Mattress for birthing bed

Abstract: A mattress [20] for a birthing bed [10] has three bladders inserted within a foam slab [25]. A lumbar bladder [37] and upper back bladder [38] are on the birthing bed head panel [26] and are attached at their borders to the foam mattress to promote uniform inflation. A seat bladder [55] firms the seat when it is necessary for patient treatment procedures.

Description: SUMMARY OF THE INVENTION This invention relates to a mattress for a birthing bed. The birthing bed to which the invention relates has a base, a main frame and a patient support surface which is covered by mattress sections. The patient support surface has a seat panel, a head panel pivoted with respect to one side of the seat panel and a foot section which can be raised, lowered or removed with respect to the other edge of the seat panel. The birthing bed is well suited to provide several functions relating to the birth of a child. It is designed for the patient's comfort; it is designed to maximize a patient's ability to further the labor process; and it is designed to assist the mother and gynecologist in the delivery process as well as post-delivery procedures. An objective of the present invention has been to provide a mattress for such a birthing bed that better contributes to the functions referred to than have conventional mattresses. British Patent 903336 describes a foamed rubber mattress usable for hospital treatment, the mattress having an inflatable cushion associated therewith whereby a part of the mattress can be raised. The cushion may be inserted in an incision in the mattress or it may be adhered to the underside thereof. A mattress section for a hospital bed having a head section and a seat section, in accordance with the invention, comprises upper and lower sheets of soft, flexible foam, at least one inflatable bladder positioned between the sheets and means for inflating the bladder(s) until it is substantially rigid, characterised in that the bladder(s) is sandwiched between the sheets and is adhesively secured around its perimeter to at least one of the sheets. In a preferred embodiment, a foam mattress is provided having inserted therein selectively inflatable bladders sandwiched between plies of foam. More specifically, at least a lumbar bladder and preferably, in addition, an upper back inflatable bladder are provided, these bladders being adhesively secured around their perimeter to the foam mattress. Preferably, the border of each bladder is about 5 cm (two inches) in width and that 5 cm (two inches) of width is adhesively secured to the foam. The advantage of this feature is that the bladders, when inflated with a patient lying upon them, will inflate uniformly transversely across the bladder. This is in contrast to prior art bladders which have simply been inserted into a mattress without being adhesively secured at their borders to the foam mattress. Such bladders will tend to inflate first in the area unpressed by the patient, thus creating an uncomfortable bulge at the side or the patient, the bladder being gradually filled in under the patient as the inflation process continues. In addition, a bladder is provided across the seat panel, the bladder preferably being of the type disclosed in Patent No. 4,624,877 and consisting of a foam core surrounded by air-impervious sheet material. The function of the bladder is to inflate and make quite firm the seat portion of the bed to make more accessible the patient's body for episiotomy repair and birthing. BRIEF DESCRIPTION OF THE DRAWINGS The objectives and features of the present invention will become more readily apparent from the following detailed description taken in conjunction with the accompanying drawings in which: Fig. 1 is a perspective view of the birthing bed to which the invention relates; Fig. 2 is a diagrammatic perspective view of the present invention; Fig. 3 is a diagrammatic disassembled perspective view of the mattress; and Fig. 4 is a cross-sectional view taken along lines 4-4 of Fig. 2. DETAILED DESCRIPTION OF THE INVENTION Referring to Fig. 1, a birthing bed 10 is shown having a base 11 and a main frame 12. A patient support 15 is mounted on the main frame 12. The patient support includes a seat panel 16 and a head panel 17 hinged to the frame 12 at 18 at one edge of the seat panel. A footrest 19 is mounted on the frame 12 by structure which permits the footrest to be lowered from the position shown in Fig. 1 or to be removed altogether. The body support panels 16, 17 and 19 are covered by a head end mattress section 20 and a footrest mattress section 21. The present invention addresses only the head end mattress section 20. Referring to Fig. 2, the mattress 20 is formed principally of conventional mattress foam which is a soft polyurethane foam slab indicated at 25. The foam slab 25 is in two sections 26 and 27 for the head panel and seat panel, respectively. The mattress slab 25 has a notch 30 that divides the sections 26 and 27 from each other. The sections are encased in a fabric mattress cover 28 having a zipper so that it can be removed for cleaning or replacement. The foam section 26 preferably has transverse slots 29 formed in its upper surface to increase the softness that the patient perceives as she lies on the mattress. The section 26 is centrally sliced at 31 from the notch 30 to a line 32 adjacent the head end of the mattress section. The slicing 31 creates upper and lower plies 35 and 36 each of which is about 5 cm (2 inches) thick. A lumbar bladder 37 and an upper back bladder 38 are inserted between the two plies. Each bladder has a tube 40 by which the bladders are inflated. As shown in Fig. 2, the respective tubes 40 extend between the two plies to the notch 30 and then exit transversely out of the mattress where they are connected to a pump having suitable controls for their inflation. The controls may be mounted on an armrest panel 42 as shown in Fig. 1. Each of the bladders 37, 38 is constructed and attached to the foam section 26 as shown in Fig. 4. The bladder per se is formed of a lower air-impervious ply 45 and an upper air-impervious top ply 46. The top ply 46 has a border 47 about 5 cm (2 inches) wide that extends completely around the perimeter of the bladder. The facing surfaces of the plies are coated with a urethane adhesive. The lower ply 45 is adhesively-bonded to the upper ply along about a 6.5 to 1.3 mm (1/4 to 1/2 inch) margin of the lower ply by dielectric, heat or resistance bonding. The thus formed bladder is inserted into the proper position on the lower ply 36 of the foam section 26. There, the border 47, with its exposed urethane adhesive, is adhesively secured to the foam ply 36 by heat bonding. This securing of the border to the foam slab provides assurance that when inflated, the inflation will occur uniformly across the transverse dimension of the bladder and the patient will not be aware of any lopsided inflation, such as forming a bubble on one side and a bubble on the other side and then fully inflating. The lower bladder 37 is for the lumbar region of the patient and the upper bladder 38 is for the mother's upper back and to assist her leaning forward into a C position during the labor process. The seat section 27 of the foam slab has a cavity 50 cut out of the foam. The cavity is about 5 cm (two inches) thick, leaving a 2.5 cm (one-inch) ply of foam forming a top ply 51 and a 2.5 cm (one-inch) ply of foam forming a bottom ply 52. A 5 cm (two inch) thick bladder 55 constructed in accordance with U. S. Patent No. 4,624,877 which is fully incorporated herein by reference is inserted into the cavity. The cavity is enclosed by a thin V-shaped foam strap 56. A tube 57 connected to the bladder is also connected through suitable controls to the pump in a manner similar to that of the bladders 37 and 38. The bladder 55 has a foam core 58 which is surrounded by an air-impervious cover 59. Uninflated, the bladder and mattress plies 51 and 52 provide comfortable support for the patient. However, during birth and in the process of sewing a patient following an episiotomy, the gynecologist normally prefers to have the patient on a very firm seat, permitting full exposure of the vulva, and for this purpose the bladder 55 is inflated. In operation, the patient or the attending nurse, using controls on the side guard, will selectively inflate the bladders 37, 38 and 55. Bladder 37, the lumbar bladder, is inflated principally for the patient's comfort. The inflation process will gradually pump air into the bladder so that the bladder expands uniformly across its surface rather than bulging at one side or the other until full. Inflation of the bladder 38 will push against the patient's upper back to assist in the patient's assumption of a C position during labor. Like the bladder 37, the bladder 38 will inflate unformly so as to enhance the patient's sense of well being. The mattress section overlying the seat panel will normally be fairly soft for the comfort of the patient and the patient's posterior will sink somewhat into the foam constituted by the top ply 51, the bottom ply 52 and the foam 58 in the bladder per se. However, when the gynecologist or surgeon requires a greater exposure to the patient's anatomy for either the birthing process or repairs following the birth of the baby, the bladder 55 is inflated so that there is a very firm support for the patient's posterior.

Claims: A mattress section (20) for a hospital bed having a head section (26) and a seat section (27) comprising upper and lower sheets (35, 36) of soft, flexible foam, at least one inflatable bladder (37, 38, 55) positioned between the sheets (35, 36) and means (40) for inflating the bladder(s) until it is substantially rigid, characterised in that the bladder(s) (37, 38, 55) is sandwiched between the sheets (35, 36) and is adhesively secured around its perimeter to at least one of the sheets (35, 36). A mattress section as claimed in Claim 1, wherein the bladder comprises a larger ply (46) and a smaller ply (45), the smaller ply (45) being adhesively secured to the larger ply (46) to form the bladder (37, 38) and to create an overhanging border (47), the border (47) being adhesively secured to the foam sheet(s) (35, 36). A mattress section as claimed in either Claim 1 or Claim 2, wherein the bladder(s) (37, 38) comprise a flexible plastic bladder having an approximately 5 cm (two inch) border (47) that is sealed to at least one of the sheets (35, 36). A mattress section as claimed in Claim 1, wherein the bladder (55) of the seat section (27) comprises a foam core (58) and an air-impervious cover (59). A mattress section as claimed in any preceding Claim, comprising a foam slab (26, 27) with a slit (31) or a cavity (50) to receive the or each bladder (37, 38, 55) and form the upper and lower sheets (35, 36, 51, 52). A mattress section as claimed in Claim 5, wherein the slab (26, 27) is 10 cm (four inches) thick. A mattress section as claimed in Claim 5 or Claim 6 as dependent on Claim 4, wherein the slab (27) has a 5 cm (two inch) thick cavity (50) and the upper sheet (51) is 2.5 cm (one inch) thick and the lower sheet (52) is 2.5 cm (one inch) thick. A mattress section as claimed in any preceding Claim, in which a V-shaped notch is formed in an edge of the sheets (51, 52) which, in use, faces the foot edge of the bed (10). A mattress section as claimed in any preceding Claim, including a flexible cover (28) surrounding the sheets (35, 36, 51, 52) and bladder(s) (37, 38, 55). A mattress section as claimed in any preceding Claim, in which the bladder(s) (37, 38, 55) is about 30 cm (twelve inches) wide and 50 cm (twenty inches) long. A birthing bed (10) comprising a base (11), a main frame (12) mounted on the base (11), body support panels (16, 17, 18) mounted on the main frame (12) and including a seat panel (16), a head panel (17) pivoted with respect to the seat panel (16) and a foot rest (18) movably mounted with respect to the seat panel (16) and a mattress section (20) as claimed in any one of Claims 1 to 3, or Claims 5, 6 and 8 to 10 as dependent on Claims 1 to 3 covering the head panel (17). A birthing bed (10) comprising a base (11), a main frame (12) mounted on the base (11), body support panels (16, 17, 18) mounted on the main frame (12) and including a seat panel (16), a head panel (17) pivoted with respect to the seat panel (16) and a foot rest (18) movably mounted with respect to the seat panel (16) and a mattress section as claimed in Claim 4, or any one of Claims 5 to 10 as dependent on Claim 4 covering the seat panel (16). A birthing bed as claimed in Claim 11, further including a mattress section as claimed in Claim 4, or any one of Claims 5 to 10 as dependent on Claim 4 covering the seat panel (16). A birthing bed as claimed in either Claim 11 or Claim 13, wherein the mattress section (20) covering the head panel (17) includes inflatable lumber and upper back bladders (37, 38) mounted in a foam slab (26) which defines the upper and lower sheets (35, 36). A birthing bed as claimed in Claim 11 or Claim 12 or Claim 13 when dependent on Claim 12, wherein the mattress section (20) covering the seat panel (16) includes a seat bladder (55) within a foam slab (27) which defines the upper and lower sheets (51, 52). A birthing bed as claimed in Claim 15 when dependent on Claim 14, wherein the foam slabs (26, 27) are continuous and integral. A birthing bed as claimed in any one of Claims 14 to 16, wherein means is provided for selectively inflating the bladders (37, 38, 55).

Inventors: BORDERS RICHARD L, NEWKIRK DAVID C, RICHARDS SANDY M, BORDERS, RICHARD L., NEWKIRK, DAVID C., RICHARDS, SANDY M.
Applicants: HILL ROM CO INC, HILL-ROM, INC.
Application year: 1992
Main classification: A61G7
IPC codes: A61G7, A47C27, A61G13