Patent Publication Number: US-2023149235-A1

Title: Portable isolation unit

Description:
FIELD OF THE INVENTION 
     This invention relates to an isolation unit for patient care, and in particular a portable isolation unit for use in a hospital environment for isolating patients with infectious diseases. 
     BACKGROUND 
     Frontline healthcare workers in the treatment and care of patients suffering from highly infectious airborne diseases, such as the COVID-19 global pandemic, are particularly at risk of becoming infected themselves. Problems are exacerbated when hospitals and healthcare facilities are stretched beyond their capacities, resulting in a shortage of specialist hospital rooms and equipment ordinarily prepared to accommodate patients with infectious diseases. Inadequate physical protection for healthcare workers against infectious diseases has dire consequences for a community&#39;s ability to treat the sick and stem the spread of the disease, and therefore there is a strong need for an adequate solution to protect healthcare workers when patients are treated outside specialist hospital containment rooms, such a negative pressure rooms, or in circumstances where such negative pressure rooms are not effective in preventing the spread of a disease. 
     For example, healthcare workers treating a patient infected with the SARS-CoV-2 virus could be highly exposed to the virus either directly by a patient coughing/sneezing or indirectly by touching contaminated instruments, bedding or equipment, as the virus appears to be transmitted through droplets originating from the respiratory tract expelled from a patient through coughing, sneezing or breathing. A challenge with containing viral droplets expelled by humans is that the many droplets are large (&gt;10 micron), at least initially prior to evaporation, and cannot be effectively evacuated from the vicinity of a patient by mechanical means such as ventilation, and typical negative pressure rooms do not have the airflow speed to carry such large droplets. Furthermore, studies suggest that only a very small percentage of droplets expelled by a patient, which may potentially carry live virus, could be captured through a carefully designed ventilation system. Additionally, the common “whole of room” approach to negative pressure room ventilation carries significant risk of spreading a viral disease around the room in an unknown fashion, particularly in emergency situations where containment may be constantly disrupted by necessary adjustments in the number of hospital beds and equipment, or having many healthcare workers rushing around the room in an emergency. 
     Therefore, there exists a need for a solution that protects healthcare workers from viral droplets expelled by patients while minimising any interference or disruption to the workers&#39; ability provide adequate treatment and care for the affected patients. The solution should also be able to meet strict hospital-grade hygiene and cleaning standards and, ideally, not be exorbitantly expensive to produce. 
     The applicant has determined that it would be advantageous to provide an isolation unit that is portable and which, in its preferred embodiments, seeks to at least in part alleviate the above-identified problems or to offer the public with a useful choice. 
     SUMMARY OF THE INVENTION 
     According to an aspect of the present invention, there is provided a portable isolation unit for use with a bed or chair, comprising an enclosure portion configurable between a stowed state and a deployed state, in which the enclosure portion substantially shields over an end of the bed or chair; a ventilation unit configured for applying air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state; and a portable frame to which the enclosure portion and ventilation unit are mounted. 
     Preferably, the enclosure portion substantially shields over an end of the bed or chair so as to be positioned over at least a head portion of a user during use. 
     Preferably, the enclosure portion comprises a sheet cover held in place by one or more support members. 
     Preferably, the sheet cover is made from a transparent plastic material. 
     Preferably, the or each support member is a resilient rod configured in the form of an arch for supporting the sheet cover, and the rod extends substantially across a width of the enclosure portion. 
     Preferably, the enclosure portion comprises a plurality of complementary arched resilient rods spaced along the sheet cover, and wherein respective ends of the arched rods are conjoined or located proximate each other so as to create a foldable hood. 
     Preferably, fastening means are provided along the or each support member for coupling with the sheet cover. 
     Alternatively, the or each support member directly engages with the sheet cover. 
     Preferably, the sheet cover comprises a skirt portion, which is dimensioned to extend below a support member towards a surface of the bed or chair during use. Preferably, the skirt portion does not form an air-tight seal between the enclosure portion and the bed during use so that the air within the enclosure portion is breathable without activation of the ventilator unit. 
     Preferably, the portable frame is an upright frame having a portable base. 
     Preferably, the portable base comprises a set of caster wheels. 
     Alternatively, the portable frame is configured to be attachable to the bed or chair. 
     Preferably, the portable frame comprises an upright mounting frame for coupling with the enclosure portion. 
     Preferably, the mounting frame is configured so that its height is adjustable. 
     Preferably, a wall member is sealably coupled to the mounting frame so as to create a substantially sealed backing member for mounting the enclosure portion. 
     Preferably, the mounting frame and/or the wall member is provided with an opening for sealably receiving a conduit portion which is coupled to the ventilation unit during use. 
     Preferably, the opening is located at or proximate a part of the mounting frame and/or the wall member that is furthest from a head portion of a user during use. 
     Alternatively, the portable frame comprises a backing member for supporting the enclosure portion in the deployed state. 
     Preferably, the isolation unit further comprises clamping means mountable to the backing member for coupling the portable frame to the bed or chair. 
     Preferably, the clamping means comprises a bracket having one or more hooks configured to be slideably receivable by a frame of the bed or chair so as to secure the clamping means in position by friction fit. 
     Preferably, the bracket is configured to accommodate the width and thickness of a support mattress or cushion of the bed or chair when the mattress or cushion is inserted therethrough. 
     Preferably, the backing member is provided with an opening to which the ventilation unit or a conduit portion of which is mounted thereto. 
     Preferably, the opening is located at or proximate a part of the backing member that is furthest from a head portion of a user during use 
     Preferably, the ventilator comprises a fan unit and a filter unit, wherein the filter unit is configured to filter airflow entering or exiting the fan unit. 
     Preferably, the filter unit is a HEPA filter. 
     Preferably, the ventilation unit is configured to provide negative air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state. 
     Alternatively, the ventilation unit is configured to provide positive air pressure to an area beneath the enclosure portion when the enclosure portion is in the deployed state. 
     Preferably, the ventilation unit is provided with a portable power source, which is mountable to the portable frame. 
     According to another aspect of the present invention, there is provided a portable isolation unit kit comprising an enclosure portion, a ventilation unit and a portable frame as described previously. 
     According to a further aspect of the present invention, there is provided a method of deploying a portable pressurised chamber over a head portion of a user on a bed or chair, the method involves the steps of: providing a portable isolation unit according to any one of the preceding claims; locating the portable frame to or proximate a head end of the bed; adjusting the enclosure portion to the deployed state so that the enclosure portion substantially shields over the head portion of the user during use; and activating the ventilation unit to apply negative or positive air pressure to an area under the deployed enclosure portion. 
     Further aspects of the present invention and further embodiments of the aspects described in the preceding paragraphs will become apparent from the following description. 
     While components of the portable isolation unit will be described below for use in combination with each other in the preferred embodiments of the present invention, it is to be understood by a skilled person that some aspects of the present invention are equally suitable to be used interchangeably between one or more embodiments of the present invention and/or suitable for use as standalone inventions that can be individually incorporated into other isolation unit and systems not described herein. 
    
    
     
       DESCRIPTION OF THE DRAWINGS 
       The invention will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which: 
         FIG.  1    is a perspective exploded view of a portable isolation unit according to an embodiment of the present invention; 
         FIG.  2    is a perspective view showing an assemble unit of  FIG.  1    in a deployed state; 
         FIG.  3    is a perspective view showing an assembled unit of  FIG.  1    in an open state; 
         FIG.  4    shows a perspective schematic view of the assembled unit of  FIG.  1    in a deployed state located proximate an end of a bed; 
         FIG.  5    shows a front schematic view of the assembled unit and bed of  FIG.  4   ; 
         FIG.  6    is a schematic view of a cover portion of the isolation unit showing computational fluid dynamics (CFD) simulation results; 
         FIG.  7    shows a set of CFD simulation results of the cover portion of  FIG.  4    over time; 
         FIG.  8    shows a set of CFD simulated results of using the isolation unit in a negative pressure room; 
         FIG.  9    shows simulated trajectories of particle flowing inside the cover portion of the portable isolation unit; 
         FIG.  10    shows a set of smoke visualisation results for testing the ventilation effectiveness of an embodiment of the portable isolation unit over time; 
         FIG.  11    shows a perspective view from the side of a portable isolation unit according to another embodiment of the present invention mounted to a bed; 
         FIG.  12    shows a perspective view from the rear of the portable isolation unit of  FIG.  11   ; 
         FIG.  13    shows a front view of the portable isolation unit of  FIG.  11   ; 
         FIG.  14    shows a perspective view from the view of a portable isolation unit of  FIG.  11    in another mounting configuration; and 
         FIG.  15    shows a perspective view from the front of a portable isolation unit according to a further embodiment of the present invention; 
         FIG.  16    shows a rear perspective view of the portable isolation unit of  FIG.  15   ; 
         FIG.  17    is a side view of the portable isolation unit of  FIG.  15   ; 
         FIG.  18    is a partial exploded view of the portable isolation unit of  FIG.  15   ; and 
         FIG.  19    is an exploded view of the portable isolation unit of  FIG.  15   . 
     
    
    
     DETAILED DESCRIPTION 
       FIGS.  1  to  5    show a portable isolation unit  100  in accordance with a preferred embodiment of the present invention having an enclosure portion  200 , a ventilation assembly  300  and a portable frame unit  400 . The portable isolation unit  100  is designed to be easily transportable/portable and locatable proximate a head end of a bed  110  or chair for supporting/carrying patients (such as a hospital bed, ambulance stretcher paramedic stretcher or wheelchair) for providing a localised negative pressure environment over a head, and optionally torso, portions of a user during use. In other embodiments, the unit  100  may be configured to provide positive pressure to an area beneath the enclosure portion  200  during use. Preferred embodiments of the portable isolation unit  100  advantageously provide personalised shielding for patients with infectious diseases and allow healthcare workers to provide patients with ventilation treatments and on-going care with reduced risks of exposure to viral particles expelled by such patients. While the portable isolation unit  100  will be shown to be applicable for use with conventional hospital beds in the Figures, it is to be understood that it will be equally suitable for use with various other chairs or bedding platforms that are not described herein. 
     In the preferred embodiment, the enclosure portion  200  is in the form of a foldable hood that can be folded between a stowed position to minimise storage area and a deployed position, in which the hood can be fully or partially opened into a shell or pod shape to create a semi-enclosed area under the hood. In use, the enclosure portion  200  is deployed over an end of a bed or chair to substantially create a shield above and/or adjacent a user&#39;s head. The enclosure portion  200  comprises a sheet cover  210  and one or more support members  220  for holding the sheet cover  210  in place in the deployed state. In one embodiment, fastening means  225 , such as clips or hook and loop strips, are provided along the one or more support members  220  for coupling with the sheet cover  210 , while in other configurations, the one or more support members  220  directly engage with the sheet cover  210  to secure the cover  210  in place by, for example, stretching the cover  210  across the support member  220 . The sheet cover  210  is preferably of a clear, transparent material so as to allow full visibility between the user and healthcare workers in use which reduces any communication impediments created by the isolation unit  100 . The sheet cover  210  can be manufactured from any suitable material such as plastic, but glass may be used in other configurations. 
     In the foldable hood embodiment, the sheet cover  210  is supported by the support members  220  in the form of resilient rods  220  configured as support arches that stretch outwardly across a width of the sheet cover  210  so as to hold the cover  210  and the resilient rods  220  in place. The support arches are spaced relative to each other along the folding direction of sheet cover  210  to create a cascading or concertinaed hood. In the preferred embodiment, the respective ends of the resilient rods, which create the support arches, are conjoined or located proximate each other. It is to be understood that while the enclosure portion  200  has been described as a foldable hood in the preferred embodiment, other configurations are possible without departing from the spirit of the invention. For example, in some configurations, the foldable hood may be provided with only a single resilient rod member  220  to support the sheet cover  210  and the respective ends of the resilient rod  220  could be secured instead in a staggered fashion. Additionally, in one example, the enclosure portion  200  could comprise a preformed sheet cover  210  supported by elongate struts positioned at both sides of the cover  210 . 
     In the preferred embodiment, with reference to  FIGS.  4  and  5   , the sheet cover  210  further comprises a skirt portion  230  which is dimensioned to drape or overhang below a support member  220 , when the enclosure portion is in the deployed state, towards a surface of, and beside, the bed  110  during use. This skirt portion  230  helps substantially shield a head and torso portion of the user from the external environment and advantageously allows the enclosure portion  200  to be versatile in accommodating a wide range of users with different physical body dimensions in use. Importantly, while the skirt portion  230  substantially shields the user from the external environment, it does not form an air-tight seal with the bed  110  or chair during use so that the user who is enclosed beneath the enclosure portion  200  on the bed or chair could still breathe normally from surrounding ambient air (shown as arrows) passing through gaps formed between the skirt  230  and edge of the bed  110  or chair so that the user does not asphyxiate, even without activation of the ventilation system  300 . 
     Turning now to the portable frame  400 , which provides means for accommodating the enclosure portion  200  and the ventilator system  300 . In the preferred embodiment, the portable frame  400  is in the form of an upright frame having a portable base  410 , a height adjustable upright frame members  420 , a mounting frame  430  and backing wall  440  for mounting the enclosure portion  200  and brackets  450  for supporting the resilient rods  220  when the sheet cover  210  is in the deployed state. The portable base  410  is configured with a set of caster wheels; however, other suitable transportations means may also be used. The height adjustable upright frame members  420  are configured with mounting holes for easy adjustment of the height of the isolation unit  100  relative to a bed, though other adjustability means such as nested telescopic members, whether powered or manually adjusted, could also be used. The mounting frame  430  could be configured with a shape that is complementary to that of the sheet cover  210 , such as a semi-circular arched shape, for mounting the sheet cover  210 ; however, any other suitable shapes can also be used. The backing wall  440  is sealingly installed to the mounting frame  430  to provide a substantially sealed backing area to encase a back side of the enclosure portion  200  in the deployed state. In the preferred embodiment, the support brackets  450  are configured for coupling with respective ends of the resilient rods  220  and to retain the foldable hood in an open position in the deployed state. In one embodiment, the portable frame  400  is configured to be mountable attachable directly to the bed or chair with or without the use of the frame members  420 . 
     The portable frame is also provided with an opening or port  460  for sealably interfacing with a conduit portion  310  of the ventilator system  300 . In the preferred embodiment, the port  460  is defined by the mounting frame  430 , though in other configurations, the port  460  could also be defined by the backing wall  440 . In one configuration, the port  460  is located at an upper part of the portable frame so that, when in use, the port  460  is located furthest from a head portion of user to minimise interference of airflow and to improve the ability of the ventilation system  300  to draw air from the enclosed area. 
     The ventilation system  300  comprises a fan unit  320 , a filter unit  330 , which is configured to filter airflow entering or exiting the fan unit  320 , with the conduit portion  310  sealingly connecting the fan unit  320  and the port  460 . In one configuration, the fan unit  320  is an exhaust fan configured to extract air from the area under the enclosure portion  200  via the port  460 ; effectively creating a negative airflow pressure in the area to reduce any outward spread of particles containing viral droplets expelled by the user. The fan unit  320  and the filter unit  330  are preferably mounted to the portable frame  400  by coupling to a backing board  470 . In one configuration, the filter unit  330  associated with the fan unit  320  is a high-efficiency particulate air (HEPA) filter unit. In other configurations, airflow of the fan unit  320  is either reversible or configured so that the fan unit  320  generates airflow into the enclosure portion  200  from external surroundings, thereby providing a positive filtered air pressure environment beneath the enclosure portion  200 . In one embodiment, the ventilation system  300  is provided with a portable power source  560  in the form of a battery unit for powering the ventilation system  300  when the isolation unit  100  is moved away from mains power. 
     Another embodiment of the invention is illustrated in  FIGS.  15  to  19   , in which there is provided an isolation unit  100  with a ventilation system  300  that is more portable. In this embodiment, the enclosure  200  is configured substantially as described above, but the ventilation system  300  comprises a compact ventilation housing  340  mounted proximate the port  460  and the system housing  340  accommodates one or more fan units  320  mounted adjacent the filter unit  330 , which is located over the port  460 , and a portable power source  350  such as a battery for powering the filter unit  330 . 
     The portable isolation unit  100  as described herein may also be provided as a kit of parts. 
     In use, a portable pressurised chamber can be deployed over a head portion of a user on, for example, a hospital bed or a wheelchair by using the following method steps: providing a portable isolation unit  100  as described above; locating the portable frame  400  to or proximate a head end of the bed or chair; opening the enclosure portion  200  to the deployed state so that the enclosure portion substantially shields over the head portion of the user during use; and activating the fan unit  320  of the ventilation system  300  to apply negative or positive air pressure to an area under the deployed enclosure portion. 
     Embodiments of the portable isolation unit  100  as described herein advantageous mitigate the risk of exposure by healthcare workers to contaminated particles expelled by an infected patient by providing the following benefits:
         Providing a physical, transparent barrier around an infected patient;   Ensuring larger droplets from the nose and mouth of the patient are confined behind a protective barrier;   Capturing smaller droplets (aerosols) and expel through a filter system;   Not requiring to substantially alter the pressure, temperature or airflow of the treatment room, in the surrounding area external to the hood;   Allowing the patient to be provided with high-flow oxygen, CPAP or ventilator breathing support within the confines of the isolation environment;   Allowing continued interactions and interventions between healthcare workers and the patients with significantly reduced risk of infection for healthcare worker;   Being removable/movable in case of emergency procedures requiring uninhibited access to the patient;   Being easily and effectively cleaned; and   Using readily accessible components that are cost-effective to manufacture and to produce at scalable quantities.       

     Returning now to the half-dome shape design of the enclosure portion  200  of the preferred embodiment with reference to  FIG.  6   , extensive computational fluid dynamics (CFD) simulation have been conducted to demonstrate the effective of the design. Simulations demonstrate that large droplets (indicated by orange coloured dots) are caught by the enclosure portion  200  in the deployed state, while smaller droplets are extracted through the ventilation system  300  by the exhaust fan unit  320  via a port  460  located at an upper portion of the enclosed area.  FIG.  10    shows a complementary smoke visualisation test over time which demonstrates that smoke particles (analogous to smaller respiratory droplet particles) can be effectively cleared from the enclosed area by the ventilation system  300 . 
       FIG.  7    shows a set of CFD simulation results of the cover portion of  FIG.  4    over time. The simulation is conducted assuming the patient has been coughing for 5 seconds (from 20 s to 25 s). The patient&#39;s mouth is located at (x,y,z)=(0.3, 0, 0.3). This is indicated by the green sphere in the figure below. The diameter of the particles is assumed to have a mean of 100 micron and variance of 35 micron. The particles are assumed to have constant mean velocity of 11.2 m/s (typical velocity of someone coughing). Results at t=25.5 s, 26 s, 26.5 s and 27 s as shown. The droplets are coloured by their size. Red indicate larger particles and the smaller particles are coloured blue. This Figure shows that the larger particles have hit the walls of the pod after 0.5 s. The smaller particles (indicated by blue colour) takes longer to drop to the lower walls of the pod. 
       FIG.  8    shows a set of CFD simulated results of using the isolation unit in a negative pressure room. The simulations are conducted with two patients in two beds coughing. The diameter of the droplets is assumed to have a mean of 100 micron and variance of 35 micron. The particles are assumed to have constant mean velocity of 11.2 m/s (typical velocity of someone coughing). Results at t=65.2 s, 66.1 s, 67.1 s and 72.9 s are shown in the Figure. It can be seen that the droplets do not fall too far away from the patients. The width of the bed is 1 m so most of the droplets do not travel more than 0.3-0.4 m away from the patient&#39;s mouth. 
       FIG.  9    shows simulated trajectories of particle flowing inside the cover portion of the portable isolation unit by conducting simulations of the trajectory of the particles without any flow (ie. U=V=0). The following parameters were used. Density of air=1.225 kg/m{circumflex over ( )}3, density of droplet=997 kg/m{circumflex over ( )}3, droplet diameter has a mean 100 micron and standard deviation of 35 micron, kinematic viscosity or air=1.470e-5 m{circumflex over ( )}2/s. In  FIG.  7   , the simulated patient&#39;s mouth is located at x=y=0. The darker lines are trajectory of larger particles and the lighter lines are trajectory of the lighter particles. The simulations are conducted in is (physical time). It is clear that the lighter droplets fall closer to the patient and the larger particles fall further away. This simulation also shows that all droplets land within 0.6 metres of the patient&#39;s mouth. 
       FIGS.  11  to  14    show another preferred embodiment of the present invention in which the portable frame  500  is designed to be secured to a patient-carrying or -transferring apparatus, such as a hospital bed, an ambulance bed or a wheelchair, without requiring the isolation unit  100  to have separate wheeled frames. In this embodiment, the portable frame  500  comprises a complementarily shaped backing member  510  for coupling with the mounting frame or the support member  210  that is closest to the ventilation unit  300 , so as to provide structural support to the enclosure portion  200  in its deployed state and for mounting the isolation unit  100  to a frame portion of the bed or chair. In the preferred embodiment, the backing member  510 , has at one end, an arcuate portion that is shaped to match the arch of the mounting frame or the support member  210 , and, at an opposing end, clamping mounts  570  located proximate left and right side edges of the backing member  510  for receiving suitable clamping means  600  for coupling the support members  210  and for securing the portable frame  500  of the isolation unit  100  to the bed or chair. 
     In one embodiment, the clamping means  600  comprises an angle bracket  610 , to which one end of the one or more support members  210  of the enclosure portion  200  is secured, a frame bracket  620  dimensioned for receiving a support mattress or cushion of the bed or chair therethrough, and one or more hooks  630  configured to be slideably received by a frame portion  640  of the bed or chair so as to secure the clamping means  600  in position by friction fit. Using the clamping means  600  as described, the portable frame  500  may be mounted to the bed or chair in a number of configurations, depending on the orientation of a head frame portion of the bed or chair. The head frame portion  640  being the frame portion suitable for mounting that is located closest to a user&#39;s head. For example, the portable frame  500  may be mounted to a bed or chair with its head frame portion  640  orientated in a substantially upright position by inserting the frame bracket  620  over any mattress or cushion and sliding the hooks  630  over a frame portion  640  of the bed or chair until clamping means  600  is secured to the frame portion  640  by friction fit. The frame portion  640  of the bed or chair may be subsequently adjusted to alter an angle of the bed or chair to cater for user comfort. In such cases, orientation of the enclosure portion  200  of the isolation unit  100  mounted to the bed or chair would also move to accommodate the new position. Referring to  FIG.  14   , the portable frame  500  is oriented in a substantially horizontal position after the frame portion  640  of the bed is adjusted to allow the user to lie at a lower angle with respect to a horizontal plane. 
     While a friction-fit example has been provided for mounting the portable frame  500  to a frame portion  640  of a bed or chair, other mounting mechanisms such as a jaw-type clamp may also be suitable without departing from the spirit of the invention. 
     In the preferred embodiment, the backing member  510  is a transparent plate made from a plastic material, though other materials may also be suitable. The backing member  510  is provided with a port  520  for mounting a ventilation unit  530 . The ventilation unit  530  is substantially similar to the unit described earlier and capable of providing negative and/or positive air pressure to the area beneath the enclosed portion  200 , though in one embodiment a fan unit  540  and a filter unit  550  are mounted directly to the port  520  without the use of a separate conduit or air duct. In other embodiments, 
     In the description and drawings of this embodiment, same reference numerals are used as have been used in respect of the first embodiment, to denote and refer to corresponding features. 
     While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not by way of limitation. It will be apparent to a person skilled in the relevant art that various changes in form and detail can be made therein without departing from the spirit and scope of the invention. Thus, the present invention should not be limited by any of the above described exemplary embodiments. 
     Throughout this specification and the claims which follow, unless the context requires otherwise, the word “comprise”, and variations such as “comprises” and “comprising”, will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps. 
     REFERENCE NUMERALS 
     
         
           100  portable isolation unit 
           110  bed unit 
           200  enclosure portion 
           210  sheet cover 
           220  support member 
           225  fastening means 
           230  sheet portion 
           300  ventilation system 
           310  conduit 
           320  fan unit 
           330  filter unit 
           340  ventilation housing 
           350  portable power source 
           400  portable frame 
           410  base 
           420  upright frames 
           430  mounting frame 
           440  backing wall 
           450  support brackets 
           460  port 
           470  ventilation mounting board 
           500  portable frame 
           510  backing member 
           520  port 
           530  ventilation unit 
           532  ventilation housing 
           540  fan unit 
           550  filter unit 
           560  portable power source 
           570  clamping mount 
           600  clamping means 
           610  angle bracket 
           620  frame bracket 
           630  hook 
           640  frame portion of bed or chair