EP0360733A2 - Anti-pressure sores mattress - Google Patents
Anti-pressure sores mattress Download PDFInfo
- Publication number
- EP0360733A2 EP0360733A2 EP89810296A EP89810296A EP0360733A2 EP 0360733 A2 EP0360733 A2 EP 0360733A2 EP 89810296 A EP89810296 A EP 89810296A EP 89810296 A EP89810296 A EP 89810296A EP 0360733 A2 EP0360733 A2 EP 0360733A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- air
- group
- mattress
- air cushion
- base layer
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C27/00—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas
- A47C27/14—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas with foamed material inlays
- A47C27/18—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas with foamed material inlays in combination with inflatable bodies
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C27/00—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas
- A47C27/08—Fluid mattresses or cushions
- A47C27/081—Fluid mattresses or cushions of pneumatic type
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C27/00—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas
- A47C27/08—Fluid mattresses or cushions
- A47C27/10—Fluid mattresses or cushions with two or more independently-fillable chambers
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C27/00—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas
- A47C27/14—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas with foamed material inlays
- A47C27/148—Spring, stuffed or fluid mattresses or cushions specially adapted for chairs, beds or sofas with foamed material inlays of different resilience
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05715—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with modular blocks, or inserts, with layers of different material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/001—Beds specially adapted for nursing; Devices for lifting patients or disabled persons with means for turning-over the patient
Definitions
- An anti-decubitus mattress is used to position a patient, especially an older patient, in such a way that no decubitus ulcers develop or that existing decubitus ulcers can heal.
- Known mattresses of this type are characterized by great softness.
- alternating pressure mattresses i.e. approx. 20 cm high mattresses, which are composed of two parts which are wedge-shaped in cross-section and which are individually inflatable and can be deflated. An approximately 12 - 15 cm thick, very soft mattress is then placed on such a mattress.
- alternating pressure mattresses have not only proven themselves because they are too high together with the additionally required mattress, but also because they do not adapt properly to those bed frames that have two hinges that extend transversely to the longitudinal direction of the bed to form a head wedge and have a foot wedge, and because when emptying one of the mattress parts there is a risk that the patient will roll out of bed or onto the safety gate that may be present.
- the anti-decubitus mattress according to the invention now has all the advantages required for prevention and treatment, which make constant repositioning of the patient superfluous, without having the disadvantages described at the outset. It is characterized by the fact that it consists of an elastic but firm foam base layer, a cover layer that is soft in relation to the base layer, an elastic frame layer arranged in between and a core between all these components, which has two groups of air cushions lying flat on the base layer that are mirror images of each other with respect to the in the longitudinal direction of the mattress is arranged perpendicular to the central plane of the mattress, whereby each group consists of three pillows, which can be swiveled by at least 90 ° in the air-filled state, taper towards the central plane and are connected to a pumping station in such a way that the Inflate and deflate pillows from one group independently of pillows from the other group.
- Such a mattress can be designed such that it only has a maximum height of 26 cm when fully filled with air.
- the pumping station is expediently provided with a control unit, with which a pump cycle which can be selected quite broadly can be programmed, depending on the needs arising.
- This mattress is also expediently protected, as is the case with ordinary mattresses, by a fabric cover 21, which of course has openings for the two hoses 14 and 15 leading to the pumping station 18.
- This pump station can be a pump used to generate air pressure with the valves used to inflate and deflate the two air cushion groups 4, 6, 8 and 5, 7, 9.
- the pump station will not have a pump, but only a connection piece to connect the pump station to the compressed air network of the patient room, and the control valves that connect lines 14 and 15 to the connection pieces as required or connect the discharge opening or close it.
- the control unit is used to select the desired or required pumping or switching cycle and also to switch on pauses of a selectable length of up to 30 minutes between the individual steps of the cycle, and also to freely select the inflation and deflation speeds, whereby have proven to be expedient for the latter times of 1-3 minutes, preferably 2-3 minutes.
- the following cycles are expediently provided for the control units:
Abstract
Description
Eine Antidekubitus-Matratze dient dazu, einen Patienten, insbesondere einen ältern Patienten, so zu lagern, dass keine Dekubital-Geschwüre entstehen oder dass bereits vorhandene Dekubital-Geschwüre verheilen können. Bekannte Matratzen dieser Art zeichnen sich durch eine grosse Weichheit aus. Es gibt auch bereits sogenannte Wechseldruck-Matratzen, also ca. 20 cm hohe Matratzen, die aus zwei im Querschnitt keilförmigen übereinander angeordneten Teilen, die einzeln aufblasbar und entleerbar sind, zusammengesetzt sind. Auf eine solche Matratze wird dann eine ca. 12 - 15 cm dicke, sehr weiche Matratze gelegt. Diese Wechseldruck-Matratzen haben sich nicht nur deshalb nicht bewährt, weil sie zusammen mit der zusätzlich benötigten Matratze zu hoch sind, sondern auch darum, weil sie sich nicht richtig denjenigen Bettgestellen anpassen, welche zwei sich quer zur Bettlängsrichtung erstreckende Scharniere zur Bildung eines Kopfkeils und eines Fusskeiles aufweisen, und weil beim Entleeren des einen Matratzenteils die Gefahr besteht, dass der Patient aus dem Bett rollt oder an das allenfalls vorhandene Sicherungsgitter.An anti-decubitus mattress is used to position a patient, especially an older patient, in such a way that no decubitus ulcers develop or that existing decubitus ulcers can heal. Known mattresses of this type are characterized by great softness. There are also so-called alternating pressure mattresses, i.e. approx. 20 cm high mattresses, which are composed of two parts which are wedge-shaped in cross-section and which are individually inflatable and can be deflated. An approximately 12 - 15 cm thick, very soft mattress is then placed on such a mattress. These alternating pressure mattresses have not only proven themselves because they are too high together with the additionally required mattress, but also because they do not adapt properly to those bed frames that have two hinges that extend transversely to the longitudinal direction of the bed to form a head wedge and have a foot wedge, and because when emptying one of the mattress parts there is a risk that the patient will roll out of bed or onto the safety gate that may be present.
Die erfindungsgemässe Antidekubitus-Matratze weist nun all für die Vorbeugung und die Behandlung nötigen Vorteile, die ein ständiges Umbetten des Patienten überflüssig machen, auf, ohne dass sie die eingangs geschilderten Nachteile besitzt. Sie ist dadurch gekennzeichnet, dass sie aus einer elastischen aber festen Schaumstoff-Grundschicht, einer im Verhältnis zur Grundschicht weichen Deckschicht, einer dazwischen angeordneten elastischen Rahmenschicht und einem zwischen all diesen Bestandteilen befindlichen Kern besteht, der zwei Gruppen von auf der Grundschicht eben aufliegenden Luftkissen aufweist, die spiegelbildlich zueinander in bezug auf die in der Matratzenlängsrichtung aber senkrecht zur Matratzen-Ebene verlaufende Mittelebene angeordnet sind, wobei jede Gruppe aus drei Kissen besteht, die im luftgefüllten Zustand gegeneinander um mindestens 90° verschwenkbar sind, sich gegen die Mittelebene hin verjüngen und derart mit einer Pumpstation verbunden sind, dass sich die Kissen der einen Gruppe unabhängig von den Kissen der andern Gruppe aufblasen und entleeren lassen. Eine derartige Matratze lässt sich so ausgestalten, dass sie im vollständig mit Luft gefüllten Zustand nur eine Höhe von maximal 26 cm aufweist. Die Pumpstation ist zweckmässigerweise mit einem Steuergerät versehen, mit welchem sich je nach dem sich stellenden Bedürfnis ein ziemlich breit wählbarer Pumpzyklus programmieren lässt.The anti-decubitus mattress according to the invention now has all the advantages required for prevention and treatment, which make constant repositioning of the patient superfluous, without having the disadvantages described at the outset. It is characterized by the fact that it consists of an elastic but firm foam base layer, a cover layer that is soft in relation to the base layer, an elastic frame layer arranged in between and a core between all these components, which has two groups of air cushions lying flat on the base layer that are mirror images of each other with respect to the in the longitudinal direction of the mattress is arranged perpendicular to the central plane of the mattress, whereby each group consists of three pillows, which can be swiveled by at least 90 ° in the air-filled state, taper towards the central plane and are connected to a pumping station in such a way that the Inflate and deflate pillows from one group independently of pillows from the other group. Such a mattress can be designed such that it only has a maximum height of 26 cm when fully filled with air. The pumping station is expediently provided with a control unit, with which a pump cycle which can be selected quite broadly can be programmed, depending on the needs arising.
Nachfolgend wird anhand der beiliegenden Zeichnung ein Ausführungsbeispiel der Erfindung beschrieben. In der Zeichnung zeigt
- die
Figur 1 einen Querschnitt durch eine erfindungsgemässe Antidekubitus-Matratze nach der Linie I-I - der
Figur 2, die eine Draufsicht auf die Matratze zeigt, allerdings bei teilweise weggebrochenem Einsatz und weggebrochener Deckschicht und - die
Figur 3 zeigt eine perspektivische Darstellung der Antidekubitus-Matratze.
- 1 shows a cross section through an anti-decubitus mattress according to the line II
- of Figure 2, which shows a plan view of the mattress, but with the insert partially broken away and the top layer and
- FIG. 3 shows a perspective view of the anti-decubitus mattress.
Auch diese Matratze wird zweckmässigerweise, wie das bei gewöhnlichen Matratzen der Fall ist, durch eine Stoffhülle 21 geschützt, die selbstverständlich Öffnungen für die beiden zur Pumpstation 18 führenden Schläuche 14 und 15 aufweist. Bei dieser Pumpstation kann es sich um eine zur Erzeugung eines Luftdrucks dienende Pumpe mit den zum Aufblasen und Entleeren der beiden Luftkissen-Gruppen 4, 6, 8 bzw. 5, 7, 9 dienenden Ventilen handeln. Für die Verwendung in einem neuzeitlich ausgestatteten Spital oder Altersheim wird die Pumpstation jedoch keine Pumpe aufweisen, sondern nur einen Anschlussstutzen, um die Pumpstation mit dem Druckluftnetz des Patientenzimmers zu verbinden, und den Steuerventilen, die die Leitungen 14 und 15 je nach Bedarf mit den Anschlussstutzen oder der Entlastungsöffnung verbinden oder diese abschliessen.This mattress is also expediently protected, as is the case with ordinary mattresses, by a
Das Steuergerät dient zur Wahl des gewünschten bzw. benötigten Pump- bzw. Schaltzyklus und auch dazu, zwischen den einzelnen Schritten des Zyklus Pausen wählbarer Länge von bis zu 30 Minuten einzuschalten, sowie auch dazu, die Aufblas- und Entleerungsgeschwindigkeiten frei zu wählen, wobei sich für letztere Zeiten von 1 - 3 Minuten vorzugsweise 2 - 3 Minuten als zweckmässig erwiesen haben. Zweckmässigerweise sind bei den Steuergeräten folgende Zyklen vorgesehen:The control unit is used to select the desired or required pumping or switching cycle and also to switch on pauses of a selectable length of up to 30 minutes between the individual steps of the cycle, and also to freely select the inflation and deflation speeds, whereby have proven to be expedient for the latter times of 1-3 minutes, preferably 2-3 minutes. The following cycles are expediently provided for the control units:
- a) Entleeren der einen Luftkissengruppea) Emptying one air cushion group
- b) Aufblasen dieser einen Luftkissengruppeb) inflating this one air cushion group
- a) Entleeren der andern Luftkissengruppea) Emptying the other air cushion group
- b) Aufblasen dieser andern Luftkissengruppeb) inflating this other air cushion group
- a) Entleeren der einen Luftkissengruppe
- b) Aufblasen dieser einen Luftkissengruppe
- c) Entleeren der andern Luftkissengruppe
- d) Aufblasen dieser andern Luftkissengruppe
- a) Emptying one air cushion group
- b) inflating this one air cushion group
- c) Emptying the other air cushion group
- d) inflating this other air cushion group
Mit diesen Zyklen sind beispielsweise folgende Bewegungsprogramme möglich:
- 1. a) Sorgfältiges Neigen des Patienten von der horizontalen Lage in die linken Seitenlage, was 2 Minuten in Anspruch nimmt;
b) liegen in dieser Lage während 15 Minuten;
c) rückführen in die horizontale Rückenlage, was wieder ca. 2 Minuten in Anspruch nimmt;
d) liegen in dieser Lage während 15 Minuten;
dann wieder a - d. - 2. a) Sorgfältiges Neigen des Patienten von der horizontalen Lage in die rechte Seitenlage, was 1 1/2 Minuten in Anspruch nimmt;
b) liegen in dieser Lage während 20 Minuten;
c) rückführen in die horizontale Rückenlage, was wieder ca. 1 1/2 Minuten in Anspruch nimmt;
d) liegen in dieser Lage während 20 Minuten;
dann wieder a - d. - 3. a) Neigen des Patienten von der horizontalen Lage in die rechte Seitenlage, was 1 Minute in Anspruch nimmt;
b) liegen in dieser Lage während 25 Minuten;
c) rückführen in die horizontale Rücklage, was wieder ca. 1 Minute in Anspruch nimmt;
d) liegen in diesr Lage während 25 Minuten;
e) Neigen aus dieser horizontalen Lage in die linke Seitenlage, was 1 Minute in Anspruch nimmt;
f) liegen in dieser Lage während 25 Minuten;
g) rückführen in die horizontale Lage, was 1 Minute in Anspruch nimmt;
h) liegen in dieser Lage während 20 Minuten;
dann a - h. - 4.
Programm wie 3, jedoch ohne d) und h). (d.h. die Zeiten für d) und h) betragen 0 Sekunden.)
- 1. a) Carefully tilting the patient from the horizontal position to the left side position, which takes 2 minutes;
b) lie in this position for 15 minutes;
c) return to the horizontal supine position, which again takes about 2 minutes;
d) lie in this position for 15 minutes;
then again a - d. - 2. a) Carefully tilt the patient from the horizontal position to the right side position, which takes 1 1/2 minutes;
b) lie in this position for 20 minutes;
c) return to the horizontal supine position, which again takes about 1 1/2 minutes;
d) lie in this position for 20 minutes;
then again a - d. - 3. a) tilting the patient from the horizontal position to the right side position, which takes 1 minute;
b) lie in this position for 25 minutes;
c) return to the horizontal reserve, which again takes about 1 minute;
d) lie in this position for 25 minutes;
e) tilt from this horizontal position to the left side position, which takes 1 minute;
f) lie in this position for 25 minutes;
g) return to the horizontal position, which takes 1 minute;
h) lie in this position for 20 minutes;
then a - h. - 4. Program as 3, but without d) and h). (ie the times for d) and h) are 0 seconds.)
Claims (5)
Zyklus A:
a) Entleeren der einen Luftkissengruppe
b) Aufblasen dieser einen Luftkissengruppe
Zyklus B:
a) Entleeren der andern Luftkissengruppe
b) Aufblasen dieser andern Luftkissengruppe
Zyklus C:
a) Entleeren der einen Luftkissengruppe
b) Aufblasen dieser einen Luftkissengruppe
c) Entleeren der andern Luftkissengruppe
d) Aufblasen dieser andern Luftkissengruppe,
wobei sich zwischen den einzelnen Schritten und der Wiederholung der einzelnen Zyklen frei programmierbare Pausen wählbarer Dauer von bis zu 30 Minuten einschalten lassen und die Aufblas- und Entleergeschwindigkeit so einstellbar ist, dass sich Aufblas- und Entleerzeiten von 60 - 180 Sekunden, vorzugsweise von 120 - 180 Sekunden wählen lassen.2. anti-decubitus mattress according to claim 1, characterized in that the pumping station (18) is provided with a control device (17) with which each of the following three pumping cycles can be repeated an unlimited number of times after switching on and filling all air cushions,
Cycle A:
a) Emptying one air cushion group
b) inflating this one air cushion group
Cycle B:
a) Emptying the other air cushion group
b) inflating this other air cushion group
Cycle C:
a) Emptying one air cushion group
b) inflating this one air cushion group
c) Emptying the other air cushion group
d) inflating this other group of air cushions,
between the individual steps and the repetition of the individual cycles, freely programmable pauses of a selectable duration of up to 30 minutes can be switched on and the inflation and deflation rate can be set so that inflation and deflation times of 60 - 180 seconds, preferably of 120 - Let 180 seconds dial.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AT89810296T ATE100701T1 (en) | 1988-08-25 | 1989-04-20 | ANTI-DECUBITUS MATTRESS. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CH316488 | 1988-08-25 | ||
CH3164/88 | 1988-08-25 |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0360733A2 true EP0360733A2 (en) | 1990-03-28 |
EP0360733A3 EP0360733A3 (en) | 1990-09-26 |
EP0360733B1 EP0360733B1 (en) | 1994-01-26 |
Family
ID=4250004
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP89810296A Expired - Lifetime EP0360733B1 (en) | 1988-08-25 | 1989-04-20 | Anti-pressure sores mattress |
Country Status (4)
Country | Link |
---|---|
US (1) | US4947500A (en) |
EP (1) | EP0360733B1 (en) |
AT (1) | ATE100701T1 (en) |
DE (1) | DE58906810D1 (en) |
Cited By (7)
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US5606755A (en) * | 1995-04-05 | 1997-03-04 | Romein; Daniel C. | Light-weight massage table |
WO1997019619A1 (en) * | 1995-11-30 | 1997-06-05 | Sleep Options, Inc. | Mattress structure |
US5802646A (en) * | 1995-11-30 | 1998-09-08 | Hill-Rom, Inc. | Mattress structure having a foam mattress core |
US5926874A (en) * | 1995-06-14 | 1999-07-27 | Browder; Tabor W. | Automatic bed maker |
US8789224B2 (en) | 2000-11-07 | 2014-07-29 | Tempur-Pedic Managemant, LLC | Therapeutic mattress assembly |
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- 1989-04-20 EP EP89810296A patent/EP0360733B1/en not_active Expired - Lifetime
- 1989-04-20 DE DE89810296T patent/DE58906810D1/en not_active Expired - Fee Related
- 1989-07-11 US US07/378,137 patent/US4947500A/en not_active Expired - Lifetime
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US5606755A (en) * | 1995-04-05 | 1997-03-04 | Romein; Daniel C. | Light-weight massage table |
US5926874A (en) * | 1995-06-14 | 1999-07-27 | Browder; Tabor W. | Automatic bed maker |
WO1997019619A1 (en) * | 1995-11-30 | 1997-06-05 | Sleep Options, Inc. | Mattress structure |
US5802646A (en) * | 1995-11-30 | 1998-09-08 | Hill-Rom, Inc. | Mattress structure having a foam mattress core |
US5815865A (en) * | 1995-11-30 | 1998-10-06 | Sleep Options, Inc. | Mattress structure |
US6378152B1 (en) | 1995-11-30 | 2002-04-30 | Hill-Rom Services, Inc. | Mattress structure |
USRE38135E1 (en) * | 1995-11-30 | 2003-06-10 | Hill-Rom Services, Inc. | Mattress structure having a foam mattress core |
US8789224B2 (en) | 2000-11-07 | 2014-07-29 | Tempur-Pedic Managemant, LLC | Therapeutic mattress assembly |
DE102019103574A1 (en) * | 2019-02-13 | 2020-08-13 | Georg-August-Universität Göttingen Stiftung Öffentlichen Rechts, Universitätsmedizin | Wedge-shaped erecting positioning pillow with optional alternating pressure |
DE102019103574B4 (en) | 2019-02-13 | 2021-09-16 | Georg-August-Universität Göttingen Stiftung Öffentlichen Rechts, Universitätsmedizin | Wedge-shaped erecting positioning pillow with optional alternating pressure and positioning device |
WO2021250446A1 (en) * | 2020-06-10 | 2021-12-16 | Gbuk Group Limited | Inflatable assist device |
Also Published As
Publication number | Publication date |
---|---|
EP0360733B1 (en) | 1994-01-26 |
US4947500A (en) | 1990-08-14 |
ATE100701T1 (en) | 1994-02-15 |
EP0360733A3 (en) | 1990-09-26 |
DE58906810D1 (en) | 1994-03-10 |
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