Systems and methods for powered wheelchair personal transfer
10322048 · 2019-06-18
Assignee
- NextHealth, LLC (Rowayton, CT, US)
- University of Pittsburgh—Of the Commonwealth System of Higher Education (Pittsburgh, PA, US)
Inventors
- Rory Alan Cooper (GIBSONIA, PA, US)
- David Beckstrom (Roxbury, CT, US)
- Raymond A. Curatolo (New Milford, CT, US)
- Garrett Grindle (Pittsburgh, PA, US)
- Richard Kovacsics (Hazleton, PA, US)
Cpc classification
A61G2203/80
HUMAN NECESSITIES
A61G7/053
HUMAN NECESSITIES
A61G5/1067
HUMAN NECESSITIES
International classification
A61G7/10
HUMAN NECESSITIES
A61G7/053
HUMAN NECESSITIES
Abstract
The invention includes methods and apparatuses for patient transfer from a rollable chair to a bed and back. A rollable chair includes a first frame having a seat; a second frame coupled to the first frame, the second frame having a backrest configured to move relative to the first frame; and a third frame coupled to the first frame, the third frame having a track having a curvilinear length configured to allow the first frame to rotate and to translate relative to the third frame. A bed includes a chair-receiving frame configured to couple to the first frame of the rollable chair. The rollable chair and the bed work in tandem to transfer a patient, for example using coordinated, automated motions.
Claims
1. A rollable chair comprising: a first frame including a seat; a second frame coupled to the first frame, the second frame including a backrest configured to move relative to the first frame; and a third frame coupled to the first frame, the third frame including a track comprising a linear length fixed parallel with respect to a ground surface plane and an adjoining arc length subtending a central angle of between 120 and 180 degrees, the third frame configured to allow the first frame to rotate and to translate relative to the third frame.
2. The rollable chair of claim 1 wherein the track further includes a linear length configured to allow the first frame to translate relative to the third frame, the linear length adjoining the curvilinear length.
3. The rollable chair of claim 1 wherein the first frame is powered by a first actuator that is mechanically coupled to the first frame.
4. The rollable chair of claim 1 further including at least one sensor, connected to the rollable chair, for determining a position of the rollable chair relative to a bed.
5. The rollable chair of claim 1 wherein the second frame is configured to rotate about a pivot point to permit the backrest to be removed from a path of patient transfer between the rollable chair and a bed.
6. The rollable chair of claim 1 wherein the second frame is powered by a second actuator that is mechanically coupled to the second frame.
7. The rollable chair of claim 1 wherein the second frame includes a latching mechanism configured to engage with a corresponding latching mechanism of the third frame.
8. The rollable chair of claim 7 wherein the corresponding latching mechanism on the third frame includes a taper configured to proper alignment of the rollable chair.
9. The rollable chair of claim 7 further including a quick-release feature for aiding an assistant with disengaging the rollable chair from a bed.
10. The rollable chair of claim 1 wherein the rollable chair further includes a fourth frame that is mechanically coupled to the first frame, the fourth frame including a leg rest.
11. The rollable chair of claim 10 wherein the first and fourth frames are rigidly coupled, the fourth frame configured to guide a patient's legs during a patient transfer operation.
12. The rollable chair of claim 1 wherein the rollable chair is configured to couple to a bed having a chair receiving frame.
13. The rollable chair of claim 1 wherein the seat has a posterior tilt with respect to the rollable chair.
14. A patient transfer system comprising: a rollable chair including: a first frame including a seat; a second frame coupled to the first frame, the second frame including a backrest configured to move relative to the first frame; and a third frame coupled to the first frame, the third frame including a track comprising a linear length fixed parallel with respect to a ground surface plane and an adjoining arc length subtending a central angle of between 120 and 180 degrees, the third frame configured to allow the first frame to rotate and to translate relative to the third frame; and a bed including a chair receiving frame configured to couple to the first frame of the rollable chair.
15. The patient transfer system of claim 14 further including a first microprocessor coupled to the rollable chair and a second microprocessor coupled to the bed, the first microprocessor in direct or indirect electronic communication with the second microprocessor.
16. The patient transfer system of claim 14 further including a computing device in electronic communication with the first and second microprocessors, the computing device configured to execute instructions to coordinate kinematics between the rollable chair and the bed during a patient transfer operation.
17. The patient transfer system of claim 16 wherein a motion path of the seat is determined by the computing device and includes both translational and rotational components.
18. The patient transfer system of claim 14 wherein the bed is configured to fold during a patient transfer operation between the rollable chair and the bed, the bed configured to work in tandem with the rollable chair to receive the patient during a patient transfer operation.
19. The patient transfer system of claim 14 further including a docking assembly configured to receive the rollable chair and to facilitate transfer of a patient from the rollable chair to the bed.
20. The patient transfer system of claim 19 wherein the docking assembly is configured to receive the rollable chair from any angle of approach within a ground plane.
21. The patient transfer system of claim 15 wherein the docking assembly includes a third microprocessor, the third microprocessor in direct or indirect electronic communication with the first and second microprocessors.
22. The patient transfer system of claim 14 wherein the bed includes a sensor configured to ensure that the rollable chair is properly positioned with respect to the bed.
23. The patient transfer system of claim 14 wherein the rollable chair is a retrofitted Group 2 Electric Powered Wheelchair.
Description
BRIEF DESCRIPTIONS OF THE DRAWINGS
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DETAILED DESCRIPTION
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(17) The first frame 112 includes a seat 124, which can be a square cushion capable of supporting a patient. The seat 124 can assume a posterior tilt with respect to the rollable chair 104 during a patient transfer operation, as shown and described in greater detail below. The second frame 116 includes a backrest 128, which can include a section of canvas, cloth, or another material capable of supporting a patient's back and/or matching the size and medical needs of the user. The backrest 128 can be configured to move relative to the first frame 112, e.g., to rotate about a pivot point or to translate, such that the backrest 128 is removable from a patient transfer path between the rollable chair 104 and the bed 108 during a patient transfer operation. For example, in
(18) The third frame 120 includes a track 148 (e.g., having a curvilinear length 148A) configured to allow the first frame 112 to rotate and to translate relative to the third frame 120, for example, during a patient transfer operation as shown and described in greater detail below. In some embodiments (e.g., as shown in
(19) The bed 108 includes a first frame 132 (e.g., a main frame), a second frame 136 (e.g., a chair receiving frame), and a third frame 140 (e.g., a movable frame). The first frame 132 includes wheels (e.g., wheels 134A, 134B). The second frame 136 interfaces with sensors of the rollable chair 104 (as shown and described below). The third frame 140 includes a mattress 144 and can be powered by a bed actuator. The bed 108 (e.g., the mattress 144) is configured to fold during a patient transfer operation between the rollable chair 104 and the bed 108, the bed 108 configured to work in tandem with the rollable chair 104 to receive the patient during a patient transfer operation. The bed has a proximal end 154A (e.g., a foot end) and a distal end 154B (e.g., a head end), the distal end 154B configured to translate toward the proximal end 154A during a patient transfer operation.
(20) In some embodiments, the rollable chair 104 includes a fourth frame 156 that is mechanically coupled to the first frame 112. In some embodiments, the fourth frame 156 includes a leg rest 160 (e.g., is rigidly coupled to the leg rest 160). In some embodiments, the leg rest 160 includes two separate shoe prints 162A, 162B for separately accommodating a patient's two feet. In some embodiments, the leg rest 160 is made of molded plastic or another lightweight material suitable for supporting a patient's feet. In some embodiments, the fourth frame 156 is configured to guide a patient's legs during a patient transfer operation (e.g., as shown and described below in
(21) In some embodiments, the patient transfer system 100 includes a computing device 164 configured to execute instructions to coordinate movements between the rollable chair 104 and the bed 108 during a patient transfer operation. The computing device 164 can be in direct or indirect electronic communication with a first microprocessor 168 coupled to the rollable chair 104, and/or a second microprocessor 172 is coupled to the bed 108. In some embodiments, the computing device 164 is included the bed 108. In some embodiments, electronic communication is hard-wired and/or wireless. In some embodiments, the computing device 164 sends instructions to microprocessors 168, 172, which in turn trigger movements of first and second actuators and determine a motion path of the first frame 112 relative to the bed 108 (as shown and described in greater detail below). In some embodiments, a master/slave approach is used for the computing operations (e.g., as shown and described below in
(22) Referring now to
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(25) In some embodiments, the docking assembly 300 has two degrees of freedom (e.g., a first degree including a linear dimension of fore and aft translation, and a second degree including rotation about the pivot feature 316). In some embodiments, the entire docking assembly 300 can roll or slide toward the bed 108 (or a top component of the docking assembly can roll or slide over the base). In some embodiments, the platform 304 can rotate 360 degrees and be accessible to the chair from any approaching direction. In some embodiments, the docking assembly 300 is short enough in height to be able to fit under the bed when it is not in use, e.g., about 50 millimeters.
(26) In some embodiments, the docking assembly 300 is configured to receive the rollable chair from any angle of approach within a ground plane. For example,
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(28) Referring to
(29) Referring to
(30) With a back of the patient 436 now leaning against the first section 408C of the bed 408, referring now to
(31) Meanwhile, referring to
(32) In some embodiments, the patient transfer system 400 includes a user interface on a computing device that provides a series of verbal prompts during the course of operation. For example, the computing device can verbally prompt the operator (e.g., the patient or the caregiver) to remove sheets and blankets from the bed before beginning the transfer process. In some embodiments, after transferring the patient 436 to the bed, the bed automatically resets itself into a position to start the to chair transfer. In some embodiments, when ready to transfer back to the rollable chair 408, the conveyor sheet moves the patient 436 toward the foot end of the bed 408. As the patient's feet (or lower extremity) pass through the through-beam sensor at the foot end of the bed 408, software on the computing device can command the actuator controlling the first frame (e.g., seat rotation frame) to begin rotating as defined in the software parameters.
(33) Once the seat is fully rotated, the head deck portion and foot deck portion of the bed frame are commanded by software on the computing device to rotate so that a foot deck portion of the mattress is moved to assist in moving the patient 436 into a seated position within the rollable chair 408. After the foot deck portion of the mattress has moved the person into the maximum seated position, the operator is prompted to activate the powered backrest into the locked upright position. After the backrest is locked in place, the seat translates and/or rotates away from the bed to further position the patient into a fully seated position. After the seat frame has translated forward to its maximum forward position, the operator is prompted to activate the rollable chair drive system, and the patient can drive the rollable chair 408.
(34) In some embodiments, the timing and angle of chair movement is adjustable to accommodate height, weight and other attributes of individual patients. In some embodiments, the timing of the custom seat and bed functions are coordinated via software commands. In some embodiments, a transfer to or from a bed takes approximately two minutes. In some embodiments, there is an emergency pull switch that flattens the bed and cuts the power. In some embodiments, there is a battery backup that allows for five complete transfer cycles in two days.
(35) In some embodiments, the conveyor sheet can be a 70 Denier Nylon, PVC coated material per IEC 60601 fire safety guidelines. In some embodiments, the conveyor sheet and can be 94L34W0.024 H. In some embodiments, the conveyor sheet is very thin, e.g., if used with a pressure-relieving mattress, so as not to interfere with the goals of a such a mattress. In some embodiments, a fabric, 9635, 60/40 poly/cotton bed sheet, is attached to the conveyer sheet with Velcro tabs and is used as the sleeping surface. The presence of the sheet does not need to interfere with the transfer into and out of the bed. The bed sheet can also be removed for regular washing as necessary. In some embodiments, the conveyor sheet remains in place and can be spot cleaned using disinfectant wipes. Periodic removal for more extensive cleaning and servicing is recommended and scheduled with the customer. Unless there is tearing or damage caused by misuse, the conveyor sheet can be replaced with a new or reconditioned sheet at the time of servicing. Changing the conveyor sheet can be a simple process, which takes approximately 15 minutes.
(36) In some embodiments, when the patient transfer system 400 is active (input to the UI and/or system motion), every 100 ms a main controller (e.g., the computing device 164 shown and described above) communicates to a data logger the state of all electrical components (discrete input devices, motor currents/voltages, power supply input/output and batteries). In some embodiments, the data logger records these data to the USB memory device. For example, every 24 hours the data logger can write the day's data to a compressed file archive. In such embodiments, a 8 GB USB memory device can handle one day of continuous system operation and the archived data from the previous 30 days. In some embodiments, electronic components are located under the center of the bed.
(37) In some embodiments, the invention incorporates an array of sensors to stop the operation of the patient transfer system if unsafe behavior is detected (e.g., clothing or parts of the body near moving parts, attempting to move the patient to far up the bed where they may hit the headboard). In some embodiments, the software prohibits moving from one step to the next without the sensors indicating that each step is completed. In some embodiments, the microprocessors are hardwired or wireless. In some embodiments, the microprocessors are in direct communication with one another or indirect communication, e.g., via a central processing hub.
(38) In some embodiments, the bed interfaces with a Group 2 EPW equipped with a custom seating system. In some embodiments, the invention accommodates a wide variety of mattresses commonly used with hospital beds for acute care, long-term care, and homecare. In some embodiments, the bed incorporates one or more features of current high-end hospital beds, e.g., the ability to integrate several therapeutic pressure redistribution mattresses. In some embodiments, the custom wheelchair seating systems is compatible with a wide variety of seat cushions, such as foam, gel, air-flotation.
(39) In some embodiments, the J track permits one continuous motion of the first frame along the third frame to provide seamless transfer of a patient from a rollable chair to a bed and back. In some embodiments, the track is mechanical or virtual (e.g., a set of actuators can be used to program the kinematics of motion that mimic a mechanical track). In some embodiments, a gap space 438 between patient and bed is minimized (e.g., minimized to a smallest practical length in view of competing constraints) at one or more points in the transfer, e.g., at the point shown in
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(42) The Main Controller then sends a signal to the Seat Slide Motor Controller to stop the Seatback Actuator, hence stopping the motion of the backrest. Completion of backrest removal initiates rotation of the seat (e.g., the seat 112 shown and described above) by the Main Controller. The Main Controller then sends a signal to the Seat Rotate Motor Controller telling it to turn on the Seat Rotate Actuator, which rotates the seat toward the bed. As the Seat rotates, the potentiometer sensor Seat Rotate Position sends signals to the Main Controller that state its current position. This information is used to coordinate the movements of the bed. When the seat physically contacts SW11 Chair Rotate Present, a signal is sent to the Main Controller indicating that seat has rotated to its maximum extent. The Main Controller sends a signal to the Seat Rotate Motor Controller, telling it to stop the motion of the Seat Rotate Actuator, which stops the rotation of the seat. The bed continues its own to position the person using the sheet and spool (not depicted), as in the manual chair product.
(43) To return the patient to the rollable chair, the above steps can be executed substantially in reverse, with some exceptions. First, for the backrest striking the switch Seatback Remove Limit Switch, the Seatback Restore Limit Switch is physically contacted and port OS2 Patient Bed Exit, indicating the backrest is in its driving configuration. Second, for the seat physically contacting SW11 Chair Rotate Present, the motion of the seat rotation physically contacts the SW10 Chair Rotate Latch indicating the seat (112) is it drive position. The Chair Connect Harness is the physical connector that when connected tethers the bed wires to the wheelchair. SW8 Chair Slide Latch and SW9 Chair Slide Latch are legacy switches that are still physically present of the bed from the manual chair version but are not used in the power chair version.
(44) While the invention has been particularly shown and described with reference to specific preferred embodiments, it should be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention as defined by the following claims.