U.S. patent number 3,821,821 [Application Number 05/282,177] was granted by the patent office on 1974-07-02 for electrically operable hospital bed.
This patent grant is currently assigned to Hill-Rom Company, Inc.. Invention is credited to James S. Adams, Francis J. Burst, Daniel R. Tekulve.
United States Patent |
3,821,821 |
Burst , et al. |
July 2, 1974 |
ELECTRICALLY OPERABLE HOSPITAL BED
Abstract
An electrically operable hospital bed having a stationary frame,
a relatively movable frame supported on the stationary frame and an
articulated mattress support frame secured to the movable frame.
The mattress support frame is positionable in a plurality of body
supporting positions including elevation of the head end and
elevation of the thigh section. Movement of the head end section to
inclined body supporting positions causes simultaneous movement of
the movable frame and mattress supporting frame toward the head end
of the bed. The stationary frame is supported upon the floor by
telescoping legs operable through cable mechanism to adjust bed
height. A Trendelenburg mechanism is provided to selectively
restrain cables associated with head end or foot end legs to
accomplish Trendelenburg and reverse Trendelenburg positioning of
the bed. An automatic knee-break mechanism selectively provides
automatic elevation of the thigh section of the mattress support
frame upon elevation of the head section. Selectively activated
camming means coact between the stationary frame and the thigh
section to provide automatic thigh elevation.
Inventors: |
Burst; Francis J. (Batesville,
IN), Tekulve; Daniel R. (Oldenburg, IN), Adams; James
S. (Batesville, IN) |
Assignee: |
Hill-Rom Company, Inc.
(Batesville, IN)
|
Family
ID: |
23080399 |
Appl.
No.: |
05/282,177 |
Filed: |
August 21, 1972 |
Current U.S.
Class: |
5/616 |
Current CPC
Class: |
A61G
7/002 (20130101); A61G 7/015 (20130101) |
Current International
Class: |
A61G
7/002 (20060101); A61G 7/015 (20060101); A61g
007/10 (); A47c 003/32 () |
Field of
Search: |
;5/63,69 ;200/5 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Nunberg; Casmir A.
Claims
What is claimed is:
1. In an electrically operable hospital bed having a stationary
frame supporting said bed upon the floor, a relatively movable
frame supported by said stationary frame and movable with respect
thereto, an articulated mattress support frame secured to said
movable frame for movement therewith including a thigh portion
pivotal between a plurality of thigh supporting positions, the
improvement comprising camming means operatively associated with
said thigh section and secured to one of said stationary and
movable frames and positionable to engage the other thereof, said
camming means being responsive to the relative movement between
said movable and stationary frames to effect positioning of said
thigh section when in said position to engage said one of said
stationary and movable frames.
2. The improvement as claimed in claim 1 wherein said thigh section
includes a crank arm connected thereto adapted to receive lifting
forces from said camming means and said camming means includes a
cam plate pivotally supported upon said movable frame for movement
into contact with said crank arm to effect positioning of said
thigh section, and means on said stationary frame operatively
associated with said cam plate for moving said cam plate into
operative association with said crank arm during movement of said
movable frame.
3. The improvement as claimed in claim 2 wherein said stationary
frame includes a generally horizontally disposed channel having a
planar upper surface and closed end facing said camming means, and
wherein said cam plate includes a roller adapted to contact said
closed end and planar upper surface of said channel to pivot said
cam plate into contact with said crank arm during movement of said
movable frame.
4. The improvement as claimed in claim 1 wherein said bed includes
control means carried by said movable frame to selectively activate
and deactivate said camming means, said control means including an
operator plate pivotally supported upon said movable frame in
operative association with said cam plate and including a tab
engageable by said cam plate, said operator plate being
positionable to move said tab between a first and second position
and biasing means urging said cam plate toward engagement with said
tab, said cam plate being positioned by said operator plate when
said operator plate is in said first position such that no
engagement occurs between said roller and channel upon movement of
said movable frame and said cam plate being positioned for
engagement of said roller with said channel when said operator
plate is in said second position.
5. The improvement as claimed in claim 4 wherein biasing means
connected to said operator plate urge said plate toward said tab
with said cam plate, and said control means include means for
pivoting said operator plate between said first and second
positions, said biasing means allows said pivotal movement
regardless of the position of said cam plate.
6. In an electrically operable hospital bed having a frame, pairs
of legs at the head end and foot end of said frame supporting said
frame upon the floor, said legs being telescopable with respect to
said frame to adjust the height of said frame above the floor,
cable pairs carried by said frame connected respectively to said
telescopable legs at the head end and foot end of said frame, the
effective length of said calbes being adjustable to vary bed
height, and electrically operable means connected to said cable
pairs for varying said cable length, the improvement comprising
Trendelenburg positioning means mounted on said frame in operative
association with said cable pairs, said means being selectively
operable to secure selected ones of said pairs of said cables to
fix the effective length thereof and render said length varying
means inoperative with respect thereto.
7. The improvement as claimed in claim 6 wherein said Trendelenburg
positioning means includes a hook member mounted on said frame and
movable between neutral, Trendelenburg and reverse Trendelenburg
positions, said cable pairs each include a receptacle plate
connected to their free ends for movement of said hook member into
said Trendelenburg position causing engagement of said hook with
said receptacle connected to the cable pairs connected to the legs
at the foot end of the frame and movement of said hook into said
reverse Trendelenburg position causes engagement of said hook with
said receptacle connected to said cable pairs connected to said
legs at said head end of said frame.
8. The improvement as claimed in claim 7 wherein said cable length
varying means includes a screw type actuator having a drive nut
movable longitudinally of the bed, said drive nut includes a
plurality of apertures each slidably receiving one of said cables,
said cables passing through said apertures and being connected to
said receptacles, said receptacles adapted for abutting engagement
with said nut, positioning of said mechanism in said neutral
position allowing said receptacles to remain in said abutting
contact during operation of said drive screw, positioning of said
mechanism in said Trendelenburg position causing said cable pair
connected to said foot end legs to remain fixed and said nut to
move with respect to said cables, and positioning of said mechanism
in said reverse Trendelenburg position causing said cable pair
connected to said head end legs to remain fixed and said nut to
move with respect thereto.
9. The improvement as claimed in claim 8 wherein said hook includes
a plurality of notches and said electrically operable means
includes actuator means including a shaft pivotally movable to
effect actuation of said drive screw, said shaft including an
outwardly extending web position for pivotal movement into said
notches when said hook is in said neutral, Trendelenburg or reverse
Trendelenburg position, said web engaging said hook to prevent
pivotal movement of said shaft when said hook is in any
intermediate position.
10. The improvement as claimed in claim 8 wherein said hook
includes a plurality of notches, and said electrically operable
means for operation of said drive screw includes a shaft pivotally
movable to effect operation including a web extending
therefrom.
11. A patient control actuator for an electrically operable
hospital bed comprising, a member having a pivotal mounting upon a
hospital bed, said member having a central hub coincident with said
pivotal mounting and having a pair of divergent, outwardly directed
actuator wings extending from said hub for receiving pivotal force
to pivot said member about said pivotal mounting between a neutral
position, a first operative position by pivoting in a first
direction from said neutral position and a second operative
position by pivoting in a second direction from said neutral
position.
12. A patient control actuator as claimed in claim 11 wherein said
member is biased to said neutral position.
13. In an electrically operable hospital bed as claimed in claim 1
wherein said hospital bed further includes a pair of legs at the
head end and foot end of said frame supporting said bed upon the
floor, said legs being telescopable with respect to said frame to
adjust the height of said frame above the floor, cable pairs
carried by said frame and connected respectively to said
telescopable legs at the head end and foot end of said frame, the
effective length of said cable pairs being adjustable to vary bed
height and electrically operable means connected to said cable
pairs for varying said cable length, the improvement comprising
Trendelenburg positioning means mounted on said frame in operative
association with said cable pairs, said means being selectively
operable to secure selective ones of said pairs of said cables to
fix the effective length thereof and render said length varying
means inoperative with respect thereto.
Description
BACKGROUND OF THE INVENTION
This invention relates generally to an electrically operable
hospital bed. More particularly, it relates to an electrically
operable hospital bed having improved knee contour and
Trendelenburg positioning mechanisms.
The present invention is an improved form of electrically operable
hospital bed of the type generally shown and described in U.S. Pat.
No. 3,237,212, issued March 1, 1966, entitled "Retractable Bed;"
U.S. Pat. No. 3,198,891, issued Aug. 3, 1965, entitled "Mechanism
for Controlling the Power Unit of an Electric Hospital Bed;" U.S.
Pat. No. 3,492,679, issued Feb. 3, 1970, entitled "Trendelenburg
Control Mechanism," and U.S. Pat. No. 3,633,225, issued Jan. 11,
1972, entitled "Double Insulated Electric Hospital Bed." The
disclosure contained in each of the above-mentioned patents is
specifically incorporated by reference to this application.
The bed shown and described in the aforementioned U.S. Pat. No.
3,237,212 represents an important advance in hospital room patient
care facilities. The bed includes mechanism for raising the head
end of the mattress frame from the horizontal to a plurality of
elevated body supporting positions. As the head section is
elevated, the entire mattress supporting frame simultaneously moves
toward the head end of the bed. In this way, the patient remains in
a fixed relationship to auxiliary patient care facilities located
adjacent the bed such as the bedside cabinet.
The bed disclosed in U.S. Pat. No. 3,237,212 further includes means
for selectively providing automatic elevation of the knee section
of the mattress frame as the head section is elevated. In this way,
the patient is supported from longitudinal movement toward the foot
end of the bed as the head end is elevated. The bed also includes
high-low mechanism to vary the position of the mattress frame above
the floor. This provides improved versatility in patient ingress
and egress and allows for compatibility of the bed height with
patient carrying stretchers and other hospital equipment.
The control mechanism illustrated in U.S. Pat. No. 3,198,891
provides the means for actuation of the electrically operable
mechanisms of the bed. A reversible electric motor is selectively
engageable with one or the other of a pair of screw type actuators
supported upon the lower or stationary frame of the bed. One of the
actuators is connected to the high-low mechanism to position the
bed height with respect to the floor. The other operates
appropriate mechanism to raise and lower the head section of the
mattress frame.
The Trendelenburg control mechanism disclosed in U.S. Pat. No.
3,492,679 is an improved mechanism for lowering the head end of the
mattress frame below the horizontal to provide a modified
Trendelenburg position.
U.S. Pat. No. 3,633,225 relates to an improved arrangement for
supporting the electrical equipment of the bed upon the bed frame.
The invention of this patent provides significant advantages in
relation to patient safety. The entire electrical system of the bed
is isolated from the bed itself providing a double barrier against
dangerous electrical breakdown.
The present invention comprises a further improvement in an
electrically operable hospital bed of the type disclosed in the
aforementioned patents. It includes improved mechanism for
effecting knee lift of the mattress frame as the head end is
elevated and it includes improved means for effecting Trendelenburg
and reverse Trendelenburg positioning of the mattress frame. These
improved mechanisms included improved actuator controls and allow
improved control location immediately adjacent the bed operation
control levers. These features simplify bed operation to the
advantage of the hospital staff. The result is improved patient
care services and patient comfort.
SUMMARY OF THE INVENTION
The principal object of the present invention is to provide an
improved form of electrically operable hospital bed. The
improvements contemplated by the present invention include improved
knee-break and Trendelenburg positioning mechanism.
The mechanism for automatic raising of the thigh section of the
mattress supporting frame upon elevation of the bed section
includes a selectively activated camming means which imparts
lifting forces to a lifting arm as the mattress frame moves toward
the head end of the bed during head elevation.
The improved means for selective positioning of the bed in the
Trendelenburg and reverse Trendelenburg positions operates in
cooperation with the high-low mechanism which raises and lowers the
entire bed upon telescoping legs. A latch is provided to engage
lift cables associated with either leg at the head end or foot end
of the bed. The latch is operable only when the bed is in the fully
elevated position. Operation of the drive screw to lower the bed
causes only the unlatched cables to be effective in lowering the
bed, thus providing the desired Trendelenburg or reverse
Trendelenburg position.
The operating controls of the bed of the present invention are
greatly simplified as a result of incorporation of these new
mechanisms in the bed design. Operating handles to provide
Trendelenburg positioning or knee-break contour are positioned
immediately adjacent the side mounted control handles which operate
the normal bed functions.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of an electrically operable hospital
bed incorporating the features of the present invention.
FIG. 2 is a partially broken away top view of the electrically
operable hospital bed of FIG. 1.
FIG. 3 is a side elevational view, partially in section, of the
electrically operable hospital bed of FIG. 1.
FIG. 4 is a sectional view of the electrically operable hospital
bed of FIG. 1 taken generally along the line 4--4 of FIG. 2.
FIGS. 5 through 8 are fragmentary sectional views of the
electrically operable hospital bed of FIG. 1 taken generally along
the line 5--5 of FIG. 2, and illustrating the knee-break mechanism
of the present invention in various positions of operation.
FIGS. 9 through 11 are fragmentary sectional views of a portion of
the electrically operable hospital bed of FIG. 1 taken generally
along the line 9--9 of FIG. 2, illustrating the improved
Trendelenburg mechanism of the present invention.
FIG. 12 is a sectional view on a slightly enlarged scale of a
portion of the electrically operable hospital bed of FIG. 1,
illustrating the internal construction of the supporting legs at
the head end of the bed.
FIG. 13 is a sectional view on a slightly enlarged scale of a
portion of the electrically operable hospital bed of FIG. 1,
illustrating the internal construction of the supporting legs at
the foot end of the bed.
FIG. 14 is a schematic on a reduced scale illustrating portions of
the high-low operating mechanism.
FIG. 15 is a perspective on a slightly enlarged scale of a portion
of the electrically operable hospital bed illustrated in FIG.
1.
DETAILED DESCRIPTION
Referring now to the drawings, there is illustrated an electrically
operable hospital bed generally designated 10 embodying the
principles of the present invention.
The bed 10 includes a high-low or stationary frame 12, an
intermediate or longitudinally movable frame 14 and an articulated
mattress supporting frame 16 fixed to the intermediate frame.
The stationary frame 12 includes side rails 18 connected at their
head and foot end by cross members 20. Each of the side rails 18
include a roller 21 rotatably supported internally of the rails and
extending upwardly through an appropriate aperture. These rollers
provide support for the movable frame 14. Brackets 15 secured to
each side rail overlie the intermediate frame 14 in sliding
cooperation. These brackets maintain the frames in alginment and
prevent separation of the frames.
The cross members 20 are connected to vertical leg posts 22. These
posts are hollow and telescopically support legs 24 which support
the bed 10 upon the floor. Operation of the high-low mechanism
causes the leg posts 22 to move with respect to the legs 24 to
change the bed height with respect to the floor. The legs 24 at the
head end of the bed shown in FIG. 12 include a single shaft which
telescopes within the post 22. The legs at the foot end shown in
FIG. 13 include two sections telescoped within each other. Low
friction pads 23 are provided to guide the legs within the
posts.
A power and control unit 26 of the type disclosed in aforementioned
U.S. Pat. No. 3,198,981 is mounted upon the lower frame of the bed
10. It is supported in the manner disclosed in U.S. Pat. No.
3,633,225 to provide additional safety from electrical hazard.
The control unit includes a reversible electric motor 28, and a
control mechanism 32. The unit is operatively associated with a
pair of drive screws 34 and 36 rotatably supported upon the
stationary frame 12. One of the drive screws 34 is operative to
effect simultaneous elevation of the head portion of the mattress
support frame 16 and retraction of the seat portion of the mattress
support frame toward the head end of the bed.
The drive screw 36 is effective to alter the bed height with
respect to the floor. The mechanism which accomplishes this
movement is disclosed in the aforementioned U.S. Pat. No.
3,271,795. It includes horizontally supported pulleys 37 mounted
upon the stationary frame 12 adjacent the head and foot end and
vertically supported pulleys 39 associated with each leg post 22.
Flexible cables 41 are connected to the operating nut of the drive
screw 36. These cables extend about the pulleys 37 at the head end
of the bed, and the pulleys 39 associated with the head end hollow
posts and are connected to the top of the head end legs 24, as
illustrated in FIG. 12. Flexible cables 43 extend about pulleys 37
at the head end of the bed and then along the entire length of the
stationary frame 12 and around pulleys 37 and 39 at the foot end of
frame 14. The ends of cables 43 are connected to the tops of legs
24 at the foot end as illustrated in FIG. 13. This cable
arrangement is illustrated schematically in FIG. 14.
Operation of drive screw 36 in one direction of rotation causes the
operating nut to move toward the head end of the bed. This causes
the effective cable length to increase and lower the bed with
respect to the legs 24. Operation in the opposite direction causes
the nut to move toward the foot end of the bed and decrease the
effective cable length. This causes the stationary frame 12 to
elevate upon the legs 24.
As best seen in FIGS. 2 and 5 through 8, the lower frame 12
additionally includes a channel 38 extending longitudinally of the
bed from approximately the midpoint of the lower frame toward the
head end. This channel includes closed end 40 at the lower end
opposite the head end of the bed. The channel further defines a
planar upper surface 42. This latter surface and the closed end 40
comprise actuator surfaces which coact with the knee-break
mechanism of the present invention, as will be explained in further
detail.
The intermediate or longitudinally movable frame 14 includes
longitudinal side rails 44 connected by transverse channels 46 at
the head and foot end. The side rails each included roller 48
rotatably mounted within the side rail and extending through
appropriate apertures in the bottom of the rail. These rollers are
in rolling supporting contact with the upper surfaces of the side
rails 18 of the stationary frame to allow relative longitudinal
movement. Brackets 50 secured to the side rails 44 extend
downwardly in overlying relation to the inner and bottom surface of
the side rails 18. These brackets include low friction pads in
sliding contact with the side rails 18 of the stationary frame 12
to guide the moveable frame and prevent transverse movement or
separation of the frames.
The mattress supporting frame 16 includes a seat portion 52, a head
section 54, a thigh section 56, and a leg or foot section 58.
The seat portion is secured to the intermediate or movable frame
for movement longitudinally of the bed by a pair of structural webs
59. The webs extend transversely outwardly of the frames 12 and 14
and terminate a pair of control panels 60 disposed on opposite
sides of the bed.
The operator controls of the bed 10 are best illustrated in FIGS.
1, 2 and 3. The controls are accessible on either side of the bed
10 at the control panels 60 of the seat section 52.
Two controls, the head elevation and high-low controls designated
100 and 102, are disposed for patient use. Two others, the
automatic knee-break selector 104 and the Trendelenburg position
selector 106, are disposed immediately adjacent the patient
control, but are disposed out of normal patient reach. Thus, all
control functions may be performed at convenient bedside location,
yet patient safety is assured through strategic positioning of
certain of the levers out of normal patient reach.
The high-low control 102 takes the form of a knob exposed at each
of the panels 60. The knobs are connected to a transverse actuator
shaft 108 pivotally supported upon the movable frame 14. The shaft
108 is in turn connected through a bell crank and linkage to a
longitudinal actuator shaft 110 pivotally supported upon the
stationary frame 12. Shaft 110 is of square, cross-section, and the
bell crank and linkage arrangement is slidably supported upon the
shaft. This is necessary to accomplish transfer of motion through
the bell crank and accommodate relative movement between the
transverse shaft 108 and longitudinal shaft 110 during relative
movement between the stationary and movable frames 12 and 14.
The square shaft 110, best seen in FIG. 15, is connected to the
control mechanism through another linkage which actuates the
reversing switches and clutch associated with the high-low drive
screw 36.
The head elevation control 100 is a wing pivotally supported at its
center. It is pivotal downwardly in one direction to elevate the
head end and downwardly in the opposite direction to lower the head
end. The control is biased to a central neutral position. This
arrangement provides a simplified procedure for bed operation and
has been found to be readily understood and easily utilized by the
patient and hospital staff.
The head elevation wings 102 are operatively connected to a
transverse actuator shaft 112 pivotally supported upon the movable
frame 14. This shaft is connected through a bell crank and linkage
to a longitudinal actuator shaft 114 pivotally supported upon the
stationary frame 12. As in the high-low control, the longitudinal
shaft 114 is of square, cross-section and the bell crank is
slidable upon the shaft to accommodate relative movement between
frames 12 and 14.
A bell crank and linkage are connected between the square actuator
shaft 114 and the control unit 32 to operate the reversing switches
and clutch associated with drive screw 34.
A Trendelenburg selector lever 106 extends downwardly of the web 59
of the seat section 52 at each side of the bed adjacent the control
panel 60. The levers are an integral part of a transverse actuator
shaft 116 pivotally supported upon frame 14.
The levers 106 are recessed from the outer edge of the bed to avoid
accidental actuation or normal use by the patient.
The lever may be moved between a control neutral position which
provides normal bed operation or a Trendelenburg and reverse
Trendelenburg position to provide selected inclination of the
entire bed toward the head end or foot end of the bed.
The transverse actuator shaft 116 is connected to a longitudinal
actuator shaft 118 pivotally supported on frame 12 through a bell
crank and linkage which is slidable upon shaft 118. As in the case
of the high-low and head elevation mechanism, this slidable
connection is necessary to accommodate relative movement between
the movable and stationary frames. The shaft 118 is in turn
connected to the Trendelenburg mechanism through an operating
linkage 120 shown in FIGS. 9 through 11.
The automatic knee-break selector 104 comprises a lever extending
outwardly of the webs 59 of the seat section 52 at each side of the
bed. These levers are disposed at the side of the seat section 52
facing the foot end of the bed, and are recessed from the outer
edge of the bed for patient safety. The levers 104 are movable
between a position in which the knee-break mechanism is activated
for operation and a position in which the knee-break mechanism is
deactivated and no knee-break occurs.
The levers 104 are an extension of transverse shaft 122 pivotally
supported upon the movable frame 14. As best seen in FIGS. 5
through 8, the transverse shaft 122 is provided with a lever arm
124 extending generally perpendicularly of the shaft. The lever arm
includes a roller 126 rotatably supported at its free end which is
operatively associated with the knee-break mechanism of the present
invention.
Referring again to the mattress support frame 16, head section 54
is pivotally attached to the seat portion 52 at the control panels
60. The head portion includes a transverse bar 62 which supports
the head section in a horizontal position upon the intermediate
frame 14. A modified Trendelenburg positioning mechanism 63
provided upon the intermediate frame coacts with the bar 62. It
allows movement of the head section 54 below the horizontal when
desired. This mechanism is described in aforementioned U.S. Pat.
No. 3,492,679.
The head section 54 further includes a transverse elevation tube 64
extending downwardly of the section 54. It includes a depending
crank arm 66. The crank arm 66 is pivotally connected to the nut of
the screw actuator 34. Movement of the nut longitudinally of the
bed effects pivotal movement of the head section 54 between the
horizontal and inclined body supporting positions.
Links 68 are pivotally connected to the bed section 54 and to the
side rail 44 of the intermediate frame 14. Elevation of the head
section 54 causes the link to pivot about the connection and draw
the intermediate frame longitudinally of the stationaty frame 12
toward the head end of the bed. The patient experiences a constant
positioning with respect to auxiliary equipment located adjacent
the bed, regardless of the degree of head section elevation.
Similarly, as the screw 34 is operated to lower the head section
toward horizontal, the links 68 cause the entire intermediate frame
and mattress frame to move longitudinally toward the foot end of
the bed.
The thigh section 56 is pivotally connected to the seat section
webs at the control panel 60. It includes a transverse elevation
tube 70 which extends downwardly toward the movable frame 14. A
depending crank arm 72 is secured to the tube 70. The lowermost end
of the crank arm 72 is provided with a roller 74 which forms a
portion of the knee-break mechanism of the present invention, as
will be explained in further detail shortly.
The crank arm 72 and transverse elevation tube 70 comprise a lever
for elevation of the thigh section of the mattress frame 14. When
desired, elevation of the thigh section is accomplished
automatically during elevation of the head section 54 by the
knee-break mechanism of the present invention, as will be
explained.
The thigh section may also be elevated normally regardless of the
position of the head section when such positioning is necessary for
patient comfort or treatment. This is accomplished through the
manual crank 76 provided at the foot end of the bed. The crank 76
is connected to a screw type actuator 78 supported upon the movable
frame 14.
The operating nut of the actuator 78 is operatively connected to
the crank arm 72 by pivotally connected link 80 shown in FIGS. 2
and 5 through 7. As the operating nut is drawn toward the foot end
of the bed by rotation of the manual crank 76, the links 80 pull
upon the crank arm 72 causing pivotal movement of the thigh section
about its connection to the seat portion 52. The links 80 include
lost motion slots 82 at the connection to the crank arm 72 to allow
operation of the thigh section by the actuator knee-break mechanism
without interference by the manual crank 76.
The foot or leg section 58 is pivotally connected to the thigh
section 56 as at 84. The free end of the foot section 58 adjacent
the foot end of the bed is supported upon two depending links 86
pivotally connected to the foot section. The links 86 include free
ends provided with a plurality of notches 88. These notches are
adapted for engagement with brackets 90 provided upon the
intermediate frame 14.
The elevation of the foot section of the frame 16 may be varied
manually by positioning different notches in engagement with the
brackets 90. In addition, as the thigh section 56 of the mattress
frame is elevated, the links 86 pivot upon the brackets 90 to
effect elevation of the foot position. To further elevate the foot
section, the links are moved to engage notches nearer the free ends
of the links with the brackets. To lower the foot section, the
notches 88 furthest from the free ends of the links are engaged
with the brackets 90.
Support bars 91 extending transversely of the thigh section 56 and
foot section 58 normally support these sections in the horizontal
body supporting position. These bars normally rest upon a cover
member (not shown) which overlies the power and control unit
26.
In accordance with the present invention, the bed 10 includes an
automatic knee-break mechanism generally designated 150, best seen
in FIGS. 5 through 8. The mechanism may be activated to provide
automatic elevation of thigh section 56 as the head section 54 is
inclined, or it may be deactivated to exclude the function.
Selection is made through positioning of the selector 104. When the
selector is in the position illustrated in FIG. 5, no thigh
elevation takes place. When positioned as in FIGS. 6 through 8, the
mechanism is activated to accomplish knee-lift.
The automatic knee-break mechanism includes two plates pivotally
supported upon the movable frame 14. These plates comprise an
operator plate 152 and a cam plate 154 pivotally connected to the
frame 14 upon a common shaft 155.
The operator plate 152 is biased toward the head end of the bed by
spring 149 connected between the plate and shaft 108. The plate
defines a notch 156 which receives the roller 126 mounted on the
lever arm 124. The spring bias maintains operative contact between
the roller 124 and notch 156.
The notch 156 defines an activated position 157 and a deactivated
position 158. Movement of the roller 126 between these two
positions by movement of lever 104 changes the angular position of
the operator plate as illustrated in the drawings. the plate 152
further includes a tab 159 which extens transversely outwardly of
the plate in spaced relation to the shaft 155. The position of this
tab controls operation of the cam plate 154 as will be
explained.
The cam plate 154 is spring biased toward the head end of the bed
by spring 160 extending between the plate 154 and web 59. The plate
defines a stop 162 adapted to engage tab 159 of operator plate 152
to prevent rotation of the plate 154 about the common shaft 155. It
further defines a cam surface 164 adapted for coaction with roller
74 mounted on crank arm 72 of the thigh section 56 to accomplish
thigh section elevation.
The cam plate 154 is provided with a roller 166 adapted for
coaction with channel 38 mounted on stationary frame 12 to render
cam surface 164 effective to elevate the thigh section 56 when
lever 104 is in the activated position. In FIG. 5, the automatic
knee-break mechanism 150 is illustrated in the deactivated
position. That is, inclination of the head section 54 of the
mattress supporting frame 16 and retraction of the seat section 52
toward the head end of the bed will produce no automatic knee
elevation. As explained, however, knee elevation may be provided
manually through operation of crank 76.
In the position illustrated in FIG. 5, selector lever 104 is
positioned such that roller 126 on arm 124 is disposed in the
deactivated position 158 of notch 156. In this position, the plate
152 is urged against the bias of spring 149 to a position where tab
159 is rotated to a predetermined inclined angle toward the foot
end of the bed.
Biasing spring 160 causes the cam plate 154 to rotate about shaft
155 until stop 162 engages tab 159. Tab 159, therefore, determines
the positioning of cam plate 154 when the plate is under control of
biasing spring 160.
In the position described, the cam plate is urged to a position
against tab 159 where roller 166 is disposed above channel 38. As
the head section 52 of the mattress support frame 16 is elevated,
the knee-break mechanism 150 passes over the channel 38 due to
relative movement between frame 12 and 14. No contact is made
between roller 166 and channel 38 and no knee elevation occurs.
To provide automatic knee-break or thigh elevation, selector lever
104 is moved to the position illustrated in FIGS. 6 through 8.
During this movement, biasing spring 149 allows the actuator plate
152 to rotate about shaft 155 while allowing notch 156 and roller
126 to remain in operative contact. This movement continues until
roller 126 becomes disposed in the activated position 158 of the
notch 156. The resultant angular change of position places tab 159
in a nearly vertical position.
Rotational movement of the operator plate 152 is transferred to the
cam plate through the contact between tab 159 and stop 162. This
movement rotates the cam plate 154 against the bias of spring 160
to a position where the roller 166 becomes disposed below the
surface 42 of channel 40.
Elevation of head section 54 of the mattress support frame 16
causes movement of the intermediate frame 14 toward the head end of
the bed. This movement causes engagement of roller 166 with closed
end 40 of channel 38 mounted on the stationary frame 12 as best
seen in FIG. 6.
As the elevation of head section 54 continues, frame 14 continues
to move toward the head end of the bed. The coaction between roller
166 and closed end causes cam plate 154 to rotate against the bias
of the spring 160. This movement, in turn, causes stop 162 to
separate from tab 159 and causes cam surface 164 to move into
contact with roller 74 mounted on crank arm 72. Continued operation
of the head elevation mechanism causes further camming of cam plate
154 in a direction toward roller 74. As shown in FIG. 7, the
coaction between cam surface 164 and roller 74 applies a lifting
force to crank arm 72 and causes thigh section 56 to pivot about
its connection to the seat section.
This lifting movement continues as the frame 14 moves toward the
head end of the bed and continued rotation of cam plate 154
occurs.
When the bed mechanism has reached the position illustrated in FIG.
8, maximum thigh elevation is provided. Roller 166 is in engagement
with the upper surface 42 of channel 38. The cam plate 154 has been
pivoted about the shaft 155 to a maximum separation between stop
162 and tab 159. Thigh section 56 is now elevated to the maximum
position.
Further elevation of the head end of the bed and consequent
relative movement of the frame 14 with respect to stationary frame
12, does not change the angular position of cam plate 154. This is
true since roller 166 is progressing along the horizontal surface
42. Thus, the position of cam surface 164 remains constant and no
further elevation of the thigh section 56 occurs.
It has been determined that a desirable maximum thigh section
elevation provided by the automatic knee-lift mechanism is
15.degree. from horizontal. The camming surfaces are sized and
positioned such that this maximum is achieved when the head section
has reached an elevation of 35.degree.. Thereafter, as the head
section is elevated to its maximum position, no further thigh
section elevation occurs. These positions are not critical to the
present invention and are only considered as desirable for patient
comfort.
Should further thigh section elevation be required, the crank arm
72 may be operated through links 80 by the manual crank 76.
Depending upon the position of the drive screw operating nut,
operation of the crank 76 will first take up any lost motion
provided by slots 82. Thereafter, the links 80 will pull the crank
72 in a direction to separate roller 74 from cam surface 164 and
further elevate the thigh section.
One important feature of the automatic knee-break mechanism 150 of
the present invention is that the selector lever 104 may be moved
between the activated and deactivated position at any time. When
the head section 54 is horizontal, as in FIG. 5, the roller 166 is
spaced from channel 38. Therefore, movement of the lever 104 to the
activated position rotates the cam plate 154 to the operative
position.
When in the operative position and the head section 54 is elevated
even slightly, the position of the cam plate 154 is determined by
the contact between the roller 166 and the surface 40 or 42. Tab
159 and stop 162 are not in contact. Movement of the lever 104 to
the deactivated position merely rotates tab 159 in a direction to
increase the space between the tabs and stop 162 without disturbing
the position of cam plate 152. Upon movement of the head section 54
to the horizontal position, the cam plate will be urged into
contact with the tab 159 by the biasing spring 160. The cam plate
will, therefore, assume the deactivated position illustrated in
FIG. 5. Upon subsequent elevation of the head section 54, the thigh
section 56 will remain in the horizontal position.
Another important feature of the bed of the present invention is
the Trendelenburg and reverse Trendelenburg positioning mechanism.
The mechanism generally designated 200 operates in cooperation with
the high-low mechanisms which provides for adjustment of bed
height.
The mechanism 200 is selectively operable, utilizing selector lever
106. It is effective to provide inclination of the entire bed 10,
including stationary frame 12, movable frame 14 and mattress
supporting frame 16 in either a head end down (Trendelenburg) or a
foot end down (reverse Trendelenburg) position.
The Trendelenburg mechanism 200, best seen in FIGS. 3 and 9 through
11, includes a Trendelenburg hook member 202 pivotally supported
upon the stationary frame 12 and a pair of hook receptacles 204 and
206 associated, respectively, with the head end leg cables 41 and
foot end leg cables 43.
The hook member 202 is supported upon the stationary frame 12 in
surrounding relation to drive screw 36 of the high-low operating
mechanism by a bracket 212. The bracket is generally U shaped with
one leg of the "U" disposed on either side of the drive screw. Two
horizontal cross pins 201 are connected between the legs of the
U-shaped bracket 212 in general vertical alignment, one above drive
screw 36 and one below.
Similarly, and as best seen in FIG. 2, the hook member 202 is also
formed of a channel or U-shaped member. The hook member is disposed
with one leg of the "U" located on either side of drive screw 36.
Each leg of the hook member is provided with a pair of elongated
slots 216 which receive cross pins 201. This provides for pivotal
support of the member 201 on the bracket 212. The separate legs of
the hook member are joined by two cross webs 214, one at the top of
the member and one at one end, above drive screw 36. Three notches
203 are provided across the top of the member for purposes as will
be explained.
Each leg of the hook member 202 defines a Trendelenburg claw 208
and a reverse Trendelenburg claw 210. Thus, two claws are defined
for each position, one on either side of drive screw 36. The
Trendelenburg hook member 202 is spring biased by a apir of springs
218, one on each side of bracket 212. It is pivotal between three
positions of operation, neutral, as illustrated in FIG. 9,
Trendelenburg, as illustrated in FIG. 10, and reverse
Trendelenburg, as illustrated in FIG. 11. The spring bias assists
to maintain the hook in position.
Positioning of the Trendelenburg hook member is accomplished
through the selector lever 106. Movement of the lever 106 is
transferred through transverse shaft 116 and longitudinal shaft 118
and operating linkage 120.
This linkage includes a generally vertical link 220 and a generally
horizontal lever arm 221 shown in cross-section in FIGS. 9 through
11. The lever arm 221 is fixed to longitudinal shaft 118. It is
shaped to pass beneath longitudinal shaft 110 associated with the
high-low actuating mechanism and connects to vertical link 220 at
its upper end.
Movement of selector lever 106 in one direction causes pivotal
movement of shaft 118 in a direction to create an upward pull on
link 220 through lever arm 221. This pivots hook member 202
downwardly. Movement of selector lever 106 in the opposite
direction causes pivotal movement of longitudinal shaft 118 in the
opposite direction. This causes lever arm 221 to push downwardly
upon link 220 and pivots member 202 upwardly.
The cables 41 and 43 associated with telescoping legs 24 are
connected to the operating nut of drive screw 36. As can be
appreciated, the position of the operating nut along the drive
screw determines the bed height. That is, as the nut is moved
toward the foot end of the bed, the effective length of the cables
is reduced, causing the bed to elevate upon legs 24. When the nut
reaches the end of the drive screw nearest the foot end of the bed,
the legs 24 are fully extended and the bed is at maximum height. As
the nut is moved toward the head end of the bed, the effective
length of cables 41 and 43 is increased. The weight of the bed
causes it to move downwardly upon the legs 24 to accommodate the
increased cable lengths.
The cable pairs 41 and 43 are connected to the operating nut of the
drive screw 36 in a manner such that the nut may move with respect
to the cables during Trendelenburg positioning. The cable pairs
pass through apertures 223 formed in the nut and are connected to
the hook receptacles 204 and 206 by fastener 224. Each fastener
includes a guide pin portion that is adapted to be slidingly
received in the associated aperture.
Each hook receptacle 204 and 206 includes a generally vertical
plate portion 226 which is adapted for abutting engagement with the
nut. This abutting engagement prevents the cables to withdraw from
the nut and comprises the connection between the cables and the
nut.
The hooks 204 and 206 further include generally horizontal
receptacle defining portions 227 which extend toward the foot end
of the bed. Each defines an aperture, as best seen in FIG. 2,
adapted to receive the associated claws 210 and 212 of the hook
member 202.
When the bed is at the maximum height above the floor, the hook
receptacles 204 and 206 are positioned between the claws 208 and
210 of the member 202. Movement of the selector lever 106 to either
the Trendelenburg or reverse Trendelenburg selector position will
cause the member 202 to be pivoted in the appropriate direction and
one or the other of the pairs of claws 208 or 210 will be disposed
within the receptacle defining aperture of the associated
receptacle 204 or 206. Thereafter, upon operation of the high-low
mechanism 100 to lower the bed upon legs 24 and movement of the
drive screw operating nut toward the head end of the bed and
interengaged claw and receptacles will prevent one of the pairs of
cables 41 or 43 to extend. That pair of cables will remain
stationary and the height of the bed at the affected end of the bed
will remain maximum. The other, unlatched receptacle, will follow
the drive screw nut and that pair of cables will operate to lower
the opposite end of the bed.
To provide Trendelenburg positioning, the selector lever 106 is
positioned to move claw 208 into engagement with receptacle 206 as
illustrated in FIG. 10. This prevents extension of cable 43
associated with foot end legs 24. Operation of the high-low
mechanism is effective only with respect to cables 41 and only the
head end of the bed will lower on the telescoping legs.
To provide reverse Trendelenburg positioning, the selector lever is
moved to position member 202 as illustrated in FIG. 11 with claw
210 in engagement with receptacle 204. Upon actuation of the
high-low mechanism, only cables 43 will be extended, lowering the
foot end of the bed.
For patient safety, the claws 208 and 210 are sized and shaped such
that only a positive engagement of the receptacles can be achieved
upon operation of the Trendelenburg selector and only when the bed
is at maximum elevated height. Also, since the one or the other
ends of the bed are held in maximum up position upon the
telescoping legs, the engagement between claw and receptacles
carries approximately one-half the bed weight. The shape of the
claws and the weight applied to the cables prevents operation of
the selector lever 106 and accidental disengagement of the claw and
receptacle, while the bed is in any position of Trendelenburg.
A further safety feature operation of the high-low mechanism except
when the Trendelenburg selector is in either the neutral,
Trendelenburg, or reverse Trendelenburg position. The longitudinal
shaft 110 which is connedted to the high-low operating control 100
is provided with a depending web 229. The web in sized and
positioned such that when the shaft 110 is pivoted upon actuation
of the control the web is moved into coaction with the member 202.
When the member 202 is in the neutral, Trendelenburg or reverse
Trendelenburg positions, actuation of the high-low control will
cause the web 229 to pass within one of the notches 203 formed in
the hook member and operation is not impaired. However, if the hook
member is positioned in any intermediate position, the web 229 will
engage the leg of the member 202 and pivotal movement of the shaft
110 will be prevented, and the drive screw 36 will not be
energized. This prevents operation of the high-low mechanism at any
time other than when claws 208 and 210 and receptacles 204 and 206
are fully latched or unlatched.
As can be seen, an improved form of electrically operable hospital
bed has been provided having improved knee contour and
Trendelenburg positioning mechanisms. The bed also provides
improved control locations resulting in improved patient care
capabilities.
Various features of the present invention have been particularly
shown and described. However, it should be understood that various
modifications may be made without departing from the spirit and
scope of the present invention.
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