Adaptive cushion method and apparatus for minimizing force concentrations on a human body

• US 8,875,331 B2
• Filed: 09/05/2013
• Issued: 11/04/2014
• Est. Priority Date: 03/15/2008
• Status: Active Grant

• Current Assignee: PatienTech, LLC
• Original Assignee: Stryker Corporation
• Inventors: Taylor, Geoffrey L.
• Primary Examiner(s): Santos, Robert G
• Assistant Examiner(s): Sosnowski, David E
• Application Number:
  US14/019,089
• Publication Number:
  US 20140026327A1
• Time in Patent Office: 425 Days
• Field of Search: 560/0, 561/3, 569/0, 571/3
• US Class Current: 5/713
• CPC Class Codes: A47C 27/082 with non-manual inflation, e.g. with electric pumps
• CPC Class Codes: A47C 27/083 with pressure control, e.g. with pressure sensors
• CPC Class Codes: A47C 27/10 with two or more independently-fillable chambers
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/0252 Load cells
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61B 5/6887 mounted on external non-worn devices, e.g. non-medical devices
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: A61G 2203/32 for force
• CPC Class Codes: A61G 2203/34 for pressure
• CPC Class Codes: A61G 7/05776 with at least two groups of alternately inflated chambers
• CPC Class Codes: G01L 1/18 using properties of piezo-resistive materials, i.e. materials of which the ohmic resistance varies according to changes in magnitude or direction of force applied to the material
• CPC Class Codes: G01L 1/205 using distributed sensing elements

Abstract

An adaptive cushion for reducing pressure on body parts of a person positioned on a chair or bed includes an overlay cushion having a plurality of individual air bladder cells, each having thereon a force sensor. The cushion includes a controller for inflating and deflating individual air bladder cells to air pressures that tend to reduce the interface pressures sensed by the force sensors. A pressure reduction method includes varying the inflation pressure in a first air bladder cell while measuring the sum of the interface pressures exerted on all or a plurality of the air bladder cells, re-pressurizing the first cell to that air pressure for which a minimum total interface pressure was obtained, repeating this process for the remaining air bladder cells.

Claims

1. A method for reducing the magnitude of interface pressure exerted on parts of a human body in response to contact with a supporting object, said method comprising the steps of;

a. providing a cushion for placement between a supporting object and a human body, said cushion having at least first and second hermetically sealable air bladder cells each made of a thin, flexible, air impervious material,

b. providing at least first and second force sensors associated with said first and second air bladder cells, respectively, each of said force sensors having an electrical characteristic which varies in a predetermined way with a force exerted on said first and second air bladder cells, respectively by said body,

c. providing a source of pressurized gas for pressurizing a hollow interior space of each said air bladder cells to an individually controllable pressure,

d. providing at least one pressure sensitive transducer operatively coupleable to each of said air bladder cells to thereby measure gas pressures within said hollow interior spaces of each said air bladder cells,

e. providing a control apparatus for receiving signals from said force sensors and said pressure transducer and for controlling said source of pressurized gas,

f. receiving at said control apparatus a signal from said pressure transducer representative of said gas pressure within said hollow interior space of a said air bladder cell,

g. receiving at said control apparatus signals from said first and second force sensors representative of forces exerted on said first and second said air bladder cells,

h. calculating a first sum of forces from said first and second force sensors obtained while the first and second air bladder cells are inflated at first and second gas pressures, respectively,

i. varying the gas pressure in the first individual air bladder cell to a new pressure,

j. calculating a second sum of forces from said first and second force sensors obtained while the first air bladder cell is inflated to the new pressure,

k. determining within said control apparatus the smaller of the first and second sum of forces; and

l. using said transducer signals and said force sensor signals to calculate within said control apparatus appropriate pressurization values for said hollow interior spaces of said air bladder cells which correspond to the smaller of the first and second sum of forces, and

m. providing from said control apparatus a control signal to said source of pressurized gas to thereby pressurize said hollow interior spaces of a said air bladder cells to the appropriate pressurization values.

2. The method of claim 1 wherein said cushion is further defined as including in addition to said first and second air bladder cells an additional p−

2 air bladder cells, where p is an integer greater than 3.

3. The method of claim 2 further including an additional p−

2 force sensors each of which is associated with one of said additional p−

2 air bladder cells.

4. A method of controlling gas pressure comprising:

providing a cushion for placement between a supporting object and a person, said cushion having at least first and second hermetically sealable bladders;

providing at least first and second interface pressures sensors associated with said first and second bladders, respectively, each of said interface pressure sensors having an electrical characteristic which varies in a predetermined way with an interface pressure exerted on said first and second bladders, respectively;

providing at least one gas pressure sensor operatively coupleable to each of said bladders to thereby measure gas pressures within the first and second bladders,

providing a control apparatus configured to perform the following;

measuring a first interface pressure between the person and the first bladder using the first interface pressure sensor while the first bladder is inflated at a first gas pressure;

measuring a second interface pressure between the person and the second bladder using the second interface pressure sensor while the first bladder is inflated at the first gas pressure;

calculating a first sum of the first measured and second measured interface pressures;

changing the gas pressure of the first bladder to a second gas pressure different from the first gas pressure;

re-measuring the first interface pressure between the person and the first bladder using the first interface pressure sensor while the first bladder is inflated at the second gas pressure;

re-measuring the second interface pressure between the person and the second bladder using the second interface pressure sensor while the first bladder is inflated at the second gas pressure;

calculating a second sum of the first re-measured and second re-measured interface pressures;

comparing the first sum to the second sum; and

changing the gas pressure inside the first bladder based on the comparison of the first sum to the second sum.

5. The method of claim 4 wherein the second gas pressure is less than the first gas pressure, and the method further comprises changing the gas pressure of the first bladder to a third gas pressure that is less than the second gas pressure if the second sum is less than the first sum.

6. The method of claim 5 further comprising:

(a) re-measuring the first interface pressure between the person and the first bladder using the first interface pressure sensor while the first bladder is inflated to the third gas pressure;

(b) re-measuring the second interface pressure between the person and the second bladder using the second interface pressure sensor while the first bladder is inflated to the third pressure;

(c) calculating a third sum of the re-measured interface pressures from steps (a) and (b);

(d) comparing the third sum to the second sum; and

(e) changing the gas pressure inside the first bladder to a fourth gas pressure less than the third gas pressure if the third sum is less than the second sum.

7. The method of claim 6 further comprising changing the gas pressure inside the first bladder back to the second gas pressure if the third sum is greater than the second sum.

8. The method of claim 4 wherein the second gas pressure is greater than the first gas pressure and the method further comprises changing the gas pressure of the first bladder to a third gas pressure that is greater than the second gas pressure if the second sum is less than the first sum.

9. The method of claim 4 further comprising:

measuring an additional interface pressure between the person and an additional bladder using an additional interface pressure sensor while the first bladder is inflated at the first gas pressure;

including the additional interface pressure in the first sum;

re-measuring the additional interface pressure between the person and the additional bladder using the additional interface pressures sensor while the first bladder is inflated at the second gas pressure; and

including the additional re-measured interface pressure in the second sum.

10. The method of claim 4 wherein the supporting object is a bed.

11. The method of claim 4 wherein the first and second interface pressure sensors are included in a force sensing layer on top of the cushion.

12. The method of claim 4 further comprising:

monitoring changes in the first and second interface pressures;

comparing the changes to a threshold; and

restarting the method if the changes exceed the threshold.

13. A method of controlling gas pressure comprising:

providing a cushion for placement between a supporting object and a person, said cushion having a plurality of hermetically sealable bladders;

providing a plurality of interface pressures sensors associated with the plurality of bladders, each of said interface pressure sensors having an electrical characteristic which varies in a predetermined way with an interface pressure exerted on the respective bladders;

providing at least one gas pressure sensor operatively coupleable to each of said bladder to thereby measure gas pressures within each of the plurality of bladders,

providing a control apparatus configured to perform the following;

setting a gas pressure inside of a selected one of the plurality of bladders to a first gas pressure;

determining a first sum of interface pressures between the person and each one of the plurality of bladders using the plurality of interface pressure sensors while the gas pressure inside the selected bladder is at the first gas pressure;

changing gas pressure inside of the selected bladder to a second gas pressure;

determining a second sum of interface pressures between the person and each one of the plurality of bladders using the plurality of interface pressure sensors while the selected bladder is at the second gas pressure;

comparing the first sum to the second sum;

changing the gas pressure of the selected bladder back to the first gas pressure if the second sum is greater than the first sum; and

changing the gas pressure of the selected bladder to a third pressure different from the second pressure if the second sum is less than the first sum.

14. The method of claim 13 wherein the second gas pressure is less than the first gas pressure.

15. The method of claim 13 further comprising:

determining a third sum of interface pressures between the person and each one of the plurality of bladders using the plurality of interface pressure sensors while the selected bladder is at the third gas pressure;

comparing the second sum to the third sum;

changing the gas pressure of the selected bladder back to the second gas pressure if the third sum is greater than the second sum; and

changing the gas pressure of the selected bladder to a fourth pressure different from the third pressure if the third sum is less than the second sum.

16. The method of claim 13 wherein the supporting object is a bed.

17. The method of claim 13 wherein the plurality of interface pressure sensors are included in a pressure sensing layer on top of the cushion.

18. A method of controlling gas pressure comprising:

providing a cushion for placement between a supporting object and a person, said cushion having at least first and second hermetically sealable bladders;

providing at least first and second interface pressures sensors associated with said first and second bladders, respectively, each of said interface pressure sensors having an electrical characteristic which varies in a predetermined way with an interface pressure exerted on said first and second bladders, respectively;

providing at least one gas pressure sensor operatively coupleable to each of said bladder to thereby measure gas pressures within the first and second bladders,

providing a control apparatus configured to perform the following;

setting a gas pressure inside the first and second bladders to a first gas pressure;

measuring a first interface pressure between the person and the first bladder using the first interface pressure sensor while the first bladder is inflated at the first gas pressure;

measuring a second interface pressure between the person and the second bladder using the second interface pressure sensor while the second bladder is at the first gas pressure;

determining which of the first and second interface pressures is greater;

identifying which of the first and second bladders has the greater of the first and second interface pressures (the greater bladder) and which of the first and second bladders has the lesser of the first and second interface pressures (the lesser bladder);

changing gas pressure inside the greater bladder from the first gas pressure to a second gas pressure;

measuring a third interface pressure between the person and the greater bladder while the greater bladder is inflated at the second gas pressure;

measuring a fourth interface pressure between the person and the lesser bladder while the lesser bladder is inflated at the first gas pressure;

calculating a first sum of the first and second measured interface pressures;

calculating a second sum of the third and fourth measured interface pressures; and

changing gas pressure inside the greater bladder based on the comparison of the first sum to the second sum.

19. The method of claim 18 further comprising:

changing the gas pressure of the greater bladder back to the first gas pressure if the second sum is greater than the first sum; and

changing the gas pressure of the greater bladder to a third pressure different from the second pressure if the second sum is less than the first sum.

20. The method of claim 18 wherein the supporting object is a bed.

21. The method of claim 18 wherein the first and second interface pressure sensors are included in a pressure sensing layer on top of the cushion.

22. The method of claim 18 further comprising:

monitoring changes in the first and second interface pressures;

comparing the changes to a threshold; and

restarting the method if the changes exceed the threshold.

23. The method of claim 18 further comprising:

measuring an additional interface pressure between the person and an additional bladder while the additional bladder and the lesser bladder are inflated at the first gas pressure; and

including the additional interface pressure in the second sum.