Bed departure detection system

• US 4,539,560 A
• Filed: 12/10/1982
• Issued: 09/03/1985
• Est. Priority Date: 12/10/1982
• Status: Expired due to Term

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Company Incorporated (Baxter International Inc.)
• Inventors: Koerber, Clement J. Sr., Novak, Joseph H., Fleck, David C.
• Primary Examiner(s): MYRACLE, JERRY
• Application Number:
  US06/448,827
• Time in Patent Office: 998 Days
• Field of Search: 340/573, 340/666, 340/575, 340/667, 200/85 R, 73/172, 5/508
• US Class Current: 340/573.4
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: G08B 21/22 responsive to presence or absence of persons

Abstract

The disclosure relates to bed departure detection devices employing tape switch detectors in fixed positions in the seat and thigh sections of the mattress supporting structure of an articulated hospital bed. Bedside circuitry, connected to existing nurse call and two-way communication links, provides signals to a central nurse call station as an indication of unauthorized bed departure.

Claims

1. Detection apparatus for an articulated bed having at least two articulated sections for supporting a mattress, each section including a rigid frame, comprising:

a first tape switch attached to a thigh supporting section of the bed and suspended from the frame across the width of the bed underneath of and in contact with the mattress;

a second tape switch attached to a seat supporting section of the bed and suspended from the frame across the width of the bed underneath of and in contact with the mattress;

said tape switches being separately actuable by the weight of a person on the respective sections of the bed to which the switches are attached; and

said tape switches being electrically connected and adapted to cooperate with an external electrical circuit for producing a signal in response to the person'"'"'s weight shifting off of the sections to which the switches are attached.

2. The apparatus of claim 1 wherein the first and second tape switches are closed by the weight of the patient on the respective bed sections to which the switches are attached and wherein the tape switches are electrically connected in parallel so that a bed departure indication is produced when the switches are simultaneously opened.

3. The exit detection apparatus of claim 1, further comprising a third tape switch located in a head supporting portion of the bed.

4. Detection apparatus for an articulated bed having at least two articulated sections including a wire mesh attached to a bed frame by a plurality of springs, said articulated sections supporting a mattress and including a thigh supporting section of the bed and a seat supporting section of the bed, comprising:

a first tape switch located in said thigh supporting section of the bed and mounted on a first supporting plate suspended from the frame by springs;

a second tape switch located in said seat supporting section of the bed and mounted on a second supporting plate suspended from the frame by springs;

said first and second tape switches extending substantially across the width of the bed and being separately actuable by the weight of a person on the respective section of the bed in which the switches are located; and

said tape switches being electrically connected and adapted to cooperate with an external electrical circuit for producing a signal in response to the person'"'"'s weight shifting off of the sections in which the switches are located.

5. The exit detection apparatus of claim 4 wherein each tape switch comprises a first resilient metal conductor separated from an approximately parallel, second resilient metal conductor by insulators spaced along the length of the tape switch, said conductors and insulators being enclosed in a waterproof, flexible housing;

and wherein said supporting plates are made of resilient metal adapted to bend under the weight of the patient to thereby permit the first and second resilient metal conductors to contact each other at one or more locations between the spaced insulators.

6. A departure detection system for a hospital patient bed having at least two articulated frame and spring sections for supporting a mattress comprising:

a first switch, attached to the frame of one section of the bed and suspended from the frame across the width of the bed underneath of and in contact with the mattress, said first switch comprising a pair of resilient conductors normally spaced from one another and adapted to contact one another when at least a portion of the patient'"'"'s weight is supported by said one section of the bed;

a second switch, attached to the frame of another section of the bed and suspended from the frame across the width of the bed underneath of and in contact with the mattress, said second switch comprising a pair of resilient conductors normally spaced from one another and adapted to contact one another when at least a portion of the patient'"'"'s weight is supported by said another section of the bed, said first and second switches being electrically connected in parallel to circuitry for producing an electrical indication that the patient has departed the bed;

means responsive to said electrical indication of producing an alarm signal for transmission over a nurse call link to a central call board remote from said bed; and

means responsive to said electrical indication from said switches for producing an audible bed departure indication over a two-way voice communication link between the bed and the central call board.

7. The detection system of claim 6 wherein the means for producing the alarm signal comprises:

an RC time delay circuit having an input terminal, to which said switches are connected; and

a latch and reset circuit for producing the alarm signal until reset.

8. The detection system of claim 7 wherein the time delay of the RC time delay circuit is selected to prevent erroneous indications of bed exit caused by movements of the patient in the bed which momentarily reduce the weight on both switches.

9. The detection system of claim 7 wherein the latch and reset circuit includes a relay for transmitting the alarm signal to the central call board over the nurse call communication link.

10. The detection system of claim 7 wherein said audible indication producing means includes an audio frequency oscillator and means for coupling the audio oscillator to a microphone of the two-way voice communication link.

11. The detection system of claim 10 further comprising a sub-audio frequency generator for flashing a bedside indicator light and connected to said audio frequency oscillator for producing repeating tone bursts coupled into the two-way voice communication link.

12. The detection system of claim 7 wherein said audible indication is produced in response to said alarm signal and an indication that the two-way voice communication link with the central call board is being used.

13. The detection system of claim 12 wherein the indication that the two-way voice communication link is being used is a privacy light.

14. A bed frame and spring apparatus with integral detectors for detecting the presence or absence of a person in the bed, comprising:

an articulated bed frame having a thigh frame section and a seat frame section selectively moveable with respect to said thigh frame section;

springs attached to the bed frame;

mesh suspended from said springs for supporting a mattress, including a thigh mesh section attached to the thigh frame section and a seat mesh section attached to the seat frame section;

a first tape switch means for providing an indication of the weight carried by the thigh section of the bed, said first tape switch means being suspended from the thigh frame section by at least one of said springs on each side of the bed;

a second tape switch means for providing an indication of the weight carried by the seat section of the bed, said second tape switch means being suspended from the seat frame section by at least one of said springs and each side of the bed; and

an electrical lead means for connecting the first and second tape switch means in parallel and for connecting the switches to an external sensing circuit.

15. The apparatus of claim 14 wherein the articulated bed frame includes a head section moveable with respect to said thigh section, and a lower leg section moveable with respect to said thigh section, and wherein a third tape switch means for providing an indication of the weight carried by the bed section of the bed, is suspended from the head frame section by at least one of said springs on each side of the bed.

16. The assembly of claim 14 wherein the tape switch means comprise:

a backing plate extending across substantially the entire width of the bed and located approximately centrally between axes of articulation defining the bed section;

a first resilient metal conductor extending across substantially the entire width of the bed;

a second resilient metal conductor extending across substantially the entire width of the bed, approximately parallel to and spaced from the first resilient metal conductor;

a plurality of insulators between the first and second conductors and spaced at intervals along the conductors; and

a waterproof, flexible, nonconductive housing, enclosing said conductors and insulators, and attached to said backing plate.

17. A bed apparatus for supporting a mattress and including integral detectors comprising:

a generally rectangular bed frame, articulated at three parallel axes extending across the width of the bed to define head, seat, thigh and lower leg sections of the bed;

first resilient tape switch means, attached to the bed frame and extending across substantially the entire width of the seat section of the bed, for at least partially supporting the mattress and providing an indication of the weight carried by the seat section of the bed; and

second resilient tape switch means attached to the bed frame and extending across substantially the entire width of the thigh section of the bed, for partially supporting the mattress and providing an indication of the weight carried by the thigh section of the bed.

18. The apparatus of claim 17 wherein the tape switch means are attached to the bed frame by a plurality of coil springs.

19. The apparatus of claim 17 further comprising a mesh suspended from the frame by a plurality of springs extending around the periphery thereof.

20. The apparatus of claim 19 wherein the tape switch means are attached to the bed frame by a portion of the mesh and the coil springs.

21. The apparatus of claim 19 wherein the first tape switch means is located approximately centrally in the seat section of the bed between the axes of articulation defining the seat section of the bed, at least one spring separating the springs suspending the tape switch means from each axes of articulation;

and wherein the second tape switch means is located approximately centrally in the thigh section of the bed between the axes of articulation defining the thigh section of the bed, at least one spring separating the springs suspending the tape switch means from each axis of articulation.

22. Detection apparatus for a bed having a wire mesh attached to a frame by a plurality of springs for supporting a mattress, comprising a tape switch attached to the bed and mounted on a supporting plate suspended by springs from the frame across the width of the bed underneath of and in contact with the mattress, said tape switch being actuable by the weight of a person on the bed, said tape switch being electrically connected and adapted to cooperate with an external electrical circuit for producing a signal in response to the person'"'"'s weight shifting off of the bed.

23. The apparatus of claim 22, wherein said bed includes at least two articulated sections, each section including a rigid frame.

24. Detection apparatus for an articulated bed having at least two articulated sections for supporting a mattress, each section including a rigid planar board, comprising:

a first tape switch mounted on the rigid planar board of a first articulated section between said board and said mattress, and extending substantially across the width of the bed;

a second tape switch mounted on the rigid planar board of a second articulated section between said board and said mattress, and extending substantially across the width of the bed;

said first and second tape switches being separately actuable by the weight of a person on the respective articulated sections on which the switches are mounted; and

said tape switches being electrically connected and adapted to cooperate with an external electrical circuit for producing a signal in response to the person'"'"'s weight shifting off of the sections on which the switches are mounted.