Mobility assist device and method for self-transfer between bed and wheelchair
A mobility assist device for paraplegic individuals who are non-weight bearing through their bilateral lower extremities and one or two wrists to move in bed and also to transfer from a bed to a wheelchair or commode, or vise versa. The device has a support plate that is intended for supporting the forearm of a non-weight bearing wrist and for securing the forearm to the support plate. For self-transfer of the individual from a bed to a wheelchair, the individual bridges the space between the bed and the wheelchair located near the bed. By using the muscles of the healthy hand and the muscles of the handicapped hand supported by the device, the individual stepwise moves his body along the sliding board to the wheelchair until he/she find himself/herself on the wheelchair seat. The sliding board is then removed. Transfer from the wheelchair to the bed is carried out in the reverse sequence.
The present invention relates to a mobility assist device for a handicapped individual, in particular, to a device for assisting a paraplegic individual to independently transfer himself/herself from a bed to a wheelchair or from a wheelchair to a bed, i.e., without assistance from another individual. More specifically, the invention relates to a method and device for assisting individuals who are non-weight bearing through their bilateral lower extremities and also one or both wrists to move in bed and to transfer from a bed to a chair or commode.
Many devices and methods that assist handicapped individuals to increase their independence and mobility are known in the art.
For example, U.S. Pat. No. 5,282,486 issued in 1994 to L. Hoover discloses a crutch, which can be used, particularly by paraplegics, to move between sitting and standing positions. The crutch includes a unique foot mechanism that gives added stability to the user of a pair of the crutches during such sitting/standing transitions and that can be retracted so as to avoid interference with normal crutch-aided walking. A set of such crutches, incorporating both power extension/retraction and power foot adjustment, is capable of extended powered operation with on-sliding board electrical power, uses power only for adjustment, and is self-locking into various positions. The power assist of the crutches is controlled by switches strategically located on the crutch handles so that the user can manipulate the control switches without releasing his/her hold on the crutch handles. Also disclosed is a unique method of assisting disabled persons who use such crutches to move between seated and standing positions without further assistance.
U.S. Pat. No. 5,465,744 issued in 1995 to Browning discloses an adjustable mobility assist device, which has a base, means for obtaining leverage against a stationary object, and grasping means that allow the user to reach out and up while rising from a seated position. In its several embodiments, the device can be adapted for use in rising from a chair, bed, or commode. Handles are provided so that the device can also assist in walking. Arms are also included for supporting the user's arms, a reading or eating tray, and the like. The device is portable and can be moved from one piece of furniture to another in the user's home.
U.S. Pat. No. 5,718,671 issued in 1998 to J. Bzoch discloses an orthosis with a clamp designed to clamp the orthosis to the arm of a chair. Adjustment devices incorporated in the orthosis permit adjustment of the position and orientation of the orthosis in all degrees of freedom, and the armrest of the orthosis can be lengthened or shortened.
U.S. Pat. No. 5,983,911 issued in 1999 to R. Steele describes a device that rests on a floor surface for enhancing the self-mobility of a person. The device comprises a base structure that consists of a plurality of floor rail stabilizers and a base platform. The floor rail stabilizers include parallel sides. The base platform is comprised of a base frame and a base plate fixably attached to the base frame with the base frame having parallel side surfaces and being fixably attached in flush surface-to-surface relation to the plurality of floor rail stabilizers for strength and stability. The base platform is located and positioned between the plurality of floor rail stabilizers for holding the device to the floor surface. A plurality of upright side stands are sized and positioned on the floor rail stabilizers for sustaining and transferring the lateral force applied by the person. Each upright side stand is comprised of a plurality of vertical rail members and a plurality of angled rod members. Each upright side stand is located and positioned with each angled rod member positioned in a direction toward the back end of the corresponding floor rail stabilizer to provide stability and each vertical rail member thereby transferring the lateral force to the corresponding angled rod member. Each angled rod member thereby transfers the lateral force to the corresponding floor rail stabilizer to resist tipping and to relieve the corresponding vertical rail member of stress.
U.S. Pat. No. 7,156,789 issued in 2007 to A. Nativ describes a mobile apparatus for assisting a person with limited mobility. The person may be assisted by the apparatus when walking. The apparatus includes a seating surface resiliently mounted to provide partial body weight support to the person. A person using the mobility assist may grasp lateral handles disposed on the apparatus while walking, or he/she may attempt to mobilize without the use of the lateral handles. Multiple elastic cords positioned to generate a lifting force that varies according to the number of elastic cords employed provide the degree of resilience in the seat. The degree of resilience can be adjusted in accordance with the relative collapse of the lower extremities of the person. As the walking ability of the person progresses, such lifting force can be reduced over time by reducing the number of elastic cords employed.
U.S. Pat. No. 7,237,844 issued in 2007 to K. Stewart, III, et al, relates to a lightweight portable vertebrae decompression support device that comprises a pair of armrests with selectively adjustable members connecting the armrests and a base member. The base member is adapted to rest on a seat. The selective adjustment raises and lowers the height of the armrests with respect to the base. The support device provides arm support sufficient to decompress the vertebrae and aids persons recovering from back surgery or those with chronic back problems. The support device can be adjusted to fit various girths.
U.S. Pat. No. 7,328,467 issued in 2008 to J. Aarestad discloses a lift and transfer device and a method, wherein a patient support assembly supported on a lift and on a wheeled platform includes a main support arm pivoted to the lift. First and second transversely extending support arms carrying a back support section and a leg support are cantilevered from the main support arm. The main support arm is positioned for lifting a patient from a bed. The main support arm is rotated from a first to a second angular position for lowering a patient to a wheelchair. First and second pivot arms each have an upper end pivotally supported to the back support section and a lower end having a torso grip pad positioned adjacent to one side of the patient. Horizontal force applied by each torso grip pad and friction provide patient support.
U.S. Pat. No. 7,364,184 issued in 2008 to P. Delhotal discloses a mobility assist device for moving an individual with limited mobility or allowing such an individual to move without assistance from another individual. The device includes a substantially rigid frame or body assembly having sufficient strength to support the weight of the individual; a plurality of lockable/brakeable rolling members attached to the substantially rigid frame or body assembly; and a seat member attached to the substantially rigid frame or body assembly, wherein the seat member includes a seat bottom member and a deployable seat back member that is selectively adjustable from at least a first upright position to a second reclined position, wherein in the second reclined position the seat bottom member and the deployable seat back member are substantially collinear, thereby functioning as a ramp that facilitates loading/unloading of the individual into/out of the seat member and the mobility assist device.
However, none of the devices and methods described above make it possible for an individual who is non-weight bearing through his/her bilateral lower extremities and one or both wrists to move in bed or to transfer himself/herself from bed to wheelchair, or vice versa, without assistance.
OBJECTS AND SUMMARY OF THE INVENTIONIt is an object of the invention to provide a device and method for improving self-mobility of an individual who is non-weight bearing through his/her bilateral lower extremities and one or both wrists. It is a further object to provide a device that can hasten the rehabilitation process of patient independence and can also be used at home or another facility until the patient is able to ambulate. It is another object to provide a device that can be used by patients with multiple extremity fractures for improving their mobility. It is a more specific object to provide the aforementioned individuals with a device and method that allow an individual to move in bed and to transfer himself/herself from bed to wheelchair, or vice versa, without assistance. Still another object is to provide the device of the aforementioned type that is light in weight, adjustable according to specific dimensions of the individual, foldable, and suitable for placing on a wheelchair.
An individual who is non-weight bearing through his/her bilateral lower extremities and one or both wrists cannot independently, i.e., without assistance of another person, transfer himself/herself from a bed to a wheelchair, or vice versa. However, this becomes possible by use of the device and method of the invention.
In general, the device of the invention (hereinafter referred to as “device”) comprises a short crutch that has a height slightly shorter than the distance from the support surface, e.g., of a bed or a wheelchair, to the armpit of the person sitting on this support surface. The device requires the use of a sliding board as an auxiliary item. The sliding board always can be located at hand, that is, near or on the bed in an easily reachable position.
According to one aspect of the invention, the device consists of two parallel rods adjustable in length and interconnected with a transverse crossbar at the upper ends and with a forearm-supporting plate, which is sufficiently wide to support the forearm of the individual who has a non-weight bearing wrist. The upper surface of the crossbar and the support surface of the forearm-supporting plate are coated with a soft, resilient material. The forearm-supporting plate is provided with a forearm-securing means, such as a flexible strip or a belt with a buckle, for tightly securing the wrist of the non-weight bearing forearm to the device during use of the latter.
According to another aspect of the invention and in addition to the features described above, the forearm-supporting plate is pivotally connected to an auxiliary crossbar installed between the parallel vertical rods, and a third vertical bar for use as a support leg for the forearm-supporting plate is pivotally connected to the bottom of the forearm-supporting plate. Such a construction improves stability of the forearm-supporting plate during use and makes the device foldable for convenience of storage and transportation.
The device is used as a crutch in the following manner. In order to transfer oneself from a bed to a wheelchair, which is preliminarily positioned at the end of the bed opposite to the pillow, the individual assumes a sitting position on the bed with the elbow of his/her injured or handicapped hand resting on the bed. The healthy hand is located on the wheelchair side. With the healthy hand, the individual places one end of the sliding board under his/her buttock and the other end onto the seat of the wheelchair so that the sliding board bridges the span between the bed and the wheelchair. Next, the individual places the device on the bed. The device is then used as a crutch so that the transverse crossbar is placed under the individual's armpit of the handicapped arm, which rests on the forearm-supporting plate, while the healthy hand rests on the wheelchair side of the sliding board. In this situation, by using the muscles of the healthy hand and of the handicapped arm the individual can slightly lift his/her body to alleviate the pressure exerted by his/her weight on the sliding board so that he/she can shift his/her body toward the wheelchair. Such a procedure is repeated many times, and when in subsequent operations the individual moves closer to the wheelchair the device rests on the sliding board instead of the bed. These steps are repeated until the individual finds himself/herself on the part of the sliding board that is supported by the wheelchair. The individual then removes the sliding board with his/her healthy hand. Transfer from a wheelchair to a bed is carried out in reverse sequence of the above-described operations. In order to facilitate this operation and to allow the individual to reach the board with his/her healthy hand, the edge of the sliding board on the wheelchair side should not be placed too far under the individual's body. Furthermore, it is recommended that the edges of the sliding boards be beveled.
An individual who is non-weight bearing through his/her bilateral lower extremities or in one or both wrists cannot independently, i.e., without assistance of another person, transfer himself/herself, e.g., from a bed to a wheelchair, or vice versa. However, this becomes possible by use of the device and method of the invention. In the context of the present invention, the term “non-weight bearing lower extremities” means amputated or fractured legs, and the term “handicapped hand” means a hand without a wrist or a hand with broken fingers. Individuals with such problems are frequent patients in acute care hospitals, especially in trauma centers. Non-weight bearing lower extremities and handicapped hands cannot support the body weight of a handicapped individual. The mobility assist device of the present invention provides the individual with such a capacity.
The device 20 is provided with a forearm-supporting plate 36 that, in the modification shown in
The tubular support legs 28 and 30 may have on their lower ends bearing shoes 44 and 46 molded, e.g. from rubber. A mechanism of attachment of the support leg, e.g., the support leg 28, to the respective tubular rod 24 is shown in
The mobility assist device 120 according to another aspect of the invention is shown in
Parts and units of the device of this second modification that are identical to those shown and described for the first modification and with reference to
To distinguish the device shown in
As shown in
Use of devices 20 and 120 will now be described with reference to
As the following description equally relates to devices 20 and 120 of both modifications, reference will be made only to the device 20. In fact, the device 20, or device 120, is used as a short crutch having a height that is slightly shorter that the distance from the device support surface 202a of the bed 202 to the armpit 200b (
In order to transfer oneself, e.g., from the bed 200 to a wheelchair 204, which is preliminarily positioned at the end of the bed 202 opposite to a pillow 202b, the individual 200 assumes a sitting position on the bed 202 with the elbow 200c of his/her injured or handicapped hand 200d resting on the bed 202 (
Next, the individual places the device 206 of the invention on the bed 202 (
In this situation, by using the muscles of the healthy hand 200e and of the handicapped arm 200d, the individual 200 can slightly lift his/her body to alleviate the pressure exerted by his/her weight on the sliding board 205 so that he/she can shift his/her body in the direction of the arrow D (
Such a procedure is repeated many times so that in subsequent operations the device 206 rests on the sliding board 205 instead of the bed 202 (
Transfer from a wheelchair 204 to a bed 202 is carried out in the reverse sequence of the above-described operations. In order to facilitate this operation and to allow the individual 200 to reach the board 205 with his/her healthy hand 200e, the edge of the sliding board on the wheelchair side should not be placed too far under the individual's body.
Thus, it has been shown that the invention provides a device and method for improving self-mobility of an individual who is non-weight bearing through his/her bilateral lower extremities and one or two non-weight bearing wrists. The device hastens the rehabilitation process of patient independence in a hospital and also can be used at home until the patient is able to ambulate. The device can be used by patients with multiple extremity fractures for improving their mobility. Because of the invention, the aforementioned individuals are provided with a device and method that allow movement in bed and transfer from bed to wheelchair, or vice versa, without assistance. The device is light in weight, adjustable according to specific dimensions of the individual, foldable, and suitable for storing, transporting on a wheelchair, or for using on a wheelchair as a foot rest.
Although the invention has been shown and described with reference to specific embodiments, it is understood that these embodiments should not be construed as limiting the areas of application of the invention and that any changes and modifications are possible provided that these changes and modifications do not depart from the scope of the attached patent claims. For example, the handicapped individual who has two non-weight bearing wrists would use two devices, one for the right hand and another for the left hand. The device frame can be assembled from aluminum tubular elements or can be molded from a plastic material. The device may have one support leg or more than three support legs. The support legs can be attached to the frame elements and fixed in the adjusted position by means other than the spring-loaded semispherical member and the locking nut, e.g., with pins insertable into through holes of the legs and tubular rods.
Claims
1. A mobility assist device for use by an individual who has non-weight bearing lower extremities and at least one hand with a non-weight bearing wrist, the mobility assist device comprising:
- a frame formed at least from a pair of rods rigidly interconnected at one end with a cross bar;
- a forearm support means for supporting the forearm of the hand of the individual who has a non-weight bearing wrist, the forearm support means being attached to the frame in an intermediate position of the frame and oriented perpendicular to the pair of rods that form the frame; and
- a forearm securing means for securing the forearm to the forearm support means in a manner that allows the individual to perceive his/her entire body weight, or a part thereof, by the forearm when the device is used as a support for said individual.
2. The device of claim 1, wherein each rod of the frame consists of a tubular rod and a support leg, each tubular rod and the respective support leg being telescopically moveable with respect to one another and having a locking mechanism for locking the support leg with respect to the tubular rod in a selected position.
3. The device of claim 1, wherein the forearm support means further comprises a substantially semicircular pad made from a soft material for supporting and embracing said forearm when the forearm is placed onto the semicircular pad and means for securing the forearm to the substantially semicircular pad when the individual uses the device to support at least a part of his/her body weight.
4. The device of claim 3, wherein the securing means comprises a buckle attached to one end of the semicircular pad; a belt, one end of which is attached to the side of the semicircular pad opposite to said one side and the other end capable of being guided through the buckle; and a fastening mechanism for securing said other end of the belt when the belt is tightened around said forearm of the individual.
5. The device of claim 4, wherein the fastening means comprises a fastener composed of tiny hooks and loops engageable with each other in a securable manner.
6. The device of claim 2, wherein the forearm support means further comprises a substantially semicircular pad made from a soft material for supporting and embracing said forearm when the forearm is placed onto the semicircular pad and means for securing the forearm to the substantially semicircular pad when the individual uses the device to support at least a part of his/her body weight.
7. The device of claim 6, wherein the securing means comprises a buckle attached to one end of the semicircular pad; a belt, one end of which is attached to the side of the semicircular pad opposite to said one side and the other end capable of being guided through the buckle; and a fastening mechanism for securing said other end of the belt when the belt is tightened around said forearm of the individual.
8. The device of claim 7, wherein the fastening means comprises a fastener composed of tiny hooks and loops engageable with each other in a securable manner.
9. The device of claim 1, wherein the forearm support means is pivotally attached to the frame in an intermediate position of the frame and is provided with a third rod that is pivotally connected to the forearm support means.
10. The device of claim 9, wherein the third rod consists of a third tubular rod and a third support leg, which are telescopically moveable with respect to one another and have a third locking mechanism for locking the third support leg with respect to the third tubular rod in the selected position.
11. The device of claim 10, wherein the forearm support means further comprises a substantially semicircular pad made from a soft material for supporting and embracing said forearm when the forearm is placed onto the semicircular pad and means for securing the forearm to the substantially semicircular pad when the individual uses the device to support at least a part of his/her body weight.
12. The device of claim 11, wherein the securing means comprises a buckle attached to one end of the semicircular pad; a belt, one end of which is attached to the side of the semicircular pad opposite to said one side and the other end capable of being guided through the buckle; and a fastening mechanism for securing said other end of the belt when the belt is tightened around said forearm of the individual.
13. The device of claim 12, wherein the fastening means comprises a fastener composed of tiny hooks and loops engageable with each other in a securable manner.
14. The device of claim 1, wherein the device has a height shorter than the distance from the support surface on which the individual sits and on which the device rests during use to the armpit of the individual in a sitting position.
15. The device of claim 9, wherein the device has a height shorter than the distance from the support surface on which the individual sits and on which the device rests during use to the armpit of the individual in a sitting position.
16. A method of self-transfer of a handicapped individual having non-weight bearing lower extremities and at least one non-weight bearing wrist from one location having a first support surface to another location having a second support surface, the method comprising the following steps:
- (a) providing a sliding board and a mobility assist device that has a frame comprising at least a pair of rods rigidly interconnected at one end with a crossbar, a forearm support means for supporting the forearm of the hand of the individual who has the non-weight bearing wrist, the forearm support means being attached to the frame in an intermediate position of the frame and oriented perpendicular to the pair of rods that forms the frame, and forearm securing means for securing the forearm to the forearm support means in a manner that allows the individual to perceive all or a part of his/her body weight by the forearm when the device is used as a support for said individual;
- (b) assuming by said individual a sitting position on the first support surface with the elbow of his/her hand having the non-weight bearing wrist resting on the first support surface, the other hand of the individual being located on the side of the second location;
- (c) placing one end of the sliding board with said other hand under his/her buttock and the other end of the sliding board onto the second support surface so that the sliding board bridges the span between the first location and a second location;
- (d) placing by said individual the device onto the first support surface for using the device as a crutch by placing the transverse crossbar under the individual's armpit of the hand having the non-weight bearing wrist;
- (e) securing the forearm in the forearm support means by using the forearm securing means;
- (f) lifting the body to alleviate pressure exerted by the weight of the individual's body on the sliding board by using the muscles of said other hand and of the forearm of the hand having the non-weight bearing wrist and shifting himself/herself toward the second location;
- (g) repeating step (f) until reaching a position on the second support surface in the second location; and
- (h) releasing himself/herself from the sliding board by pulling it out.
17. The method of claim 16, wherein the first location is a bed and the second location is a wheelchair.
18. The method of claim 16, wherein the first location is a wheelchair and the second location is a bed.
Type: Application
Filed: Feb 11, 2009
Publication Date: Aug 12, 2010
Inventor: Nikolay Yefimov (San Francisco, CA)
Application Number: 12/378,105
International Classification: A45B 3/00 (20060101); A45B 9/00 (20060101);