Hospital bed having a rotational therapy device

• US 6,584,628 B1
• Filed: 03/22/2000
• Issued: 07/01/2003
• Est. Priority Date: 08/04/1995
• Status: Expired due to Fees

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Inventors: Smith, Ken, Wilson, Brad, Stolpmann, Jim, Chambers, Ken, Dalton, Roger, Frondorf, Mike, Kummer, Joseph A., Vodzak, John, Branson, Gregory W., Meyer, Eric R., Taber, Tanya
• Primary Examiner(s): Trettel, Michael F.
• Application Number:
  US09/532,592
• Time in Patent Office: 1,196 Days
• Field of Search: 542/4, 542/5, 542/7, 542/8, 543/0, 561/5, 571/0, 571/3, 571/5
• US Class Current: 5/615
• CPC Class Codes: A61G 2203/34 for pressure
• CPC Class Codes: A61G 2203/36 for motion
• CPC Class Codes: A61G 2203/42 for inclination
• CPC Class Codes: A61G 7/00 Beds specially adapted for nursing; Devices for lifting patients or disabled persons stretchers with facilities for picking up patients or disabled persons A61G1/003
• CPC Class Codes: A61G 7/002 having adjustable mattress frame
• 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 7/008 tiltable around longitudinal axis, e.g. for rolling
• CPC Class Codes: A61G 7/012 raising or lowering of the whole mattress frame A61G7/005, A61G7/008 take precedence
• CPC Class Codes: A61G 7/015 divided into different adjustable sections, e.g. for Gatch position
• CPC Class Codes: A61G 7/018 Control or drive mechanisms
• CPC Class Codes: A61G 7/0507 Side-rails
• CPC Class Codes: A61G 7/0514 mounted to individual mattress supporting frame sections
• CPC Class Codes: A61G 7/0527 Weighing devices
• CPC Class Codes: A61G 7/053 Aids for getting into, or out of, bed, e.g. steps, chairs, cane-like supports
• CPC Class Codes: A61G 7/05776 with at least two groups of alternately inflated chambers
• CPC Class Codes: A61G 7/1021 Inflatable cushions

Abstract

A chair bed including a bedframe and a mattress positioned on the bedframe is provided. The bedframe is configured to move between a substantially flat bed position and a chair position. The mattress includes an inflatable treatment apparatus such as a pulmonary rotational therapy device, a pulsation therapy device, or a decubitus ulcer treatment device.

Claims

1. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the inflatable treatment apparatus being a rotational therapy device configured to position a left portion of the support surface higher than a right portion of the support surface for a period of time and then position the left portion of the support surface lower than the right portion of the support surface for a period of time.

2. The chair bed of claim 1, wherein the rotational therapy device includes a first bladder and a second bladder, the first bladder is positioned on a left portion of the mattress and the second bladder is positioned on a right portion of the mattress, the first bladder is configured to oscillate between an inflated position and a deflated position, the second bladder is configured to oscillate between an inflated position when the first bladder is in the deflated position and a deflated position when the first bladder is in the inflated position.

3. The chair bed of claim 2, wherein the first and second bladders are positioned over the foot section of the deck.

4. The chair bed of claim 3, wherein the rotational therapy device further includes third and fourth bladders, the third bladder is positioned on the left portion of the mattress, the fourth bladder is positioned on the right portion of the mattress, the third bladder is configured to oscillate between an inflated position and a deflated position, and the fourth bladder is configured to oscillate between an inflated position when the third bladder is in the deflated position and a deflated position when the third bladder is in the inflated position.

5. The chair bed of claim 3, wherein the deck further includes head, thigh and seat sections and the third and fourth bladders are positioned over at least one of the head, thigh and seat sections.

6. The chair bed of claim 2, wherein the rotational therapy device further includes third and fourth bladders, the third bladder is positioned on a left portion of the mattress, the fourth bladder is positioned on a right portion of the mattress, the third bladder is configured to oscillate between an inflated position and a deflated position, and the fourth bladder is configured to oscillate between an inflated position when the third bladder is in the deflated position and a deflated position when the third bladder is in the inflated position.

7. The chair bed of claim 6, wherein the third bladder is positioned under the first bladder and the fourth bladder is positioned under the second bladder.

8. The chair bed of claim 7, wherein the first and second bladders are normally inflated and the third and fourth bladders are normally deflated.

9. The chair bed of claim 6, wherein the third bladder is positioned longitudinally of the first bladder and the fourth bladder is positioned longitudinally of the second bladder.

10. The chair bed of claim 9, wherein the third and fourth bladders are positioned over the foot section of the deck.

11. The chair bed of claim 8, wherein the mattress further includes a resilient component positioned between the first and third bladders and the second and fourth bladders.

12. The chair bed of claim 9, wherein the deck further includes head, thigh and seat sections and the third and fourth bladders are positioned over at least one of the head, thigh and seat sections.

13. The chair bed of claim 1, further comprising a sensor positioned to detect a change in position of the foot section of the deck, wherein the positioning of the right and left portions of the support surface is disabled if the sensor detects the foot section of the deck has moved from the substantially horizontal position.

14. The chair bed of claim 13, wherein the sensor is configured to detect the angular displacement of the foot section of the deck from the substantially horizontal position and disables the positioning of the right and left portions of the support surface upon angular displacement of the foot section beyond a predetermined displacement angle.

15. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the mattress including a foot portion positioned over the foot section of the deck and segmented from the remainder of the mattress to permit movement of the foot portion of the mattress with the foot section of the deck during movement of the foot section of the deck between the bed and chair positions, the inflatable treatment apparatus including a pulsation therapy bladder configured to pulsate at a predetermined rate.

16. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the inflatable treatment apparatus including a pulsation therapy bladder configured to pulsate at a predetermined rate, the mattress further including a layer of resilient material positioned beneath the pulsation therapy bladder.

17. The chair bed of claim 16, wherein the inflatable treatment apparatus further includes a rotational therapy device positioned beneath the layer of resilient material.

18. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, the foot section is configured to move between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the mattress including a foot portion positioned over the foot section of the deck and segmented from the remainder of the mattress to permit movement of the foot portion of the mattress with the foot section of the deck during movement of the foot section of the deck between the bed and chair positions, the inflatable treatment apparatus being a rotational therapy device including first and second bladders positioned over the foot section of the deck, the first bladder being positioned on a left portion of the mattress, and the second bladder being positioned on a right portion of the mattress, the first bladder being configured to oscillate between an inflated position and a deflated position, the second bladder being configured to oscillate between an inflated position when the first bladder is in the deflated position and a deflated position when the first bladder is in the inflated position.

19. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the mattress including a foot portion positioned over the foot section of the deck and segmented from the remainder of the mattress to permit movement of the foot portion of the mattress with the foot section of the deck during movement of the foot section of the deck between the bed and chair positions, the inflatable treatment apparatus including a first treatment bladder, a second treatment bladder positioned longitudinally of the first treatment bladder, and a third treatment bladder positioned longitudinally of the second treatment bladder and each of the first, second, and third treatment bladders being configured to oscillate between inflated and deflated positions.

20. The chair bed of claim 19, wherein the deck further includes thigh, seat, and head sections, the first treatment bladder is positioned over the head section of the deck, the second treatment bladder is positioned over the seat section of the deck, and the third treatment bladder is positioned over the thigh section of the deck.

21. The chair bed of claim 19, wherein the first, second, and third treatment bladders each include a plurality of aligned tubes.

22. The chair bed of claim 19, wherein the oscillation of the first, second, and third treatment bladders between the inflated and deflated positions is coordinated to create an undulating support surface.

23. The chair bed of claim 22, wherein the deck further includes thigh, seat, and head sections, the first treatment bladder is positioned over the head section of the deck, the second treatment bladder is positioned over the seat section of the deck, and the third treatment bladder is positioned over the thigh section of the deck.

24. The chair bed of claim 22, wherein the oscillation of the second treatment bladder follows the oscillation of the first treatment bladder and the oscillation of the third treatment bladder follows the oscillation of the second treatment bladder so that the undulating surface follows a wave pattern.

25. A chair bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position,

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, and

a sensor positioned to detect a change in position of the foot section of the deck, the inflatable treatment apparatus movement between inflated and deflated positions being disabled if the sensor detects the foot section of the deck has moved from the substantially horizontal position.

26. The chair bed of claim 25, wherein the sensor is configured to detect the angular displacement of the foot section of the deck from the substantially horizontal position and the oscillation of the inflatable treatment apparatus is disabled upon detection of the angular displacement of the foot section beyond a predetermined displacement angle.

27. The chair bed of claim 25, wherein the inflatable treatment apparatus is a pulsation therapy device configured to pulsate at a predetermined rate.

28. The chair bed of claim 25, wherein the inflatable apparatus includes at least two oscillating treatment bladders.

29. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the inflatable apparatus being a rotational therapy device configured to position a left portion of the support surface higher than a right portion of the support surface for a period of time and then position the left portion of the support surface lower than the right portion of the support surface for a period of time.

30. The bed of claim 29, wherein the rotational therapy device includes a first bladder and a second bladder, the first bladder is positioned on a left portion of the mattress, the second bladder is positioned on a right portion of the mattress, the first bladder is configured to oscillate between an inflated position and a deflated position, the second bladder is configured to oscillate between an inflated position when the first bladder is in the deflated position and a deflated position when the first bladder is in the inflated position.

31. The bed of claim 30, wherein the first and second bladders are positioned over the foot section of the deck.

32. The bed of claim 31, wherein the rotational therapy device further includes third and fourth bladders, the third bladder is positioned on the left portion of the mattress, the fourth bladder is positioned on the right portion of the mattress, the third bladder is configured to oscillate between an inflated position and a deflated position, and the fourth bladder is configured to oscillate between an inflated position when the third bladder is in the deflated position and a deflated position when the third bladder is in the inflated position.

33. The bed of claim 32, wherein the deck further includes thigh and seat sections, and the third and fourth bladders are positioned over at least one of the thigh and seat sections of the bedframe.

34. The bed of claim 33, wherein the rotational therapy device further includes third and fourth bladders, the third bladder is positioned on the left portion of the mattress, the fourth bladder is positioned on the right portion of the mattress, the third bladder is configured to oscillate between an inflated position and a deflated position, and the fourth bladder is configured to oscillate between an inflated position when the third bladder is in the deflated position and a deflated position when the third bladder is in the inflated position.

35. The bed of claim 34, wherein the third bladder is positioned under the first bladder and the fourth bladder is positioned under the second bladder.

36. The bed of claim 35, wherein the first and second bladders are normally inflated and the third and fourth bladder are normally deflated.

37. The bed of claim 36, wherein the third bladder is positioned longitudinally of the first bladder and the fourth bladder is positioned longitudinally of the second bladder.

38. The bed of claim 37, wherein the third and fourth bladders are positioned over the foot section of the deck.

39. The bed of claim 38, wherein the mattress further includes a resilient component positioned between the first and third bladders and the second and fourth bladders.

40. The bed of claim 39, wherein the deck further includes a thigh section, and the third and fourth bladders are positioned over the thigh section of the bedframe.

41. The bed of claim 40, wherein the rotational therapy device further includes companion bladders positioned under each of the first, second, third, and fourth bladders, each companion bladder being configured to oscillate between inflated and deflated positions as the respective first, second, third, and fourth bladders oscillate between the inflated and deflated positions.

42. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the inflatable treatment apparatus being a pulsation therapy device configured to pulsate at a predetermined rate, the mattress further including a layer of resilient material positioned beneath the pulsation therapy device.

43. The bed of claim 42, wherein the inflatable treatment apparatus further includes a rotational therapy device positioned beneath the layer of resilient material.

44. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus, further comprising a first treatment bladder, a second treatment bladder positioned longitudinally of the first treatment bladder, and a third treatment bladder positioned longitudinally of the second treatment bladder and each of the first, second, and third treatment bladders being configured to oscillate between inflated and deflated positions.

45. The bed of claim 44, wherein the deck further includes a thigh section, a seat section, and a head section, the first treatment bladder is positioned over the head section of the deck, the second treatment bladder is positioned over the seat section of the deck, and the third treatment bladder is positioned over the thigh section of the deck.

46. The bed of claim 45, wherein the first, second, and third treatment bladders each include a plurality, of aligned tubes.

47. The bed of claim 44, wherein the oscillation of the first, second, and third treatment bladders between the inflated and deflated positions is coordinated to create an undulating support surface.

48. The bed of claim 47, wherein the deck further includes a thigh section, a seat section, and a head section, the first treatment bladder is positioned over the head section of the deck, the second treatment bladder is positioned over the seat section of the deck, and the third treatment bladder is positioned over the thigh section of the deck.

49. The bed of claim 48, wherein the oscillation of the second treatment bladder follows the oscillation of the first treatment bladder and the oscillation of the third treatment bladder follows the oscillation of the second treatment bladder so that the undulating support surface follows a wave pattern.

50. A bed comprising

a bedframe, and

a mattress positioned on the bedframe, the mattress including a support, surface, a pulsation therapy device configured to pulsate at a predetermined rate, a rotational therapy device configured to position a left portion of the support surface higher than a right portion of the support surface for a period of time and then position the left portion of the support surface lower than the right portion of the support surface for a period of time, and a layer of resilient material positioned between the pulsation therapy device and the rotational therapy device.

51. The bed of claim 50, wherein the bedframe includes a deck having foot, thigh, seat, and head sections, the pulsation therapy device is positioned over the head section.

52. The bed of claim 50, wherein the bedframe includes a deck having thigh, seat, and head sections, and the mattress further includes an inflatable bladder positioned over at least one of the thigh, seat, and head sections of the deck and under the lag, of resilient material.

53. The bed of claim 52, wherein the inflatable bladder is positioned between the rotational therapy device and the layer of resilient material.

54. The bed of claim 50, wherein the bedframe includes a deck having foot, thigh, seat, and head sections, and the mattress further includes an inflatable bladder positioned over the head section of the deck and a layer of resilient material positioned under the inflatable bladder.

55. The bed of claim 54, wherein the foot section of the deck is configured to move between a retracted position having a first length and an extended position having a second length greater than the first length and the layer of resilient material positioned under the inflatable bladder includes a series of resilient segments and a sheath coupling the resilient segments together.

56. The bed of claim 54, wherein the mattress further includes another inflatable bladder positioned over the head section of the deck and another layer of resilient material positioned under the inflatable bladder positioned over the head section of the deck.

57. The bed of claim 54, wherein the bedframe includes a deck having head and torso portions, and the layer of resilient material terminates short of the head portion of the deck.

58. The bed of claim 57, wherein the deck further includes a foot section and the layer of resilient material terminates short of the foot section.

59. The bed of claim 50, wherein the bedframe includes a deck having foot, thigh, seat, and head sections, and the layer of resilient material terminates short of the foot section of the deck.

60. The bed of claim 59, wherein the bedframe further includes a deck having head, seat, thigh, and foot sections, the deck has a stepped configuration defining a recess, the mattress further includes a panel positioned to substantially fill the recess defined by the deck.

61. The bed of claim 60, wherein the mattress further includes a cover surrounding the pulsation therapy device, layer of resilient material, rotational therapy device, and panel.

62. A bed comprising

a bedframe and

a mattress including a lower surface positioned on the bedframe, an upper surface facing away from the lower surface, and a rotational therapy device, the upper surface having a left portion and a right portion, the rotational therapy device being configured to maintain the right and left portions of the upper surface at a normal height during normal operation of the mattress, the rotational therapy device being configured to provide a rotational therapy operation oscillating the mattress between first and second phases, the left portion of the upper surface being below the normal height and the right portion being above the normal height during the first phase, the right portion of the upper surface being below the normal height and the left portion being above the normal height during the second phase.

63. The bed of claim 62, wherein the rotational therapy device includes a first working bladder, a first boost bladder, a second working bladder, and a second boost bladder, the first and second working bladders are inflated during normal operation of the mattress, and the first and second boost bladder are deflated during normal operation of the mattress.

64. The bed of claim 63, wherein the first working bladder and the first boost bladder are inflated during the first phase of rotational therapy operation and the second working bladder and the second boost bladder are deflated during the first phase of rotational therapy operation.

65. The bed of claim 64, wherein the first working bladder and the first boost bladder are deflated during the second phase of rotational therapy operation and the second working bladder and the second boost bladder are inflated during the second phase of rotational therapy operation.

66. The bed of claim 65, wherein the rotational therapy device further includes third and fourth boost bladders, the third boost bladder being inflated during the first phase of the rotational therapy operation and deflated during the second phase of the rotational therapy operation, and the fourth boost bladder being deflated during the first phase of the rotational therapy operation and inflated during the second phase of the rotational therapy operation.

67. The bed of claim 63, wherein the mattress further comprises a layer of resilient material positioned above the first and second working bladders.

68. The bed of claim 67, wherein the mattress further comprises a layer of resilient material positioned under the first and second working bladders.

69. The bed of claim 67, wherein the first boost bladder is positioned under the first working bladder and the second boost bladder is positioned under the second working bladder.

70. The bed of claim 62, wherein the rotational therapy device further includes third and fourth boost bladders, the third boost bladder being inflated during the first phase of the rotational therapy operation and deflated during the second phase of the rotational therapy operation, and the fourth boost bladder being deflated during the first phase of the rotational therapy operation and inflated during the second phase of the rotational therapy operation.

71. The bed of claim 62, wherein the rotational therapy device includes a rotational control module, the rotational control module is movable between an attached position coupled to the bedframe and a detached position spaced apart from the bedframe, the rotational control module is configured to enable the rotational therapy operation while in the attached position and disable the rotational therapy operation while in the detached position.

72. The bed of claim 71, further comprising a normal operation control module coupled to the bedframe, wherein the normal operation control module is configured to control the rotational therapy device to maintain the right and left portions of the mattress at the normal height during normal operation.

73. The bed of claim 72, wherein the rotational therapy device includes a first working bladder, a first boost bladder, a second working bladder, and a second boost bladder, the first and second working bladders are inflated during normal operation by control of the normal operation control module, and the first and second boost bladder are deflated during normal operation.

74. The bed of claim 73, wherein the first working bladder and the first boost bladder are inflated during the first phase of the rotational therapy operation, the second working bladder and the second boost bladder are deflated during the first phase of the rotational therapy operation, and the rotational control module is configured to control the inflation and deflation of the first and second boost bladders and the normal control module controls first and second working bladders during the first and second phases of the rotational therapy operation.

75. A bed comprising

a bedframe,

a mattress configured to support a patient, the mattress including a bottom surface resting on the bedframe, a top surface facing away from the bottom surface, and a rotational therapy device, the top surface having a right portion and a left portion, the rotational therapy device being configured to provide a normal operation during which the right and left portions of the top surface are maintained at substantially equal heights and a rotational therapy operation oscillating between a first phase and a second phase, the left portion of the top surface being positioned higher than the right portion of the top surface during the first phase, the right portion of the top surface being positioned higher than the left portion of the top surface during the second phase, and

a rotational control module movable between an attached position coupled to the bedframe and a detached position spaced apart from the bedframe, the rotational control module controlling the oscillations between the first and second phases of the rotational therapy operation.

76. The bed of claim 75, further comprising a normal operation control module coupled to the bedframe, wherein the normal operation control module controls the normal operation of the mattress when the rotational control module is in the detached position.

77. The bed of claim 76, wherein the rotational therapy device includes a first working bladder and a second working bladder, the first and second working bladders are movable between inflated and deflated positions, and the normal operation control module is configured to control the rotational therapy device to maintain the first and second working bladders in the inflated position when the rotational control module is in the detached position.

78. The bed of claim 77, wherein the rotational therapy device further includes first and second boost bladders movable between inflated and deflated positions, the first boost bladder is in the inflated position during the first phase of the rotational therapy operation and in the deflated position during the second phase, and the second boost bladder is in the deflated position during the first phase of the rotational therapy operation and in the inflated position during the second phase.

79. The bed of claim 76, wherein the first boost bladder is positioned below the first working bladder and the second boost bladder is positioned below the second working bladder.

80. A chair bed comprising a bedframe including

a deck having a foot section, the foot section being movable between a substantially horizontal position when the bed is in a bed position and a substantially vertical position when the bed is in a chair position, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, the mattress including a foot portion positioned over the foot section of the deck and segmented from the remainder of the mattress to permit movement of the foot portion of the mattress with the foot section of the deck during movement of the foot section of the deck between the bed and chair positions, the inflatable treatment apparatus including a first bladder included in the foot portion of the mattress and a second bladder segmented from the first bladder and included in the remainder of the mattress.

81. The bed of claim 80, wherein the first and second bladders are in fluid communication to be simultaneously inflated and deflated.

82. The bed of claims 80, wherein the first bladder extends longitudinally.

83. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus, the foot portion of the mattress and the remainder of the mattress cooperate to define a gap therebetween that widens as the foot section of the deck is moved from the bed position to the chair position.

84. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus, the portion of the inflatable treatment apparatus being segmented from the remainder of the inflatable treatment apparatus.

85. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus, the portion of the inflatable treatment apparatus having a longitudinal length substantially less than the second length of the foot section of the deck.

86. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, the foot section of the deck having a first end positioned adjacent to the remainder of the deck and a second end longitudinally spaced apart from the first end and the inflatable treatment apparatus being positioned adjacent to the first end of the foot section of the deck and spaced apart from the second end of the foot section of the deck, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus.

87. A bed comprising

a bedframe including a deck having a foot section, the foot section being movable between a retracted position having a first length and an extended position having a second length that is greater than the first length, and

a mattress positioned on the bedframe, the mattress including a support surface and an inflatable treatment apparatus configured to move between inflated and deflated positions to provide treatment to a patient positioned on the support surface, a retractable foot portion of the mattress including at least a portion of the inflatable treatment apparatus, the foot portion of the mattress having a first length and the portion of the inflatable treatment apparatus having a second length that is substantially less than the first length of the foot portion.