PATIENT SUPPORT APPARATUSES WITH EXERCISE FUNCTIONALITIES

• US 20110143898A1
• Filed: 12/02/2010
• Published: 06/16/2011
• Est. Priority Date: 12/14/2009
• Status: Active Grant

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Inventors: Trees, Darin
• Granted Patent: US 8,858,409 B2
• Time in Patent Office: Days
• US Class Current: 482/142
• CPC Class Codes: A61G 2203/44 for weight
• CPC Class Codes: A61G 7/005 tiltable around transverse horizontal axis, e.g. for Trendelenburg position rocking beds for physical therapy A61H1/003; hanging patient inclined downwardly for drawing him out A61H2203/0493
• CPC Class Codes: A61G 7/015 divided into different adjustable sections, e.g. for Gatch position
• CPC Class Codes: A61G 7/0513 covering particular sections of the bed, e.g. one or more partial side-rail sections along the bed
• CPC Class Codes: A61G 7/16 converting a lying surface into a chair
• CPC Class Codes: A61H 1/001 Apparatus for applying movements to the whole body
• CPC Class Codes: A63B 2071/0018 for wheelchair users
• CPC Class Codes: A63B 21/068 using user's body weight
• CPC Class Codes: A63B 21/1672 for anchoring on beds or mattresses
• CPC Class Codes: A63B 2208/0238 with stretched legs, like on a bed
• CPC Class Codes: A63B 23/0405 involving a bending of the knee and hip joints simultaneously A63B23/0476 takes precedence

Abstract

A patient support apparatus generally includes a base frame and a support deck supported on the base frame, the support deck comprising a seat portion. A segmented patient support surface is slidably coupled to the support deck. A lift system is coupled to the support deck and the segmented patient support surface. The lift system raises, lowers and tilts the support deck with respect to the base frame, and pivots a torso support segment of the support surface with respect to a leg support segment of the support surface. A foot plate assembly is removably positioned proximate a free end of the support deck, the foot plate assembly receiving a patient'"'"'s feet when a patient is positioned on the segmented patient support surface thereby enabling the patient to slide the segmented patient support surface relative to the support deck.

Claims

1. A patient support apparatus with closed chain exercise functionalities, the patient support apparatus comprising:

a base frame;

a support deck supported on the base frame, the support deck comprising a seat portion;

a segmented patient support surface comprising a torso support segment and an upper leg support segment, wherein the torso support segment is pivotable with respect to the upper leg support segment and at least the torso support segment and the upper leg support segment are slidably coupled to the support deck such that the torso support segment and the upper leg support segment are freely slidable with respect to the support deck;

a lift system coupled to the support deck and the segmented patient support surface, the lift system raising, lowering and tilting the support deck with respect to the base frame, and pivoting the torso support segment with respect to the upper leg support segment; and

a foot plate assembly removably positioned proximate a free end of the support deck, the foot plate assembly receiving a patient'"'"'s feet when a patient is positioned on the segmented patient support surface thereby enabling the patient to slide the segmented patient support surface relative to the support deck to perform a closed chain exercise.

2. The patient support apparatus of claim 1, wherein:

the support deck further comprises a leg portion pivotally coupled to an end of the seat portion, the lift system pivoting the leg portion with respect to the seat portion; and

the foot plate assembly is removably positioned on the leg portion of the support deck.

3. The patient support apparatus of claim 2, wherein:

the leg portion of the support deck is positionable between an aligned position wherein the leg portion is substantially coplanar with the seat portion and at least one declined position wherein the leg portion is non-coplanar with the seat portion; and

the torso support segment is positionable with respect to the upper leg support segment from a recumbent position wherein the torso support segment and the upper leg support segment are substantially coplanar and at least one inclined position wherein the torso support segment is non-coplanar with the upper leg support segment.

4. The patient support apparatus of claim 3, wherein the patient support apparatus has an exercise orientation wherein:

the leg portion of the support deck is in the aligned position with respect to the seat portion of the support deck;

the support deck is tilted with respect to the base frame such that the seat portion of the support deck is higher that the leg portion of the support deck; and

the torso support segment is in the at least one inclined position with respect to the upper leg support segment.

5. The patient support apparatus of claim 3, wherein the patient support apparatus has an egress orientation wherein:

the leg portion of the support deck is positioned in the at least one declined position with respect to the seat portion of the support deck; and

the torso support segment of the segmented patient support surface is in the at least one inclined position with respect to the upper leg support segment.

6. The patient support apparatus of claim 3, wherein the patient support apparatus has a tilt orientation wherein:

the leg portion of the support deck is in the aligned position with respect to the seat portion of the support deck;

the torso support segment is in the recumbent position with respect to the upper leg support segment; and

the support deck is tilted with respect to the base frame, wherein a tilt angle between the support deck and the base frame is greater than zero and less than or equal to about 90 degrees.

7. The patient support apparatus of claim 2, wherein:

the upper leg support segment of the segmented patient support surface is affixed to a carriage; and

the carriage is attached to the seat portion of the support deck with sliding rails such that the carriage and the segmented patient support surface are slidable with respect to the support deck.

8. The patient support apparatus of claim 7, wherein the sliding rails are telescoping sliding rails having an extended position wherein the sliding rails are positioned over at least a portion of the leg portion of the support deck and a retracted position wherein the sliding rails are not positioned over the leg portion of the support deck.

9. The patient support apparatus of claim 1, wherein:

the support deck further comprises an intermediate portion pivotally coupled to an end of the seat portion and a leg portion pivotally coupled to an end of the intermediate portion, the lift system pivoting the intermediate portion with respect to the seat portion and the leg portion with respect to the intermediate portion; and

the foot plate assembly is removably positioned on the leg portion of the support deck.

10. The patient support apparatus of claim 9, wherein:

the intermediate portion of the support deck is positionable between an aligned position wherein the intermediate portion, the leg portion and the seat portion are substantially coplanar with one another and at least one intermediate position wherein the intermediate portion is inclined with respect to the seat portion and declined with respect to the leg portion; and

the torso support segment is positionable with respect to the upper leg support segment from a recumbent position wherein the torso support segment and the upper leg support segment are substantially coplanar and at least one inclined position wherein the torso support segment is non-coplanar with the upper leg support segment.

11. The patient support apparatus of claim 10 wherein the patient support apparatus has an exercise configuration wherein:

the intermediate portion of the support deck is positioned in an aligned position;

the support deck is tilted with respect to the base frame such that the seat portion of the support deck is higher that the leg portion of the support deck; and

the torso support segment is in the at least one inclined position with respect to the upper leg support segment.

12. The patient support apparatus of claim 9, wherein:

the upper leg support segment of the segmented patient support surface is affixed to a carriage; and

the carriage is attached to the seat portion of the support deck with sliding rails such that the carriage and the segmented patient support surface are slidable with respect to the support deck.

13. The patient support apparatus of claim 12, wherein the sliding rails are telescoping sliding rails having an extended position wherein the sliding rails are positioned over at least a portion of the intermediate portion of the support deck and a retracted position wherein the sliding rails are not positioned over the intermediate portion of the support deck.

14. The patient support apparatus of claim 1, wherein the support deck is pivotable with respect to the base frame such that the support deck is positionable in at least a neutral orientation wherein the support deck is substantially horizontal, a Trendelenburg orientation wherein a head of the support deck is lower than a foot of the support deck, and a reverse Trendelenburg orientation wherein the foot of the support deck is lower than the head of the support deck.

15. The patient support apparatus of claim 1, further comprising a brake assembly regulating a rate of travel of the segmented patient support surface relative to the support deck.

16. The patient support apparatus of claim 1, wherein the foot plate assembly comprises at least one load sensor, the at least one load sensor determining a weight applied to the foot plate assembly.

17. The patient support apparatus of claim 16, wherein the foot plate assembly comprises a left foot plate and a right foot plate, the left foot plate comprising a left foot load sensor and the right foot plate comprising a right foot load sensor.

18. The patient support apparatus of claim 1, further comprising:

at least one stanchion attached to the base frame proximate a head of the base frame; and

an upper extremity exercise assembly attached to the at least one stanchion.

19. The patient support apparatus of claim 18, wherein the upper extremity exercise assembly comprises:

at least one pulley supported on the at least one stanchion; and

at least one cable connected to the segmented patient support surface and routed through the at least one pulley, wherein tensioning a free end of the at least one cable causes the segmented patient support surface to slide with respect to the support deck.

20. The patient support apparatus of claim 18, wherein the upper extremity exercise assembly comprises a pull-up bar assembly attached to the at least one stanchion, wherein a position of the pull-up bar assembly on the at least one stanchion is vertically adjustable on the at least one stanchion.

21. The patient support apparatus of claim 1, wherein the segmented patient support surface further comprises a lower leg support segment.

22. The patient support apparatus of claim 1, wherein the support deck further comprises a range of motion stop assembly comprising a plurality of apertures formed in the support deck and at least one stop pin positioned in at least one of the plurality of apertures, wherein the plurality of apertures are spaced at regular intervals in a path of travel of the segmented patient support surface such that, as the segmented patient support surface slides with respect to the support deck, the segmented patient support surface contacts the at least one stop pin thereby limiting a range of motion of the segmented patient support surface.

23. The patient support apparatus of claim 1, further comprising a pair of side rails positioned on each side of the support deck, the side rails having a raised position relative to the support deck and a lowered position relative to the support deck.

24. The patient support apparatus of claim 1, further comprising a control unit communicatively coupled to the lift system, the control unit controlling the lift system and comprising at least one user interface.

25. The patient support apparatus of claim 24, wherein:

the segmented patient support surface further comprises a lower leg support segment removably positioned on the support deck;

the support deck further comprises;

a cushion sensor positioned beneath the lower leg support segment, the cushion sensor determining when the lower leg support segment is positioned on the support deck; and

at least one range of motion stop assembly comprising a plurality of apertures, at least one stop pin, and a stop pin sensor, the stop pin sensor determining when the at least one stop pin is positioned in a path of travel of the segmented patient support surface; and

the stop pin sensor and the cushion sensor are electrically coupled to the control unit and the control unit prevents the support deck from being tilted relative to the base frame until at least the stop pin sensor indicates the at least one stop pin is positioned in one of the plurality of apertures and the cushion sensor indicates the lower leg support segment is not positioned on the support deck.

26. The patient support apparatus of claim 25, further comprising:

a carriage lock mechanism releasably securing the segmented patient support surface to the support deck such that the segmented patient support surface does not slide with respect to the support deck; and

a lock sensor communicatively coupled to the control unit, wherein the control unit is programmed to prevent the support deck from being tilted relative to the base frame until the stop pin sensor indicates the at least one stop pin is positioned in one of the plurality of apertures, the cushion sensor indicates the lower leg support segment is not positioned on the support deck, and the lock sensor indicates the segmented patient support surface is secured to the support deck.

27. A patient support apparatus with closed chain exercise functionalities, the patient support apparatus comprising:

a base frame;

a support deck supported on the base frame, the support deck comprising a seat portion and a leg portion pivotally coupled to an end of the seat portion;

a segmented patient support surface comprising an upper leg support segment slidably coupled to the support deck such that the upper leg support segment is freely slidable with respect to the support deck;

a lift system coupled to the support deck and the segmented patient support surface, the lift system raising, lowering and tilting the support deck with respect to the base frame and pivoting the leg portion with respect to the seat portion; and

a foot plate assembly removably positioned proximate a free end of the leg portion of the support deck, the foot plate assembly receiving the feet of a patient when the patient is positioned on the segmented patient support surface thereby enabling the patient to slide the segmented patient support surface relative to the support deck to perform a closed chain exercise.

28. The patient support apparatus of claim 27, wherein the patient support apparatus has an exercise orientation wherein:

the leg portion of the support deck is in the aligned position with respect to the seat portion of the support deck; and

the support deck is tilted with respect to the base frame such that the seat portion of the support deck is higher that the leg portion of the support deck.

29. The patient support apparatus of claim 27, wherein the patient support apparatus has an egress orientation wherein:

the leg portion of the support deck is positioned in the at least one declined position with respect to the seat portion of the support deck; and

the support deck is at its lowered position with respect to the base.

30. The patient support apparatus of claim 27, wherein the patient support apparatus has a tilt orientation wherein:

the leg portion of the support deck is in the aligned position with respect to the seat portion of the support deck; and

the support deck is tilted with respect to the base frame, wherein a tilt angle between the support deck and the base frame is greater than zero and less than or equal to about 90 degrees.

31. A patient support apparatus with closed chain exercise functionalities, the patient support apparatus comprising:

a base frame;

a support deck supported on the base frame, the support deck comprising a seat portion;

a segmented patient support surface comprising a torso support segment and an upper leg support segment is supported on the support deck, wherein the torso support segment is pivotable with respect to the upper leg support segment;

a lift system coupled to the support deck and the segmented patient support surface, the lift system raising, lowering and tilting the support deck with respect to the base frame, and pivoting the torso support segment with respect to the upper leg support segment; and

a stationary exercise support positioned to be engaged by a patient when the patient is positioned on the segmented patient support surface such that the patient can perform a closed chain exercise while positioned on the segmented patient support surface.

32. The patient support apparatus of claim 31, wherein:

at least the torso support segment and the upper leg support segment are slidably coupled to the support deck such that the torso support segment and the upper leg support segment are freely slidable with respect to the support deck; and

the stationary exercise support assembly permits the patient to slide the segmented patient support surface relative to the support deck to perform a closed chain exercise.

33. The patient support apparatus of claim 32, wherein:

the upper leg support segment of the segmented patient support surface is affixed to a carriage; and

the carriage is attached to the seat portion of the support deck with sliding rails such that the carriage and the segmented patient support surface are slidable with respect to the support deck.

34. The patient support apparatus of claim 33, wherein the sliding rails are telescoping sliding rails having an extended position wherein the sliding rails are positioned over at least a portion of the leg portion of the support deck and a retracted position wherein the sliding rails are not positioned over the leg portion of the support deck.

35. The patient support apparatus of claim 31, wherein the stationary exercise support is a foot plate assembly removably positioned proximate a free end of the support deck, the foot plate assembly receiving a patient'"'"'s feet when a patient is positioned on the segmented patient support surface.

36. The patient support apparatus of claim 35, wherein the foot plate assembly comprises a left foot plate and a right foot plate, the left foot plate comprising a left foot load sensor and the right foot plate comprising a right foot load sensor.

37. The patient support apparatus of claim 31, wherein the stationary exercise support is a pull-up bar assembly attached to at least one stanchion, wherein a position of the pull-up bar assembly on the at least one stanchion is vertically adjustable on the at least one stanchion.