Patient care and transport assembly

A mobility assist assembly, consisting of a transportable patient support module including a support surface which is modifiable by at least a plurality of upwardly extending and individually height adjustable and articulate-able posts integrated into a supporting carriage. A power transport module can be docked to the carriage. The patient support surface further includes a plurality of individual height or width adjustable sections. A headboard proximate docking module interfaces with the patient support module and a power assist modules.

FIELD OF THE INVENTION

The present invention discloses a versatile bed system incorporating a first convertible wheelchair/bed module, a second headboard/docking station module and a third mobility assist power drive module. The mobile assist system is particularly suited for general transport use within a hospital or like setting and provides a series of features, including a four vertical post drive system with motions features that provide ease of use and drastically reduce the risks associated with handling of patients by caregivers.

BACKGROUND OF THE INVENTION

The prior art is well documented with examples of wheelable bed and chair transports, such as for use in hospitals or other medical care giving facilities and in order to efficiently transport patients. A shortcoming of the existing art has been the ability to incorporate the features of powered transport, bed/char convert-ability and adjustability for moving patients, along with providing for powered recharge and information gathering, retention, monitoring and sync-sharing of patient data (including vital statistics) between the patient transport and other supporting modules.

SUMMARY OF THE INVENTION

The present invention discloses a mobility assist assembly including a transportable (such as wheeled) patient support module exhibiting an articulating and multi-repositionable support surface which is integrated with and supported upon a plurality of upwardly extending and individually height adjustable and articulate-able posts associated with an underside carriage. The patient support surface may further include a plurality of individual height or width adjustable sections manipulated by the individually adjustable underside supporting posts. A power support/transport module can be docked with the carriage. A headboard proximate docking module interfaces with the combined patient support and power assist/surface reconfigurable modules and provides any of increasing displaceable side portions for extending a width of the patient support surface, recharging of the power module, and/or communicating medical and other information to onboard processor capabilities incorporated into the patient transport module.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

As will be described in furthering detail with reference to each of the illustrations, the present invention discloses a versatile patient support system, such as for use with hospitals, nursing/patient care facilities and other applications. The versatile transport system incorporates a variety of motion and articulation features that provide ease of use and drastically reduce the risks associated with handling of patients by caregivers.

Beyond that disclosed in the succeeding embodiments, it is also contemplated that other variants of the invention can be developed for personal/home use or other medical and non-medical applications. As will also be illustrated in succeeding detail, the invention incorporates three distinct modules (which are further defined to include specific sub-assemblies and components which collectively defining the overall patient care and transport assembly), and such as which can work in either dependent or independent fashion relative to each other with varying benefits realized when the components or modules are integrated together as a system.

Prior to engaging in a successive description of each of the illustrated embodiments, a general description will be provided of the main components or modules associated with the patient care and transport system and which provide the desired versatility of use ranging between a static hospital bed-type configuration and any type of detached bed/wheelchair transport and reposition configuration. The first module incorporates an articulating and patient supporting/reconfigurable assembly (generally referenced by first transport module at10inFIGS. 1 and 2) and, as will be described in reference to the various illustrations disclosed herein, exhibits a planar and inter-articulating frame supporting thereupon a patient support surface (such as most commonly referred to as a mattress but understood to include any cushioned or segmented support surface, see as shown inFIG. 18, providing the ability to interarticulate individual sections relative to one another and without damage thereto), which provides several distinct articulations and extensions to accommodate various needs of the patient and to provide assistance to the caregiver. The articulations include without limitation:Height adjustmentLongitudinal tilt (front and back)Lateral tilt (left and right) (unique in the US market)Head/torso tilt (above the horizontal)Thigh tilt (above the horizontal)Knee tilt (below the horizontal)Leg extension (to accommodate various user height needsRetractable bed frame to reduce foot print of bed in wheelchair mode (unique to this device)

The second module is a stationary “docking” or headboard proximate station (see as further generally referenced at12and which, while wheel supported as shown is considered stationary as it is detachable from the patient support module during transport of the latter) such as further being located within the destination (hospital) room for the patient. The design of the headboard module12is such that it enhances the functionality of the patient transport (wheelchair/bed) system. As will be illustrated, the patient support subassembly10docks to the headboard module12, such as both to extend its width by mechanical means, for charging onboard batteries, and/or communicating other information to any processor capability incorporated into the patient support module located on the underside frame carriage associated with the mobility assist device.

Among the features provided by the docking headboard module12are included (again without limitation) the following:Storage and shelving for patient convenienceMedical device containmentWidth extensions for wheelchair (bed configuration)Various power outlets (12V DC, 24V DC, 110V AC 60 hz, 230V AC 50 hz)Casters for limited mobility for placement in the room and room maintenance

The third module is a mobility assist power drive system, see as generally illustrated at14which includes a wheeled carriage or four sided sub-frame15upon which are supported and from which upwardly extend a plurality of four individual telescoping supports or pedestals16,18,20and22. The pedestal supports depicted at16-22exhibit outer accordion sleeve or boot covers and, although not shown, are further envisioned to enclose such as individual telescoping cylinders and which, and representatively shown inFIG. 1, are secured at lower ends to perimeter frame locations of the mobile assist carriage while upper ends (depicted at24,26and28for selected supports16,18,20inFIGS. 6 and 7) incorporate universal articulating connections (such as a ball and receiver type joint or other modified swivels allowing for multi-dimensional articulation) engaging underside locations of the associated subframe (including inter-articulating portions) associated with the patient support surface10and which is further identified at29inFIG. 6.

A power drive component30is integrated with or releasably attachable to a generally centralized and rear location of the underside carriage frame defining the module14. The drive component30houses such as an on-board rechargeable battery (or other integrated power source) for generating a power output drive, via such as a suitable gear and/or shaft arrangement) to initial drive wheels32and34(see as best shown inFIGS. 6 and 12) positioned in underside ground engaging and proximate fashion to the drive component30.

The driving force exerted by the powered wheels32and34is transferred to the existing wheeled supports or castors36,38,40and42arranged at the four corners of the carriage (such as similar to existing shopping cart style wheels) and in order to provide power assistance for easy mobility of the patient support surface10. It is also envisioned that the power drive unit30with output drive wheels32and34can be removed while maintaining manual propelling of the underside carriage15and surrounding wheels36,38,40and42.

As will be further described and illustrated, the power assist drive unit provides the mobility assist module with total mobility on flat floors to assist in the transportation of the patient. It is further envisioned that the power assist drive unit will incorporate “tank” style steering with motor breaking as well as the wheelchair having mechanical brakes on its casters. As previously described, the mobility assist module may include remote battery charging.

As will be further described with reference to the several variants illustrated and described herein, the four multiple positioning vertical telescoping posts or supports16,18,20and22can be adjusted to an infinite number of articulated positions that are programmable via a portable processor unit that is built into the patient support carriage using battery dependent electronics to acquire various desired positions. The four telescoping posts accomplish their main articulations such as tilting (fore, aft, left, right) with the aid of any combination of hydraulics, electro hydraulics, electro magnetism, pneumatics, electric motors, cable or chain drives, rack and pinion, gears, belts and the like and which are built into the carriage drive14and patient support10modules.

The ability of the four support posts16,18,20and22to independently operate and adjust, such as according to built in servo actuated protocols incorporated into the carriage and drive module14, provides unique articulations in both bed and wheelchair modes as will be subsequently described and depicted. Based on such as the four post mechanism illustrated and described herein, a family of products can be developed as additional features and offshoots of the proposed invention that include, but are not limited to: a commode wheelchair, stretcher, gurney, surgical table/bed, infant/pediatric motion bed, and articulating manufacturing assembly tables, etc.

Additional features of the frame include articulating surfaces that raise and lower the angles of the associated back and leg supports. The articulating surfaces incorporated into the mobility assist device are further understood to exhibit depressions, such as shown in spaced apart and widthwise extending fashion at44,46and48inFIG. 2in the patient support surface10both control and retain the mobile assist assembly in varying shaped configurations.

In combination, the posts and articulating surfaces are able to achieve several pre-programmed positions, including such as: chair position, assisted standing position, bed position (flat), sitting position, sitting position with elevated knees, CPR position, Trendelenburg and reverse Trendelenburg positions, and tilt right/left of no less than 15°.

As will be further described throughout the several illustrations below, the patient support surface as previously described is separated into any number, such as three shown, of interconnected and inter-articulating portions, these including an upper torso supporting portion50, an intermediate and midsection/buttocks supporting portion52and a two part leg supporting portion54and55(seeFIGS. 2,8and9). As previously indicated, it is further envisioned that the patient support surface can exhibit alternative constructions (one example of which is subsequently described in reference to the variant ofFIG. 18) beyond that shown. Furthermore, the leg section54depicts a pair of inter-articulating subsections, again at54and55and corresponding to the upper and lower legs of the patient supported thereupon, and which may also be adjusted/lengthened such as for taller patents.

In use, bed position can be achieved in any number of unique ways including when patient convenience is desirable the mobile bed/chair can be “docked” to a headboard station that includes components (again shown inFIGS. 1 and 3) that expand its width into a bed configuration to a distance of no less than six inches on either side. This configuration can allow for additional options and conveniences for a longer term patient or a more “home like” use.

Docking of the mobility assist module is done by first converting the module10from wheelchair to bed configuration, resulting in a flat and horizontal position. The converted bed is then placed in an open area, at which point underside located brakes associated with the carriage wheels36-44are set.

At this point, the headboard docking station14is then maneuvered to the head of the mobile assist subassembly, until the guides can assist in positioning the headboard at the drawing point of the mobility assist module (see again interface arrangement ofFIGS. 1-3). An associated winch56(FIGS. 1 and 3) is then activated to pull the headboard14into a latching position to the assist module10and underlying power transport module12.

The docked mobility assist module and headboard can then be positioned in the room as desired. It is further envisioned that the headboard module12will house the capture, winching and latching mechanisms (see again winch56assembly in combination with engaging/draw down bar57as again illustrated inFIG. 1) for positioning and retaining the mobility assist device10in engagement with the headboard module12. It further again understood that the headboard module12can include additional power sources (at59) for battery charging of such as the power source30associated with the carriage supported drive module12, castors (at65) for limited mobility, and storage recesses (at63) for holding personal items as well as limited medical devices and the ability to communicate any information to mobile processor components built into the main transport component10.

As further illustrated inFIGS. 1 and 3, an associated width of the patient support surface can be expanded in any of a number of potential ways, such as by the lateral installation of additional width expanding components58and60that are contained on a frame structure on either side of the patient assist module, once docked. The extension portions58and60as shown are supported in pivotally and extensible fashion from the headboard module12and are further understood as capable of positioned manually or with the assistance of electric motors. Once positioned, the extensions work in unison with articulating portions associated with the mobility assist module as shown in the succeeding illustrations.

In a further desired application, such when a totally mobile configuration is more useful, the docking to a headboard can be forgone and the convertible wheelchair/bed can be employed as a self contained device, further such that its support surface and safety side rails are expand to a distance of no less than six inches on either side and in order to establish a widened configuration. The expansion of the patient support surface can be achieved by inflation according to any of a number of possible application, one non-limiting example of which incorporates any plurality of elongated cells, utilizing a type of gas such as, but not limited to, air or otherwise expanded in a hydraulic fashion, such as with the use of any type of liquid including water.

Safety rails associated with the patent transport assembly can likewise be expanded by the incorporation of such as telescoping surfaces, and can be either manually or power (through the assistance of electric motors) operated. Although not shown, it is further envisioned that the safety side rails assist the inflatable portions of the support surface to expand outward and to collapse back to the stowed position.

The features of the present invention include, but not limited to each of power or manual operation, power assist drive system, headboard docking system, expandable support surface system, height adjustment, longitudinal tilt, lateral tilt, bed configuration, expandable bed surfaces, chair configuration, CPR position, Trendelenburg and reverse Trendelenburg positions, head/torso tilt, thigh tilt, knee tilt, leg extension, retractable frame, and in-room docking station.

Other features of the proposed invention enhance and complement each other as well as add convenience to both patient and caregiver. These include without limitation:Intuitive and user friendly controlsQuick release safety foot lever for CPRFoot lever for quick bed loweringManual foot lever for operation of articulations and positioning of the wheelchair/bed (plug-in power not required)Power operation of articulations and positioning of wheelchair/bed (plug-in power required)Embedded weigh scaleVersatile safety side rails with embedded tray, can be used for food service, reading, laptop support, and work table for caregiversDocking mobility assist power drive system to provide assistance for patent mobility-steerableOn-board collapsible IV polesBraking system

In view of the above, and referring again toFIG. 1, a perspective illustration is shown of a convertible patient support surface (such as between a wheelchair and bed)10in docking engagement with the headboard station module12according to one possible arrangement of the present invention.

A headboard61is linearly adjustably supported at a forward end of the support and transport assembly10, with a convertible footboard62positioned at an opposite end and associated and likewise inter-articulating pairs of side rails64&66and68&70along opposite sides which, as will be described, are articulated into a number of frame supporting configurations associated with bed and wheelchair mode operation. The patient support surface again generally referenced by such as individually articulating portions50,52,54and55is associated with the first module10and, as described herein, can be provided according to any of a number of different articulating configurations, such as for supporting the upper and lower legs, midsection, shoulders and neck in any of a flat (FIGS. 1-7), intermediate (FIGS. 8-11) or wheelchair (FIGS. 12-17) modes.

As previously described, the patient support surface can also include the laterally expandable side portions58and60associated with each of opposite sides, these being pivotally connected to the headboard component12via such as brackets (one selected bracket72being illustrated inFIG. 1associated with selected width increasing portion60) for providing desired width expansion of the patient seating surface. As previously described, the laterally positioned support surface width extension components58and60(best shown inFIG. 1) each exhibit a plurality of hingedly interconnected portions74,76,78,80and82,84,86,88(each of these exhibiting a solid planar base from which projects a cushioned body) which are again displaced in a combined pivotally and elongated fashion between upward retracted (FIG. 1), and downward extending/overlapping/aligning/lineally extending (FIGS. 3 and 4) positions along opposite sides of a central support surface.

Additional features include a pair of telescoping IV support poles90and92, associated with the headboard portion61of the first transport module10. The headboard61is again distinguished from the stationary or docking module12(also loosely termed a headboard module) in that the headboard61is a component of the module10which detaches therewith. Linear adjustability of the headboard61(such as depicted inFIGS. 10 and 11and which is desirable upon removing the patient support module10and supporting transport module14from the headboard module12and converting to a wheelchair mode) along with the IV support poles90and92is accomplished via horizontal and teethed support bars94and96(FIG. 8) in association with a proximate located push/pull steering handle98for facilitating adjustment of the incorporated headboard61.

Addressing the illustrations in succession,FIG. 1again shows the mobility assist device (including patient support module10and underlying carriage support and powered drive module14) in docked engagement with the headboard module12. As previously described, the linear extending and lateral seating width extending support surface components58and60are optional features associated with the headboard module12and which, when docked with the patient supporting mobility assist module10, serve to provide additional width such as to function as a convertible style bed.

As also previously depicted at74-80and82-88respectively, the length extending components58and60are each articulated and segmented to facilitate subsequent adjustment of the support surface to any of a number of different configurations while docked to the headboard module12. Additional features include the provision of a series of foot pedals100,102and104which can be connected to the powered servos which actuate to manipulate the telescoping posts16,18,20and22, such as in selected paired fashion, and in order to achieve the desired fore, aft or side-to-side pivoting the patient support surface.

In this manner, the arrangement of integrated servos or cylinders (not shown) associated with the joined patient transport10and drive14modules are such that the telescoping supports can be either fluid actuated (hydraulic or pneumatic) or, in certain further instances, a threaded screw drive with a rotating/slip collar affixed to the underside of the patient support frame can be employed in order to facilitate pivoting motion. As also previously described, the posts16,18,20and22can further be reciprocally driven, such as in pairs and by the associated power servo mechanisms, in order to achieve any desired form of continually reciprocating (e.g. therapeutic) motion.

The four post cylinders as disclosed, are tilt-able and/or height adjustable in any of lateral, longitudinal or combined fashion in order to operate as any of a hospital bed, wheelchair, gurney, surgical table, work table, or other suitable configuration. As also previously described, associated servo controlled motors communicating with the vertical posts can also provide any desired programmed rocking or reciprocating motion, such as is desired in use with a therapeutic protocol for the patient.

Referring now toFIG. 2, an illustration is shown in which the lateral extension components are fully extended in horizontal and lengthwise manner in engagement along the opposite side edges of the main support surface component (see again as depicted by inter-articulating sections including upper torso section50, buttock supporting section52and leg supporting sections54and55. The present inventions further contemplate either the provision or absence of the support surface width extension components58and60without departing from its scope. The patient support components (including50,52,54,55,58and60) can further be widthwise recessed or scalloped as shown and to facilitate ease of inter-angular adjustment without damage thereto.

FIG. 3illustrates an intermediate extension position of the extension components58and60shown inFIG. 1extending across the patient support surface (again support portions50,52,54and55) in an extended position.FIG. 4is a succeeding top view of the mobility assist device ofFIG. 3(convertible wheelchair/bed), upon being removed from the headboard docking station module12

Proceeding toFIG. 5, a perspective view is shown of the mobility assist device such as depicted inFIG. 2and further illustrating the pivoting nature of the patient support surface (again generally depicted by interconnected support sub-portions50,52,54and55) upon the individually telescopic support posts16,18,20and22.FIG. 6is a front end view of the mobility assist device inFIG. 5and illustrating from another vantage point the features of the underside pivoting/telescoping support established by the plurality of length adjustable/displaceable posts16-22. Also referenced inFIG. 5is the manner in which the side rail supports can be pivotally displaced between standard bed position (see as further depicted by rail66) to a rear position (as shown by70) and in order to subsequently permit the mobility assist assembly to be pivoted into the wheelchair and pseudo-wheelchair modes.

FIG. 6further provides a good vantage point for illustrating the underside supported and fore/aft/side to side pivoting aspects of the patient support surface via the combination of the inter-length adjustable (telescoping) posts16-22and the associated powered mechanism (again including powered servos and the like which are not clearly shown but which are understood as capable of being integrated into the individual telescoping posts16-22) for actuating the telescoping posts singularly or in concert in order to achieve any desired dynamic reconfiguration of the support surface.FIG. 7is a side plan view of the mobility assist device depicted inFIG. 5and further showing the plurality of underside supporting and telescoping posts in a further rearward tilt configuration associated with the patient support surface.

Proceeding toFIGS. 8 and 10, a pair of perspective and side view illustrations are provided of the detached mobile assembly and by which the articulating patient support surface (portions50,52and54) is reconfigured to an intermediate converted position between bed and wheelchair configurations, and by which the upper torso portion50is upwardly angled relative to midsection52and leg54,55portions.FIGS. 9 and 11are succeeding perspective and side view illustrations to that shown inFIGS. 8 and 10and in which a linearly displaceable headboard61is retracted to a position proximate the upwardly angled torso portion50of the patient support.

The configuration of the side rails are further such that the opposing contours associated with upper pairs66and70relative to the lower pairs64and68, permit the back portion to pivot upwardly in the manner shown. The individual side rails again are each connected to the sides of the mobility assist device via pairs of pivot brackets (see as depicted inFIG. 8for rail66by pair of pivot brackets106and108) and which facilitate the ability to pivotally displace and/or lower any of the rails64,66,68and70to facilitate either repositioning between bed and wheelchair modes, as well as to facilitate ingress and egress of the patient.

FIG. 12is a forward looking view of a lateral tilt position accomplished following conversion to the wheelchair configuration and which generally corresponds to a similar tilt configuration achieved in the bed configuration ofFIGS. 5 and 6. This includes downwardly displacing the leg support portions54and55and associated footboard62(such as via an underside bracket illustrated at110in each ofFIGS. 14-16established between the leg supporting portions54,55) following which the arrangement of servo-actuated telescoping supports16,18,20and22, as again actuated by selected foot pedals100,102, and104, displaces the patient support surface according to any of fore, aft or side pivoting positions.

FIG. 13is a side perspective view of the wheelchair position, corresponding to the forward view ofFIG. 12, and illustrates a further progression to that shown inFIG. 9and by which the leg support portion54,55of the patient support surface is lowered along with the footboard62which serves in this configuration as a footrest.FIG. 14is a side view of the wheelchair mode substantially as shown inFIG. 13in a leisure reverse tilt configuration as provided by the plurality of pedestal supporting and individually length/telescopically adjustable supports16,18,20and22when actuated by a selected one of the foot pedals100,102and104.

FIG. 15is a similar illustration to that depicted inFIG. 14and by which the individually adjustable pedestal supports100,102and104are employed to position the patient (wheelchair position) support surface in a substantially level fashion.FIG. 16is a side view of a further wheelchair mode configuration and in which the leg support portions54and55of the patient support surface, in combination with the pedestal supports, are further repositioned to a forwardly tilting/patient egress assist position, withFIG. 17providing a perspective illustration complementing the side view ofFIG. 16.

Having provided a detailed explanation of the structure and conversion functionality of the assist module10, headboard module12and power support carriage module14, reference is now made toFIG. 18which provides an illustration generally at112of a further potential configuration of bed support surface and which incorporates a plurality of grid-type surface segments114such as which are constructed of individualized and deformable polymeric pockets each filled with a gel type material exhibiting specific viscous properties. The arrangement of the gel pockets are such that they define individual and articulating support locations114,116,118and120of the overall support surface, corresponding to that previously disclosed at50,52,54and55and which cooperate with patient supported pressure points.

As further shown, the underside supporting aspects of the grid shaped gel pockets114are such that they exhibit likewise grid shaped and spatially defined longitudinal and articulating locations for facilitating a degree of inter-movement of the pockets in response to forces exerted by the patient. The grid (e.g. rank and file) arrangement of the individual gel pockets114further facilitates human contoured support at varying locations associated with the articulating support portions.

Finally,FIGS. 19A and 19Beach generally illustrate at122both level and articulated positions of a patient support surface according to a yet further modification. As shown, the support surface can be split either laterally and/or longitudinally into three portions (see at124,126and128) to again assist in localized patient articulation. In the instance of a longitudinal directed split, the articulating interface of the individual sections would be understood to extend perpendicular to that illustrated by patient support sections50,52,54and55as previously described.

The central width portion126and pair of bed side or end extensions124and128again are contemplated to potentially including both straight (FIG. 19A) and slant (FIG. 19B) end view configurations, the inter-articulating support further being provided by underside situated pivotal interconnections respectively at130and132. As illustrated, the articulating motion of the extensions124and128relative to the regular width or length defining portion126can provide extra comfort to a sleeping patient, as well as assisting the caregiver in repositioning the patient, such as while making the bed or otherwise moving the patient to a side thereof.

In the example illustrated, the patient support surface is divided into three individual and hingedly interconnecting articulating portions (such as associated with head/torso, hip, thigh, knee, etc.). As further previously described, associated side extensions can also be provided for varying an overall width of the articulating support surface.

Additional to that illustrated herein, other potential variants can include a mini-lift system associated with the mobility assist device, and in which a plurality of perimeter located and coordinated lifting points provide for additional therapy induced motion as well as to establish localized lifting of the patient in order to assist the caregiver in performing various tasks. The mini-lift system contemplates opposite side extending and individual pluralities of lift subassemblies each further typically providing up to 50-100 lb of localized lift and in order to assist the caregiver in lifting a patient, such as also for longer durations of time. The ability to provide localized and indefinite lifting more easily allows the accomplishing of such tasks as wound dressing, patient turning, and the like. As with the four vertical post arrangement, it is again understood and envisioned that the individual lift systems can be intercommunicated in a fashion to provide any desired degree of servo induced and reciprocating/recurring motion, such as assisting in therapeutic treatment.

It is also envisioned that other variants of mobility assist power drive units, beyond that generally identified by subset module14, can be adapted for use with the present invention. Such potential design can provide a telescoping handle extending from a location of a main and wheel supported body of the mobility assist drive unit and which terminates in such as a joystick based steering control. Other features may include an upper directed docking mechanism as well as forward directed steering wheel/mechanism provided for engaging the power assist unit to the underside location of the convertible patient support module.

The present invention contemplates a family of mobility assist power units of various sizes and shaped, these additionally exhibiting a variant of docking technologies including but not limited to vacuum/suction engagement with the patient transport module, magnetic engagement, and the use of mechanical hooks and receiving slots established between the power assist and transport modules. It is also envisioned and understood that the parts associated with such a power assist module can be purchased off of the shelf and simply docked to any manual wheelchair, bed, gurney, stretcher, surgery table, medical equipment table or the like. Additional contemplated variants include those used for any non-hospital or even non-medical applications, or to provide any desired power propulsion (push or pull) of any type of wheeled systems.