DE19935102A1 - Care system comprises mattress frame, arm chair components, seats, back and foot rests, two-part mattress and flaps - Google Patents

Abstract

The patient-care system consists of different modules which ca be used partly as beds and as arm-chairs. Defective parts can be replaced and added and aids economically fitted on. A wheel-chair can be placed to the right or left of the bed. A groove is on the underneath side of transverse bars on the bed and into which an angle-piece fits which folds down on the side of the chair. Seats, backrests and foot-rests on the chair are replaced by a element of a two-part mattress frame.

Description

By inventing a modular nursing system, both the person to be cared for and the caregiver's physical stress should be reduced to a minimum and at the same time it should be modular structure can be adapted accordingly to changes can. The task is through versatile applications of the individual modules to achieve a cost reduction in health and nursing facilities.

In the nursing field, it is already common to use appropriate devices to considerably simplify the workload of nursing staff using different devices, as shown, for example, by the following patent applications:
EP 0 576 924 B1 a resting bed with a height-adjustable mattress frame, which can be inclined in the longitudinal direction and is guided on rollers;
EP 0 524 998 B1 a device for lifting or positioning a sick or dependent person;
EP 0 420 263 A1 a wheelchair for every purpose;
PN 19529813 and PN 19632681 a nursing and nursing bed with an integrated wheelchair, which enables the patient to make a simplified transition from bed to wheelchair and vice versa;
EP 0 341 358 A1 a double hydraulic hospital bed with bypass circuit;
DE 35 90 309 C2 a device for turning the patient;
EP 509292 B1 941026 a washing device which enables the patient to wash in bed;
EP 0 491 679 B1 an automatic system for the care of bedridden patients;
EP 0558 527 B1 a transfer and care system;

However, none of these systems is modular and therefore open or closed disarmable nursing bed known and it must be with appropriate Changes in the clinical picture on different care systems be used, which is costly.

With the care systems mentioned, it is not possible to do them essentially adapt accordingly to changing needs.

The object of the invention is to provide a modular care system with a to create a diverse structure that meets the basic needs, such as Rest, mobility outside the relaxation area, surveillance of the State of health as well as personal hygiene, satisfying the patient, relieves the nursing staff and the costs in the nursing area reduced. In addition, all drive elements can be both motor and are powered by hand drive, which is also used in the third World allowed.

This task is accomplished through a modular design that enables one Care system due to a relatively low cost and effort adapt to the needs of the patient and the staff, easily future developments can also be adapted with the characteristics of claim 1 solved.  

Due to the modular structure, the care system can e.g. B. at a Nursing situation in which the state of care of the person to be cared for deteriorated, according to the resulting needs Acquisition of appropriate modules can be adjusted. Thus, one is omitted Complete new purchase, which significantly reduces costs.

Description of the invention

The invention relates to a nursing system, the essential Components bed, recliner, bathing device and insertable Toilet bowl are.

It can be done by attaching large wheels to the recliner can also be used with a patient whose arm movements in the are essentially not restricted. Both sick bed and lounger are modular and some of the corresponding modules can be built in both systems are used.

The individual elements are described as follows:
The bedding element consists, as is well known, in its basic configuration of a bed frame and a mattress frame, the head and foot ends of which are adjustable in height, preferably by dividing the mattress frame into three parts, which are connected to one another via joints and by means of a lever which is on the right and on the right are attached to the left of the bed frame and can be raised or lowered, preferably using a gas pressure spring or a spring element.

The bed frame preferably consists of, as is well known Head and foot sections, each with two legs, preferably made of metal, pointing upwards are open and preferably with a cover made of plastic  can be closed. In this, after removing the cover, different modules can also be used on the recliner can be used, such as preferably a frame for receiving Dropper bottles, a control device for motor control of the Bed, a reading device, a support for electronic devices for patient monitoring or support, a device that does it allows the patient to read or use a device that has a Double joint brings a tray in front of the patient so that it is comfortable can eat food in bed or have a device for ingestion several devices. The device for receiving the dropper bottles also enables uncomplicated transportation of freshly operated or injured people. In addition, at the head and foot of the Different mattress frame brackets in variable height be attached so that the relatively cheapest care position for the Patient can be adjusted. The head and foot sections are over two cross braces bindings that are available in normal and variable excess lengths preferably bayonet catches connected together.

Armament bed

The modular structure of the standard bed system enables this Replacing appropriate elements that hold the mattress frame retrofitting, the automatic lifting and lowering or allow to lean to the left or right of the lying surface, which one Relief of the burden on the nursing staff when changing the bed Enables patients. At the cross-connections of the sick or Nursing beds have a groove on the lower side into which there is an angle intervenes, which can be folded out sideways on the recliner and preferably made of metal with a lubricious plastic is covered, whereby the chair from the head or foot end in this  Groove can be inserted and remains freely movable in the longitudinal direction and thus the most favorable position for the patient can be taken, which is fixed by locking the wheels. At the same time through groove and angle prevents the recliner from moving off the bed removed or even overturned.

If the bed has a motorized or crank operated height adj position used by appropriate modules, the mattress surface be placed in a position that is slightly higher than what it does Patients relieved to get from bed to rest chair or lower is what makes it easier for him to get from bed to bed. This Conditions can be reduced by slightly lowering the mattress frame in the Longitudinal axis or the seat of the recliner, depending on the module application still optimize. Through contacts in the groove and corresponding ones Contact surfaces on the guide rail of the relaxation chair can be electronic and electrical controls both control the bed and also enable the recliner. If there is an electric motor on the relaxation chair Drive is used, this can preferably be via a reversing gear, which engages in the drive element of the nursing bed for adjustment of the mattress frame can be used. At the same time an electrical one Connection takes place in the time where the recliner next to the bed stands, a recharge of the accumulators of the chair that allows with this upgrade even for severely disabled patients Locomotion can be used.

The different modules, which are described in detail as follows, should preferably include the following options:
automatic lifting and lowering of the lying surface (the mattress frame), a slight swiveling of the longitudinal axis. In addition, the same wheels as on the recliner can be used on the legs of the head and foot part as required via vibration dampers, the wheels either by lowering or by locking the wheels, as is well known, allow a firm position of the bed.

The same modules that are used to raise and lower the chair Application can also be brought to bed automatic lifting and lowering of the lying surface can be used interchangeable.

The mattresses for the bed consist of three elements that are free Allow mobility of the mattress frame and preferably over Tabs and snaps are still securely connected so that the elements do not slip among each other but are still interchangeable are, e.g. B. against a central mattress part in which a round central part removed and replaced with a flat plastic shell in which a bedridden patient can relieve himself can do without being in his own excrement afterwards got to. These mattress elements are available with different fillings, e.g. B. normal innerspring mattress elements or elements as required Air, gas or gel filling in order with appropriate care situation Possibility to exclude pressure points (incubation), which in the case of Occurrence of the patient's pain burden and the care effort of the Personnel only increased. At the same time, by choosing one appropriate vibration damper on the rolling elements of the bed and appropriate choice of mattress for seriously injured or fresh operated on the patient's concussion during the Transportes, e.g. B. from the OR to the intensive care unit, reduced to a minimum,  what corresponding complications such as embolism or thrombosis risks and corresponding follow-up costs are greatly reduced. In addition, there is Possibility of a preferably thin, stable plastic film, which in the manner of an air mattress, as is well known, after which the patient has been moved onto this mattress by a rolling movement thereof can then be pumped up with compressed air, the side Elements are higher and thus have a trough shape in which a drain is integrated, so that a bedridden patient with little effort can be showered or bathed in his bed, for which purpose in the care room only a hot water connection and drain are necessary, which in particular in home care for the elderly and nursing through fewer renovation measures leads to a significantly more favorable cost situation.

The seat, backrest and footrest element of the relaxation chair can be replaced by an element that is as indicated in the sketch, via two pins, preferably made of metal, which fit into the two lateral openings of the two-part intended for this purpose Intervene mattress frame, preferably three on the top Tapered pins are present in openings on the mattress frame intervene and thus after lifting this mattress frame part Prevent slipping sideways, which results in the halved mattress frame can be used as a seat and lying surface and this part of the Mattress frame by further lowering the mattress frame holder from the bed frame with the patient lying on this way on the Rest chair can be brought, the lowering of the leg section and the Raising the back part is preferably a crank or motor driven spindle can be reached and thus the patient from the recliner can be brought into the sitting position. This also enables  the patient to other treatment rooms without lifting them can also be transported lying down and treated on it.

The recliner

The relaxation chair can be used to safely transfer the patient, as above described about a groove and a fold-out angle with the Nursing bed and lockable castors in a safe position brought, which prevents that when the bed is Patient instability, rolling away or by a caregiver even overturning the wheelchair or resting chair and resulting The patient may become intolerable or even injured. It also enables a patient who is in his Mobility is not completely restricted, independent and safe to get from the bed to the recliner and vice versa without doing that Nursing staff must be used, so the The patient's independence is promoted, especially in the home Care area is very useful.

If the modular system has an electric motor for the lifting device is used, this motor, which preferably has a Bayonet connection attached and easy to use on other beds Can also be used to move the chair are used, with different operating and control elements, as is well known, e.g. B. Joy Stick or others Operating systems adapted to the disabilities of the patient, such as adequate known, can be controlled. The same electric motor can also be used in the care bed system used to raise and lower or incline of the corresponding mattress frame module can be used.  

The standard mattress frame of the nursing bed can be replaced by an in Longitudinal direction two-part mattress frame, on the middle part both right and left are preferably two openings in the preferably two pins can engage on the upper side preferably carry three conical pins that are in openings of the Grasp mattress frame and make a contact that the Personnel or patients via a buzzer and / or the lighting up of a preferably green lamp, depending on the modules used, signal that the mattress frame part lies firmly and securely on the recliner and through can be removed from the side of the bed frame construction can.

Claims (10)

1. Modular nursing system to reduce costs in the elderly and nursing sector, especially in the private nursing sector, characterized in that the nursing system consists of different modules that can be used in part both on the nursing bed and on the chair and by the modular construction a subsequent Enabling or replacing defective parts and thus can be adapted to the circumstances in the event of a change in the patient's clinical picture and thus an upgrade or disassembly of the technical care aids can be achieved inexpensively. 2. A device according to claim 1, characterized in that a chair guided on rollers can be positioned to the right or left of the bed. At the cross connections of the hospital or nursing bed there is a groove ( 3.3 ) on the lower side, in which preferably an angle ( Fig. 4) engages, which can be folded out laterally on the recliner and is preferably made of metal, preferably with a slidable one Plastic is covered, so that the recliner can be pushed into this groove from the head or foot end and is freely movable in the longitudinal direction and fixed by locking the wheels. 3. A device according to claim 1 + 2 for transferring a patient, characterized in that the seat, backrest and footrest element on the rest chair ( Fig. 10) by an element of the two-part mattress frame ( Fig. 1), as described below, are replaced that can replace the standard mattress frame. For this purpose, a height-adjustable module is used on the roller frame of the resting chair ( Fig. 2). Which preferably consists of 2 pins made of metal or plastic ( 2.2 ) which engage in the corresponding lateral openings ( 1.2 ) of the two-part mattress frame provided for this purpose and on the top of which there are preferably 3 conical pins ( 2.1 ) which are in corresponding openings on Intervene in the mattress frame and close a contact ( 1.1 ) that signals to the staff or the patient via a buzzer and / or the lighting of a preferably green lamp that the mattress frame part rests firmly and securely on the module used for this purpose and depending on the modules used by lifting the half mattress frame, by the height-adjustable recliner module ( Fig. 2), which is preferably known from a hand crank or an electric motor as is well known, or by correspondingly lowering the mattress frame brackets ( Fig. 7), as described above on the bed , the half mattress frame with on lying patient can be brought from the bed to the chair. 4. A nursing bed according to claim 1, characterized in that it is modular. The modular structure of the standard bed system makes it possible, by exchanging corresponding elements that hold the mattress frame ( Fig. 6 / Fig. 7), in subsequent upgrades, which enable automatic lifting and lowering via a crank or an electric motor, as is well known, or allow to lean to the left or right of the lying surface. At the cross connections of the hospital or nursing bed there is a groove ( 3.3 ) on the lower side, into which an angle ( Fig. 4) engages, which can be folded out laterally on the recliner and is preferably made of metal covered with a lubricious plastic is, whereby the chair can be inserted from the head or foot end into this groove and remains freely movable in the longitudinal direction and is fixed by locking the wheels, as is well known. If a motorized or crank-operated height adjustment module is used on the bed, the mattress surface can be brought into a position that is slightly higher or lower than the seat of the recliner. Depending on the module application, these conditions can be optimized by slightly lowering the mattress frame in the longitudinal axis or the seat of the recliner. Through contacts ( 3.2 ) and corresponding contact surfaces ( 4.2 ) on the guide rail of the recliner attached in the groove on the longitudinal connections ( Fig. 3), electronic and electrical controls can enable both the control of the bed and the recliner. If an electric motor module is used to drive the recliner, it can preferably be used via a deflection gear, which engages in the drive element of the care bed and can be used to adjust the mattress frame. At the same time, an electrical connection takes place, which enables the accumulators of the relaxation chair to be charged. 5. The nursing bed according to claim 1, characterized in that the bed frame preferably as is well known from a head and foot part with two legs ( Fig. 5), preferably made of metal, which are open at the top and preferably with a cover Plastic can be closed. In this, after removing the cover, different modules that can also be used on the recliner can be inserted, such as preferably a frame for receiving dropper bottles ( 8.2 ), a control device for motorized control of the bed, a reading device, a support ( 8.1 ) for electronic devices for monitoring or supporting the patient, a device which enables the patient to read or a device which brings a tray in front of the patient via a double joint. 6. The different modules according to claim 1, which are described as follows in detail, should preferably include the following options: automatic lifting and lowering of the lying surface (the mattress frame), a slight pivoting of the longitudinal axis ( Fig. 6) can also on the legs the head and foot sections are used as required via vibration dampers ( 5.1 ), the same wheels as on the recliner, the wheels either by lowering or by locking the wheels, as is well known, allow a firm position of the bed. 7. The same modules according to claim 1, which can be used on the resting chair for raising and lowering, can also be used on the bed for automatic lifting and lowering of the lying area and are interchangeable. ( Fig. 6 / Fig. 7) 8. The mattresses according to claim 1 for the bed consist of three elements that allow free movement of the mattress frame ( Fig. 9) and are preferably securely connected to each other via tabs and push buttons, so that the elements are not slidable but interchangeable , e.g. B. against a central mattress part, in which a round central part ( 9.1 ), as is well known, can be removed and exchanged for a flat plastic shell ( 9.2 ). These mattress elements are available with different fillings, as is well known, preferably normal innerspring mattress elements or, as required, elements with air, gas or gel filling. At the same time, the choice of an appropriate vibration damper module ( 5.1 ) on the rolling elements of the bed reduces vibrations. There is also the possibility of a preferably thin, stable plastic film, which is well known in the manner of an air mattress, after which the patient has been moved onto this mattress by a rolling movement, which can then be inflated via compressed air, the lateral elements being higher are and thus have a trough shape in which a drain is integrated, as is well known. 9. The device is characterized in that the seat, backrest and footrest element of the resting chair can be replaced by an element which, as shown in the sketch ( Fig. 1 / Fig. 2), via two preferably made of metal pins ( 2.2 ) , which engage in the two side openings of the two-part mattress frame provided for this purpose ( Fig. 1), on which there are preferably three conical pins ( 2.1 ) on the top, which engage in openings on the mattress frame and thus after lifting this part of the mattress frame a side Prevent slipping, so that the halved mattress frame can be used as a sitting and lying surface and this part of the mattress frame can be brought from the bed frame to the recliner by further lowering the mattress frame holder, the lowering of the leg part and the raising of the back part preferably using a crank or motor driven spindle ( Fig. 10) e is reached. 10. The resting chair according to claim 1 can be driven to an impeller holder on the big wheels, like conventional wheelchairs known, so mounted in a bracket that the chair through Drive back with the big wheels, preferably without doing anything People, what can be connected by a conventional drive of the resting, wheelchair can be reached; with motor drive can, preferably driven by a differential gear, the rear small drive wheels drive the large wheels, whereby by Braking one or the other large impeller changes direction is achieved.