U.S. patent number 3,663,972 [Application Number 05/026,970] was granted by the patent office on 1972-05-23 for lightweight stretcher.
Invention is credited to William E. Denton.
United States Patent |
3,663,972 |
Denton |
May 23, 1972 |
LIGHTWEIGHT STRETCHER
Abstract
This lightweight stretcher has tubular side rails formed of a
light metal, such as aluminum. A cross rail is provided with a
laterally extensible slide at each side, which preferably carry
handles, while interlocking means permit the cross rail to be moved
longitudinally when the slides are in inward position, but to be
locked on the side rails when the slides are pulled out laterally.
In one form, the side rails are continuous and only one cross rail
is provided, while in another form, the side rails are
longitudinally separable, with retractable connectors extending
from each portion of the side rail into the opposite portion. The
side rails are connected to the ends by a head bar and a foot bar.
A narrow pad, as of foam rubber, is supported by a metal strip over
each side rail, while a pair of cross pieces extend between the
pads, to support the head of the patient. The spacing between the
cross pieces is such that, with the patient face down, the nose
will extend between the cross pieces, so that the patient may
breathe. The support for the pad also has cross bars which extend
beneath the cross pieces of the pad and also at spaced longitudinal
positions.
Inventors: |
Denton; William E. (Loveland,
CO) |
Family
ID: |
21834894 |
Appl.
No.: |
05/026,970 |
Filed: |
April 9, 1970 |
Current U.S.
Class: |
5/625; 5/628 |
Current CPC
Class: |
A61G
1/00 (20130101); A61G 2220/10 (20130101) |
Current International
Class: |
A61G
1/00 (20060101); A61g 001/00 () |
Field of
Search: |
;5/82 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
|
|
|
|
14,198 |
|
Jun 1910 |
|
GB |
|
501,921 |
|
Mar 1939 |
|
GB |
|
667,922 |
|
Mar 1952 |
|
GB |
|
61,026 |
|
Sep 1913 |
|
OE |
|
Primary Examiner: Gilliam; Paul R.
Claims
What is claimed is:
1. A stretcher comprising:
a pair of laterally spaced, longitudinally extending side
rails;
padding carried by said side rails;
at least one tubular cross rail adjustable longitudinally along
said side rails;
means connecting said cross rail with each of said side rails for
movement of said cross rail along the respective side rail;
a pair of slides within and laterally extensible from the
respective end of said cross rail to provide carrying means for the
stretcher; and
locking means associated with said cross rail, said connecting
means and said side rails being operable by said slides, to permit
movement of said cross rail longitudinally of said side rails when
said slides are moved to an inner position, and to lock said cross
rail against longitudinal movement when said slides are moved to an
outer position.
2. In a stretcher, as defined in claim 1, including:
a support for said padding and having side strips interposed
between said side rails and said padding, said support having a
series of lateral cross bars extending between said side strips,
including a pair of longitudinally spaced cross bars at the head of
said stretcher; and
said padding having cross pieces supported by said pair of head
cross bars, said cross pieces being positioned to support the head
of a patient on said stretcher.
3. In a stretcher, as defined in claim 2, wherein:
said cross bars of said padding support are of channel shape having
flanges on the underside and extend across said side rails; and
a series of fasteners extend though said cross bars and said side
strips to engage snaps mounted in opposed positions on the tops of
said siderails and the underside of said padding, said flanges of
said cross bars providing space to accommodate said snaps on said
side rails.
4. In a stretcher, as defined in claim 2, wherein:
said cross bars of said padding support extend between said side
strips at the foot of said stretcher and at least two intermediate
positions between the head and foot of said stretcher.
5. In a stretcher, as defined in claim 1, wherein:
said side rails are tubular and have longitudinally spaced, conical
holes on the underside in axial alignment;
said cross rail is tubular and movable longitudinally along and
beneath said side rails, said cross rail being connected to each
side rail by a ring surrounding said side rail and a short tubuler
spacer connecting said cross rail to said ring, said cross rail
having a circular aperture beneath each said spacer;
said slides are tubular and movable inwardly and outwardly in said
cross rail from each side thereof, each said slide having a
circumferential groove; and
a detent ball within each spacer and cooperating with said side
rail grooves to engage a side rail groove to lock said cross rail
to said side rails when said slides are moved outwardly, and to
permit movement of said cross rail along said side rails when said
slides are moved inwardly, to permit said detent ball to be
received in said circumferential groove.
6. In a stretcher, as defined in claim 1, wherein:
said side rails are separable into head and foot portions, with one
of said portions having disconnectable means for connecting to the
opposite portion;
a head bar and a foot bar connecting the head and foot ends,
respectively, of said side rail portions; and
at least one longitudinally adjustable cross rail on each of the
head and foot portions of said side rails.
7. In a stretcher, as defined in claim 6, wherein said side rail
connecting means includes:
a connector in each side rail of one portion and movable into and
out of said side rail of said one portion and interfitting with the
corresponding side rail of the other said portion;
a spring within each said side rail of said one portion for urging
said connector outwardly therefrom;
at least one transversely movable pin for each connector for
locking said connector in an inner position and an extended
position;
a spring surrounding a rod having a head limiting outward movement
of said connector; and
said side rail being provided interiorly with a disc forming an
abutment for said spring and a connection for the end of said rod
opposite said connector.
8. In a stretcher, as defined in claim 1, including means for
restraining outward movement of said slides, including:
a rod within said cross rail, having a fixed head at one end and a
removable head at the opposite end; and
a disc mounted in the inner end of each slide and having an
aperture through which said rod extends, said rod heads being
outwardly of said discs.
9. In a stretcher, as defined in claim 1, wherein:
said side rails are continuous and connected at the ends thereof by
transverse head and foot bars;
said padding is non-metallic and extends along and above each side
rail and is provided with a pair of longitudinally spaced cross
pieces for supporting the head of a patient; and
a metallic pad support is disposed beneath said padding and
includes a pair of side strips above said rail and a plurality of
cross bars resting on said rails and extending beneath said side
strips, said cross bars being positioned beneath said cross pieces,
at the foot end of said stretcher and at intermediate positions
corresponding to the range of movement of a single cross rail.
10. In a stretcher as defined in claim 1, wherein:
said side rails are tubular and connected by head and foot
bars;
a longitudinally extensible slide extends from said side rails at
each end thereof, said longitudinal slides at each end being
connected by a laterally extending tube; and
a pair of transverse slides are movable inwardly and outwardly from
each side of each said tube.
11. A stretcher as defined in claim 1, wherein:
a series of straps are attached to each said cross rail, for
passing around a portion of the torso of a patient adjacent the
adjusted position of said cross rail.
Description
This invention relates to stretchers, such as for moving injured
persons from the scene of an accident to a hospital or the like, at
which medical treatment may be given.
Previous types of stretchers comprised principally merely an
adaptation of a canvas cot. That is, a canvas strip extended
between side rails, the ends of which were utilized as handles to
carry an injured person. Due to unavoidable movement of the patient
on the stretcher, serious injuries often became more complicated,
while extreme measures were often necessary to immobilize a part,
such as a fractured leg or the like, but often without much
success. Furthermore, such stretchers are awkward to handle and
inconvenient to move, particularly along rough terrain, or in an
out of the way place, such as a tunnel, etc. More recently, as in
mountain rescue work, a so-called wire basket has been utilized
which is made similarly to the construction which the name implies
and is separable into two parts. While the patient can be strapped
in such a basket to preclude falling out, the contour of the basket
is such that complete immobilization of a fracture is difficult and
relative movement of the patient with respect to the basket is
possible, which may produce considerable discomfort, shock, or undo
the effects of first-aid work. Other stretcher constructions appear
to be open to most or all of the objections to the above
constructions. Of course, a non-collapsible stretcher which is
merely placed in an ambulance and used for transporting a patient
from the ambulance to the hospital, need not be particularly light
in weight, but such stretchers are not conveniently carried any
distance, and also cannot be stored in an automobile trunk or
similar space.
Among the objects of the present invention are to provide a
stretcher which is comparatively light in weight and may be readily
carried about; to provide such a stretcher which, in one form, may
be disassembled and readily carried or stored in disassembled
condition; to provide such a stretcher which may be readily
assembled, and the parts of which may be readily adjusted for use;
to provide such a stretcher on which a patient may rest and to
which a patient may be attached so as to immobilize substantially
completely a desired part of the body; to provide such a stretcher
which provides sufficient comfort for the patient, even when the
body is immobilized in position; to provide such a stretcher to
which numerous straps may be attached in fixed or removable
positions; to provide such a stretcher which permits traction on a
fractured leg, arm, back, neck, or other bone, to be readily
accomplished; to provide such a stretcher on which a patient may be
readily carried over rough terrain; to provide such a stretcher
which permits the patient to be carried in a vertical position,
such as for movement through narrow vertical spaces or up or down a
mine shaft, stope or the like; to provide such a stretcher which
can be easily lifted in either horizontal or vertical position; to
provide such a stretcher which may be provided with a wheel for
movement along a trail or relatively smooth terrain; to provide
such a stretcher in which first-aid measures, such as blood plasma
or a substitute therefor, may be readily supplied to the patient;
to provide such a stretcher which permits other treatment, such as
reduction of fractures, to be easily accomplished; to provide such
a stretcher which, in another form, may be produced more
economically by eliminating transverse disassembly but retaining
disassembly into longitudinal parts; to provide such a form which
fulfills all of the foregoing objects applicable thereto; to
provide each such form which is readily and conveniently
manufactured; and to provide each such form which is sufficiently
rugged to withstand the rigours of hard usage.
Additional objects and the novel features of this invention will
become apparent from the description which follows, taken in
connection with the accompanying drawings, in which:
FIG. 1 is a top plan view of a stretcher forming one embodiment of
this invention, certain parts being shown in extended relation;
FIG. 2 is a bottom view of the stretcher of FIG. 1, with certain
pads omitted for clarity of illustration, certain movable parts
shown in closed position and certain separable parts shown in
disassembled position;
FIG. 3 is an enlarged, lontitudinally condensed, vertical section
taken along line 3--3 of FIG. 1;
FIG. 4 is a longitudinally condensed section taken along line 4--4
of FIG. 3;
FIG. 5 is a fragmentary transverse section taken along line 5--5 of
FIG. 1;
FIG. 6 is a cross section taken along line 6--6 of FIG. 5;
FIG. 7 is a partial transverse section, on an enlarged scale, taken
along line 7--7 of FIG. 1;
FIG. 8 is a condensed side elevation, illustrating the use of the
stretcher of FIG. 1 in applying traction to the head and the foot
of a patient and an attachment for use in supplying blood plasma or
the like;
FIG. 9 is a fragmentary side elevation of one end of the stretcher,
illustrating use of a wheel for easier transportation along a trail
or comparatively smooth terrain;
FIG. 10 is a top plan view of a stretcher also constructed in
accordance with this invention as another form thereof,
particularly eliminating transverse disassembly but retaining
substantially all other features;
FIG. 11 is a top plan view of a pad support of the stretcher of
FIG. 10;
FIG. 12 is a bottom plan view of the frame of the stretcher of FIG.
1;
FIG. 13 is a fragmentary transverse section, on an enlarged scale
and taken along line 13--13 of FIG. 10; and
FIG. 14 is a fragmentary longitudinal section, on a further
enlarged scale and taken along line 14--14 of FIG. 10.
As illustrated in FIGS. 1 and 2, a stretcher constructed in
accordance with this invention and forming one embodiment thereof,
may include a pair of tubular side rails adapted to be connected
together during use and to be separated so that the stretcher may
be divided into two parts for transportation or packing purposes.
Thus, a head portion of the stretcher may include tubular side
rails 10 and 11, while a foot portion may include tubular side
rails 10' and 11'. The tubes 10 and 11 may be connected together,
at the head end, by a reinforcing tube 12, and the tubes 10' and
11' connected together at the foot by reinforcing tube 12'. The
opposite ends of the tubes 10 and 11 may each be provided with a
removable collar 13, and the opposite ends of the tubes 10' and 11'
with collars 13', for attachment of pads in a manner described
later. The head and foot portions may be connected together by
tubular connectors 14 and 14', which extend from the tubes 10' and
11' into the tubes 10 and 11, respectively, as in FIG. 3, or may be
removed therefrom and pushed back into the tubes 10' and 11' for
disassembly. A pad P is mounted on the head side rails 10 and 11,
and a similar pad P' is mounted on the foot side rails 10' and 11',
the pads being constructed in a manner described subsequently. A
plurality of cross rails 15, 16 and 17 are mounted on the side
rails for longitudinal movement and are adapted to be locked in
position, these cross rails not only forming reinforcements for the
side rails but also providing points for attachment of immobilizing
straps and for the attachment of handles or the like. Thus, a cross
rail 15 and a cross rail 16 may be slidable along the side rails 10
and 11, while a cross rail 17 may be slidable along the side rails
10' and 11'. In general, the cross rail 15 may be considered as a
shoulder cross rail, the cross rail 16 as a groin cross rail, and
the cross rail 17 as an ankle cross rail. Each end of each of the
cross rails 15, 16 and 17 is provided with a tubular slide 18,
which may be moved outwardly to the position of FIG. 1, or inwardly
to the position of FIG. 2, each of the slides 18 carrying at its
outer end a pivoted handle 19 by which the stretcher with the
patient thereon may be carried. The pad P, in addition to extending
longitudinally on top of the side rails 10 and 11, may include a
pair of head cross pieces 20 and 21, which are spaced apart a
sufficient distance to support the face of a patient, with the nose
and mouth extending between the cross pieces 20 and 21 to enable
the patient to breath when lying face downward on the
stretcher.
Each of the pads P and P' may be constructed in the manner shown in
FIGS. 3 and 7, that is, two pairs of metal base plates 22 are
formed of aluminum strip or the like, with each pair connected
together near the center of the stretcher by cross pieces 23, the
foot pair being connected together at the foot by a cross piece 23'
and the head pair by similar cross pieces beneath cross pads 20 and
21. Relatively thick strips 24 of foam rubber or the like are
secured to strips 22, as by adhesive, the thickness of the foam
rubber strips conveniently being equal to their width and the
distance between the strips being sufficient that a patient lying
on the pads will feel comfortable. Also, the pads tend to prevent
the possibility of further injury, yet permit access to as many
points of wounds or the like as possible. The patient may, of
course, be placed on his back, side, or face down. Thus, the strips
may be made of foam rubber 2 inches wide and 2 inches thick, with
the total width between the outside edges of the pads being about 9
inches, although these dimensions may be varied as desired. The
foam rubber strips 24 may be covered with a water proof, washable
covering 25 of a suitable material, such as a plastic sheet, as in
FIG. 3. The plates 22 may be removably attached at one end to the
side rails, as by snap fasteners 26, shown in FIG. 3, and one half
of which may be mounted on the underside of the metal plate 23,
with the opposite half of the snap mounted on the collar 13 or 13'.
The opposite ends of the pads may be attached by screws or snaps to
the tubes 12 and 12', respectively.
Assuming that a patient is lying on his back on the pads P and P'
of FIG. 1, with the back of his head resting on the cross pieces 20
and 21 and his legs extending along the lower ends of the side
pieces of the pad P', he may be substantially immobilized by
fastening various straps around appropriate portions of his body,
as by the adjustable straps shown in the dotted lines in FIG. 1.
Thus, his head may be immobilized by fastening an adjustable head
strap 28 around his head, the head strap 28 being attached to a
rail 10 at one side and a rail 11 at the opposite side. His
shoulders may be immobilized by a pair of adjustable straps 29
attached to cross rail 15, and each passing upwardly through the
arm pits and over one of his shoulders and back to the cross rail
15. A chest strap 30 may pass over his chest from one side rail 10
to the opposite side rail 11, with a rib strap 31 and a hip strap
32 similarly extending between the side rails, and passing over the
respective portions of his body. A pair of groin straps 33,
attached to the cross rail 16, may extend between his legs and over
the portion of the hips adjacent the groin and thence back to the
cross rail 16. One thigh strap 34 may be attached to side rail 10',
and another thigh strap 34 to side rail 11', for passage over the
thighs and connection back to the respective side rails. Similarly,
each knee strap 35 may extend from the respective side rail 10' or
11', over the appropriate portion of the leg, and then back to the
side rail from which it originated, while ankle straps 36 may be
connected at each end of the cross rail 17.
The straps may be provided with suitable devices for adjustment,
such as buckles which are preferably adjustable to any length
necessary to accommodate from the smallest to the largest person
who might be carried by the stretcher. As will be evident, with use
of the foregoing straps, the entire body, except the arms, may be
immobilized, while the arms may be immobilized by suitable straps
or the like fastening the arms and/or the wrists together and to
one or both of the side rails. The degree and extent of
immobilization depends, of course, upon the place or places at
which the patient is injured. Generally speaking, the shoulder
straps 29, groin straps 33 and ankle straps 36 are sufficient to
secure the patient firmly to the stretcher, it being noted that
these straps are attached to the cross rails 15, 16 and 17,
respectively. Thus, depending upon the extent and location of the
injury, additional immobilization straps may be utilized.
Nevertheless, with only the three sets of straps just mentioned, a
patient is securely attached to the stretcher and the stretcher may
be tipped, raised upright, or even tipped upside down, without the
patient becoming dislodged from the stretcher.
In addition to immobilization of the desired parts of the body, it
may often happen that an arm, leg, spine or other bone is
fractured, and to reduce pain and discomfort, as well as to
minimize the possibility of further injury, traction on an
appropriate part of the body is desirable. For this purpose, both
the head and the foot of the stretcher are provided with extensible
traction elements, so that a longitudinal pull may be produced on a
desired portion of the body. Thus, a strap or the like may be
attached to the foot or to the head, for instance, and also to the
respective traction element and fastened in position after the
necessary traction pull has been produced. At the head of the
stretcher, the traction element may include a pair of longitudinal
slides 38 and 39, which are movable inwardly and outwardly in the
tubular side rails 10 and 11 and on the extending ends of which is
mounted a transverse tube 40 which carries a pair of laterally
extensible, transverse slides 41 and 42, adapted to remain in an
inner position, as in FIG. 2, or to be moved to an outer position,
as in FIG. 1. The slides 41 and 42 may be provided with eyes 43 to
which a set of cables may be attached for lifting purposes. The
traction elements at the foot of the stretcher may include
longitudinal slides 38' and 39', movable inwardly and outwardly in
the side rails 10' and 11', respectively, and on the extending ends
of which is mounted a tube 40', in turn carrying transverse slides
41' and 42', provided with eyes 43', at their outer ends, as
before. A pair of lifting eyes 44 may also be attached to the
reinforcing tube 12' at the foot for vertical lifts, while the eyes
43' at the foot may be utilized for horizontal lifts, in the same
manner as the eyes 43 at the head. The reinforcing tube 12, at the
head, may also be provided with a short vertical tube 45 which
extends through a hole drilled in tube 12 for that purpose, and is
welded or otherwise permanently attached thereto, so that the tube
45 may provide a socket or base in order to receive a post on which
a lantern, or a container for blood plasma, glucose, or the like,
or oxygen, may be suitably mounted, as in the manner hereinafter
described.
The foot traction element may be additionally provided with
auxiliary wheel slides 46, as in FIG. 3, movable inwardly and
outwardly in the longitudinal foot slides 38' and 39', with a pin
47 extending therebetween. The pin 47 may act as the axle for a
wheel and is preferably removable, so that the wheel may be placed
between the slides 46 and the pin 47 inserted therein, with spacing
collars 48 utilized, if necessary, to maintain the wheel centered.
The wheel may be an auxiliary part which is normally carried with
the stretcher, and available for use when it is known that the
stretcher will be moved over a path or relatively smooth terrain,
being conveniently utilized in the manner illustrated in FIG. 9,
wherein the wheel hub 49 is mounted on the pin 47 of FIG. 1 and the
hub 49 is provided with a tire 50, preferably pneumatic. The
stretcher may be supported by one or more persons at the end
opposite the wheel, and may be held at any angle which will produce
a maximum speed coupled with a minimum of discomfort to the
patient.
The connectors 14 may be constructed and associated with the side
rails in the manner illustrated in FIGS. 3 and 4. Thus, each
tubular connector 14 may be provided with a disc 52 adjacent the
center and a disc 52' at the outer end, each disc being held in
position by a set screw or the like and being provided with a
diametrically extending hole in which a spring 53 is disposed,
against which the head of a pin or button 54 abuts, the head
preventing the pin 54 from moving out of the assembly. At its inner
end, each connector 14 may be closed by a disc 55 which may be
permanently secured in position and through which extends a rod 56
having a head 57. Each connector 14 is movable inwardly and
outwardly in the side rail 10' or 11', as the case may be, and is
prevented from outward movement more than a predetermined distance
by the head 57 of rod 56 being carried during such movement by the
rod. The inner end of each rod 56 is attached to a fixed disc 58,
as by the inner end of the rod 56 being received in a suitable
aperture in the center of disc 58 and locked to the disc by a pin
59, which also extends through the walls of the side rail to lock
the disc in position. Rod 56 is also provided with a keyway
cooperating with the aperture in disc 55, or other means provided
to prevent rotation of connectors 14. A compression spring 60
surrounds each rod 56, and is compressed when a connector 14 is
moved into the side rail 10' or 11', as to a position such that the
outer pin 54' will engage hole 61 in the side rail, engaged by pin
54 in FIG. 4. As will be evident, the connector 14 may be moved
into the side rail 10' or 11', only if the pin 54 is pushed
inwardly until the inside of the side rail is cleared, whereupon
the connector may be pushed into the side rail. Such inward
movement will cause spring 60 to be compressed, but when pin 54'
engages hole 61, the connector 14 will be locked in inner or
disassembled position. However, when the pin 54' is pushed inwardly
for release, the spring 60 will force the connector 14 outwardly a
sufficient distance that the end thereof may be grasped and the
connector pulled out to the position illustrated in FIG. 4, i.e.,
locked in outer position by pin 54. Then, the pin 54' of each
connector 14 may be depressed and the ends of the connector
inserted in the side rails 10 and 11, which are preferably provided
with suitable holes adapted to be engaged by the pins 54' when the
connectors are pushed into the latter the full distance available.
In such position, since a substantial portion of each connector 14
remains within the side rail 10' or 11' when in extended position,
the head and foot portions of the side rails will be solidly
connected together and the head and foot parts will be held
together in assembled position, as in FIG. 1.
The handle slides 18 are preferably adapted to cooperate with a
suitable locking mechanism constructed so that when the handle
slides are in an inner position, as in FIG. 2, the cross rails 15,
16 or 17 may be moved horizontally along the side rails. However,
as soon as the required position for the shoulder straps, groin
straps and ankle straps for a particular patient has been found, it
is desirable to lock the cross rails to the side rails, so that
movement in either direction longitudinally will then be prevented.
Before the position of the cross rails is determined, it is
generally unnecessary to move the stretcher with the patient on it,
so that movement of the handle slides 18 outwardly may be utilized
to lock the cross rails in the desired positions. For movement
along the side rails, each cross rail, such as the cross rail 16 as
shown in FIGS. 3 and 7, may be connected by a ring 63 to each side
rail. However, instead of being connected directly to the ring 63,
a short tubular housing 64, as in FIG. 3, or formed of weld metal,
as in FIG. 7, is preferably interposed between each cross rail and
each ring 63. In addition, the cross rail is provided with a hole
65 concentric with housing 64, to provide space for reception of a
detent ball 66. Each of the side rails 10 and 10', 11 and 11', is
provided with a series of conical holes 67 which are spaced at
regular distances along the bottom of each side rail, as in FIG. 2,
such as 2 inches apart. Holes 67 may be punched or machined, as
desired, in the side rails, and are adapted to be engaged by the
detent balls 66 to lock the cross rails to the side rails when each
detent ball thereof is forced into a hole 67, as in FIG. 3, and at
the left in FIG. 7. It will be noted that the length of housing 64
is such that the handle slide 18 will normally force the ball 66
into a hole 67, thereby locking the cross rail to the side rail
when the handle slide is in an outer position. However, each handle
slide 18 is provided adjacent its outer end with a peripheral or
transverse groove 68, which may be machined or rolled into the
tubular slide 18, and which is of sufficient size that with the
handle slides 18 moved inwardly, as at the right in FIG. 7, each
detent ball 66 will drop into a groove 68 and thereby clear the
bottom of a side rail and thus permit the cross rail to be moved
along the side rail.
The outer end of each handle slide 18 may be closed by a plug 69,
as in FIG. 7, and the handles 19 may be formed by loops of wire or
rod, provided with a grip 70. Such wire or rod may be mounted
through holes drilled or punched in the slides 18 immediately
inwardly of the plug 69, and the ends then bent around so as to
extend inwardly from opposite directions. Preferably, before the
grip 70 is placed in position, the meeting ends of the handles 19
are welded or brazed together, to prevent separation. The outer end
of each slide 41 or 42 may be closed by a similar plug 69', as in
FIG. 5, for attachment of the corresponding eye 43.
The traction transverse slides 41 and 42, as well as traction
slides 41' and 42', may be restrained from outward movement for
more than a predetermined distance, in a similar manner. Thus, as
shown in FIG. 5, such restraint may be produced by a fixed rod 71
provided with a head 72 at each end, the rod extending through a
disc 73 mounted at the inner end of a transverse traction slide 41,
42, 41' or 42', so that engagement of the head 72 of the rod 71
with the disc 73 limits outward movement. Each rod 72 may be
mounted centrally in the tube 40 or 40', as the case may be, in a
disc 74 which is fastened centrally in the tube 40 or 40', by a set
screw 75, as in FIG. 6, which also clamps the rod 71 to the disc
74. In addition to a central aperture accommodating the rod 71, the
disc 74 is also provided with an enlarged offset aperture 76,
through which a head 72 of the rod may be passed, while the discs
73, at the inner end of the slides 41, 41', 42 or 42', are provided
with a similar central aperture accommodating the rod 71 and an
offset connecting aperture 76 through which a rod head 72 may be
passed. The offset apertures 76 assist the assembly of the handle
slides and the transverse traction slides, since the central
portion of the rod 71 may be inserted in a central disc 74, then
one head 72 of rod 71 may be slipped through the offset aperture 76
in a disc 73, and the rod 71, with disc 73 thereon, slipped into
the tube 40 or 40', until the opposite head 72 emerges from the
opposite end of the tube. Then, the opposite head 72 may be slipped
through the offset aperture 76 and then into the central aperture
of the disc 73 of the opposite slide. By pulling outwardly on each
of the slides, the central disc 74 may be centered, and by
twisting, the hole for set screw 75 may be aligned with the hole in
the tube, whereupon the set screw may be placed in position and
tightened. Since the rod 71 is maintained in an axially central
position by the central disc 74, the end of the rod will not tend
to move from the central aperture of either disc 73, thereby
restricting outward movement of the respective slides. The opposed
slides 18 may be similarly restrained in the cross rails 15, 16 and
17 in a similar manner, but preferably by a rod 71', as in FIG. 7,
having a head 72' at one end and a nut 77 at the opposite end. Rod
71' extends through a central hole in a disc 78 attached to the
inner end of each slide 18. The length of rod 71' is such that
discs 78 will abut the head and nut, respectively, when each slide
18 is extended outwardly to its maximum distance.
The tubes 40 and 40' may be attached, as by welding, directly to
the slides 38 and 39, or 38' and 39', but preferably are supported
in a position more nearly the level of the top of pads P and P', as
by short supporting tubes 80, as in FIGS. 3 and 8, welded to tube
40 and to slides 38 and 39, or to tube 40' and slides 38' and 39',
as the case may be. The head slides 38 and 39 are also
interchangeable with the foot slides 38' and 39', such as to permit
the wheel to be used at the head end of the stretcher. The head
slides 38 and 39, and also the foot slides 38' and 39', may be
retained in their inner and outer positions, or in a desired
intermediate position, by a spring pressed pin 81 in a disc 82 in a
manner similar to the pin 54 and disc 52 in connectors 14. Pin 81
is adapted to be moved inwardly by finger pressure, and engages a
series of holes provided in the respective side rail. As will be
evident, similar pins 81' and discs 82' mounted in slides 46, may
be used to retain the same in retracted or extended positions,
through engagement with spaced holes in slides 38, 39, 38' or
39'.
In addition to the immobilization of desired parts of the body,
through the straps illustrated in FIG. 1 or additional straps,
traction may be applied to the head of the patient, so as to reduce
a fracture of a vertebrae or other bone, or to relieve the effects
of a back or neck injury. For this purpose, as illustrated in FIG.
8, traction straps 83 may extend between the transverse head slides
41 and 42 and a head harness 84. Since a patient is securely
strapped to the stretcher, as much tension as is desirable may be
placed on the head traction straps 83, and the same fastened in
tension position.
For applying traction to a foot or leg, so as to reduce a fracture
of a leg or ankle bone, an ankle strap 85 may be connected at one
end to the ankle of the patient and at the opposite end to the foot
transverse slide 41' or 42', depending upon whether traction is to
be applied to one or to both ankles. In the event that the fracture
is in the ankle bone itself, the end of the ankle strap may,
instead of passing around the ankle, as shown in FIG. 8, pass
around the middle and the heel of one foot, so as to apply traction
to the ankle itself. In either event, the opposite end of the strap
is pulled tight around the transverse slide 41' or 42' and fastened
in tight position. If desired, traction may be applied to an arm,
by attaching one end of a longer traction strap to the hand or
wrist of the patient and attaching the opposite end to the foot
traction element. Of course, splints, triangular bandages and other
first aid equipment, may be utilized in preliminary treatment of a
fractured arm.
In the event that the patient is suffering from shock, loss of
blood, or other conditions which indicate that the same is
desirable, blood plasma, glucose, dextran or other similar blood
substitute or extender may be supplied to the patient, as by
attaching a special fitting which includes a post 86, as in FIG. 8.
The lower end of post 86 is placed in the tube 45, which extends
through the head cross piece 12, as in FIGS. 1 and 2, while post 86
may be attached to the tube 45 in a suitable manner, as by locking
rings, set screws or the like. The upper end of post 86 may be
split longitudinally and provided with a clamp 87, utilized to hold
a rod 88 in any desired vertical position, the rod 88 conveniently
being provided at its upper end with a transverse bar 89 having a
reverse hook at each end, as shown, so that a jar or container 90
of a solution to be supplied to the patient may be suspended. The
neck of the jar or the like conveniently engages an adjustable ring
91, which prevents the jar from swaying or becoming dislodged,
while the opposite hook of bar 89 may be utilized for suspending a
lantern or other type of light, or any other appurtenance helpful
during the treatment or transportation of the patient.
The stretcher just described, as will be evident from FIGS. 1 and
2, may be separated in two principal parts, each with all of the
traction elements, handle slides and the like, moved into closed or
inner positions, so as to occupy a minimum of space. Then, the two
parts may be placed one on top of the other and placed in a pack,
such as a canvas bag provided with shoulder straps, or other type
of container, to enable a person to carry the same on his back. A
pair of sheet metal boxes, one proportioned to fit between the
sides of the pad P and resting on the cross rail 15, and the other
proportioned to fit between the sides of the pad P', and resting on
the cross rails 16 and 17, with each equivalent in depth to the
distance between the top of the cross rail to the top of the pad P
or P', may be filled with auxiliary equipment, including extra
straps, the post 86 of FIG. 8 and its associated parts, bandages,
food, splints, medicines, stimulants and other items useful in
first aid treatment of injured persons. The stretcher itself,
particularly when the frame elements of the stretcher are made of
aluminum tubing or similar light weight material, is not
particularly heavy, the weight thereof preferably being held to a
maximum of 10 to 20 pounds. Thus, the stretcher can be disassembled
and carried over quite rough terrain, such as up or down mountains,
over glaciers, ice and rock chimneys, crevasses, aretes, couloirs
and the like. For mountain rescue work, in the event that a pack in
which the stretcher is contained tends to interfere with rapelling,
it may be raised or lowered by auxiliary ropes, as is customary
with large packs. As will be observed, the tubular cross rails on
the bottom of the stretcher of FIGS. 1 and 2 may be grasped when
the stretcher, with the patient thereon, is turned in upright
position, so that one person can carry the stretcher while it is in
this position. Of course, two persons can carry it by each grasping
one of the handles attached to the cross rail 16. Since the total
length of the stretcher may be approximately 75 inches and the
length of each separate part slightly over 3 feet, a pack or
package containing the stretcher with the two principal parts on
top of one another, is readily placed in the trunk compartment, or
in any other desired place, in an automobile or the like. If it is
to be carried entirely by automobile, handling straps, rather than
back packing straps, may be attached to a bag of canvas, plastic or
the like, in which the stretcher is conveniently stored. As will be
evident, the containers which fit within the pads, in the center of
the stretcher parts, do not increase the space occupied by the
stretcher.
While one form of the invention has been described above in detail,
certain novel features of the present invention are also
exemplified by the somewhat simpler embodiment illustrated in FIGS.
10-14. In this embodiment, the stretcher is not separable laterally
into two parts, but is separable longitudinally into three parts,
which may be individually stored or carried until assembled for
use, although the complete stretcher is sufficiently light that it
may be carried readily by one person to a point of use. The
longitudinally separable parts comprise a pad P" of FIG. 10, a pad
support S of FIG. 11 and a frame F of FIG. 12, attachable together
by snap fasteners, as described below. The frame F comprises a pair
of tubular side rails 93 and 94 which are joined at the head ends
by a tubular bar 95 and at the foot ends by a tubular bar 96, which
are attached to the rails to form a rigid structure, as by welding.
One cross rail may be utilized, i.e., the groin cross rail 16,
which is slidable along the side rails through rings 63 and is
constructed similarly to cross rail 16 of FIG. 7, thereby including
a detent ball at each side for engaging an appropriate hole 67 in
the corresponding side rail to lock the cross rail in adjusted
position, when slides 18 are pulled out laterally. The holes 67 in
the cross rails need not extend the full length of the cross rails
but, as in FIG. 12, may correspond in extent to the normal
adjustment range of groin cross rail 16, such as from 2 feet to
41/2 feet from the head end, as with the side rails 6 feet long.
The cross rail 16 also reinforces the frame at the center.
Laterally extending slides 18 may be grasped by a person at each
side, in carrying the stretcher, with one or two persons carrying
at each of the head and the foot by grasping the respective bars 95
and 96. Upwardly slanting eyes 43 and 43' are mounted adjacent each
end of the head and foot bars, for attachment of lifting cables, as
described previously, or lifting straps, as described below. Head
bar 95 may also be provided, as in FIG. 10, with a tube 45' adapted
for use as a socket to support a post, similar to post 86 of FIG.
8, for holding a container of plasma or the like above the
patient.
The pad P" comprises merely two side strips 97 and 98 which overlie
the respective side rails and are connected at the head end by
cross pieces 20 and 21, spaced apart to receive the back of the
head of the patient or permit the patient to lie face down on the
stretcher with the forehead on cross piece 20 and the chin on cross
piece 21, so the nose will be between the cross pieces. The pad may
be formed of resilient material 24, as of foam rubber, as in FIGS.
13 and 14, completely enclosed by a covering 25, as of plastic, so
that the entire pad may be removed for storage and/or cleaning
purposes. For storage, the flexible pad may be folded over, as
desired, so as to fit into a variety of spaces.
The pad support S, as in FIG. 11, may comprise a pair of side
strips 100 and 101, as of aluminum, and a series of cross bars,
such as including cross bars 102 and 103, underlying the pad cross
pieces 20 and 21, respectively, cross bars 104 and 105 at opposite
ends of the adjusting range of cross rail 16, and a cross bar 106
at the foot. The cross bars 102 to 106 are attached, as by riveting
or welding, to the underside of side strips 100 and 101 and are
also preferably channel-shaped but with shallow flanges, as in FIG.
14, not only to provide additional rigidity, but also to provide
clearance adjacent the side rails for double headed fasteners 108
which extend through both the side strips and the cross bars, as at
the position of FIG. 13. The opposite heads of each fastener 108
releasably engage a snap 109 mounted on the top of the side rails
of the frame F and a snap 110 attached to the underside of pad P",
at appropriate locations. As will be evident, the pad support S may
be snapped into the frame F and the pad P" may then be snapped onto
the pad support S. Also, the pad may be unsnapped for cleaning or
storage purposes, with the pad support remaining attached to the
frame.
The embodiment of FIGS. 10-14 may be provided with straps in a
manner similar to the previous embodiment, with shoulder straps 29
attached to the underside of pad support cross bar 103 and
extending outwardly over the side strips 97 and 98 of the pad P",
as in FIG. 10, and groin straps 33 attached to cross rail 16. The
remaining straps each have a loop which encircles the side rail 93
and 94 of the frame F, so as to be adjustable therealong. The head
straps 28, chest straps 30, rib straps 31 and hip straps 32 are
connected together across the body of the patient, while the groin
straps 33 are passed over each upper thigh and connected to buckles
carried by short straps 112, slidable through loops along the frame
side rails. The hip straps 34, knee straps 35 and ankle straps 36
extend both to the inside and outside of the respective rails 93
and 94, so that each may be strapped across the respective portion
of a leg of the patient. The various straps are shown at random
positions in FIG. 10, to indicate their adjustability along the
frame side rails. Traction elements may be added to the head and
the foot of the stretcher of FIGS. 10-14, although the same have
not been illustrated.
The embodiment of FIGS. 10-14 is particularly light in weight and
thus may be utilized by one person, in carrying on his back a
patient strapped to the stretcher. For this purpose, each of a pair
of adjustable lifting straps are attached at one end to cross rail
16 and at the opposite end to the respective eye 43' on the foot
bar 96. After the patient is strapped to the stretcher, the
stretcher and patient are raised to a nearly upright position, with
the carrier opposite the patient and with his back against the
normal underside of the stretcher. The carrier then bends at the
knees and waist and tightens the lifting straps over his shoulders,
in a position in which he can reach behind him and grasp one of the
extended slides 18 with each hand. By rising and bending forwardly
at the waist, the carrier can support the patient and stretcher on
his back, with the center of gravity of the patient and stretcher
above his upper back, i.e., with the head of the patient directly
above the carrier's head and the stretcher slanting downwardly and
rearwardly, as at an angle of about 45.degree.. To avoid discomfort
caused by the cross rail 16, the carrier may wear padding, such as
a heavy jacket. In this way, the carrier can carry the patient and
stretcher in a balanced position, with the lifting straps over his
shoulders assisting in maintaining the balance of the stretcher and
also transferring a portion of the load of the patient to the
carrier's shoulders.
As will be evident, a stretcher constructed in accordance with this
invention is readily made and may be reproduced in quantities with
convenience and economy. The light metal parts of the stretcher may
be made of conventional sizes of aluminum or the like, are readily
cut to length and any special holes, grooves and the like are
readily placed therein by punching, drilling, or similar
operations. Parts which are not made from tubular stock are, in
general, easily produced on automatic screw machines or the like.
By use of suitable jigs and fixtures, the design of which will, in
general, be self-evident, the necessary welding, brazing or similar
operations can be carried out readily on an individual or on a
production basis. The metal plates which support the sponge rubber
straps may be stamped from large sheets, but preferably from sheets
of a width substantially that of the sponge rubber strips, with the
various pieces being welded, brazed or similarly attached to each
other in a permanent manner. The assembly of substantially all of
the parts has been described, and with some training, a workman can
become adept in the assembly operations.
From the foregoing, it will be evident that the stretcher of this
invention fulfills to a marked degree the requirements and objects
hereinbefore set forth. The disassembly and transportation of the
stretcher has been described above, and it will be evident that,
through a wide use of tubular parts, strength combined with light
weight is secured. Through resilient pads covering longitudinal
rails, and at certain positions extending between the longitudinal
portions of the pads, a patient may rest comfortably on the
stretcher, and at the same time, a maximum amount of the body is
available for attachment of immobilization straps, traction straps
when necessary, first aid treatment and the like. Both the
immobilization and traction straps are quickly and readily
attached, while the longitudinal adjustability of the cross rails
enables the strap positions to be adjusted to suit the proportions
of a patient. In addition, by mounting the handles on the cross
rails, carrying points located strategically with respect to the
weight and center of gravity of the patient, are provided. In
addition to or in lieu of the handles, the various tubular parts
provide additional points for handling by persons carrying the
stretcher, so that movement over rough terrain is readily
accomplished. Also, through immobilization of the patient on the
stretcher, the stretcher may be carried or moved in either a
horizontal or a vertical position. Blood plasma and the like can be
supplied, and reduction of fractures and other first aid treatment
can be readily accomplished, as in the manner described. The
addition of a wheel for movement over smooth terrain or a path, the
use of the lifting cables, and similar provisions, are essentially
optional, yet have considerable value for numerous instances of
use.
An advantage of a stretcher made primarily of aluminum and sponge
rubber is that X-rays can be taken through the stretcher parts, so
as to determine the location and extent of fractures and the like,
before the patient is removed from the stretcher. For use in
ambulances, planes, and the like wherein a number of patients are
to be carried, racks may be provided consisting essentially of
posts at the head and foot and provided with sockets or other
receivers for the tubular slides 41 and 42 at the head and 41' and
42' at the foot of the first embodiment, or the end bars 95 and 96
of the second embodiment. For such use, or for other uses, if
desired, the side rails may be continuous pieces, as in the second
embodiment, rather than each side rail being separable into two
parts, although the latter is advantageous, as pointed out
previously, for use when the stretcher is to be carried over rough
terrain to the patient or to be stored in a smaller space than
would accommodate the full length of the stretcher.
While two embodiments of this invention have been described with
particularity and variations indicated therein, it will be
understood that other embodiments may exist, and various changes
made therein, all without departing from the spirit and scope of
this invention.
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