AUTOMATED HOME HEALTH PATIENT CARE SYSTEM
20260069475 ยท 2026-03-12
Inventors
Cpc classification
A61G7/1049
HUMAN NECESSITIES
International classification
Abstract
A transfer device comfortably picks up a patient from a bed, then moves to the side of the bed for offloading the patient onto an accessory such as a chair. The bed has rails which act as tracks to engage a roller base of the transfer device, and lead screws for automating sideways movement of the device. The device uses a lifting system having strap storage at the head of the frame and web storage at the foot, the storage units vertically movable along support posts to multiple levels including a stowed level near the bottom and a clearance level near the top. The web storage contains an extendable dual web with a roller nose assembly, and the strap storage contains retractable pull straps having ends secured to the roller nose assembly. The transfer device has a compact design allowing the lifting system to be hidden underneath the bed.
Claims
1. A method of transferring an individual on a bed to an accessory using a transfer device having a lifting system that is vertically movable within a transfer frame, the method comprising: first moving the transfer device from a stowed position aligned with the bed to a side position next to the bed; first raising the lifting system from a stowed level at a bottom of the transfer frame to a clearance level higher than the individual on the bed while the transfer frame remains stationary; second moving the transfer device back in alignment with the bed such that the lifting system overlies the individual on the bed; first lowering the lifting system to a level of a support surface of the bed with a web assembly of the lifting system retracted while the transfer frame remains stationary; extending the web assembly onto the bed support surface and underneath the individual to acquire the individual; second raising the lifting system above the bed support surface to suspend the individual while the transfer frame remains stationary; moving the accessory adjacent the bed; third moving the transfer device from alignment with bed position to the side position such that the suspended individual overlies the accessory; second lowering the lifting system to a level of a support surface of the accessory while the transfer frame remains stationary; retracting the web assembly to offload the individual onto the accessory; and third raising the lifting system above the accessory support surface clear of the individual on the accessory.
2. The method of claim 1 wherein: the bed includes a transfer frame motor and a bed frame having a first horizontal lead screw assembly in a first foot rail and a second horizontal lead screw assembly in a second foot rail; the transfer frame includes a first roller base slide at a first end which slidably engages said first foot rail, and a second roller base slide at a second end which slidably engages said second foot rail; said first and second horizontal lead screw assemblies are threaded in respective lead screw nuts of said first and second roller base slides to impel movement of said transfer frame when said transfer frame motor is activated; and said first, second and third moving of the transfer device are accomplished by selectively activating said transfer frame motor.
3. The method of claim 1 wherein: the lifting system includes a first enclosure located at a first end of the transfer frame, a second enclosure located at a second end of the transfer frame, and one or more lifting system motors that drive synchronized vertical movement of the first enclosure and the second enclosure along vertical posts of the transfer frame; and said first, second and third raising of the lifting system and said first and second lowering of the lifting system are accomplished by selectively activating said one or more lift system motors.
4. The method of claim 3 wherein: the web assembly includes at least one web looped around a roller nose at a forward edge of the web assembly; said first enclosure stores a portion of the web; said second enclosure stores a portion of at least one pull strap having a distal end attached to the roller nose; said extending of the web assembly is accomplished by retracting the pull strap into the second enclosure; and said retracting of the web assembly is accomplished by retracting the web into the first enclosure.
5. The method of claim 4 wherein the lifting system further includes an actuatable clamp attached to the second enclosure and located on a side of the second enclosure facing the first enclosure, and the web has a batten formed thereon which forcibly abuts an inner face of the first enclosure when the web assembly is fully extended, and further comprising locking said web assembly after said extending of the web assembly and before said second raising of the lifting system by actuating the clamp to forcibly pinches the forward edge of the web assembly with the batten impinging on the inner face of the first enclosure.
6. The method of claim 1 wherein said second raising of the lifting system suspends the individual at a transfer level which lies between the clearance level and the level of the support surface of the bed.
7. The method of claim 6 wherein the level of the support surface of the accessory is different than the level of the support surface of the bed.
8. The method of claim 7 wherein the transfer device has one or more automation motors including a lifting system motor which drives vertical movement of the lifting system and an electronic control system for selectively activating the lifting system motor, and further comprising programming the electronic control system using an operator console to set at least five different height levels for the lifting system including the stowed level, the clearance level, the level of the support surface of the bed, the transfer level, and the level of the support surface of the accessory.
9. A patient lift and transfer apparatus comprising: an elongate bed assembly having a first foot rail at a first end and a second foot rail at a second end generally parallel to said first foot rail; an elongate transfer frame having first and second ends, a plurality of vertical posts, a first roller base slide at said first end which slidably engages said first foot rail, and a second roller base slide at said second end which slidably engages said second foot rail, said transfer frame being movable sideways from a first position aligned with said bed assembly to a second position at a side of said bed assembly; and a lifting web system having a strap storage unit located at said first end of said transfer frame and a web storage unit located at said second end of said transfer frame, said strap and web storage units being mounted on some of said vertical posts and being vertically movable to different height levels including a stowed level near a bottom of said transfer frame and a clearance level near a top of said transfer frame, wherein said web storage unit houses a portion of an extendable web assembly having a forward edge with a roller nose assembly, and said strap storage unit houses at least one retractable pull strap having a distal end secured to said roller nose assembly.
10. The patient lift and transfer apparatus of claim 9 wherein: said bed assembly further has a transfer frame motor, a mattress and a bed frame supporting said mattress, said first and second foot rails being part of said bed frame; said bed frame further includes a first horizontal lead screw assembly in said first foot rail and a second horizontal lead screw assembly in said second foot rail, said transfer frame motor selectively driving said first and second horizontal lead screw assemblies; and said first and second horizontal lead screw assemblies are threaded in respective lead screw nuts of said first and second roller base slides to impel movement of said transfer frame when said transfer frame motor is activated.
11. The patient lift and transfer apparatus of claim 9 wherein: said vertical posts include first, second, third and fourth vertical posts located at respective corners of a rectangle formed by said transfer frame; said first and second vertical posts are located at said first end of said transfer frame; said third and fourth vertical posts are located at said second end of said transfer frame; said strap storage unit is supported by said first and second vertical posts; and said web storage unit supported by said third and fourth vertical posts.
12. The patient lift and transfer apparatus of claim 9 wherein: said at least one retractable pull strap includes a first pull strap having proximate and distal ends and a second pull strap having proximate and distal ends; said proximate ends of said first and second pull straps are wound on one or more strap spools driven by a strap spool motor; said distal ends of said first and second pull straps extend out from said strap storage unit toward said web storage unit; said web assembly has a forward edge with a roller nose assembly, said distal ends of said first and second pull straps being secured to said roller nose assembly; and said web storage unit houses portions of an upper web and a lower web of said web assembly, a first end of said upper web being wound on an upper web spool driven by a web spool motor and a second end of said upper web being anchored inside said web storage unit, a first end of said lower web being wound on a lower web spool driven by said web spool motor and a second end of said lower web being anchored inside said web storage unit.
13. The patient lift and transfer apparatus of claim 9 wherein: said bed assembly further has a bed frame, said first and second foot rails being part of said bed frame; said bed frame further is C-shaped defining first and second channels at said first and second ends respectively; said strap storage unit is positioned within said first channel of said C-shaped bed frame when said transfer frame is in a stowed state in alignment with said bed assembly; and said web storage unit is positioned within said second channel of said C-shaped bed frame when said transfer frame is in said stowed state.
14. The patient lift and transfer apparatus of claim 9 wherein said lifting web system further includes a web locking mechanism comprising: an actuatable clamp attached to said strap storage unit and located on a side thereof facing said web storage unit wherein said clamp forcibly pinches said forward edge of said web assembly when said web assembly is in a fully-extended state to secure said forward edge; and a batten formed on at least one web of said web assembly wherein said batten forcibly abuts an inner face of web storage unit when said web assembly is in said fully-extended state to prevent further extension of said web.
15. The patient lift and transfer apparatus of claim 9 wherein: said pull strap emerges from said strap storage unit at a first height relative to said lifting web system; at least one web of said web assembly emerges from said web storage unit at a second height relative to said lifting web system, said first and second relative heights defining a generally horizontal plane; and said lifting web system further includes at least one reinforcing beam rigidly attached to said strap storage unit and said web storage unit, said reinforcing beam located above said horizontal plane at a predefined vertical clearance space.
16. The patient lift and transfer apparatus of claim 9 wherein said different height levels of said lifting web system further include: an acquisition level at a height of a patient support surface of said bed assembly; a transfer level which is lower than the clearance level but higher than the acquisition level; and a delivery level at a height of a patient support surface of an accessory.
17. The patient lift and transfer apparatus of claim 16 further comprising: one or more automation motors including a lifting system motor which drives vertical movement of said lifting web system; and an electronic control system for selectively activating said lifting system motor, said electronic control system having an operator console which allows an operator to program said different height levels including the stowed level, the clearance level, the acquisition level, the transfer level, and the delivery level.
18. An automated home health patient care system comprising: a wheeled transfer accessory having a patient support surface; an elongate bed assembly having head and foot ends and a front side, said bed assembly including a transfer frame motor, a mattress and a C-shaped bed frame supporting the mattress and defining first and second channels at said head and foot ends respectively, said C-shaped bed frame having a first foot rail at said head end, a second foot rail at said foot end generally parallel to said first foot rail, a first horizontal lead screw assembly in said first foot rail, and a second horizontal lead screw assembly in said second foot rail, wherein said transfer frame motor selectively drives said first and second horizontal lead screw assemblies; an elongate transfer device having a rectangular transfer frame and a lifting web system, said transfer frame including a first vertical corner post, a second vertical corner post, a third vertical corner post, a fourth vertical corner post, a plurality of upper crossbars attached to said vertical corner posts at their upper ends, a first roller base slide attached to a bottom end of said first vertical corner post and to a bottom end of said second vertical corner post at a head end of said transfer frame, said first roller base slide having one or more wheels and being sized and positioned to slidably engage said first foot rail of said C-shaped bed frame during sideways movement of said transfer frame, a second roller base slide attached to a bottom end of said third vertical corner post and to a bottom end of said fourth vertical corner post at a foot end of said transfer frame, said second roller base slide having one or more wheels and being sized and positioned to slidably engage said second foot rail of said C-shaped bed frame during sideways movement of said transfer frame, wherein said first and second roller base slides have lead screw nuts which engage said first and second horizontal lead screw assemblies respectively, and said lifting web system including an enclosed strap storage unit located at said head end of said transfer frame, mounted on and vertically movable along said first and second vertical corner posts, said strap storage unit being positioned within said first channel of said C-shaped bed frame when said transfer frame is in a stowed state in alignment with said bed frame, wherein said strap storage unit houses a first pull strap and a second pull strap each having proximate and distal ends, said proximate ends of said first and second pull straps being wound on one or more strap spools driven by a strap spool motor, said distal end of said first pull strap extending out of a first slot of said strap storage unit along a first side of said transfer frame and said distal end of said second pull strap extending out of a second slot of said strap storage unit along a second side of said transfer frame, an enclosed web storage unit located at said foot end of said transfer frame, mounted on and vertically movable along said third and fourth vertical corner posts, said web storage unit being positioned within said second channel of said C-shaped bed frame when said transfer frame is in said stowed state, wherein said web storage unit houses an upper web and a lower web each having first and second ends, said first end of said upper web being wound on an upper web spool driven by a web spool motor and said second end of said upper web being anchored inside said web storage unit, said first end of said lower web being wound on a lower web spool driven by said web spool motor and said second end of said lower web being anchored inside said web storage unit, a portion of each upper and lower web extending out of a slot of said web storage unit forming a roller nose assembly having an upper roller nose and a lower roller nose, said upper web being wrapped around a forward edge of said upper roller nose, said lower web being wrapped around a forward edge of said lower roller nose, said distal ends of said first and second pull straps being secured to said roller nose assembly, and at least one lifting system motor which drives vertical movement of said strap and web storage units; and an electronic control system for selectively activating said strap spool motor, said web spool motor, said transfer frame motor and said lifting system motor, said electronic control system having an operator console which allows an operator to program at least five different height levels of said lifting web system including a stowed level near a bottom of said transfer frame, a clearance level near a top of said transfer frame, an acquisition level at a height of said mattress, a transfer level which is lower than the clearance level but higher than the acquisition level, and a delivery level at a height of said patient support surface of said wheeled transfer accessory.
19. The automated home health patient care system of claim 18 wherein said lifting system further includes a web locking mechanism comprising: an actuatable clamp attached to said strap storage unit and located on a side thereof facing said web storage unit which forcibly pinches said upper web and said lower web at said roller nose assembly when said roller nose assembly is in a fully-extended state to secure said upper and lower webs; and a batten formed on said upper web which forcibly abuts an inner face of web storage unit when said roller nose assembly is in said fully-extended state to prevent further extension of said upper web.
20. The automated home health patient care system of claim 18 wherein said electronic control system further includes: one or more safety sensors which indicate a current sideways position of said transfer device relative to said bed assembly; and control logic which prevents said lifting web system from being lowered to the stowed position unless said transfer device is at a side position relative to said bed assembly.
21. A patient lift and transfer apparatus comprising: a bed assembly having a patient support surface and a docking frame located below said patient support surface, said docking frame including a retractable docking plate having first and second ends, a latch being formed on said first end of said docking plate, and said second end of said docking plate having an actuatable hook; a transfer device having a transfer frame and a lifting web system supported by said transfer frame, said transfer frame being movable sideways from said bed assembly such that said lifting web system may acquire a patient on said patient support surface and deliver the patient to said side of said bed assembly; and a transfer accessory having a mounting plate and located at a height of said docking plate, said mounting plate having a first end and a second end and being sized such that said first end of said mounting plate can be placed in engagement with said latch while said hook is unactuated, and then said mounting plate becomes securely attached to said docking plate when said hook is actuated to engage said second end said mounting plate.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0006] The present invention may be better understood, and its numerous objects, features, and advantages of its various embodiments made apparent to those skilled in the art by referencing the accompanying drawings.
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[0024] The use of the same reference symbols in different drawings indicates similar or identical items.
DESCRIPTION OF THE PREFERRED EMBODIMENT(S)
[0025] It can be a difficult endeavor to move individuals with severe mobility impairments. Simple devices such as slings and harnesses can be very hard and time consuming to install properly in order to setup a patient transfer. Many caregiver injuries arise from sling-type installations due to the awkward lifting required, as well as patient injuries from being dropped or bumping into objects while being lifted or transferred. Slings are also uncomfortable and can cause patient skin pressure ulcers or friction burns, and two (or more) caregivers may still be required for most lifting. Many of these problems persist with mechanical transfer systems that assist in moving a patient. Mechanical transfer systems can be very complicated and quite expensive. Designs with an overhead lift require significant modifications to the patient's living environment, i.e., a home bedroom, and are generally only feasible in more institutional settings. Such physical requirements as well as long-term labor costs can effectively prevent homecare as an option for some patients.
[0026] It would, therefore, be desirable to devise an improved method of patient transfer which could enable a single caregiver to effortlessly lift and move mobility-impaired individuals including large or heavy (bariatric) patients. Ideally, all of the patient moving should be done by machine, easily controlled by the caregiver using a simple pushbutton console or pendant. It would be further advantageous if the method could easily accommodate a variety of accessory devices such as wheelchairs or dressing tables, with no requirement to pre-position equipment like a sling under the patient, and no modification required to a patient's home in order to install and deploy the system. These and other advantages are achieved in various implementations of the present invention using a transfer device that neatly fits around a patient bed or other support surface when not in use, but can quickly and smoothly acquire the patient resting on the bed and move to either side of the bed for transfer to another support surface. The transfer device uses a lifting web assembly having dual webs (upper/lower) that emerge from a web storage unit at one end of the device (e.g., the foot end) and comfortably crawl under the patient as pull straps are retracted into a strap storage unit at the other end of the device (e.g., the head end). The web storage unit is mounted on two vertical posts at the foot end, while the strap storage unit is mounted on two vertical posts at the head end, and both storage units can be raised or lowered in a synchronized manner to place the web assembly at any desired number of height levels to adapt to different patient support surface levels. Using the transfer device of the present invention, actual patient move time is reduced by as much as 75% compared to conventional patient transfer devices. The mechanisms used in the transfer device allow for product design and manufacturing techniques similar to exercise equipment, achieving a low production cost, and facilitating an easy setup of the system.
[0027] With reference now to the figures, and in particular with reference to
[0028] Floor mat 12 is provided to cover and protect the carpet or other flooring in the room where the system is to be deployed. Floor mat 12 is preferably beveled along the sides to ease movement of wheeled devices carrying the patient, and may be constructed of any durable material, preferably a hard surface such as a laminate floor product with a protective coating. Floor mat 12 may further contain mounting and tie down features (not shown) to hold the machine frame in permanent alignment with the mat. Bed assembly 14 includes a bed frame 20, a mattress support 22 such as box springs, and a mattress 24 that sits atop mattress support 22. Chair 16 is only one example of many accessory devices that may be used to impart mobility or other functions for the patient. As depicted in the figures, chair 16 has a cutout in the seat portion so it can be used as a portable commode. Other accessory devices may, for example and without limitation, include a powered-assisted wheelchair, a recliner chair (wheeled or not), a dressing station, a shower chair, or a gurney-type apparatus for moving the patient beyond the bounds of his room. Each accessory device is designed to fold flat to accommodate transfers to and from the transfer device in a horizontal orientation. System 10 may include a family of such accessory devices.
[0029] Transfer device 18 includes an elongate transfer frame 30, a lifting web system 32 supported by transfer frame 30, and two end panels 33a, 33b vertically disposed at the head and foot ends of transfer frame 30. Transfer frame 30 is generally rectangular in shape (rectangular prism) with no interior features, and is comprised of four generally parallel vertical posts 34a, 34b, 34c, 34d connected at the top by two horizontal transverse crossbars 36a, 36b and two horizontal longitudinal crossbars 38a, 38b, and connected at the bottom by two generally parallel horizontal slides 40a, 40b forming a roller base. As used herein, the terms vertical and horizontal, as well as other spatial and reference terms (top, bottom, left, right, front, back, etc.), are relative since there may be situations where a particular structural member may not be perfectly vertical or horizontal, or may be adapted for special circumstances, and even the patient may not be horizontal (as discussed further below with the Trendelenburg position). Those skilled in the art will accordingly understand that these terms are not used in an absolute sense and should thus not be considered as limiting the exact geometry of any of the components of system 10. The elements of transfer frame 30 are preferably constructed of a rigid, strong metal such as stainless steel and may be attached by any convenient means, such as welding. Wheels are provided on the bottom of roller base slides 40a, 40b to allow transfer device 18 to easily roll sideways into its various deployment positions. End panels 33a, 33b are primarily ornamental in nature to obscure lifting web system 32 although they could be transparent. They also prevent any accidental contact or damage to lifting web system 32 when transfer device 18 is tucked away with bed assembly 14 as seen in
[0030] Lifting web system 32 is mostly hidden in
[0031] While the home health patient care system of the present invention could be manually powered to drive movement of transfer device 30 (as well as lifting web system 32), these features are preferably driven by one or more automated motors which can placed at various convenient locations about the device. One such motor 51 is used for moving the lifting system up/down on the vertical posts. Each outside corner of the storage units contains a bracket that engages one of the four vertical posts which allows for vertical sliding but maintains the desired X-Y alignment with the rest of the machine. Additionally, each bracket contains a nut that engages a vertical lead screw located adjacent and parallel to each vertical post. The four lead screws are all supported at their upper ends by bearings, and are connected mechanically by a sprocket/chain drive system to the single drive motor 51. With each lead screw being supported by a bearing on top, and with the weight of the patient support platform applied below this bearing, the lead screws all operate in tension. This arrangement prevents buckling in the lead screw. The vertical drive system also assures that all lead screws operate at the same speed and direction. This keeps lifting web system 32 horizontal during its up and downward movements to acquire and deliver the patient. It is also possible to operate the two head end lead screws with a first drive motor, and the foot end lead screws with a second drive motor. With this arrangement, the PSP could be inclined relative to the patient support surface or mattress. This could be useful if the patient is to be transferred to or from a support surface that is not horizontal but rather inclined to the long axis of the patient's bed.
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[0034] Up to this point, the web assembly of lifting web system 32 has remained fully retracted and now, in the position of
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[0036] The foregoing steps can be reversed to get transfer device 30 out of the way for access to the patient on the accessory, and eventually return transfer device 30 to its stowed position. So once the patient is offloaded as in
[0037] The design is much more compact than conventional patient transfer systems, and less obtrusive within the patient's room. There is no need to store any part of the patient lifting platform over the patient's head as in old designs which can seem somewhat ominous, and the patient lifting platform is now completely stored under the bed. All that is seen of the machine when it is not in use is something resembling a 4-poster bed with a head and foot board. Vertical posts 34 can easily be modified in design to appear as ornamental bedposts. This ornamentation can be augmented with an attractive overhead canopy placed about crossbars 36 and 38 at the top of transfer device 30 so that the entire transfer device is effectively concealed and now, rather than presenting a cold, institutional machine, the enhanced system lends a certain beauty to the invention. This design further opens up the end of the framework at the foot of the bed so the patient has an unobstructed view beyond the foot of the bed, such as for watching television.
[0038] There may be other steps or devices used that are unrelated to the patient transfer function itself that can be included as part of the overall process. For example, the caregiver may want to employ a disposable mattress pad or sheet which can protect bed linens as well as the lifting webs. The disposable sheet would be located under patient while in bed, and would be picked up by the lifting webs moving under it when the patient is removed from the bed, and disposed of at a dressing table. This would prevent the webs on the patient transfer device from being contaminated with liquid or solid residue from the patient. The disposable sheet may have special shape or construction features or that require the caregiver to lift the exposed corners of the sheet to ensure that the lifting webs reliably travel under the disposable sheet.
[0039] Referring now to
[0040] In the illustrative embodiment, transfer device 30 is impelled sideways using a horizontal, dual-direction rack-and-pinion drive system 54c, 54d mounted to the outside of each lower horizontal leg of the C-shaped frame. There is one rack-and-pinion drive unit on each end of the bed frame. The rack-and-pinion drive system connects to transfer device 30 through horizontal tabs on the sides of the racks and vertical pins on the inside surface of the horizontal base tubes with wheels on transfer device 30 as previously described. Each dual-direction rack-and-pinion drive unit contains an open-sided square tube containing low friction wear plates inside it. A 40 long 10 pitch rack slides inside the open-sided square tube against and supported by low friction wear plates, and with its teeth facing upward. Cutouts are provided at each end and in the top surface of the rack support tubes for two 10 pitch pinion gears. The teeth of these pinion gears engage the teeth in the rack, and the bores of the pinions are parallel to each other and parallel to the long sides of the base frame. Each pinion gear has its bearing mount in the horizontal leg of the C-shaped frame, and is driven by a timing belt pulley from another timing belt pulley mounted at the ends of the central shaft running down the lengthwise center of the bed frame.
[0041] With this arrangement, all of the pinions are mechanically connected, and all operate in exact angular phase to one another while turning at the same speed and direction. Rotation of the pinions drives both racks at the same speed and direction, which in turn pushes transfer device 30 to the right or left side of the bed frame. A single variable-speed reversible motor is used to drive the rack-and-pinion system. This motor rotates the central shaft that drives timing belt pulleys for each of the rack driving pinions located at the corners of the base frame.
[0042] Details of lifting web system 32 are explained with further reference to
[0043] The widths of upper and lower webs 74a, 74b are substantially the overall transverse width of lifting web system 32. Upper and lower webs 74a, 74b may be constructed of any strong flexible material such as ballistic nylon or Kevlar. The outside surface of each web is preferably coated with polyurethane while the inside surface of coated with polytetrafluoroethylene. Upper web 74a is wrapped around the forward edge of an upper roller nose 76a, and lower web 74b is wrapped around the forward edge of a lower roller nose 76b, the upper and lower roller noses 76a, 76b together forming roller nose assembly 72. So a portion (flight) of each web is located between both roller noses, i.e., there are four layers of webs total in the assembly, outside and inside flights of upper web 74a, and outside and inside flights of lower web 74b. Further details of roller nose assembly 72 may be understood with reference to U.S. Pat. No. 8,789,219 (particularly
[0044] One end of upper web 74a (the outside loop) is anchored in storage unit 50b, while the other end (the inside loop) is taken up on a first supply spool within web storage unit 50b.
[0045] Similarly, one end of lower web 74b (the outside loop) is fixed in web storage unit 50b, while the other end (the inside loop) is taken up on a second supply spool within web storage unit 50b. In this manner, as roller nose assembly 72 is pulled forward by straps 70a, 70b (in this embodiment, from the foot end of transfer frame 30 toward the head end) the upper and lower webs are pulled from their respective supply spools, and the webs are fed out the front of roller nose assembly 72 to slide between the patient and the bed/table/chair with essentially no frictional engagement.
[0046] Upper roller nose 76a and lower roller nose 76b are slotted flexible plastic rods that move together, and are mounted across the front edges of two 4.0 wide flexible spring steel plates that are separated by a gap of approx. 0.12. The flexible spring steel plates are both attached at their ends to 0.12 thick blocks containing slots at one end to receive the pull straps on each side of roller nose assembly 72. Both pull straps 70a, 70b are actuated from the other end of lifting web system 32 opposite the webs. Pull straps 70a, 70b are constructed of any high tensile strength material such as Kevlar or nylon, and are attached to upper and roller noses 76a, 76b using buckles or rings which receive a loop of the strap which is then folded back on itself and sewn. In the illustrative embodiment, separate drive motors are used for the strap spools and the web spools, so only one motor at a time is needed for web extension or retraction. Both of the web spools are driven (synchronized) for retraction so they exert force from both of the upper and lower webs to evenly pull back the roller nose assembly.
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[0049] These interior features of strap storage unit 50a and web storage unit 50b may be attached to their respective housings by any convenient means, such as screws, bolts or other fasteners, welding, mounting brackets, etc.
[0050]
[0051] The locking features of the web assembly can further include a batten arrangement seen in
[0052]
[0053] Referring first to
[0054] With further reference to
[0055] While these actions for securely docking the accessory may be carried out manually by the caregiver using various mechanical means such as levers, cranks, racks, etc., they are preferably automated by incorporating control of docking frame 100 into the electronic control system discussed further below in conjunction with
[0056] For left/right transfer functionality, a similar docking interface can be provided on the other side of the bed frame.
[0057] The specific dimensions of the various components of automated home health patient care system 10 may vary greatly depending upon different patients and patient's environments. For example, larger patients may require an oversize system while smaller systems can be designed for children. Also, a patient may sleep in a small room that only accommodates a small bed which would mean a narrow system, but someone else might have a very large bedroom that allows for an extra-wide version of the system. The size and shape of transfer device 18 can be based on the size and shape of the bed being used. The invention can work with any type and size of bed, standard sizes like twin/queen/king, or hospital designs. The system also accommodates standard low height articulated hospital bed frames in which the frame can be electrically actuated from a flat horizontal configuration to one in which the head end of the mattress is inclined to lift the patients back and head, or in which the legs or feet are elevated. For patient acquisitions, the articulated bed frame and mattress must be returned to their horizontal position. The patient could even share the bed with a spouse-caregiver.
[0058] The following approximate dimensions are thus considered exemplary only and should not be construed in a limiting sense. In the illustrative embodiment, bed frame is sized to accommodate a 42846 mattress with a 10 high box spring. The outer perimeter of transfer frame 30 is 32 wide by 92 long, with a maximum height of 72. These dimensions for the bed frame and the transfer frame result in maximum lateral movement of the transfer frame of 42. The depicted design has a patient web width of 24 and working patient height capacity of 76, which can accommodate most large and tall patients plus some bariatric patients; this leads to a total web length of 180. The pull straps are 1 wide, 10 long, and 0.06 thick. In some embodiments, transfer frame 30 and the webs may extend beyond both sides of the bed approximately a mattress width, to allow centering of the webs on the approximate center of the patient no matter where they are lying in bed. Roller nose assembly 72 is constructed of upper and lower spring steel plates 5 wide, 28 long (transverse across the web width), attached to each other through thick connector plates creating a wide gap between the flexible plates through which the upper and lower lifting webs pass as described above.
[0059] As noted above, the various moving parts of automated home health patient care system 10 could be manually driven or powered by small (handheld) tools, but in the preferred embodiment the aforementioned motors are used to completely automate the system and greatly simplify the process.
[0060] Controller 112 uses control logic to actuate the motors, as well as other components such as the clamping mechanism, in accordance with the foregoing description. These include a lift system vertical motor 116 which raises and lowers lifting web system 32, a transfer frame lateral motor 118 which moves transfer frame 30 from the bed position to the side and back, a pull strap motor 120 which winds up pull strap spool 84, and a web assembly motor 122 which winds up web spools 94a, 94b. Controller 112 may also be programmed to taken certain safety precautions and, to this end, may have one or more sensors around system 10 to indicate the state or position of different components. For example, controller 112 can ensure that lifting web system 32 is never lowered to its stowed position when it is aligned with the bed, i.e., it can only be lowered to the stow level when it is off to the side. Controller 112 can also prevent the web assembly from retracting if lifting web system is at any level other than a preprogrammed delivery level. All of the motors and electronics for control system 110 can be powered from an electrical wall socket or a portable source such as a rechargeable battery (not shown).
[0061] The present invention may be further understood with reference to the chart of
[0062] The present invention thereby provides a superior patient transfer system, for both the patient and the caregiver. It enables a single caregiver to easily lift and move even large, heavy patients, while eliminating caregiver and patient lifting injuries. Since all patient lifting and moving is done by machine, it is a straightforward matter for the caregiver to operate using a simple pushbutton pendant. Actual patient move time can be greatly reduced compared to conventional patient transfer devices, and the compact design means that little or no modifications are required to install in a patient's home. Product design and manufacturing techniques similar to those used for exercise equipment can be implemented for a very low product cost. The result is the preservation of patient well-being, comfort and dignity during the transfer process.
[0063] Although the invention has been described with reference to specific embodiments, this description is not meant to be construed in a limiting sense. Various modifications of the disclosed embodiments, as well as alternative embodiments of the invention, will become apparent to persons skilled in the art upon reference to the description of the invention. For example, while the invention has been described in the context of a home care system for an average adult, it can be adapted for a variety of special circumstances such as bariatric systems, and for systems in nursing homes or hospital markets. The transfer system of the present invention can also be integrated with other existing hardware devices for patient care. Of course, the invention is not limited per se to moving patients, but also for animals or even inanimate objects. It is therefore contemplated that such modifications can be made without departing from the spirit or scope of the present invention as defined in the appended claims.