primary patient support module, said secondary support deck being movable relative to said secondary base in said undocked configuration to promote patient ambulation concurrent with said secondary patient support module.
2. The modular patient support system as set forth in claim 1, further comprising an interface arranged between said primary patient support module and said secondary patient support module for operating said modular patient support system between said docked configuration and said undocked configuration.
3. The modular patient support system as set forth in claim 2, further comprising a coupler operatively attached to one of said primary patient support module and said secondary patient support module, and a receiver operatively attached to the other of said primary patient support module and said secondary patient support module, said coupler securing said receiver when said modular patient support system operates in said docked configuration to link said secondary patient support module with said primary patient support module for concurrent movement along the floor, wherein interaction of said coupler and said receiver define said interface.
4. The modular patient support system as set forth in claim 3, wherein said coupler includes a coupler connector and said receiver includes a receiver connector, with said coupler connector and said receiver connector abutting one another to facilitate electrical communication between said primary patient support module and said secondary patient support module when said modular patient support system operates in said docked configuration.
5. The modular patient support system as set forth in claim 2, wherein said interface is configured to allow movement of said secondary support deck with respect to said primary support deck when said modular patient support system operates in said docked configuration.
6. The modular patient support system as set forth in claim 2, wherein said interface maintains a predetermined distance defined between said primary support deck and said secondary support deck when said modular patient support system operates in said docked configuration to facilitate relative movement between said primary support deck and said secondary support deck.
7. The modular patient support system as set forth in claim 1, wherein said primary patient support module further comprises a primary actuator arranged to move said primary support deck relative to said primary base.
8. The modular patient support system as set forth in claim 7, wherein said secondary patient support module further comprises a secondary actuator arranged to move said secondary support deck relative to said secondary base.
9. The modular patient support system as set forth in claim 8, further comprising a controller disposed in communication with said primary actuator and with said secondary actuator, wherein said controller is configured to selectively drive said primary actuator and said secondary actuator to cause independent movement of said primary support deck and said secondary support deck.
10. The modular patient support system as set forth in claim 9, wherein said controller is configured to drive said primary actuator and said secondary actuator to cause coordinated movement of said primary support deck and said secondary support deck relative to each other and to said primary base.
11. The modular patient support system as set forth in claim 1, wherein said primary support deck comprises a seat section and a back section being arranged for movement relative to each other and to said primary base, and said primary support deck is movable into a chair configuration defined with said back section arranged at an obtuse angle relative to said seat section when said modular patient support system is in said undocked configuration to maintain support of the patient in said chair configuration as said modular patient support system moves from said docked configuration to said undocked configuration.
12. The modular patient support system as set forth in claim 1, wherein said primary support deck comprises a seat section and a back section arranged for movement relative to each other and to said primary base; and wherein said primary support deck is configured to support the patient with said back section arranged at an obtuse angle relative to said seat section when said modular patient support system operates in said docked configuration, and to maintain support of the patient with said back section arranged at said obtuse angle relative to said seat section as said modular patient support system moves from said docked configuration to said undocked configuration.
13. The modular patient support system as set forth in claim 1, wherein said secondary support deck extends longitudinally between a distal end and a proximal end, said proximal end being arranged adjacent to said primary support deck in said docked configuration; and wherein movement of said secondary support deck in said undocked configuration moves said proximal end of said secondary support deck longitudinally relative to said secondary base to present a walking access region defined adjacent to said secondary base and arranged to promote patient ambulation concurrent with said secondary patient support module.
14. A modular patient support system for use in ambulating a patient across a floor, said modular patient support system comprising: a primary patient support module comprising a primary base, a seat section, and a back section, said seat section and said back section being arranged for movement relative to each other and to said primary base, said seat section and said back section defining a contiguous first patient support area; and a secondary patient support module comprising a secondary base and a foot section, said foot section being arranged for movement relative to said secondary base; where said modular patient support system is operable between: a docked configuration where said secondary base moves along the floor concurrently with said primary base and where said foot section cooperates with said seat section and said back section to define a contiguous second patient support area, said foot section and said back section being movable relative to each other and to said seat section in said docked configuration to support the patient in a plurality of different bed configurations including a knee brake configuration defined with said foot section arranged at a reflex angle relative to said seat section, and an undocked configuration where said secondary patient support module is spaced apart from said primary patient support module to facilitate patient egress from said primary patient support module and ambulation concurrent with said secondary patient support module across the floor away from said primary patient support module, said foot section being movable relative to said secondary base in said undocked configuration to promote patient ambulation concurrent with said secondary patient support module.
15. The modular patient support system as set forth in claim 14, wherein said seat section and said back section of said primary patient support module are movable between chair configurations when said modular patient support system is in said undocked configuration, with each of said seat section and said back section being arranged for at least partially supporting the patient in said chair configurations.
16. The modular patient support system as set forth in claim 14, wherein said primary patient support module further comprises a primary intermediate frame coupled to said primary base and to said seat section and said back section to allow movement of said seat section and said back section relative to said primary base; and wherein said primary patient support module further comprises a primary positioning frame interposed between said primary intermediate frame and said seat section and said back section to allow movement of said seat section and said back section relative to each other and to said primary intermediate frame.
17. The modular patient support system as set forth in claim 14, wherein said primary patient support module is configured to support the patient with said back section arranged at an obtuse angle relative to said seat section when said modular patient support system operates in said docked configuration, and to maintain support of the patient with said back section arranged at said obtuse angle relative to said seat section as said modular patient support system moves from said docked configuration to said undocked configuration.
18. The modular patient support system as set forth in claim 14, wherein said foot section extends longitudinally between a distal end and a proximal end, said proximal end being arranged adjacent to said seat section in said docked configuration; and wherein movement of said foot section in said undocked configuration moves said proximal end of said foot section longitudinally relative to said secondary base to present a walking access region defined adjacent to said secondary base and arranged to promote patient ambulation concurrent with said secondary patient support module.
19. A modular patient support system for use in ambulating a patient across a floor, said modular patient support system comprising: a primary patient support module comprising a primary base and a primary support deck arranged for movement relative to said primary base, said primary support deck defining a contiguous first patient support area; and a secondary patient support module comprising a secondary base, a secondary support deck arranged for movement relative to said secondary base, and a grip to support the patient for ambulation; where said modular patient support system is operable between: a docked configuration where said secondary support deck cooperates with said primary support deck to define a contiguous second patient support area, said primary support deck and said secondary support deck being movable relative to each other to support the patient in a plurality of different bed configurations including a knee brake configuration defined with said secondary support deck arranged at a reflect angle relative to an adjacent section of said primary support deck, and an undocked configuration where said secondary patient support module is spaced apart from said primary patient support module; said secondary support deck being movable relative to said secondary base when said modular patient support system is in said undocked configuration to promote patient ambulation concurrent with said secondary patient support module and to facilitate access to said grip for supporting the patient for ambulation.
20. The modular patient support system as set forth in claim 19, wherein said secondary support deck of said secondary patient support module is movable to a stowed configuration when said modular patient support system is in said undocked configuration.
21. The modular patient support system as set forth in claim 19, wherein said grip is arranged for movement relative to said secondary base.
22. The modular patient support system as set forth in claim 19, wherein said secondary patient support module is shaped to define a walking access region arranged to promote patient ambulation concurrent with said secondary patient support module when said modular patient support system is in said undocked configuration, wherein said walking access region is arranged at least partially beneath said grip of said secondary patient support module when said modular patient support system is in said undocked configuration.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(19) Referring to
(20) The primary patient support module 32 is comprised of a primary base 38 and a primary support deck 40 arranged for movement relative to the primary base 38. Here, the primary support deck 40 provides support to the patient and defines a first patient support area 42, as described in greater detail below, which is depicted in
(21) Referring now to
(22) As is described in greater detail below, the first patient support area 42 is realized as a contiguous surface area of the primary support deck 40 upon which the patient can be supported (see
(23) Conversely, when the modular patient support system 30 operates in the undocked configuration 30B, the primary support deck 40 supports the patient and defines the contiguous first patient support area 42, while the secondary support deck 46 does not provide support to the patient (see
(24) With continued reference to
(25) The primary support deck 40 and the secondary support deck 46 may support or otherwise include portions of a mattress (not shown in detail) to promote patient comfort during use. In such circumstances, the portions of the mattress may cooperate to comprise a patient support surface upon which the patient is directly supported. However, those having ordinary skill in the art will appreciate that direct support of the patient could be effected in a number of different ways. By way of non-limiting example, the patient support apparatus 30 could employ a separate, modular, unitary mattress adapted to be placed upon the primary and secondary support decks 40, 46, a portion of the intermediate frame, and the like. Moreover, it will be appreciated that the patient support apparatus 30 could be configured in a number of different ways and, thus, any suitable component of the patient support apparatus 30 could provide support to the patient, either directly or indirectly.
(26) As shown in
(27) It will be appreciated that the modular patient support system 30 could be configured in a number of different ways and could include additional features or components conventionally employed in connection with patient support apparatuses. By way of non-limiting example, a removable foot board may be provided for being coupled to the foot section 54 of the secondary support deck 46 for use in certain applications, or the foot board may alternatively be integrally formed with the foot section 54 (not shown, but generally known in the related art). In addition, side rails and/or a head board may be operatively attached to or otherwise integrated with portions of the primary patient support module 32 and/or the secondary patient support module 34 (not shown, but generally known in the related art). Side rails conventionally employed in connection with patient support apparatuses are generally configured to be movable between a raised position in which they block patient ingress and egress, one or more intermediate positions, and a lowered position in which they are not an obstacle to such ingress and egress.
(28) As is best shown in
(29) As is shown best in
(30) It will be appreciated that the bed configurations 64 are generally intended for supporting the patient in a lying orientation, such as on the back or side, while the chair configurations 66 are generally indented for supporting the patient in a seated orientation, such as may be employed to promote patient ambulation away from the primary patient support module 32, as noted above. Thus, when the patient support system 30 operates in the docked configuration 30A, the secondary base 44 moves concurrently along the floor 36 with the primary base 38. Conversely, when the patient support system 30 operates in the undocked configuration 30B, the secondary patient support module 34 may be moved away from the primary patient support module 32 so as to promote uninhibited access to the floor 36 while the seated patient is supported in one of the chair configurations 66. The docked configuration 30A, the undocked configuration 30B, the bed configurations 64, and the chair configurations 66 will each be described in greater detail below.
(31) As noted above, the seat section 50 and the back section 52 of the primary support deck 40 are arranged for movement relative to each other and to the primary base 38. To that end, in the representative embodiment illustrated throughout the drawings, the primary patient support module 32 comprises a primary intermediate frame 68, a primary positioning frame 70, and one or more primary actuators 72. The primary intermediate frame 68 is coupled to the primary base 38 and also to the seat section 50 and the back section 52 of the primary support deck 40 to allow movement of the seat section 50 and the back section 52 relative to the primary base 38. Here, a primary actuator 72 is arranged to move the primary intermediate frame 68 relative to the primary base (compare
(32) In the representative embodiment illustrated herein, the primary actuators 72 realized as rotary actuators arranged at each of the pivot points of the primary patient support module 32 described above. However, it will be appreciated that certain pivot points of the primary patient support module 32 could be manually-articulated or otherwise moved without the use of a discrete primary actuator, such as with an adjustable linkage. Similarly, those having ordinary skill in the art will appreciate that the primary patient support module 32 could employ any suitable number of primary actuators 72, of any suitable type, configuration, or arrangement sufficient to effect movement of the primary support deck 40 relative to the primary base 38. Specifically, it will be appreciated that the primary actuators 72 could alternatively be realized as one or more linear actuators arranged to move one or more sections of the primary support deck 40 with respect to the primary base 38. Furthermore, it will be appreciated that one of the patient support modules 32, 34 could be non-powered when the modular patient support system 30 is in the undocked configuration 30B and could receive power, rotational torque, and the like from the other of the patient support modules 32, 34 when in the docked configuration 30A. By way of non-limiting example, the secondary patient support module 34 could omit actuators entirely and could employ a linkage or gearset which receives torque from one or more primary actuators 72 of the primary patient support module 32 when in the docked configuration 30A so as to move between patient support configurations or positions, with the secondary patient support module 34 being manually operable or adjustable when in the undocked configuration 30B.
(33) As noted above, the foot section 54 of the secondary support deck 46 is arranged for movement relative to the secondary base 44. To that end, in the representative embodiment illustrated throughout the drawings, the secondary patient support module 32 further comprises a secondary intermediate frame 74 and one or more secondary actuators 76. The secondary intermediate frame 74 is coupled to the secondary base 44 and also to the foot section 54 of the secondary support deck 46 to allow movement of the foot section 54 relative to the secondary base 44. Here, a secondary actuator 76 is arranged to move the secondary intermediate frame 74 relative to the secondary base 44. Similarly, a secondary actuator 76 is also arranged to move the foot section 54 relative to the secondary intermediate frame 74 (compare
(34) As is best shown in
(35) In one embodiment, the primary legs 80 define at least a portion of the floor access region 82. However, it will be appreciated that the floor access region 82 is an imaginary boundary generally defined by the shape of the primary base 38 of the primary patient support module 32 which is projected on the floor 36 when viewed from above (see
(36) In the representative embodiment illustrated herein, the primary intermediate frame 68 is realized as a pair of primary intermediate frame members 84, and the primary positioning frame 70 is similarly realized as a pair of primary positioning frame members 86. Here, the primary positioning frame members 86 each have a generally V-shaped profile, and the primary intermediate frame members 84 each have a generally I-shaped profile. The primary intermediate frame members 84 are pivotally coupled to the respective primary legs 80 of the primary base 38, and are also pivotally coupled to the respective primary positioning frame members 86. Similarly, the seat section 50 and the back section 52 of the primary support deck 40 are each pivotally coupled to the primary positioning frame members 86. This arrangement further contributes to uninhibited access to the floor access region 82 when the modular patient support system 30 operates in the undocked configuration 30B. However, those having ordinary skill in the art will appreciate that the primary patient support module 32 could employ any suitable number of components of any suitable type, configuration, or arrangement sufficient to promote movement of the primary support deck 40 relative to the primary base 38.
(37) As noted above, the modular patient support system 30 is configured to promote patient ambulation across the floor 36 away from the primary patient support module 32 when in the undocked configuration 30B and with the primary support deck 40 arranged in a chair configuration 66 in which the seat section 50 is positioned vertically near the floor 36 so as to position the patient's feet on the floor 36 within or adjacent to the floor access region 82. In one embodiment, the modular patient support system 30 is further configured to promote patient ambulation along the floor 36 concurrent with the secondary patient support module 34 away from the primary patient support module 32. To this end, the secondary patient support module 34 may further comprise a grip 88 to support the patient for ambulation (see
(38) The secondary support deck 46 of the secondary patient support module 34 is movable relative to the secondary base 44 when the modular patient support system 30 is in the undocked configuration 30B to facilitate access to the grip 88 which, in turn, is configured to support the patient for ambulation concurrent with the secondary patient support module 34. More specifically, and as is best illustrated by comparing
(39) As is best shown in
(40) In one embodiment, the secondary legs 94 of the secondary base 44 define at least a portion of the walking access region 96. However, it will be appreciated that the walking access region 96, like the floor access region 82 described above, is likewise an imaginary boundary generally defined by the shape of the secondary base 44 of the secondary patient support module 34 which is projected on the floor 36 when viewed from above (see
(41) In the representative embodiment illustrated herein, the secondary intermediate frame 74 is realized as a pair of primary intermediate frame members 98 which each have a generally I-shaped profile and which are pivotally coupled to the respective secondary legs 94 of the secondary base 44, and are also pivotally coupled to the secondary support deck 46. This arrangement contributes to uninhibited access to the walking access region 96 when the modular patient support system 30 operates in the undocked configuration 30B with the secondary support deck 46 disposed in the stowed configuration 90, as described above. However, those having ordinary skill in the art will appreciate that the primary patient support module 32 could employ any suitable number of components of any suitable type, configuration, or arrangement sufficient to promote movement of the secondary support deck 46 relative to the secondary base 44.
(42) As noted above, when the modular patient support system 30 operates in the docked configuration 30A, the primary support deck 40 of the primary patient support module 32 and the secondary support deck 46 of the secondary patient support module 34 cooperate to provide support to the patient within the second patient support area 48. Here too in the docked configuration 30A, the primary base 38 of the primary patient support module 32 moves concurrently with the secondary base 44 of the secondary patient support module 34. To this end, in one embodiment the modular patient support system 30 further comprises an interface, generally indicated at 100, arranged between the primary patient support module 32 and the secondary patient support module 34, for operating the modular patient support system 30 between the docked configuration 30A and the undocked configuration 30B. As will be appreciated from the subsequent description below, the interface 100 can be realized in a number of different ways depending on application requirements.
(43) In the representative embodiment depicted herein, and as is best shown in
(44) While the modular patient support system 30 depicted herein employs a single coupler 102 and a single receiver 104, those having ordinary skill in the art will appreciate that any suitable number of couplers 102 and/or receivers 104 could be operatively attached to any suitable portion of the primary patient support module 32 and/or the secondary patient support module 34. Specifically, it will be appreciated that the arrangement of the coupler 102 and the receiver 104 could be interchanged, such as with the receiver 104 operatively attached to the primary patient support module 32 and the coupler 102 operatively attached to the secondary patient support module 34.
(45) As is best shown in
(46) In the representative embodiment illustrated in
(47) In one embodiment, the interface 100 is configured to allow movement of the secondary support deck 46 with respect to the primary support deck 40 when the modular patient support system 30 operates in the docked configuration 30A (compare
(48) It will be appreciated that the interface 100 can be configured to link the primary patient support module 32 with the secondary patient support module 34 via the physical interaction between the coupler 102 and the receiver 104. To this end, the complimentary shape of the coupler 102 and the receiver 104 ensures that the secondary base 44 is properly aligned with the primary base 38, such as with the driven primary wheels 60 supporting the primary base 38 being aligned concentrically with the driven secondary wheels 62 supporting the secondary base 44 such that the predetermined distance 110 here is zero (see
(49) Moreover, those having ordinary skill in the art will appreciate that the alignment and linking afforded by the interface 100 could be achieved without the use of a discrete coupler 102 and receiver 104 to provide a physical connection between the primary patient support module 32 and the secondary patient support module 34 in the docked configuration 30A. By way of non-limiting example, one or more sensors arranged on the primary patient support module 32 and/or the secondary patient support module 34 could be employed to maintain a relative position therebetween without the use of physical components to link the secondary base 44 to the primary base 38 for concurrent movement along the floor 36. By way of non-limiting example, the driven primary wheels 60 of the primary patient support module 32 and the driven secondary wheels 62 of the secondary patient support module 34 could be configured to follow each other or otherwise maintain alignment using positional feedback from the sensors. Similarly, those having ordinary skill in the art will appreciate that the modular patient support system 30 could employ non-contact interaction between the patient support modules 32, 34 when in the docked configuration 30A to facilitate concurrent or coordinated movement, such as via magnetic or electromagnetic coupling.
(50) Referring now to
(51) In one embodiment, the controller 112 is configured to drive the primary actuator 72 and the secondary actuator 76 to cause coordinated movement of the primary support deck 40 and the secondary support deck 46 relative to each other and to the primary base 38 and/or the secondary base 44 (compare
(52) In one embodiment, the controller 112 is capable of changing the angular orientation of various portions of the patient's body simultaneously, such as the patient's head, back, thighs, calves, and/or feet. In addition, the controller 112 is configured to control a rate of operation at which the primary actuators 72 and the secondary actuators 76 cooperate to move between bed configurations 64 and/or chair configurations 66. As noted above, the primary actuators 72 and the secondary actuators 76 are generically-depicted as rotary actuators. However, it will be appreciated that one or more components of the modular patient support system 30 could employ other types of actuators, linkages, or other mechanisms which cooperate with the controller 112 to facilitate coordinated movement. By way of non-limiting example, one or more sections of the primary support deck 40 and/or the secondary support deck 46 could employ linear actuators arranged to slide sections with respect to each other in order to facilitate relative positioning of the sections during coordinated movement. Here, one or more of the sections 50, 52, 54, 56 could be configured to translate along it's respective support structure or frame without necessarily rotating or pivoting, such as to ensure that relative spacing between certain sections 50, 52, 54, 56 is maintained as the modular patient support system 30 moves between different configurations or orientations, as noted above. Similarly, this configuration contributes to stability of the modular patient support system 30 in use by advantageously positioning the center of gravity of certain components relative to one or more of the bases 38, 44 as the patient's body is moved with respect to the floor 36.
(53) In certain embodiments, the controller 112 may be configured to drive the primary actuator 72 and the secondary actuator 76 to cause generally vertical movement of the primary support deck 40 and the secondary support deck 46 with respect to the floor 36 (compare
(54) In operation, when the modular patient support system 30 operates in the docked configuration 30A, the primary support deck 40 of the primary patient support module 32 and the secondary support deck 46 of the secondary patient support module 34 are movable between the bed configurations 64 and cooperate to define the second patient support area 48, as noted above. Thus, in the docked configuration 30A, the modular patient support system 30 serves as a bed to support the patient's entire body within the second patient support area 48. Here, the sections of the primary support deck 40 and the secondary support deck 46 can be moved with respect to each other so as to adjust the shape of the second patient support area 48 to promote patient comfort. By way of example, the seat section 50, the back section 52, and the foot section 54 can be positioned generally parallel to each other to provide the patient with a generally flat surface to lay upon in a first bed configuration 64A (see
(55) When the modular patient support system 30 operates in the undocked configuration 30B, the secondary patient support module 34 can be moved away from the primary patient support module 32 (compare
(56) Here too in the undocked configuration 30B, the foot section 54 of the secondary support deck 46 of the secondary patient support module 34 can move from the relative position defined in the second bed configuration 64B (see
(57) In this way, the modular patient support system 30 affords significant advantages for promoting patient mobility and ambulation while, at the same time, reducing the risk of patient injury while exiting patient support apparatuses. Specifically, it will be appreciated that the nesting arrangement between the primary patient support module 32 and the secondary patient support module 34 minimizes the overall size and footprint of the modular patient support system 30 when in the bed configuration 64. Similarly, because the secondary patient support module 34 can be moved away from the primary patient support module 32 in the undocked configuration 30B, no portion of the secondary patient support module 34 blocks or otherwise inhibits access to the floor under the patient's feet, which allows the primary patient support module 32 arranged in the chair configuration 66 to advantageously position the seated patient such that their feet can touch the floor 36 within or adjacent to the floor access region 82 to stand. Moreover, the secondary patient support module 32 further promotes patient ambulation by allowing the patient access to the grip 88 in the deployed configuration 88A when the secondary support deck 46 is in the stowed configuration 90, thereby allowing the patient to ambulate concurrently with the secondary patient support module 34 along the floor 36.
(58) It will be further appreciated that the terms include, includes, and including have the same meaning as the terms comprise, comprises, and comprising.
(59) Several embodiments have been discussed in the foregoing description. However, the embodiments discussed herein are not intended to be exhaustive or limit the invention to any particular form. The terminology which has been used is intended to be in the nature of words of description rather than of limitation. Many modifications and variations are possible in light of the above teachings and the invention may be practiced otherwise than as specifically described.