ADVERSE EVENT MITIGATION SYSTEMS, METHODS, AND DEVICES
A sleep apparatus, such as a mattress, comprises a head support surface sized to support a person's head, and a torso support surface sized to support a person's torso. The head support surface is generally laterally sloped moving from a first side toward a second side of the mattress, and the torso support surface is generally laterally sloped moving from the first side toward the second side. In some embodiments, the lateral slope of the head support surface is at least about 15°, the lateral slope of the head support surface is greater than the lateral slope of the torso support surface, and/or, the sleep apparatus slopes in the longitudinal direction as well.
The present application is a continuation of U.S. application Ser. No. 14/815,010, filed Jul. 31, 2015, which is a continuation-in-part of, and claims priority to U.S. application Ser. No. 14/454,961 filed Aug. 8, 2014, now U.S. Pat. No. 10,660,807, which is a continuation-in-part of, and claims priority to, PCT/US2013/042313, filed May 22, 2013, and U.S. application Ser. No. 14/454,961 is a continuation-in-part of, and claims priority to, PCT/US2014/018033 filed Feb. 24, 2014, the entire disclosures of which are hereby incorporated herein by reference. PCT/US2013/042313 claims priority to: U.S. Provisional Application Ser. No. 61/650,022, filed on May 22, 2012; U.S. Provisional Application Ser. No. 61/729,868, filed on Nov. 26, 2012; and U.S. Provisional Application Ser. No. 61/792,911, filed on Mar. 15, 2013; the entire disclosures of each are hereby incorporated herein by reference. PCT/US14/018,033 claims priority to U.S. Provisional Application Nos. 61/792,911 filed Mar. 15, 2013 and 61/896,358 filed Oct. 28, 2013, the entire disclosures of which are hereby incorporated by reference herein.
BACKGROUNDThis disclosure relates generally to systems, methods, and devices for the treatment of sleep disorders. More particularly, but not exclusively, the present disclosure relates to mattresses having features and functions that aid in the treatment of sleep disorders. While various systems have been developed, there is still room for improvement. Thus, a need persists for further contributions in this area of technology
SUMMARYA system, method or apparatus according to this disclosure may comprise one or more of the features recited in the appended claims and/or the following features which, alone or in any combination, may comprise patentable subject matter:
According to an aspect of the present disclosure, a mattress may have a longitudinal length defined by a longitudinal axis (e.g., a longitudinal central axis) of the mattress when the mattress is in its most horizontal position and a lateral width defined by a lateral axis (e.g., a lateral central axis) of the mattress when the mattress is in its most horizontal position. The mattress may include a head section having a head support surface to support at least a portion of a person's head. At least a portion of the head support surface is generally sloped in the lateral direction at a first angle relative the lateral axis. The first angle may be from about 15 (or alternatively, about 10 degrees) to about 30 degrees. The mattress may further comprise a torso section having a torso support surface to support at least a portion of a person's torso. At least a portion of the torso support surface may be generally sloped in the lateral direction at a second angle relative to the lateral axis. The second angle may be from about 1 to about 25 degrees less than the first angle.
In some embodiments, the second angle may be from about 5 to about 15 degrees less than the first angle. Alternatively or additionally, the first angle may be from about 15 to about 30 degrees and the second angle may from about 0 to about 20 degrees. Further alternatively or additionally, the first angle may be from about 20 to about 30 degrees and the second angle may be from about 5 to about 15 degrees less than the first angle.
In some embodiments, the mattress may further include a leg section having a leg support surface to support at least a portion of a person's legs. The leg support surface may be generally sloped in the lateral direction at a third angle relative to the lateral axis. If desired, the third angle may be from about 0 to about 15 degrees. In some embodiments, the mattress includes a bolster that may be positioned adjacent a bottom side of the sloped torso support surface and that may rise above at least a portion of the torso support surface.
In some embodiments, the head section may be from about 5 inches to about 30 inches in length, the torso section may be from about 15 inches to about 50 inches in length, and the leg section may be from about 25 inches to about 50 inches in length. It is contemplated by this disclosure that the mattress may have a lower leg support surface and a thigh support surface that may be pivotable in the longitudinal direction relative to one another, so as to form an angle between the two surfaces of from about 185 to about 270 degrees. Thus, the mattress may be made at least partially of a flexible material to allow for the pivoting of the lower leg support surface and the thigh support surface. In some embodiments, at least one of the head section and torso section may have an air bladder configured to inflate to create at least one of the first and second angles.
In accordance with another embodiment, a person support apparatus is provided and may have a longitudinal length from its head end to its foot end and a lateral width from side to side. The person support apparatus may include a head section having a head support surface to support at least a portion of a person's head. At least a portion of the head support surface may be generally sloped downward in a lateral direction. The person support apparatus may further comprise a torso section having a torso support surface to support a least a portion of the person's torso. At least a portion of the torso support surface may be generally sloped downward in the lateral direction and the slope of the torso support surface may be different from the slope of the head support surface. The person support apparatus may further have a bolster extending along a side of the person support apparatus and extending above the side. Alternatively or additionally, the person support apparatus may have a bolster extending along an end of the person support apparatus and extending above the end of the person support apparatus.
In some embodiments, the bolster may not extend along at least a portion of a side of the head section. The bolster may extend along at least a portion of the leg section. The bolster may extend above the foot end of the person support apparatus. The person support apparatus may further include a leg section having a leg support surface to support at least a portion of a person's leg. The leg support surface may be flat (e.g., horizontal) or may have a slope in the lateral direction. The slope of the leg support surface may be about equal to or less than the slope of the torso support surface.
In some embodiments, the head support surface may be sloped at an angle of from about 10 to about 30 degrees and the torso support surface may be sloped at an angle of from about 1 to about 20 degrees. At least one of the head section and torso section may have an air bladder configured to inflate to create at least a portion of the slope of the respective section. The person support apparatus may further include a leg section having a leg support surface to support at least a portion of a person's leg. The leg support surface may be flat (e.g., horizontal) or may be generally downwardly sloped in the lateral direction at an angle relative to a plane that is less than the angle of the head support surface. The leg section may be pivotable between a thigh section and a lower leg section. The person support apparatus may have a transition surface sloping between the head section and the torso section.
Furthermore, a sleeping apparatus may be provided and may have a longitudinal centerline. The apparatus may have at least one bottom surface that may be generally horizontal when the person support apparatus is in a generally horizontal position for sleeping. The apparatus may have a support section sized to support a person's head or torso. The support section may have a top surface extending from a first side of the longitudinal centerline to a second side of the longitudinal centerline. The top surface may slope generally laterally downwardly relative to horizontal, at an angle of at least approximately 10 degrees and may slope generally longitudinally downwardly relative to horizontal, when the person support apparatus is in a horizontal position.
According to another aspect of this disclosure, a sleep apparatus may have a longitudinal dimension moving from a head end to a foot end, and a lateral dimension moving from a first side to a second side when in a generally horizontal position for sleeping. The sleeping apparatus may include a head support section sized to support a person's head. The head support section may be generally laterally sloped moving from the first side toward the second side. The head support section may has a height when the sleeping apparatus is in the generally horizontal position. The sleeping apparatus may also have a torso support section sized to support a person's torso. The torso support section may be generally laterally sloped moving from the first side toward the second side. The torso support section has a height when the sleeping apparatus is in the generally horizontal position. The height of the head support section may be greater than the height of the torso support section.
In some embodiments, the height of the head section may be the average of the maximum heights of lateral cross sections of the head section and the height of the torso section may be the average of the maximum heights of lateral cross sections of the torso section. The head support section may slope generally laterally downwardly relative to horizontal at an angle of at least about 20 degrees and the torso support section may slope generally laterally downwardly relative to horizontal an angle of at least about 10 degrees. The angle of the head support section may be the average angle of slope of tangents to horizontal cross sections of the head support section and the angle of the torso support section may be the average angle of slope of tangents to horizontal cross sections of the torso support section.
In some embodiments, the sleep apparatus may further have a leg support section sized to support a person's legs. The leg support section may be generally laterally sloped moving from the first side toward the second side. The leg support section may have a height when the sleeping apparatus is in the generally horizontal position. The height of the torso support section may be greater than the height of the leg support section.
According to another aspect of the present disclosure, a sleep support apparatus may be provided having a longitudinal axis when in a horizontal position. The sleep support apparatus may comprise a body part support section. The body support section may have at least one surface configured to support at least a portion of a person's body during sleep. The body support section may permit the person's head to turn sideways substantially in at least one direction, but at the same time may urge a longitudinal center plane of the person's face to rest at a first angle during sleep relative to a vertical plane extending upwardly against the direction of gravity and along the longitudinal axis of the sleep support apparatus. The first angle may be equal to or greater than about +/−35 degrees from the upwardly extending vertical plane, and up to about +130 degrees, whether the patient is supported generally on the patient's back/rear, on the patient's side, or on the patient's front side and/or stomach.
Thus, according to an aspect of the present disclosure, a sleep apparatus may have a body part support section, the support section may have at least one surface configured to support at least a portion of a person's body during sleep, and the support section may allow the person's head to turn substantially in at least one direction. The support section may urge the longitudinal center plane of the person's face to rest at a first angle during sleep relative to the vertical plane extending generally upwardly and along the longitudinal axis of the sleep apparatus. The first angle may be equal to or greater than about 35 degrees from the upwardly extending vertical plane.
In some embodiments, the body part support section may include a head support section or torso support section sloping generally laterally downwardly. The body part support section may further include a head support section sloping generally laterally downwardly at a first angle and a torso support section sloping generally laterally downwardly at a second angle that is different from the first angle. The sleep apparatus may comprise a bed or mattress or a device to be placed under or on a bed or mattress or person support apparatus.
According to the present disclosure, a sleep apparatus may be provided having a longitudinal dimension moving from a head end to a foot end and a lateral dimension moving from a first side to a second side when in a generally horizontal position for sleeping. The apparatus may include a head support section sized to support a person's head. The head support section may be generally laterally sloped moving from the first side toward the second side. The apparatus may further include a torso support section sized to support a person's torso. The torso support section may be generally laterally sloped moving from the first side toward the second side. The sleep apparatus may also be generally longitudinally sloped moving from the head end to the foot end.
In some embodiments, the slopes are achieved by linear surfaces, non-linear surfaces, or stepped surfaces. In some embodiments, the sleep apparatus may further include a leg support section sized to support a person's legs and the leg support section may be generally laterally sloped moving from the first side toward the second side.
According to an aspect of this disclosure, a sleep apnea prevention apparatus for use with a mattress is provide and may include a mattress overlay that may be placeable on the mattress to cover at least a top surface of the mattress. A plurality of lateral tilt bladders may be coupled to the overlay and may be situated above the top surface of the mattress when the overlay is placed on the mattress. The apparatus may further include a control unit that may be configured to control inflation and deflation of the lateral tilt bladders individually. The control unit may have user inputs that may permit a user to individually select an amount of tilt of each lateral tilt bladder of the plurality of lateral tilt bladders so that an upper surface of the overlay may have regions with different lateral tilt angles from a first side of the overlay to a second side of the overlay.
In some embodiments, the sleep apnea prevention apparatus may further include a sleep monitor that may be coupled to the control unit and that may be configured for attachment to a person to send signals to the control unit which may be used by the control unit to detect and record sleeping events. The control unit may be configured to store and display trends in sleep data and progress in sleeping based on the signals from the sleep monitor. The control unit may be configured to provide suggested position changes that may be based on the trends in sleep data. The signals from the sleep monitor may be used by the control unit to detect and record apnea events.
In some embodiments, the plurality of lateral tilt bladders may include at least one head tilt bladder that may be located so as to underlie a person's head when the person is lying on the mattress overlay, at least one torso tilt bladder that may be located to underlie the person's torso when the person is lying on the mattress overlay, and at least one leg tilt bladder that may be located so as to underlie the person's legs when the person is lying on the mattress overlay. The at least one head tilt bladder may include a first head tilt bladder and a second head tilt bladder. The first head tilt bladder may be configured to tilt the person's head toward a right side of the mattress when the first head tilt bladder is inflated and the second head tilt bladder is deflated. The second head tilt bladder may be configured to tilt the person's head toward a left side of the mattress when the second head tilt bladder is inflated and the first head tilt bladder is deflated.
In some embodiments, the at least one torso tilt bladder may include a first torso tilt bladder and a second torso tilt bladder. The first torso tilt bladder may be configured to tilt the person's torso toward a right side of the mattress when the first torso tilt bladder is inflated and the second torso tilt bladder is deflated, and the second torso tilt bladder may be configured to tilt the person's torso toward a left side of the mattress when the second torso tilt bladder is inflated and the first torso tilt bladder is deflated. In some embodiments, the at least one leg tilt bladder may include a first leg tilt bladder and a second leg tilt bladder. The first leg tilt bladder may be configured to tilt the person's legs toward a right side of the mattress when the first leg tilt bladder is inflated and the second leg tilt bladder is deflated, and the second leg tilt bladder may be configured to tilt the person's legs toward a left side of the mattress when the second leg tilt bladder is inflated and the first leg tilt bladder is deflated.
In some embodiments, the sleep apnea prevention apparatus may further have a knee gatch bladder that may be situated between the at least one torso tilt bladder and the at least one leg tilt bladder. The control unit may be configured to control inflation and deflation of the knee gatch bladder. Alternatively or additionally, the sleep apnea prevention apparatus may further include at least one side bolster bladder that may extend parallel with a long dimension of the overlay and that may be situated adjacent a first side of the overlay. The control unit may have user inputs to control inflation and deflation of the side bolster bladder.
According to this disclosure, the mattress overlay may be included as part of a mattress ticking that may include material extending downwardly from the overlay to cover sides and ends of the mattress. Optionally, the ticking may further include additional material that may cover a bottom of the mattress. Alternatively or additionally, the sleep apnea prevention apparatus may further include straps coupled to the overlay and configured to secure the overlay on the mattress.
According to the present disclosure, a person support apparatus may include a mattress foundation that may have a top and bottom surface. The top surface may have a predetermined sloped shape. The person support apparatus may further have at least one foam filled bladder that may be configured to lie on top of, and fill in, the sloped shape surface of the mattress foundation to create a flat sleeping surface. An opening may be provided in the at least one foam filled bladder that, after a person lies on the foam filled bladder, may provide a controlled release of air over time from the at least one foam filled bladder so that foam within the foam filled bladder may compress to permit the flat sleeping surface to transition into a shape that may conform generally with the predetermined sloped shape of the mattress foundation.
In some embodiments, the mattress foundation may include a head end, a foot end, a right side, and a left side, and the predetermined sloped shape may comprise an angle from the left side to the right side. For example, the predetermined sloped shape may include a predetermined angle sufficient to prevent sleep apnea. In some embodiments, the opening in the foam filled bladder may comprise a check valve that may be configured to release air over a predetermined period of time in response to the weight of the person on the at least one foam filled bladder.
In some embodiments, the person support apparatus may further include a controller that may include a timer. The controller may control the transition based on the timer. The person support apparatus may further include a plug that may block the opening and the controller may be configured to send a signal to move the plug to open the opening after a period of time has elapsed after the person lies on the foam filled bladder. The plug may be included as a component of a controllable valve, for example. In some embodiments, the mattress foundation may include first foam of a first compressibility and the foam filled bladder may include second foam of a second compressibility that may be less than the first compressibility.
According to a further aspect of this disclosure, a controller for controlling a person support apparatus may be provided. The controller may include a processor, and a memory with instructions that, when executed, may cause the processor to: receive signals from one or more sensors of the person support apparatus; detect movement of a person on the person support apparatus based on the signals received; determine whether the movement of the person may be indicative of an intention to shift on the person support apparatus to a new sleep position; predict the new sleep position of the person on the patient support apparatus; and adjust a sleep surface of the patient support apparatus to accommodate the new sleep position within a predefined set of therapeutic sleep surface adjustment ranges.
In some embodiments, the predefined set of therapeutic sleep surface adjustment ranges may correspond to therapeutic sleep surface angle ranges for prevention of sleep apnea. The processor may be configured to receive at least one of video, acoustic, and accelerometer signals relating to the person. The processor may further be configured to identify whether the movement of the person may be indicative of increased agitation or actual movement.
According to yet another aspect of the present disclosure, a control system for a therapeutic patient support apparatus may be provided. The control system may include a controller that may include a processor and a memory with instructions that, when executed, may cause the processor to: receive physiological measurements of a person that may be relevant to sleep position; compare the received physiological measurements to stored physiological measurements; identify optimum person support angles of a sleep surface of the person support apparatus corresponding to the comparison of the physiological measurements; and adjust the sleep surface of the patient support apparatus to the identified optimum person support angles.
In some embodiments, the control system may further include sensors for sensing the physiological measurements and sending the physiological measurements to the controller. The sensors may include at least one video sensor, for example. The controller may include one or more inputs for a user to enter physiological measurements. The physiological measurements may include at least one, two, three, or each of neck circumference, torso range of motion, body mass index, or stop-bang index.
According to still a further aspect of the present disclosure, a modular system for adjusting the position of a person on a person support apparatus having a mattress foundation and a mattress supported by the mattress foundation may be provided. The modular system may include a plurality of tilting units. Each tilting unit may include a substrate and a plurality of air bladders that may be mounted to the substrate. Each tilting unit may be positionable between a portion of the mattress and the mattress foundation. An electronics module may be connected to the tilting unit and may be configure to introduce air to, and remove air from, the plurality of air bladders of the plurality of tilting units. A handheld controller pendant may be in communication with the electronics module and may have user inputs that may be used to control the position of the person on the person support apparatus by introducing or removing air from the plurality of air bladders of the plurality of tilting units. Each tilting unit may be individually controllable so that different portions of the mattress are tiltable in a lateral dimension of the mattress by different amounts.
In some embodiments, the substrate of at least some of the tilting units may include couplers that couple to the mattress foundation. For example, the couplers may comprise straps or hook-and-loop fastener material or both. The electronics module may include a compressor and valves. The handheld controller pendant or the electronics module may include a timer. The electronics module may introduce air to the air bladders after a predetermined period of time has elapsed as measured by the timer. In some embodiments, the substrate of each tilting unit may include three plates that may be hinged together in a Z-shaped formation. Optionally, the plurality of tilting units may be coupled together so as to form a unitary layer that is placeable on the mattress foundation.
According to yet still a further aspect of this disclosure, a controller for controlling a person support apparatus may be provided and may include a processor and a memory with instructions that, when executed, may cause the processor to: receive signals from one or more sensors; determine a head orientation of a person positioned on the person support apparatus based on the received signals; determine if the head orientation angle from vertical is below a threshold; and in response to a determination that the head orientation angle is below a threshold, determine the user to be at risk of an apnea event.
In some embodiments, the instructions may further cause the processor to alert a caregiver upon determination that the user may be at risk of an apnea event. For example, the processor may alert the caregiver by sending a notification to one or more of the following: a local audio alert unit, a local visual alert unit, a nurse call computer, a handheld device of a caregiver, and an electronic status board.
In some embodiments, the instructions may further cause the processor to activate a portion of the patient support apparatus to tilt a portion of the patient and change the head orientation. The processor may be configured to receive signals after the patient support apparatus has been activated to tilt the portion of the person to determine if a resulting head orientation angle is greater than or equal to the threshold.
Alternatively or additionally, the instructions may further cause the processor to determine if the head orientation angle from vertical may be greater than or equal to the threshold. In response to a determination that the head orientation angle is greater than or equal to a threshold, the processor may determine that the user may not be at risk of an apnea event. In some embodiments, the threshold may be about 45°. The one or more sensors may comprise a machine vision acquisition unit. Alternatively or additionally, the one or more sensors may comprise an accelerometer worn by the person, such as by being worn on the person's forehead, ear, throat or chest.
According to another aspect of the present disclosure, a controller for controlling the position of a person support apparatus may be provided and may include a processor and a memory with instructions that, when executed, may cause the processor to: receive input from a user of the patient support apparatus; recall stored therapeutic support positions for a plurality of adjustable support sections based on the user input; and move the plurality of adjustable support sections to the therapeutic support positions to change an amount of lateral tilt of an upper surface of a mattress to support a person in a position that may reduce a possibility of occurrence of sleep apnea.
In some embodiments, the processor may be configured to receive input when the user presses a single button that may be communicatively coupled to the processor. For example, the single button may be coupled to a siderail of the patient support apparatus. In some embodiments, the input may include identification of the user and the recalled stored therapeutic support position may be a user-specific therapeutic support position stored in the memory.
In some embodiments, the plurality of adjustable support sections may include head, torso, and leg sections of the mattress and an amount of the lateral tilt of each of the head, torso and leg sections when in the respective therapeutic support positions each may comprise an angle in a range of about 1° to about 20°. The plurality of adjustable support sections may include a head section of a mattress support deck and the therapeutic position of the head section may be a position inclined with respect to horizontal by about 10°. The plurality of adjustable support sections may include an upper frame of the patient support apparatus and the therapeutic position of the upper frame may be a reverse Trendelenburg angle of about 2°. The processor may be configured to enable an exit alarm after the adjustable support sections have reached the therapeutic support positions. The exit alarm may become activated if the person exits the patient support.
According to yet a further aspect of the present disclosure, a controller for controlling a person support apparatus may be provided and may include a processor and a memory with instructions that, when executed, may cause the processor to: receive signals from one or more sensors of the person support apparatus; determine, based on the signals, whether a head of a person that may be supported on a laterally tilted surface, may be angled toward an uphill side of the laterally tilted surface or a downhill side of the laterally tilted surface; and adjust an amount of lateral tilt of the laterally tilted surface if the head of the patient may be angled toward the uphill side of the laterally sloped surface.
In some embodiments, the amount of lateral tilt of the laterally tilted surface may be decreased or the laterally tilted surface may be adjusted to tilt in an opposite direction by the processor if the head of the patient is angled toward the uphill side of the laterally sloped surface. The signals from the one or more sensors may be used by the processor to identify a sleep apnea event. The one or more sensors may comprise first and second acoustic sensors that may be situated near opposite sides of the patient support apparatus. The signals from the one or more sensors may be used by the processor to identify at least one physiological parameter of a person that may be positioned on the patient support apparatus. The physiological parameter may include a sleep stage, for example. Alternatively or additionally, the physiological parameter may include a supine position of a user. The signals from the one or more sensors may comprise video signals. The one or more sensors may comprise an accelerometer that may be coupled to the person's head.
According to yet a further aspect of the present disclosure, a person support apparatus having a longitudinal length from a head end to a foot end, and having a lateral width from side to side may be provided. The person support apparatus may include a head section that may have a head support surface to support at least a portion of a person's head. At least a portion of the head support surface may be tilted in a lateral direction. The person support apparatus also may have a torso section that may have a torso support surface to support at least a portion of the person's torso. At least a portion of the torso support surface may be adjustable to be sloped in the lateral direction. The person support apparatus may further have a head under-rotation and/or head over-rotation component to adjust a head orientation of the person on the support while maintaining an amount of tilt of at least a sub-portion of the portion of the head support surface.
In some embodiments, the head over-rotation component may include a wedge-shaped shelf that may be adapted to be placed on the head support surface and shaped to keep the person's head from rotating beyond 90° from a vertical plane. Alternatively or additionally, the head over-rotation component may comprise a blocking component that may be situated adjacent the person's shoulder or hip to keep the person's head from rotating beyond 90 degrees from a vertical plane. For example, the blocking component may include an upstanding cylindrically shaped projection. Alternatively or additionally, the blocking component may include an upstanding projection that may be generally triangular in horizontal cross section.
In some embodiments, the head under-rotation component may comprise a region of reduced density and/or firmness on an uphill side of the downward lateral slope of the head section. Alternatively or additionally, the head under-rotation component may include a region of decreased slope on an uphill side of the head support surface.
In some embodiments, the head section may include first material of a first firmness on a downhill side of the head support surface and second material of a second firmness, less than the first firmness, on an uphill side of the head support surface. The second material may serve as the head under-rotation component. In some embodiments, the head support surface may have an apex in a central region of the head section and may slope downwardly in opposite directions from the apex toward opposite sides of the head section.
In some embodiments, the head under-rotation and/or head over-rotation component may include an inflatable and deflatable bladder in the head section. An amount of inflation of the bladder may be determined based on one or more signals from one or more sensors. The one or more sensors may comprise one or more of the following: a sound sensor, an infrared sensor, a thermal sensor, a video camera, an accelerometer, a weight sensor, an angle sensor, or a pressure sensor.
Additional features and embodiments, that alone or in combination with any other features of any other embodiments, including those listed above and those listed in the claims, and those described in detail below, may comprise patentable subject matter. Other features and embodiments will become apparent to those skilled in the art upon consideration of the following detailed description of illustrative embodiments. Any feature or aspect disclosed herein, or any embodiment disclosed herein, can be combined with any other feature or aspect or embodiment disclosed herein. One or more features of any embodiment disclosed herein can be combined with one or more features of any other embodiment disclosed herein, and other features can be removed or added to create still further embodiments. Accordingly, many other features, aspects, and embodiments are possible without departing from the spirit, scope, and principles of the present disclosure.
Referring now to the illustrative examples in the drawings, wherein like numerals represent the same or similar elements throughout:
While the present disclosure can take many different forms, for the purpose of promoting an understanding of the principles of the disclosure, reference will now be made to the embodiments illustrated in the drawings, and specific language will be used to describe the same. No limitation of the scope of the disclosure is thereby intended. Various alterations, further modifications of the described embodiments, and any further applications of the principles of the disclosure, as described herein, are contemplated.
An adverse event mitigation system 10 according to one contemplated embodiment is shown in
The adverse event mitigation system 10 includes a person support apparatus 12, a person support surface 14 supported on the person support apparatus 12, and a control system 16 as shown in
The upper frame 20 includes an upper frame base 24, a deck 26 coupled to the upper frame base 24, and a plurality of actuators 27 coupled to the upper frame base 24 and the deck 26 as shown in
The person support surface 14 is configured to support a person thereon and move with the deck 20 between the various configurations. In some contemplated embodiments, the person support surface 14 is a hospital bed mattress as shown in
The person support surface 14 includes a mattress cover 44 and a mattress core 46 as shown in
The mattress core 46 can be composed of a single type of material or a combination of materials and/or devices. In the case of a powered surface, the mattress core 46 includes at least one fluid bladder 54 therein that receives fluid from a fluid supply (not shown) to maintain the fluid pressure within the fluid bladder 54 at a predetermined level. In some contemplated embodiments, the powered surface can include non-powered components, such as, a foam frame that at least one fluid bladder 54 is positioned between. In some contemplated embodiments, a fluid bladder 54 can be positioned proximate to the thigh section and inflated or the calf portion 36, thigh portion 38, and/or seat portion 40 (including their corresponding deck sections) can be articulated to help prevent the occupant from sliding down the person support surface 14 as, for example, the inclination of the head and torso section 34 increases with respect to the reference plane RP1. In some contemplated embodiments, wedge shaped bladders are mirrored laterally about the centerline of the person support surface 14 and are configured to be inflated consecutively to laterally tilt the occupant, thereby relieving pressure on various portions of the occupant's body to help reduce the occurrences of pressure ulcers.
In some contemplated embodiments, the mattress core 46 includes inflatable fluid bladders 54a and 54b, which are configured to protrude from the patient facing surface of the person support surface 14 by at least about 70 mm (adjusted for pillow height) and about 20 mm to about 30 mm to support the cervical vertebrae and scapula, respectively. In some contemplated embodiments, the inflatable fluid bladders 54a and 54b are replaced foam bolsters or static air bladders or a combination thereof. In some contemplated embodiments, the distance the fluid bladders 54a and 54b protrude from the patient facing surface of the person support surface 14 can vary depending on any number of factors, including, but not limited to, a person's body type and the angle at which the surface is at with respect to the reference plane RP1. In some contemplated embodiments, the fluid bladders 54a and 54b can also be configured to laterally tilt the head and/or torso of the occupant. In some contemplated embodiments, wedge shaped fluid bladders (not shown) are positioned in the head and torso portion 42 and are configured to increase the angle of the occupant contacting surface of the head and torso portion 42 with respect to the seat portion 40 when inflated.
In some contemplated embodiments, the head and torso of the occupant can be tilted at different angles. For example, the person support apparatus 12 and/or the person support surface 14 can laterally rotate the occupant so that the torso is at an angle of about 10° with respect to the reference plane RP1 and the head is at an angle of about 180° with respect to the reference plane RP1. Rotation of the occupant's torso can help an occupant maintain their head at an angle of about 180° with respect to the reference plane RP1. In some contemplated embodiments, the person support surface 14 is configured to allow the occupant's body to be immersed into the surface to improve comfort with lateral positioning. In some contemplated embodiments, support blocks (not shown) can be placed on the surface 14 adjacent to the occupant to help maintain the position of the occupant. In some contemplated embodiments, the person support apparatus 12 and/or person support surface 14 can laterally rotate the occupant so that the torso is at an angle of about 10° with respect to the reference plane RP1 and fluid bladders 54a and 54b can rotate the occupant's head so that it is at an angle of at least about 180°. In some contemplated embodiments, the occupant can be wearing a garment G1 with fluid bladders G2 configured to be inflated to help laterally rotate the occupant so that the torso is at an angle of at least 10% with respect to the reference plane RP1 as shown in
In the case of a non-powered surface, the mattress core 46 is composed of a cellular engineered material, such as, single density foam. In some contemplated embodiments, the mattress core 46 includes at least one bladder 54, such as, a static air bladder or a static air bladder with foam contained there within, a metal spring and/or other non-powered support elements or combinations thereof. In some contemplated embodiments, the mattress core 46 includes multiple zones with different support characteristics configured to enhance pressure redistribution as a function of the proportional differences of a person's body. Also, in some embodiments, the mattress core 46 includes various layers and/or sections of foam having different impression load deflection (ILD) characteristics, such as, in the NP100 Prevention Surface, AccuMax Quantum™ VPC Therapy Surface, and NP200 Wound Surfaces sold by Hill-Rom Company, Inc.
The control system 16 is configured to change at least one characteristic of the person support apparatus 12 and/or person support surface 14 to help reduce the likelihood of an adverse event occurring and/or stop an adverse event in progress. The control system 16 includes a processor 100, an input 102, and memory 104. In some contemplated embodiments, the input 102 includes a sensor 106, such as, a position sensor, a pressure sensor, a temperature sensor, an acoustic sensor, and/or a moisture sensor, configured to provide an input signal to the processor 100 indicative of a physiological characteristic of the occupant, such as, the occupant's heart rate, respiration rate, respiration amplitude, skin temperature, weight, and position. In some contemplated embodiments, the sensors 106 are incorporated into the person support surface 14 or topper positioned on the person support surface, for example, as disclosed in U.S. Pat. No. 7,515,059 to Price et al. and U.S. Patent Publication No. 2011/0068928 to Riley et al. In some contemplated embodiments, the sensors 106 include, for example, RFID tags, accelerometers, proximity sensors, level sensors, or other physical tracking sensors that may be integrated into or coupled to, for example, ear plugs, ear phones, adhesive sensors, earlobe clips, eye covers, hats, nose strips or other devices that are attached to the patient's head or worn by the patient so that the position/orientation of the patient's head can be tracked. Information captured by monitoring the lateral position of the user's upper respiratory tract has several benefits, including one or more of the following: providing more accurate measurements of the upper respiratory angle for diagnosis of positional obstructive sleep apnea (in one example, sleep labs can use the information to more accurately diagnose POSA); providing biofeedback to help the user to train to maintain a posture that prevents POSA; tracking performance of the system to determine if the system is achieving a sufficient upper respiratory angle to prevent apnea; monitoring compliance to determine if the system is being used; monitoring the upper respiratory angle and recording the angle when a sleep apnea event occurs; and controlling a surface capable of providing lateral rotation as a function of the inputs from the sensors 106, tracking whether optimal lateral position has been achieved, and controlling the system to achieve a desired head lateral position and/or upper respiratory angle. In some contemplated embodiments, the sensors 106 are tracked by reading devices (i.e., an RFID reader) in a siderail, person support surface, deck, headboard, or location on or in the person support apparatus 10 or person support surface 14, or on or in a headwall in the room or other location in the room. In some contemplated embodiments, the sensor 106 includes a camera positioned at the foot of the bed or above the bed, as disclosed in U.S. Patent Publication No. 2012/0029879 to Sing et al., for example, to track the orientation of the person's head.
In some contemplated embodiments, the input 102 includes a user interface 108 configured to receive information from a caregiver or other user. In other contemplated embodiments, the input 102 is an Electronic Medical Record (EMR) system 110 in communication with the processor 100 via a hospital network 112. In some contemplated embodiments, the processor 100 can output information, automatically or manually upon caregiver input, to the EMR for charting, which can include therapy initiation and termination, adverse event occurrence information, therapy protocol used, caregiver ID, and any other information associated with the occupant, caregiver, person support apparatus 12, person support surface 14, and adverse event.
The memory 104 stores one or more instruction sets configured to be executed by the processor 100. The instruction sets define procedures 114 that, when executed by the processor, cause the processor 100 to implement one or more protocols that modify the configuration of the person support apparatus 12 and/or the person support surface 14. In one illustrative embodiment, the instruction set defines a proactive procedure 114 that causes the processor 100 to configure the person support apparatus 12 and/or the person support surface 14 in response to an input specifying that the occupant is at risk for sleep apnea. Procedure 114 begins with step 116 in which the processor 100 receives an input signal from the input 102 indicative of the level of risk for an apnea event occurring. In some contemplated embodiments, the level of risk is input from a field in the occupant's EMR. In some contemplated embodiments, the level of risk is input by a caregiver through the user interface 108, which may arise from a doctor's order or be based on a patient scoring system. In some contemplated embodiments, the level of risk is determined based on a risk score that is calculated by the processor 100 based on a number of factors, including, but not limited to, those listed in the table below:
In circumstances where an occupant is known to snore frequently, has a high BMI, has had major surgery, and/or requires postoperative opioids, the occupant may have an elevated risk. In circumstances where an occupant has a low BMI, is not known to snore, had superficial surgery, and/or does not require postoperative opioids, the occupant may have a reduced risk. An example of a scoring system is shown in the table below, where a score of 4 can indicate an increased risk, and a score of greater than 4 can indicate a significantly increased risk.
In step 118, the processor 100 determines which protocol should be implemented based on the level of risk. One type of the protocol is a default protocol set according to the hospital's standard operating procedures/guidelines for patients with specific risk profiles. Another type of protocol is a variable protocol that modifies the default protocol based on the occupant's preferences (i.e., prefers to sleep on their left side), the caregiver's observations, and/or information about the occupant's medical condition (i.e., pressure ulcer susceptibility, BMI, type of surgery, etc.) from the occupant's EMR, sensors 106, and/or other input 102. In some contemplated embodiments, the protocol can be modified to exclude or limit a therapy or movement. For example, the protocol can be prevented from increasing the head of bed angle (the angle between the reference plane RP1 and the head and torso section 34 or head and torso portion 42) above a predetermined threshold where the occupant is recovering from abdominal surgery. In some contemplated embodiments, the protocol can caution the caregiver against implementing the configurations based on information obtained from the occupant's EMR or other sources.
In step 120, once the protocol is selected, the configuration settings are communicated to the caregiver, for example, on a graphical user interface or other display device, and the caregiver is prompted to accept/modify the settings. In some contemplated embodiments, the configuration settings can be communicated to a hand held device. In one example, the protocol may require the head of bed angle to be greater than about 35° and the lateral tilt angle to be greater than 15° with respect to the reference plane RP1 for an occupant with an elevated risk score. In another example, the protocol may require the head of bed angle to be about 10° to about 15° and the lateral tilt angle to be about 10° to about 15° with respect to the reference plane RP1 for an occupant with a reduced risk score. In some contemplated embodiments, the upper frame 20 can also be moved to a Trendelenburg or reverse Trendelenburg orientation. In some contemplated embodiments, the protocol can require additional therapies to be active, such as, continuous lateral rotation where, for example, the lateral tilt angle changes every 30-120 minutes depending on the occupant's risk of developing pressure ulcers. In some contemplated embodiments, the sleep stage of the occupant can be taken into account so that the occupant is moved only when they are in a sleep state that would allow them to be moved without waking up. In some contemplated embodiments, the person support apparatus 12 and/or the person support surface 14 are returned to the configuration they were in prior to the implementation of the protocol before the occupant wakes up. In some contemplated embodiments, a manual stop button can be included so that the caregiver, occupant, or other person can terminate the protocol in the event of an emergency. In some contemplated embodiments, the protocol can automatically be terminated when an emergency condition occurs, such as, when the CPR handle (not shown) is pulled by a caregiver or the occupant is coding. In some contemplated embodiments, the procedure 114 can be terminated remotely by a caregiver, such as, via the hospital network or over a nurse call system.
In some contemplated embodiments, the position and/or the orientation of the occupant with respect to patient facing surface of the person support surface 14 is detected and can influence how the person support surface 14 and/or the person support apparatus 12 are configured to move the occupant to the desired position. For example, if the occupant is positioned along the left edge of the patient facing surface of the person support surface 14, the protocol will not rotate them to the left. In some contemplated embodiments, the protocol is terminated because the occupant is in the correct position. In some contemplated embodiments, the protocol helps to maintain the occupant in the position. The position of the occupant on the person support surface 14 can be determined a number of ways, including sensing the force distribution on the upper frame 20 utilizing one or more load cells (not shown) coupled to the upper frame 20, calculating the occupant's center of gravity using the one or more load cells, sensing pressures within the fluid bladders 54, using a camera (not shown) or 3D sensor (not shown), or using other methods.
In step 122, if the caregiver accepts the configuration or changes the configuration and accepts the new configuration, the processor 100 implements the configuration for a predetermined time. In some contemplated embodiments, the processor 100 can implement the configuration the moment the caregiver approves it and stop or change the configuration when the caregiver deactivates it. In some contemplated embodiments, the processor 100 will wait to implement the configuration until the occupant is in a predetermined sleep stage and will return to the initial configuration when the occupant begins to wake up. In some contemplated embodiments, procedure 114 does not require the caregiver to confirm or accept the settings, and instead automatically initiates the configuration. For example, the configuration can be automatically initiated a predetermined time after the occupant departed from the surgical room, which can be determined based on the occupant's EMR. In some contemplated embodiments, the configuration will not be implemented if the bed is unoccupied.
Procedure 114 can be used for a number of other adverse conditions. In some contemplated embodiments, procedure 114 can be used to determine if a person is at risk for or has gastroesophageal reflux disease and select a protocol that assists the occupant in maintaining a left lateral decubitus position or semi-reclining position while sleeping. In some contemplated embodiments, procedure 114 can be used to determine if a person is at risk for or has chronic respiratory insufficiency and select a protocol for the caregiver to approve that assists the occupant in maintaining a left lateral decubitus position while sleeping. In some contemplated embodiments, the procedure can be used to determine if a person is at risk for of has allergies to, for example, feather or down filled pillows, cushions or covers, and can alert the caregiver so that they can remove the item. In other contemplated embodiments, procedure 114 can be used to determine if the person is at risk for or has one or more other conditions, such as, for example, asthma, pregnancy, sleep paralysis or hallucinations, snoring, stroke bruxism, coughing, hypoxaemia in geriatric inpatients, stroke, or tuberculosis, that might be affected negatively by sleeping in the supine position and select a protocol and/or alert the caregiver so that the person support apparatus 12 and/or the person support surface 14 can be configured to maintain the occupant in a desirable position. In some contemplated embodiments, the procedure 114 can be used to change the sleeping position of occupants to help stimulate blood oxygenation, which can undesirably decrease as the occupant remains stationary.
In another illustrative embodiment, the instruction set causes the processor 100 to carry out a responsive procedure 114 that configures the person support apparatus 12 and/or the person support surface 14 in response to detection of an adverse event, such as, an apnea event. Procedure 124 begins with step 126 where the adverse event mitigation system is armed manually by the caregiver or automatically based on information from the occupant's EMR, the caregiver, or calculated by the processor 100.
In step 127, the processor 100 receives signals from the sensors 106 indicative of the physiological characteristics of the occupant, including, but not limited to, the occupant's heart rate and the respiration characteristics, such as, amplitude and rate, and/or the amount of movement of the occupant.
In step 128, the processor 100 compares the signals from the sensors 106 to predetermined thresholds to determine if an apnea event is in progress. For example, if there is an interval of at least about 10 seconds between breaths then the person is likely having an apnea event. In another example, if the person is taking less than about 25% of a normal breath for at least about 10 seconds, then the person is likely having an apnea event. In another example, if there is a drop in oxygen saturation of at least about 4%, then the person is likely having an apnea event. If the person is taking between about 26% and about 69% of a normal breath, the person is likely having a hypopnea event. In some contemplated embodiments, the processor 100 determines that an adverse event is in progress and alerts the caregiver that an adverse event is occurring and that it is likely not an apnea event based on the position of the occupant and/or the configuration of the person support apparatus 12 and/or the person support surface 14, the occupant's risk score, and/or the occupant's physiological characteristics, medical information from the occupant's EMR, and/or other information. In some contemplated embodiments, the caregiver can be alerted by a visual or audible alarm on the person support apparatus 12, a visual or audible alarm located in the room where the person support apparatus 12 is located, and/or a visual or audible alarm located proximate to the room, such as, in the hall way.
In some contemplated embodiments, the caregiver can be notified remotely by a communication system (not shown). In some contemplated embodiments, the communication system is a patient/nurse call system that can include patient stations capable of generating hospital calls and a remote master station which can prioritize and store the calls. One example of such a system is disclosed in U.S. Pat. No. 5,561,412 issued on Oct. 1, 1996 to Novak et al., which is incorporated by reference herein in its entirety. Another example of such a system is disclosed in U.S. Pat. No. 4,967,195 issued on May 8, 2006 to Shipley, which is incorporated by reference herein in its entirety.
In another contemplated embodiment, the communication system is a system for transmitting voice and data in packets over a network with any suitable number of intra-room networks that can couple a number of data devices to an audio station, where the audio station couples the respective intra-room network to a packet based network. One example of such a system is disclosed in U.S. Pat. No. 7,315,535 issued on Jan. 1, 2008 to Schuman, which is incorporated by reference herein in its entirety. Another example of such a system is disclosed in U.S. Patent Publication No. 2008/0095156 issued on Apr. 24, 2008 to Schuman, which is incorporated by reference herein in its entirety.
In yet another contemplated embodiment, the communication system is includes a patient/nurse call system, a nurse call/locating badge, an electronic medical record (EMR) database, and one or more computers programmed with work-flow process software. One example of such a system is disclosed in U.S. Patent Publication No. 2008/0094207 published on Apr. 24, 2008 to Collins, Jr. et al., which is incorporated by reference herein in its entirety. Another example of such a system is disclosed in U.S. Patent Publication No. 2007/0210917 published on Sep. 13, 2007 to Collins, Jr. et al., which is incorporated by reference herein in its entirety. Yet another example of such a system is disclosed in U.S. Pat. No. 7,319,386 published on Jan. 15, 2008 to Collins, Jr. et al., which is incorporated by reference herein in its entirety. It should be appreciated that the work-flow process software can be the NaviCare® software available from Hill-Rom Company, Inc. It should also be appreciated that the work-flow process software can be the system disclosed in U.S. Pat. No. 7,443,303 issued on Oct. 28, 2008 to Spear et al., which is incorporated by reference herein in its entirety. It should further be appreciated that the badge can be of the type available as part of the ComLinx™ system from Hill-Rom Company, Inc. It should also be appreciated that the badge can also be of the type available from Vocera Communications, Inc.
In still another contemplated embodiment, the communication system is configured to organize, store, maintain and facilitate retrieval of bed status information, along with the various non-bed calls placed in a hospital wing or ward, and remotely identify and monitor the status and location of the person support apparatus, patients, and caregivers. One example of such a system is disclosed in U.S. Pat. No. 7,242,308 issued on Jul. 10, 2007 to Ulrich et al., which is incorporated by reference herein in its entirety. It should be appreciated that the remote status and location monitoring can be the system disclosed in U.S. Pat. No. 7,242,306 issued on Jul. 10, 2007 to Wildman et al., which is incorporated by reference herein in its entirety. It should also be appreciated that the remote status and location monitoring can be the system disclosed in U.S. Patent Publication No. 2007/0247316 published on Oct. 25, 2007 to Wildman et al., which is incorporated by reference herein in its entirety.
In step 130, if the processor determines an apnea event is in progress, the processor 100 configures the person support surface 14 and/or the person support apparatus 12 to intervene and help stop the apnea event. In one illustrative embodiment, the processor 100 inflates a bladder 54 in the person support surface 14 to rotate the occupant onto their side such that they are at an angle of about 10° with respect to the reference plane RP1. In some contemplated embodiments, the upper frame 20 can be rotated along the longitudinal axis to laterally tilt the occupant. In another illustrative embodiment, the processor 100 increases the head of bed angle to about 15° by moving the head and torso section 34 of the person support apparatus 12 and/or inflating a bladder 54 in the person support surface 14. In some contemplated embodiments, the processor 100 increases the head of bed angle and laterally rotates at least a portion of the occupant's body. In some contemplated embodiments, the processor 100 implements additional therapies, such as, for example, continuous lateral rotation therapy (CLRT), percussion vibration therapy, heat and moisture management therapy, rotation therapy, or other therapies depending on the occupant's risk for developing additional adverse conditions, such as, pressure ulcers.
In some contemplated embodiments, procedure 124 includes step 132 and step 134 in which the processor 100, after implementing the intervention, receives signals from the sensors 106 indicative of the occupant's physiological characteristics and/or the amount of movement of the occupant, and compares them with the predetermined thresholds to determine if the intervention was successful and the apnea event has ceased. In one illustrative embodiment, the processor 100 waits a predetermined amount of time, such as, 5 seconds, after the intervention has been implemented before it receives signals from the sensors 106. In some contemplated embodiments, the processor 100 can receive signals from the sensors 106 as the intervention is implemented and stop intervening or maintain the current level of intervention when the apnea event has ceased. For example, the processor 100 receives signals from the sensors 106 as the head of bed angle and/or the lateral tilt angle are gradually increased and stops increasing the head of bed angle and/or the lateral tilt angle once the apnea event has ceased. In some embodiments, the head of bed angle and/or the lateral tilt angle are gradually increased and an alarm is activated when the angle reaches a predetermined threshold. If the processor 100 determines that the intervention was successful, the processor 100 can cause the person support apparatus 12 and/or the person support surface 14 to maintain the current configuration or cause it to return to its initial position.
If the processor 100 determines that the apnea event is still in progress, the processor 100 can increase the level of intervention. In one illustrative embodiment, the head of bed angle and/or the lateral tilt angle can be increased an additional 5°. In other embodiments, the stimuli can include vibration, sound, temperature, smells, lights (flashing and/or constant), or other stimulus or combinations thereof that may or may not wake the person. In some instances, the goal of the intervention is to stop the apnea event without waking the occupant up, which can include moving the person while the person is in a particular sleep stage and/or causing the person to move from a deeper sleep stage to a lighter sleep stage. In some contemplated embodiments, movement of the occupant can cease if the processor 100 detects the person is waking up (based on increased heart rate, respiration rate, and/or movement) or is moving to a lighter sleep stage. If the increased levels of intervention continue to be unsuccessful then the processor 100 can initiate an alarm on or near the person support apparatus 12 to wake the occupant and/or notify a caregiver via nurse call or other means of communication that they need to intervene. In some contemplated embodiments, if the processor 100 receives information that the occupant is sedated, the processor 100 can move the occupant to a position, such as, for example, a sitting position or chair position.
In another illustrative embodiment, the instruction set causes the processor 100 to carry out a proactive procedure 136 that configures the person support apparatus 12 and/or the person support surface 14 when the processor 100 predicts the onset of an adverse event. Procedure 136 begins with step 138 where the system for mitigating adverse conditions is armed by the caregiver or the bed or EMR based on the occupant's risk profile.
In step 139, the processor 100 receives signals from the sensors 106 indicative of the physiological characteristics of the occupant and/or the amount of movement of the occupant.
In step 140, the processor 100 stores the signal values in the memory 104 and determines an amount and/or a magnitude of change in the values for a predetermined time period. The processor 100 then compares the amount and/or the magnitude of change to a predetermined threshold to determine if an adverse event is likely to occur. In some contemplated embodiments, the processor 100 considers other factors, such as, the occupant's risk score, body position or orientation, person support apparatus 12 and/or person support surface 14 configurations, medical conditions, and/or other information from the caregiver, occupant's EMR, sensors 106, and/or person support apparatus 12 and/or person support surface 14 when determining the likelihood of an adverse event occurring. For example, if an occupant is at a high risk for apnea, is in the supine position, and the occupant's respiration rate is decreasing, then an apnea event may occur. In another example, if an occupant's respiration amplitude decreases and the occupant's oxygen saturation decreases then an apnea event may occur. In another example, if an occupant's snoring is very loud and the occupant is at a high risk for apnea, an apnea event may occur. In another example, if an occupant is at high risk and the occupant is receiving 90% normal breath, an apnea event may be unlikely.
In some contemplated embodiments, prediction of an apnea event can be accomplished using a time-domain model of nonlinear time-lagged interactions between heart rate, respiration, and oxygen saturation to help determine when an apnea event is likely. In some contemplated embodiments, prediction of an apnea event can be accomplished using a Bayesian “belief network” model. In some contemplated embodiments, prediction of an apnea event can be accomplished using large memory storage and retrieval (LAMSTAR) artificial neural networks to analyze signals indicative of heart rate variability, nasal pressure, oronasal temperature, submental EMG, and electrooculography. In some contemplated embodiments, prediction of an apnea event can be accomplished by analyzing tracheal breath sounds.
In step 142, the processor configures the person support surface 14 and/or the person support apparatus 12 as previously described above with respect to procedure 114 and procedure 124 to intervene and help prevent the apnea event.
In another contemplated embodiment, referring to
In one embodiment as shown in
Unlike conventional positional therapies for the prevention of obstructive sleep apnea, which attempt to manipulate the user's sleep position and/or orientation using rotation of one plane, in certain embodiments the system described herein uses multiple support planes formed by one or more support pieces to laterally rotate the user. For example, in one embodiment, two support pieces provide two separate support planes, with a first support plane defined by the first support piece configured to support the torso and the legs of the user, and a second support plane defined by the second support piece configured to support the neck and the head of the user.
In an alternative embodiment, three support pieces provide three separate support planes, with a first support plane defined by the first support piece configured to support the legs of the user, a second support plane defined by the second support piece configured to support the torso of the user, and a third support plane defined by the third support piece configured to support the head of the user.
In a further alternative embodiment, more than three support pieces, for example, numerous independent support pieces having a length in a longitudinal direction of sleep surface 1114 of 2-18 inches or, more specifically, 4-12 inches, or, even more specifically, 6 inches, provide a corresponding number of separate support planes. Each support piece can be laterally rotated independently of other support pieces to collectively form sleep surface 1114. In a particular embodiment, the numerous support pieces can be combined to form separate support pieces, for example, creating a first support piece having a length of 18 inches in the longitudinal direction at the foot of the support system 1100, an adjacent second support piece having a length of 12 inches in the longitudinal direction, and a third support piece adjacent the second support piece having a length in the longitudinal direction of 6 inches. In these embodiments, the support pieces forming the support planes can be rotated as necessary or desired to achieve an optimal configuration that is clinically effective (i.e., prevents apnea) and demonstrates acceptable tolerance (i.e., allows the user to sleep comfortably). In an alternative embodiment, a continuously sloped sleep surface is formed by a plurality of support pieces without step increases in lateral rotational angle; this is illustrated as a sleep surface with an infinite number of support pieces.
In the embodiments described herein, the length in the longitudinal direction of each support piece and defined support plane (and the resulting location of transitions between support planes) is designed to achieve clinical efficacy and tolerability. Therefore, a specific length can be defined in a number of configurations, including without limitations: (a) generic plane dimensions (e.g., based on average body geometry, a length of a torso section of the user defined so that when an average user's head is supported by a head support piece, a transition between the torso support piece and the leg support piece occurs below the user's S3 vertebrae); (b) customized plane dimensions (e.g., a torso support plane has a suitable length in the longitudinal direction appropriate to the user's leg length, torso length, and/or a distance from the user's shoulder to his/her inseam); or (c) dynamic plane dimensions (e.g., transitions selected on dynamic surface appropriate to user, selection being either user-selected, care-giver defined, or automatically calculated).
In certain embodiments, each support piece defining the corresponding support planes is independently rotatable about an axis extending parallel with a longitudinal axis of the support system. The independent rotation of each support piece allows the caregiver or the user the ability to focus on progressively increasing an angle of rotation in one or more support pieces having support planes positioned to support the torso of the user, and the neck and/or the head of the user. In certain embodiments, an angle of rotation (or lateral rotational angle) at which the one or more support planes defined by the support pieces configured to support the neck and/or the head of the user is positioned is greater than a rotational angle of the one or more support planes defined by the support pieces configured to support the torso of the user, which is greater than a rotational angle at which the one or more support planes defined by the support pieces configured to support the legs of the user is positioned.
In a particular embodiment, the support plane defined by the support piece configured to support the legs and the torso of the user is positioned at a rotational angle of 10° with respect to a base surface of the support piece, while the support plane defined by the support piece configured to support the head of the user is positioned at a rotational angle of 20° with respect to a base surface of the support piece. In an alternative embodiment, a first support plane defined by the support piece configured to support the legs of the user is positioned at a rotational angle of 10° with respect to a base surface of the first support piece, a second support plane defined by a second support piece configured to support the torso of the user is positioned at a rotational angle of 15° with respect to a base surface of the second support piece, and a third support plane defined by the third support piece configured to support the head of the user is positioned at a rotational angle of 20° with respect to a base surface of the third support piece. In alternative embodiments, the support planes can be positioned at any suitable rotational angle including any suitable lateral rotational angle and/or any suitable longitudinal rotational angle.
Referring further to
In one embodiment as shown in
As shown in
As described in greater detail below, in certain embodiments, support system 1100 includes a system control, such as a controller 1140 shown in
Referring again to
In one embodiment, each of support pieces 1102, 1106, 1110 are rotatable about longitudinal axis 1115 to provide sleep surface 1114 having a right side slope or, alternatively, a left side slope to allow the user to sleep on his/her right side or left side, respectively. In one embodiment, one or more cylindrical or tubular sections are positioned within at least a portion of first support piece 1102, second support piece 1106, and third support piece 1110 and coaxially aligned with longitudinal axis 1115 to allow each support piece 1102, 1106, 1110 to rotate about longitudinal axis 1115 independently of the other support pieces 1102, 1106, 1110.
As shown in
In certain embodiments, support pieces 1102, 1106, 1110 are formed of more than one material, for example, two or more materials, such as two foam materials, having different densities, with the less dense material covering the denser material. In this embodiment, the less dense material is laid on the denser material at the respective base surface and the respective support plane of the support piece to allow sleep surface 1114 to function properly, whether with a right side slope or a left side slope. With the denser material sandwiched between the less dense material, the user will be positioned on the less dense material in either the first or the second orientation.
In this embodiment, support system 1100 allows the user to sleep on either his/her right side or left side, based on the user's sleeping preference. This sleeping preference may not be static. For example, if the user has an injury, an ache, or a desire to change his/her sleeping preference, the orientation of sleep surface 1114 can be changed at any time to accommodate the user's sleeping preference. The orientation can be changed from day to day or during the night. Moreover, from a manufacturing standpoint, a versatile support system 1100 prevents having to manufacture and distribute a sleep surface 1114 having a right side slope and a separate sleep surface 1114 having a left side slope, which would increase production and distribution costs. Finally, a potential purchaser would not have to commit to a sleep side before purchasing the product, which might be a deterrent to purchasing the product.
In one embodiment, support system 1100 includes one or more spacers 1152 that allow a length of support system 1100 to be adjusted and customized to a height of the user supported by support system 1100. For example, the length of sleep surface 1114 can be adjusted by adding one or more suitable spacers 1152 or replacing one or more support pieces 1102, 1106, 1110 with a suitable spacer 1152 of a different length, so that transitional lines between lateral angles of support planes defined by adjacent support pieces 1102, 1106, 1110 will desirably occur at a neck region and a hip region of the user. In one embodiment, spacer 1152 has a same or similar lateral rotational angle and/or a same or similar longitudinal rotational angle as the respective lateral rotational angle and the respective longitudinal rotational angle of an adjacent support piece or the support piece that spacer 1152 replaces. In an alternative embodiment, spacer 1152 has a different lateral rotational angle and/or a different longitudinal rotational angle as the respective lateral rotational angle and the respective longitudinal rotational angle of an adjacent support piece or the support piece that spacer 1152 replaces. As shown in
Assuming the user positions his/her neck at the appropriate location on sleep surface 1114, and an overall length of sleep surface 1114 is adjustable, in one embodiment only second support piece 1106 of support system 1100 has an adjustable length. In alternative embodiments having a support system 1100 with a fixed length, both first support piece 1102 and second support piece 1106 have adjustable lengths. In this embodiment, a length of first support piece 1102 increases as a length of second support piece 1106 decreases and, conversely, the length of first support piece 1102 decreases as the length of second support piece 1106 increases.
In one embodiment, adjacent support pieces 1102, 1106, 1110 and spacers 1152 can be coupled together using a suitable coupling mechanism including, without limitation, one or more of the following: snaps, straps, buttons, and hook-and-loop fasteners. In certain embodiments, the length of sleep surface 1114 is adjustable by any combination of inserting one or more spacers 1152, replacing one or more support pieces 1102, 1106, 1100 with a longer or shorter spacer 1152, cutting or trimming one or more support pieces 1102, 1106, 1110 to a desired length, and removing one or more support pieces 1102, 1106, 1110. In alternative embodiments, the length of sleep surface 1114 is not adjustable but one or more of a leg region, a torso region, and a head region of sleep surface 1114 is adjustable by any combination of inserting one or more spacers 1152, replacing one or more support pieces 1102, 1106, 1100 with a longer or shorter spacer 1152, cutting or trimming one or more support pieces 1102, 1106, 1110 to a desired length, and removing one or more support pieces 1102, 1106, 1110 without adjusting the length of sleep surface 1114.
In a further alternative embodiment, each support piece 1102, 1106, 1110 includes one or more inflatable fluid bladders configured to contain a fluid, such as air. In this embodiment, a length of each support piece 1102, 1106, 1110 is adjustable by adding fluid or removing fluid from one or more respective fluid bladders. By adding fluid to one or more of the respective fluid bladders, the length of the respective support piece 1102, 1106, 1110 is increased and the length of the respective support plane 1104, 1108, 1112 is also increased. Conversely, removing fluid from one or more of the respective fluid bladders, the length of the respective support piece 1102, 1106, 1110 is decreased and the length of the respective support plane 1104, 1108, 1112 is also decreased. The amount of fluid within the respective fluid bladders can be monitored and controlled electronically or by the user or caregiver using a suitable device including, without limitation, a suitable pneumatic pump or nozzle. In certain embodiments, a coupler, such as one or more snaps or straps, are utilized to maintain the desired amount of fluid within the respective fluid bladders and provide additional support to the respective support plane(s), for example, when the fluid bladders are not inflated.
As described herein, sleep surface 1114 is customizable to anthropometric dimensions of the individual user to facilitate support system 1100 performance that optimizes or matches the design intent—the body position of the user will prevent or limit undesirable sleep apnea episodes and provide improved comfort.
In certain embodiments, support system 1100 includes a plurality of support pieces, such as two support pieces, three support pieces, or more than 3 support pieces, and more specifically, at least 6 support pieces, and even more specifically, 8-20 support pieces. For example, referring to
In the embodiment shown in
For example, a support system including a series of support wedges may twist or urge the user's body to rotate and tilt the user's head in a more gradual trend than a support system including only three larger support pieces with respective support planes of different lateral rotational angles. The additional support wedges allow for more comfortable transitions between and within the lower body, the torso, and the upper body of the patient. The increased number of support wedges allow for more specific positioning of the patient's body, and a more effective therapy.
Referring to
In this embodiment, sleep surface 1114 is formed of support pieces cut to form support planes at the same lateral rotational angle but with different densities. To achieve a greater relative rotation at the head portion of the user, third support piece 1110 is denser than second support piece 1106, while first support piece is less dense than second support piece 1106 and third support piece 1110 to achieve a lesser or limited relative rotation at the leg region of the user. In a particular embodiment, rather than having a plurality of discrete support pieces, sleep surface 1114 is one continuous support piece exhibiting a gradual density transition along a longitudinal length of sleep surface 1114 such that the leg portion of sleep surface 1114 is less dense than the opposite head portion of the sleep surface 1114. This feature may result in a support system that appears less intimidating to the user and more aesthetically pleasing. Moreover, sleep surface 1114 is rotatable about longitudinal axis 1115, shown in
Referring to
In one embodiment, closed air system 1160 includes one or more pairs of fluid bladders communicatively coupled to each other. For example, as shown in
In a particular embodiment, closed air system 1160 includes one or more bolsters 1176, as shown in
In one embodiment, one or more pairs of fluid bladders 1162, 1166, 1170 include two wedge-shaped fluid bladders that are removably coupled to material layer 1178 and/or material layer 1180 using a suitable coupler, such as a hook and loop fastener system. For example, third pair of fluid bladders 1170 are positioned with respect to the user's upper body or head region and are removably coupled to material layer 1180 using a hook and loop fastener system such that sleep surface 1114 is adjustable based at least in part on the size and weight of the user. These fluid bladders are inflatable based on the user's sleep state to urge the upper body of the user to rotate. Additionally, first pair of fluid bladders 1162 and/or second pair of fluid bladders 1166 are also inflatable to urge the user's legs and/or the user's torso, respectively, to rotate.
Referring further to
The fluid bladders are inflatable with air or another suitable fluid (which can be drained as desired from within the cavities of the fluid bladders into a reservoir). A fluid supply 1188, shown in
In one embodiment as shown in
Additionally, in certain embodiments, closed air system 1160 is configured to rest on a conventional mattress or may be configured or reinforced to rest directly on a support structure, such as a bed frame or a floor. With the fluid substantially removed from each of the fluid bladders, closed air system 1160 can be folded or rolled into a compact configuration to facilitate storing and transporting closed air system 1150. In certain embodiments, closed air system is less expensive than a conventional mattress and more compact to facilitate portability of support system 1100. Additionally, closed air system 1160 as configured prevents or limits disturbance to the user's partner sleeping next to the user.
In certain embodiments as described herein, support system 1100 is a dynamic support system, rather than a static support system, that is configured to control the configuration of sleep surface 1114 based at least in part on data entered into control system 1190 using computer 1192, or another control operatively coupled to computer 1192, and/or sensed by one or more sleep sensors 1196, for example, to improve the performance of sleep surface 1114 in terms of clinical efficacy and user tolerability.
As described herein and shown schematically, for example, in
Within computer 1192, data received from sleep sensors 1196 is analyzed and operational control signals are transmitted to sleep sensors 1196 as well as to other components of support system 1100, such as to fluid supply 1188 to activate fluid supply 1188 to provide air to one or more fluid bladders and/or remove air from one or more fluid bladders to adjust sleep surface 1114 based on signals generated by sleep sensors 1196 and analyzed within computer 1192. In one embodiment, computer 1192 includes suitable memory 1198 to store data sensed and/or generated by control system 1190.
An exemplary method 1200 utilizing control system 1190 for monitoring the sleep activities of a user positioned on support system 1100 is illustrated in
Control system 1190 is activated 1202 either manually or automatically to monitor the user's sleep activities and patterns as user begins to sleep. In one embodiment, control system 1190 detects when the user begins to fall asleep 1204 and activates support system 1100 (or a dynamic sleep surface) on a delay 1206 to rotate the user at a suitable time after sleep is detected, such as after the user has been asleep for 30 minutes. In an alternative embodiment, control system 1190 is programmed to activate support system 1100 at a preset time, for example, at a 30 minute delay, without relying on monitoring the user's sleep activity. In a particular embodiment, control system 1190 delays inter-sleep rotation of the user until the user is in a deep sleep. Further, when control system 1190 detects that the user is waking, control system 1190 will activate support system 1100 to move sleep surface 1114 to an initial configuration such that the user can exit from support system 1100. In a further embodiment, control system 1190 prevents activation of support system 1100 if control system 1190 detects the user is sleeping in a lateral decubitus position.
Prior to sleep, the user is able to input 1208 to control system 1190 sleep data 1210 including without limitation, preferred sleeping sides and positions, the user's measurements including, for example, the user's height, weight, and inseam and torso measurements, preferred lateral rotational angles and/or longitudinal rotational angles of one or more support planes defining sleep surface 1114. Based at least in part on the user's input data, control system 1190 is configured to activate support system 1100 to adjust a direction and/or a level of rotation of one or more support planes defining sleep surface 1114. For example, if the user prefers a left side slope to sleep surface 1144, control system 1114 activates fluid bladders within support system 1100 to form the desired lateral left side slope, or if the user's partner is sleeping on the left side of the user, a left angle may be created. In one embodiment, minimal adjustments are made to sleep surface 1114 to maintain the user's AHI under 5 and/or prevent snoring because apneas events and snoring may or may not be equivalent, depending on the user. Additionally, control system 1190 is configured to collected and record data obtained as the user sleeps to diagnose any undesirable or abnormal sleep activities or conditions, including the user's apnea-hypopnea index (AHI), for example.
During sleep, control system 1190 assesses the user's comfort level 1214 and, in a particular embodiment, compares the current evaluation with previous evaluations. The user's body is then mapped 1216 to map body region locations 1218, and user activities and movements 1220 during sleep. The collected data is then analyzed 1222 to determine: the location of joints including, for example, the user's neck, hips, and knees; preferred surface orientation (right side vs. left side orientation); and body orientation (e.g., mapping pressures at various locations on sleep surface 1114 as a result of the user's body orientation, for example, a lateral sleep position indicated by a narrow pressure mapping profile). In one embodiment, location of one or more support planes are calculated and located based on transition points. Under the pressure mapping, specific pressure points are identified to increase or decrease pressure. For example, select fluid bladders are inflated or deflated based on body location and desired lateral rotational angles.
Control system 1190 then assesses 1224 the user's body orientation including, for example a determination of head angle 1226 and chest angle 1228. During sleep, control systems also actively monitors 1230 the user's vital signs, which includes measuring and monitoring the user's respiratory rate and amplitude, AHI, sleep state, snoring, and oxygen saturation (SpO2), for example. If an adverse event is detected, control system 1190 activates 1234 one or more components of support system 1100 to respond appropriately. For example, fluid supply 1188 may be activated to inflate or deflate one or more fluid bladders. Control system 1190 may activate fluid supply 1188 based on one or more of the following events: detection of snoring, detection of an AHI episode (apnea and/or hypopnea), and detection that the user is in a supine position (e.g., supine torso, upper respiratory tract (URT) within 45° of vertical). Control system 1190 may also activate support system 1100 to vibrate to wake the user should control system 1190 detect an adverse event, such as an apnea episode.
Referring to
As shown in
In one embodiment, apnea therapy can be integrated as an option in a continuous lateral rotation therapy (CLRT) system. An exemplary CLRT system is configured to deliver lateral rotation as a therapy for the prevention of pressure ulcers, as well as for use in the prevention of ventilator-associated pneumonia and muscular wasting associated with prolonged immobility. The exemplary CLRT system is suitable for use as a therapy for the prevention of sleep apnea with the addition of the following components or elements. In one embodiment, the CLRT system includes a restrained lateral rotation to create or develop progressively greater rotation by limiting rotation in a torso region and/or a head region of the user. Additionally, an augmented lateral rotation increases rotation in the torso region and/or the head region of the user.
Referring to
As shown in
In one embodiment, support system 1304 includes a base support 1306 including a plurality of inflatable fluid bladders aligned generally parallel to a longitudinal axis of support system 1304 forming a single support plane 1308 having a lateral rotation angle .theta. of 5° to 15°, or more specifically, 10°, with respect to a base plane 1310 of base support 1306. One or more supplemental support wedges 1312 are positioned on support plane 1308 within one or more of the leg region, the torso region, and the head region of support system 1304. In this embodiment, supplemental support wedge 1312 is a wedge-shaped inflatable fluid bladder. As shown in
Referring to
In one embodiment, a posture garment or shirt 1500 is worn by a user suffering from sleep apnea to apply an appropriate force, such as a tugging force, on the shoulders, arms, and/or head of the user to urge or cause the desired or necessary head turn to open up the user's upper respiratory tract to prevent or limit the occurrence of sleep apnea or in the event of a sleep apnea episode. Applying forces to cause the user to turn his/her entire body to the lateral decubitus position is an alternative approach to achieving this desired head angle; this may involve the use of whole-body garments or a pant garment in combination with a shirt garment.
As shown in
In one embodiment, a compression posture shirt 1500 is worn like a typical shirt and naturally twists the torso, neck and/or head of the user. Unlike conventional posture shirts, there is no need to insert bladders or tennis ball-like inserts to urge the user to turn or rotate from a supine sleep position. Moreover, compression posture shirt 1500 for sleep apnea does not require any user training because posture shirt 1500 pulls and tugs on the user without the need of intervention from the user.
In certain embodiments, electrical circuitry, such as one or more processors and/or one or more circuit boards, is operatively coupled to, such as in electrical or electronic communication with, control system 1190 to monitor operation of one or more components of support system 1100 or control system 1302 to monitor operation of one or more components of support system 1304, collect, process, and/or store information, such as operation data and motor usage data, and transmit information, such as operation data and motor usage data, to one or more of the following computer-implemented machines or devices including, without limitation, a control and/or display device within or operatively coupled to support system 1100 or support system 1304, and/or a control and/or display device on a computer or network of computers at one or more nurse stations or administrative stations, for example.
In one embodiment, electrical circuitry, such as one or more processors and/or one or more circuit boards, is contained within control system 1190 or control system 1302 and connected in communication with support system 1100 or support system 1304, respectively. In a particular embodiment, one or more sensors or other suitable detection components are operatively coupled to support system 1100 or support system 1304 and/or control system 1190 or control system 1302 to detect operation. The one or more sensors are configured to generate and transmit electronic signals representative of the detected operation to the circuit board, which is configured to collect, process, and/or store such information, and generate and transmit information to one or more computer-implemented machines or devices in communication with the circuit board, as described above.
In certain embodiments, the one or more computer-implemented machines or devices in communication with the circuit board include a controller in signal communication, either wired or wireless signal communication, with the circuit board contained within support system 1100 or support system 1304. The controller includes a suitable display to display information received from the circuit board and/or information generated by the controller based on the information received from the circuit board. In a particular embodiment, the controller is configured to generate command signals and transmit the command signals to the circuit board contained within support system 1100 or support system 1304 to control operation of support system 1100 or support system 1304 and/or adjust parameters and/or limits, for example, programmed into the circuit board.
In one embodiment, a chest constriction device 400 assists in expiring air from the user's lungs. Referring to
In one embodiment, one or more physiological sensors 408 are coupled to or integrated in belt 402 and configured to detect the user's sleep state. Physiological sensor 408 may include one or more of the following sensors: a position sensor, a pressure sensor, a temperature sensor, an acoustic sensor, a moisture sensor, an RFID tag, an accelerometer, a proximity sensor, a level sensor, or another physical tracking sensor in signal communication with a processor 410 positioned within or operatively coupled to constriction device 406 and configured to provide an input signal to processor 410. Upon receiving an input signal from physiological sensor 408, processor 410 is configured to activate an actuator 412 in signal communication with processor 410 to rotate a lever 414 against a spring 416. As lever 414 rotates, a length of belt 402 shortens to apply pressure against the thorax region of the user. Lever 414 is rotatable against spring 416 in an opposite rotational direction to increase the length of belt 402 and release pressure against the thorax region of the user. Constrictor device 406 is programmed to perform a regime of constrictions and relaxations to mitigate sleep apnea.
In one embodiment, constrictor device 406 may also be used as a continuous positive airway pressure (CPAP) device and therapy may be activated by a caregiver or the user. Although not shown, the data may be communicated to an electronic medical records (EMR) system, and the caregiver and the user may be provided with a graphical user interface (GUI) to control chest constriction device 400.
Referring now to
The support sections 5316, 5318, 5320 are positioned along a length l of the person support apparatus 5300, with the support section 5316 positioned adjacent a head end 5310 of the person support apparatus 5300, the support section 5320 positioned adjacent a foot end 5312 of the person support apparatus 5300, and the support section 5318 positioned between the support sections 5316, 5320. Each of the support sections 5316, 5318, 5320 has a support surface 5422 (
As explained in more detail below with respect to the embodiments of
The support sections 5316, 5318, 5320 are also each configurable to assume a substantially flat position, e.g., to provide a more typical flat or horizontal rest surface during periods in which the progressive lateral tilt angle is not required or desired. As such, the person support apparatus 5300 is selectively configurable by, for example, an air control system 5328, to assume a progressive lateral tilt position and at least one other position (e.g., the flat position). The air control system 5328 can selectively inflate and deflate the inflatable portions of the support sections 5316, 5318, 5320 to achieve a desired or required (e.g., flat or tilt) configuration of the person support apparatus 5300, and can adjust such position dynamically in response to various inputs as described in this document.
In the simplified view of
Referring to
The support section 5316 has a width w, which in some embodiments is sized to substantially coincide with a width of an underlying mattress or other support structure (e.g., a frame or a deck section of a bed). The side members 5418, 5420 are each positioned adjacent to a side 5424, 5426 of the support section 5316, respectively. The support portions 5412, 5414, 5416 are positioned between the side members 5418. At least one of the upper layer 5412, the middle layer 5414, and the lower layer 5416 includes one or more inflatable portions as described herein. In some embodiments, the upper layer 5412 may include a non-inflatable material, such as foam and/or a three-dimensional woven or nonwoven fiber network or other material (e.g., SPACENET or TYTEX). In some embodiments, the lower layer 5416 may include a non-inflatable material, such as a molded foam base. Illustratively, the middle portions 5414A, 5414B alone or in combination with the upper layer 5412 and the lower layer 5410 are each configured to provide the desired lateral tilt angle of the support surface 5422. In some embodiments, each of other portions 5414A and 5414B include one or more inflatable bladders that can be selectively inflated and deflated to provide a desired lateral tilt position or a flat position of the support surface 5422. For example, the portion 5414B may be embodied as a wedge-shaped inflatable (e.g., one or more air bladders) or non-inflatable (e.g., foam) piece that is configurable to provide a lateral tilt angle A, to tilt the person situated on the person support apparatus 5300 in the direction of the side 5424, when the middle portion 5414A is either absent or deflated and the portion 5414B is present and/or inflated. Similarly, the portion 5414A may be embodied as a wedge-shaped inflatable or non-inflatable piece that is configurable to provide a lateral tilt angle B to tilt the person situated on the person support apparatus 5300 in the direction of the side 5426 when the middle portion 5414B is either absent or deflated and the portion 5414A is present and/or inflated.
Referring now to
The bellows bladder 5526 has a pleat 5528, which extends around the perimeter of the bladder 5526 and enables the bladder 5526 to fold in on itself when deflated. A number of baffles 5530, 5532, 5534, 5536 each having different lengths 11, 12, 13,14 are positioned in an interior region defined by the bellows bladder 5526. Each of the baffles 5530, 5532, 5534, 5536 has a top end 5538, 5540, 5542, 5544, which is coupled to an underside of the upper surface 5512, and a bottom end 5546, 5548, 5550, 5552, which is coupled to an underside of the lower surface 5510. The illustrative baffles 5530, 5532, 5534, 5536 each have substantially the same width w/, although they may have different widths in other embodiments. The baffles 5530, 5532, 5534, 5536 are spaced from one another by distances d1, d2, d3, as shown in
The illustrative support section 5500 is generally made of one or more cloth materials, such as nylon sheets (e.g., twill and/or taffeta). Portions of the support section 5500 that are coupled together may be coupled by any suitable fastening techniques, such as RF welding, stitching, snaps, rivets, and/or others. One or more fluid ports, e.g., a fill port 5554 and a vent port 5556, are coupled to the bellows bladder 5526 and, in use, connected to a fluid supply (e.g. a blower), which may be incorporated into or in communication with the air control system 5328.
Referring now to
The bellows bladder 5526 of each of the support sections 5712, 5714, 5714 is constructed to provide the maximum lateral tilt angle desired of the respective section 5712, 5714, 5716. To do this, the pleat 5528 or the baffles 5530, 5532, 5534, 5536 may be differently sized for each of the sections 5712, 5714, 5716 (e.g., by having different lengths). In other embodiments, the bellows bladder 5526 of each of the support sections 5712, 5714, 5716 may have the same or similar construction, and the desired maximum lateral tilt angle may be achieved by varying the amount of air pressure in the interior region of the bellows bladder 5526.
In the embodiment of
In the person support apparatus 5700, the support section 5712 is positioned adjacent a head end 5720 of the person support apparatus 5700, the support section 5716 is positioned adjacent a foot end 5722, and the support section 5714 is positioned between the head end 5720 and the foot end 5722. Further, in the illustrative person support apparatus 5700, the maximum lateral tilt angle x is greater than the maximum lateral tilt angle y, and the maximum lateral tilt angle γ is greater than the maximum lateral tilt angle 5716. In
Referring now to
In
Referring now to
Referring now to
Referring now to
The illustrative non-inflatable support portions 6510, 6512, 6514 are each embodied as a substantially triangular or wedge-shaped support piece, each having a hypotenuse side 6524, 6526, 6528. The length of the side 6526 is greater than the length of the side 6528, and the length of the side 6524 is greater than the length of the side 6526, such that when the inflatable portions 6516, 6518, 6520 are deflated, the person support apparatus 6500 has progressively greater lateral tilt angles, with the lateral tilt angle increasing from the foot end 6532 to the head end 6530 of the person support apparatus 6500. When the inflatable portions 6516, 6518, 6520 are inflated, the person support apparatus 6500 assumes a substantially flat position as shown in
Referring now to
The base 6710 is substantially rectangular in shape and has a width that is wider than the width of the support sections 6740, 6742, 6744. A non-inflatable support member 6724 is supported by the base 6710 and positioned along an edge of the base 6710, adjacent a hinge 6746, which extends along the length of the person support apparatus 6700. An inflatable support member 6726 is supported by the non-inflatable support member 6724. The inflatable support member 6726 is sized to have a vertical height that extends upwardly above a portion of the top surface of the support sections 6740, 6742, 6744 that is adjacent to the support member 6726.
When inflated, the inflatable support portions 6712, 6714, 6716 cause the top surfaces of the non-inflatable support portions 6718, 6720, 6722 to assume the desired progressive lateral tilt angle as described above. When the inflatable support portions 6712, 6714, 6716 are deflated, the top surface of the non-inflatable support portions 6718, 6720, 6722 is substantially flat as shown in
The stiffener plates 6730, 6732, 6734 may be constructed of, for example, a rigid or semi-rigid plastic, stainless steel, or other suitable material. The stiffener plates 6730, 6732, 6734 provide additional support for the non-inflatable portions 6718, 6720, 6722 and may thereby facilitate pivoting of the non-inflatable portions 6718, 6720, 6722 to the desired lateral tilt angle. Additionally or alternatively, the stiffener plates 6730, 6732, 6734 may provide a substrate to which one or more sensors may be mounted for the purpose of detecting and monitoring the lateral tilt angle of each of the support sections 6740, 6742, 6744. For example, an angle sensor (e.g., an inclinometer or accelerometer) may be mounted to each stiffener plate 6730, 6732, 6734 to measure the lateral tilt angle of its respective support section 6740, 6742, 6744. The angle data obtained by such sensors may be transmitted to and analyzed by a control system (e.g., by a feedback loop of the control system 5238), in order for the control system to make adjustments to the air pressure supplied to the inflatable portions 6712, 6714, 6716, as may be needed to maintain the desired lateral tilt angles for each of the sections 6740, 6742, 6744.
Referring now to
Channels 6920, 6922 fluidly couple the bladders 6912, 6914, 6916 to one another. The length of the channels 6920, 6922 generally defines the amount of space between the bladders 6912, 6914, 6916. The amount of space between the bladders 6912, 6914, 6916 may be the same or different, in accordance with the requirements of a particular design. Fluid ports 6930, 6932 couple the bladders 6912, 6914, 6916 to an air supply (e.g., via plastic tubing). The ports 6930, 6932 may each include a valve, which may be selectively opened and closed (e.g., by the control system 5328) to retain air in or vent air from the bladders 6912, 6914, 6916 as needed. While the support section 6900 is illustrated with three inflatable bladders 6912, 6914, 6916, it should be understood that any number of bladders may be used. For example, two bladders may be used in some embodiments, and more than three bladders may be used in other embodiments.
Referring now to
A sensor 7120 is mounted to the panel 7118 and configured to measure the lateral tilt angle 7122 as the inflatable bladder 7110 inflates and/or after the bladder 7110 is inflated. The sensor 7120 may be embodied as, for example, an accelerometer, inclinometer, ball switch, or other suitable type of angle sensor. The sensor 7120 communicates the angle data to a control system (e.g., the control system 5328) as described above. The sensor 7120 may be embedded in the non-inflatable portion 7114, in some embodiments.
In
In
The sensors 7310, 7312 are each mounted to the internal side of the base portion 7216 of the bellows bladder 7110. The sensors 7310, 7312 are ultrasonic or laser sensors that transmit a signal through the interior region of the bellows bladder 7110 and vertically upwardly toward an internal side of the top portion 7314. As a result of the signal propagation, the output of the sensors 7310, 7312 is used to determine the vertical height from the base surface 7216 to the top surface 7316 at the locations of the sensors. The difference in the vertical heights measured by the two sensors 7310, 7312 is analyzed (e.g., by the control system 5328) to determine the angle 7122. While two sensors are shown in the embodiment 7300, it should be understood that any number of sensors may be used. Further, the spacing between the sensors 7310, 7312 may be varied according to the requirements of a particular design.
In
Referring now to
An air system 7520 supplies and controls the amount of air pressure delivered to each of the support sections 7510, 7512, 7514 by conduits 7522, 7524, 7526, respectively. The air system 7520 receives person weight information from the weighing system 7516 via a data communication link 7528. Instructions executable by the air system 7520 (e.g., by a processor thereof) determine the appropriate amount of air pressure to deliver to each of the support sections 7510, 7512, and 7514 based on the person's weight as detected by the weighing system 7516 and the desired lateral tilt angle of each of the sections 7510, 7512, 7514. To do this, the air system may, for example, consult a look-up table or database that maps person weights, tilt angles, and air pressures. Such mappings may be determined in advance, e.g., through experimentation or through mathematical calculations. In one example, the weighing system 7516 detects the person 7518's weight as 300 pounds. In response, the air system 7520 supplies air pressure at 9 inches of water to the sections 7510 and 7512, and supplies air pressure at 5 inches of water to the section 7514. In another example, the weighing system 7516 detects the person 7518's weight as 151 pounds. In response, the air system 7520 supplies air pressure at 6 inches of water to the sections 7510 and 7512, and supplies air pressure at 5 inches of water to the section 7514.
Referring now to
Referring now to
The air pressure within each of the bladders 7820 can be independently adjusted to create the desired progressive lateral tilt angle as described above. That is, a control system may control the inflation and deflation of each individual bladder 7820 independently of the other bladders. For example, as shown in
Referring now to
Referring now to
Referring now to
Referring now to
Referring now to
Referring now to
Referring now to
Referring now to
Some embodiments include a static implementation, in which the progressive lateral tilt angles are established at a point in time (e.g., at manufacture) and then maintained throughout the use of the person support apparatus. Other embodiments include a dynamic implementation, in which control algorithms are used to move the person support apparatus in and out of the progressive lateral tilt position from time to time as needed or desired. For example, control algorithms may wait until after the person using the support apparatus has fallen asleep to implement the progressive lateral tilt position, and then return the support apparatus to the flat position before the person wakes up. In either case, controlling the difference in the lateral tilt angles of adjacent sections of the person support apparatus can, among other things, reduce the risk of discomfort. In static implementations, the person support apparatus can be designed and/or customized so that the difference in the lateral tilt angles of adjacent support sections (which may be referred to herein as the “delta”) is minimized or at least does not exceed a defined threshold value (which may be referred to herein as the “maximum delta.” In dynamic implementations, the control algorithms can monitor lateral tilt angle change requests and either minimize the delta or enforce the maximum delta while the person support apparatus is transitioning from one position to another (e.g., from a flat position to a progressive lateral tilt position or vice versa).
In
The mattress 900 in this embodiment is coated with three coats of F-874 Muraculon vinyl based coating, and one coat of F-894 Muraculon vinyl based coating. Other coverings can be utilized, including those which preserve the density or durability of the foam, or increase its infection control or antimicrobial properties. In some embodiments, no coatings or coverings could be utilized.
In some embodiments, the angle O2 is from about 5 to about 15 degrees less than the angle O1. In some embodiments, the angle O2 is from about 5 to about 10 degrees less than the angle O1, and in some embodiments the angle O2 is about 7.5 degrees less than the angle O1. In some embodiments, the angle O2 is from about 15 to about 17.5 degrees. In some embodiments where the head section angle O1 is at about 30 degrees, the angle O2 is at about 15 to about 22.5 degrees. In some embodiments, such gradual turning by having angle O2 be somewhat less than angle O1, and somewhat more horizontal, has been found to increase comfort while still promoting a good sleeping position and urging the head turn significantly away from the vertical up direction (e.g., 35 degrees or more in both directions, clockwise and counterclockwise from vertical up, regardless of sleeping position.)
In some embodiments, the angle O3 is from about 0 degrees to about 15 degrees. In some embodiments, the angle O3 is from about 0 degrees to about 12.5 degrees, and in some embodiments is about 10 degrees. In some embodiments, the angle O3 is from about 0 to about 15 degrees less than the angle O2. In some embodiments, the angle O3 is from about 5 to about 10 degrees less than the angle O2, and in some embodiments the angle O3 is about 7.5 degrees less than the angle O2.
Because the base 902 is flat in this embodiment, on both its top and bottom, these angles O1, O2, and O3 are likewise relative to the base and to the underside of the mattress in this embodiment. In some embodiments, the top surfaces 905, 915, and 917 can be curved or non-linear or otherwise follow a non-straight or smooth path in the longitudinal and/or lateral directions. In such cases, where these angles are nonlinear in the lateral direction, the angle O1 of general lateral sloping of the top surface 905 of the head section can be defined by the angle of a line connecting a point defining the lateral start of the head support surface to a point defining its lateral end (laterally directly across, left to right), or a point at the approximate middle of the support surface (or by averaging the angles of all, or a plurality, of such lines, taken along the section). Likewise, the angle O2 of general sloping of the top surface 915 of the torso section can be defined by the line connecting the point defining the lateral start of the torso support surface to the point defining its lateral end, or a point at the approximate middle of the support surface (or by averaging the angles of all or a plurality of such lines taken along the section). Furthermore, the angle O3 of general sloping of the top surface 917 of the leg section can be defined by the line connecting the point defining the lateral start of the leg support surface to the point defining its lateral end, or a point at the approximate middle of the support surface (or by averaging the angles of all or a plurality of such lines taken along the section).
In this embodiment of
In use, the mattress 902 can be placed on a bed frame. The user lies on the top surfaces 905, 915, and 917, with the head section surface 905 generally supporting the user's head, the torso section surface 915 generally supporting the user's torso, and the leg section surface 917 generally supporting the user's legs. Due to the angle O1 of the top surface 905, the side of the user's head is urged to lie at a significant angle (e.g., plus or minus about 35 degrees or more relative to vertical). In this embodiment, it has been found that, in use, a straight line along the approximate surface of the user's face from the ear toward the eye will often lie at an angle (or the plane defined generally by the centerline of the nose), will be at an angle or offset from the vertical up direction and vertical plane. It has been found that, in some embodiments, regardless if the patient is being supported on the patient's back, front, or side, and regardless of whether the patient is sleeping with the face pointed “uphill” relative to the surface 905 or pointed “downhill” relative to the surface 905, the face will be urged to a left or right angle and away from looking straight up to the ceiling, when the mattress 907 is in the generally horizontal position. In some embodiments, this urging is to an angle that is 35 degrees or more left or right of the plane that the nose centerline would point if the patient had the nose/face/eyes square with the ceiling, pointing straight ahead. The face can be urged to an angle similar to the lateral plane angle of the top surface 905 (or at least to an angle perpendicular thereto), and it has been found that the effects of certain sleep disorders, such as sleep apnea, can be reduced. In some embodiments, the patient is urged by the surfaces to sleep in a position wherein the soft tissues (e.g., the soft pallet, tongue, uvula, tonsils, pharynx, and/or adenoids) in the upper respiratory tract are at a significant angle relative to vertical down and/or are less restrictive of the breathing passages so as to minimize apnea events. In this embodiment of
Many other embodiments are also possible. For example, instead of foam, the angled surfaces could be created by air bladders, and moved between angles as desired, or moved from flat to angled and back as desired, such as described above. Additionally, fewer, none or more bolsters could be utilized. Furthermore, instead of defined sections, the sections could gradually transition to one another. The other figures herein illustrate some such embodiments, although many others are possible, by adding, subtracting or combining features or aspects.
The mattress 1050 has an angled head support surface 1051 and a horizontal head section 1053, as well as a torso section 1052, and a leg section 1054. The angled head support surface 1051 slants laterally toward the side of the person support apparatus 1040, toward the siderail 1041. The torso section 1052 supports the torso of the patient, and the leg section 1054 supports the legs of the patient. The angled head support surface 1051 slopes laterally at an angle α1 relative to horizontal, while the flat head section 1053 is relatively flat to horizontal. Due to the articulation of the deck 1047 in the leg section 1054 and the flexibility of the foam material from which mattress 1050 is made, a pivot or bend is formed in the leg section 1054 near the knee 1057 of the patient. The angle a2 defined by the bend in the mattress 1050 near the knee 1057 causes the leg section 1054 to slope upwardly then downwardly (or to flat) in the longitudinal direction from head toward foot. Preferably, this angle α2 is from about 90 to about 175 degrees (i.e., the angle between the lower leg support surface and the upper leg support surface is from about 185 degrees to about 270 degrees, such as from about 210 to about 240 degrees for example.) The angled head surface 1051 can cause the head 1055 of the patient to slope away from vertical during sleep, at angle ω, while the bent leg section 1054 can cause the knees 1057 of the patient to be bent during sleep such that the legs and thighs form an angle corresponding to approximately α2 while the patient sleeps in a semi-supine position where the patient is supported on the backside of their legs and torso, and the side of their face tilts generally at an angle to vertical. The angle co can be defined by the straight ahead line of site of the eyes, and can be greater than 35 degrees, such as greater than about 40 degrees, or greater than about 45 degrees. In some embodiments, this angle ω to goes up to the limit permitted by the angle α1 of the head support surface 1051, such as up to about 130 degrees for example. It is also possible in the embodiments of this disclosure that the patient sleeps in a semi-prone position where the patient is supported on the front side of their legs and torso, and/or stomach, but generally on the side of their face as the face tilts generally downwardly toward the floor at approximately angle α1.
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Each of the sloped lying (vertical person support) sections 3002, 3004, and 3006 include a maximum height. In this example, the head section has a maximum height hh, the torso section has a maximum height ht, and the leg section has a maximum height hl, and hh is greater than ht which is greater than hl. In some embodiments, there may be irregularly shaped portions of these sections 3002, 3004, and 3006, but the average heights of these sections (taken for example by averaging the maximum heights of all lateral cross sections of each section) are generally different from one another. For example, in one embodiment, the average height of the head section is at least about 20% larger than the average height of the torso section, and the average height of the torso section is at least about 20% larger than the average height of the leg section. Accordingly, the vertical support sections of the mattress 3000 slope generally downwardly in the longitudinal direction from the head end 3001 to the foot end 3003.
Additionally, in this embodiment, the vertical support sections of the mattress 3000 slope generally downwardly in the lateral direction from the left side 3007 toward the right side 3005. Accordingly, the maximum slope of each of the sections (defined by the tangents to the curves at the highest points ht, hh, and hl) relative to horizontal, is indicated by the angles θh, θt, and θl. In this embodiment θh is greater than θt which in turn is greater than θl. In other words, the lateral slope of the head section 3002 is generally greater than the lateral slope of the torso section 3004, and the lateral slope of the torso section 3004 is generally greater than the lateral slope of the leg section 3006. These angles θh, θt, and θl of slope could, alternatively, be determined by determining the average slope of lateral cross sections of each section 3002, 3004, and 3006.
In this embodiment, angle. θh, is about 25 degrees, θt, is about 17.5 degrees, and θl is about 10 degrees. In some embodiments, the angle θh is from about 10 to about 30 degrees, and the angle θt is from about 0 to about 25 degrees (such as from about 1 to about 20 degrees). In some embodiments, angle θh is at least about 20 degrees, such as from about 20 to about 25 degrees, and the angle θt is at least about 10 degrees, such as from about 10 to about 25 degrees.
In some embodiments, the angle θt is from about 5 to about 15 degrees less than the angle θh. In some embodiments, the angle θt is from about 5 to about 10 degrees less than the angle θh, and in some embodiments the angle θt is about 7.5 degrees less than the angle θh. In some embodiments, the angle θt is from about 15 to about 17.5 degrees.
In some embodiments, the angle θl is from about 0 degrees to about 15 degrees. In some embodiments, the angle θl is from about 0 degrees to about 12.5 degrees, and in some embodiments is about 10 degrees. In some embodiments, the angle θl is from about 0 to about 15 degrees less than the angle θt. In some embodiments, the angle θl is from about 5 to about 10 degrees less than the angle θt, and in some embodiments the angle θl is about 7.5 degrees less than the angle θt.
While certain features have been described in the context of certain illustrative embodiments, it should be understood that such features may be adopted or applied to any of the disclosed embodiments or to other embodiments.
At least some of the above embodiments may be described in terms of functional block components and various processing steps. Such functional blocks may be realized by any number of hardware and/or software components configured to perform the specified functions. For example, embodiments may employ various integrated circuit components, e.g., memory elements, processing elements, logic elements, look-up tables, and the like, which may carry out a variety of functions under the control of one or more processors, microprocessors or other control devices. Similarly, where the elements of the above embodiments are implemented using software programming or software elements the embodiments may be implemented with any programming or scripting language such as C, C++, Java, assembler, or the like, with the various algorithms being implemented with any combination of data structures, objects, processes, routines or other programming elements. Furthermore, such embodiments could employ any number of techniques for electronics configuration, signal processing and/or control, data processing and the like.
The particular implementations shown and described herein are illustrative examples of some of many possible embodiments, and are not intended to otherwise limit the scope of the claims in any way. For the sake of brevity, conventional electronics, control systems, software development and other functional aspects of the systems (and components of the individual operating components of the systems) may not be described in detail. Furthermore, connecting lines, or connectors shown in various figures are intended to represent exemplary functional relationships and/or physical or logical couplings between the various elements. It should be noted that many alternative or additional functional relationships, physical connections or logical connections may be present in a practical device.
No item or component is essential or required to the practice of the invention unless the element is specifically described as “essential” or “critical.” Numerous modifications and adaptations will be readily apparent to those skilled in this art without departing from the spirit and scope of the embodiments.
The order of execution or performance of the operations in embodiments illustrated and described herein is not essential, unless otherwise specified. That is, the operations may be performed in any order, unless otherwise specified, and embodiments as described may include additional or fewer operations than those disclosed herein. For example, it is contemplated that executing or performing a particular operation before, contemporaneously with, or after another operation is within the scope of aspects of the invention.
Some embodiments may be implemented with computer-executable instructions. The computer-executable instructions may be organized into one or more computer-executable components or modules. Aspects of the disclosure may be implemented with any number and organization of such components or modules. For example, aspects of the disclosure are not limited to the specific computer-executable instructions or the specific components or modules illustrated in the figures and/or described herein. Other embodiments may include different computer-executable instructions or components having more or less functionality than illustrated and described herein.
Many other embodiments of the present disclosure are also envisioned. For example, a method comprises determining a person's level of risk for developing an adverse condition; selecting a care protocol based on the level of risk; displaying a proposed configuration of a person support structure corresponding to the care protocol for a caregiver to approve; and upon approval by the caregiver, implementing the configuration. In another contemplated embodiment, the configuration causes the person support structure to raise a first section of the person support structure such that the first section forms an angle of greater than 0° with respect to the reference plane. In another contemplated embodiment, the configuration causes the person support structure to laterally tilt an occupant supported on the person support structure to a side such that the occupant is are at an angle of greater than 0° with respect to the reference plane. In another contemplated embodiment, the configuration causes the person support structure to move to at least one of a Trendelenburg and reverse Trendelenburg position. In another contemplated embodiment, the configuration causes a therapy to be initiated. In another contemplated embodiment, the therapy includes heat and moisture regulating therapy. In another contemplated embodiment, the therapy includes continuous lateral rotation therapy. In another contemplated embodiment, the therapy includes at least one of percussion therapy and vibration therapy. In another contemplated embodiment, the proposed configuration is modified as a function of a second input indicative of the orientation of a person supported on the person support structure. In another contemplated embodiment, the proposed configuration is modified as a function of a second input indicative of the position of a person supported on the person support structure. In another contemplated embodiment, the method further comprises the steps of: receiving an input indicative of the sleep state of the person supported on the person support structure; and if the person is waking up, restoring the person support structure to a previous configuration. In another contemplated embodiment, the person support structure is configured upon an occupant reaching a predetermined sleep stage. In another contemplated embodiment, the method further comprises the steps of: receiving a configuration override command; and restoring the person support structure to a previous configuration. In one contemplated embodiment, the configuration override command is communicated from a remote location. In another contemplated embodiment, the configuration override command is communicated when a CPR function is activated. In another contemplated embodiment, the configuration override command is communicated from a GUI coupled to the person support structure. In another contemplated embodiment, the method further comprises the step of notifying a caregiver if the presence of a material would aggravate an adverse condition. In another contemplated embodiment, the method further comprises the steps of: receiving an input indicative of a material proximate to the person supported on the person support structure determining if the material increases the person's risk for developing an adverse condition.
In another example, a method comprises receiving a signal indicative of a physiological characteristic; comparing the signal to a threshold to determine if an adverse event is in progress; and upon detecting that an adverse event is in progress, initiating an intervention to stop the adverse event. In one contemplated embodiment, the second intervention includes increasing the magnitude of the first intervention. In another contemplated embodiment, the second intervention includes alerting a caregiver.
In another example, a person support surface comprises a mattress ticking and a mattress core. The mattress core is enclosed by the mattress ticking and includes at least one fluid bladder configured to selectively protrude from the person contacting surface and support a portion of at least one of the neck and the upper back of an occupant supported on the person support surface. In one contemplated embodiment, the at least one fluid bladder is configured to support the cervical vertebrae of an occupant. In another contemplated embodiment, the at least one fluid bladder is configured to protrude a distance of at least about 70 mm from the occupant facing surface. In another contemplated embodiment, the at least one fluid bladder is configured to support the scapula of an occupant. In another contemplated embodiment, the at least one fluid bladder is configured to protrude a distance of at least about 20 mm from the occupant facing surface. In another contemplated embodiment, the at least one fluid bladder is configured to protrude a distance of about 20 mm to about 30 mm from the occupant facing surface. In another contemplated embodiment, the at least one fluid bladder is configured to protrude a distance of less than about 30 mm from the occupant facing surface. In another contemplated embodiment, the at least one fluid bladder is configured to laterally tilt an occupant's head when inflated. In another contemplated embodiment, the at least one fluid bladder is inflated upon detecting the onset of an adverse condition.
In another example, a method comprises determining a person's level of risk for developing an adverse condition; selecting a care protocol based on the level of risk; sensing a first physiological characteristic of a person supported on a person support structure; sensing a second physiological characteristic of the person; comparing the first physiological characteristic to the second physiological characteristic; if the difference between the first physiological characteristic and second physiological characteristic is outside a predefined range, configuring the person support structure as a function of the care protocol.
In another example, a method comprises determining a person's level of risk for developing an adverse condition; selecting a care protocol based on the level of risk; sensing a first physiological characteristic of a person supported on a person support structure; sensing a second physiological characteristic of the person; comparing the first physiological characteristic to the second physiological characteristic; if the difference between the first physiological characteristic and second physiological characteristic is outside a predefined range, alerting a caregiver that an adverse condition is going to occur.
In another example, a person support apparatus to support a person in at least a horizontal position includes a plurality of support sections arranged along a length of the person support apparatus, where each of the support sections has a support surface to support a body portion of the person and an inflatable portion supporting the support surface, where the inflatable portion of the support section is selectively inflatable and deflatable to position the support surface of the support section in a tilt position in which the support surface is angled at a maximum lateral tilt angle and position the support surface in a flat position in which the support surface is angled at a substantially flat angle, wherein the support surfaces of at least two of the support sections have different maximum lateral tilt angles.
In some embodiments, the plurality of support sections may include a head section to support the person's head, a seat section to support the person's torso, and a foot section to support the person's feet, where the maximum lateral tilt angle of the support surface of the head section is greater than the maximum lateral tilt angle of the support surface of the seat section and the maximum lateral tilt angle of the seat section is greater than the maximum lateral tilt angle of the foot section. The inflatable portion of each of the support sections may be inflated to position the support surface in the tilt position and deflated to position the support surface in the flat position. The inflatable portion of each of the support sections may be deflated to position the support surface in the tilt position and inflated to position the support surface in the flat position. Each of the support sections may include a non-inflatable support member in cooperation with the inflatable portion to selectively position the support surface of the support section in the tilt position and the flat position. The inflatable portion may be supported by the non-inflatable support member. The inflatable portion may support the non-inflatable support member. The inflatable portion may include a bellows-shaped bladder. The bellows-shaped bladder may be inflatable to position the support surface of the support section at the maximum lateral tilt angle by rotating the support surface about a longitudinal axis of the person support apparatus located adjacent a first side of the person support apparatus.
In some embodiments, the person support apparatus may include a second bellows-shaped bladder supported by the first bellows shaped bladder and inflatable to position the support surface of the support section at the maximum lateral tilt angle by rotating the support surface about a second longitudinal axis of the person support apparatus located adjacent a second side of the person support apparatus, wherein the second side of the person support apparatus is laterally spaced from the first side.
In some embodiments, the person support apparatus may include a plurality of baffles in an interior region of the bellows-shaped bladder, wherein each of the baffles has a different length. The support section may include a side member positioned adjacent a vertex of the maximum lateral tilt angle of the support surface. The side member may extend along the length of the person support apparatus and the side member may have a length that is less than the length of the person support apparatus.
In some embodiments, the person support apparatus may include a cover sized to enclose the support sections in an interior region, where the cover includes expandable sections corresponding to the support sections to accommodate the support sections when the support surface of each of the support sections is in the tilt position and when the support surface of each of the support sections is in the flat position. The inflatable portion of each of the support sections may include a multiple-chamber bladder assembly, and each of the bladders in the multiple-chamber bladder assembly may be inflatable to a different height. Each of the bladders of the multiple-chamber bladder assembly may be substantially log shaped and the bladders may be in fluid communication with each other. Each support section may include a sensor to measure the lateral tilt angle of the support surface of the support section, where the sensor is coupled to the support section. The sensor may be enclosed within an interior region of the support section. The person support apparatus may be in communication with an air control system and a person weighing system to determine the weight of a person positioned on the person support apparatus, where the air control system adjusts the amount of air pressure supplied to the inflatable portion of each of the support sections to achieve the maximum tilt angle of the support surface of the support section in response to a weight detected by the person weighing system. The inflatable portion of each of the support sections may include a three-dimensional matrix defined by a plurality of horizontally aligned columns of vertically stacked inflatable bladders.
In some embodiments, each of the inflatable bladders may be configured to assume a log-like shape when inflated. Each of the inflatable bladders may be configured to assume a sphere-like shape when inflated. The inflatable portion of each of the support sections may include a two-dimensional matrix including a plurality of rows and columns of horizontally aligned inflatable bladders, where the maximum height of the bladders is adjustable to achieve the maximum tilt angle of the support section. The inflatable portion may include a pair of laterally-spaced inflatable bladders and a non-inflatable member supported by the pair of laterally-spaced inflatable bladders, where the non-inflatable member supports the support surface and the support surface assumes the tilt position when both of the inflatable bladders are at least partially inflated and one of the inflatable bladders is inflated to a different height than the other inflatable bladder. Each of the support sections may include a wedge-shaped non-inflatable base and the inflatable portion may be supported by the wedge-shaped non-inflatable base.
According to one embodiment, a mattress is provided having a longitudinal length defined by a longitudinal axis of the mattress when the mattress is in its most horizontal position and a lateral width defined by a lateral axis of the mattress when the mattress is in its most horizontal position. The mattress comprises a head section having a head support surface to support at least a portion of a person's head. At least a portion of the head support surface is generally sloped in the lateral direction at a first angle relative the lateral axis. The first angle is from about 10 to about 30 degrees. The mattress further comprises a torso section having a torso support surface to support at least a portion of a person's torso. At least a portion of the torso support surface is generally sloped in the lateral direction at a second angle relative to the lateral axis. The second angle is from about 1 to about 25 degrees less than the first angle, such as from about 5 to about 15 degrees less than the first angle for example. In some embodiments, the first angle can be from about 15 to about 30 degrees, and the second angle can be from about 0 to about 20 degrees, for example. In some embodiments, the first angle can be from about 20 to about 30 degrees and the second angle can be from about 5 to about 15 degrees less than the first angle. Some embodiments of the mattress can include a leg section having a leg support surface to support at least a portion of a person's legs, the leg support surface being generally sloped in the lateral direction at a third angle relative to the underside surface. The third angle can be from about 0 degrees to about 15 degrees. In some embodiments, a bolster is positioned adjacent at a bottom side of the sloped torso support surface and rising above at least a portion of the torso support surface. In some embodiments, the head section is from about 5 inches to about 30 inches in length, the torso section is from about 15 inches to about 50 inches in length, and the leg section is from about 25 inches to about 50 inches in length. Some embodiments may include a lower leg support surface and thigh surface which are pivotable in the longitudinal direction relative one another, so as to form an angle between the surfaces of from about 100 to about 170 degrees. In some embodiments, the mattress is made at least partially of a flexible material to allow for the pivoting of the lower leg support surface and the thigh surface. According to some embodiments, at least one of the head section and torso section of the mattress comprises an air bladder configured to inflate to create at least one of the first and second angles.
In accordance with one embodiment, a person support apparatus is provided having a longitudinal length from its head end to its foot end, and a lateral width from side to side. The person support apparatus comprises a head section having a head support surface to support at least a portion of a person's head. At least a portion of the head support surface is generally sloped downward in a lateral direction. The person support apparatus further comprises a torso section having a torso support surface to support a least a portion of the person's torso. At least a portion of the torso support surface is generally sloped downward in the lateral direction, and the slope of the torso support surface is different from the slope of the head support surface. The apparatus further comprises a bolster extending along a side of person support apparatus and extending above the side. In some embodiments, the bolster does not extend along at least a portion of a side of the head section. The person support apparatus in some embodiments further comprises a leg section having a leg support surface to support at least a portion of a person's leg, and the leg support surface is flat or has a slope in the lateral direction which is about equal to or less than the slope of the torso support surface. In some embodiments, the bolster extends along at least a portion of the leg section. According to some embodiments, the side comprises a foot end of the person support apparatus. The head support surface in some embodiments is sloped at an angle of from about 10 to about 30 degrees, and the torso support surface is sloped at an angle of from about 1 to about 20 degrees. In some embodiments, at least one of the head section and torso section comprises an air bladder configured to inflate to create at least a portion of the slope of the section. The person support apparatus of some embodiments comprises a leg section having a leg support surface to support at least a portion of a person's leg, and the leg support surface is flat or is generally downwardly sloped in the lateral direction at an angle that is less than the angle of the head support surface, and the leg section is pivotable between a thigh section and a lower leg section. In some embodiments, the person support apparatus further comprises a transition surface sloping between the head section and the torso section.
Furthermore, a sleeping apparatus is provided in one embodiment having a longitudinal centerline. The apparatus comprises at least one bottom surface that is generally horizontal when the person support apparatus is in a generally horizontal position for sleeping. The apparatus comprises a head support section sized to support a person's head. The support section has a top surface extending from a first side of the longitudinal centerline to a second side of the longitudinal centerline. The top surface slopes generally laterally downwardly relative to horizontal, at an angle of at least approximately 15 degrees, when the person support apparatus is in a horizontal position, and, at the same time, has a maximum height greater than the torso support section, such that the apparatus slopes downwardly from the head toward the foot.
In one embodiment, a sleep support apparatus is provided having a longitudinal axis when in a horizontal position. The sleep support apparatus comprises a body part support section. The body support section comprises at least one surface configured to support at least a portion of a person's body during sleep. The body support section allows the person's head to turn sideways substantially in at least one direction. The body support section urges the longitudinal center plane of the person's face to rest at a first angle during sleep relative to a vertical plane extending upwardly against the direction of gravity and along the longitudinal axis of the sleep support apparatus. The first angle is equal to or greater than about 35 degrees from the upwardly extending vertical plane.
In one embodiment, a sleep apparatus is provided having a longitudinal dimension moving from a head end to a foot end, and a lateral dimension moving from a first side to a second side when in a generally horizontal position for sleeping. The apparatus comprises a head support section sized to support a person's head. The head support section is generally laterally sloped moving from the first side toward the second side, and the head support section has a height when the sleeping apparatus is in the generally horizontal position. The apparatus further comprises a torso support section sized to support a person's torso. The torso support section is generally laterally sloped moving from the first side toward the second side, and the torso support section has a height when the sleeping apparatus is in the generally horizontal position. The height of the head support section is greater than the height of the torso support section. In some embodiments, the height of the head section is the average of the maximum heights of lateral cross sections of the head section, and the height of the torso section is the average of the maximum heights of lateral cross sections of the torso section. In some embodiments, the head support section slopes generally laterally downwardly relative to horizontal at an angle of at least about 20 degrees, and the torso support section slopes generally laterally downwardly relative to horizontal an angle of at least about 10 degrees. In some embodiments, the angle of the head support section is the average angle of slope of tangents to horizontal cross sections of the head support section, and the angle of the torso support section is the average angle of slope of tangents to horizontal cross sections of the torso support section. In some embodiments, the apparatus comprises a leg support section sized to support a person's legs, the leg support section is generally laterally sloped moving from the first side toward the second side, the leg support section has a height when the sleeping apparatus is in the generally horizontal position, and the height of the torso support section is greater than the height of the leg support section.
In one embodiment, a sleep apparatus is provided having a longitudinal axis when in a horizontal position. The apparatus comprises a body part support section, the support section having at least one surface configured to support at least a portion of a person's body during sleep, and the body support section allows the person's head to turn substantially in at least one direction. The body support section urges the longitudinal center plane of the person's face to rest at a first angle during sleep relative to a vertical plane extending upwardly against the direction of gravity and along the longitudinal axis of the sleep support apparatus. The first angle is equal to or greater than about 35 degrees from the upwardly extending vertical plane. In some embodiments, the support section comprises a head support section or torso support section sloping generally laterally downwardly. In some embodiments, the support section further comprises a head support section sloping generally laterally downwardly at a first angle, and a torso support section sloping generally laterally downwardly at a second angle that is different from the first angle. In some embodiments, the sleep apparatus comprises a bed or mattress.
In one embodiment, a sleep apparatus is provided having a longitudinal dimension moving from a head end to a foot end, and a lateral dimension moving from a first side to a second side when in a generally horizontal position for sleeping. The apparatus includes a head support section sized to support a person's head, and the head support section is generally laterally sloped moving from the first side toward the second side. The apparatus further includes a torso support section sized to support a person's torso, and the torso support section is generally laterally sloped moving from the first side toward the second side. The sleeping apparatus is generally longitudinally sloped moving from the head end to the foot end. In some embodiments, the slopes are achieved by linear surfaces, non-linear surfaces, or stepped surfaces. In some embodiments, the apparatus further comprises a leg support section sized to support a person's legs, and the leg support section is generally laterally sloped moving from the first side toward the second side.
Referring now to
Inflatable bladders 2118a-e include a head tilt bladder 2118a, a torso tilt bladder 2118b, a knee gatch bladder 2118c, a leg tilt bladder 2118d, and a side bolster bladder 2118e as shown in
Knee gatch bladder 2118c is inflated to control an amount of rounded contour in an upper surface 2121c of a knee gatch section which is located between the torso section and leg section. There is no lateral tilt to surface 2121c in the illustrative example but that is not intended to rule out the possibility that surface 2121c has lateral tilt in other embodiments. The side bolster bladder 2118e is inflated to control an amount of height of a bolster section above surfaces 2121c, 2121d in the illustrative example. That is, the bolster section extends longitudinally along one of the sides of overlay 2111 from a head end of the knee gatch section to the foot end of the leg section. Thus, there is no bolster section that extends alongside the head and torso sections in the illustrative example. The bolster section provides a barrier to block a person's legs from inadvertently slipping off of overlay 2111.
As indicated diagrammatically in
Again referring to
Referring now to
In the illustrative example, the amount of inflation and deflation of the knee gatch bladder 2118c and bolster bladder 2118e is controlled by respective up and down arrow icons 2130, 2132. No window 2134 is provided in connection with the “KNEE GATCH & BOLSTER” field because knee gatch bladder 2118c and the bolster bladder 2118e do not have literal tilts to their respective upper surfaces. These bladders 2118c, 2118e are inflated and deflated by any amounts that the user desires within there respective upper and lower inflation and deflation limits.
In the illustrative example, overlay 2111 is included as part of a mattress ticking and so material including sidewall extensions 2136 and end wall extensions 2138 extend downwardly from overlay 2111 to cover respective sides 2140 and ends 2142 of mattress 2104. A stretchable cord or elastic band or similar type of extensible and retractable element 2144 is provided adjacent the bottom edges of extensions 2136, 2138 to cinch the lower edges of extensions 2136, 2138 beneath a bottom surface of mattress 2140 to retain overlay 2111 of apparatus 2100 in its proper position atop surface 2105 of mattress 2104. In alternative embodiments, the ticking includes additional material covering the bottom surface of mattress 2140 in which case an opening, such as a zippered opening, is provided in the ticking to permit insertion of mattress 2104 into the interior region of the mattress-receiving envelope defined by the mattress ticking. In a further variant embodiment, straps are provided in lieu of, or in addition to, extensions 2136, 2138 and are configured to secure overlay 2111 on mattress 2104. Such straps are depicted diagrammatically in
In another embodiment, a therapeutic sleep surface or person support apparatus 2200 is provided that will achieve a therapeutic shape over time as shown in
A lip or bolster hump 2214 is formed in base 2202 to the left side of trough 2211 to keep the user positioned on the foam base 2202 when the one or more foam filled bladders 2204 are in the sleep apnea shape. Thus, the hump 2214 includes an inclined upper surface 2216 to the left of trough 2211 as viewed in
At an initial time when the user first gets on the sleep surface, the foam filled air bladder(s) 2204 has a generally flat (e.g., horizontal) upper surface 2206, as is typical of sleep surfaces. An opening 2215 such as an orifice in the one or more bladders 2204 provides for air to be released from the one or more bladders 2204 over a predetermined period of time due to the user's weight on the bladders 2204. In some embodiments, a valve 2217, such as a check valve, is located within opening 2215 or is otherwise in communication with opening 2215 such as via a pneumatic conduit such as tubing as shown in
At least some of the air being evacuated from bladder 2204 is air that previously occupied spaces within pores or pockets of the foam within the bladder(s) 2204, thereby resulting in compression of the foam within bladder(s) 2204. As the foam inside the one or more air bladders 2204 compresses, flat surface 2206 slowly transitions from the traditional flat arrangement into a contoured shape 2208 that conforms generally with the predetermined sloped shape of the foam base 2202 as shown in
As shown in
In some embodiments contemplated by this disclosure, the time for the air bladder(s) 2204 to transition, or release air, provides sufficient time for the user to fall asleep on the traditional flat surface 2206 they are accustomed to and provides the therapeutic sleep apnea shape, as seen in
In some other embodiments, the person support apparatus 2200 includes a controller 2219, such as those disclosed herein in connection with other embodiments. Controller 2219 includes a timer 2221 in the illustrative example. The controller controls the transition of apparatus 2200 from the configuration shown in
Referring now to
The system or apparatus implementing process 2300 receives signals from one or more sensors related to a user on a sleep surface as indicated at block 2302. The one or more physiological signals are sensed, for example, by load cells included in the sleep surface or a bed frame that supports the sleep surface, video monitoring equipment such as cameras or thermal imaging devices, acoustic sensors, and/or accelerometers present in the garments or devices worn by the patient or included in the sleep surface or bed frame. The received physiological signals are processed to identify user movement on the sleep surface as indicated at block 2304. Sensed movement may include, for example, acceleration of body movement or a particular portion of the body; head tilt; torso, hip, or shoulder motion; eye movement; changes in bladder pressure; changes in breathing pattern; and increased agitation or actual movement, just to name a few.
As indicated at block 2306, the process determines if the user intends to move to a new position based on the sensed movements. If it is determined that the user does not intend to move to a new position, the process returns to block 2302 and generally continuously monitor the sensors in a loop. If the user intends to move to a new position, the process 2300 predicts the new position the user will most likely move to based on the sensed movement as indicated at block 2308. Using the predicted new position, the system implementing process 2300 recalls therapeutic ranges for the patient support adjustment corresponding to the predicted new position as indicated at block 2310 and then adjusts the patient support based on the prediction and therapeutic ranges for support adjustment as indicated at block 2312, thereby maintaining the user in a position that is in compliance within therapeutic ranges during movement on the support surface.
In some embodiments such as the one illustrated in
More specifically, person specific measurements are used to prevent the person from sleeping in a supine position, thereby avoiding obstructive sleep apnea. Process 2400 uses customized relationships between sleep surface angle and head rotation in some embodiments. For example, a gymnast's head may rotate 45 degrees from a vertical on a 5 degree lateral slope of the patient support. On the other hand, a football lineman's head may need 45 degree lateral slope of the patient support to experience the same 45 degree head rotation. Physiological parameters (aka physiological measurements) are received from stored patient electronic medical records when the person is a patient, or on-the-spot measurement, in some embodiments. Alternatively or additionally, physiological measurements are received from sensors such as those discussed above in connection with process 2300. The physiological parameters include one or more of neck circumference, neck/torso range of motion, body mass index (BMI) and stop-bang index. In some instances, the matching of the physiological parameters may be a best-fit determination or a determination of the stored parameters that most closely match the user's parameters. Process 2400 permits the therapeutic support system to adjust to provide the minimum intervention required for the specific patient rather than the tilt angles required by the average patient.
Referring now to
System 2500 also includes a controls box or electronics module 2506 and a handheld controller pendant 2508. Box 2506 is removably attached to a footboard of bed frame 2504 and pendant 2508 is removably attached to a siderail of bed frame 2504. Thus, tilting units 2520a-e, box 2506, and pendant 2508 are all coupled to each other and transferable to different beds. Thus, in some embodiments, tilting units 2520a-e are coupled together, such as with flexible tethers or bands, or by placement of tilting units 2520a-e within an envelope of material sized to receive the tilting units 2520a-e therein. In such embodiments, the coupled-together units 2520a-e form a unitary layer that is placeable on the mattress foundation of bed frame 2504.
Illustrative tilting units 2520a-e each include first, second and third plates 2522, 2524, 2526 that are coupled together by first and second hinges 2528, 2530 in a Z-shaped formation as shown in
When bladder 2532 is inflated with bladder 2534 remaining deflated, the end of plate 2522 opposite from hinge 2528 is lifted upwardly such that plate 2522 is tilted in a first direction, shown in
In the illustrative example, each of the tilting units 2520a-e includes first and second straps 2536, 2538 that are used to attach the tilting units 2520a-e to bed frame 2504 such as by wrapping around an underlying section of the patient support deck of frame 2504. Straps 2536, 2538 include respective fasteners 2540, 2542 that couple together to thereby secure straps 2536, 2538 together. Fasteners 2540, 2542 comprise hook-and-loop fastener material, such as VELCRO® material, in some embodiments. Alternatively, fasteners 2540, 2542 comprises snaps or buckles or the like. In other embodiments, fasteners such as hook-and-loop fastener material patches are provided on plates 2526 for coupling to underlying mating fasteners provided on the deck sections of bed frame 2504.
The inflatable bladders 2532, 2534 are connected via air fill and sensor lines 2510 to control box 2506 as shown in
Referring now to
As indicated at block 2602, sensor signals are received of a user on the patient support apparatus or surface. The sensor signals are received via a machine vision acquisition or a body worn accelerometer at locations such as the forehead, hear, throat, or chest in some embodiments. Based on the received sensors signals, the system determines the head orientation and/or URT orientation as indicated at block 2604. As indicated at block 2606, a determination is made regarding whether the head orientation and/or URT orientation is greater than or equal to 45 degrees rotated from the vertical orientation. If it is determined at block 2606 that the head orientation and/or URT orientation is greater than or equal to 45 degrees rotated from the vertical orientation, this means that the patient is likely not supine, and therefore not at risk for an apnea episode and no intervention is needed. In such instances, process 2600 returns back to block 2602 and continues to sense and receive signals from the patient.
If it is determined at block 2606 that the head and/or URT orientation is less than 45 degrees from vertical orientation, this means the patient is at risk for an apnea event. In response to this at risk determination at block 2606, the system 2600 advances to block 2608 and performs an operation to remedy the head orientation. In some embodiments, the operation indicated at block 2608 includes alerting the patient by providing an audible alert sufficient to wake the patient so that he may reposition to a safe sleep orientation. In some embodiments, the operation indicated at block 2608 includes providing physical or audible patient feedback to arouse the patient to a lighter sleep state, thus preventing a sleep state that would be unsafe given their head and/or URT orientation. In some embodiments, the operation indicated at block 2608 includes the surface adjusting the tilt of the bed to shift the patient to a new head and/or URT orientation within the safe range greater than or equal to 45 degrees from the vertical. Alternatively or additionally, the operation indicated at block 2608 includes providing an alert to a caregiver such as by sending a notification to one or more of the following: a local audio alert unit, a local visual alert unit, a nurse call computer, a handheld device of the caregiver, and an electronic status board. When the operation 2608 includes movement of the support surface, the system senses movement of the patient support to the new therapeutic position as indicated at block 2610. System loops back to block 2606 after sensing movement at block 2610 in the illustrative example.
Referring now to
As indicated at block 2702, sensor signals are received for a user on a person support apparatus having a head end and a foot end. Based on the sensor signals, a determination is made regarding an amount of tilt of a head end of a support relative to a foot end as indicated at block 2704. As indicated at block 2706 of process 2700, if it is determined that the head end of the bed is tilted to an elevated position by a sufficient amount relative to the foot end, the process proceeds to block 2708. If not, the process 2700 returns to block 2702 and again senses the sensor signals. If the head end is determined at block 2706 to be tilted to an elevation position sufficiently higher than the foot end, a physiological parameter of the user is sensed and determined as indicated at block 2708. The physiological parameter includes, for example, the amount of head tilt of the person to either side of a vertical plane of the person. The head tilt may be measured by direct measurement of a head angle with an accelerometer on the patient's head, video imaging processing, or microphones placed on the support at each side of the patient's head to collect and compare sounds on each side of the head.
After block 2708, process 2700 proceeds to block 2710 and determines if the parameter, such as head tilt, is adverse. Examples of adverse head tilt angles are described above in connection with
Referring now to
As indicated at block 2802, a control receives a user input such as from button 2801 and in response, proceeds to block 2804 to recall a number of settings for therapeutic support positions that are stored in memory of the respective patient support apparatus. Process 2800 then proceeds to block 2806 to adjust the bed, or other patient support to achieve the stored therapeutic support positions. After the stored therapeutic support positions are achieved, process 2800 proceeds to block 2808 and a bed/support exit alarm is set.
Based on the foregoing, it will be appreciated that process 2800 all of the therapeutic support position settings are accomplished with a single push button 2801, or other command, to provide the support therapy in a less time consuming manner and prevent user error in forgetting or failure to accurately set one or more of the positions. For example, the single user input may execute an algorithm defining the particular support therapy to be performed. In a sleep apnea support therapy, for example, the therapeutic support positions may include: a lateral angle of head section of the support set to 15 degrees, a lateral angle of a torso section set to 10 degrees, lateral angle of leg section set to 0 degrees, a head end of bed angle elevation at 10 degrees, and a reverse Trendelenburg angle of 2 degrees. Once the support apparatus has been adjusted to these positions, a bed exit alarm may be set automatically to alert a caregiver if the person exits the support apparatus.
Referring once again to
As shown in
In the illustrative example shoulder shelf 3002 comprises a triangular projection that extends upwardly from an upper surface 3006 of mattress 3000 adjacent to one of the sides of mattress 3000. Such a projection is provided by form or a shaped pillow in some embodiments and is formed integrally with the rest of mattress 3000 in other embodiments. The shoulder pad 3002 is situated at approximately the shoulder region of the support and, if not integrally formed with the rest of mattress 3000, is secured to a siderail or other support surface using straps and/or VELCRO® material in some embodiments. Hip block 3004 is used in addition to or in lieu of the shoulder pad 3002 to prevent rotation of the lower body and corresponding rotation of the upper body and therefore, the person's head. In the illustrative example, hip block 3004 comprises a cylindrical projection that extends upwardly from upper surface 3006 of mattress 3000 adjacent one of the sides of mattress 3000. Cylindrical hip pad 3004 is foam or a pillow similar to the triangular shaped pad 3002 of
Any theory, mechanism of operation, proof, or finding stated herein is meant to further enhance understanding of principles of the present disclosure and is not intended to make the present disclosure in any way dependent upon such theory, mechanism of operation, illustrative embodiment, proof, or finding. It should be understood that while the use of the word preferable, preferably or preferred in the description above indicates that the feature so described can be more desirable, it nonetheless cannot be necessary and embodiments lacking the same can be contemplated as within the scope of the disclosure, that scope being defined by the claims that follow.
In reading the claims it is intended that when words such as “a,” “an,” “at least one,” “at least a portion” are used there is no intention to limit the claim to only one item unless specifically stated to the contrary in the claim. When the language “at least a portion” and/or “a portion” is used the item can include a portion and/or the entire item unless specifically stated to the contrary.
It should be understood that only selected embodiments have been shown and described and that all possible alternatives, modifications, aspects, combinations, principles, variations, and equivalents that come within the spirit of the disclosure as defined herein or by any of the following claims are desired to be protected. While embodiments of the disclosure have been illustrated and described in detail in the drawings and foregoing description, the same are to be considered as illustrative and not intended to be exhaustive or to limit the disclosure to the precise forms disclosed. Additional alternatives, modifications and variations can be apparent to those skilled in the art. Also, while multiple inventive aspects and principles can have been presented, they need not be utilized in combination, and many combinations of aspects and principles are possible in light of the various embodiments provided above.
Claims
1. A support system configured to support and laterally rotate at least a portion of a user with respect to a longitudinal axis of the support system, said support system being embodied as a mattress and comprising:
- at least one support piece configured to form a laterally angled sleep surface having a lateral dimension defined between a first side of the mattress and an opposing second side of the mattress spaced from the first side with the first and second sides extending substantially parallel with the longitudinal axis such that the laterally angled sleep surface extends fully all the way across the support system in its entirety from the first side to the second side, wherein the laterally angled sleep surface comprises a flat, planar surface from the first side to the second side when the user is absent from the support system, wherein the at least one support piece is included as one of a plurality of support pieces that are in abutment at respective vertical planes that extend laterally between the first and second sides and that are perpendicular to the longitudinal axis, wherein the laterally angled sleep surface of the at least one support piece and an adjacent laterally angled sleep surface of a next adjacent support piece of the plurality of support piece slope laterally slope downwardly in a same direction from the first side to the second side but at different angles that are each greater than zero degrees.
2. The support system of claim 1, wherein the laterally angled sleep surface is situated in a head end region of the mattress and is spaced from a foot end region of the mattress.
3. The support system of claim 1, wherein the at least one support piece forms a continuously sloped sleep surface.
4. The support system of claim 1, wherein the at least one support piece is rotatable about the longitudinal axis.
5. The support system of claim 1, wherein the plurality of support pieces are each configured to define its respective laterally angled sleep surface, a first support piece of the plurality of support pieces forming a first support plane along the longitudinal axis having a first angle of rotation with respect to a base surface of the support system, and a second support piece of the plurality of support pieces forming a second support plane along the longitudinal axis having a second angle of rotation with respect to the base surface different than the first angle of rotation.
6. The support system of claim 5, wherein the plurality of support pieces have progressively greater angles of rotation along the longitudinal axis to facilitate a relatively greater rotation of an upper respiratory tract of the user and a relatively lesser rotation in a lower body of the user.
7. The support system of claim 5, wherein the second angle of rotation is greater than the first angle of rotation to facilitate greater rotation of an upper respiratory tract of the user supported on the second support plane than a lower body of the user at least partially supported on the first support plane.
8. The support system of claim 5, wherein each support piece of the plurality of support pieces is independently rotatable about an axis extending parallel with the longitudinal axis of the support system.
9. The support system of claim 5, wherein the first support plane is positioned at a first lateral angle of rotation of 20° to 30° with respect to a base surface of the first support piece, the second support plane is positioned at a second lateral angle of rotation of 10° to 20° with respect to a base surface of the second support piece, and a third support piece defines a third support surface positioned at a third lateral angle of rotation of 5° to 15° with respect to a base surface of the third support piece.
10. The support system of claim 5, further comprising a transitional piece positioned between adjacent support pieces of the plurality of support pieces to facilitate providing a gradual continuous transition between support planes of the adjacent support pieces.
11. The support system of claim 5, further comprising a transitional piece positioned at a transitional line where the first support piece meets with the second support piece to provide support for the user.
12. The support system of claim 1, further comprising a system control having a display configured to display information about the support system.
13. The support system of claim 12, wherein the system control comprises a processor configured to adjust angles of rotation of the support planes based at least in part on data inputted at the system control and/or data signals received from one or more sensors of the support system.
14. A bolster in combination with the support system of claim 1, wherein the bolster comprises an element separate from the support system, the bolster being positioned along a lateral side of the support system to limit lateral migration of the user.
15. The support system of claim 14, wherein at least a portion of the bolster includes a textured surface to facilitate retaining the user positioned on the sleep surface.
16. The support system of claim 14, wherein the bolster is formed of a formable material to provide envelopment throughout the sleep surface.
17. The support system of claim 14, further comprising a strap operatively coupled to the bolster to facilitate maintaining the user positioned on the sleep surface.
18. The support system, of claim 5, wherein each support piece of the plurality of support pieces is rotatable about the longitudinal axis between a first orientation having a right side slope and a second orientation having a left side slope.
19. The support system of claim 18, further comprising a section positioned within the first support piece and coaxially aligned with the longitudinal axis to facilitate rotation of the first support piece about the longitudinal axis independently of the second support piece.
20. The support system of claim 1, further comprising at least one spacer configured to adjust the length of the support system.
21. The support system of claim 1, wherein the support system has a first length defined between a head end and a foot end of the support system, and further comprising a spacer added to the support system between the head end and the foot end to increase an overall length of the support system from the first length to a second length.
22. The support system of claim 21, wherein adjacent support pieces of the at least one support piece and the spacer are coupled together using a coupling mechanism.
23. The support system of claim 1, wherein the at least one support piece comprises an inflatable fluid bladder configured to contain a fluid.
24. The support system of claim 23, wherein an amount of fluid within the fluid bladder is controlled electronically.
25. The support system of claim. 24, further comprising a coupler configured to at least one of to maintain an amount of fluid within the fluid bladder and provide support to the respective support plane.
26. The support system of claim 1, wherein a first support piece of the at least one support piece comprises a plurality of independent support wedges forming a gradation in a longitudinal slope of the sleep surface.
27. The support system of claim 26, wherein each of the plurality of independent support wedges comprises one of a formable material a semi-rigid material, a foam material, and a fluid bladder.
28. The support system of claim 27, wherein a first support wedge of the plurality of independent support wedges defines a first support plane positioned at a first lateral angle of rotation and a second support wedge of the plurality of independent support wedges defines a second support plane at a second lateral angle of rotation different that the first lateral angle of rotation.
29. The support system of claim 1, wherein the at least one support piece comprises a continuous support piece having a gradual density transition along the length of the sleep surface.
30. The support system of claim 1, wherein the plurality of support pieces are configured to collectively define the laterally angled sleep surface, a first support piece of the plurality of support pieces having a first density and a second support piece of the plurality of support pieces having a second density different than the first density.
31. The support system of claim 30, wherein each support piece of the plurality of support pieces defines a support plane positioned at a substantially similar, initial lateral rotational angle.
Type: Application
Filed: Jul 31, 2020
Publication Date: Nov 19, 2020
Inventors: Michael Scott Hood (Batesville, IN), David L. Ribble (Indianapolis, IN), Laetitia Gazagnes (Montpellier), Pierre Deguignet (Clapiers), Aziz A. Bhai (Fishers, IN), Eric D. Agdeppa (Cincinnati, OH), Neal Wiggermann (Batesville, IN), Charles A. Howell (Batesville, IN), Varad N. Srivastava (Skaneateles, NY), Jason A. Penninger (Charlotte, NC)
Application Number: 16/944,348
