Apparatus for positioning a patient-support deck

• US 6,240,582 B1
• Filed: 07/30/1999
• Issued: 06/05/2001
• Est. Priority Date: 07/30/1999
• Status: Expired due to Fees

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Incorporated (Baxter International Inc.)
• Inventors: Reinke, Christian H.
• Primary Examiner(s): TRETTEL, MICHAEL
• Application Number:
  US09/365,334
• Time in Patent Office: 676 Days
• Field of Search: 560/1, 561/3, 561/4, 378/177, 378/209, 108/143
• US Class Current: 5/601
• CPC Class Codes: A61B 6/0487 Motor-assisted positioning
• CPC Class Codes: A61G 13/02 Adjustable operating tables; Controls therefor
• CPC Class Codes: A61G 13/08 the table being divided into different adjustable sections
• CPC Class Codes: A61G 2203/42 for inclination
• CPC Class Codes: A61G 7/0755 for the legs or feet

Abstract

A patient-support apparatus that comprises a base, a patient-support deck having a longitudinal length and a transverse width, and a deck-positioning assembly coupling the patient-support deck to the base. The patient-support deck is supported with respect to the deck-positioning assembly for longitudinal movement. The deck-positioning assembly includes an actuator having a first portion and a second portion that moves transversely relative to the first portion. The deck-positioning assembly includes a transmission assembly configured to convert transverse movement of the second portion relative to the first portion into longitudinal movement of the patient-support deck relative to the base.

Claims

1. A patient-support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width, and

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including an actuator having a first portion and a second portion that moves transversely relative to the first portion, and the deck-positioning assembly including a transmission assembly configured to convert transverse movement of the second portion relative to the first portion into longitudinal movement of the patient-support deck relative to the base.

2. The patient-support apparatus of claim 1, wherein the actuator is a linear actuator and the second portion moves relative to the first portion along a first transverse axis.

3. The patient-support apparatus of claim 2, wherein the linear actuator is a hydraulic cylinder, the first portion is a housing of the hydraulic cylinder, and the second portion is a piston rod of the hydraulic cylinder.

4. The patient-support apparatus of claim 2, wherein the transmission assembly includes a ball nut and a threaded shaft, the ball nut is coupled to the second member of the linear actuator, the threaded shaft is supported for rotation about a second transverse axis, and the ball nut is coupled to the threaded shaft such that movement of the ball nut by the second member causes rotation of the threaded shaft.

5. The patient-support apparatus of claim 4, wherein the second transverse axis is positioned to lie vertically above the first transverse axis.

6. The patient-support apparatus of claim 1, wherein the transmission assembly includes a ball nut and a threaded shaft, the ball nut is coupled to the second member of the actuator, the threaded shaft is supported for rotation about a transverse axis, and the ball nut is coupled to the threaded shaft such that movement of the ball nut by the second member causes rotation of the threaded shaft.

7. The patient-support apparatus of claim 6, wherein the transmission assembly further includes a pinion coupled to the threaded shaft and a rack coupled to the patient-support deck, the pinion engages the rack.

8. The patient-support apparatus of claim 7, further comprising a linear bearing having a first member and a second member that slides relative to the first member, the first member is coupled to the deck-positioning assembly, and the second member is coupled to the rack.

9. A patient support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width,

a mattress supported by the patient-support deck and having an upwardly facing patient-support surface,

a deck-positioning assembly coupling the patient-support deck to the base. the patient-support deck and mattress being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including a shaft having a transverse axis of rotation, a pinion coupled to the shaft, and a rack coupled to the patient-support deck, the pinion engaging the rack such that rotation of the shaft about the transverse axis longitudinally moves the patient-support deck and the mattress relative to the base, and

a driver coupled to the shaft and actuatable to rotate the shaft, wherein the shaft is formed to include threads, the driver includes a ball nut mounted on the shaft in engagement with the threads so that axial movement of the ball nut along the shaft causes rotation of the shaft, and the driver includes a linear actuator coupled to the ball nut so that actuation of the linear actuator moves the ball nut axially along the shaft.

10. The patient-support apparatus of claim 9, wherein the linear actuator is a hydraulic piston and cylinder assembly.

11. The patient-support apparatus of claim 9, wherein the driver includes a carriage assembly coupling the linear actuator to the ball nut, the carriage assembly includes a plate coupled to the linear actuator and coupled to the ball nut, the carriage assembly includes a roller coupled to the plate, and the deck-positioning assembly includes a track member having a slot in which the roller is received.

12. The patient-support apparatus of claim 9, wherein the threads of the shaft are configured and the pinion is sized such that axial movement of the ball nut along the shaft by a first distance causes longitudinal movement of the patient-support deck and mattress by a second distance that is at least twice the first distance.

13. A patient-support apparatus comprising

a base

a patient-support deck having a longitudinal length and a transverse width.

a mattress supported by the patient-support deck and having an upwardly facing patient-support surface,

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck and mattress being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including a shaft having a transverse axis of rotation, a pinion coupled to the shaft, and a rack coupled to the patient-support deck, the pinion engaging the rack such that rotation of the shaft about the transverse axis longitudinally moves the patient-support deck and the mattress relative to the base, and

a driver coupled to the shaft and actuatable to rotate the shaft, the driver being positioned beneath the shaft.

14. The patient-support apparatus of claim 13, wherein the patient-support deck includes a seat section having a head end and a foot end, at least one section coupled for pivoting movement to the seat section adjacent the head end thereof, at least one other section coupled for pivoting movement to the seat section adjacent the foot end thereof, and the rack is coupled to the seat section.

15. The patient-support apparatus of claim 14 wherein the seat section includes a longitudinally extending frame member having a vertical face and the rack is coupled to the vertical face.

16. The patient-support apparatus of claim 15, wherein the deck-positioning assembly includes a linear bearing and a platform, the linear bearing includes a first member and a second member that slides relative to the first member, the first member is coupled to the platform and the second member is coupled to the rack.

17. A patient-support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width.

a mattress supported by the patient-support deck and having an upwardly facing patient-support surface, and

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck and mattress being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including a shaft having a transverse axis of rotation, a pinion coupled to the shaft, and a rack coupled to the patient-support deck, the pinion engaging the rack such that rotation of the shaft about the transverse axis longitudinally moves the patient-support deck and the mattress relative to the base, wherein the shaft is formed to include threads, the deck-positioning assembly includes a ball nut mounted on the shaft in engagement with the threads, axial movement of the ball nut along the shaft causes rotation of the shaft, the deck-positioning assembly includes an actuator coupled to the ball nut, the actuator includes a cylinder and a piston rod that extends and retracts relative to the cylinder along an axis that is parallel to the transverse axis, and movement of the piston rod relative to the cylinder moves the ball nut axially along the shaft to produce longitudinal movement of the patient-support deck and the mattress.

18. A patient-support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width, and

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including

a threaded shaft supported for rotation about a transverse axis,

a pinion coupled to the shaft,

a rack coupled to the patient-support deck, the pinion engaging the rack,

a ball nut coupled to the threaded shaft, and

an actuator coupled to the ball nut and actuatable to move the ball nut axially along the threaded shaft to rotate the threaded shaft and pinion resulting in longitudinal movement of the patient-support deck relative to the base.

19. The patient-support apparatus of claim 18, wherein the deck-positioning assembly includes a carriage assembly coupling the ball nut to the actuator, the carriage assembly includes a first portion coupled to the ball nut and a second portion coupled to the actuator.

20. The patient-support apparatus of claim 19, wherein the second portion is coupled to the first portion by a pin having a longitudinal axis that intersects the transverse axis of the threaded shaft.

21. The patient-support apparatus of claim 20, wherein the deck-positioning assembly includes a track member and the carriage assembly includes a roller mounted on the pin and engaging the track member, the roller rolling relative to the track member as the ball nut moves axially along the threaded shaft.

22. The patient-support apparatus of claim 19, wherein the deck-positioning assembly includes a track member having a slot formed therein, the carriage assembly includes a first roller coupled to the second portion, the first roller is received in the slot, and the first roller rolls within the slot relative to the track member as the ball nut moves axially along the threaded shaft.

23. The patient-support apparatus of claim 22, wherein the carriage assembly includes a second roller coupled to the second portion and transversely space apart from the first roller, the second roller is received in the slot, and the second roller rolls within the slot relative to the track member as the ball nut moves axially along the threaded shaft.

24. The patient-support apparatus of claim 22, wherein the track member includes a top surface, the carriage assembly includes an upper roller coupled to the second portion, the upper roller rolls along the top surface as the ball nut moves axially along the threaded shaft.

25. The patient-support apparatus of claim 18, wherein the actuator is a linear actuator that extends and retracts along a second transverse axis that is parallel with the transverse axis of the threaded shaft.

26. The patient-support apparatus of claim 25, wherein the linear actuator is positioned to lie beneath the threaded shaft.

27. A patient-support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width, and

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including a shaft rotatable about a transverse axis between a first position and a second position, a rack coupled to the patient-support deck, and a lock assembly coupled to the shaft, the lock assembly including a member that moves in response to rotation of the shaft, the member engaging the rack when the shaft is in the first position to prevent longitudinal movement of the patient-support deck relative to the base, and the member being disengaged from the rack when the shaft is in the second position to allow longitudinal movement of the patient-support deck relative to the base.

28. The patient-support apparatus of claim 27, wherein the deck-positioning assembly includes an actuator for moving the shaft between the first and second positions.

29. The patient-support apparatus of claim 28, wherein the actuator is an electric solenoid.

30. The patient-support apparatus of claim 29, further comprising an angle sensor coupled to the deck-positioning assembly and configured to sense a position of at least a portion of the patient-support deck, the angle sensor generating a signal when the portion of the patient-support deck is in a non-horizontal position that prevents the actuator from moving the shaft out of the first position.

31. The patient-support apparatus of claim 27, wherein the lock assembly includes a cam coupled to the shaft to rotate therewith, the cam engages the member and moves the member during rotation of the shaft.

32. The patient-support apparatus of claim 31, wherein the lock assembly includes a spring arranged to bias the member into contact with the cam.

33. The patient-support apparatus of claim 31, wherein the member pivots about a longitudinal axis during rotation of the cam and shaft about the transverse axis.

34. The patient-support apparatus of claim 27, wherein the member is a pawl.

35. The patient-support apparatus of claim 34, wherein the rack includes a plurality of teeth and the pawl is configured to engage more than one of the plurality of teeth.

36. The patient-support apparatus of claim 34, wherein the pawl pivots about a longitudinal axis during rotation of the of the shaft about the transverse axis.

37. A patient-support apparatus comprising

a base,

a patient-support deck having a longitudinal length and a transverse width, and

a deck-positioning assembly coupling the patient-support deck to the base, the patient-support deck being supported with respect to the deck-positioning assembly for longitudinal movement, the deck-positioning assembly including a member that is movable between a first position preventing longitudinal movement of the patient-support deck relative to the base and a second position allowing longitudinal movement of the patient-support deck relative to the base, the lock assembly further including a shaft rotatable about a transverse axis to move the member between the first position and the second position.

38. The patient-support apparatus of claim 37, wherein the deck-positioning assembly includes an actuator for rotating the shaft about the transverse axis.

39. The patient-support apparatus of claim 38, wherein the actuator is an electric solenoid.

40. The patient-support apparatus of claim 39, further comprising an angle sensor coupled to the deck-positioning assembly and configured to sense a position of at least a portion of the patient-support deck, the angle sensor generating a signal to disable the actuator when the portion of the patient-support deck is in a non-horizontal position to prevent the shaft from moving the member out of the first position.

41. The patient-support apparatus of claim 37, wherein the lock assembly includes a cam coupled to the shaft to rotate therewith, the cam engages the member and moves the member during rotation of the shaft.

42. The patient-support apparatus of claim 41, wherein the lock assembly includes a spring arranged to bias the member into contact with the cam.

43. The patient-support apparatus of claim 41, wherein the member pivots about a longitudinal axis during rotation of the cam and shaft about the transverse axis.